Health Technology, Digital Healthcare
Article | August 21, 2023
Dialysis providers face many of the same financial and operational pressures that affect other provider organizations, including flat or reduced reimbursements, chronic staffing shortages, and increasingly complex insurance requirements. Dialysis centers, nephrologists, and renal pharmacies also grapple with the impact of a growing shift in dialysis care to the home setting.
End-to-End Automation Can Reduce Denials, Improve Cash Flow
The good news is that despite these challenges, dialysis providers can sustain strong cash flow, reduce costs, and mitigate denials by applying advanced technology to the revenue cycle.
Here are six ways technology can help strengthen the dialysis center revenue cycle in the today’s difficult operating environment:
Identify undisclosed insurance coverage
Because patients often present as self-pay even though coverage exists, determining their true insurance status can be challenging. Yet failure to identify existing insurance can result in significant write-offs.
That’s why renal providers need technology solutions that can uncover patient coverage information before care is provided. Change Healthcare’s Coverage InsightTMsolution provides an expansive network and search-and-matching capabilities necessary to identify and confirm patient coverages at the outset of care.
The solution uses machine learning algorithms—coupled with access to vast stores of available third-party-data—to develop robust patient profiles, which can then be linked to potential funding sources. Notably, it identifies a variety of indicators, including high probability of disability, income levels and financial status, insurance sources, and other actionable information to help you verify coverage and recover revenue.
We can help identify undisclosed coverage for end-stage renal disease (ESRD) patients through Medicare/Medicaid, Disability/SSI, third-party liability, commercial insurance, state and county programs, social programs, and charity.
Expedite seamless prior authorizations
Streamlining the prior authorization process is essential to help ensure optimal reimbursement for renal care rendered, particularly with commercial insurance and Medicare. But traditional prior authorization processes are frequently time-consuming and labor-intensive and can delay necessary care.
Our Clearance Authorization software addresses the chronic problem of prior authorizations with automated functionality that can determine if prior authorization is required and on file with the payer. The solution also will automatically check medical necessity requirements at the time of registration and electronically submit requests to integrated payers.
Change Healthcare’s Connected Authorization Services go a step further by deploying pre-authorization experts to handle routine authorizations quickly using intelligent technology while working complex cases by exception to improve authorization efficiency and accuracy.
Speed adjudication with electronic attachments
As claims management processes have grown more numerous and complex, providers have struggled to ensure that the correct information is provided to the payer at the appropriate time. The result can be delayed, denied, or rejected claims.
Assurance Attach AssistTMcontributes to faster reimbursement and reductions in denials, organizational expense, and administrative burden by automating the attachments process to meet payers’ increased demands for additional documentation. Attachments are automatically delivered and matched to the appropriate claim, and once the claim is released, claim and attachment status can be easily tracked.
Expedite claims workflow for recurring services
Creating claims for ongoing ESRD care requires repeatedly documenting the same details on each claim. Revenue Performance Advisor, an end-to-end medical billing platform, provides automation that allows dialysis staff to save time by quickly replicating unchanged data from prior visits while updating date-of-service and other information to expedite claims processing.
Revenue Performance Advisor also includes eligibility and benefits verification and automated claims scrubbing that flags incomplete or incorrect claims prior to submission, resulting in a first-pass clean claim rate of 98%.
Accelerate your Medicare claim cash flow
Medicare is one of the largest payers of dialysis services, so ensuring a problem-free and expedited Medicare claims submission process is essential to strong cash flow.
Our Assurance Medicare Direct EntryTMsolution provides a single system for the real-time submission and processing of Medicare claims. It can help expedite reimbursement, reduce AR days, and speed your Medicare primary claim cash flow by at least one full business day.
Assurance Medicare Direct Entry also checks your Medicare claims for eligibility errors using the CMS eligibility transaction system (HETS). Claims needing attention are flagged and posted in Assurance Reimbursement Management for editing. You can quickly correct errors within the system before transmitting the claim directly to Medicare for validation and payment processing.
Optimize patient liability
Making it easy for patients to receive, understand, and pay their portion of the medical bill is key to ensuring a healthy revenue cycle, mitigating the need for collection services, and improving patient goodwill.
With our Patient Billing and Statements solution, Change Healthcare serves as your strategic communications partner, delivering multi-channel, personalized print and digital statements to help expedite patient payment collection.
The solution is designed to provide fast, effective statement and invoice processing, printing, and mailing—cutting your costs and getting you paid sooner. Our advanced statement printing allows you to bypass conventional and time-consuming folding, stuffing, and stamping.
SmartPayTMconsolidates each step of the billing and payment process into one place, enabling you to collect more patient payments, get paid faster, reduce your collection costs, and lower patient write-offs. With multiple payment channels, including online, mobile, telephone and via mail, SmartPay helps expedite patient payments before, during, and after the encounter.
A single, trusted partner
Change Healthcare’s deep knowledge of the renal care landscape and our development of disruptive technologies to overcome traditional revenue cycle barriers can help dialysis centers achieve unprecedented revenue cycle excellence.
And unlike many point solutions that only address a specific revenue cycle issue, Change Healthcare’s technologies are part of a comprehensive approach delivered through a single, trusted vendor. That translates into improved process integration and continuity, as well as simpler overall accountability.
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Health Technology, Digital Healthcare
Article | September 8, 2023
EMRs have transformed how healthcare organizations handle patient data, improving efficiency and reducing errors. Hospitals can utilize them to enhance patient care and optimize management processes.
Contents
1. Understanding Hospital EMR Systems
1.1 EHRs vs. EMRs
2.Role of EMR in Improving Hospital Management System
3. Resolving Challenges in EMR Implementation
4. Revolutionizing HMS with Next-Gen EMR Innovations
5. Key Takeaways
1. Understanding Hospital EMR Systems
Electronic medical records (EMR) systems in hospitals, as digital adaptations of traditional paper charts, have become an integral part of modern healthcare. They encompass vital patient information, such as diagnoses, medical histories, lab results, medications, and physicians' notes. These systems enhance workflow efficiency by streamlining clinical processes, reducing manual tasks, and facilitating quick access to patient data. By eliminating paperwork and manual searching, EMR hospital software saves valuable time and allows healthcare providers to focus more on patient care. With improved access to comprehensive and accurate information, EMR systems contribute to enhanced patient care, treatment planning, and coordination among healthcare teams, ultimately leading to better outcomes for patients and healthcare institutions.
1.1 EHRs vs. EMRs
Electronic medical records (EMRs) and electronic health records (EHRs) are two electronic systems used in modern healthcare to manage patients' medical information. While both aim to improve the quality of healthcare and patient safety, EMRs stand out for their ability to enhance workflow efficiency, improve patient care and safety, and offer better control over data security and privacy. Compared to EHRs, EMRs are more straightforward to use, less expensive, and do not require as much implementation complexity. Choosing between EMRs and EHRs ultimately depends on the specific functions that best serve the needs of the medical facility. Medical practitioners can find EMRs to be a compelling option due to their affordability and simplicity, as well as their ability to manage medical records securely and effectively.
2. Role of EMR in Improving Hospital Management System
The Hospital Management System (HMS) covers three vital areas of hospital management, namely - Operations, Finance, and Clinical. The clinical aspect of the system includes EMR, which provides medical practitioners with a range of advantages, such as
• EMRs facilitate quick transfer of patient information between different departments.
• The digital record-keeping environment helps save a significant amount of space.
• EMRs can help practitioners increase the number of patients they can see, leading to improved productivity and workflow.
• Reduced errors in medical practice can result in better patient care and management of test results.
• EMRs can reduce operational costs, especially in relation to overtime labor and transcription services.
• EMRs can be customized and scaled to meet the specific needs of medical practice.
• EMRs allow for advanced clinical documentation and e-prescribing.
• EMRs enable more efficient and accurate billing processes for healthcare practices.
In terms of benefits to patients, EMRs can improve the treatment and diagnosis of diseases,facilitate rapid decision-making and coordinate care among medical professionals assigned to individual patients,with a reduced likelihood of significant errors in a patient's health record.
3. Resolving Challenges in EMR Implementation
EMR integration is vital as more healthcare organizations adopt hospital electronic medical records. However, the process can be time-consuming and challenging. Here, we will discuss the top six challenges of integrating EMRs as well as ways to overcome them
Standardizing Data Formats
Data compatibility is one of the primary challenges in integrating EMRs. The diverse formats in which various EMR systems store data can pose a significant hindrance to integration efforts. Addressing this obstacle requires identifying a viable approach for converting the data into a standardized format that is compatible with both systems.
Coding Incompatibility
Dealing with varying coding standards is another significant challenge that arises during EMR integration. The utilization of distinct coding standards across different EMR systems can pose a considerable challenge to the integration process. To overcome this hurdle, one must devise a solution to map the codes from one system to the codes in the other system.
Data Security
EMR integration raises significant security concerns that require attention. Securing the data and restricting access to only authorized users are critical aspects that necessitate appropriate security protocols. To ensure data safety and confidentiality, it is imperative to establish sound security measures.
Maintaining Data Quality
Integrating EMR systems carries a risk of data loss or corruption, making it crucial to prioritize data quality. To address this challenge, it is imperative to establish effective measures that ensure the accuracy and reliability of the data.
Ensuring Optimal Functionality
Following the integration of EMR systems, it is crucial to conduct rigorous testing and validation to ensure that the systems are functioning optimally. Despite the potential costs and time investments involved, it is necessary to prioritize this step to avoid complications and setbacks in the future.
Cost Management
Integrating EMR systems can be a significant financial undertaking, necessitating careful planning and budgeting. It is essential to factor in the costs of licenses, hardware, software, and services when embarking on an integration project. To address this challenge, one can explore cost-saving measures such as negotiating with vendors or implementing open-source software.
4. Revolutionizing HMS with Next-Gen EMR Innovations
In the coming years, emerging trends in EMR are expected to have a significant impact on the hospital management system. It is crucial for hospital EMR management to keep a close eye on these developments and stay informed of the latest technological advancements to provide optimal care to their patients. Adapting to the evolving landscape and staying current with these changes will be essential for hospital management systems to continue providing high-quality care and remain competitive in the healthcare industry.
Cloud Computing
It refers to the instant digitization of medical records and easy access to them. It is a significant trend in the development of electronic medical records (EMR). However, there are challenges in transferring data between databases. It proves to be a boon when medical staff is scarce as it allows easy access to patient records. Moreover, Cloud Computing in EMR technology can provide healthcare providers with quick access to patient data, which can enable them to provide timely and appropriate care.
RPA
Robotic Process Automation (RPA) refers to the computerization and digitization of data. In the healthcare industry, RPA can alleviate the burden of manual labor and provide more precise and reliable data. Sophisticated software and techniques are utilized to derive this data, addressing the problem of inefficiency in EMR without necessitating a complete overhaul of the system. RPA is also a time-saving process that enables medical staff to allocate their time more effectively to crucial tasks. Additionally, RPA can reduce the need for manual labor, resulting in cost savings.
Revamping EMR with IoT, AI & Voice Recognition
The integration of IoT, artificial intelligence, and voice recognition in healthcare has significantly aided in the development of EMR. This combination has the potential to transform the healthcare industry by providing precise and swift data, which could prove critical in saving numerous lives. By combining these three technologies, more accurate data can be obtained, further enhancing patient care.
Big Data and 6G Networking for Healthcare Analysis
Big data analysis helps generate medical records by collecting and analyzing data from multiple sources. This approach provides precise insights that benefit both patients and medical professionals. The sixth-generation network, currently in development, has the potential to transform healthcare. By improving the speed of data transfer and communication between remote locations, this new network will facilitate the digitization of medical records and lead to the development of improved EHR and EMR systems.
Wearable Devices for Better Patient Monitoring
Various wearables with sensors can monitor patients' daily activities and later be integrated with EMRs for better healthcare. The wearables track patients' medical activities and vitals like heart rate and temperature. Integrating these wearables with EMRs provides timely information to healthcare centers, leading to improved care and treatment.
5. Key Takeaways
EMRs have the potential to revolutionize the healthcare industry by enhancing patient care quality, productivity, and outcomes. However, implementing EMRs entails significant changes that require strong leadership support, dedicated physician champions, efficient training and optimization, and flexibility from the implementation team. Targeted training and support for specific components of the EMR system, such as patient portals and documentation tools, can help users adopt the system more efficiently and reduce the impact on productivity. By following a well-planned implementation strategy, healthcare organizations can harness the benefits of EMRs while minimizing disruption to their operations. Overall, EMRs offer solutions that create a secure and efficient platform for healthcare facilities and patients, helping to promote better connectivity and healthier lifestyles. The demand for EMR systems is pressing and vital in the current scenario, as the developments in the EMR industry indicate that they will play a critical role in revolutionizing the medical sector.
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Health Technology, AI
Article | July 18, 2023
COVID-19 has practically given a metaphorical high-voltage jolt to the whole world. It fell like a plague and affected humans in a way that nothing else has since the last global war. In short, it has reminded us of our mortality. As a result, improvement has become the new goal for the wise.
According to Jana Abelovska, Head Pharmacist atClick Pharmacy, “COVID-19 has put the world on notice, especially the healthcare sector. Everything and everyone has seen its effects. But in this turmoil also come opportunities – an opportunity to grow and be better. It is a time of progress to help create a better and healthier tomorrow.”
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Health Technology
Article | May 18, 2022
Do you know you can now wear technology?
With the help of wearable technology, it's now easier to keep track of useful information in one go! This go-to technology has made people’s lives easier and smoother health-wise.
In the last five years, more people have started using wearable technology to monitor health data and live healthier lifestyles.
According to the Deloitte Global Survey, today, more than 80% of people are interested in using wearable technology. Statista also studied that the ear-worn wearable technology market will be worth more than 44.16 billion US dollars by 2023. These data show that customers are gravitating toward wearable technology due to its simplicity and convenience.
The Tech is Getting Smarter
Wearable technology has enabled the concept of self-checking, evaluation and monitoring of certain health conditions.
The Internet of Things (IoT) technology is transforming and improving the entire lifestyles of millions of people. So it's no surprise that the technology is spreading. Thanks to IoT and AI, which have pushed these technologies into individuals’ hands in the form of smartwatches, fitness bands, and other devices. In this case, app development has also been a critical success factor.
Consumers of all age groups actively use wearable technology for multiple physical benefits, such as monitoring daily activities (running, walking), water intake, heartbeat, sleep cycles, blood pressure, oxygen level, and mobility levels. In fact, the tech helps them to stay motivated by maintaining and extending their good habits.
Wearables can measure these characteristics through an effective data model that is instantly responsive. The readings can be saved, displayed, or forwarded to a doctor for medical study. This interface of wearable technology saves money and time traveling to clinics, hospitals, GPs, and other medical facilities.
The next feature that only wearable technology provides is reminders and inspiring information! Due to the addition of automatic functionalities, users have invested considerably in wearables and sparked the usage at the current time.
Furthermore, wearable technology is also seen in other medical devices such as ECG monitors, which is again a cutting-edge consumer electronic device that users can use to measure electrocardiograms at home. A Deloitte study found that due to the rising demand and supply together, nearly 200 million wearable gadgets will be marketed globally by 2023.
Transforming Healthcare Towards Intelligence
The pandemic accentuated the importance of wearable technology the most, particularly for health monitoring. As a result, the technology was available in every second home.
Wearable innovation is exceptional with the advancements in sensors, artificial intelligence, machine learning, and algorithms. Sensor data provides insights regarding an individual's activity levels, cardiac pattern discrepancies, and other aspects. For example, many companies and manufacturers employ PPG, Raman spectroscopy and infrared spectrophotometers to enable blood pressure monitoring features in smartwatches and portable medical devices.
The combination of technology with intelligence is creating a whole new world of healthcare where individuals can track, record, and improve their health issues in a lesser timeframe.
A Committed Future of Healthcare
So, will technology for health improvement thrive?
The answer is yes. Wearable technology delivers real-time health data and allows consumers to improve their health without incurring high costs. Consumers' willingness to share their data with healthcare professionals indicates a surge in future demand for wearable technology gadgets.
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