Health Technology, AI
Article | July 18, 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 | August 16, 2023
Healthcare marketing, for a healthcare provider, is challenging as a lot of technologies are emerging in the market. What matters is choosing the right healthcare marketing techniques and technology to market your products and services. The global digital health market size was USD 51.3 billion in 2015. According to Global Market Insights, this is expected to have a compound annual growth rate (CAGR) of 25.9% from 2016 to 2025. However, to compete with your opponents and to face the challenges of increasing patients buying your products and services, you need an excellent and well-designed marketing strategy with the latest healthcare marketing trends.
As we have entered a new decade, healthcare providers should look into developments in the healthcare marketing brought out by the year 2020. The global pandemic has changed all the practices in the industry, including the style of healthcare marketing and technology. Since the turn of the century, online marketing has been a part and parcel of healthcare marketing. However, healthcare marketing is witnessing a new era. This can be attributed to the increasing integration of various smart devices in the everyday lives of people and the introduction of artificial intelligence algorithms. Are you ready to leverage these technological transformations and changes?
This article discusses some of the major healthcare marketing trends to be integrated into your healthcare marketing strategies.
Reviews Matter
One of the important healthcare marketing trends that you can use is online reviews from happy patients. Healthcare providers have largely relied upon these online reviews— the patient sentiment—to establish a reputation and acquire new patients. These reviews are widespread across multiple online platforms and anyone can easily access them.
A study conducted by Binary Fountain in 2019 claimed that 60% of people use online reviews to choose a healthcare provider. It also claimed that 75% are influenced by online feedback when they go for a healthcare provider. This shows how influential this healthcare marketing trend is. Thus, in 2021, healthcare providers should concentrate on acquiring positive reviews and replying to both good and bad reviews and feedback. It is crucial to respond to negative reviews for your online reputation management, as 70% of patients consider it important to address patient concerns publicly.
Content is King
Content marketing is yet another healthcare marketing trend that healthcare providers should focus on. Producing educational, entertaining, engaging, and high-quality content is crucial in increasing your online brand visibility and patient engagement. This aspect of online marketing came into existence ever since Google became the king in the search engine market and established their ever-evolving algorithms.
To leverage this healthcare marketing trend, healthcare providers should have a plan for creating content holistically and publishing it on multiple platforms in different forms. All content that goes online should be well-produced and authoritative. All forms of text-based content, such as articles, blogs, press releases, white papers, and case studies, should be well-written and have high-quality links. It is also good to add images to your content to increase engagement.
Within this healthcare marketing trend, video marketing is considered to be the most effective one because online visual content appeals to users more than any other form of content. To make the most out of your videos, you can run video ads on YouTube, share them on your social media pages, and post them on websites and landing pages.
Responsive, Fast Loading Websites
Among the online healthcare marketing techniques, it is very important to have a very responsive and fast loading website. Also, the navigation on the site should be smooth and easy. This is because the websites with these features win more patients.
Websites of healthcare providers with ads and pop-ups, navigation issues, and slow loading will make users leave the site in no time. This will be much realized in 2021 as patients expect websites to load instantly on all their devices, including their smartphones.
To increase patient acquisition, you may have to streamline and optimize your website for both mobile and desktop viewing. Here are some quick tips to make your website loading fast and navigation easy:
• Decrease image size on your website
• Switch to a faster web host
• Clean up unnecessary code.
Growing Influence of Social Media
Having a strong presence on all social media platforms is an effective digital healthcare marketing tactic. The online presence of your healthcare organization should not be limited to your website. To maximize your brand’s reach and to have an impact in 2021, you may have to make full use of all social media platforms. In terms of lead generation, engagement, marketing, and reputation management, Twitter, Facebook, and Instagram, among others, are turning more influential nowadays. According to Statista, social media has 2.82 billion active users. More specifically, according to Hootsuite, as of 2020, 90% of older adults use social media to seek or share healthcare information.
This most influential healthcare digital marketing trend can be effectively used by creating and promoting targeted ads on all these platforms. Also, by interacting with users through likes, comments, and shares and publishing content regularly, you can increase your organic reach. For any healthcare provider and marketer of 2021 and beyond, it is a massive mistake to neglect the power of social media.
Data-Driven Healthcare Marketing
In 2021, to personalize outreach campaigns, healthcare providers and marketers will have data and tools. Adhering to HIPAA regulations, healthcare providers can design various marketing materials according to key demographics, such as key health concerns, income levels, age range, etc. This is the more granular approach to reach new patients and to keep your regular and current patients loyal to your brand. This personalized healthcare marketing technique will make patients feel that they are treated well and slowly build up trust in your brand.
A customer relationship management (CRM) tool, which is reliable and healthcare-specific, can store relevant patient data. To optimize your marketing strategy, insights from the stored data can be considered. Thus, this important healthcare marketing technique—data-driven healthcare marketing—helps you personalize your healthcare marketing campaigns.
Turning to Telemedicine Technology
Demanding physical processes and spatial barriers are not yet a big restriction for healthcare providers. Artificial intelligence, telemedicine, automated systems, and IOT contribute a lot to make healthcare more efficient and accessible. Highlighting these features in healthcare also becomes an effective healthcare marketing technique.
Using telemedicine software, healthcare can be provided remotely, which eliminates the need for an in-house visit. Although this breakthrough happened at the start of the century, it will become more accessible, viable, reliable, and will be used widely than ever before in 2021. Patients with mobility and transportation issues prefer using remote healthcare services and adding these facilities to your services can be considered a part of healthcare marketing tactics. So start offering remote healthcare services, if you have not started yet. This will eventually increase your brand reputation and build up trust.
Self-Serving Technologies- Patient Profiles, Chatbots, and Appointment-Scheduling Modules
As part of healthcare marketing plan and strategy, patient profiles, chatbots, and appointment-scheduling modules are incorporated by providers in their websites. These additions provide more awareness and control of their health to the patients. Updating your website to include these self-serving technology will help you improve the patient experience online.
Look forward to the new developments in healthcare marketing technology to improve your healthcare marketing, which is suitable for you. Embracing all of these changes and transformation in healthcare marketing strategy will help you stay ahead of your competitors with effective healthcare marketing campaigns strategies.
Frequently Asked Questions
What are technological advances in healthcare?
The year 2020 witnessed a lot of technological advancements in the healthcare industry due to the pandemic. Some of the major ones among them are personalized medicine, telemedicine, blockchain, artificial intelligence, and machine learning.
What technology is used in healthcare marketing?
Blockchain, artificial intelligence (AI), chatbots, voice search, and augmented reality are some of the major technologies used in treatment and marketing in healthcare in 2021. However, the technology in healthcare marketing is ever-evolving as new trends are set every moment.
Why is technology important in marketing?
Technology is very important in businesses and marketing as technology helps businesses grow. It also creates relationships and it is necessary for communication between the customer and the organizations. Technology is an essential part of any business for development and growth.
What is the most effective healthcare marketing technology?
There are many existing and emerging healthcare marketing technologies in the global market. However, the most effective marketing technique is social media; generating leads through social media and websites.
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Digital Healthcare
Article | November 29, 2023
Managing accounts receivable (A/R) in private practice is a constant battle for physicians. Though most understand that lowering their A/R is critical for improving their practices’ efficiency and profitability, physicians often do not know how to address issues like lengthy collection periods and insurance claim denials.
It can be complex to manage A/R, as doing so involves various parties, including insurance carriers, the patient, the front office and billing staff, and the provider. All must work together to achieve a clean claims rate and avoid denials.
The best way to improve medical billing A/R is to reduce claim denials and speed up the patient collections process. In addition, you’ll need to ensure that patients and staff are filling out paperwork correctly and submitting claims on time. Other areas to manage are the follow-ups to correct errors and past-due accounts.
Accounts receivable is a collaborative effort
Each member of the practice staff plays an integral role in reducing claims denial rates. Take an all-hands-on-deck approach in order to identify issues and develop solutions. Start by making every team member privy to the A/R management process. This will ensure everyone is on the same page and involved. It will also help to increase efficiency, avoid redundancies, and eliminate mistakes that could waste time or profitability.
The front office staff is the front line of A/R. They are the first to verify and update patients’ insurance and personal details like address and contact information. They must also ensure that patients sign certain documents, like financial policies.
Providers are the next line of A/R. Providers select current procedural terminology (CPT) codes, and must be mindful of tedious details such as bundling correctly in order to ensure that claims are approved. A conscientious provider should not only select appropriate billing codes but also double-check the patient information that the front office staff provide.
The billing office is a final line of defense and should triple check that the patient’s information and the CPT codes are correct. Billing office staff are also responsible for ensuring the claims are submitted on time and that duplicates are not submitted.
Establish financial policies
Every practice needs clearly defined financial policies around patients or clients. Having these policies in place helps to clarify financial details and creates workflows and processes for staff to follow. Here are a few elements to consider:
State whether the practice will accept personal checks and, if so, what charges or actions are in place for bounced checks. Consider implementing technologies that convert paper checks to electronic transactions and verify them before patients leave the office.
Include a financial responsibilities section with information about who is responsible for the claim(s) if a patient’s insurance carrier partially or fully denies their claim.
Define the debt collection process. Patients should quickly know how long they have to pay their bills and at what point you may sell their debt to a third-party debt collectors agency.
Medical records can be copious, and practices often need to make physical copies of them. Consider implementing a policy that covers a pay-per-page cost associated with medical records.
Automate patient statements and payments
Offer different payment options for patients by implementing technologies and creative solutions that make it easier for them to pay their bills. Look for solutions that reduce manual work and provide reporting that tracks efficacy across delivery modes. Here are a few approaches to consider:
Automate sending statements via text message or email to help improve the rate of online payments.
Add QR codes to online and paper statements to help patients quickly access payment portals.
Offer payment plans, especially with low to no interest, to make it easier for patients to pay down balances.
Establish a written collections process
Not collecting patient payments at the time of service is the biggest challenge to patient collections. Establishing a written collections process can help to alleviate that pain point and clarify the practice’s policies and procedures so that patients can understand them more clearly and easily. Here are some guidelines to follow when creating your policies:
Include when, how, and how often bills are sent.
Provide information on payment plans and assistance programs, if available.
Explain the different available payment options and whether patients can pay over the phone, online through a payment portal, etc.
Clarify which extraordinary collection actions may be used, including selling the debt or taking legal action.
One of the most important processes to develop with collections is to respond to patients’ behavior. Communication should not be a one-size-fits-all approach. Patients expect personalization, and reaching out to them based on their preferred means of communication leads to optimal results.
Perseverance is vital when it comes to collections. By establishing clear policies and implementing integrated technology throughout your processes, you can improve the patient experience by eliminating confusion while streamlining workflow to reduce the administrative burden on billing and administrative staff.
Although implementing these steps can help your practice lower your accounts receivables, sometimes choosing to outsource to a medical billing company can help you save time, money, and resources. Medical billing companies can provide medical practices with specialized expertise, technology, and infrastructure to efficiently manage the revenue cycle and ensure timely payments. Outsourcing medical billing can also free up staff time and resources, allowing healthcare providers to focus on patient care and other essential aspects of running their practice. Whether you choose to outsource or to keep your medical billing in-house, these tips will help you to reduce your costs and increase your revenue.
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Health Technology, Medical Devices
Article | May 22, 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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