Monday, April 19, 2010

EHR Early Adopter Offers Advice for Providers Vetting New Technologies

By Andrea Kraynak,

Upcoming EHR meaningful use subsidies may give many hospitals the additional incentive necessary to push toward a largely paperless existence.

Some facilities may be adopting their first electronic systems at this time. Others currently operating in a hybrid environment are likely looking to increase their EHR technologies to meet soon-to-be-finalized meaningful use measures.

Of course, cost is always a part of the conversation when vetting potential new technologies. Many providers may also want to insist on purchasing certified EHR technologies so they are eligible for incentives. But many other less obvious points warrant consideration when selecting potential EHR technologies, says Deborah S. Fernandez, RHIA, corporate services manager for New York-Presbyterian Hospital in New York City, who has been working with various EHR systems and technologies since the late 1990s.

First of all, as much as possible, HIM should be a part of the team that considers various EHR technologies. HIM staff can offer a unique perspective on what the new technology needs to be able to accomplish. For example, HIM staff members may be able to determine whether the potential technology will capture documentation in a way that meets legal requirements.

“It’s terrible to make an investment like that and not have a full handle on everything [the system needs to do],” Fernandez says.

And don’t forget about your record reproduction needs. Consider the various healthcare reform initiatives aimed at saving government dollars. It all translates into more audits for hospitals, says Fernandez. And that means reproducing your records for auditors.

“My facility is going to be receiving recovery audit contractor requests,” she says. “That’s a lot of printing.”

For example, consider how systems print hard copies of your data. Some systems print information in the form of unwieldy spreadsheets instead of more consolidated narratives.

“Some systems are very nice and neat, but some of them are horrific,” Fernandez says. “Some of these systems will print thousands of pages.”

In addition to printing hard copies, don’t forget to look at the ease with which potential systems can reproduce electronic copies of information, Fernandez says. Many auditors may soon begin to accept electronic versions of medical records, if they don’t already.

But the electronic versions can be equally unwieldy; some systems produce huge files, she says. When considering various technologies, consider how easy it will be to save the data in the systems on a CD or DVD, for example.

And be sure to talk to vendors about how their technologies will interface with those you already have in place. Many providers will adopt different specialized systems for different areas of the hospital. This isn’t necessarily bad, Fernandez says, because the technologies are designed to do different things. But at the same time, you don’t want staff members to have to sign on to five separate systems to view information on a patient.

You’ll probably need to push systems into working together for information to be available in this way, she says. Do yourself a favor and consider upfront whether technologies will be able to talk to each other.

“The idea that clinicians can view something in a single system might not sound like such a big deal, but it is,” Fernandez says. “You want it to seem to the end user that you have only one system instead of a dozen.”

Above article publish on http://www.ehrexperts.us/ehr-early-adopter-offers-advice-for-providers-vetting-new-technologies/

Friday, April 16, 2010

MIPPA Provides Incentives for E-Prescribing

By Rich Silverman

American health care providers write close to 3 billion prescriptions per year, according to a number of estimates, with about 80% of them being written by hand. A recent study conducted by the Weill Cornell Medical School in New York found that about 4 of every 10 handwritten prescriptions had an error while the rate of errors found in electronic prescriptions is around one-seventh of that, or about 6%.

If those numbers hold true, then almost 1 billion prescriptions each year have an error in them. Small wonder, then, that the government has enacted legislation to encourage providers to switch to electronic prescribing.

Amid the sea of health technology acronyms like HIPAA, HITECH, HIT and EMR floats one we’ve not addressed so far – MIPPA, the Medicare Improvement for Patients and Providers Act of 2008 (we’re really not making this one up). The act contains provisions relating to a host of issues such as physician quality reporting, physician payments and – the one we’re addressing here – electronic prescribing.

Structured with incentives to encourage physicians to adopt electronic prescribing, MIPPA provides for payments of up to 2% of qualifying Medicare billings during 2010 by using a qualified e-prescribing or Electronic Health Record system that meets all of the following requirements:

* Generates a complete active medication list
* Selects medications, prints and electronically transmits prescriptions and conducts all alerts
* Recommends available alternatives that are less expensive and therapeutically appropriate
* Provides information on tiered formulary medications, eligibility and insurance authorization
* Meets specified software technical requirements

Incentives will continue at up to 2% through 2010, drop to 1% in 2011 and 2012, and .5% in 2013. Beginning as early as 2012, penalties for NOT using e-prescribing can and will be assessed by Medicare, rising to as high as a 2% reduction in payments.

As with all government programs, there is a host of fine print to wade through, and there are multiple ifs and ands to deal with, but the overall program does provide incentives to you to adopt electronic prescribing. To help you navigate all that verbiage, HHS has created a comprehensive FAQ section on its website.

If you expect to qualify for incentive payments offered by the government for the adoption of an EMR/EHR system, you will need to be engaged in e-prescribing, because e-prescribing will be an integral part of the definition of meaningful use. And grumble all you want about how that implementation of an e-Prescribing system may require work up front, but the benefits that will accrue to you down the line, such as reduced errors and far fewer phone calls using up your staff time to resolve prescribing problems, will more than make up for it.

http://www.eprescriptionservices.com/mippa-incentives-eprescribing/

Case Western Reserve to help providers adopt EHRs in Ohio

By Mike Miliard

CLEVELAND – Case Western Reserve University (CWRU) School of Medicine has received nearly $8 million in federal stimulus money from the Ohio Health Information Partnership (OHIP), the state designated entity for health information exchange development. That funding will position the school as a regional extension center (REC), allowing it to help 1,765 healthcare providers in Lorain, Cuyahoga, Lake, Geauga and Ashtabula counties advance the use of health IT in their practices.

The CWRU School of Medicine is one of seven RECs in Ohio established by OHIP and made possible by funding from the American Recovery and Reinvestment Act (ARRA). An eighth REC was awarded directly by the federal government to HealthBridge, a not-for-profit health information exchange serving Greater Cincinnati and surrounding areas.

The federal and state initiative is providing smaller primary care practices with an incentive to early adoption of health information technology.

“Electronic health records tend to be financially out of reach for private practitioners and small practices,” said Julie Rehm, senior associate dean of the CWRU School of Medicine and associate vice president of strategic initiatives for CWRU. “If healthcare providers adopt early they are eligible for additional reimbursement from the Centers of Medicare and Medicaid Services until 2011. After that, the reimbursement declines and penalties kick in starting in 2015.”

The REC endeavor, as directed by the federal government, is targeted towards primary care providers, specifically, physicians—MDs or DOs who are family physicians, general internal, pediatric or OB/GYN, and other primary care providers such as nurse practitioners, nurse midwives, or physician assistants with prescriptive privileges and practicing in one of the previously mentioned areas.

The CWRU School of Medicine will provide administration and management to multiple contractors whose roles will vary by expertise but overall will help providers select products and provide training on how to use the technology to its fullest potential in order to improve patient care. This includes providing workforce support, implementation and project management, practice and workflow design, vendor selection, privacy and security best practices, progress towards meaningful use, functional interoperability and health information exchange.

The CWRU REC has a number of stakeholders, including University Hospitals, the Cleveland Clinic and Massachusetts eHealth Collaborative. In addition, the entities likely to participate in the CWRU REC include Kaiser Permanente, Medical Mutual of Ohio and CareSource.

“The School of Medicine is committed to improving the health of our community,” said Pamela B. Davis, MD, dean of the School of Medicine and vice president for medical affairs, CWRU. “We believe that HIT is a key tool in healthcare reform and we look forward to partnering with independent healthcare providers to encourage quick adoption of HIT. Once enabled, HIT provides a two-fold benefit: 1) improving patient care, for example, through electronic alerts that notify healthcare providers of a patient’s need for annual testing e.g., mammograms, and 2) by lowering healthcare costs by reducing redundant testing.”

The Case Western Reserve REC is expected to begin work sometime this month.

“Success for the CWRU REC will be measured in three ways,” said Rehm. “First, we must meet the milestones and metrics that are being asked of us by the federal government. Second, we must enable the earliest adoption possible which will allow primary care providers to pull in the maximum amount of federal dollars from reimbursements. And third, we must improve the quality of care through the utilization of this technology which will ultimately improve the health of Clevelanders.”

http://www.myemrstimulus.com/case-western-reserve-providers-adopt-ehrs-ohio/

Thursday, April 15, 2010

Voice Transcription Software To Grow A Medical Transcription Business

Companies who are in the medical transcription industry may underestimate the importance of a powerful voice transcription software platform. Consider for a moment that almost every function of that business will be affected by and handled by that system and it is easy to see how important it is to select the right one. Trying to save money on a system that does not significantly improve the productivity of medical transcriptionists can end up being a waste of capital.

There are many ways that voice transcription software can improve the profitability of a medical transcription business. The equation for making money is fairly simple; revenue has to go up and expenses must go down. The right voice transcription software platform can help a company to do both of these things.

In terms of reducing costs, things that medical transcription companies can look for in a software platform are advantages like local dictation telephone numbers that reduce the telephone bill. If a provider of this software has local numbers that are based in major centers across the country, then long distance charges will be minimized. It may not seem like a large expense, but when all of the clients that are dictating into a system are doing so for long periods of time and frequently then it can add up quickly.

Because the systems are so technical, often it can be beyond the abilities of the medical transcription company to maintain the voice transcription software and the servers that it will run on. This should be handled by the provider, and a good one will offer the large amount of storage space required at a good price. It will also be able to commit to having technical support available when it is needed.

Upgrades to the voice transcription software can also be expensive. When a transcription company is looking to engage a software provider, they should inquire about what kind of future costs they will have to shoulder for system upgrades. It is also important to know that upgrades can be facilitated without the need to bring down the system.

Improving profitability also has to do with increased revenue. If a voice transcription software platform can allow every medical transcriptionist to produce more in the same amount of time then this will have an effect on the company’s fortunes. This means having the ability to review and edit the document quickly and it also requires a seamless distribution of the work to medical transcriptionists. When documents are complete, it should also incorporate an automated system that delivers the finished product to clients.

Companies should move very carefully when they are considering purchasing a voice transcription software platform. It touches every department of their business and ones that provide a complete system will reduce the administrative burden on a company. When much of the tedium that was present in the industry in past years is eliminated by advanced software platforms, companies can then focus on retaining good talent and acquiring new clients.

Above Article publish on http://www.medicaltranscriptionoutsource.com/voice-transcription-software-grow-medical-transcription-business/

Something for everyone to take note of: Medical Billing Companies

Thinking about integrating physician financial services into your future plans for your physician clinic isn’t a minor action to take. It’s a significant subject, covering an extensive list of benefits, all of which facilitate the effective running of your business whilst maximizing your profits. Cut down on those worries and pressures and ensure that you meet with each legal regulation. If you’re not already sure, let us tell you why you should make use of one of these billing services.

The key advantage of utilizing such a business is the serious amount of time it will save you. Just think of the hours spent, every week – consider the tracking, handling and invoicing and all those related chores which make up a medical center’s administration. Sometimes it even detracts from the care of clients. Working with an expert provider will mean that they take care of all these aspects, in addition to several other issues, for example copying, credit checking and collection and delivery services. Its duties might even include organizing plans for payments, or even processing compensation for workers.

Redeploying these tasks will give your medical staff the time to concentrate on what’s important – caring for clients in the most effective and efficient manner. It will cut back your costs and help stop you stressing out over those jobs. Don’t all clinic staff have more important things to be concerned about than billing industry methods? Professional medical billing services will concentrate totally on this special matter. They are experts in such rules, technologies and procedures involved with established medical billing processes. Not only will this save time, money and effort, it will rule out the likelihood of your health clinic confronting judicial issues. Accuracy is really important in billing services. However, when you work with expert help, you can relax, safe in the knowledge that standards are established to catch and resolve the infrequent unfortunate mistakes immediately.

Making use of specialist a specialist service like this is an intelligent financial investment for medical professionals such as GPs, physiotherapists and doctors, and services including health centers and infirmaries. However, concerns such as size and costing should not completely govern your choice from the various companies available – ensure that you search for the best company for your physician practice.

Above article publish on http://www.mymedicalbillingoutsourcing.com/note-medical-billing-companies/

Monday, April 12, 2010

DEA issues interim e-prescribing rule

By Joseph Conn

The Drug Enforcement Administration has issued an interim final rule regulating electronic prescribing of controlled substances.

The 334-page rule also contains a request for comments. The rule affords prescribers the option of writing e-prescriptions for controlled drugs and also applies to pharmacies and hospitals.

According to a summary of the rule, it will “reduce paperwork for DEA registrants who dispense controlled substances and have the potential to reduce prescription forgery.”

“The regulations will also have the potential to reduce the number of prescription errors caused by illegible handwriting and misunderstood oral prescriptions,” according to the summary. “Moreover, they will help both pharmacies and hospitals to integrate prescription records into other medical records.”

The effective date of the rule is 60 days from its March 31 publication in the Federal Register, but as a “major rule,” it is subject to congressional review and, consequently, its effective date could be adjusted.

Above article publish on http://www.modernhealthcare.com/article/20100325/NEWS/100329985/1134

56 Organizations Agree on Priorities for “Meaningful Use” Program

According to recommendations from a large collaboration of organizations, the success of the new federal incentives program for health information technology (“HIT”) largely depends on a specific set of health improvement goals, a prioritized set of metrics, and the widespread participation of health care providers and patients.

Health care leaders from 56 different organizations filed a joint public comment on the program, which is part of the economic stimulus in the American Recovery and Reinvestment Act (“ARRA”). The Markle Foundation, the Center for American Progress, and the Engelberg Center for Health Care Reform at Brookings coordinated the collaborative comments on the Centers for Medicare & Medicaid Services’ Notice of Proposed Rulemaking for the Electronic Health Record Incentive Program.

The joint public comment recommends priorities to the U.S. Department of Health and Human Services (“HHS”), which will manage the new Medicare and Medicaid subsidies to doctors and hospitals for “meaningful use” of HIT starting in 2011.

The comment requests that HHS make clear a set of health improvement goals such as improving medication management and reducing readmissions to hospitals, so that everyone can contribute to these priorities.

Peter Basch, MD, senior fellow at the Center for American Progress, said: “As a practicing physician who has gone through the process of implementing health IT, I can say that it’s critical to set a bar that is ambitious but also achievable for the many diverse practices and hospitals that might participate in this program. We point out areas in which HHS can lower burdens on physicians without losing focus on the important goals of using health IT in ways that improve the patient’s experience and outcomes.”

Among other things, the collaborative letter stressed that the HIT program should encourage broad participation of providers by prioritizing the requirements necessary to receive payments and should enhance the ability of patients to obtain electronic copies of their health information.

Above article publish on http://pvwlaw.wordpress.com/2010/03/21/56-organizations-agree-on-priorities-for-%E2%80%9Cmeaningful-use%E2%80%9D-program/