March 25, 2019 – Inpatient psychiatric facilities are spending a significant proportion of their average revenue on compliance with basic conditions of participation for Medicare, according to a new report from the National Association of Behavioral Healthcare (NABH). Inpatient treatment centers spend a total of $1.7 billion each year on Medicare compliance, which equates to 4.8 percent of the average facility’s annual revenue, including all revenue from services covered by commercial insurance. The high cost of participation, as well as inconsistent application of regulations in the real-world environment, make it challenging for psychiatric facilities to stay compliant with Medicare. The administrative burdens associated with participation may even prompt some providers to stop accepting Medicare all together, making access to behavioral healthcare even more challenging for the nation’s aging population. “Inpatient psychiatric facilities operate under a heavy burden of federal regulatory requirements,” explains NABH.
Three major categories of requirements that pose the most problems for facilities, the organization said. A list of regulations known as “B-tag” requirements are among the most problematic, asserted the report. B-tag regulations include detailed protocols for patient evaluations, medical records, and staffing levels. However, many requirements have not been updated in decades, resulting in outdated and confusing workflows for providers and administrators. “As enforced today, the B-tags produce frequent citations and impose large costs on providers, mostly through low-value documentation requirements,” said NABH. “Among our respondents, almost 80 percent of freestanding psychiatric hospitals report at least one B-tag citation in their most recent three compliance surveys.” The association estimates that B-tag compliance costs inpatient psychiatric facilities $622 million annually, largely due to on-the-ground interpretation of these rules by Medicare surveyors.
Surveyors may demand specific approaches to meeting compliance guidelines without assessing whether an existing strategy still meets the federal program requirements, the report explained. This produces an environment in which success is more or less arbitrary, and providers may spend millions of dollars revamping an adequate program simply to meet the criteria of an individual assessor. Psychiatric facilities are also taking issue with Medicare’s requirement to address ligature risks, or physical structures within the facility that could be used for self-strangulation. “Psychiatric providers care deeply about keeping patients safe, which includes protecting patients from self-harm or suicidal behaviors,” said the brief. “As CMS has recognized, however, providers cannot feasibly create ‘ligature-free’ environments that are completely devoid of potential ligature attachment points.” “Nonetheless, some surveyors demand major changes to psychiatric facilities’ infrastructure or staffing to address perceived issues that carry only minimal risk for patients in that setting.” Sixty percent of NABH members responding to a survey about the issue have received a citation for ligature risk within the last two years, the report notes. Facilities spend an average of $15,600 per bed to address these issues, again to meet the individual assessments of surveyors who may contradict one another.
NABH urges Medicare to institute a more standardized approach to assessing facilities for ligature risks and offer more guidance on areas that present the highest risks. These steps would reduce the likelihood of high spending on lower-value modifications. Lastly, the organization is seeking revisions to enforcement of the Emergency Medical Treatment and Labor Act (EMTALA), which is intended to ensure that anyone presenting to a hospital’s emergency department will be screened and stabilized regardless of their ability to pay for services. While NABH supports the law and its mission to ensure access to care for all individuals, the law’s impact on the inpatient psychiatric environment is not the same as in acute care. “EMTALA permits each provider to determine which clinicians are designated as ‘qualified medical persons’ (QMPs) who may screen patients for emergency medical conditions,” details the report. “Some regulators, however, are using EMTALA to raise the baseline licensure requirements for QMPs in inpatient psychiatric facilities. This approach upends decades of accepted clinical practice, and fails to account for widespread shortages of clinicians with psychiatric expertise.” The law is also putting pressure on some inpatient facilities to admit involuntarily committed patients, regardless of that facility’s ability to manage the risks those patients may present to themselves or others. “EMTALA should not be used to address the shortage of facilities that treat involuntarily committed patients,” NABM asserts. “Federal regulators should respect state procedures for involuntary commitment, including state arrangements for facility designation and patient transfer.” The ability for inpatient psychiatric facilities to meet Medicare compliance requirements can have major effects on the commercial insurance industry, as well. These facilities tend to operate under extreme financial constraints, and the more they spend on Medicare compliance, the more they will need to charge commercial payers to compensate. The Centers for Medicare and Medicaid Services has made significant efforts to reduce administrative burdens for acute care and physician providers, but has not yet addressed similar pain points in the behavioral health ecosystem. “These concerns lie at the heart of CMS’ ‘Patients Over Paperwork’ initiative,” the report points out, referencing Administrator Seema Verma’s signature effort to slash redundant, costly requirements for providers. “CMS should take this opportunity to modernize its guidance and standardize its survey practices. The proposals outlined here would cost CMS little to implement, and would lift a heavy burden from psychiatric facilities and their staff without affecting—and perhaps even improving— care quality and access for patients with severe behavioral healthcare needs.” Reforming the application of B-tag regulations, which are fundamentally more than half a century old, could significantly reduce unnecessary spending and increase financial security for inpatient psychiatric treatment centers, as would improving the process of assessing facilities for compliance with ligature risk rules and EMTALA protocols. “Adopting less burdensome requirements would benefit the healthcare system overall by reducing unnecessary costs, and by bringing greater stability and predictability for providers as they navigate the regulatory environment,” stresses the NABH. “In addition, patients may directly benefit from reduced regulatory burden as clinicians are able to shift more of their attention—and facilities are able to shift more of their resources—away from compliance for compliance’s sake and toward initiatives that meaningfully contribute to safe, high-quality care.”
According to TeamLease World of Work Report, an average of 2.35 hours is spent accessing social media at work every day and 13 per cent of the total productivity is lost owing to the social media indulgence alone.
The unrestricted usage of social media is having a negative impact on workplace productivity, as employees spend more than 32 per cent of their time on social media every day for personal work, says a study.
According to TeamLease World of Work Report, an average of 2.35 hours is spent accessing social media at work every day and 13 per cent of the total productivity is lost owing to the social media indulgence alone.
“Indulgence in social media and the resultant slacking is a testimony of pastimes getting more interesting than work.
Hence rather than blindly instituting rules, organisations should get to the root cause of the misuse and devise policies that make work more challenging and the work culture more aspirational,” Kunal Sen, Senior Vice President, TeamLease Services said.
As per the study, apart from loss of productivity, the extensive usage of social media by employees has also resulted in an increase in loss of confidential information, defamation, misinformation and employee solicitation.
According to the report, Facebook is the most visited social media platform. Out of the 62 per cent employees who accessed social media during working hours, nearly 83 per cent of them spend significant time browsing Facebook.
The report noted that the use of social media at workplace and resultant slackening has become very rampant. Some employers have policies in place, and some are leveraging social media to their benefit, but most are clueless about how the menace could be handled, it said.
The ‘Social Media at Workplace’ is the third in TeamLease survey series and was administered on HR managers across sectors. Read more.
As a medical scribe, prospective students can learn how doctors build trust and interact with patients.(Gary John Norman/ Getty Images)
If you’re considering a career in medicine, working as a medical scribe is a best bet for familiarizing yourself with patient care. A medical scribe works directly with physicians, primarily focused on charting patient encounters in the electronic medical record. What’s more, scribe positions can be full or part time, making it a viable job choice for a student.
If this sounds appealing, consider the following 10 reasons why prospective medical school students should consider becoming a medical scribe.
1. You will shadow physicians. Most admissions committees expect students to have had shadowing experiences before they apply to medical school. One of the greatest benefits of shadowing is that the experience will help you see how physicians handle being busy and stressed.
2. You will learn a great deal about medicine. As a scribe, you will start to listen for the signs and symptoms that help a physician come to a diagnosis or a differential diagnosis list. Over time, you will be able to anticipate what some of these diagnoses may be.
3. You will make money while you learn and shadow. Learning is inherent in this job, so think of it as a free education. You also won’t have to beg a physician to let you tag along on patient visits; you will actually be part of the health care team.
4. You will learn a lot about teamwork. You’ll be able to observe the respect given to team members and watch them intuitively help one another.Many medical students have no idea what the roles of interdisciplinary providers are until they get to their third year. You will be better prepared to understand the role of a physician assistant or a nurse practitioner because you have seen them in action.
5. You will learn medical language. Over time, you will learn how to spell and pronounce the words, and what they mean. The more familiar you are with the terminology, the less you’ll have to rely on rote memorization after you enter medical school. Humans more easily remember things through experience than simply by reading a text.
6. You will watch, hear and see how trust is developed. I think this is different than basic shadowing where the focus is on the physician. What I am talking about here is the dance between the patient and physician that generates caring and trust. For example, you might hear how the physician works to clearly understand what a patient said or you might see the doctor comfort a patient by touching the patient’s hand.
7. You will learn about the medical record. You will learn why the patient’s chief complaint is different from the history of present illness. You will understand the importance of the social history and mental status exam. The order will be more meaningful, and you will practice it so often that you could do it in your sleep.
8. You will learn about templates, checklists and smart phrases. All of these tools are to help physicians become more efficient, but clearly the tools aren’t enough because they hired you to help.
9. You’ll probably increase your typing speed and efficiency. Not only are these skills beneficial to you, but they’re important in terms of maintaining patient flow and reducing patient wait time.
10. You will get to listen to patients. This, in my opinion, is the most important reason. You will get to hear their story, their pain and their fears. You will learn to be in the moment and block out distractions, which is what all patients hope their doctors will do.
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
When Hancock Health was hobbled by ransomware, it wasn’t for the usual reasons. No one had clicked a suspicious link in a phishing email. It had its system fully backed up and recoverable.
The attack came from an outside vendor. Hackers stole credentials from one of Hancock Health’s hardware providers, then targeted the hospital’s backup site.
They delivered the ransomware via the connection between the backup site and the hospital’s main site server farm, compromising the backups, the connection and the hospital’s records.
After consulting with their cyber-security partner, Hancock Health paid the attackers about $55,000 in bitcoin, which was cheaper than fixing its system on its own, and it still took over three days for everything to return to normal.
Looking at the series of events, three major takeaways immediately jump out from Hancock Health’s ransomware attack and recovery.
By taking the following steps, a healthcare organization could avoid a similar fate.
Keep backups separate through segmentation
Maintaining backups is of course key to defeating ransomware. If an organization is able to quarantine the infected machines, they can simply wipe them and reimage them from backups without having to pay a cent in bitcoin.
The trick, of course, is keeping backups clean. In a flat network like the one at Hancock Health, everything’s accessible at the same level. Hackers with access to the backups were able to get access to the main data center. Had the backups been segmented, the criminals still would have disrupted the hospital’s operations, but the recovery could have been quicker and easier.
By putting up firewalls with strict filtering between different network segments, an organization can quarantine an attack from backups. With properly segmented networks, it can just close off the infected segment and reimage the infected machines.
Manage vendors with an eye toward security
No matter how much ransomware training is provided to employees, and no matter how many internal processes are in place, one vulnerable vendor can still leave an organization’s systems open.
Was that Hancock Health vendor categorized as a critical service provider? How much due diligence was conducted when reviewing its security posture? Was there a plan to break the kill chain in case the vendor was compromised?
A supply chain affects an organization in many ways, and one of the most commonly overlooked aspects of any relationship is cybersecurity. Now more than ever, organizations need to thoroughly vet partners that have sensitive access to their systems and keep close tabs on who has credentials.
Another caveat is that an organization’s systems don’t even have to be affected. When vendors shut down from a ransomware attack, an organization can still lose essential services. Allscripts had several applications knocked offline after ransomware gripped two of its data centers, affecting a variety of healthcare providers.
While the company hustled to get back online, customers had to make do without the infected applications. Always think through a contingency plan for when a critical partner is at the receiving end of an attack.
Expand cybersecurity partnerships
While vendors can cause attacks, they can also prevent them.
The Hancock Health attack confirms the need for pre-arranged partnerships with industry experts to assist during crisis situations. A hospital only has so much resident cybersecurity expertise. After all, its mission is delivering quality care that improves patient outcomes, not thwarting ransomware.
By striking up a relationship with a specialized cybersecurity firm, Hancock Health got quick access to threat mitigation and disaster response services.
Finding such a firm before an attack occurs can allow you to test procedures and resiliency regularly. By conducting mock data breach exercises, an organization can identify and address any gaps before they’re exploited.
In addition to uncovering potential vulnerabilities, like lack of segmentation, an outside firm can limit the damage after an attack and ultimately get an organization up and running faster.
The longer it takes to fully recover from an incident, the costlier it can become, and in healthcare especially, any delay can cost lives.
While many ransomware attacks are the result of phishing emails and unsuspecting employees, it’s not the only way hackers can paralyze your systems. Any outside vendor that has access can unwittingly become the source of malware.
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
Most healthcare providers, patients, and industry stakeholders agree EHR technology has the potential to yield marked improvements in population health management, predictive medicine, and clinical decision-making. However, EHR use also introduces new risks to patient safety. A study released in October of 2017 found EHR use has been listed as a contributing factor to patient injury at an increased rate over the past decade. Poorly-designed EHR systems combined with human error have resulted in patient safety problems in an increasing number of malpractice claims from 2007-2016. Here are a few steps providers and IT developers can take to deter this rising trend.
Online medical diagnosis and treatment
Limit use of copy-paste functionality
Shortcuts built into EHR systems have been embraced by provideders as a way to reduce the amount of time spent at their monitors. However, one shortcut could potentially pose a threat to patient safety.
Researchers in a 2017 JAMA study found providers may be increasing the risk of patient harm by entering repetitive or inaccurate EHR clinical data into physician notes using copy-paste functionalities.
Ultimately, researchers found resident physicians used copy-paste to enter more than half of all data into physician EHR notes. The prevalence of copied information in physician notes increases the likelihood of repetitive, nonspecific, and irrelevant data existing in EHRs.
“Copying or importing text increases the risk of including outdated, inaccurate, or unnecessary information, which can undermine the utility of notes and lead to a clinical error,” researchers stated.
Researchers recommended healthcare organizations and health IT developers consider ways to limit the amount of copied information in physician EHR notes by inhibiting certain information from being saved.
“This finding could spur EHR design that makes copied and imported information readily visible to clinicians as they are writing a note but, ultimately, does not store that information in the note,” researchers stated.
The National Institute of Standards and Technology (NIST) also cautioned providers against relying too heavily on the copy-paste functionality for clinical documentation.
Along with the ECRI Institute and U.S Army Medical Research and Material Command’s (MRMC) Telemedicine and Advanced Technology Research Center (TATRC), NIST offered recommendations for reducing copy-paste-related errors.
Specifically, researchers recommended implementing EHR designs that enhance the visibility of information being selected for copy and paste to prevent users from inadvertently copying certain unrelated or unwanted areas of information.
Additionally, authors recommended locking certain areas or sources of information to prevent copying altogether. For example, organizations could disable the copy-paste function when providers are entering data into a blood bank information system to prevent errors related to blood transfusions.
Limiting or restricting over-use of the copy-paste functionality during clinical documentation can help to reduce patient safety threats stemming from irrelevant or redundant information.
IMPLEMENT A SIMPLE, UNCLUTTERED EHR INTERFACE
Simple EHR interfaces are best, according to a recent report from Pew Charitable Trusts.
Convoluted or overly-complex EHR designs can confuse providers and negatively impact clinical productivity. Poorly-designed EHR interfaces can also inhibit providers’ ability to quickly find information.
Furthermore, EHR interfaces that lack key information altogether can cause clinicians to search for data in multiple places, which may slow down patient care delivery.
“Important design principles include knowing what users need for a simple interface, removing complexity, using simple and clear terminology, emphasizing key elements, and using color effectively to draw users to important areas,” advised the authors.
By extension, healthcare organizations should also refrain from excessive EHR customization.
“These customizations — which may be requested by a health care facility or staff — may not have undergone rigorous testing by the care team or the product developer to detect potential safety concerns,” the research team wrote.
Keeping EHR design simple improves EHR usability and enables providers to view information in as clear, concise, and straightforward a manner as possible. Ensuring EHR data is clear and accessible can help to reduce the chances of clinical errors and EHR-related safety risks.
IMPROVE PHYSICIAN EDUCATION SURROUNDING EHR USE
EHR system design can play a hand in heightening the risk of patient safety problems, but human error is more commonly the culprit.
Reducing safety risks related to human error require improved physician education about EHR technology and use. At the 2017 ONC Annual Meeting, a panel led by ONC Chief Medical Officer (CMO) Andy Gettinger discussed the importance of understanding how EHR software works.
In an effort to increase provider understanding of EHR technology, ONC is working to develop a “Usability Change Package” focused on building a tool provider organizations can use to gain a base level of knowledge about usability.
The resource will provide informational materials to EHR users in a variety of settings to help them assess and improve the usability of their systems.
“Now with ONC and this change package work, we’re seeing much more attention around implementation and what is happening there,” stated Raj Ratwani, National Center for Human Factors in Healthcare Senior Research Scientist and Scientific Director.
Educating providers about the affect implementation decisions can have on the overall usability of their EHR systems can help to avoid costly, long-term software problems.
ENCOURAGE HEALTH IT DEVELOPERS TO IMPROVE HEALTH IT STANDARDIZATION
While healthcare organizations bear responsibility for EHR use-related errors, health IT developers and certification bodies can also help to reduce liability risks.
“We became aware of the potential liability risks related to the use of EHRs shortly after their introduction, and we anticipated that EHRs would become a contributing factor to medical professional liability claims,” wrote authors in a 2017 report from the Doctors Company.
Researchers suggested most EHR-related problems could be attributed to a lack of widespread standardization among health IT developers early on after EHR adoption became common.
“Many EHR-related problems could have been avoided if the federal government had developed vendor standards for EHR use and interoperability and required beta testing in the healthcare environment to ensure usability and safety before the HITECH Act mandated its widespread adoption in 2009,”they wrote.
Improving standardization and usability testing could help to reduce or avoid EHR-related patient safety risks. Additionally, researchers suggested health IT developers take provider concerns and other feedback into account when designing EHR technology in the future.
“Physicians and other healthcare workers played a minimal role in the initial design of the EHR, and their concerns have been largely ignored,” stated researchers.
Improved communication between health IT developers and providers could serve as a way to reduce provider frustrations with EHR use and limit patient safety risks through more streamlined, standardized system design.
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
More than 90% of hospitals and 80% of physicians’ offices now have electronic health records (EHRs) – and while the digitization of medicine has improved patient safety, it also has a dark side. Today The Doctors Company, the nation’s largest physician owned medical malpractice insurer, published a new study showing that EHR-related malpractice suits are on the rise.
The study reveals that claims in which EHRs are a factor grew from just 2 from 2007 through 2010 to 161 from 2011 through December 2016. Typically, the EHR is a contributing factor in a claim, rather than the primary cause, according to David B. Troxel, MD, study author and medical director at The Doctors Company.
It’s the second study of its kind by The Doctors Company, which recognized early on that despite the potential of EHRs to advance the practice of good medicine and patient safety, there would be unanticipated consequences from this rapidly adopted new technology. The latest research compares 66 claims made from July 2014 through December 2016with the results of the first study of 97 claims from 2007 through June 2014.
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
A new survey from SelectHub, a technology selection management company, examined the thoughts of medical professionals and patients regarding electronic health records.
The team interviewed 1,007 Americans who have access to EHRs, as well as 107 healthcare professionals, including nurses, physician assistants, administrators, technicians and medical laboratory scientists. In an email, Chris Lewis, a creative partner of SelectHub, said the survey results were not limited to users of a certain EHR vendor or system.
Apparently, healthcare workers and patients both have a fairly positive sentiment of EHRs — at least according to the survey.
Among healthcare professionals, 53.5 percent said they had a positive outlook on EHRs, and 33.7 percent indicated they had a very positive stance. Approximately 10.9 percent had a neutral opinion, 2 percent expressed a negative opinion and 0 percent had a very negative outlook.
These results are surprising, given that electronic health records are often considered something healthcare workers love to hate.
Despite these favorable viewpoints, EHRs don’t seem to be cutting down on the amount of time professionals spend on health records. Among those who switched to using an EHR system, the average number of hours per week spent on health record work only decreased from 19.7 hours to 18.6 hours.
Additionally, 81 percent of professionals said EHRs have increased general workplace productivity.
The SelectHub survey included a wide range of healthcare participants, such as administrators, medical laboratory scientists and office receptionists. But it is interesting to note that a study out of the University of Wisconsin and the American Medical Association found that at least among primary care physicians, EHRs are time-consuming and only complicate matters. According to that study, EHR-related tasks take up nearly half of the average PCP’s workday.
Among patients included in the SelectHub survey, 60.4 percent expressed a generally positive opinion of EHRs, and 19.7 percent had a very positive opinion. Additionally, 16.6 percent had a neutral stance, 3 percent had a negative opinion and 0.3 percent indicated a very negative opinion.
“Perhaps the most surprising aspect of our research though was the reasoning behind patients’ support of EHR technologies,” Lewis said via email.
Seventy-six percent of patients said they believe their doctor’s use of an EHR has either a positive or very positive impact on the healthcare they receive.
“Furthermore, those who received thorough instructions on EHR use and access reported accessing their records more than twice as frequently, suggesting a potential need for more information resources for patients,” Lewis added.
Photo: Mutlu Kurtbas, Getty Images
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
As we get ready for National MT week, let’s take a look at the importance [still] of the Medical Transcriptionist in today’s healthcare industry:
A skilled workforce produces quality documentation. Healthcare documentation specialists (HDSs) and medical transcriptionists (MTs) ease the documentation burden from physicians.
HDSs and MTs consistently achieve documentation accuracy rates higher than 99%,¹ and by harnessing this workforce’s expertise, clinicians’ time, coding, and revenue are optimized and the data governance strategy is strengthened.
The narrative allows physicians the opportunity to add the qualitative information that provides context to the patient’s medical history and care. HDSs and MTs understand the complex story-telling of patient care and are experts in document standards and data capture.
Your healthcare documentation team are highly skilled, analytical quality assurance specialists who provide risk management support in capturing healthcare encounters and making sure they are documented in a way that promotes clinical clarity and coordinated care.
HDSs and MTs need to be positioned to ensure accurate documentation of care encounters and to identify gaps, errors, and inconsistencies in the record that may compromise care or compliance goals.
HDSs’ and MTs’ body of knowledge is vast and includes pharmacology, human disease processes, anatomy and physiology, HIPAA, privacy and security, and diverse technologies used to capture health data.
Certify to healthcare delivery that HDSs and MTs have the training and expertise to be valued among the allied health and HIM delivery teams by earning and maintaining your professional certification.
#NMTW #PrecisionMatters
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
#MDSofKansas will once again be at the #KMGMA2017 Spring Conference (04/20/17) and we are looking forward to seeing YOU! Please stop by our booth and check out some of the great giveaways, and learn what we’ve been up to! We are saving many clinics and businesses lots of money on everyday fees. If you would like to save money, too, stop by and ask us how!
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing, Medical Transcription, Scribe Services, and AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #MedicalTranscription #AzaleaHealthEHR #RevenueCycleManagement #MDSofKansas #MedicalBillingService #MedicalScribes
“We are very excited about Azalea’s telehealth solution and love how it’s fully integrated with our EHR and patient records. We immediately can increase care coordination, communication and even patient safety, which all leads to improved care quality, better outcomes and increased patient satisfaction.”
Leigh Ritorto, VP of Clinical Services, Women’s Telehealth
Azalea Health now offers fully integrated telehealth functionality within its certified electronic health record (EHR) solution. Azalea Health is the first health IT company to successfully integrate telemedicine functionality into its EHR solution and provide innovative services to its users as a part of a complete interoperable cloud-based health IT platform.
This additional functionality allows for increased physician-patient engagement through live streaming video calls via a secure, HIPAA-compliant videoconferencing platform. Azalea’s telehealth features allow direct media streaming, not only between care providers and their patients, but also between healthcare providers in other organizations. These features are accessible using a mobile/smart phone.
Since Azalea’s virtual care solution is an integral part of our comprehensive health IT platform, it has the essential and inherent integration into all clinical, financial and administrative workflows. Our solution is not only fully integrated with our certified EHR, but also fully integrated with our patient portal, mobile apps and billing to facilitate patient engagement, care coordination and capitalize on chronic care management reimbursement guidelines.
To learn how you can get started with Azalea EHR with Telehealth functionality, contact us atInfo@AzaleaHealth.com or call 877-777-7686.
Telehealth Benefits
Increased accessibility and convenience of providing patient consultations and physician collaborations
Increased reimbursements through CMS’ Chronic Care Management program
Improved clinical operations due to integrated software and hardware workflows
More efficient care delivery than traditional visits alone
Opportunity to reduce readmission rates
Improved care coordination
Enhanced patient engagement
Increased reimbursement rates
Telehealth Features
Easy-to-use
Live streaming video calls via a secure, HIPAA-compliant videoconferencing platform
Direct media streaming
Accessible using a mobile/smart phone
Fully integrated with Azalea’s certified EHR, patient portal, mobile apps and billing functionality
Azalea® Telehealth Solution screenshots:
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing and RCM, Medical Transcription, Pre-Certs with AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #medicaltranscription #azaleahealthEHR #revenuecyclemanagement #MDSofKansas #medicalbillingservice
GomerBlog highlights the major points from tonight’s State of The Medicine Address given by the President of Hospital Administrators, Mr. Cutter Salary.
Hospitals now have the highest patient satisfaction in the history of healthcare and probably correlates to increased quality of care according to patients and lawmakers
WiFi, fast food restaurants, and pianos are distributed throughout hospital lobbies replacing exam rooms and useless medical equipment
Doctors now spend 50% of their time coding which is a vast improvement over last year and has led to spectacular reimbursement rates to enable hiring of more administrators. Remember Caring IS Coding!
Unnecessary Nurse bonuses were removed in a major cost saving move this year. To save even more money, cuts will start with the nursing staff and end with the nursing staff
Drinks were finally stripped from the Nursing Station. This year we must continue with stripping any fun or laughter from the Station. We don’t want our patients thinking we are making fun of them
Breaks are vanishing from the workplace and we need to continue that for our medical providers. Foley catheters were distributed to staff to help our providers perform flawless and uninterrupted care
Surgeons are required to perform 3 more surgeries a day and leave when it is dark outside. Skin cancer rates are drastically down in our employees now thanks to this move.
Patient to Nurse ratios are at an all-time high providing a challenging and dynamic work environment to our nursing staff, which we know they enjoy
The new Secretary of The Medicine, Dr. Oz, continues to utilize his charismatic charm to educate the public before they come to the hospital
And finally, our budget has been passed and includes hiring another 1.2 million hospital administrators to oversee and provide outstanding medical care to our hospitals!
“God Bless The Medicine and God Bless my obnoxiously large pension!”
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing and RCM, Medical Transcription, Pre-Certs with AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #medicaltranscription #azaleahealthEHR #revenuecyclemanagement
ATLANTA, GA – (November 18, 2015) – Azalea Health’s solution, Azalea EHR 2.1, is one of a select few EHRs to achieve certification on all 64 CMS clinical quality measures (CQMs). Eligible providers are required to report on CQMs to demonstrate meaningful use and receive an incentive payment under the Meaningful Use Stage 2 rule. The provider can select and report on nine from the list of 64 approved CQMs for the electronic health record (EHR) incentive programs.
“Our healthcare system is evolving rapidly towards quality and outcomes-based payments so it’s imperative for Azalea to ensure we offer the most innovative, flexible and functional EHR as well as quality reporting platform for physicians and other care providers,” said Baha Zeidan, CEO of Azalea Health. “The three main pillars of our company are innovation, partnership and leadership and this CQM certification embodies those pillars as we navigate our customers successfully through the future of healthcare.”
The Azalea 2.1 EHR includes fully integrated electronic health records, practice management, interoperability services, patient portal, personal health records, telehealth, and the AzaleaM mobile platform integrated with Apple® HealthKit, as well as revenue cycle performance services.
Azalea Health helps reduce the complexity of operating a medical practice, enabling physicians to spend more time with their patients. Azalea’s cloud-based solution is simple to implement and easy to use, streamlining administrative workflow while maximizing a practice’s resources and revenue cycle.
This Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments.
Azalea Health is a leading provider of fully integrated, technology-enabled healthcare solutions and managed services for practices of all sizes and most specialties. Azalea’s comprehensive portfolio includes integrated electronic health records, practice management, electronic prescribing, interoperability services, personal health records, patient portal, telehealth, AzaleaM mobile platform integrated with Apple® HealthKit, as well as revenue cycle performance services. The Azalea platform also provides tools and resources to help customers meet their Meaningful Use and ICD-10 requirements as well as strategies to navigate accountable care and alternative payment models. To learn more, please visitwww.AzaleaHealth.com, call (877) 777-7686 or connect via social media on Facebook, Twitter and LinkedIn.
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing and RCM, Medical Transcription, Pre-Certs with AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #medicaltranscription #azaleahealthEHR #revenuecyclemanagement
Everywhere you look now, a telehealth stat or strategy is being written about or discussed. I realize not in every instance but in many where they are discussing evolutions in care coordination, improving outcomes, increasing patient satisfaction and certainly driving additional (and much needed) revenue.
Here are some of the recent news clips:
Primary care continues to see a boom in telehealth implementation with the infusion of non-traditional healthcare players such as Apple, Walmart, Walgreens, etc. into the space, which will continue
Since the ACA, remote patient monitoring has arisen as a method to reduce hospital readmissions and curb costs for providers. Many hospitals have sent patients home with remote monitoring devices so they can be observed at home for the post-30-day period and this method has saved money and reduced readmissions penalties drastically in some cases
Post-acute providers and hospitals have been more engaged in integrating telehealth into their services because they see the benefits as far as cost-savings and lowering readmissions
No matter the size of your hospital, surgery center, clinic or practice, you may want telehealth on your radar screen.
While potential costs are mentioned as a barrier (or excuse not to research), telehealth can be extremely affordable and simple to implement. The real “costs” may come when practices, hospitals and other organizations lose out on the additional revenue, care quality and incentives that come along with telehealth strategies.
There are even integrated solutions that exist today that place telehealth on provider desktops, tablets, and smartphones, enabling face-to-face video communications integrated into their clinical workflow that are as easy as a phone call to initiate or receive. Experts also suggest the fast growth of consumerism in healthcare as well as the increased use of mobile health applications will further promote telehealth strategies from the patient engagement perspective as patients seek to manage and coordinate their own care.
Here are a few strategies and best practices for investing in telehealth
Protect your market share. All but three states reimburse for telehealth encounters for their Medicaid programs, and 27 states have enacted laws that enforce coverage for services provided through telehealth. Although it is not mandated, many private insurers offer reimbursement for services delivered through telehealth.
Proposed rules for Meaningful Use Stage 3 treat a real-time patient encounter delivered through technology-assisted healthcare the same as a physical encounter. What’s more, the provider can also choose to include consultative services “such as reading an EKG, virtual visits, or asynchronous telehealth.”
The payer community has embraced telehealth to help patients receive the right care at the right time. Providers should do the same.
Increase revenue. Remote monitoring for patients with two or more chronic conditions not only can help patients live with their conditions more effectively, it also can increase the bottom lines of providers. The Centers for Medicare & Medicaid Services has developed CPT codes that allow providers to bill a monthly fee for monitoring patients with chronic illnesses.
CPT code 99490 allows for non-face-to-face care coordination services for those with a care plan listing multiple chronic conditions expected to last at least 12 months and place the patient at significant risk of death or decline. Average compensation is $42.60 monthly, based on geography. It can be used in conjunction with CPT code 99091 (collection and interpretation of physiologic data) for a $56.92 monthly reimbursement per patient.
Prepare for the future. The telehealth and home health technologies market is expected to quadruple in size over the next five years, growing to $13.7 billion by 2020, according to a market intelligence company that tracks the space with other reports predicting much higher growth.
Once considered a fringe technology, telehealth clearly has moved into the mainstream as a way to see patients who may be limited by mobility or geography, as well as those who prefer the convenience of a face-to-face video encounter. Another important use case that is growing is for provider-to-provider such as a primary care provider collaborating or coordinating care with a specialist locally or halfway around the world.
As many industry leaders and even disrupters are suggesting, organizations need to invest in telehealth phenomenon to effectively compete in the healthcare marketplace. But in order to truly fulfill its mission, telehealth must be convenient to providers. Any telehealth solution must be readily available, incorporated into the natural workflow of the provider and available on the device he or she uses. Read more…
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing and RCM, Medical Transcription, Pre-Certs with AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #medicaltranscription #azaleahealthEHR #revenuecyclemanagement
The ICD-10 Compliance date is looming and it is imperative that healthcare providers be prepared to make the transition. It affects everything from claims processing, physicians’ workflow, and patients’ access to care. Many organizations may be rallying employees and resources in order to make the switch from the ICD-9 to the ICD-10 coding for medical diagnoses and inpatient hospital procedures before the implementation date of October 1, 2015.
To make matters worse, the transition is not easy, but a major undertaking with nearly 19 times as many procedure codes and almost five times as many diagnosis codes in the ICD-10 than in the ICD-9. While the ICD-10 switch is definitely necessary, as the outdated and clinically inaccurate ICD-9 has not been updated since its installation, in 1979, the ICD-10 stands to enhance the quality of healthcare, improve data for epidemiological research, as well as enable physicians to make better clinical decisions. However, this is dependent on the ability for the healthcare industry to make a smooth and accurate transition to the new International Classification of Diseases, according to Richard Milam, president and CEO of EnableSoft
In order for healthcare providers to successfully meet the ICD-10 deadline, Milam suggest five best practices to ensure an expedient, smooth ICD-10 transition:
Richard Milam, president and CEO of EnableSoft
1. Employ Robotic Process Automation That Does the Work for You
“You” is meant to imply the entire organization because that is how many resources it will take to have the ICD-10 switch completed by the deadline if Robotic Process Automation is not used to update and add the multiple new codes into EMR, NDC, medical billing, and claims processing data systems. Certain softwares may have to upgraded or replaced to support the 68,000 diagnoses codes and nearly 87,000 procedure codes; however, through a series of human-directed scripts, Robotic Process Automation technologies will populate the specific fields in the data systems with the ICD-10 data required. The already costly transition to the new ICD-10 can be mitigated by not having to outsource or hire new employees to enter the new codes manually. Furthermore, the data transition can take place over the course of a few days, not a few months, ensuring healthcare providers will be ready to transition to using the new ICD-10 codes.
2. Test Your Software
Not only should you confirm with your clearinghouses, billing service, and payers that they will be upgraded and compliant with the ICD-10, but when they will be ready for testing to occur. Robust end-to-end testing must occur with your software in order to ensure claims are being accepted properly and processed by insurance contractors, Medicaid, Medicare, and other payment processes are operational. Test internally to ensure transactions can be generated and sent with the ICD-10 codes and test externally to ensure the transactions are successfully received by payment providers and that the payment can be processed correctly. After October 1, any ICD-9 codes used in transactions will not be accepted for services and will be rejected for payment. Failure to test your software properly can result in disruptions in patients’ receiving the treatment they need and receipt of due payments.
3. Educate or It All Falls Down
The updated, enhanced medical coding that is to enhance and improve patient diagnoses, performed procedures, treatment, and billing will not prove capable of these abilities without humans to employ its codes, terminology, and procedures appropriately and correctly. You must educate your staff about the changes to the ICD-10 and perform practices and routines in order to prepare for the change. Have each of your staff participate in educational seminars in order to become informed of the changes and how that will affect their position, the procedures patients are to undergo based on the new diagnosis codes, as well as the improved treatments that patients are to have performed. Assist and inform staff by identifying the 50-100 most commonly used ICD-9-CM diagnosis codes based on specialties and determine the equivalent ICD-10-CM codes, and have this information accessible before and after the implementation of the ICD-10. Having your staff prepared and knowledgeable about the ICD-10 will reduce delays in patient care and procedures, which is the reason for the ICD-10—to deliver improved diagnosis and advanced medical treatments that will enhance patients’ quality of care.
4. Implement an Effective Communication Method and Coordinate Conflict Resolution
While making the data transition and update to the new and diverse medical coding that is in the ICD-10, it is imminent that there may be delays in processes, confusion over coding and form completion, as well as workflow changes. Make sure your employees know who they can contact or call on if they are unsure of what code to report, how to complete a form, or other transitory questions that may arise following the implementation of the ICD-10. Identify leads and supervisors for each workflow and specialty area that will be available for their staff requests and questions, and make sure those individuals are highly educated on the ICD-10 and have the authority to execute a resolution. Additionally, determine how transactions handled just prior to the compliance date will be handled in order to ensure payment processing will occur—and more importantly—patients are covered financially and receive the best treatment. Identify critical areas or procedures that may be challenging to transition to using the ICD-10 and have practical resolutions for those practices ready to be executed if, and when, needed.
5. Obtain the correct medical documentation and update your forms to support the ICD-10.
Patient intake forms, EMR forms, insurance forms, and superbills must be updated to support the ICD-10 codes. In order to have patient medical records completed correctly and treatments performed effectively, in addition to have payments process, healthcare providers, clearinghouses, and payers must update their forms to reflect the codes in the ICD-10. Physician forms must be updated with the new medical terminology and diagnoses and procedural codes, along with superbills. Identify categories of uncommon services and diagnoses and determine units, time, and cost for each category in order for physicians to be able to report in the EMR and on superbills. Determine and have readily available a list of common or most frequently used abbreviations to ensure they are utilized correctly and correspondently with the ICD-10 terminology and codes. Lastly, and this goes without saying, obtain the updated and correct documentation that will stand as educational and reference material in regards to the ICD-10. The American Medical Association publishes the ICD-10 codebook and other supplementary documentation on topics such as anatomy and physiology, mappings, and coding workbooks. Make sure to have these ICD-10 Bibles available, and in all areas, for staff and physicians to reference when needed or desired.
The healthcare industry is about to embark on an intense change in treatment, reporting, and payment processes as the ICD-10 Compliance date approaches. While the ICD-10 is definitely necessary to reflect advances in medicine and detailed diagnoses, the change is extremely disruptive for healthcare providers. By employing efficient technologies and engaging effective strategies, healthcare providers can execute the ICD-10 transition quickly and accurately by the compliance date. READ MORE
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing and RCM, Medical Transcription, Pre-Certs with AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #medicaltranscription #azaleahealthEHR #revenuecyclemanagement
Annie Martinez writes a great article for Dummies.com titled Ten Myths About Medical Transcription. Clearly there has been much confusion about our profession over the last few years, and she puts in all in perspective. We have been bullied to believe that transcription is being replaced by technology or going overseas, and we have certainly seen some of that occur. Although in recent years, we have seen much more come back. Annie clearly outlines Transcription is back, here to stay, and as important as it was 20 years ago.
There’s a lot of misinformation floating around about the ins and outs of a medical transcription career. Some of it comes from honest misconceptions; the rest comes from training companies that want your money.
Medical transcription (MT) is interesting and challenging. You can train from home and work from practically anywhere you can get an Internet connection. There are opportunities to work nontraditional hours, part-time or full-time, as an employee or as self-employed independent contractor. MT has a lot going for it. It isn’t, however, a free ticket to prosperity with no strings attached.
Medical transcriptionists make $50,000 a year working from home
This particularly alluring myth frequently appears in advertisements promising to take you from zero to medical transcriptionist in a matter of months — just come to our free seminar to find out how! Don’t believe it, and don’t sign up for training (or even attend a seminar) from any company that makes such a claim.
Are there medical transcriptionists who make $50,000 a year? Yes, but they’re few and far between. A quick trip to the U.S. Bureau of Labor Statistics (BLS) website reveals that the average annual salary for a full-time medical transcriptionist is closer to $34,000.
Medical transcriptionists can work and take care of the kids at the same time
If you’re picturing yourself tapping away at the keyboard while your little darling plays quietly at your feet, pinch yourself and wake up! There’s no way you can transcribe medical reports and take care of children at the same time.
MT work requires intense concentration and undivided attention, two things that aren’t compatible with supervising little ones (or much of anything else). If you have young children at home, you’ll need to arrange for childcare during your work hours or work while they’re sleeping.
Medical transcriptionists just need to type really fast
The ability to type at warp speed is a great asset, but it isn’t an automatic ticket to success as an medical transcriptionist. The things that really make the difference are largely mental:
An inquisitive mind and love of language so you can learn (and keep learning) all those medical terms
An independent, pressure-resistant mindset
The ability and motivation to concentrate intently for extended periods of time
Medical transcriptionists need little or no training
Unless you have formal medical transcription training, your résumé will never make it into the “to interview” stack. The training must be from a recognized, reputable source, such as a community college program or well-established medical transcription school. Otherwise, you’re toast.
Plan on spending a bare minimum of nine months preparing for your new career. You’ll study anatomy and physiology, medical terminology, formatting of the different report types, and many more skills you may not anticipate needing but definitely will. When you graduate, you’ll have that crucial formal training to include on your résumé and the know-how to do the job.
Speech recognition technology will make medical transcriptionists obsolete
Speech recognition technology (SRT) is in widespread use as a way (in theory) for medical facilities to cut transcription costs. Working medical transcriptionists refer to it as “speech wreck,” because the results sometimes have more in common with a multicar pileup than a quality healthcare document. Under ideal dictation conditions, SRT can do a decent job, but it takes very little to send things awry.
Despite its substantial shortcomings, SRT seems to be here to stay. Because the results of SRT are unreliable and require constant supervision, it now figures into what medical transcriptionists do on a daily basis. Speech recognition has added a fresh twist to the ever-evolving MT profession, not made it obsolete.
Electronic health records will eliminate the need for medical transcriptionists
This is only true in the minds and marketing materials of people who sell EHR software. Somewhere along the way, the idea of digitizing medical information seems to have become equated with transforming the recording of healthcare details into an entirely point-and-click process, but it’s increasingly evident that it can’t be done.
Some elements of healthcare documentation are enhanced by restricting input via check boxes and drop-down lists, but for some things, fill in the blanks just doesn’t cut it. Healthcare providers need a way to incorporate narrative observations, opinions, and conclusions — in other words, dictation.
Most medical transcription work is being outsourced overseas
Everything else seems to be going to cheaper, offshore workforces — why not medical transcription? After all, who can afford to pass up a chance to save some green? Medical transcription began going abroad in the 1990s, and more was headed that way, but then things changed.
In 2010, changes in federal laws related to protecting patient health information made compliance with federal Health Insurance Portability and Accountability Act (HIPAA) rules an even higher priority for medical transcription companies and healthcare facilities. In order to achieve tighter control over patient information, it’s being kept closer to home.
Getting certified is the best way to break into medical transcription
Any advertisement that entices you to “become a certified medical transcriptionist” is feeding you a line of hogwash. You don’t need a certification or a license to become a medical transcriptionist. There is a Certified Medical Transcriptionist (CMT) credential, but it’s not an entry-level kind of thing, and no training program can give it to you.
You may opt to earn it eventually, but you’ll need at least two years of experience under your belt first. Even then, you’ll have to pass a rigorous exam that will test your medical knowledge and transcription skills across multiple medical specialties.
Medical transcription is low-stress work
You may think medical transcription is a low-pressure job. How hard can it be to listen to what somebody says and type it up in a report? A lot harder than you can ever imagine until you’ve actually done it. You’ll be astounded by what comes across your headphones — guaranteed!
For starters, medical dictation often arrives amply stocked with background noise and interruptions — and don’t forget the crackers (dictators seem to frequently have a mouthful of them). It includes words you haven’t ever heard before and have no idea how to spell, especially at first. Many times, a thick foreign accent will be slathered on top. So, let’s just say the clarity isn’t always the best. . . .
Real men don’t become medical transcriptionists
Okay, maybe nobody says that, but you may get that impression when researching the field. The current crop of medical transcriptionists is overwhelmingly female, but men and women are equally capable of becoming excellent medical transcriptionists.
It’s not any harder for a man to break into the field than it is for a woman. As more men seek out work they can do from home or on a flexible schedule, they’re discovering medical transcription. Medical transcriptionist employers care how many reports you can produce, how fast, and how accurately.
Medical Document Services of Kansas, LLC (MDS) is a Wichita, Kansas healthcare document service specializing in Medical Billing and RCM, Medical Transcription, Pre-Certs with AzaleaHealth EHR. We provide efficient, accurate, affordable quality services for hospitals, clinics, and facilities of all sizes. Call 866-777-7264 today, or visit our website for more information. We have education programs in Medical Scribe Specialists. #medicaltranscription #azaleahealthEHR #revenuecyclemanagement
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