Technology adoption is iterative. Here are some suggestions that can help you adopt and morph EHR techniques and processes to fit into your own practice's workflow.When it comes right down to it, some are basic learning techniques that can apply to any new situation in the office.And remember, everyone has something to learn.Don't get stuck in your own routine, if a physician finds a work-around that improves a system function ...
Rosemarie Nelson
Efficient billing in your medical practice
Billing is way more than billing.In a typical medical practice, more than 300 insurance cards cross the front desk every month. The variety of plans and coverage along with the complexities of coding and the difference among payers requires expertise and technology to effectively manage accounts receivable, regardless of practice size.There are two basics required to manage your billing and accounts receivable -- a practice management system and a clearinghouse.The ...
Planning effective office meetings for your medical practice
Do you cringe when you hear the phrase "office meeting"? Some medical practices meet too frequently and some seldom meet, but others have it just right – routine meetings with preparation, an agenda, and follow-up. Your practice can get it right, too.And make no mistake, meetings are important. Medical practices, regardless of size, have a variety of positions that are not interchangeable, but do interact throughout the day.To make ...
How to review the performance of your office staff
Your staff members are your most important (and costliest) resource. Have you invested in them? Do they know what is expected of them? Have you asked them if they have what they need to do their jobs?Optimizing staff performance is a process. It starts with a plan, not the formal performance review.You can't do a successful performance evaluation without establishing accurate standards against which the employee's performance can be ...
E-prescribe now, or risk a Medicare penalty
Doctors who do not successfully e-prescribe 10 times for Medicare patients in the first six months of 2011 using claims-based reporting may be hit with a 1% penalty on their Medicare Part B payments for covered professional services in 2012.The penalty will increase to 1.5% in 2013 for those who don't e-prescribe for 25 Medicare patients during 2011.Not yet e-prescribing?Maybe your It's easy to get caught in the surf on the Web. But plug these URLs into your browser and explore some simple tools that can help not only keep your practice above water but help it ride high.www.digitalassent.comDigital Assent automates the patient intake process with a PatientPad instead of the clipboard and an online tool for advance registration. It does integrate with EMR systems, but it provides another strong operational ...9 websites that savvy medical practices use
Why the return on investment in an EHR is poor
I had a déjà vu experience recently when I visited a medical practice that was like so many others I've been to before.This practice just wasn't getting their investment back from their EHR.The practice had been live on the EHR for about five months and was functioning effectively without pulling charts for patient visits. The clinical staff was comfortable with the ...
Revenue cycle management for your physician practice
Revenue Cycle Management. What does it mean? In a nutshell, it means taking steps to assure that you get paid for what you do and that you get paid in a timely fashion.The revenue cycle starts when the patient calls your office for an appointment and your staff captures the patient's name, phone number, and maybe the name of their insurance company.The cycle ends when the balance on their account ...
5 ways to improve your medical practice in 2011
Here are five things that you should have on your 2011 To-Do list.1. Start electronic prescribing. What have you been waiting for? The EMR/EHR? (See number 4 below.) Electronic prescribing can work in a stand-alone (no EMR/EHR) environment. Work flow can be modified, and you will benefit tremendously with additional nurse time available to you after the nurses realize how much phone time they save each day.Ask your current practice ...
Reduce phone calls in your medical practice
A physician approached me at the end of a talk on optimizing practice efficiency and improving service to patients and said, "I dream of an office with no phones."Do you have days where the phones are ringing off the hook? Or the phone message forms in your in-box seem to be reproducing? Maybe it's been one of those days when you can never get your nurse's help because she's been ...
Use technology and outsourced services to improve practice efficiency
What does it cost to improve operational efficiency using technologies and outsourced services?For some physicians, the first reaction to every new service or technology is that it's going to "cost too much."And you get pitches for plenty of new services:* Your clearinghouse vendor or your billing manager wants you to push all your claims, even the claims you can file directly at no cost, through the clearinghouse for efficiencies. * Your ...
How medical practice operations impacts productivity and profitability
"How many staffers should we have per doctor?" was the opening question in a recent column . We looked at the impact of staff on provider productivity and ultimately practice profitability as an approach to address that question.In that piece, we focused primarily on clinical staff, but in this column, we'll dig even deeper into medical practice operations, looking at the way a practice utilizes nonclinical support staff for ...
How much staff should a doctor have?
"How many staffers should we have per doctor?" That's a question I'm asked at almost every seminar I present. Of course, like many good consultants, I almost invariably respond "it depends."One of the factors that needs to be considered is what jobs we're talking about -- clinical or front office. It's staffing in the clinical area that will do most to enhance a physician's productivity, so that's what we'll focus ...
Business reasons to get compliant with HIPAA
In addition to providing those incentive dollars for meaningful use of a certified EHR, the Health Information Technology for Economic and Clinical Health Act (HITECH) significantly strengthened aspects of the HIPAA security rule, including the penalties imposed under HHS and the Office of Civil Rights.If you are a "Covered Entity" (CE) or "Business Associate" (BA) it's time to get serious, the deadline to be fully compliant with these final HIPAA ...
Converting from paper chart to an EMR: Keep daily use in mind
Maybe you've been assuming that when it comes time to go live on your EMR, you'll simply scan each patient's old paper chart into the electronic system.Maybe you haven't given it much thought because you're focusing on the change in your work flow when you start to use the EMR to document patient encounters.Well, it's time to pay attention to the transfer, because the conversion of the paper chart can ...
10 EMR don’ts when choosing electronic medical record
So, you've decided to move forward and get an EMR for your practice, but studies and reports of EMR implementation failures are adding to your anxiety levels.You've probably read scores of rules on how to go about the task -- some of them in this column. But today I want to share with you some important things you shouldn't do.Medical groups of all sizes and specialties across the country make ...
How to choose an EHR after a demo
Selecting an EHR is not just about the demo. But those EHR vendors sure do put a lot of focus on that demo! You need to get beyond the smoke and mirrors and consider how to use that focus to evaluate the solution as it meets your needs and requirements.Before you even schedule any vendor demonstrations, write down your "must haves." Can you identify your top 10 requirements?For example, in ...
Medical practice success depends on a strong clinical team
Although every day can bring surprises in a medical practice, you can develop a clinical team that can optimize the efficiencies of your operation and make it easier for you to see your patients.There are three key areas that lead to provider frustration in daily operations: preparation and anticipation; the daily dance; and being in the moment. Address these, and your days should go more smoothly.Preparation and anticipationAre your charts ...
Patient appointment scheduling needs flexibility
The daily appointment schedule is often a sore spot in everyone's day:* Patients aren't completely satisfied because they can't get an appointment when they want one. * Physicians feel they've lost control of their day when the flow is not running smoothly and they fall behind and patients complain. * Nurses and medical assistants are frustrated at the hodgepodge of types of appointments that get scheduled seemingly without any consideration for timing ...




