All posts by Thomas Clark

President/CEO of Sunrise Services LLC. Serving healthcare professional with their practice management software and electronic medical records since 1996.

Integrated Cloud Based Solutions

Why this doctor loves electronic medical records

Medisoft Clinical is a fully integrated EMR system.

Dr. Jen Gunter

There is a recent and interesting piece in the Washington Post by an orthopedic surgeon, Dr. Craviotto, about the maddening aspect of forced mandates and bureaucratic requirements in medicine that seem to have very little to do with actual medical care and more about hoops through which we must jump that seemingly lead to nowhere.

While I do find the bureaucracy of medicine in the United States insane versus the Canadian system (for example) I was interested in Dr. Craviotto’s take on the burden of the forced electronic health record (EHR) mandate and the time that doctors spend filling out “unnecessary fields” to satisfy regulatory measures. Dr. Craviotto writes that his isn’t an unique complaint, quoting a study commissioned by the American Medical Association that identified “Poor EHR usability, time-consuming data entry, interference with face-to-face patient care, inefficient and less fulfilling work content, inability to exchange health information between EHR products, and…

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Practice Choice EMR

7 Value Propositions of McKesson Practice Choice

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1.      Lowers Cost of traditional EHR/PM Technology ·
         Avoid costly servers and IT staffing using a Web-based solution
         Learn, setup, & maintain one integrated solution
         Practice Management
         Health Records
         Patient Portal
         e-Prescribing
         Claims Engine including ERA, Electronic Eligibility Checking & Relay Health EDI.
         Low-hassle rolling upgrades always keeps your practice current and compliant
         Automatic backups & security
2.    Is Intuitive, Designed for the Small Independent Medical Office
         Be at ease with McKesson – a leading healthcare company that’s been in the EHR space for over 20 years
         Be confident in an built-from-the-ground up investment using Microsoft’s latest technology stack designed specifically for the independent practice
         Be efficient with our multiple role layout. We studied this space specifically, and laid out the software considerate of the many hats you wear during the day
         Learn easily and train new staff with integrated training videos, guides, and online help.
        Share best practices online chatting with other Choice practices like your own
3.       Protects Cash Flow
         Check patient eligibility real-time to guarantee reimbursement
         Ensure recommended procedures are performed to benefit patient health and encourage visit volume
         Improve collections by taking visit and account payments at check-in
         Embedded Claim/ERA services with auto-posting keeps cash moving
4.    Helps you Go Electronic without compromising Patient Care
         Avoid excessive clicking with single screen documentation that mimics paper
         Smart Notes design enables clinicians to pull and push data from the chart while you build the note
         Gain efficiency using natural terminology to search codes
         Care for patients with a powerful cross sectional chart summary
5.       Creates New Efficiencies with Technology
         Make patient care simpler via electronic prescriptions with clever interaction checking
         Maximize reimbursement with insurance-preferred labs automating when creating an order
         Save time eliminating paper lab results via an electronic connection
6.    Enhances Patient Touch
         Supplement patient-provider interaction with electronic messaging
         Give patients and their providers a consolidated health summary in-hand or electronically
         Quickly manage refill requests online
         Keep patients informed via patient education material summaries
7.       Gains Visibility to the Health of your Patient and Practice
         Speedily generate patient lists and reminders to communicate with the right audience
         Benchmark yourself against Meaningful Use performance and clinical quality measures
         Interrogate your financial health with comprehensive report generation

For additional information please visit our website at www.sunrize.com or call 502-538-4665.

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EMR in the clouds…what does that mean anyway?

If I had a nickel for every time someone asks me what SaaS means (and I see you, scratching your head now trying to come up with what that acronym means), I’d be richer beyond my wildest dreams.

According to Wikipedia, “Software-as-a-Service (SaaS, pronounced sɑs), sometimes referred to as “on-demand software”, is a software delivery model in which software and associated data are centrally hosted on the cloud. SaaS is typically assessed by users using a thin client via a web browser.”

What does that mean exactly?

It means, you would log on to web browser (Internet Explorer, Firefox, Chrome, etc.), type in a web address, and enter a username and password to access your data. If you file your income taxes, for example, using an online service you are essentially using a SaaS based program.  Your practice could be portable in the sense that you could log on anywhere you have an secure internet connection.  The disclaimer here is you wouldn’t want to go to Starbucks and run your practice (not secure).  Efficient-I think so, but SaaS may not be for everyone.

Some factors to consider when looking at a SaaS based EMR are:

1. Does your practice have good internet speed?  If not, check with your internet service providers to see what is available.  Make sure to factor this in when calculating your monthly fees.

2. Does your practice have a reliable internet connection?  Speed is one thing, but if you live in an area where the internet connection is choppy, you may want to either consider switching providers or looking at a server-based product.  There is nothing worse than not being able to get on the internet to access your charts.

3. Are you a small practice without an IT staff?  The greatest thing about having a SaaS based EMR program is that you are not going to be down when your server needs to be upgraded.  Keep in mind that not only will your EMR software need to be updated your Windows software will also need to be updated from time to time.  Factor in the cost of hardware when considering which way to go.  Servers are no immortal-they have a life span like everything else.

If you answered YES to all of the above, then having a SaaS based EMR program may save you both money and headaches.

If you would like additional information please log on to www.sunrize.com

McKesson Practice Choice Web Image - Product Name (Color)

 

Integrated Cloud Based Solutions

Four Great Reasons to Implement an EMR Before the End of 2012

December is upon us and the year is flying by and yes, we all have a lot of things on our plates.  So let’s look at four reasons that you need to move ahead with implementation of an EMR in 2012.

 

1. Tax Code 179 –  Both the ‘Tax Relief Act of 2010’ as well as the ‘Jobs Act of 2010’ that passed in late 2010 affected Section 179 in a positive way for this 2012 tax year. To take advantage of this deduction, your Section 179 Qualified Financing and your equipment must be in place on or before December 31, 2012.  Read More

 

If you would like additional information on EMR products visit our website at www.sunrize.com or call one of our experts at 888-880-0384.

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Medisoft Supports All Aspects of Your Practice

Medisoft, makers of one of the most highly regarded suites of medical billing software on the market today, provide a lot more than medical billing software. The company’s practice management software, electronic health records software and billing software combine to provide 360 coverage for all of the needs of your medical or health-related practice. Whatever your practice needs are, Medisoft has you covered.
Medisoft EMR
Medisoft EMR and Medisoft Clinical are comprehensive electronic patient records solutions for small to medium-sized practices. Medisoft Clinical v.17 provides all the functionality you need to post, manage and maintain patient records, and meets the federal government’s Meaningful Use requirements as a EHR for both Medicare and Medicaid providers. It integrates patient records with appropriate diagnostic codes and third party billing codes. Easy to install and maintain, it’s an easy way to bring your paper office into the electronic age.
Medisoft Services for Your Practice
From appointment setting to collections, Medisoft helps you track all interactions with patients in one database so that you can easily pull up any information you need to run your practice properly. Your Medisoft installation provides the framework on which your practice depends to run smoothly. Medisoft integration saves time for your office staff and reduces your need for outsourcing tasks such as billing and collections.
The Medisoft interface makes it easy for providers to enter patient notes in the way that’s most comfortable for each using Bright Note technology. Once the note is entered, the software disseminates it to every relevant field in the patient’s chart. Because all of the information originates from a central database, there’s far less chance of an error being introduced during transcription of charts and information from charts to billing.
In addition, Medisoft is regularly updated with the latest codes and standards so that your billing statements always go out on the right forms with the right codes. The reduction of errors means that your claims are more likely to be paid quickly by insurance companies, Medicare and Medicaid, reducing the amount of work your office staff has to do to follow up on rejected and amended claims.
Your practice can also take advantage of patient reminder software by Medisoft. Since it also integrates with your Medisoft installment, your patients will get timely reminders of upcoming appointments, reducing the amount of income you lose to unfilled blocks of patient time.
Overall, Medisoft provides everything you need to run your practice smoothly and efficiently – except, of course, your staff.
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Tips for successful EHR Implementation

Successful EHR Implementation

By Chris Torregosa, Project coordinator

With all the government stimulus money made available to hospitals and clinics these days, many groups are purchasing and implementing an EHR system. Some implementations go smoothly and achieve their goals while others they struggle or stall due to inexperience and frustration with the selected system. Some tend to fall short due to limited resources or IT issues. In certain instances, many groups experience little or no success at all. These groups then begin to contemplate whether it is a problem with their staff learning the system, the workflow processes within the group, or simply the EHR system’s abilities to meet their requirements. Regardless of your group’s size, many implementation issues are common throughout. Like any new journey in life that requires a certain amount of knowledge, there is much to learn and many things that can go wrong without proper direction. Here are a few tips to help ensure a successful EHR implementation:

1) There is no “I” in the word “Team”.

Any football fan knows that any given play can’t be run on the field unless everyone is completing their assigned role. The quarterback can’t throw or handoff the ball unless his offensive line is providing the proper protection from the opposing defense. I can go on and on, but the point is that the sane team concept can and should be applied to an EHR implementation. Navigating through an EHR implementation is not solo task. Everyone from the receptionist to the biller, to the medical assistant, to the physician will play a role in the success of the implementation. Involvement from the stakeholders is essential to create buy in into the project and to identify any ways the EHR could fail.

Like any normal team, there needs to be leadership. In an implementation, a Physician champion should be elected. The role of the Physician champion is to provide good input and communication, and to be an energetic supporter and positive motivator throughout the project. He or she is responsible to keep driving the project forward despite any road blocks that lie ahead.

Lastly, like any good team, practice makes perfect. It is incumbent of the staff to learn and practice. The more and more you practice with the system, the more familiar and comfortable you will be. This will ease any anxiety and in turn provide confidence within the group.

2) Setting realistic goals and expectations.

Implementing an EHR is by no means an easy task. A successful implementation involves a great deal of planning long before you go live. One of the first tasks during the process is to create a realistic implementation timeline that everyone is comfortable with. It is important to be flexible and open to modifying the schedule if necessary. Also, remember that you don’t have to do everything at once. A phased-in, incremental approach is suggested so that users are not learning everything at once and become overwhelmed. Another important aspect of the implementation is staying focused throughout the project. Staying on schedule in the timeline is more about making the EHR implementation a priority.

3) Positivity despite challenges.

Many challenges and frustrations will present themselves during an implementation. It will create uncertainty and doubts as to whether these challenges can be overcome. It is important to stay positive and realize that there is no reason why these challenges can’t be overcome.

4) Consult with experts with EHR experience .

It is a tall order to successfully implement an EHR without prior experience. There are many aspects of an implementation that can be overlooked that may result in failure. Assistance from someone with experience in implementing EHR systems can make a difference towards the outcome of the implementation ….. Visit www.sunrize.com  or call 888-880-0384 to speak with one of our experts on implementation of an EHR.

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What is ANSI 5010?

 

What is ANSI 5010? ANSI 5010 is the new version of HIPAA transaction standards that regulates the electronic transmission of healthcare transactions. The 5010 standards will replace the existing 4010/4010A1 version of HIPAA transactions and address many of the shortcomings in the current version, including the fact that 4010 does not support forthcoming ICD-10 coding.  
When must the transition to ANSI 5010 be completed?
 By January 1, 2012, practices will need to complete electronic transactions in an ANSI 5010-compliant format. These electronic transactions include claims, eligibility inquiries and remittance advices. Failure to comply may result in denied claims, slower payments and increased customer service issues.
What is the urgency to upgrade my practice management system? Significant changes have been made to Mc Kesson’s Medisoft® practice management systems to comply with the new ANSI 5010 standards. These changes affect the amount of data and the way data is stored in the systems as well as your practice workflow. If you are on an older version of the software, the implementation of the compliant versions will be more complex and time-consuming than previous upgrades. In addition, testing of the new ANSI 5010 standards has already begun. By upgrading now, you can take advantage of the testing period and ensure that your claims are compliant in advance of the deadline. 

  How can Sunrise help? 

Visit our websites, at www.sunrize.com and www.ppemr.com , to find out more about our limited-time offers.

Medisoft v17 and Practice Partner are our ANSI 5010-compliant releases. Medisoft v17 is currently available Don’t wait to start preparing.

 

Call us today at 888.880.0384 
 
or visit our website at www.sunrize.com

 

At Sunrise, we are here to help your practice transition to ANSI 5010.
 Medisoft v17 and Practice Partner are our ANSI 5010-compliant releases. Medisoft v17 is currently available Don’t wait to start preparing.

 

 

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Five ways HIT will reduce the cost of health care

HIT presents many opportunities to improve healthcare delivery in America, from changing the way healthcare is financed to enhancing efficiency. Jerry Buchanan, account director, healthcare technology and services at eMids Technologies, shares five ways that health IT can cut healthcare costs in the long-term.

1. Improved standards of care

Analyzing data collected by electronic health records provides the best treatment methods, leading to a healthier population. “Whether this data is combined with financial data to analyze cost effectiveness or not… is tangential to the overall goal of knowing the best way to handle treatment for each individual patient,” Buchanan noted.

2. Increased patient involvement and collaboration

America’s health expenditure is in a large part due to chronic health issues. Chronic diseases brought on by poor lifestyle choices are difficult to handle, but health IT “provides a clear avenue for enterprising organizations to develop innovative disease management solutions to address the issue,” according to Buchanan. Data retrieved from EHRs could also be useful in determining ways to stem costs associated with chronic illness.

3. Putting information at the forefront

The healthcare industry is constantly changing, and that results in an overwhelming amount of information to distill and absorb. Health IT offers a way to bring that information to the forefront.

4. Focus on outcomes

“The coming tidal wave of electronic clinical data provides an opportunity to replace our outdated, volume-based, fee-for-service business model with one focused on the quality of the product,” Buchanan said.

5. Transparency to the patient

Health IT should be used as a tool to include the patient in his or her own care. “Our current system of financing healthcare leaves patients completely insulated from the cost of their care,” said Buchanan. “Until we find a means for patients to educate themselves and question services, quality and price, the market forces that can naturally contain rising healthcare costs will never have an opportunity to work.”

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Beta release Notes for Medisoft version 17

Enhancement: Electronic Transaction Reporting

Medisoft® Version 17 (v17) includes four new reports to help you manage electronic transactions related to verifying your patients’ insurance eligibility and submitting claims to insurance providers.

The reports include:

  • Appointment Eligibility Analysis – Detail
  • Appointment Eligibility Analysis – Summary
  • Electronic Claims Analysis – Detail 
  • Electronic Claims Analysis – Summary  Each of these reports offers several filters for controlling the information that shows. In addition, several summary values appear on each report so that you can see the information at a glance.

Enhancement: Audit Reports

Medisoft v17 includes a feature that allows you to track the reporting and exporting of data when you generate audit reports. A new option on the Audit tab in Program Options allows you to turn this feature on or off. It is turned on by default. Certain reports or grids that are printed or saved to disk will be audited. Note: Previewed reports will not be audited.

The following types of information are included as part of the audit reports:

  • Data grids
  • Custom reports, including claims and statements

 When printed from either Transaction Entry or Statement Management, but not the Report menu or Report Designer, the audit reports include.

  • Medisoft reports
  • Office Hours data
  • Final Draft reports or data printed or saved to disk
  • Internal reports
  • Statements
  • Eligibility information

 Enhancement: BillFlash Integration

BillFlash integration applies to the Medisoft Advanced and Network Professional programs.

Medisoft now uses BillFlash to print and mail patient statements. With Medisoft v17, you can enroll in BillFlash directly from within Medisoft, as well as upload your statement files directly from Medisoft automatically. You can view and approve statement uploads to BillFlash by clicking links from within Medisoft. For more information on BillFlash and to learn how to enroll, go to http://www.BillFlash.com.

Within Medisoft, you can control several aspects of what prints on your statements, including which credit cards you accept, service messages you want to print, printing of account summaries and aging, and printing up to six messages to appear on statements. For more information, go to the Program Options – BillFlash tab.

Options on the Activities, BillFlash menu allow you to enroll with BillFlash, view and approve statements that have uploaded to BillFlash, see your account settings at http://www.BillFlash.com, and view reports such as the Disposition report. Each one of these menu options will open a different page on the BillFlash website.

The following windows in Medisoft have quick access to the eView page of the BillFlash website via a new View eStatements button. (In addition, when a patient is selected and Ctrl + F7 is clicked, the eView page will open for any statements for that patient.)

  • Patient List
  • New/Edit Case
  • Quick Ledger
  • Guarantor Ledger
  • Apply Payments (through Transaction Entry)
  • Collection List/Tickler
  • Edit Statements
  • Deposit List
  • Apply Payments
  • Transaction Entry (note that Calculate Totals has been moved.)

HIPAA X12 Version 5010 (ANSI 5010)

The following are changes made to Medisoft v17 to accommodate the upcoming change from the Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12 version 4010A1 to ASC X12 version 5010 (referred to as ANSI 5010), as well as the National Council for Prescription Drug Programs (NCPDP) version 5.1 to NCPDP version D.0.5010. ANSI 5010 and NCPDP version D.0.5010 are new sets of standards that regulate the electronic transmission of specific healthcare transactions, including eligibility, claim status, referrals, claims and remittances. Covered entities, such as health plans, healthcare clearinghouses and healthcare providers, are required to conform to ANSI 5010 standards