Challenge of EMR deployment for Small Pediatric Practices

The use of Electronic Medical Records (EMRs) or Electronic Health Records (EHRs) in pediatric practices presents numerous challenges due to the dynamic nature of this particular specially. The reasons for these challenges are myriad and range from the changing nature of the body of children and also the medical care that is provided during childhood. This care can include immunizations, growth tracking, and other critical aspects such as obesity. Another advantage of EHRs is that children over 13 have to record their smoking status which may lead to positive health outcomes. The burden of all this EMR testing and implementation lies with the physicians and their assistance but this is usually possible in bigger settings such as hospitals and small practices have traditionally suffered due to lack of proper EMR facilities. Moreover, taking responsibility of such amount of work in pediatrics is costly as well as time consuming for novices in the field.

It cannot be denied that there are numerous advantages of EHR implementation in pediatrics and the general medical history of the child can be continuously recorded. However, there are numerous challenges as well and these can range from financial to functional. Physicians are finding it hard to dedicate time updating their EHRs which in turn has dropped the productivity. Another factor is that since pediatric patients have a constantly changing BMI (Body Mass Index) and features, recording this also consume resources in the form of time and money. Hospitals are finding it easier compared to small practices to implement EHRs since they have the groundwork in the form of infrastructure to implements such EHR systems.

The challenges faced by pediatrics in implementation of EHRs are similar to those faced by other specialties and these may include lack of adequate funding, lack of training, resistance to change and lack of resources. However, the biggest advantage is that there are numerous types of EMRs available in the market and many of these support pediatric services; but, the adoption of such EHRs/EMRs is not enough. The ‘Meaningful Use’ criterion needs to be met in order to qualify for the incentives offered by the government.

The financial aspect of successful implementation of EHRs is not limited to the incentives provided by the government but is also in the form of increased revenue due to efficient departmental processes. The financial success of the practice depends on a holistic approach by not just implementation of EHRs or EMRs but also through outsourcing such essential departmental processes such as medical billing and coding, interaction with payers, and denial management in addition to other value added services such as pediatric EHRs and research and consultancy that are provided by www.medicalbillersandcoders.com the largest consortium of medical billers and coders in the country.

For more information visit: medical billing companies

The Changing Landscape of Healthcare Reimbursement in 2012

“As the projection for 2012 forecasts an unprecedented increase in patient population, physicians will have a hard time balancing their time resources between quality medical care and adhering to imposing compliance regimen promulgated by the Federal Healthcare Reforms. Therefore, it becomes crucial that practitioners seek strategic alliance with medical billing advisories that can ease their burden off the compliance regimen, and help elevate their quality of medical service.”

While the dawn of a new year brings forth a renewed optimism about offering enhanced quality medical care and accelerated revenue generation, there also seems to be an undercurrent of apprehensions about complying with the ensuing medical reforms that are going to be effective very soon – the Affordable Care Organization Concept, the undecided fate of Sustainable Growth Rate (SGR) fix, the mandatory transition to exhaustive ICD-10 and HIPAA 5010 medical coding and reporting compliance, and the last but not the least,  the revised ABN (Advanced Beneficiary Notice of Non-coverage), Form CMS-R-131.

The imminent weight of these factors is sure going to press all the stakeholders – physicians, medical billing companies, and medical billing software providers – for realigning their resources and competencies to address the change-scenario prompted by these radical reforms.

Foremost, as the CMS (Centre for Medicare Services) has made it obligatory that physicians form suitable cartels among themselves to be eligible for incentives from savings out of Affordable Care Organization concept, a considerable time and resource is going to be spent on arriving at judicious decision on joining the cartel that best suits the concerned practitioners’ business model.

Though, CMS has given an extra leeway of 90 days more for complying with HIPAA 5010, the obligation to report all Medicare related transactions still remains unchanged. As the ICD-10 and HIPAA 5010 are soon going to be effective, physicians will require upgrading their clinical and operational management, and outsourcing those medical billing companies’ services that have a proactive outlook to embrace newer practices through logistically formed alliances with medical billing and EHR software manufacturers.

Although, with the postponement of SGR fix, physicians have been given a breather, yet, they cannot take it for granted as the threat of cumulatively accumulated figure (of about 25%) always looms large. Therefore, while being assured of 2% hike annually, they need to be vigilant about their operational and capital expenditure, and be prepared for any eventuality.

Adding to the imminent list is the use of the revised ABN form (Advanced Beneficiary Notice of Non-coverage), which is going to be mandatory starting January 1, 2012. And failure to upgrade to this revised form of for disclosure beneficiary notice of non-coverage) will eventually invite hurdles while being audited.

As the projection for 2012 forecasts an unprecedented increase in patient population, physicians will have a hard time balancing their time resources between quality medical care and adhering to imposing compliance regimen promulgated by the Federal Healthcare Reforms. Therefore, it becomes crucial that practitioners seek strategic alliance with medical billing advisories that can ease their burden off the compliance regimen, and help elevate their quality of medical service.

Medicalbillersandcoders.com (www.medicalbillersandcoders.com) – whose credentials have, time and again, come to the fore in successfully aiding physicians comply by healthcare regulations – should be your preferential alliance partner for complying by the imminent healthcare reforms. Our close association with Medicare and Medicaid, leading private insurance carriers, Federal Healthcare Agencies, and leading technology providers lends us the requisite edge in addressing and solving physicians’ apprehensions.