PODIATRY PRACTICES ARE ACHIEVING MEANINGFUL USE!

Transcription

1 STI CHOICES for Podiatric Physicians now with Revene Cycle Management PODIATRY PRACTICES ARE ACHIEVING MEANINGFUL USE! The Meaningfl Use Dashboard in ChartMaker Medical Site lets yo know if yo are meeting the reqirements for Meaningfl Use. STI Compter Services, Inc. Valley Forge Corporate Center 2700 Van Bren Avene, Eagleville, PA,

2 STI Provides More Choices Dear Podiatry Professional, Everyone likes choices, becase every medical practice is different. STI provides more choices than any other vendor. Whether yo need to replace an old, inefficient billing system, add Electronic Medical Records, transition to Revene Cycle Management to improve yor revene, or move to the clod, STI is the right choice for yor practice. Practice Management With the STI ChartMaker Medical Site yo can install the modles that yo need today, and later add more. For example, yo can replace yor old billing system with STI s Practice Manager and Appointment Schedler today and later add EMR fnctionality. Choose Yor EMR If yo want to se an EMR, we offer two choices with options for an easy-to-se ChartMaker Lite modle to do the minimm to meet the government s reqirements, or ChartMaker Clinical with podiatry templates if yo wold like to create progress notes. ChartMaker Clinical is integrated with Dragon Natrally Speaking so yo can talk yor notes into the EMR rather than click them in. Or, yo cold se a combination of templates and voice. Both ChartMaker EMR options are ONC certified and inclde e-prescriptions. Hosting Options STI provides choices on how to host yor software. If yo prefer, yo can host the system yorself in yor office or take advantage of STI Clod, an Internet-based option which lets STI host the application for yo on or secre servers. STI Managed Services Unlike other vendors that can t be bothered with spporting yor eqipment, STI provides a choice to get yor own hardware or let STI be responsible for the entire installation. We also provide an option for hardware managed services that provides 24/7 off-site hardware monitoring and back-p services for yor eqipment. If yo se software from a company other than STI - no problem - most likely we can provide managed services on that eqipment as well. Choose In-Hose Billing or Revene Cycle Management STI offers a Revene Cycle Management choice, to improve yor cash flow in which yo share the EMR with a STI Revene Cycle Partner who will provide insrance and patient billing, payment collection, and posting, as well as follow-p services at a percentage of collectable revene. All information remains nder yor control and ownership. I m sre that yo will find that STI is yor best choice in total practice management. Pls, or reptation for software and technical spport are nmatched in the indstry. Read on for more information abot or prodcts or call me at ext. 1188, or my mobile telephone Joe Cerra National Sales Manager STI Compter Services, Inc.

3 For Podiatry Specialists STI Compter Services recognizes that the needs of yor practice are niqe. ChartMaker s Electronic Medical Record software is designed to meet yor specific needs and match the workflow process of a typical Podiatry office. ChartMaker Clinical incorporates featres designed to make yor day go smoothly. With ChartMaker Clinical, Podiatry staff will qickly docment patient enconters, record findings, generate referral letters with associated docmentation, and calclate billing codes in record time. Podiatry Docment Management Electronic Prescribing Messaging Orders Management Voice Recognition Lab Interface E&M Coding Assistance HL7 Cstom Interfaces Integrated Practice Management & Schedling Cstom Flow Sheets Tablet PC Enabled Client/Server or ASP based Podiatry Facesheet eprescribing Interface

4 Standard Podiatry Templates CHARTMAKER STANDARD PODIATRY TEMPLATES INCLUDE: Podiatry Standard Template Pick List Standard E&M Initial/Follow-p Visit Smmary Sheet Retrn to Work/School Letter Letter to Referring Prescription Refill Commnication Docmentation PODIATRY TEMPLATES INCLUDE: Podiatry Specific HPI s, Review of Systems, and Physical Exams Pre-configred Podiatry diagnoses, orders, and billing codes Atomatically generates referral letters and faxes directly from patient s chart Dermatological, Vasclar, Orthopedic, and Nerological Podiatric Exams Wond Care and Ulcer Evalation Templates ROM Measrements Biomechanical Exam Relaxed Mscle Testing Podiatry Specific Patient Handots Podiatry Procedre Notes Cortisone Injection Cryodebridement Wart Treatment Debridement of Corns/Callses Debridement of Ulcers Ganglion/Synovial Cyst Ingrown Toe Nail Morton s Neroma Neroma Injection Phenol/Matrixectomy Plantar Fasciitis/Heel Spr Podiatry Progress Note Podiatry Wond Template Cstomization is a term commonly heard from EMR vendors, bt there are major differences to what they refer. Can yo change words in drop downs? Can yo change the layot and format of yor notes and letters? An EMR shold be flexible and able to cstomize to yor existing workflow. ChartMaker not only offers a library of Podiatry specific templates, bt also offers cstomization options that can model yor existing templates and forms. Yo have the ability to do it yorself throgh Template Editor or work with or template development team and cstomize forms created for yo by an STI specialist. 4 ChartMaker Medical Site STI Compter Services, Inc

5 Cstomer Profile David Weiss, D.P.M. Electronic Medical Records In a Podiatry Setting When David Weiss, D.P.M. opened his brand new medical practice (Weiss Foot & Ankle Center) in 2004 he knew he wanted an integrated Practice Management System that inclded Electronic Billing, Appointment Schedling and Electronic Medical Records. Dr. Weiss implemented ChartMaker in In his words, I did it mainly for the EMR portion. I knew I needed a practice management and electronic billing system, bt I felt that the advantages of an EMR wold allow my practice to move forward into the 21st centry. I had a choice between bying expensive paper charts for my new practice or implementing an EMR and going paperless. It took abot six months to really learn ChartMaker and get into the flow of the program. The benefits really otweigh the costs, especially by eliminating the need to pll and re-file paper patient charts. Podiatrist needs are different than those of primary care physicians. So STI helped Dr. Weiss create and modify templates that met his specific practice needs. Podiatry specific Electronic Medical Records templates inclde: E&M examinations, srgical procedres, medication prescribing, and CPT coding. They are cstomized sing niqe Podiatry terminology, inclding words reqired for srgical procedres. Foot and toe diagrams can be inserted into a note and are inclded in the software. The cost savings in overhead alone jstifies the cost of an EMR. Besides having a completely paperless office, Dr. Weiss rns his office with the help of only one clerical person who makes appointments, completes electronic billing and rns the day-to-day operation of a bsy Podiatry practice, bt she does it for more than one physician. Dr. Weiss shares his Hammonton office space with his wife, Amy Krachman, D.O. (DermaLogic Laser Center) who rns her own cosmetic medical practice. While many paper-based practices operate with 2-3 clerical people per physician, with efficient se of ChartMaker EMR, one clerical person can serve 2 physicians. Does it make yo a better doctor? Dr. Weiss answers his own rhetorical qestion, no, bt it makes yo a more organized doctor. It was the right thing to do. It improves or image in the medical commnity to provide qick and professional referral letters from the David Weiss, D.P.M. (Weiss Foot & Ankle Center) EMR. ChartMaker atomatically completes referring physician letters from the chart note. ChartMaker is easy to se and designed to meet the specific needs of Podiatrists. For example, Diabetic Medicare patients can atomatically be recalled by the system every nine weeks for rotine foot examinations. Diabetes is the leading case of foot amptation in the US, and rotine foot examinations are critical. ChartMaker also helps in or E&M coding states Dr. Weiss. The software incorporates an online E&M coding tool that works with the podiatry specialtyspecific procedre templates to help determine the proper E&M code based pon the level of docmentation. Of corse, it is still the responsibility of the physician to determine medical necessity. Dr. Weiss states, the EMR has not saved any time in docmenting my notes. I wold say that it is time netral compared to writing paper notes, bt the difference is that my notes are more detailed and legible. The saving occrs when I fax the referring physician a copy of the note directly from ChartMaker immediately after completing the examination. The EMR allows yo to rn a lean, and efficient medical practice. Podiatrists will find that implementing an integrated Practice Management and EMR system not only makes yor office more efficient, bt it provides access to the patient s clinical records from any location with a high-speed Internet connection. Pls, it provides information to evalate qality and cost of care and many other critical featres of yor Podiatry practice. STI Compter Services, Inc ChartMaker Medical Site

6 STI Appointment Schedler We ve designed the STI ChartMaker Schedler to work in an intitive and logical manner making it an easy transition to move from yor old system to a modern, efficient compterized system. Schedler The calendar screen gives the operator an at-a-glance indication of how bsy each day is. Color can be sed to indicate the type of appointment schedled. The find option helps to qickly find an appointment by many different criteria. The system also checks pre-certification athorization, srgical follow-p days and tracks missed or canceled appointments in the patient s inqire file. Appointment Schedling System Yo have the ability to schedle appointments separately for all yor providers and practices, for years in advance! The niqe featre of the ChartMaker Schedler is its combination of flexibility and rigidity. The system gives the physician or office manager tremendos flexibility in specifying not only when, bt also how appointments are schedled. Once this intelligence has been bilt into the system, even ntrained operators can schedle appointments effectively and accrately. Extensive se of graphics makes the STI Schedler both easy to se and efficient. Each day is depicted in a graphical format showing all available appointments and the name of the patients schedled for each slot. These graphical depictions give the operator the ability to add appointments efficiently at a glance. Within each time slot, yo have the capability to specify the type of visit permitted. For instance, many doctors prefer to schedle all their consltations at the beginning of the office hors. ChartMaker Schedler permits yo to store this intelligence into the system, and next to each appointment slot is a listing of all valid visit types. Check-in and Patient Tracking A patient can be checked-in once they arrive and their time and location tracked throghot yor practice. This information will appear on both the Clinical and Schedler screens. Once a patient checks ot, reports can be generated showing the process time for patients. Electronic Eligibility Checking STI Schedler can qickly verify patient eligibility directly from or Appointment System or on a per-patient basis. Sending and receiving electronic insrance referrals also is available with ChartMaker Practice Manager. Other fnctions inclded are compterized patient recall reminders for procedres like fl shots, tests, medications, x-rays, or physical exams. Atomatic Patient Reminder Modle STI Schedler has an optional modle to atomate yor appointment and recall reminders. The Atomatic Patient Reminder Modle will atomatically dial and remind yor patients abot their p-coming appointments and recalls on a cost-per-call basis. 6 ChartMaker Medical Site STI Compter Services, Inc

7 STI Practice Manager The Center for Medicare Services (CMS) has reported that it rejects 26% of the claims it receives. While that nmber is astonishing, more astonishing is the fact that 40% of those rejected claims are never resbmitted. Using Medicare s statistics, the lost revene per physician is abot 10%. On a per physician basis, this ranges from approximately $25,000 to over $50,000. (1) Appointment Schedling Payment Posting Patient Registration & Eligibility Checking Electronic Claims Sbmission Healthcare Revene Cycle Electronic EMR with Charge Captre Claim Scrbbing Electronic Transmission of Insrance First, electronically sbmitted claims are scrbbed for errors by ChartMaker Practice Manager. They are not keypnched or manally reviewed at the insrance carrier and, therefore, less likely to be rejected. Stdies show that practices that bill electronically experience 21% fewer rejections. (2) Second, within hors yo will be electronically notified that the sbmitted claims have been accepted or rejected. If rejected they can be corrected and resbmitted the same day. Third, electronically sbmitted claims are typically paid faster. By law, Medicare mst pay an electronic claim in 14 days. The same paper claim woldn t be paid ntil day 26. (2) Forth, electronically sbmitted claims are atomatically tracked with ChartMaker Practice Manager. If a claim is not paid within the agreed to time, a report can be generated, the carrier contacted and the charge reviewed, and ChartMaker Practice Manager can atomatically resbmit the claim. Fifth, after yo are paid, ChartMaker Practice Manager checks yor contracted fees to ensre that yo are being paid correctly, and atomatically bills yor secondary carrier or the patient. The Paper Chase With hard-copy claims, there is no way of knowing if the commercial carrier received yor claim or its stats withot a telephone call for follow-p. Ato Posting In many cases, ChartMaker Practice Manager electronically posts yor EOMB atomatically, checks yor profiles for correct payment accracy, and balance bills yor patients, saving most practices hndreds of labor hors each year. (1). HCFA Contines to Re-Engineer Medicare. BDO Seidman, LLP, Healthcare Advisory Services newsletter. March (2). Speed p payments with electronic transmissions, by Kristie Perry Dolan, Medical Economics Magazine, October 27, 1997, pgs STI Compter Services, Inc ChartMaker Medical Site

8 EMR Options STI ChartMaker Lite or Clinical Since we first released ChartMaker in 1997, we ve learned how to move a physician office from paper-based to compterized patient charts. This experience is one of the primary benefits of sing or phased implementation approach. STI s ChartMaker Lite EMR benefits: STI s ChartMaker Lite is a low-cost, Electronic Medical Record (EMR) System for medical practices. ChartMaker Lite Lite is step one and designed to overcome physician s objections to time consming, compter data entry of patient data into the medical chart. We Can Get Yo There I ve heard from many physicians that they are concerned that implementing an EMR in their practice will be both expensive and disrptive and that they will be reqired to redce the nmber of patient visits that they can schedle dring implementation as they learn to se an EMR. STI ChartMaker Lite was designed to remedy these isses and comply with the Government EMR reqirements to attain Meaningfl Use and avoid Medicare penalties with the least amont of disrption and expense to yor office. STI has prodced a simple and easy to se EMR to meet Meaningfl Use reqirements withot forcing yo to compterize yor entire patient chart. Once yo are comfortable with ChartMaker Lite, yo can choose to add the ChartMaker Clinical Modle if yo wish to do more. eprescriptions and Prescription Printing When yo see a patient for a problem, yo can review any medications that yo prefer to prescribe for this condition. With a mose click or pen tap, yo can eprescribe the patient prescription, with dispensing and personal instrctions, pdate the active medication list, and add the drg to the patient s history. STI receives 2015 White Coat of Qality Award For the sixth consective year, Srescripts, the nation s leading health information network, honors 16 health systems and technology vendors with the 2015 White Coat of Qality Award, recognizing their dedication to continally improving data qality and patient safety in e-prescribing. The STI ChartMaker Clinical modle allows the physician and yor staff to create cstomized templates for specific needs and to create progress notes, provide personalized patient handots, and additional correspondence. Yo can easily select a template(s) and complete an evalation. Notes can be entered either by mose, pen, transcription, or spoken directly into the ChartMaker voice recognition modle. Prescriptions or laboratory work is monitored throgh the system. Yo can qickly create any reqired correspondence to a referring physician based pon the information fond in the chart. Pls, yo can improve yor level of chart docmentation with or E&M Coding Assistant. STI s ChartMaker Clinical EMR benefits: Eliminate paper charts and their related storage space. Eliminate lost charts and manal chart plls. Get ot of the office sooner and work or access yor electronic charts from home or another location. Provide printed patient handots to redce medical liability. Prodce legible, compliant chart notes for proper billing Eliminate or redce transcription costs. STI s ChartMaker Clinical EMR featres: Chart Organization with cstomized tabs Workflow Management Messaging Orders Management Docment Management E&M Coding Assistant Laboratory and Medical Center Interfaces Qery & Reports Flow Sheets over Time Cstom Flex Form Featre Wireless Pen Tablet Inpt Template Bilding Services Faxing Docments Training Either On-Site or Web-Based Illstration of drawings and photographs Secrity & Privilege System Patient Tracking System Patient Portal Health Portal STI is one of only 16 recipients in the US that received this award. STI Compter Services, Inc - ChartMaker Medical Site v. ChartMaker 2016 Drmmond Certification Nmber: ChartMaker Medical Site STI Compter Services, Inc

9 STI Clod STI offers both Client Server vs. ASP Model (Clod), so we are indifferent to the option that yo choose. We are more concerned that yo nderstand the pros and cons of both options. STI Clod is an ASP model option. ASP stands for Application Service Provider, or another poplar name is Software as a Service (SaaS). If yo have done any shopping for medical software, yo have probably already encontered these terms. In reality, the choice between ASP and Client Server is basically a rent verss prchase decision. Choosing an ASP is a rental decision and the client/server choice is a prchase or lease/prchase decision. However, like any decision there are pros and cons that shold be considered. Client Server A client server model is basically one where yor medical practice has the file server in yor office. A server is a compter with a large amont of memory. This is the machine onto which the software is loaded, and all of the patient information is kept. Yo are responsible to maintain the file server, and to complete data back-ps in case of a server failre. File servers typically have a sefl life of abot 5 years and then they need to be replaced. This is a prchase decision. Yo need to pay for software, software pdates and occasionally replace the file server. STI Clod/ASP An ASP model means that STI is responsible for the file server and hosting yor software, data and completing data back-ps. The server is not hosted in yor office bt at a secre site at another location and yor medical office accesses the remote server via an internet connection. This is a rental decision. Yo typically pay a smaller monthly fee. Yo do not need to prchase software or software pdates. Yo do not need to prchase or replace a file server, however yo do need to prchase compter eqipment for local se. Yo are not responsible for making daily backps. Yo may experience interrptions in information access if yo lose Internet connectivity; and the most important factor in this decision is if yo can get a fast, reliable Internet connection in yor office. STI Compter Services, Inc Benefits and Costs So what s the real difference? As is so often the case, cost and convenience are the major difference between these two options. With STI Clod, yo have no large p-front and ongoing costs. Some practices prefer only paying one monthly charge on their credit card rather than mltiple annal charges for software pdates, portal fees, eprescribing fees, etc. Pls yo have no need to complete daily data back-ps, program pdates, bying and maintaining a file server. Yo can also access yor data from anywhere with a web browser. The STI client server model is more like bying a home. Yo are the one responsible for keeping p with maintenance, bt yo will generally be able to pay off the prchase price in a few years and afterwards yo only have to pay for pkeep. In the long rn, owning is always cheaper than renting. Bt yo are responsible for the property and it s harder to pick p and move if something changes. STI Advantages Unlike other vendors, STI offers both a Client Server and STI Clod choice. More importantly with STI Clod yo can convert to an otright prchase price at a later date if yo desire or contine paying monthly. Other vendors may not offer that choice, so how do yo get yor patient data retrned to yo? To really se yor data, yo need the software program and not jst the data. This is a really large STI advantage. With both of the STI options, there is no charge for Electronic Data Interchange (EDI) with insrance carriers for electronic claim sbmission, or ato-posting of the EOMB, or patient eligibility checking. Other vendors charge between $59/month and $79/month for each provider sbmitting electronic insrance claims and between $10/month and $20/month for each provider for their electronic EOMB posting options. ChartMaker Medical Site

10 STI Is Yor Best Choice Common Sense vs. Nonsense It is nwise to pay too mch, bt it s worse to pay too little. When yo pay too mch, yo lose a little money that is all. When yo pay too little, yo sometimes lose everything, becase the thing yo boght was incapable of doing the thing it was boght to do. The common law of bsiness balance prohibits paying a little and getting a lot it can t be done. If yo deal with the lowest bidder, it is well to add something for the risk yo rn, and if yo do that yo will have enogh to pay for something better. John Rskin ( ) Experience We have the experience yo reqire from a medical office vendor. We ve installed over 3,000 practices since Whether yo need to replace jst an old, inefficient billing system, add Electronic Medical Records, or completely replace yor crrent system, STI is the right choice for yor medical practice. Lessons Learned In selecting any software or services the most important element is the viability of the vendor providing the prodct and their commitment to keeping the prodct p-to-date. The decision yo are making is more abot the viability and ftre of the vendor than the bells and whistles in the software prodct itself. Spport One of the first and most important aspects to consider is the level of spport that will be inclded with the new system. Spport is so important becase it does not matter how eloqently written a piece of software is. It s important to know how well a company can assist yo when yo need them. Every vendor claims to have great spport. Who woldn t since it is easy to claim and more difficlt to dispte. Ask specific qestions like, How long is yor average call back time for spport calls? and Is yor spport team at yor main location or is it otsorced to some other company or contry? How Practices Select Compter Systems - Criteria First time: Second Time: 1. Price (56%) 1. Spport (56%) 2. Easy Implementation 2. Vendor 3. Easy to Use 3. Eqipment 4. Software Fit 4. Growth 5. Fnction 5. Software Fit 6. Eqipment 6. Docmentation 7. Growth 7. Fnction 8. Spport 8. Easy Implementation 9. Docmentation 9. Easy to Use 10. Vendor 10. Price Sorce: IBM Stdy Cost Many practices pt too mch emphasis on the cost of the system as the sole bying criteria. A medical system is a complex combination of compter eqipment, software, training, software pdates, spport, and hardware maintenance. Cost is jst the tip of the iceberg. However, when yo do compare costs, compare all of the costs inclding interfaces, on-going, and monthly EDI, not jst the initial prchase price. Don t Forget Lessons Learned Those who cannot remember the past are condemned to repeat it. George Santayana ( ) For more information contact; Joe Cerra at extension 1188 or cell phone , or by jcerra@sticompter.com, or fax this form to (800) Name: Practice: Address: Specialty: City: State: Zip code: Telephone: o Please call me to set p a demonstration and provide an exact qote. o Please send additional information abot. Copyright EVC 2016, All rights Reserved 10 STI Compter Services, Inc. Valley Forge Corporate 10 Center 2700 Van Bren Avene Eagleville, PA Copyright 2013 EVC, All Rights Reserved

11 STI Revene Cycle Management A sccessfl billing process starts with the right practice management and electronic billing software like the Chart- Maker Medical Site. Once yo ve chosen yor compter technology, the next step is to decide whether to assign the billing fnction to yor own office in-hose staff or otsorce it to an STl Revene Cycle Management (RCM) Partner. The billing process relies on getting the correct patient and insrance information into the system. Errors in data entry reslt in rejections, and it s possible that a claim can be electronically sbmitted bt immediately denied withot ever entering the payer s system for processing. Often, staff in the physician s office forget or don t have time to retrieve the nextday reports that will tell yo if yor claims were accepted. A rejection on this vital report means that yor claim was not in fact sbmitted. If yor staff doesn t catch the error in time, the claim may be rejected for timely filing with no appeal possible. An STl RCM Partner can ensre that charges entered by yo or yor office staff are done correctly and completely. They will sbmit yor claims, retrieve the next-day reports, and resbmit any necessary corrections. They will record payments and follow p on denials, rejections, and low payments. Skilled staff at an RCM Partner can review yor aging reports for slow pays, ncover npaid claims that have been prged by the insrance companies, and send bills to secondary payers. Patient bills can be sbmitted for yo, and if yo choose, yor patients can call the RCM Partner with qestions instead of interrpting yor bsy staff. The advantage of sing an RCM Partner is that yo redce internal labor costs and a professional partner most likely will have more experience dealing with the insrance carriers than yor own staff since this is all that they do. That frees yor staff to provide better patient service and not sit on the phone talking to insrance carriers. Since an RCM company only gets paid a percentage of yor collections, they need to work yor acconts to get paid. For example, the RCM Partner receives only pennies of each dollar collected for yo. To evalate an RCM Partner yo need to determine yor internal cost of collections and compare that to the RCM cost pls any additional collections that they can provide. For example, if they can collect an additional $10,000/month yo receive more revene than before sing an RCM Partner, and yor staff is available to do more important work on patient care. So an RCM Partner can in effect pay for itself. STI Revene Cycle Management Partners have been trained to work with the STI ChartMaker software. These companies can provide yo the option of either STI Clod or a client-server version of STI ChartMaker. The combination of the STI ChartMaker system with a professional RCM service to verify the accracy of billing information and to follow-p on claims can provide any practice an advantage. With the ChartMaker EMR a physician can enter charge and diagnostic information directly from the patient chart. That information can be accessed and processed by an RCM Partner for processing and follow-p, freeing yor staff of time consming telephone calls and providing yo with more compensation. 11

12 Here is a one physician practice s actal reslt Average Collections before RCM $33,019/month average Average Collection after RCM Fees $39,782/month average Additional Provider Income $81,156 per year Here is a real example of a one physician practice in the Philadelphia Metropolitan area. Prior to STI s Revene Cycle Management (RCM) program this physician was doing his own in-hose billing and collection. Dring 2013 his average collections were $33,019/month. After switching to STI s Revene Cycle Management and a ramp p period of abot 90 days, his collections increased to an average of $39,782/month after paying RCM fees. To annalize this improvement, this single physician increased collections by $81,156/year. Pls, his staff now has more time for patient isses and an STI ChartMaker system to better manage his practice and stay compliant with government reglations. We can t garantee that yor practice will achieve the same increase in collections, becase reslts depend pon a lot of factors. However, we can provide a free practice analysis, and consltation to let yo know if yo are a good candidate for improvement. STI Compter Services, Inc 2700 Van Bren Avene Eagleville PA (800)