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A Note from our Director...
 
In a recent discussion on LinkedIn, our director took part in a very informative panel that answered the following question...What are the top 5 barriers with an EMR?" 
 
Here is what she had to say:  One comment stated that you should involve the staff from the practice and not just the physicians. However, every team member must be in on the "buy in" for the transition and EMR to be successful! This is so true!  Transition should also involve the dictation workflow and not assume that the physician wants his complete workflow changed. Many physicians can continue their workflow with dictation and not have to deal with "typing", "editing", slowing down their patient productivity to become admin clerks. If the EMRs would understand that the physicians need productive documentation within the EMR, there would be a better workflow for all and the complete patient story will be well documented. We see so many of these complaints with our customers going to EMR and that it is slowing down their revenue coming in the door due to having to see less patients. Many of our physicians that return and ask us to help them manage a better workflow is due to the below top 5 complaints:

1. Physicians are unable to document the complete patient story within the EMR.
2. Physicians not asked how they want to continue to document patient encounters.
3. Staff not asked what the workflow is for the current documentation.
4. Ensuring that the physicians productivity is not affected.
5. Not being informed that the physician and Practice Manager know that there is a high possibility that you will not eliminate dictation/transcription but rather decrease the cost from 30 to 50% when transitioning to an EMR.
 
In this issue...
Documentation
Technology
Security
Coding
The Value of the 'Why' Explanation in Clinical Documentation

The complexity of our industry's reimbursement systems combined with the current regulatory scrutiny of billing and coding for evaluation and management (E/M) services further underscores the importance of relevant documentation. Clinicians need to clearly express the "why" behind the work they are performing when entering their documentation.

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CMS offers meaningful use stage 2 specs sheets

The Centers for Medicare and Medicaid Services has added descriptive specification sheets for Meaningful Use Stage 2 to help eligible physicians and hospitals to participate and complete the measures for the electronic health record (EHR) incentive programs. 

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OIG calls for random audits of EHR payments

A new report from the Office of Department of Health and Human Services, Office of Inspector General (OIG) might not entirely spill the meaningful use apple cart, but it certainly isn't going to make things any easier.

 

The Nov. 29 report is calling for random audits of doctors and hospitals prior to payout, to ensure they have qualified. It is also calling for EHR certification changes to allow for reporting of yes/no measures.

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Security experts warn of increasing data breaches and privacy risks

On October 3, the data systems used by Nationwide Insurance agents were hacked, exposing the names, drivers license numbers, dates of birth and Social Security numbers of several thousand customers.

 

"We discovered the attack that day, and took immediate steps to contain the intrusion," the Ohio- based automotive and property insurance provider told customers. In early November, Nationwide confirmed the information and identities that were compromised and says no medical information or credit card numbers were stolen. The FBI is now investigating the incident.

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Will ICD-10 Be Healthcare's Own Version of the Fiscal Cliff?

While the shift to ICD-10 pales in comparison and reach to the looming fiscal cliff faced by the nation, it does pose a financial risk to providers who stand to lose millions because of the code conversion. "Providers can expect to see a 2-6% drop in revenues depending their type of business and case mix," explained Surya Vadlamani, Jvion CIO and chief ICD-10 solution architect. "As providers develop their ICD-10 roadmap and prepare their conversion plans, there is a recognition that the shift will not be as 'revenue-neutral' as once thought. Organizations are acutely aware of the reimbursement variations that ICD-10 will cause and are looking for ways to avoid dips in revenues following October 2014." 

READ MORE

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