Posts Tagged ‘electronic billing’

American Medical Association Reports 1 in 5 Claims Mishandled

Posted on: June 18th, 2010 by Asad Iqbal No Comments


The AMA said one-fifth of all claims in the country are mishandled. Begun in 2008, the association’s annual “National Health Insurer Report Card” rated the nation’s eight largest health insurers in how they handle claims. They concluded that if all problems were resolved the system would save $15.5 billion annually in administrative costs. Now that’s a huge amount of savings for our nation’s health system! Doctors have long complained about excessive paperwork required to satisfy insurance companies. Former AMA President Dr. Nancy Nielsen says that, “Each insurer uses different rules for processing and paying medical claims, which cause complexity, confusion, and waste.”

With such a problem affecting prescribers, patients, and payers, it is only natural that the use of electronic claims processing software by prescribers will aid in reducing the plethora of inefficiencies that currently exist. Dr. Nielsen further said that, “Simplifying the administrative process with standardized requirements will reduce unnecessary costs in the health system” that often requires doctors to file different forms to each insurer. We know prescribers can adopt the necessary software and utilize clearinghouses to facilitate the claims process but payers must also meet the prescribers half way by adopting efficiencies within their processes.

Source: MSNBC

Impact of Controlled Substances on E-Prescribing

Posted on: May 17th, 2010 by Hassaan Latif No Comments

A lot of times we come across doctors who are interested in e-prescribing but when they explore the technology in depth to find a comfortable fit, some find out that they are unable to prescribe scheduled drugs through any of the e-prescribing solutions.

Federal and state governments as well as the private sector are investing tens of billions of dollars to push e-prescribing and EHR technologies past the tipping point. With so much momentum building towards e-prescribing and EHR, the DEA will finally allow doctors to prescribe scheduled drugs electronically this summer.

What will this mean for doctors? A lot of practitioners from psychiatrists to pain management doctors will now gush towards embracing e-prescribing which will help the health IT industry move closer to the tipping point.

Should Electronic Billing be Part of the EHR Meaningful Use Criteria (MU) for ARRA Incentives Payments?

Posted on: April 19th, 2010 by Asad Iqbal No Comments

Paid paperwork
While discussing billing software issues with one of our clients, I was able to get his perspective on including billing in meaningful use (MU) rules for EHR implementation. I feel that his support of the benefits of the integration of billing in the MU rules of EHR hit the nail on the head.

We agreed that a continuous stream of revenue is one of the most important factors for Independent Physician Associations (IPA) and small practices to sustain their medical practices and provide optimum medical services. The benefits of the integration of billing in the MU rules of EHR would be great. This may improve medical claims preparation by automatically populating patient diagnosis and services codes in a claim form. Now it takes a click of a mouse to send the bill electronically to the designated payers.

It would also be easier to retrieve patient medical records to work with rejected claims. Accurate and timely claims preparation and submission expedite claims processing and reimbursements for doctors. The best part is that the CMS EHR reporting requirements to qualify for the ARRA incentives will also be met through an integrated EHR! I’m sure those who read that last sentence are very excited! If one of our clients feels this way, I am sure many more of you are thinking the same way.

This sounds great for IPAs and small practices, but does it seem practical given the workflow of supporting staff in clinical settings? How can we address the challenges of training support staff without impeding the workflow of a clinic?

We want to hear some of your experiences and challenges in implementing healthcare technologies that range from electronic prescribing to electronic medical records.