Instant Medicare Eligibility Verification

Medicare is a public health program administered by the US "Dept. of health and human services". The program provides for hospital care, medical and prescription insurance for Americans over the age of 65. Before a person is put on to medicare facility, it is advisable to verify the eligibility to avoid any sort of confusion or disappointment at a later stage of treatment. The manual process of verification is a time consuming and may lead into errors creating problems for both doctors as well as patients.

The new age health IT solutions like roster manager or medicare eligibility manager seems to be an answer to the problem. The solution helps to instantly verify the medicare eligibility of the patients, thus, helping to avoid all sorts of confusion at a later stage of treatment. It extends satisfaction to both doctors as well as patients. 

Role of Roster Manager in Roster Data Management

Claims management is a complex task involving a large number of formalities to be managed. A smallest error results into the rejection of the claim or sent back for correction. The process often takes days and months before the reimbursement could be received. This creates problems for both doctors as well as patients. Often the delay plays as a spoil sport.

One biggest difficulty is the management of roster data. A large amount of data needs to be updates, sent for processing and so on. This is a tedious and time consuming task; an error would result into rejection or delay in the process of reimbursement of medical claim. There seems to be an answer to this problem by way of a new age health IT solution like roster manager. The roster manager helps to manage the roster data from health plans. It takes any format from health plan and allows you to put edits on eligibility when verifying by your physicians.

Practice Management System Helps Doctor's Clinic Run Smoothly

A doctor's clinic is not only confined to patients treatment but the clinic has to take care of a number of ancillary tasks associated with patients. The tasks normally include patient appointment scheduling, patient record creation and maintenance, updating records with treatments, billing the patient, entering medical claim details and forwarding for processing. Once the claims is submitted the clinic or the hospital has to follow-up on claims and reimbursement. These tasks consume the maximum time resources of healthcare professionals and their staff. Here comes the role of new age health IT solutions like practice management system.

The main purpose of practice management software is to smoothly run medical practice transactions and increase productivity. More importantly, it serves to the satisfaction of the patients as it answers to a clinic or hospital's constant need to do billing and scheduling of appointments. For a growing medical practice, this serves as a very useful tool in organizing patient files and fostering tighter doctor-patient relations.

The Role of Online Patinet Scheduling

Clinic management is not an easy task; the process starts with the the patient calling in for fixing up the doctor appointment. The patient appointment scheduling task may look simple, however, its a tedious process wherein it involves issuing appointments, cancellations, re-fixation and much more. The manual system of managing patient appointments is time consuming and often results into confusion due to errors committed during the process of scheduling. Its a big frustration for both doctors as well as patients.

The new age IT systems like online scheduler software is giving a new lease of life to both doctors as well as patients. Online scheduler software eliminates the need of being available on the phone for appointments and eligibility checks. Patients can view the availability of their physician and schedule their own appointment online by selecting an available time slot. Online patient scheduling service helps physicians and receptionists to spend more time taking care of patients and delivering quality treatment.

Role of Certifed EMR in Meaningful Use

EMR is a wonderful software that is all set to transform the healthcare industry. It is all set to replace the age old practice of manually maintaining the patient records. The EMR software ensures the healthcare industry with more accurate and detailed patient records. As the records are stored in a digital format, there is flexibility of storing them centrally. The centrally stored data can be easily accessed from any where at times of emergency. There are huge long term advantages of EMR implementation if used in a right manner. When you talk about right manner we are talking about its meaningful use. 

Meaningful use of EMR is nothing but a responsibility on the part of healthcare professionals and hospitals as regards using the software optimally. The EMR software needs to be used in a manner that it promotes better quality of healthcare service to the patients. There are many vendors and many versions of emr applications available, hence it becomes difficult to decide up on the best EMR system for the practice. A certified EMR software would ensure that the system is in compliance with the HIPAA as well as the healthcare industry requirements. A certified EMR software would also ensure that the system can be effectively used for its meaningful use.

Claims Management System For Speedy Claims Reimbursement

Claims processing is a complex task, it involves a no. of formalities to be taken care of. It is an additional burden on healthcare professionals and hospitals but we can not deny its importance in getting claims reimbursement. It involves eligibility verification, coding, filling up diagnosis / treatment and other patient details. It usually consumes majority time of healthcare professionals and their staff. Often the manual system leads into a number of errors resulting into denial of claims or delay in reimbursement. 

The new age health IT solutions like claims management system are claiming to be of great help and support. The system provides with easy to use ready data entry form. A chart to select the medical codes, online verification, error handling and much more. 

The important features include:

    * Check for errors of coding and billing
    * Send you an EOB (explanation of benefits)
    * Pre-adjudicate the claim to make it accurate
    * File the processed claim with the insurance company
    * Provide you electronic eligibility details and claim status
    * Receive denied claims and re-adjudicate them as recommended to get them approved

A fully-functional claims management provides the users with numerous functionality that ensures speedy claims reimbursement at reduced costs.

EMR Software Implementation - A Tough Decision

 

It is said that information technology is changing the world and so is the healthcare industry. New age health IT tools like EMR software are all set to transform the healthcare industry. However, its a tough decision for any healthcare professional or hospital to think about EMR software implementation. It involves a no. of considerations on the part of healthcare professionals as well as hospitals. At first, the question is all about the cost of purchasing the hardware, software license and training. The other most difficult thing being ... switching from age old manual system to the new age hi-tech application. 

It becomes really very difficult to unlearn something and to learn newer way and means of accomplishing certain tasks. At times, the EMR software may result into consumption of more time and money as compared to older manual system as it involves training time and cost. It is always a touch decision to implement something new, however, the important thing is that we need to weigh both the sides advantages and disadvantages. As far as EMR (electronic medical records) software is considered there could be some inital cost of implementation and time spent on training but the long term benefits of implementation are huge. EMR software implementation may be a touch but a fruitful decision for the long run.

Healthcare Management - Not An Easy Task

Healthcare management is not an easy task, there is so much to manage, there is so much to take care. The work starts with issuing appointments to the patients and continues with claims submission - reimbursement process. It is said that doctors and the clinic staff spends majority of their time in managing their back end activities else other wise the time could be effectively used in providing patient services. This will not only add to the quantity of service delivered but will also bring about improvement in the quality of patient service provided.

Information technology has provided a helping hand to each n every industry and healthcare industry is not an exception to the rule. New age healthcare management solutions like claims management system, EMR (electronic medical records) system, practice management systems, roster manager and more are proving to be of great help and support. These health IT solutions are making the life of healthcare professionals easier by facilitating the management of back end operations at ease. They help in saving time, to cut -down the cost, to bring about increase in productivity and to bring about improvement in the quality of patient service.