Community health centers and federally qualified health centers (FQHC) serve more than 20 million patients each year, according to data from HHS’ Health Resources and Services Administration. They provide medical care to uninsured and underinsured populations, to patients who rely on public health programs for assistance, and to those living in medically underserved parts of the country. These health centers are integral to the nation’s healthcare system, yet they often lack the resources to adopt new technologies that can improve care quality and patient safety, increase efficiency, and reduce costs.
Denied claims are a large source of lost revenue for many healthcare organizations. Yet, physician practices often lack the resources to process them in a timely fashion. It is important for claims to be submitted accurately and error-free the first time around, to avoid revenue cycle setbacks and ensure timely reimbursement. One way to accomplish this is by using a medical billing EMR or practice management software with built-in claims scrubbing capabilities.
Claims scrubbers analyze the data attached to a claim to ensure that all required data is present before the claims is submitted to the payer. This includes patient demographics, insurance information, procedure and diagnosis codes, and date of service. It is important to note, however, that not all claims scrubbers offer the same features and functionalities. In fact, while a basic claims scrubber might check that certain fields are filled out on the claim, it might not verify the accuracy of the entered data. Therefore, it is important to use a claims scrubbing system with advanced capabilities.
Big changes have been happening in the healthcare industry in the last few years, revolutionizing the care delivery process, the role that patients play in their care, and how medical records are stored and managed. With all of these changes taking place recently it should come as no surprise that 2014 is poised to be another important year, not only for podiatrists but for all doctors. Physicians will finally be able to start attesting to Stage 2 of the Meaningful Use program on January 1st, for one, meanwhile undertaking preparations to meet the October 1, 2014 deadline to switch from ICD-9 to ICD-10 diagnosis and procedure coding.
Ophthalmology is a unique branch of medicine that differs greatly from other specialties. It requires the use of electronic medical record software with ultra-specific capabilities that generic, multi-specialty systems simply cannot provide. Ophthalmology EMR vendors are better positioned to meet the needs of physicians in this field, as they often employ specialty-specific teams with a better understanding of ophthalmology practice requirements and workflow.
At 1st Providers Choice, we work closely with specialty-specific professionals, such as ophthalmic assistants, to gain insight into the documentation needs of providers in this field. We also maintain regular involvement with ophthalmic and optometric organizations to keep abreast of constant changes and advancements.