Download - Practice Management Systems 1 Steven D. Atwood, M.D., FACP [email protected] [email protected]
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Steven D. Atwood, M.D., FACPSteven D. Atwood, M.D., FACP
[email protected]@pol.net
www.adultmedicine.com/presentations/practice-management-systemswww.adultmedicine.com/presentations/practice-management-systems
Leveraging Practice Management Systems
for a More Efficient Practice
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Key Points for TodayKey Points for Today
1.1. What you need to know, not nice to knowWhat you need to know, not nice to know
2.2. What might separate the winners from the losersWhat might separate the winners from the losers
3.3. Specific examples of how your PMSSpecific examples of how your PMS can actually help you do your job or help can actually help you do your job or help
1. save time
2. improve efficiency
3. increase patient satisfaction 4. improve your bottom line your bottom line
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Key Sections for the PhysicianKey Sections for the Physician
1.1. Scheduling / registrationScheduling / registration
2.2. Billing / accountingBilling / accounting
3.3. Serving the patientServing the patient
4.4. Which programWhich program
5.5. Where to get suggestions and specsWhere to get suggestions and specs
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Let’s Get To It Let’s Get To It
Scheduling Everyone Must Be Able to ScheduleEveryone Must Be Able to Schedule
nurse when telling coag resultsnurse when telling coag results doc when telling patient to drop indoc when telling patient to drop in see schedule at every station and from homesee schedule at every station and from home
30 Second Rule– book appointment in seconds–30 Second Rule– book appointment in seconds– patient name, doc, reason, when, donepatient name, doc, reason, when, done trim names selection to those that are relevanttrim names selection to those that are relevant
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See Schedule
Easy to Add or Change
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Know key data beforethe time is reserved
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How much time, which room
Robust detail
Bundled procedures
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Are You Behind?When Can You Get Back to the Hospital? Are You Behind?When Can You Get Back to the Hospital?
ArriveRoomedExitNo Show
Helps to track when patients
Show the data by using symbol, color, highlights
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e.g. 9am and you are behind
You are seeing now
Arrived
X No Show
Seen and left
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One Write, No DuplicationOne Write, No Duplication
Cut & Paste Drag & Drop Notes Everywhere e.g. individual claims, individual codes such as with prolonged detention
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11 Practice Management Systems
Cut and Paste or Drag and Drop to any spot that week or in future months
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Notes, Notes, Notes Everywhere
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Archive the Inactive DataArchive the Inactive Data
No scrolling through 30 people with similar names
Index patients by doctor or site then use the list associated with this site etc.
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Archive or leave out the data you don’t need >>leave out patients not seen in 10 years >>just your site’s patients--not entire system
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BillingBilling
Past we used numerous fee schedules generally a Medicare max allowed fee schedule and a fee schedule for the rest of your practice
Now generally all accounts assigned but everyone has a different payment schedule e.g. 1.6 x Medicare rate, no coverage for carve outs another is 0.8 x Medicare rates
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BillingBilling
Paid vs. Expected - your computer should show you the expected payment as you enter payments
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BillingBilling
Paid vs. expected--see as you enter
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BillingBilling
charge vs. paid for each insurance company
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QUERIESQUERIES
PMS is basically linked databasesthe setup is proprietaryyou are locked inwhen you buy it you might be married for life because you might not be able to get your data out if you switch to another program
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QUERIESQUERIES Future Is Modular No All-in-One Program Separate Program or Module for Each Part e.g. EMR, Billing, Schedule, Ordering Now STANDARDS Provide the Connectivity Between Programs Not Locked In, so Programs Compete on Performance Best of Breed may be easier to determine
Export every field will help all this
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QUERIESPMS Design Linked Databases QUERIESPMS Design Linked Databases
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QUERIESQUERIES
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Off the Shelf Software vs. All-in-One Package
Off the Shelf Software vs. All-in-One Package
Software doing majority of operations for a large corporation may have dozens of pull down menus and take 3 days of training before you can use
e.g. IDX or similar software for large health systems
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Off The Shelf Software vs. All-In-One Package
Off The Shelf Software vs. All-In-One Package
Separate Programs or Discrete Modules helps 1.) Training 2.) Security 3.) Upgrades 4.) Can Reduce Down Time Quicken $79 -- all bills and bank activity QuickPay $50 or QuickBooks $179 -- payroll HotFax --can fax any file as if you were printing it
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SECURITYSECURITY
User ID, Password Station ID Section Permission e.g. Hospitalize Senator, only treating staff have access to this patient’s tests e.g. charge and collection for the day not accessible by file room staff
Too many programsgive full access to everythingafter you log on
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Print to FilePrint to File
Best thing since sliced bread can use a claim clearinghouse & NO INTERFACE NEEDED e.g. Print a HCFA type claim then you can Print to File so you can save the printout and all it’s formatting Your clearinghouse can use this file and the print layout to transfer this information to their database NO INTERFACE NEEDED-- NO MORE TYPING
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Print to FilePrint to File
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Every letter and number is exactly where it would be on a claim
Thus a computer can import the data
Print to FilePrint to File
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Print to FilePrint to File
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Print To FilePrint To File
Select printer then click print to file option Go to DOS prompt (in Windows>Accessories) Enter the command PRINT and file name e.g.
Then strike enter and your file prints thus you can save anything you want to print
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Print to File printer must be connected by LPT-1Print to File printer must be connected by LPT-1
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Physician in Back OfficePhysician in Back Office
Need a full registration sheet or face sheet insurance type may dictate where to go for tests insurance type may dictate which hospital to use insurance type may only cover certain meds
may need DOB may need SSN may need phone numbers for patient may need phone numbers for insurance company
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Physician in Back OfficePhysician in Back Office
must be able to tag individual data
progress notes claims to send schedule spots to reserve rooms or equipment to reserve
then as a batch you can
printfaxreservereformat
Same as hold down Control then left click to
select desired data in Windows
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FAX FAX
If you can print it you should also be able to fax it
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Send to fax machine rather than printer
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prescriptions goal is to order the right med quickly
formulary which med, which dose
vs. Voice Mail at Pharmacy
OrdersOrders
FAX a Script--how do you sign if digital signature not OK
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FormsForms
Scan the form Insert the file on a page as a background Overlay text boxes where the data goes Bookmark each box (control+F9) Jump box to box / bookmark to bookmark (F11)
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Any word processor & hopefully your PMS can prepare and store any form
Start box 1
F11 to jumpto next field
bookmarks
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Physician in Back OfficePhysician in Back Office
Email at every work station
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What’s Out There What’s Out There
How Many Different Programs List of Vendors Cost Features
Selecting Your Practice Management System
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PMS VendorsPMS Vendors
1. Medical Manager
2. Millbrook
3. IDX
4. NextGen
5. CompuMedic
There are over 110 programs perhaps ½ have ASP (web based) option
1. Lytec
2. Medware
3. Medisoft
4. E-MD
5. FoxMed
e.g. Larger Systems Smaller Offices
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PMS VendorsPMS Vendors
List on Internet atwww.HIPAA.org/ pmsdirectory
www.HealthCareInformatics.com/ issues/2002/10_02/spotlight.pdf
about 110 listed
www.aafp.org/ PreBuilt/fpnet_techguide.pdf
9 rated
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PMS Purchase or Lease PricesPMS Purchase or Lease Prices
Varies by options—wide range
• Buy and own, then elective updates
• Yearly lease and required yearly updates
• Monthly lease per provider or per station
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PMS Purchase or Lease PricesPMS Purchase or Lease Prices
$ 200 Medisoft $ 600-2000 MedWare, Lytec $ 7,000 NextGen & per provider $15,000+ IDX, Medical Manager
Varies widely and changes - many options - must contact vendor
perhaps
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Where to Go for InformationWhere to Go for Information
1. www.acponline.org/PMC/practice.htm
2. www.ComputingForClinicians.com by ACP Fellow
3. www.aafp.org/practicemgt.xml user comments
4. www.ctsguides.com/medical.asp buy reviews
5.5. www.HealthComputing.com/KLASwww.HealthComputing.com/KLAS buy reviews
6. www.MGMA.com members only
7. www.KnowledgeStorm.com needs free registration
8. www.CivicResearchInstitute.com/mi5.html
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SUMMARYon Leveraging Your Practice Management System
to Save You Time, Improve Efficiency, and Improve Your Practice
SUMMARYon Leveraging Your Practice Management System
to Save You Time, Improve Efficiency, and Improve Your Practice
1. Everyone Working with Patients can Schedule and Has Access to Registration Data
Just seconds to reserve an appointment Need to know the health plan and contact numbers Registration data effects your medications and tests Old unused data to archives MS Office type features—cut/paste, drag/drop, tag
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SUMMARYon Leveraging Your Practice Management System
to Save You Time, Improve Efficiency, and Improve Your Practice
SUMMARYon Leveraging Your Practice Management System
to Save You Time, Improve Efficiency, and Improve Your Practice
2. Can really use the ability to easily
export or query almost every field in the PMS List of who is on a medication with a new alert List and # of patients on a HMO
3. Need ability to track expected payments for each
insurance company as the payment comes in
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SUMMARYon Leveraging Your Practice Management System
to Save You Time, Improve Efficiency, and Improve Your Practice
SUMMARYon Leveraging Your Practice Management System
to Save You Time, Improve Efficiency, and Improve Your Practice
4. Need ability to easily find, complete, and fax
paper – e.g. Referral form–who, what, where, when, why
5. Inexpensive programs like Quicken can easily manage key functions– Maybe everything in one program is not a good idea
6. Every work station needs office e-mail
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Questions Questions
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Steven D. Atwood, M.D., FACPSteven D. Atwood, M.D., FACP
[email protected]@pol.net
www.adultmedicine.com/presentations/practice-management-systemswww.adultmedicine.com/presentations/practice-management-systems
Leveraging Practice Management Systems
for a More Efficient Practice