Clinical, Financial and Administrative Insights For Physicians

Aparna Prasad

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When Can Providers Use Modifier 25?

Posted by Aparna Prasad

Modifier 25

Modifier 25 is frequently used in the wrong context -- sometimes mistakenly but more often as a result of purposeful attempts to increase a practice's level of reimbursements. The modifier is clearly defined as an identifiable evaluation and management (E/M) service performed by the same physician and on the same day as the initial procedure. However, many attempts have been made to stretch this definition in recent years, with some practices trying to use modifier 25 for situations in which the E/M service was performed by someone other than the physician responsible for the procedure in question.

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How to Balance EMR/Patient Interaction Like a Pro

Posted by Aparna Prasad

One of the most common complaints physicians have about electronic medical records is the difficulty of balancing using the EMR and patient interaction. If you're like most physicians, you entered into your profession because of your desire to help other people. Regardless of the age group you work with on a day to day basis, patient interaction has always been high on your priority list. While EMR has proven successful in making your practice more efficient, the challenge of continuing to give your patients the personal attention they need from you still exists. However, by making a few small changes to your encounters with your patients, you can still maintain your interaction with them while successfully using your EMR system.

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EMRs: Then and Now.

Posted by Aparna Prasad

Electronic medical records have come a long way since physician Lawrence L. Weed first conceived of the concept in the 1960s. Actually, the healthcare industry was one of the last industries to embrace a computerized way of keeping records. Even when it began to catch on, many physicians resisted making the change from paper charts and hand-written notes. Instead, they focused on their billing and patient registration departments, and utilized electronic systems in those areas initially. 

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5 Ways to Dispel your EMR Dissatisfaction

Posted by Aparna Prasad

Are you experiencing EMR dissatisfaction with your current system? Perhaps it's not living up to your expectations, or you're having issues with it that make charting more difficult.  Many physicians are finding that their EMR is not as impressive as they thought it would be.  If you're feeling that way, it might be time to take a closer look at your EHR system and try to figure out what you need to do to improve it.

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Integrated EHR and Practice Management Software is Better For Your Practice

Posted by Aparna Prasad

Integrated EHR and Practice Management Software

Many medical practices are becoming more efficient through the use of practice management software and electronic medical records.  These developments have proven to be effective at improving patient care, as well as increasing the profits of those practices who have implemented them.  However, they have not been without their challenges.  

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Benefits of Implementing Pain Management EMR Software

Posted by Aparna Prasad

Pain Management EMR Software

The Tightrope of Pain Management

Pain management is one of the most difficult of medical skills for a healthcare professional to attain. Despite its presence among all medical and nursing specialties, it remains a symptom treated differently according to its classification as acute or chronic, the specialty of the physician treating a suffering patient, the perceived etiology of the pain complaint, the risk of the development of substance abuse issues and a patient's overall pain tolerance. The tightrope upon which a physician must walk involves decreasing pain while avoiding undue sedation and encouraging maximum performance of activities of daily living (ADLs). With so many issues that factor into what medication or therapy might be prescribed or contraindicated, it is imperative to use standardized templates to account for patient pain complaints, prescribed therapies or medications and the efficacy of these attempted interventions.

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The Essential EMR Checklist for Psychiatry Practices

Posted by Aparna Prasad

The Unique Requirements of Medical Documentation in Psychiatry & Psychiatry Electronic Medical Records

Psychiatry and psychology hold somewhat unique requirements among the medical specialties in that the diagnosis itself cannot be visualized or examined in the same way as a healing surgical incision or a growing infant. The physical results of some psychiatric disorders, however, are demonstrable by physical symptoms. Anorexia, for instance, can be clearly identified by individuals untrained in medicine. Psychiatrists, psychologists and psychiatric nurses can also identify the mania of a bipolar diagnosis, the usual physical presentation of a schizophrenic patient and even the slow-motion apathy of an untreated patient in the midst of depression. The interpretation of the severity of a psychiatric patient's condition, however, can be located along the normal to pathological continuum in various -- and markedly different -- locations depending upon the patient's presentation, the familiarity of the health care provider with the disease, the length of time the patient has suffered from the condition, the number of days or weeks that medication may have been stopped by the patient and the concomitant use of prescription medications, street drugs and alcohol.

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Key Changes For The Financial Benefit of EHR Impementation in 2013

Posted by Aparna Prasad

Electronic Health Records (EHR) systems have been around for quite some time, but looking forward to 2013 and beyond, these systems are now providing the medical community with much needed assistance in every aspect of running a medical practice. The Health Information Technology for Economic and Clinical Health Act (HITECH) has provided incentives for practices who can demonstrate meaningful use of their EHR systems, yet other changes on the horizon promise changes that may keep practices on their toes for the near future.

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EMR Implementation Costs Deciphered

Posted by Aparna Prasad

Whether you are looking at updating a current electronic health records (EHR) system or instating EHR for the very first time, you will need to take the potential EHR implementation costs into account. Although most medical professionals view EHR as worth its weight in gold (due to the increased efficiency and organizational capabilities it provides) struggling establishments may worry about having the "gold" to pay for the transition in the first place. Ultimately, the cost of EHR implementation will have to be weighed against the potential savings. Detailed below are a few factors you should keep in mind as you attempt to decipher EMR implementation costs:

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Top EHR Adoption Challenges for Small Clinics

Posted by Aparna Prasad

EHR adoption challenges for small clinics

A small clinic faces several challenges in the quest to purchase and implement an EHR, and then qualify for the incentive payments from CMS (referred to as Meaningful Use).

The most overwhelming issue being faced by these practices is that the deadline for beginning the process of proving an EHR for Meaningful Use is 2012. Ninety days of data collection are required in the first year which means that October 1, 2012 was the deadline for starting the data collection process. If a small clinic is not already running a certified EHR, there is no chance that it can meet the requirements necessary to collect the maximum incentive payment.

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