Resources for Providers, Billing and Administrative Staff

Learn all about Electronic Prescribing of Controlled Substances (EPCS)

Posted by Alok Prasad

What Is a Controlled Substance?

Prescription drugs are those drugs that are prescribed by a provider for a specific person and bought at a pharmacy. These are regulated by FDA. Prescription drugs are classified into two categories:

  1. Non-controlled prescription drugs
  2. Controlled prescription drugs

Non-controlled drugs are prescribed to treat medical conditions such as high blood pressure, diabetes, and bacterial infections. Such prescriptions are not subject to some of the same limitations as controlled substance prescriptions.

Controlled substances are drugs or medications (whether prescription or illicit) considered to have the highest misuse and use disorder potential and therefore have the strictest regulation and prescription requirements on a federal and state levels. They are regulated by the Controlled Substance Act (CSA) which was enacted as part of the Comprehensive Drug Abuse Prevention and Control Act of 1970. To prescribe controlled substance medication, a clinician must have a DEA (Drug Enforcement Administration) license; to fill a prescription, a pharmacist must also have a controlled substance license.

 

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What are Electronic Health Records (EHR)?

Posted by Alok Prasad

What is EHR?

EHR Definition

An Electronic Health Record (EHR) is an electronic or digital version of a patient’s traditional paper-based chart and offers a comprehensive, real-time and patient centered view of a patient’s medical history maintained by one or more authorized providers over time to authorized set of users. EHRs include all of the key administrative clinical data relevant to that persons care under one of more authorized providers, including demographics, progress notes, allergies, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports, etc.

 

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Electronic Medical Record Systems

Posted by Alok Prasad

What is Electronic Medical Record (EMR) System?

EMR System is an integrated set of interoperable technology components including EMR Software, Practice Management Software, ePrescription, Dashboards, telemedicine, interfaces to labs and clearinghouses, workflow tools, patient portal, etc. - all working seamlessly to help healthcare providers improve patient care, stay compliant and reduce medical costs. EMR systems replace traditional paper-based charts and manual workflows with digital files and electronic transmissions in the physician practice and offer a comprehensive view of a patient’s medical history.

EMR Systems include “all of the key administrative clinical data relevant to that person’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports".  It is created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization". 

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What is Medical Billing? How does Medical Billing work?

Posted by Alok Prasad

What is Medical Billing?

Medical billing is the process by which healthcare providers create and submit claims to insurance companies, referred to as payers, to receive reimbursement for services provided to patients. Many claims that are denied due to including missing or incorrect data, duplicate or late submissions, improper or outdated CPT or ICD-10 codes, lack of documentation or prior authorization, and other reasons can be corrected and appealed.

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