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Tim Houchin, VP at Adherium

Future of Medicine: Why Everyone in Healthcare is Looking at Your Wrist

by Tim Houchin, VP at Adherium 09/10/2018 Leave a Comment

Future of Medicine: Why Everyone in Healthcare is Looking at Your Wrist

When you look at your wrist, you’re looking at the future of medicine. Wrists offer the potential that nothing else in the health technology world can offer: round-the-clock, non-intrusive contact. For people enduring chronic illness and doctors treating it, this can mean, in the near future, a seamless, two-way flow of information about medication use and the circumstances where health events, such as asthma attacks, or hypoglycemic events occur.Children with asthma, for instance, using a smart
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What The Patient Engagement Metrics Aren’t Telling You

by Anish Sebastian, Co-ounder of Babyscripts, 09/05/2018 Leave a Comment

Bullshit Metrics: Is Patient Engagement Real?

The tech industry loves to tout high-level metrics to garner attention for apps: the success of an app is often demonstrated by quoting staggering numbers of subscribers, weekly views, in-app session length, number of downloads, monthly average users, etc. And these statistics are not irrelevant -- they are useful for gauging product performance and often correlate to a successful product. For apps driven by ad-revenue, they are sometimes the most important metrics.But as I address elsewhere,
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Optimizing Revenue Cycle Management – What Will It Take to Get There?

by Stacy Leidwinger, VP of Product, Nuance’s Document Imaging Division 09/04/2018 Leave a Comment

The U.S. healthcare system is undergoing a major transformation, from many freestanding hospitals and individual practices to fewer large, integrated healthcare systems. One motivating factor is the promise of greater efficiencies when it comes to delivering more holistic patient care and improving core operational processes. Revenue cycle management is one process that’s primed for improvement. Poor billing practices can cost hospitals millions of dollars due to lost reimbursement or the imposition of fines, which can undermine patient care quality and erode the operational advantages that expansions and mergers were intended to create. What are the ongoing trends making revenue cycle management so challenging? Disjointed front-end and back-end processes – Revenue cycle management is traditionally separated into front- and back-end functions. The front-end is patient-facing and includes administration, intake documents and the confirmation of coverage eligibility, while the back-end includes payer coordination, claims reimbursement, denial communications and ultimately, collection. With patients assuming more responsibility for out-of-pocket expenses, the first step to improving the revenue cycle is maximizing patient collections. The best chance for this lies in collecting payments as early as possible in the patient interaction. According to one recent survey, 85 percent of healthcare organizations say that collecting payments from patients after they have left the facility is a difficult task. Hospitals need to commence billing processes immediately at patient admission, which requires better integration between front- and back-end workflows. Electronic or digitally-based workflows are intrinsically more efficient and secure than paper-based workflows since they don’t rely on paper passing hands and because there is less risk of document misplacement. IT and Toolset Limitations – Successful revenue cycle management has traditionally depended on a strong supporting healthcare IT infrastructure as well as a solid base of highly fluent administrative knowledge workers, who understand the intricacies of working with various types of payers. Unfortunately, many hospitals do not have the resources to invest in the dedicated on-site infrastructure needed to expedite revenue collection and claims management. Hospitals should also train staff members to code and submit claims as accurately and efficiently as possible. The lack of training is often the difference between a fast, efficient claims reimbursement and a potentially time-consuming kick-back. It is also important for knowledge workers to have “DIY” capabilities when it comes to directly hand-picking their own workflow functions to secure the capabilities they need quickly. Back-end staff may include an electronic signature capability in their workflow, which allows supervisors to verify the authenticity of a claim and sign-off, even if they are traveling or on a mobile device. If software tool is available as part of a larger, pre-approved menu, this will also reduce the threat of “shadow IT” - when staff use technology without IT being aware. Lack of automation – Paper remains ubiquitous in the healthcare enterprise, particularly in the admissions process. Better revenue cycle management requires faster, more efficient digitization of paper-based documents. It is particularly important to quickly incorporate insurance details contained in these documents into streamlined digital workflows. Revenue cycle management can be made more efficient by automating manual data entry. Document conversion and classification can easily convert paper documents to digital form in bulk and route the data to appropriate electronic files and personnel for processing. Advances in machine learning soon will enable scanners to “read” and identify characteristics specific to certain documents. For example, the technology could identify an insurance policy, and route the information appropriately while streamlining the entire claims submission process. Poor provider/payer collaboration – Forward-thinking hospitals are creating new types of streamlined payment processes whose workflows are similar to those integrating front- and back-end claims processing. Tailored workflows can address the unique requirements of individual payers, enabling information exchange and critical communications through a highly secure, digital process. For example, different payers may use a different chain of command or steps for reimbursement approvals. Workflows can be created and modified to adhere to acknowledge this. These provider/payer frameworks also provide end-to-end visibility across the claim lifecycle, allowing providers to take appropriate action to improve collection processes – for instance, identifying and addressing late reimbursements. Increased automation plays a role here as well by alerting knowledge workers when a particular claim reimbursement is complete, or automatically flagging problems and their source. While the challenges of improving revenue cycle management are abundant, and many organizations aren’t sure where to begin, certain threads are common. These include the need for tighter workflow integration (both within an organization and between payers and providers) and greater empowerment of knowledge workers through automation and simplified workflows. Effective revenue cycle management is critical to the success of the healthcare enterprise in its mission to promote high standards of patient care and satisfaction and operational excellence. Most organizations have room for improvement, and the capabilities described here are a good starting point. Stacy Leidwinger, VP of Product, leads the team driving product innovation within Nuance’s Document Imaging Division. She oversees the product roadmap and all phases of the product lifecycle with the goal of planning, launching and managing best of breed software products.

The U.S. healthcare system is undergoing a major transformation, from many freestanding hospitals and individual practices to fewer large, integrated healthcare systems. One motivating factor is the promise of greater efficiencies when it comes to delivering more holistic patient care and improving core operational processes.Revenue cycle management is one process that’s primed for improvement. Poor billing practices can cost hospitals millions of dollars due to lost reimbursement or the
Read More

Does the Fax Machine Still Have A Place in Modern Healthcare?

by Brad Spannbauer, Sr. Product Manager at j2 Global 08/27/2018 Leave a Comment

TigerText Wants to Eliminate the Ancient Pager & Fax in Healthcare

Fax machines have been a common fixture in medical practices across the country since they reached peak popularity in the late 1980s; the convenience, reliability, and security of faxing meant it was, and still is, the communication medium of choice for the majority of healthcare organizations. But, technology has come a very long way in past 30 or so years, and expectations have changed - what was deemed to be convenient, reliable, or secure two or three decades ago, might not be anymore. So,
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How to Successfully Manage the Staffing Costs of Migrating to a New EHR

by Justin Campbell, VP at Galen Healthcare Solutions, 08/20/2018 Leave a Comment

The Value of EMRs: Broken Promise or Unintended Consequences?

Few decisions are as important or as daunting as the one that leads to the implementation of a new EHR. When replacing best-of-breed clinical applications with an integrated EHR, a successful transition involves managing, not just technology but, equally as important, employees across multiple teams. The best and brightest in your organization are asked to focus on this initiative, but this new assignment leaves a gap in the maintenance and management of a healthcare organization’s legacy
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Why The Retailization of Healthcare Begins with Women

by Juan Pablo Segura, President at Babyscripts 08/20/2018 Leave a Comment

Why Medicaid Needs to Lead the Charge in Remote Patient Monitoring

The face of consumerism is rapidly changing in the age of technology. Convenience, personalization, and long-term benefits are of paramount concern to developers as consumers increasingly prioritize experience over possessions. The five-star rating format and other consumer-friendly features of sites like Amazon, Yelp, and TripAdvisor have been shaping consumer behavior and expectations for more than a decade. Direct-to-consumer brands like BirchBox, ThirdLove, and StitchFix are revolutionizing
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Bullshit Metrics: Is Patient Engagement Real?

by Anish Sebastian, Co-Founder of Babyscripts 08/15/2018 Leave a Comment

Bullshit Metrics: Is Patient Engagement Real?

Whether it’s stock trading with a few clicks on a smartphone, streaming new music before the vinyl hit the shelves, or receiving a wardrobe from a personal stylist without ever stepping into a store, technology’s potential to revolutionize the consumer experience is ubiquitous across industries. The healthcare sphere is no exception to this, and in recent years a rash of digital health tools and connected devices have flooded the marketplace, promising cheaper care and better outcomes, all while
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Data Collection Challenges in Healthcare and How to Overcome Them

by Cedric Savarese, CEO at FormAssembly 08/13/2018 Leave a Comment

Data Collection Challenges in Healthcare and How to Overcome Them

While each industry has its own regulatory and governance challenges when it comes to data collection, storage, and management, the struggles of the healthcare industry are unique. Often times, the data collected in healthcare is complex and is governed by extremely stringent regulations.Most healthcare providers collect data using a variety of forms such as patient intake forms, consent forms, treatment evaluation and health assessment forms among others. Once this data is collected, it
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The Future Role of Robots and Humans in Caretaking

by Joel Landau, Founder at The Allure Group 08/06/2018 Leave a Comment

The Future Role of Robots and Humans in Caretaking Pediatric Rehab Hospital Uses Telemedicine Robot for Physicians to Interact with Patients

Visit the research facilities of the Georgia Institute of Technology. You may meet Darwin, a pint-sized robot that helps patients meet physical therapy goals. From enhancing a surgeon’s precision to disposing of medical waste to monitoring health metrics, artificial intelligence (AI) is making a big impact on the sector. Even the pint-sized robots are doing big things in healthcare. It will be fascinating to see where it all goes. As populations age, one area robots could help tremendously is
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3 Ways Automation & Integration Is Disrupting the HIT Status Quo

by Arman Samani, Chief Technology Officer of AdvancedMD 07/30/2018 Leave a Comment

EMR Mantras EHRs

 In the history of healthcare information technology (HIT), there is clear evidence that technology systems have been designed to provide individual solutions, instead of considering a provider’s workflow holistically. In the late 1980’s and early 1990’s, practice management (PM) systems offered medical practices the opportunity to automate their day-to-day operations. Then the electronic health record (EHR) became mainstream in the late 1990’s and early 2000’s, to electronically store patient
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