Medical Billing and Coding Healthcare Blog

The healthcare sector is fast moving towards adopting electronic management of medical records. The move to digital management of records is not only beneficial to the patient but also the healthcare providers. Moving from a manual system of doing things to the digital platform is initially daunting for anyone, but it is worth all the trouble. Resisting the move to digital management can have undesirable implications on your clinic and credibility. Here’s why your clinic should be in the forefront in embracing electronic medical records:

Hasten transfer of data

Once in a while, you’ll need to have a patient moved from one department to the other. Maybe they are now good enough to move from the Intensive Care Unit to the general ward. Whatever the case, the department the patient is being moved to need to be privy to the information before the patient gets to them. Compared to running along the corridors with patient files, an electronic platform is easily accessible and you can prepare on how to handle the patient beforehand. This will be a huge asset to the clinic.

Saves on physical space

If you are renting out a place for your clinic, the rent mostly depends on the amount of space you get. Bigger space means you get to spend more on rent. A digital records system saves you from having to fill up the little space available with cupboards for patient files. You will have extra space for crucial clinic equipment.

Improved productivity

With information readily available at a click, the clinic will be able to increase the number of patients it can attend to in a day. Digital records management also makes the workflow streamlined and seamless therefore improving productivity at the clinic. With an electronic system, the number of clinic staff who have to stay overtime is also greatly reduced. It also reduces costs for services such as transcription needed at the clinic.

Reduced errors

Medical practice does not allow room for errors. Errors can be costly, both to the patient and to the practitioner. It can cost you your license. Most errors come from patient files getting mixed up or the doctor not having access to the full information needed.

Sometimes it is too little too late

Electronic management systems ensure that the doctor has all the patient information they need when they need it. This reduces chances of avoidable errors occurring. You can visit for resources on efficient healthcare service.

Future growth catered for

Electronic records can be customized and scaled to cater for growth in the future. You don’t have to worry about purchasing new files and expanding the physical space to cater for new clients or when you have to update information for old clients. This gives you room to expand your healthcare business as much as you can.

Streamlined billing process

An electronic system gives you the capabilities to track and manage patients’ prescriptions and maintain proper documentation. This makes billing much easier and more accurate hence improves your clinic’s credibility before the patient.

Representatives of Physicians Group Management (PGM Billing) recently returned from attending and exhibiting at Lab Institute 2017. This meeting, hosted by G2 Intelligence, brings together professionals from throughout the lab industry for three days of education and networking.

In this ever-changing, ever-evolving healthcare environment, many sessions focused on the top challenges facing laboratories. Here are four of the most significant identified by meeting presenters.

1. Laboratory Compliance

Labs are under increased governmental scrutiny concerning the Stark self-referral prohibition and federal Anti-Kickback Statute laws and regulations governing patient payment responsibilities. It is critical that labs develop a process through which a concerted, documented effort is made to collect patient deductibles and co-pays. An emphasis should also be placed on the training sales staff and education of referring providers on the importance of documentation.

2. Laboratory Audits

Labs are experiencing increasing Medicare and commercial carrier audits. What do you need to do to protect yourself? Ensure your internal documentation and referring documentation adequately meet payer guidelines. Additionally, it is fundamental that you educate referring providers on the importance of documenting medical necessity as well as their obligation to provide copies of medical records to the lab.

3. Laboratory Reimbursement Cuts

The latest update to the Protecting Access to Medicare Act of 2014 (PAMA) brought with it bad news for labs: most high volume codes could see Medicare payment reductions of 10% or more. Even more bad news:Ssince most commercial payers have moved to a base fee schedule that uses Medicare, you can except them to push for lower rates as well. With reimbursement tightening, labs cannot afford to leave any money on the table. An emphasis should be placed on ensuring effective laboratory billing/revenue cycle processes.

4. MolDx for the Georgia region

With Palmetto GBA securing the contract to provide administrative services for the Medicare program in the Georgia region (i.e., Georgia, Alabama, Tennessee) and implementing the MolDX Program, labs in these states will need to secure Z-codes for their particular tests. The Medicare Part B provider transition effective date is Feb. 26, 2018, but Z-code applications can be submitted now.