FREE MONEY FOR HEALTHCARE PROFESSIONALS: Why leave it on the table?






DON’T WAIT ANOTHER DAY to cash in on the Meaningful Use Incentive!!! You are virtually losing money, and wasting time. Why waste time and lose out on money that you can use to better your practice? Time is ticking as the new healthcare exchanges and laws are in full effect. Don’t allow yourself to be affected negatively by the changes instead harness the changes to better your practice. By utilizing a certified EMR system you will help to give back to your patient by spending less time on paperwork and more time with them. You will also receive higher reimbursements for Medicare and Medicaid payments. Your rejection rate will fall through the floor, and here’s the kicker, you will receive several payments from the federal government to do so. Great right? 

Now, I know you must be wondering what’s the gimmick, right? Well folks, I hate to break the bad news to you, but there is no gimmicks. Even though the government is in shutdown mode, medical providers are still going to receive their payments. Wow, really you may ask? But it’s true and its all over the place to let you know that you as a medical provider are still entitled to your reimbursements. But don’t sit on your hands on this issue of utilizing a certified EMR system because if you wait to long you will not be able to cash in on the meaningful use incentive instead you will be penalized for non-compliance and your Medicare and Medicaid reimbursements will suffer severely. 


Look, the most important characteristic of successful private practice owners is that they act quickly and decisively, and stay one step ahead of the changes around them. The first waves of sweeping reforms have arrived with changes in Medicare including MPPR and Functional Limitation G codes. It’s important that as a private practice owner, you plan ahead for these dramatic changes (and those to come) will impact YOUR practice. 


We at Triple E Medical Solutions LLC offer time proven solutions that will descale your level of frustrations with the upcoming changes in our healthcare system. We aim to boost your revenue, decrease your overhead and give you quality customer service. Triple E Medical Solutions LLC will meet and exceed your expectations on all levels. Our team is dedicated to provide you with the solutions that are guaranteed to increase the efficiency of your staff and give you the power to practice what you do best which is treating patients. Take your focus off of paperwork and put it back where it counts. Let Triple E Medical Solutions LLC handle your headaches. 


Triple E Medical Solutions LLC can aid you in your credentialing which in many cases can be a hassle for you, at the same time guarantee you top dollar from insurance carriers big or small, we are your one stop shop for all of your business needs, because at the end of the day your practice is a business and we want to help you maintain that source of income by improving your revenue cycle and increasing your cash flow. 


So why get behind the power curve and be left behind to deal with the fallout of decreased reimbursements, inability to cash in on the meaningful use incentive and the opportunity to get a tax break for becoming a green company. Trust in the Effective, Efficient, Experts in Healthcare to take your practice to the next level and ring in the future of our healthcare system.


Contact Us Today for your FREE NO OBLIGATION practice analysis!!!!

PHONE: (888)338-7293 FAX: (888)391-2109
EMAIL: info@tripleemedicalsolutions.com

400 Days Till ICD-10, Are You Ready?

ARE YOU READY?   The transition to ICD-10 will be a major undertaking for providers, payers, and vendors. ICD-10 will drive business and systems changes throughout the healthcare industry, from large national health plans to small medical offices, laboratories, medical testing centers, and hospitals. In order to have a smooth transition from ICD-9 to ICD-10 medical providers and their staff will have to devote time and resources. But what if I told you that all of this can be eliminated. But before I get into how you can eliminate the resources I will tell you how much it could potentially cost you without a system in place. 


The cost of managing the ICD-10 transition could range from $84,000 to $2.7 million, depending on the size of a practice. This covers costs associated with education, information technology services, super-bill changes, additional staff needs, and overtime fees.
It’s time to get a system that will allow you to save on all of the above mentioned costs.  There are many EMR systems out there but not all of them offer the capabilities that Triple E Medical Solutions LLC offers. Our iClaim and EMRx are already ICD-10 ready which means that you don’t have to pay for any upgrades, no training, and no overtime fees to your staff. You will be able to train your staff on the new codes right in the office and never lose out on workflow. Triple E Medical Solutions LLC is dedicated to providing our clients with superior customer service by providing them services that have been developed by doctors for doctors. We have your best interest in mind and especially with the onset of the Healthcare Reform. 

Look ICD-10 is 400 days away, some may say that it’s still far out but in actuality it’s right around the corner.  Do not procrastinate with this issue as it will cost you big time in the long run. Why lose out on money when you can earn more doing what it is you love, which is taking care of patients. Get in the now and get setup for success. The Evolving, Efficient, Experts in Healthcare can get you setup with a system that falls in the top 2% of EMR and Practice Management systems.

Contact Triple E Medical Solutions LLC today.

Phone: 888.338.7293 Fax: 888.338.2901
Email: info@tripleemedicalsolutions.com
Website: Triple E Medical Solutions LLC 

5 Ways To Relieve Financial Management Concerns

It is no secret that many Americans, or people in general struggle with their finances. Well this post here will directly target those who are in the healthcare industry especially physicians. There as been many studies conducted in order to better understand the true nature of physicians  status. One in particular was a recent study conducted by Wolters Kluwer Health that revealed that 90% of physicians in the U.S. are struggling with financial management and 91 % face challenges in shifting reimbursement models. Many Physicians are facing these demanding challenges because of increased costs  and the adoption of healthcare IT as a result of the Affordable Care Act legislation. But, all of this and the many challenges that are to come can be overcome and taken care by adhering to some simple guidelines that will determine the line of travel of your practice and the business aspects of that.

Physicians are often asked what their top focus is for their practice within the next 3-5 years and about 48% of those physicians answer with making their practice more efficient. Many practices are exploring different business models such as mergers, or integrating with a hospital and or using patient centered medical homes, and adopting some pretty critical technology to aid in the clinical decision making process as well as evidence based decision making.

Being able to boost efficiency in a practice is the job of a revenue cycle management company or specialist. We aid in boosting efficiency while decreasing overhead and increasing profits to complete the loop in the cycle and keep your cash flow at its maximum.

Here are 5 steps that can drastically improve the functions of your practice and boost efficiency to the desired levels.

1. Make sure you are getting paid for your services.  As I have been on my marketing campaigns and have spoken with several physicians I have come to the general consensus that many physicians  have not even looked at their missed encounter reports for over a year and were unaware of the profits they had missed out on. So once the reports were reviewed they were astonished by the numbers and could not believe that they had let that money roll down the drain. Moral is stay on top these reports in order to better track your finances and be in the know what you are actually bringing in.

2. Maximize your schedule. You should start off by reviewing your no-show rate. If the no-show rate is 25% or greater you should look to double book 1 out of every 4 appointments. This will allow you to make up for the revenue and time lost due to the no shows and allow you to better recoup those funds by placing a person in those empty slots. You could have the potential to lose almost $1.2 million dollars a year as a result. Why lose when you can gain.  Everything is strategic and you have to move and coordinate strategically in your practice in order to maximize profits and time equaling efficiency.

3. Expand your schedule. Just because you have been an established clinic for thirty plus years doesn’t mean that you don’t have any competitors. Many physicians are now in fierce competition with urgent cares and pain management clinics that except walk-ins. This can be a huge problem for established clinics because it means people don’t have to make and appointment and go in at odd hours.  So to compete with them and continue to make a profit you may have to change your schedule and open and close at different times in order to accommodate for patients busy lives. Or offer same day appointments. 

4. Consider your use of space. I have been into doctors offices that do not utilize their space efficiently. I have seen entire rooms that could be used for seeing patients instead packed with records. What a waste. By eliminating paper files you are able to free up space that will allow you to see more patients which means more reimbursements and a greater profit. Simple as that.

5. Check your billing team. In today’s world the healthcare is under a huge overhaul and is rapidly changing. Methods of the processing claims are becoming obsolete and soon many insurance agencies and the government will not use any of the old forms, but will be looking to claims electronically. It is no longer an efficient process to let your front desk personnel handle your medical billing.  It should be left to the experts in order to better identify improper coding and to also maximize the codes for what you have actually done.

In short and needless to say that with the challenges that you are facing it would be economically sound for you to make some critical decisions and really review where you are at where you want to go.

That’s why it is important for you to contact the experts and allow them to help you maximize your profitability and boost your efficiency. Here at Triple E Medical Solutions LLC we are proud to say that we have experienced teams across that nation that can help you get your practice on the right track. Let the Evolving, Efficient, Experts in Healthcare give you real time solutions to your real time problems.

Find out how we can help you improve your practice profitability and efficiency, contact us today at 888-338-7293 or by email at info@tripleemedicalsolutions.com.


Why are Doctors losing money?

Okay, SO WHO LIKES TO LOSE MONEY? That is the question. Really, think about it no one likes to lose money or feel like they are throwing away money. So why feel that way? Why feel that you are losing? Why feel that you are throwing away money? Don’t ask why, just don’t.

You might ask the question, well how do I not throw away money and how do I not lose out on money? Its simple really, you have to educate yourself and immerse yourself with knowledge so that you are aware of the current event and you stay in the now and not stuck in the past.  When it comes to the medical industry you have to stay in the now and have to except change.  We definitely understand that change is difficult for everyone, but ask yourself, if you never change are you actually selling yourself short?

Look we all know that most physicians are not practicing medicine for the money, that they are competent and compassionate and they genuinely enjoy helping others.  We also know that many doctors often work long, hard and sometimes thankless hours to provide the best care, with that being said doctors deserve to be paid for the service they render. But the problem is that many doctors get so caught up in practicing medicine and tend to neglect their business. Once doctors really sit down and begin to analyze their finances and the actual money that is being bought in by a combination of different sources they start to notice that they are receiving decreased reimbursements from the insurance agencies, the medical field is becoming more and more complex and is driving up costs, they have to continually be licensed which they have to pay for. Which brings us to this conclusion medical practices are businesses, and a business is not sustainable unless income exceeds expenses. Unfortunately, medical practices have to follow more guidelines when it comes to setting up fees for services because especially dealing with Medicare and Medicaid the federal government establishes the fee schedule.  With the influx of of over 40 million people into the healthcare system doctors will have an increased workload. With an increased workload can lead to mistakes being overlooked which can cause for money to be lost.

I would like to touch on some key points that clearly show how doctors throw away money and not that they do it intentionally but it happens.  Many doctors I have found are in the business of under coding their services.  Why under code? Many times it happens because the provider is not updating their superbills to reflect the correct codes they need to use in order to be properly reimbursed. Another reason some doctors under code is because they believe that by under coding they can some how become exempt from audits.  This is a big myth, medical providers cannot avoid audits, and whether they under code or over code they can still face penalties and fines.  So there you have it that is a major way that doctors inadvertently throw away money.  So instead of over coding or under coding, update your superbills and code for the services rendered.  In the long run this will be the best practice and medical providers will definitely see  an increase in their reimbursements and ultimately their profits.

Another key point that doctors overlook is that if they are currently using an EMR system and have not yet met the requirements to cash in on the meaningful use incentive provided by the Center for Medicare and Medicaid Services (CMS)  then they are definitely leaving money on the table. Medical professionals are able to collect up to $39,000 from CMS for seeing a certain volume of Medicare patients and using the designated features within their EMR system.  If the medical provider is seeing more Medicaid patients then they are able to collect up to $69,000 for meeting the requirements of the meaningful use incentive program.  Wow, tons of money that is being left on the table.  According to the Center for Medicare and Medicaid Services year to date 7.1 billion dollars have been paid out to over 144,440 medical professionals for meeting and exceeding the requirements for meaningful use incentive.  Don’t wait any longer to get a system that is meaningful use certified, because you are only losing out on money. Lets look at what will happen in the future if you are seeing a large volume of Medicare and Medicaid patients.  By October, 2015 if medical providers do not switch to an EMR system their Medicare and Medicaid reimbursements will subsequently decrease by 5% until they adopt an EMR system.  Not only that but they will no longer be able to qualify for the meaningful use incentive. Again that is lost revenue and potential money that can be used for various projects within their practice.

Don’t let bad practices and procrastination stop you from collecting the revenue you deserve. Let the professionals handle the hassle of going through tons of back paperwork, denied insurance claims, rejected insurance claims, and be rest assured that a turn around on revenue will be great. Don’t throw away money on useless systems or incompetent people who are only dragging your practice down. Trust in the Evolving Efficient Experts in Healthcare to provide you with real time solutions to your real time problems.

For more information on how you can stop throwing away money and losing out on vital incentives contact Triple E Medical Solutions LLC.

Website: Triple E Medical Solutions LLC
Phone: (888)338-7292 Fax: (888)391-2109
Email: info@tripleemedicalsolutions.com

Advancements In Healthcare Technology.

As we all know the world is forever changing and evolving to make things easier for mankind. By making things in life easier we are able to live longer, by working smarter, and working in an efficient manner in order to achieve our desired results.  Well there is no difference when it comes to Healthcare. 
The practice of medicine has been around for thousands of years and will not go anywhere anytime soon.  Over the years aspects of medicine and Healthcare have changed considerably and with the advancements in technology Healthcare will continue to change.  But the change is not a bad thing.  The change is useful and will save doctor’s time, money, and most of all headaches.  One may ask why do doctor’s have headaches? Well for starters they have a lot of weight on their shoulders as they are responsible for people’s lives. They hold the power to help heal a person. Their time is precious and needs to be used efficiently and effectively in order to see more patients with care and not have to focus on the paperwork that comes with it.  Technology has given doctor’s the opportunity to run their practice from virtually anywhere in the world. Web/Cloud based applications have been created to aid in the process of streamlining a medical practice and combining several operations in to on application with access from any computer in the world.  Technology that is provided by EMR/EHR systems will also give patients/consumers the opportunity to access their own medical records and give their primary physician an up-to-date look at what is going on with them before their appointments which cuts down on the time it takes to do intake sheets. Who doesn’t want to save time. By saving time a doctor is able to treat more patients. Lets face it folks in 2014 under the new Healthcare Reform over 40 million Americans will flood into the Healthcare system. That’s a lot of people! 
The question for doctor’s is how are they going to handle the influx of patients? Well the answer you see is quite simple. Doctor’s will have to adopt some type of system that is able to store large amounts of data and be able to be 100% HIPAA compliant, and possess the capability to communicate with other systems using HL7 encryption.  I know it sounds like a lot, but really it can all be handled in a simple application that will allow for Doctor’s to access their data from anywhere, anytime, from any computer or mobile device. This eliminates many headaches, for starters Doctor’s will not have to rely on paper and they will be able to see their schedule anywhere and know how to plan for the case load on the next day. Trust me with the large influx of patients because everyone will have health insurance this is very important.
Who wants to be left in the past? Go ahead raise your hand and speak up. Hmmm, silence. It’s true the new wave of the future for healthcare is truly in the clouds. By clouds I mean cloud based systems. The cloud allows one to be efficient and effective.  Lets face it people, things are changing and the train isn’t stopping, so get on the bandwagon and don’t let your doors shut because you are afraid of the future and the technology that comes with it, rather embrace it and continue to do what you love, and that is treating patients. Do not let the advancements of technology scare you. Of course you may have skepticism, and that is entirely normal, but you have to look the brighter side, like the glass is half not half empty and see how the advancements in the healthcare industry not only benefits you, but it also benefits the patient and aids in the level of care they are receiving. Technology is an enhancement on the already in place models and tactics you use to successfully run your practice. At the end of the day your practice is a business that has a cash flow, if your cash flow falters then you suffer, with technology and the vast array of ways to access the tools needed if you don’t change then you will definitely fall. We don;t want you to fall we want you to prosper. 
Look guys if you want to find out more on the technology that is out there contact Triple E Medical Solutions LLC. We will provide you the real time solutions for your real time problems and give you the light to your way of being an efficient, effective practice. Our solutions are time proven and exceed all of the standards that our competiors have tried to place before us. We at Triple E Medical Solutions are dedicated to providing you with leading edge technology that will enhance your practice, help you to cash in the government incentives and get you the top dollar for your services rendered to patients. 
We are the Evolving Efficient Experts in Healthcare. 
Contact us today for your FREE PRACTICE ANALYSIS.
Phone: (888)338-7293
Fax: (888)391-2109

Email: info@tripleemedicalsolutions.com

Is Your Practice Ready For ICD-10 Implementation


Are you ready for ICD-10? Well whether you are or not it’s coming and its not being delayed any longer. Come to find out, the rest of the world has been using ICD-10 codes for the past two decades, and not only that but the United States endorsed ICD-10 in 1995 and began using it for monthly reporting in 1999. But, wait you say, yes you have it straight, ICD-10 has been around for a long time but we have just been behind the power curve. Now under the new health care reform it is mandatory for medical providers to utilize ICD-10 and they must be in compliance by October 1, 2014. 

Providers will be still treating the same patients and conditions just using different codes. The reason for the switch from ICD-9 to ICD-10 is that ICD-10 captures more information relevant to the condition and diagnosis so that the treatment is more specific. Here is a table so you can see a side by side comparison of ICD-9 and ICD-10 and the differences between them. 

ICD-9-CM Diagnosis Codes                        vs.                    ICD-10-CM Diagnosis Codes
3 to 5 Digits
7 digits
Alpha E and V on 1st character
Alpha or numeric for any character
No place holder characters
Include place holder characters
Terminology
Similar
Index & Tabular Structure
Similar
Coding Guidelines
Somewhat similar
Approximately 14,000 codes
Approximately 69,000 codes
Severity parameters limited
Extensive severity parameters
Does not include laterally
Common definition of laterally
Combination codes limited
Combination codes common
As you can see from the table above their are some differences and similarities between ICD-9 and ICD-10.

Now let’s talk about the advantages of ICD-10. The Centers for Medicare & Medicaid Services has given us nine and here they are:

  •  Measuring the quality, safety and efficacy of care
  •  Designing payment systems and processing claims for reimbursement
  •  Conducting research, epidemiological studies, and clinical trials
  •  Setting health policy
  •  Operational and strategic planning and designing health care delivery systems
  •  Monitoring resource utilization
  •  Improving clinical, financial, and administrative performance
  •  Preventing and detecting health care fraud and abuse
  •  Tracking public concerns and assessing risks of adverse public health events

That’s just nine. There are plenty more and more shall be reveled once the new code set takes its course and the medical providers are receiving the payments they deserve. 
Lets talk about the implementation process of ICD-I0 and the three main professional roles:
The role of the clinician is to document as accurately as possible the nature of the patient conditions and services done to maintain or improve those conditions.
The role of the coding professional is to assure that coding is consistent with the documentation.
The role of the business manager is to assure that all billing is accurately coded and supported by the documented facts. 
When each of these professionals to do their job correctly the practice is able to stand-up to an audit because the documentation  supports the coding.
So I ask again is your provider, coder, and manager ready for ICD-10 implementation?
My suggestions are to come up with an implementation plan that outlines the duties of everyone involved, define the purpose, plan appropriately, create deadlines, assess your risk, and most importantly make sure your EMR system and practice management system can withstand after this implementation.
Is your EMR and practice management system ready for ICD-10? If, so how much will it cost?
EMRx and iClaim is ready for ICD-10 and there is no upgrade fees!!
Let the Evolving Efficient Experts in Healthcare give you a real time solution for the real time problem you are facing. Contact us today so you can see how our solutions are bridging the gap in the healthcare industry.
Phone: (888) 338-7293  Fax: (888) 391-2109
References:
DEPARTMENT OF HEALTH AND HUMAN SERVICES , Centers for Medicare & Medicaid Services. (2011). Icd-10-cm classification enhancements. Retrieved from website: http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD-10QuickRefer.pdf

4 Practice Management Steps to Increase Your Revenue Cycle

There is nothing more annoying than someone telling me the blatantly obvious things I already know. Yet sometimes the obvious things are the things that we often overlook the most frequently. So, if you were to look at any good sports organization or coaching strategy they focus on maintaining and drilling the fundamentals of the sport to ensure that all of the players are up to speed and that they never forget where their base lies. This basic principal can be applied to other avenues of life and business the same way. By focusing on the basics you ensure that all of the other objectives that need to be met are already reinforced by a solid base, thus ensuring that all players at each level are able to perform and execute his/her responsibilities seamlessly and without hesitation to achieve the desired result or to make a play.

After reading the above passage you are probably wondering what does that have to do with my medical practice right? Well I’ll tell you and explain the direct correlation to the passage above. With any business, and as we know a medical practice at the end of the day is a business after all, you have a base, and standard that you started with and want to continue to build upon.  Granted you are not coaching a sports team but you are leading patients and your staff. The correlation to a sports team and your practice is simply this, you are trying to orchestrate the performance of the individuals that collectively make up your staff and you want them to achieve a common goal that will ultimately lead you to success.

Establishing Goals

With anything in life we have to set goals and benchmarks that we wish to achieve our ultimate goal of success. So I would like to pose a question to you, what are the goals of your medical practice?
When faced with the above question, often providers will respond with “well that’s obvious” or “isn’t that pretty evident what we want to achieve”. But when asked to clarify or specify verbalize the actual goals they have for their practice they have trouble clearly stating those goals. The question I have is why? It should be obvious, but its truly not. Which takes us back to the fundamentals of running a successful team, organization, or medical practice. So it is safe to say that when starting out one must clearly specify their goals and objectives also known as a “mission statement” and it should take a considerable amount of effort to layout the mission of your business. Now lets discuss how you as the provider can build from the bottom up and improve your revenue in your practice by using some simple steps.

1st Step to Increasing Your Revenue

Write a clear concise statement that outlines the goals and objectives that your practice is trying to achieve. 


2nd Step to Increasing Your Revenue

Be sure to effectively communicate the goals you have set forth for your medical practice.  Work closely with your employees to ensure that they are developing sub-objectives to the primary objectives that will most effectively support the goals you have for the practice. You should be reviewing the sub-objectives to ascertain that they are truly supportive of your goals for your practice.


3rd Step to Increasing Your Revenue

Keep a close eye and monitor the gap in performance, understanding and training. It is virtually essential that an ongoing program be implemented to monitor the performance of the staff members to ensure that all of the goals and objectives are fully understood and that they are all putting their best foot forward to attain success and patient satisfaction. It is imperative that an evaluation system be established to show growth in performance, this ensures that all of the staff is actively working toward the goals established in the “mission statement”. Such management review might indicate that additional staff training may be required to effectively meet their sub objectives.

4th Step to Increasing Your Revenue

Periodically update the goals and objectives as they may be required by changing circumstances. Some examples of changing circumstances are implementation of a new EMR/EHR system, or practice management system, transitioning from ICD-9 to ICD-10 coding, and conforming to new HIPAA and HITECH guidelines under the new health reform. It is imperative that management is effective and demands that the objectives and sub-objectives of your practice are updated to refelect the changes and keep the staff in line with the mission and vision of the practice.

Here at Triple E Medical Solutions LLC we offer the solutions that are needed to get your practice on track to increasing your revenue and developing a lasting brand that will give you the comfort you deserve. Let the Evolving Efficient Experts in Healthcare give you real time solutions to the real time problems you are experiencing. You will be given the time to focus more on patients and not on paperwork. Let Triple E Medical Solutions handle your business.

For more information on Triple E Medical Solutions
visit www.tripleemedicalsolutions.com or email us at info@tripleemedicalsolutions.com