Along with the need for innovative Health Information Technologies, the search for facility to manage updated, accurate, and high quality medical reports has been increasing
The Modern Medical Transcription Scenario
Medical industry has been evolving and so are the health information tools and applications. One vital thing that remains constant in the changing times is the fact that all medical facilities and organizations keep seeking accurate and structured descriptive reports as well as quick feeding of the data into their Health Information Management Systems.
The financial well-being and process of clinical coding rely on such records that prove to be the primary information source. Most of the providers rely on dictation for sharing expressive, unique, and comprehensive patient story with other medical practices and physicians. Extensive use of EHR requires narrative records to be interoperable and discrete information that is presented in scannable and readable formats.
Multi-pronged Impacts of EHR Adoption on Medical transcription
Digitalization has functionally and technically transformed the transcription process. The shift toward a digital environment has had its impact on accuracy, real-time sharing, and controlled access to sensitive medical information and records.
Driven by technology, it has become possible by present day EHRs to directly interface with dictation platforms for parsing data. It has enabled transcription to create discrete information files whereas, earlier, it was generating static data. Apart from complete compliance with standards and statutes, such capabilities have given rise to transcription software having speech recognition, improving data transfer efficiency.
One of the most significant effects of EHR adoption on medical dictation is the transition of transcriptionist to editor. Manual transcription being replaced with speech recognition software, patient information may be merged systematically for editing, thus speeding up TAT. Transcriptionists are capable of editing documents for accuracy, rather than creating them. While some transcriptionists find this as new professional opportunity, others feel it a challenge.
The Transition Process
The entry of Medical Information Technology into the health care industry has not only caused the evolution of transcriptionists but also a shift in the technology infrastructure. Transcripts, which once used to be plain text, have now become reusable patient information.
Language processing, a new technology is capable of clearly understanding spoken dictation. This empowers practices to integrate seamlessly their medical transcription into their EHR-based on pre-designed templates which denote where the information needs to go inside the record. This will be very useful for transcriptionists who need to work on multi-facility systems as well as outsourced dictation vendors.
Changes in the Outsourcing Front
Establishing an effective framework for guiding software adoption and implementation happens to be the most important aspect in the successful transition caused by EHR adoption. A proper transition demands proper education and training.
Several factors such as reimbursement cuts and incentive funds promises increase the pressure on transition to EHR adoption. This necessitates medical practices to watch the different impacts brought upon by the change.
The term Revenue Cycle Denial Management has been widely used all over the world in the realm of Medical Billing Process. In fact, it is being abused frequently. While some people make use of the term for describing the way of tracking information related to particular payers or group of processes, others use this for explaining about claims that have been denied due to medical needs. There is another group of people who use the word to define their everyday activity at hospitals.
It will be amusing to check with the billing department of a medical practice about what their strategy toward Revenue Cycle Denial Management is and how they systematically measure and view its results in quantifiable form. They may not have the answers. Not many billing departments understand the vital role played by a reliable Revenue Cycle Denial Management System and its benefits to the medical facility.
A decent Revenue Cycle Denial Management System offers systematic administrative data to aid the billing process and this data can subsequently be used for accelerating and increasing cash flow. This useful service is achieved by the system through tracing, computing, and reporting properly about all claims that have been billed but were denied by payers. Such reporting needs to be comprehensive while tracking each and every denial. When properly used, it can cut down first-time claim refusals to half.
There are quite a few practices that do not have means of observing whether payers are denying claims excessively or at unreasonable rates, and way of finding reason for denial. They are evidently losing a considerable portion of their revenue due to this. Billing processes of such practices lack administrative reporting skill required for meaningfully and concisely extracting data. These troubled billing procedures also lack in measured and systematic billing operations required for correcting mistakes.
At Numina Medical Billing Services, we aim at achieving two major purposes, namely, providing details of how many claims have not been paid by payers during first submission, and solving these issues. Numina’s Revenue Cycle Denial Management Software is built with databases that are developed for tracing, computing, and reporting about all denials. Payer wise tracking of number of denials and reason for denials is performed and reports are prepared. This helps identify payers who deny claims unwarrantedly and compare such payers with their peers to discern trend patterns and achieve follow-up. Based on these, we formulate rules for preventing payer denials in future. Payers who are found to be chronic violators are monitored for when and how they wish to process pending claims and make payment. In case such issues persist, legal possibilities to penalize will be considered.
By quantifying and examining the claim denial problem, a true Revenue Cycle Denial Management Software System improves billing process while accelerating and optimizing cash flow. It helps improve the revenue of the practice substantially.