What is Medical Credentialing?
Medical credentialing is the process of verifying and assessing the qualifications and professional backgrounds of healthcare providers. It is an essential process for ... View MoreWhat is Medical Credentialing?
Medical credentialing is the process of verifying and assessing the qualifications and professional backgrounds of healthcare providers. It is an essential process for healthcare organizations, insurance companies, and government agencies to ensure that healthcare providers meet the necessary standards for providing high-quality patient care.
The medical credentialing process typically involves verifying the provider's education, training, certifications, licenses, work history, malpractice claims, and other credentials. The process is usually carried out by a third-party organization that specializes in providing credentialing solutions for healthcare organizations.
Healthcare provider credentialing helps to ensure that only qualified and competent healthcare providers are allowed to practice in a given healthcare organization. Credentialing also helps to minimize the risk of medical malpractice and ensures that patients receive the best possible care.
Credentialing solutions are available to help healthcare organizations streamline the credentialing process and ensure that providers are fully compliant with all applicable regulations and standards. These solutions may include software systems that automate the credentialing process, online portals that allow providers to upload their credentials and documentation, and consulting services to help organizations optimize their credentialing processes.
In conclusion, medical credentialing is a critical process for ensuring the quality and safety of patient care. By verifying the qualifications and professional backgrounds of healthcare providers, credentialing solutions help to ensure that only the most competent and qualified providers are allowed to practice in a given healthcare organization.
Mobile EHR with Healthcare App Development
Electronic health records contain all the medical information about patients in digital format. These include medication history, previous diseases, treatme... View MoreMobile EHR with Healthcare App Development
Electronic health records contain all the medical information about patients in digital format. These include medication history, previous diseases, treatments for allergies, immunizations, etc. It can develop mobile-based HIPAA-compliant solutions for EHR to enable doctors to pull up patient records while using other healthcare applications. This is possible through healthcare interoperability, which facilitates seamless electronic data exchange among applications. A platform like these speeds up clinical workflows and enables the doctor to make informed decisions faster.
Greater speed and productivity of clinical activities eventually result in an improvement in the medical outcomes for patients. Moreover, it has also been shown to reduce the cost of care.
Is Revenue Cycle Management Software A Mandate For Healthcare Providers?
Revenue cycle management is a two-way process offering providers with seamless reimbursements and patients prompt care. It is ... View MoreIs Revenue Cycle Management Software A Mandate For Healthcare Providers?
Revenue cycle management is a two-way process offering providers with seamless reimbursements and patients prompt care. It is eminent for any healthcare entity and should be streamlined using the best digital tools of the technical world.
What is revenue cycle management?
The process includes conceptualizing a strategy to manage the healthcare revenue cycle clinical and administrative functions. It conjures several terms such as appointments, invalid deductions, billing systems, remote patient care, patient data, and much more when related to healthcare providers. Starting from a single call for the appointment, the cycle revolves around certain steps and concludes when the payments have been closed for the treatment. The main goal of managing revenue is to identify any loopholes in the entire cycle. When done properly, revenue cycle management can help maximize claims and enhance return on investment.
Benefits of Revenue Cycle Management
RCM healthcare comes with plenty of benefits. Some of these are described in brief here:
1. Minimizing error and increasing accuracy
When RCM is implemented properly, errors are easily identified within the revenue cycle. These further decrease claim denials that were usually common earlier due to technical errors such as missing information or improper data monitoring.
By eliminating the errors and increasing accuracy, the process of spending extra money and efforts to investigate missing data can be nullified.
2. Increase in healthcare facilities
Revenue cycle management leads to an escalation in income for providers. By rectifying claim denials and avoiding fraud, they can receive reimbursements regularly. This, leading to a surplus supply of income, can help hospitals enhance their facilities by setting up new sections, labs, departments, and much more. They can also enhance patient care and digitize their core processes for better convenience.
3. Simplifying administration
By making the revenue cycle error-free, the administrative department can focus on other works, being more productive. The burden of the admin staff members can come to ground zero through this process. They can spend more time enhancing patient care by focusing on front-end tasks and improving patient-physician interaction. Admin department also becomes more capable of processing payments in a better manner with the help of RCM.
4. Adoption to digital healthcare
Using RCM, many hospitals have realized the importance of digitization in their mainstream processes. From bill payments to interconnected mobile apps, digital health is the new language of providers nowadays. Hence, revenue management leads to better adoption of digital healthcare. Also, we know how the integration of digital protocols needs huge costs. As a result, hospitals can easily benefit from RCM's cost-saving. Many providers are taking the game to the next level. By saving on revenue, they personalize patient care through revenue cycle management solutions such as telemedicine, mHealth apps, interoperability, and cloud services.
5. Patient information validation
Healthcare Revenue cycle management Solutions decodes the entire revenue cycle and covers it with a security layer hard to be breached. This way, the information given by the patient can be validated on different levels, and accurate information collection leads to an estimation of insurance eligibility.
On the other hand, it also helps deny false or repetitive insurance claims applications. RCM also helps deny the delays in the reimbursement payment by correcting the cycle in real-time as information is collected. This way, additional work is avoided as providers need not comb the patient's information repeatedly to correct the errors.
Conclusion
Revenue is important for any company to progress and forge ahead, and managing it can be the wiser decision a business owner makes in his journey towards success. With so many lucrative rewards to reap in the long run, one can easily realize the importance of one-item investment in revenue cycle management. It helps the providers and makes them capable of offering world-class services and care to the patients.
HEALTHCARE SOFTWARE ENGINEER
Healthcare developers are engineers who work on designing and developing software applications for the healthcare industry. These applications or platforms could be for c... View MoreHEALTHCARE SOFTWARE ENGINEER
Healthcare developers are engineers who work on designing and developing software applications for the healthcare industry. These applications or platforms could be for clinical activities like consultations or healthcare management, administrative activities like staff management, or financial activities like billing and claims. The primary goal of medical software developers was to digitize the workflows and replace paper-based activities with software interfaces. As a result, this has opened doors for innovation in healthcare software solutions, attracting the best and brightest medical software developers from around the world and growing the industry for medical technologies.
What Medical Coding Solutions Can Do For Your Organization
It’s no secret that healthcare in the United States is the most complicated healthcare system in the world. It contains many layers of compl... View MoreWhat Medical Coding Solutions Can Do For Your Organization
It’s no secret that healthcare in the United States is the most complicated healthcare system in the world. It contains many layers of complex regulation to govern a web of activities amongst clinicians and insurance payers. The complexity is one of the major reasons thought to be responsible for the high cost of healthcare in America.
When a patient walks into a healthcare facility, his or her visit is bound to result in a certain degree or type of care delivered. All the services rendered are documented carefully, and are then coded and submitted to payers to claim reimbursement. It's a complicated process that is prone to errors. Any mistakes made in submitting claims results in it getting denied or rejected, costing the provider precious revenue. A study has shown that each denied claim can cost the organization an average of $117.
Medical coding solutions enable non-clinical staff to streamline the process of coding for accurate claims submission. Additionally, such applications also accelerate the process, allowing staff at larger hospitals to get more done in the same amount of time. The larger the healthcare organization, the more the volume of patients, and so, the greater the need for medical billing and coding software.
In addition to large hospitals, smaller clinics with one or more providers could go a long way in improving their revenue cycles by investing in medical coding and billing software. Such applications minimize staffing requirements, maximize productivity, optimize workflows, and cut down denied claims. All of these factors ultimately result in improved revenue cycles and in turn, a better quality of care.
In addition to helping streamline the entire process lifecycle of filing out claims and submitting them, software for medical coding and billing allows providers to track each of the claims submitted. This is yet another tedious, manual task that non-medical staff at hospitals and clinics need to put up with. It’s no secret that claims could take days to get approved for providers to get reimbursed. So, medical coding systems that also include billing and claims tracking features would help providers identify the claims that are likely to get denied and make necessary corrections accordingly. Such solutions do most of the tracking and checking automatically, easing the workload of the staff at large hospitals.
Patients’ health data is protected by stringent regulations such as HIPAA (Health Insurance Portability and Accountability Act). So, it makes it essential for providers to ensure the utmost privacy and integrity of patient data. Fortunately, any reliable HIPAA-compliant medical coding system would help providers handle patient data without compromising its security. Being a digital platform, medical coding apps almost entirely eliminate any chances of misplacing things that would likely happen when handling physical paperwork.
To sum it up, medical coding solutions are becoming must-haves in an era that is witnessing the rapid digitalization of healthcare. These platforms help streamline important workflows, improve revenues, protect patient data, and reduce the cost of healthcare. So if you are an administrator of a hospital or a doctor with a small private practice, investing in software for medical billing and coding is worth every penny.
Why is Healthcare App Development Essential ?
With the onset of the COVID-19 pandemic, it was quickly realized that a remote health monitoring system is integral to patient health. Even though healthc... View MoreWhy is Healthcare App Development Essential ?
With the onset of the COVID-19 pandemic, it was quickly realized that a remote health monitoring system is integral to patient health. Even though healthcare organizations were increasingly seeking out mobile app development services, their potential was only fully realized during the pandemic. The possibilities are endless with mobile health development ranging from basic consults to prescription reminders and overall fitness. With a broad range of solutions, healthcare app development has been quickly recognized as a critical component for healthcare providers.
With the recent technological advancements toward healthcare application development, medical apps for patients are empowered to deliver higher quality services. For example, recent telehealth solutions can provide consultation services to remote locations. Furthermore, mobile healthcare apps for patients can now assist doctors with diagnosis through highly efficient data analysis. Through mobile medical application development, health care applications provide a plethora of opportunities for hospitals, doctors, and patients that were previously considered impossible.
The biggest hurdle for patients seeking out healthcare has always been the fear of the costs involved. With healthcare web applications development, it has become easier for patients to compare the costs of multiple providers and choose an affordable option with minimal costs. The next biggest advantage is easy accessibility to patient engagement systems to provide critical care in time for patients.
Whether remote locations or odd hours, healthcare web development allows patients to access care in just a few clicks. Finally, healthcare software development has proven to minimize diagnostic errors. Doctors can manage their patients with increased accuracy through comprehensive records, patient data analysis and management, and personalized care options. Patients are empowered to take care of their health.
These Are the Most Important Features of Any Revenue Cycle Management Platform
In healthcare,Revenue cycle management (RCM) in healthcare is the process of tracking the revenues from patients from th... View MoreThese Are the Most Important Features of Any Revenue Cycle Management Platform
In healthcare,Revenue cycle management (RCM) in healthcare is the process of tracking the revenues from patients from the appointment to the final payment of bills. Healthcare revenue cycles in the United States have a highly bureaucratic, meandering labyrinth of regulations and processes. A small misstep in any of them could delay or lose precious revenue for providers. That is why healthcare RCM services are extremely important for providers to maintain and improve their bottom line.
But there are numerous kinds of revenue cycle systems out there with as many companies offering them. For healthcare providers, it might become difficult to pick the right one that suits their requirements. A large hospital might have different needs than those of smaller practices or medium-sized ambulatory care centers. Moreover, there are different types of providers that offer varying types of medical services. Some of these include general physicians, dentists, physiotherapists, psychiatrists, chiropractors, and so forth. So, a platform for health care revenue cycle management that is suitable for one type of provider might not be as useful for another.
Regardless of which kind of healthcare organization or the type of provider, there are a few common features that are a must-have for any kind of provider. Let’s see what they are -
Eligibility Verification
This is perhaps the first step in the process of providing care to anyone. Whenever a person walks into a medical facility, the staff checks his health plan to confirm if he is eligible to receive the care that he might be prescribed. One of the most common reasons for denial of reimbursement for healthcare providers is medical services that are not covered by the health plan.
Medical revenue cycle management software with a module to verify patients’ health plans goes a long way in helping improve revenue streams. This functionality streamlines the process of verification by tracking it in real-time for private health plans, Medicaid, and Medicare. This is especially useful at large hospitals that deal with a large number of patients on a daily basis. Such a solution would speed up the verification process and avoid missing out on revenue from payers due to services not covered.
Claims Scrubbing
Filling out claims is a tedious process and is generally prone to human error. As mentioned above, this problem is exacerbated in the case of large hospitals that need to deal with lots of patients every single day. The staff at such organizations need to deal with large amounts of claims submissions, and a tiny error in a few of them would affect the revenues. In light of this, revenue management solutions in healthcare with claims scrubbing would automatically check the claims for any errors and notify the users.
Needless to say, this greatly improves the speed and efficiency of claims submission, not to mention the accuracy. As a result, staff at a healthcare organization can actually get more work done, with little to no errors.
Patient Management
Healthcare revenue cycle solutions with a patient management feature track and monitor patients’ medical information. This could include diagnosis, prescriptions, interactions, and clinical visits in an organization. When it comes to healthcare revenue management, a single consolidated repository of patient information streamlines many activities like recordkeeping, charting, appointment scheduling, claims processing, billing, and so on. This goes a long way in improving revenue cycles in healthcare by lowering administrative overhead.
Conclusion
To sum it up, there might be many features of various revenue cycle management software, but these are highly important for providers of all kinds of medical services.
The Future of mHealth and Healthcare Cloud Solutions Might be Closely Entwined
Cloud computing changed the way data is stored, processed, retrieved, and used. Before the advent of the cloud, organiza... View MoreThe Future of mHealth and Healthcare Cloud Solutions Might be Closely Entwined
Cloud computing changed the way data is stored, processed, retrieved, and used. Before the advent of the cloud, organizational data had to be stored on-premises at a company’s campuses. As the company would grow, the markets and clients it served grew as well. As expected, this would bring about a need to store the growing data on-premises. This necessity put a strain on the physical infrastructure of the company. The cloud solved that problem.
A company could store all its information on a commercial cloud. The cloud services provider would charge the company according to the amount of space used, without the company itself having to invest in expanding its infrastructure. This benefit offered by cloud computing has had a huge impact on the healthcare industry.
Healthcare cloud solutions help store and manage the vast amounts of medical information that is growing rapidly. The impact of the cloud is so great that industry experts have begun stressing the necessity of cloud health technologies as the industry adopts digitization. One of the most exciting digital technologies set to impact healthcare is mhealth, and cloud health technology might form a cornerstone of mhealth.
mHealth means mobile healthcare technologies. The term is used to describe the use of smartphones and other mobile devices in healthcare. While mhealth for diet and nutrition advice might not need the cloud, most of everything else would probably need healthcare cloud solutions. mHealth applications have become extremely popular in the wake of the Covid-19 pandemic among doctors as well as patients. The large amounts of data that need to be accessed and processed before being displayed to mhealth users can be carried out efficiently using healthcare cloud solutions.
The best part about the amalgamation of cloud computing and healthcare is a framework that helps to take the trouble of executing large multimedia data and security algorithms. When smartphones and other mobile devices are relieved of that burden, the hardware requirements of devices tend to reduce. As a result, the amount of money needed to purchase the necessary hardware is reduced. If all the medical data about an organization is stored on the cloud, it simplifies the process of accessing it, using it, and managing it for all the stakeholders involved.
Healthcare cloud computing companies have been pouring increasing amounts of money into developing newer and more efficient technologies to face the increasing digitization in healthcare. As the processing and management of all the data are done on the cloud itself, the data is accessed without the need for any other operation on the devices. Healthcare cloud solutions for patient portals empower patients to view their medical data using mobile applications from any location.
In addition to the patient portal, IoT-powered wearables are another trend that healthcare cloud solutions support. The real-time health data gleaned from the devices is stored in the cloud to be processed for valuable insights into patient health. This application of the cloud is touted to be a game-changer in senior care telemedicine, where a physician can assess the health data of patients from a remote location and provide the necessary care.
In a heavily digitized future for the healthcare industry, cloud solutions are bound to play an integral role in shaping the direction of technology.
Source:
https://www.osplabs.com/healthcare-cloud-solutions/
Driving Success by Future-proofing Healthcare Cloud Solutions - Osplabs
OSP can develop advanced cloud computing solutions to help you store patient data and exchange health informatics through secure platforms.
The Quality of the Patient Experience Might Directly Depend on Having Integrated Healthcare Solutions
Digital systems make hospitals and ambulatory care centers a lot more efficient when it comes to ... View MoreThe Quality of the Patient Experience Might Directly Depend on Having Integrated Healthcare Solutions
Digital systems make hospitals and ambulatory care centers a lot more efficient when it comes to day-to-day administration. It won’t be a stretch to say that they actually improve overall clinical outcomes. Healthcare software streamline the workflows around medical organizations and improves the efficiency and productivity of the operations. Solutions for scheduling appointments, storing patient information, medical coding and billing, telehealth, and so forth help doctors, as well as clinical staff, work better.
But the real power of these solutions is realized if they seamlessly work together. Integrated healthcare solutions help hospital administrators and providers aggregate multiple clinical workflows into a single consolidated interface. As a result, there is greater coordination, better flow of information, enhanced organization, and not to mention, better patient experience.
Use Case
To demonstrate the use of integrated health solutions, it is best we consider a real-life scenario at a healthcare organization. Let’s assume that a man wants to book an appointment for a consultation. He does so using an application. Following this, the staff at the clinic can view the time slot and the details of the person who made the booking. This helps them verify his health plans even before he walks into the clinic.
Subsequently, he arrives at the clinic for the consultation. Since his health plans have already been verified, the doctor proceeds to examine him. The doctor pulls up the man’s medical history through the integrated electronic health records software. Based on this information, and the current symptoms, the doctor prescribes some tests and temporary medication. Later on, this entire visit is documented, and the staff carries out medical coding using relevant healthcare software that is integrated with the EHR, insurance verification, and appointment scheduling software. Furthermore, the appropriate claims are filled out and sent over to the insurance payer for reimbursement for all the medical services provided.
The e-prescription is directly sent over to the pharmacy where the man goes to pick it up.
After the man has had the tests done, the results are updated to his medical records, where the doctor fetches them with a few clicks during the follow-up consultation. The diagnosis is updated on the EHR. Following both visits, the man also makes payment through an online portal, where the clinical staff view the payment and send an acknowledgment over.
The above scenario is a typical day at the office for the doctors and non-medical staff at any medium-sized healthcare organization. The activities carried out include appointment management, insurance verification, viewing medical history, electronic prescriptions, viewing test results, medical coding, billing, claims, and payment management. There were separate software solutions for each of the aforementioned activities, and all of them were integrated to exchange data seamlessly and work in cohesion. As a result, a small staff could handle much of the workflow from their screens with a few clicks. In other words, integrated medical solutions pave the way for efficient integrated healthcare management where multiple activities can be performed without hassles or bureaucracy.
The growth of mhealth has also led to the rise of integrated healthcare mobile solutions, where doctors and nurses are able to complete tasks using a smartphone or a PDA.
Conclusion
Comprehensive integrated healthcare solutions go a long way in improving the efficiency and speed of the workflows at medical organizations. In doing so, they help save time, costs, and resources for the providers, who in turn can devote the same to patients. To sum it up, multiple healthcare solutions working in cohesion with one another boost the productivity of a clinic and end up being beneficial for the providers and the patients.
Source:
https://www.osplabs.com/integrated-healthcare-solutions/
Integrated Healthcare Solutions for Enhanced Care Delivery in the USA - Osplabs
OSP can Develop Healthcare Integration Solutions to Help You Deliver Collaborative Care with Advanced EHR and HL7 Integration Services.
Things to Look Out For When Investing in a Hospital Management System
The larger a hospital gets, the more the number of services it is likely to offer. It invariably means more medical staff, more a... View MoreThings to Look Out For When Investing in a Hospital Management System
The larger a hospital gets, the more the number of services it is likely to offer. It invariably means more medical staff, more administrative staff, a greater volume of patients, more data, and more management burden. A hospital management that is at least moderately large is bound to have its testing and imaging facilities, the results of which need to be compiled appropriately.
In light of this, using a digital platform to manage day-to-day operations at a hospital becomes a necessity. Innovations in health tech have paved the way for hospital management system software that enables administrators to manage hospital operations from a single interface. Gone are the days of doing things by pen and paper, or managing loads of physical documentation. But implementing a digital platform for hospital management involves some amount of serious deliberation.
Let’s have a look at some of the factors that need to be considered before spending on hospital management systems -
Pre-Built or Customized
A pre-built hospital management system software comes ready-made with the features that the company decided to include. These features would’ve been decided upon with consultation from industry veterans as well as executives of healthcare organizations. They are often standard, cost-effective, and not customizable. However, they might not match all the needs of every hospital they’re implemented in. The hospital workflows not included in such type of software would either need to be left as they are, or the organization might need to spend more on additional solutions.
On the other hand, a clinical management system that is custom-built according to a hospital’s requirements will help streamline the workflows. Such a solution is bound to be more expensive as compared to a pre-built one. But on the upside, it will feature the digital functionalities that match the hospital’s workflows. It means that the staff need not spend as much time getting acquainted with the software. Moreover, the implementation is bound to be smoother and operations can resume normalcy soon after the solution is installed.
Scalability
This is another major concern if an organization is going to invest in a hospital information management system. As the needs of a healthcare center evolve over time, it is best if the software solution is able to adapt to meet them. A small, multi-physician practice might grow to become a mid-sized ambulatory care center, which someday might grow further still to become a hospital. Either way, if the organization needs to invest in new software each time its needs grow beyond what its existing software was programmed to offer, the cost factor would invariably put a dent in the finances.
On the other hand, if a software platform could be scalable according to evolving needs, the cost of implementing and adapting it would be far more manageable.
Track Record of the Vendor
The track record and reputation of the vendor are perhaps the most important factors to consider when deciding upon a hospital billing management. A reputed company with good leadership would not only have the technical know-how, but also enough knowledge of the healthcare industry to understand which features would enable smooth functioning of hospitals.
A hospital management system help healthcare organizations adapt to the rapid digitization seen in many industries. Money spent on such a platform is an investment, not an expense.
Source:
https://www.osplabs.com/hospital-management-system/
Hospital Management System Development & Software Solutions
Building Hospital Management Systems for Managing daily operations, improving the overall performance efficiency, and increasing patient satisfaction.
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