Integrated Services
"First of all, we are not only software," says Divan Da’ve, CEO of OmniMD™. "You have to combine that with services. Doctors’ offices require at least seven types of different services, including an answering service, transcription service, billing service, networking or software maintenance service, document scanning service, indexing service - which are all your old documents, blood report, echo cardiogram, X-ray - and, of course, integration services with software, like billing software."
"If you have your own transcriptionist, or you’re already using a service, all you need is our workflow management software. If you don’t have that, you can outsource that to us. For the answering service, we take a message at 2 a.m., and we send a page with our wireless PDF software, which downloads the patient record and the message, saying Mr. Smith is looking for his prescription to be filled, and you can wirelessly fax that sitting in your bed."
"We ask, ‘If somebody wants a prescription filled, what else do you want?’ You want the patient chart, because you can’t remember every patient’s blood-work or prescriptions or allergies. Similarly, after the transcription service, what are you doing? You’re either dictating patient notes or dictating something to a referring physician. We allow our physician to send an e-mail to his referring physician and share the patient record online," he says.
"Eighty percent of claims that are rejected are rejected for two reasons: insufficient documentation and inaccurate coding. We take that and allow insurance companies and your billing department to view it on the Internet and run an inquiry report," Da’ve explains. "As soon as you do a claim submission, you can point [the insurance company] to the system and tell them to look at the record." Normally, Da’ve points out, when there is an inquiry from any of the payors, the entire cycle of queries takes 37 days."
"We have created an electronic workflow management to manage this in 15 minutes. As soon as a query comes in, your billing person can pick up a phone and tell Aetna to log on to the account, saying, ‘This is the data you have. If you’d like to see more, I’ll expose more of the record to you.’ We’ll expose demographics, the lab record, the prescription, so the payor can make a copy or print it, and finish the inquiry right then and there."
The EMR offers a three-level representation - primary, intermediate and deep - of each major body system. The physician does not need to check each minor detail at the "deep level" for the gastrointestinal system if he’s just performed plastic surgery on the face, for example.
Eligibility verification is done three ways: if the patient is insured, if he has a referral, and if there’s a need for procedure approval, Da’ve explains. "This is all integrated. We have a patient reminder in four languages. The day before, the call goes to the patient, saying, ‘Tomorrow you have an appointment with Dr. Smith; if you want to reschedule, press 2.’ Studies have shown about ten to twenty percent of patients will be no-shows. About twenty-five percent of those will show up because of this one simple feature."
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