EMR Comparison

Bradford-Scott is located in the Indiana in the heart of the Midwest. We are known as one of the largest Medical Software Vendor in the area. Currently Bradford-Scott Data Corp is launching a campaign to bring EMR to you.  We would love to come to your office and give an EHR Demo to display our systems capabilities as your new EHR System.

Our EHR and Medical Billing software is a high tech integrated system that is easy to understand and use. We are able to help you customize the system to fit your Medical office. This will not only improve the efficiency in your office, but will also qualify you for the available EHR Stimulus package.

The government is forcing the industry to all move towards an EHR system. They are offering an EHR Stimulus credit to those practices that have implemented an EHR system by 2012-2015. After that they are still requiring the medical practice to move to EHR, but with no stimulus offered.

So do not be left in the cold, get your EHR demo scheduled today and let us show you our product and services available!

• Patient Flow Tracking
• Electronic RX or E-prescribe
• EHR progress note documenting
• Orders
• Recording Vitals
• Charge Submission
• EM Coding
• Tasking and Phone Messaging

• Survey of your site:  The representative should spend time face-to-face with you and your staff before the demo to ensure they have a clear understanding of your business objectives
• Integrity:  Does the glove fit the hand?  A company with Integrity will make sure they have a product that meets your needs instead of just selling you something.
• Customized EMR demo:  The demo should relate to the site survey and the objectives you defined
• Testimonials:  Any good company should be able to provide testimonials directly from their users
• References:  This is a user you can reach out an touch.  These references will help you gain a better understanding of the advantages of the product and vendor.   It's your opportunity to ask questions and receive honest credible feedback.
• Focus beyond the sale: The representative should be a part of the process before, during, and after the sale. 

• Providers must have and use a qualified eRx system and report on his or her adoption and use of electronic prescriptions
• Providers must meet the criteria for successful electronic prescriber specified by CMS for a particular reporting period
• At least 10% of a successful eRx provider's Medicare Part B covered services must be made up of codes that appear in the denominator of the eRx measure.

What is the biggest complaint about going to the doctor's office? The amount of time we spend in the waiting room! Everybody is busy and tries to save time. If my doctor was always late, I would find a new Doctor. But how do you as a doctor know if your patients are waiting for hours in the waiting room?

This is a feature that our Medical Software Systems offer. The system has a tracking system that will track the time the patient spends at your office. The medical software not only displays the whole time the patient is there, but where they spend the most of their time at.

The system starts with your schedule in the Medical Office Billing Software. Then as the patient works their way into a room and is actual seen by a provider that time is tracked by the Electronic Health System. Bradford-Scott's Medical Software systems are integrated allowing an overall report to be created on your patent's time.

This will not only allow you to better server your patients, it will also prove the amount of time you spend with your patent's for Medical Billing coding. If you were ever under an audit you could prove the level of office visit that you are coding at.

This is a great benefit not only for patient satisfaction, but also for you as a doctor being able to code visits at the level you deserve.

• What kind of training do you offer? Is it classroom training, web-based training, or self training?
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• What is your implementation plan?
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• How can you offer me better service then your competitors?
• What Medical Software support is available to me on the product?
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• What kind of Back up support do you offer is something were to happen to my EMR system?

Meaningful What? Stimulus What? Who's on first?  Can somebody explain this in 500 word or less?

Let me break down Meaningful Use as simply as I can.

• $19 billion have been allocated by the federal government to encourage the health care industry to adopt information technology (more specifically an Electronic Health Records System).
• To be eligible to get some of the $19 billion you must do 3 things

1. Be an eligible professional or hospital
2. Implement a certified EHR product between 2011 and 2014
3. Use it in a Meaningful Way

Okay, are you still with me?  Then let's go one level deeper. Let's make some assumptions:

• You are an eligible professional (doctors of medicine, etc.)
• You have or will have a certified EHR system.  (All vendors in the medical software industry will have to get their software certified (including CCHIT) or go out of business.  We are going to assume your system is or will be certified)

There are two types of incentive programs (The Medicare way or the Medicaid way).  You can pick either but you can't choose both at the same time!
 

• Medicare:  Physicians that treat Medicare patients can receive up to $44,000 payable over 5 years.

• Medicaid:  Physicians that treat Medicaid patients are eligible for up to $63,750 payable over 6 years

Are there strings attached?  Of course.  And the biggest string is called 'Meaningful Use'.  The Government isn't going to just give you some cash for buying or even implementing an EHR system.  You have to prove to them that you can use it in a meaningful way that improves patient health care.  And they plan to accomplish this string by outlining 25 objectives and ways to measure those objectives.  Most of the measurements are percentage based.  (For Example:   At least 50% of all clinical lab tests whose results are in a positive/negative or numerical format need to be recorded in the EHR as structured data.)

For a complete list of these objectives, I recommend that you check out CMS or contact Bradford-Scott.  One important note:  The Meaningful Use definition is still under a proposed state and can be commented on until March.

That's it.  That's the nutshell.  Oh, and there is one more catch.  Starting in 2015, those physicians who choose to not participate will receive a 1% reduction in their Medicare allowed charges.  This reduction will increase by 1% each year up to a maximum of 5%.

So the moral of the story is that if you have plans on implementing an EHR/EMR system don't wait.  If you begin using it in a meaningful way in 2011 you are going to get more incentive payments than implementing in 2014.  And if you don't implement by 2015 you  are going to lose Medicare reimbursements.

Do you need help on what to do next?  Whether you are cardiology, orthopedics, or family practice, contact Bradford-Scott and ask about our Sage Intergy EHR system and how it can help you prove your meaningful use and improve patient care.

(and I kept it under 500 words!)
 

• Electronic Eligibility (important in the high deductible world we now live in)
• Pre-collection of copays
• Advanced collection modules
• Clearinghouse integrations
• eStatments, eCollcetion Letters, etc.
• Claim Scrubbing
• Patient Portals via the web
• Image scanning
• and many more...

The “red flags” rule is now scheduled to take effect on June 1, 2010, after another delay announced earlier by the Federal Trade Commission as it considers new legislation that would exempt small businesses, including medical practices, from compliance. The rule mandates the creation of identity theft prevention programs, and will apply to any organization that can be considered a creditor with “covered” accounts (i.e.-commercial accounts that involve multiple transactions). Most providers, many physician medical billing companies and some health plans are expected to comply.

The American Medical Association, American Academy of Family Physicians and other industry groups have weighed in against the rule, on the basis that physicians do not meet the definition of creditors. A completely sensible argument. But medical practices need to proactively engage in some agreed set of identity theft prevention practices.  Incidences of medical identity theft are increasing. Smaller medical practices (which account for nearly 80% of all U.S. practices) may be more vulnerable, as thieves could perceive them to be lower risk targets based on the assumption that they lack the sophisticated security procedures of hospitals or larger health care organizations.

Despite the widespread outcry from industry groups, the actual impact on a practice for complying with the red flag rule may be minimal. The new rule would simply buttress state privacy laws that already require health care organizations to respond to breaches of certain patient information. In addition, there is a great deal of overlap between the proposed FTC regulations and HIPAA, which applies to medical practices or other entities that are conducting electronic transactions. But you should still be vary aware of these red flags. You must be able to protect your patient medical records.

Here are some Red Flag identifiers:

• Suspicious documents. Has a new patient given you identification documents that look altered or forged? Is the photograph or physical description on the ID inconsistent with what the patient looks like? Did the patient give you other documentation inconsistent with what he or she has told you — for example, an inconsistent date of birth or a chronic medical condition not mentioned elsewhere? Under the Red Flags Rule, you may need to ask for additional information from that patient.
• Suspicious personally identifying information. If a patient gives you information that does not match what you have learned from other sources, it may be a red flag of identity theft. For example, if the patient gives you a home address, birth date, or Social Security number that does not match information on file or from the insurer then fraud could be afoot.
• Suspicious activities. Is mail returned repeatedly as undeliverable, even though the patient still shows up for appointments? Does a patient complain about receiving a bill for a service that he or she didn't  get? Is there an inconsistency between a physical examination or medical history reported by the patient and the treatment records? These questionable activities may be red flags of identity theft.
• Notices from victims of identity theft, law enforcement authorities, insurers, or others suggesting possible identity theft. Have you received word about identity theft from another source? Cooperation is key. Heed warnings from others that identity theft may be ongoing.
  
  
  If you’re covered by the Rule, your red flag program must:

1. Identify the kinds of red flags that are relevant to your practice
2. Explain your process for detecting them
3. Describe how you’ll respond to red flags to prevent and mitigate identity theft
4. Spell out how you’ll keep your program current.

At Bradford Scott Data Corporation our EMR systems and our medical practice billing software has several built in features that can help you protect your patients from identity theft. Please contact our sales team at : www.bradfordscott.com/medical.php

Medical practices concerned about compliance can learn more at:
http://www.ama-assn.org/ama/no-index/physician-resources/red-flags-rule.shtml
 

With public attention on the ARRA stimulus funds in recent months, physicians have been feeling the pressure to adopt electronic health records. The vision is that in the next couple of years, the technology will be advanced enough to exchange health data freely between systems. Yet there is some skepticism from many in the health care industry that the lack of infrastructure and data sharing standards means that the day of sharing patient records between providers, labs and hospitals is a lot further off than the current administration is hoping.

 If practices know that payers and government agencies are invested in coordinating these efforts, it will reassure physicians that they won’t be left alone to arrange dozens of interfaces with a myriad of other systems. In fact, the inability of some smaller practices to afford EHRs at all has been another issue that has troubled advocates of health care technology. The Medical Group Management Association (MGMA) voiced concern back in July that those practices without the purchasing power of larger medical groups would in effect be penalized for their inability to show meaningful use. This stumbling block to widespread EHR adoption may soon be removed if a  new proposed legislation to make smaller practices eligible for business loans to buy electronic health records is passed.

Let Bradford Scott Data Corporation tell you all about our EMR and practice management systems that even the small practices can afford.

There is still a long way to go, but perhaps these and other measures will give physicians  confidence that the current path of health care enhances the chance that they will spend more time treating patients and less time tracking down information.

You can contact bradfordscott.com/index.php for all your health care software solutions.
 

An EHR is like a good pair of shoes – you want them to fit right or you are going to feel the pain. And let’s face it, selecting the right EMR system and practice management system for your practice is not an easy task – particularly for practitioners who may not have IT expertise. Plus, there are more than 400 vendors of EHR/EMR products on the market today. It’s important to exercise caution and perform a thorough due diligence, but where should you start?

Bradford Scott Data Corp believes we have an amazing product that will truly improve your practice’s efficiencies and profitability, and we only want you to buy our software if it’s the “right fit” for you. We’ve got the insight of 25+ years of experience in the field of health information technology. But don’t just take our word for it. We encourage you to check our personal Provider references and letters.

Now you are ready to start approaching vendors and looking for the practice management and EHR solution that best fits the needs of your practice. If the vendor does not suit you, cross them off your list and continue to the next vendor. And don’t forget to demo the software. Have a vendor representative walk you through how the software works, and ask lots of questions! Once you have a shortlist of vendors, consider the following and make your decision.

1. What is involved in product implementation?
2. Is the implementation process disruptive to your day-to-day operations?
3. What kind of training is available?
4. What is the response time if you have problems next week or next year?
5. How long has the company been around?
6. What are the hardware requirements – will it require you to buy new systems?
7. Who is responsible for data back-ups?
8. How will the data be securely stored to protect your patients’ privacy?
9. How often will the software/hardware need to be upgraded and what will this cost?
10. Is the solution scalable as your practice grows?

By now, you have a couple of vendors who are standing out from the rest. The functionality meets the needs of your practice and you are starting to get excited about how the new practice management software and EHR solution can help your practice. Now it’s time to get references and ask your peers what they think about the software. Here are some questions you can ask:

1. How smooth was the implementation?
2. How well was training conducted?
3. What do you like best about the software?
4. What do you like least about the software?

Hopefully this has helped to further narrow your selection. Remember that you get what you pay for and you shouldn’t waste your time on products that don’t meet the needs you identified at the beginning of the process. Focusing on cost first could rule out some of the best products and minimize your chance to find the best solution that maximizes your potential gains – giving you a shoe that just doesn’t fit.

Please contact us for more information: http://www.bradfordscott.com/medical.php

**Last week marked the opening of the 60-day window for public comment about the HHS’ meaningful use” rules.  Input from practitioners and other stakeholders will help to refine the final version, which is expected to be completed in Spring of 2010.

**Since the Health Information Technology Policy Committee’s July 2009 meeting, many practitioners have been feeling uneasy about moving forward with what could potentially be a large financial and human resource investment without more definite and final criteria defining meaningful use. The December 2009 updates do not significantly change the committee’s earlier direction. Variations are minor, and include the ability to implement drug-drug/drug-allergy checks, e-prescribe and check insurance availability electronically.

**While the clarifications are much welcomed, many providers (and some in the health information technology community) see a long road ahead in achieving meaningful use. The first step will be adoption, and providers are reticent to adopt unless they see the potential for a better work flow and improved outcomes for their patients.

**Providers,  now’s the time to weigh in. You can accept the government’s initial effort and be subservient to the criteria, whether they are realistic or within reach. Or, make sure that the seeds are planted now for you to eventually cultivate technologies that remove complexity, are user friendly and have the greatest impact on patient care.