How to Survive in the Healthcare Business

The short answer: Adapt...

The revolution happening in the healthcare system is creating challenges as well as opportunities for current healthcare players and new participants. If existing players do not adapt, they may soon be paced out of the competitive environment due to their inability to change.

Clinical Decision Support Systems: The Shift From Volume to Value

Since the days of Hippocrates, delivering safe and quality care has been the aim of all providers. With requirements shifting from volume to value based care (VBC), improvement in better patient outcomes is a necessity now for providers. To get paid adequately, healthcare providers need to demonstrate the delivery of quality care through clinical quality improvement.

Innovations and Calculated Risks in the EHR industry

For most of us, we have seen the computer grow from a simple soup of vacuum tubes and wires into a complex intelligent ecosystem that changes by the second. Technology vendors who do not adapt to the changes and will of the new ecosystem will be soon on the list of endangered species.

Clinical & RCM Integrated Data Exchange: Opportunity for Growth

When thinking of EHRs, we usually think solely about the clinicians or the clinical elements; we are not always considering the revenue cycle management process being integrated and working harmoniously in tandem through a mutual exchange of data.
In this perpetually evolving healthcare landscape, single and/or integrated platforms across ambulatory settings will be a necessity for clinical, financial, and operational data flows. In the value-based care model, payments will be now considered based on the accuracy and completeness of medical documentation of services rendered and managed by the providers.

EHR Reimagined: OmniMD adds artificial intelligence and machine learning to its EHR and RCM solutions

OmniMD, a leading provider of integrated Health IT platforms and services for medical practices incorporates AI and machine learning into its EHR and RCM solutions for medical practices. When thinking of EHRs, we usually think solely about the clinicians or the clinical elements; we are not always considering the revenue cycle management process being integrated and working harmoniously in tandem through a mutual exchange of data.
“OmniMD’s Advanced Data Science group has been working on AI and machine learning solutions for the past 3 years, “said Divan Da've, founder and CEO of OmniMD. “Our initial focus is specifically on machine learning-based clinical decision support systems, population management, predictive analytics, and financial.”
In this perpetually evolving healthcare landscape, single and/or integrated platforms across ambulatory settings will be a necessity for clinical, financial, and operational data flows. In the value-based care model, payments will be now considered based on the accuracy and completeness of medical documentation of services rendered and managed by the providers.

Improving The Urgent Care Process Through Technologies And Patient Experience

Urgent care plays a significant role in today’s healthcare industry. When a patient is in pain or in need of immediate medical care, an urgent care clinic is a great alternative to a hospital. It is imperative for these facilities to be current and updated with technologies and processes to better serve their patient populations.

Top 5 Reasons Why Your Claims Get Rejected

Payers are constantly changing their rules, regulations, and standards which leads to a complex billing process. These complexities are leading to the imminent decline in reimbursements and a rise in rejections.  Denied claims are one of the biggest reasons for loss of revenues across all medical specialties. Having trained and experienced billing staff is one of the best defenses against denied claims, however, understanding the different reasons for denial is fundamental to success. Here are the top 5 reasons why your claim got rejected: