Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Loss of Client due to EMR

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TammyL:
Okay I just lost a client that has been with me for 8 years due to this EMR this is going to start making it harder for billing services to Market to providers because this EMR allows you to do billing in house any suggestions how to market with this EMR going into effect for all providers offices what are the pro's and what are the con's to this EMR

PMRNC:
Tammy, That is an uneducated provider.. very simply.   The EMR is only going to computerize the existing medical records to eliminate paper.  Where we get the "paper" now we can get the record electronically.  Your client was no worse off going in house before EMR than they are now, they are just un-educated.. their billing person(s) will still need to do exactly what you are doing right now.

Conrad Wysor:
I think a lot of providers and office staff misunderstand EMR - it's just an electronic means of storing medical records. I get the impression that the vendors for these EMR systems are promising that it can do everything - including billing. It's just like any other software program - its only as good as the info input into it.

At the end of the day a practice still needs someone knowledgeable in billing and the reimbursement process to get the provider paid.

I've found getting educated (and educating our clients) on the capabilities of EMR systems - what they can and can't do - helps to diffuse a lot of the misinformation out there that's hurting billing services and scaring clients away.

Sportsmom:

   

That is because some of the EMR companies are offering billing services with their company. They are having everything go through them and tell the provider they can get the EMR cheaper if they do both, it's all a marketing. 

pattil88:
Also some EMR's do perform the CPT code selection - the physician electronically documents the history/exam/MDM and the EMR software will automatically select the E&M code based on what he's electronically documented and export it to the billing module to be sent out to the payers - no coder or biller involved in the process. Of course, there are risks doing it this way but docs love it - saves them big bucks and completely automates the process. Of course, we'll have to wait and see how this process will hold up in an audit.

In fact, the last time I went to my doctor, they sat there w/their little electronic notepad and recorded my hx/exam/MDM while I was in the exam room - by the time I went to checkout the level of service (99214) was already electroncially out the door on the way to the insurance company! Have to admit it's pretty slick, but like I mentioned above, payers may start to frown on this if a provider's visits suddenly get "bumped up" a level or two because they can copy and paste documentation and use "note cloning" in their records.

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