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PMRNC:
Don't misunderstand.. I do NOT think the medical biller is OUT.. I think the Practice MANAGER is in. I've always hated the label Medical billing but I knew I had to use it in marketing.. I think the medical biller is going to be struggling and the practice management companies are going to thrive. JMHO
"Now, with EMRs, PMs, Patient Portals, electronic remittance/EOB, computerized phone calling to deadbeats, and even patient statements automatically printed or sent to patient's e-mail, hardly anything is on paper."
I don't agree with that at all. The clients I consult with we always talk about "options" but not just THEIR options, MOST good doctors WILL think about what their patient's want. With all my consulting clients we go over data and reports and create patient survey's. It is REMARKABLE the amount of patients that do NOT want to access online and they WANT those patient statements. I have my clients also doing their own newsletter (as a biller/practice management we should NEVER be involved with patient marketing) and got them connected with physician marketing management companies and even they will tell you today that patient's STILL prefer the paper :)
Billergirlnyc:
--- Quote from: RichardP on March 28, 2013, 03:01:59 PM ---
--- Quote from: Billergirlnyc on March 27, 2013, 10:27:18 PM ---... need to have ... something that can be multi-layered and handle all these things without me needing to have 3 different software that do 3 different things.
--- End quote ---
Sometimes it is better to have software that performs a specific task, and performs it well. Often, software that is designed to do multiple tasks does none of them well. That is just a comment and not an argument. I know your brother can customize the sofware to meet your specific needs, which will no doubt function much better than commercial software that is trying to meet everybody's needs.
Given the push to interoperability and the HL7 standard, I'm reading about your brother's programming skills with interest. The biggest thing I need right now is a data input screen where the input fields can be customized (patient demographics, insurance info., etc). I'm guessing there is an emerging market for such a screen that every user could attach to whatever software their vendor / client is providing. For example, imagine someone with ten different clients, and each wants the biller to use their own software. It would be wonderful for the biller to have one (or two if necessary) screens that would interface with all of the different client's softwares/databases. Having such a standardized screen(s) would speed up the biller's work and cut down on the potential for error as the biller switches from one screen layout to another to another, as s/he moves from one client' software to another to another. Just a thought. (Edit: I'm talking about the screen used to put new patient information in, and/or used to verify a current patient's demographics and insurance info - not all the other screens a biller would use in the course of billing and generating reports.)
I made reference to interoperability at the following link. The link I gave there to an interoperability article no longer works, but I quoted from that article, so you can read a bit there if interested.
http://www.medicalbillinglive.com/members/index.php?topic=7034.msg21003#msg21003
--- End quote ---
I agree sometimes having a software that does it all isn't sufficient either, but paying someone yearly fees for 3 different programs isn't cost efficient, and that's what I'm doing now. If I can at least incorporate 2 out of the three, I'll be happier and so will my staff. This is strictly for my business, of course we work with our client's software, but the little girls, the 1 and 2 doctor practices are bread and butter clients, who too want to keep their cost down. I don't just do medical billing, never have, actually. So my needs are varied and always inline with keeping my business growing.
As to your date input screen. I too would love something like that. I hope you don't mind me copying your entire message and sharing with my brother. I'll report back what he says. I think that would be an extremely smart interface to have. And if I'm reading you right, it would work with any software right? Great idea! My collections software does something like this when we're reporting to the credit agencies like Transunion, Equafax, etc. It's actually the smoothest piece of software we work on. Not even my credentialing software is as smooth as my collections software.
RichardP:
--- Quote from: PMRNC on April 01, 2013, 04:20:02 PM ---I don't agree with that at all.
--- End quote ---
I only meant to say that the technology is not coming. It is already here. No doubt, its use is more visible in the larger cities and around large medical centers and Universities where there is a larger population of younger folk. But the technology is here. The adoption will follow, as those who know how to video chat with each other on their cell phones begin to crowd out those who still think of making phone calls with a rotary-dial phone. Where I am, I see the older doctors resisting the change. I also see the younger doctors, with younger patients, embracing the change.
RichardP:
--- Quote from: Billergirlnyc on April 01, 2013, 05:22:47 PM ---I hope you don't mind me copying your entire message and sharing with my brother.
--- End quote ---
Don't mind at all. Particularly if it fires his imagination to create something useful.
--- Quote from: Billergirlnyc on April 01, 2013, 05:22:47 PM ---And if I'm reading you right, it would work with any software right?
--- End quote ---
That would be the ideal. There is a need for building the data-input screen. But there is also the need for building the HL7 interface between that data input screen and the Practice Management data-base software. Once the data input screen is built, and once the interface for a given vendor (e.g, Kareo) is built, that interface should work for all who have Kareo and who want to use the data input screen your brother builds. Finally, there would be a need to connect the interface to the vendor's database. That could either be a business your brother could run, or an individual at the vendor's location would need to be identified to do this.
And, to be clear - what I'm envisioning would be a screen where the data input fields could be re-arranged in sequence (or outright dropped from the screen) according to personal preference. Once the data-input screen is built, there has to be a link between a given field on the screen and the location of that field in the data-base (e.g. SQL database). Once that link is established, it shouldn't matter where on the data-input screen that field is located.
Given that the HL7 standard and the interoperability concept are being pushed by the government to facilitate this kind of innovating, hopefully the cost of implementing something of this sort could be kept to a modest (affordable) level.
--- Quote from: Billergirlnyc on April 01, 2013, 05:22:47 PM ---My collections software does something like this ... It's actually the smoothest piece of software we work on. Not even my credentialing software is as smooth as my collections software.
--- End quote ---
Perhaps your brother could find out who wrote that interface and subcontract some work to him/her.
DMK:
--- Quote from: RichardP on April 01, 2013, 05:32:04 PM ---
--- Quote from: PMRNC on April 01, 2013, 04:20:02 PM ---I don't agree with that at all.
--- End quote ---
I only meant to say that the technology is not coming. It is already here. No doubt, its use is more visible in the larger cities and around large medical centers and Universities where there is a larger population of younger folk. But the technology is here. The adoption will follow, as those who know how to video chat with each other on their cell phones begin to crowd out those who still think of making phone calls with a rotary-dial phone. Where I am, I see the older doctors resisting the change. I also see the younger doctors, with younger patients, embracing the change.
--- End quote ---
I agree that the technology is HERE. But I have also seen where it doesn't work well. The technologies don't talk to each other well (yet), and garbage input by humans is still garbage in bad technology or good.
I agree with Linda that there are still many many people who don't trust the technology, and people who INSIST on technology (whether it's any good or not). You know what they say about good intentions........ : ;)
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