Posted July 8th, 2016
According to The 2016 Smart Decision Guide to Medical Practice Management Systems, almost one-quarter (21%) of medical practices that have not purchased a next-generation medical PM solution within the past 3 years plan to do so in the next 12 months. While their buying considerations can vary widely dramatically, most practices have many of the same basic needs, regardless of size and area of specialization.
Consider the need to optimize consumer collections activities. This used to be a nominal focus area relative to insurance claims processing. But that was before the proliferation of high-deductible insurance plans, such as those commonly offered through the health insurance exchanges. With patients responsible for a larger share of the healthcare bill, there is greater focus on features that facilitate efficient and effective collections activities.
Every buyer wants a medical practice solution that is sufficiently robust and meets today’s regulatory mandates (ICD-10-ready billing, Meaningful Use Stage II-certified, etc.). Every also buyer wants a solution that integrates properly with their practice’s existing technologies, data sources, processes and workflow, and has all the features their practice requires in order for it to run efficiently and effectively. Otherwise, their practice is likely to encounter a litany of unexpected costs and crippling inefficiencies down the road.
Also to be avoided is a solution that may be equipped to handle today’s federally-mandated code set changes but ill-equipped to accommodate future regulatory changes. Without an upgradable system, future change requirements will invariably result in significant billing and collections challenges along with a slew of administrative headaches. The new Smart Decision Guide looks at the common considerations as they pertain to core features like appointment scheduling, claims management and performance reporting.