FUNCTIONS |
BENEFITS |
- Capture and record patient data.
- Provides well-timed access to all patient information.
- Computerized orders for prescription, tests, reporting of test results.
- EMR contribute in judging by providing alerts, reminders, clinical protocols, and coding assistance.
- Helps in Document/Image Management.
- Patient Portal-enables patients to access their health records from any secure internet connection of the world.
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- An existing EMR can save time at the doctor's office, as a quick access to records can answer those questions promptly during an emergency.
- Money is saved by using electronic medical records; not just the cost of paper and file folders, but the cost of labor and space, too.
- Revenue is increased by providing physicians with better coding recommendations.
- EMR allows easy review of critical information about patients and comprehensive patient summary of all visits, thereby reducing clinical and liability risk.
- Eliminate repetitive and unnecessary testing.
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PAPER vs. ELECTRONIC CLAIM
Electronic or paper claim filings are the most widely used methods provided for billing of medical treatments and other related services. While electronic billing certainly does have its advantages, paper claim filing are mandatory in some rare cases where payers do not accept EDI .The cause of increasing growth in the use of electronic claims can be explained as listed.
- With Electronic Claims, average rejection rate of your claims falls to less than 2%, as their priority is considered and they are paid between 7-21 days, resulting in reduction of follow up by your staff. Whereas, in paper claims rejection is as high as 35% at times.
- Moreover, cost of billing a paper claim, on a per claim basis, is much higher than electronic transmissions.
- With EDI you streamline your office procedures as you only need one software product, one transmission, one protocol, one support number makes it easy to handle all your claims at one time.
- EDI eliminates postage delay, including the expenses bore in postage and paper. There is very little human intervention so errors and the resulting delays are virtually eliminated, unto 98%
- Your claims are electronically delivered confirming that appropriate payers receive your claim.
TIMELINES FOR MEDICARE ENROLLMENT
Initial Coverage Election Period (ICEP): When you first join Medicare
- When you turn age 65, you may join during your birthday month, plus the three months before and after.
- If you have a disability, you may join the three months after the month you become eligible for both Medicare Part A and B.
Open Enrolment Period (OEP): Jan. 1 – March 31 of each year
- You may join Medicare Advantage (MA) plans that take new members, or you may return to Original Medicare.
- This enrolment period does not apply to Medicare Medical Savings Accounts (MSA).
- Your new choice must have the same type of Part D coverage as your old plan.
Annual Election Period (AEP) Nov. 15 – Dec. 31 every year
- Medicare beneficiaries can elect to change how they receive their Medicare benefits, with their new coverage effective on Jan. 1, 2006 or the first day of the month after the month in which they enroll from January-May 2006.
- Those in traditional (or original) Medicare can enroll in a Medicare Advantage (MA) plan or in a Medicare Advantage plan with a prescription drug benefit (MA-PD).
- Those in a Medicare Advantage (MA) plan can enroll in traditional Medicare (and a prescription drug plan or PDP) or they can switch to a different MA plan or an MA-PD.
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