The pMD Blog

Welcome to the
pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.

Data Capture at the Speed of Rounds

If you were to ask 100 physicians what about their job makes them happy, I guarantee “administrative work” would not be at the top of any lists. The same goes for advanced practice providers, nurses, and other clinical support staff. No one goes through the long and specialized process of becoming a health care practitioner with the goal of completing paperwork all day!

Providing excellent patient care is usually the number one focus of medical practices. While programs such as the Merit-based Incentive Payment System, or MIPS for short (formerly PQRS) are extremely important for assessing themes in the quality and cost of health care, the path to collecting that mandatory data has not always been an easy one.

Because the type of health care data providers are required to report to the Centers for Medicare & Medicaid (CMS) is a combination of clinical and billing information, it can be extremely difficult to capture this data at the point of care in most electronic medical record systems. By the time the information gets to billing and the required quality data has been identified, sometimes days or weeks later, the doctor is usually no longer actively treating the patient, and the biller isn’t sure where to find the clinical information.

The disconnect between clinical and billing causes such an arduous back-and-forth between different employees and software systems in a practice that many doctors choose to wait until the end of the year to even think about reporting quality data to the government. While this is certainly one option, I know from personal experience that this data collection method is not done without significant difficulties.

Reporting quality data at the end of the year through a qualified registry involves obtaining a comprehensive report with detailed information for all of the patient encounters that occurred during the calendar year. I worked with several practices who used pMD’s PQRS registry for the 2016 reporting year. Some of them were able to pull this report after one or two tries, while others had to request multiple iterations (sometimes over 10 versions!) of the data from their billing company.

Once the report is finally complete, some registries such as pMD’s can systematically identify which patients qualify for the practice’s chosen quality metrics. Other registries cannot, and the practice must manually identify these patients. The final, and usually most time-consuming step, is to then find and review each of those qualifying patients’ medical records to actually provide the government-mandated data! I’ve spoken to providers and administrative staff who have dedicated multiple days and even weeks to this chart review process.

Nearly everyone who has worked on chart review laments, “If only we had recorded this information at the time we saw this patient!” Not only would that save many hours of administrative time, it would also ensure the information was recorded at the time the action was being performed, ensuring a high level of accuracy.

pMD has integrated our MIPS registry services with our charge capture product, allowing providers to capture their quality data at point-of-care with just one tap. This method of collecting quality data is fast and accurate, and it gives the practice real-time visibility into their quality performance throughout the year. And, probably most important to keeping our doctors happy, this saves providers and staff a significant amount of administrative work at the end of the reporting year. As the old adage goes: An ounce of prevention is worth a pound of cure. But here at pMD, we like to say that a second of prevention is worth hours of cure!
ACA Account Management ACI Advancing Care Information AHCA AHRQ AI Alternative Payment Model Android API Apple Artificial Intelligence Audit BCRA Best Place to Work Big Data bootcamp BPCI BPTW Bundled Payments Care Communities care coordination Care Navigation Care Team Career Fair CDC Charge Capture Charge Capture App Charge Capture Software Charge Capture Solution Charge Capture Statistics Charge Lag CHIP CIO Clinical Communication Clinical Data Registry Clinically integrated network CMS Communication Company Culture Conferences Connected Health Record culture custom reports Customer Interaction customer success customer support Customers cybersecurity Developer DHHS Dialysis discharge instructions EHR Electronic Charge Capture Encryption epidemic Expansion FDA FHIR Flu fundamentals GI GI Outlook Goals Health Care Health Care Technology Health Care Web Health Information Exchange Health Record Healthcare HIE HIPAA hipaa compliant communication hipaa compliant communication platform HIPAA-Compliant HL7 Home dialysis Hospital Census Hospital Communication IA ICD-10 ICD-11 Implementation Improvement Activities interoperability iOS iOS 8 iOS7 iPad iPhone iPhone 6 Lead Generation length of stay MACRA Medical Billing Medical Errors Medical Software Medicare Mentorship Messaging Messaging with Patients MGMA MIPS MIPS Registry mobile Mobile App Mobile Charge Capture Mobile EHR Mobile Health Mobile Messaging Mobile security Mobile Technology Modern Healthcare Native App news NIH OCM onboarding Oncology Care Model opioid crisis Patient Patient App Patient Care Patient Chat Patient Communication Patient Engagement Patient Generated Health Data Patient Handoff Software Patient Information Patient Safety Patient Visits Patient-Centric pmd pMD Team population health Population Health Management PQRS Product Development Productivity Promoting Interoperability QCDR Quality Scoring Recruiting Recruitment Reimbursement Remote Work reports Residents Responsibility ROI Sales Secure Data Secure Messaging Secure Messaging Video Secure Text Messaging Security Audit SF Biz Times SOC 2 success support TCM Teamwork technology telehealth Telemedicine Text Messaging texting training Travel Upgrades VA Value-based care Video Calling Video chat video communication video conferencing Wearable Device wearing many hats Web App Work From Home