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POSTS BY TAG | Charge Capture

Ensuring a clean claim to avoid denial

 

Before we dive into charge lag and reconciliation in the revenue cycle process, we need to first understand the basic life of a claim. In its simplest form, the life of a claim goes: 

1) Charge capture - a provider sees a patient and records the services rendered.

2) Coding - The charges are reviewed for accuracy prior to sending out the “clean claim.” Note, missing documentation or physician queries can lead to coding lag.

3) Claim submission - The clean claim is sent to the patient’s insurance company.  Any edits with the payer or additional claim edits can also delay claim submission. 

4) Payment posting - Payment is received from the payer, which can also include denials or requests for additional information. 

5) Collections - The remaining balance owed by the patient is collected.

What is charge lag?


Charge lag is calculated by the number of days from the date of service to the date charges are entered. Ideally, charges should be entered within 24 hours of the date of service, but that’s not always the case. In fact, a 2019 survey revealed only 32% of respondents indicated their charges are captured in 24 hours, while 35% said it takes 3-7 days, and 6% reported taking more than a week.

The negative impacts of charge lag


As the first step in the life of a claim any charge lag can significantly delay everything that comes after it. Therefore, charge lag ultimately leads to delays in reimbursements, a.k.a, it takes longer to get paid. For example, if charges aren't captured within 24 hours, it can cause delays in claim submission, which then causes delays in reimbursement from insurance, especially if there are any follow-up and/or additional requests from the payer. Many payers also have strict deadlines for when claims and/or additional information must be submitted after the date of service, which can lead to underpayments or denials if the charge lag is significant. This can result in appeals and unnecessary follow-up, which can be incredibly time-consuming and costly. 

So for instance, if a provider bills a 99291 for initial critical care, payers may request to review medical records to finish processing the claim. But if the charge lag was high to begin with it could result in the inability to get documentation submitted in time. At that point, payers can change the code to 99233, which is a subsequent inpatient code. This can be the difference between being paid $104 instead of $220, which is more than a 50% reduction. Or, the claim could also deny altogether for untimely filing with zero reimbursements; all caused by the initial charge lag. Depending on the insurance company, timely filing can be as little as 60 days from the date of service.

What is charge reconciliation?


Charge reconciliation is the act of comparing charges captured to the services provided. It is an important process within a health care organization's revenue cycle to ensure consistent, timely, and accurate charge capture and resolution of pending charges.  Completing regular charge reconciliation helps identify root cause issues that can lead to delays in reimbursements and denials.

Best practices for charge reconciliation


Good charge reconciliation can reduce charge lag and increase revenues overall. Here are a few tips to set you up for success:

*Establish a standard of acceptable lag limit when entering charges,
*Reconcile frequently and track missing charges, 
*Maintain and track the charge lag report,
*Educate providers on missing charges that are identified. 

In pMD, you'll find all of the reporting tools needed to help audit, reconcile and educate. 

If you are interested in learning more about pMD’s Billing & Revenue Cycle Management Services, please contact us here or give us a call at 800-587-4989 x2. We’d love to hear from you!

Related Articles:

Charge Lag Statistics: What to Look for When Evaluating Charge Capture

Custom Medical Coding & Billing Solutions – pMD, Your Coding Assistant

Electronic Health Records Don’t Reduce Administrative Costs - Mobile Charge Capture Does!




To find out more about pMD's suite of products, which includes our charge capture and MIPS registry, billing services, telehealthsecure messagingclinical communication, and care navigation software and services, please contact pMD.

 
Interfacing health care IT systems


Information technology is supposed to make work-life more efficient, accurate, and effective. The promise to eliminate duplication of effort and minimize fat-finger typographic errors is the core reason for adopting much of the IT used in the modern medical office. Nothing delivers on these promises more directly than establishing interfaces among the various computer systems in the health care delivery universe.

SHOULD YOU HAVE TO PAY FOR AN INTERFACE?


At pMD, our stated raison d'être is to save patient lives by reducing the risk of medical errors stemming from miscommunication and non-communication resulting in care gaps.  pMD was created to improve efficiency, accuracy, and information exchange among caregivers and patients.  Since interfacing is so integral and critical to achieving this goal, pMD has never charged our clients for an interface.  

When dining at a restaurant, you are paying for the food, but you are not charged extra for utensils or a plate.  When investing in a system to improve business efficiency and accuracy, getting quality data into and out of it should not cost extra.  This principle is at the core of the pMD approach to interfacing with other systems, including hospitals, practice management, answering services, and billing and revenue cycle management (RCM) services.  

Unfortunately, most other participants in the industry have a different view on the subject.  While pMD does not charge for interfaces, the reality is that most Practice Management (PM) System vendors do charge thousands of dollars for them.  Some hospitals and health systems also charge for data feeds to private practices as well, although can vary with the practice’s relationship with the hospital.

INTEROPERABILITY IS IN OUR DNA


Our commitment to core principles drove the way we designed our interfacing technology and continues to drive our methodology.  While many players in the industry are unwilling or unable to modify the format of the data they send or expect to receive, pMD has developed a system that allows us to be very flexible within the HL7 standard for interfacing.  Not only do we not charge providers, but we will flex to suit the needs of the systems we are exchanging data with.  

We have a huge existing and growing library of interfaces to a large number of systems that allow us to implement many interfaces with off-the-shelf modules quickly.  Our approach allows us to easily make adjustments to those existing interfaces for practices with unique requirements and workflows.  We’re also not limited to the systems we’re currently interfaced, we can adapt existing packages to quickly develop new interfaces with systems we have not previously encountered.  

pMD can process data for new and existing office and hospital patients, appointments scheduled in a practice management system, and can of course send charges in pMD back to the PM or RCM systems, customized to their unique requirements. The best part of it all, it is all included in the complete service that pMD prides itself on.

If you are interested in learning more about our interfacing capabilities, please contact us here or give us a call at 800-587-4989 x2. We’d love to hear from you!

To find out more about pMD's suite of products, which includes our charge capture and MIPS registry, billing services, telehealthsecure messagingclinical communication, and care navigation software and services, please contact pMD.


Related Articles:
* Healthcare Interface Implementation: 2 to Tango, 3 to Interface
* Interoperability in Health Care IT: The New Norm… Eventually
* Investing in Partnerships Pays Dividends

Being more than just a public health issue, the pandemic has drastically changed our way of life - the way we work, learn, socially interact, and especially how health care is practiced and delivered. For most health care organizations, this event has been a shock, not to mention an unexpected spike in demand for virtual care.  With the massive response to the pandemic, of the groups who weren't already utilizing this technology, many had to rush to incorporate services to keep up with the growing demand of patients needing care from afar.  It has forced telehealth to the forefront, now proven to provide quality care virtually. Whether it’s a phone call, video, or messaging, telehealth can come in many forms that can cover a variety of mediums.

In a new survey conducted in October of 2020, the COVID-19 Healthcare Coalition Telehealth Workgroup found that more than 75% of the almost 1600 physicians polled said that “ telehealth has allowed them to provide quality care for a variety of specialties, from COVID-19-related care to behavioral health.”

Importance of Accurately Measuring Impact & Success of Telehealth

Unsurprisingly, telehealth has become a lifeline for both patients and providers alike. But with any new service or technology, it’s extremely important to measure both effectiveness and satisfaction, all the while making it accessible, time and cost-efficient, and compliant under federal regulations relating to patient care during COVID-19. A practice also needs to evaluate the impact telehealth might have. They need to understand the nature of these services, assess the needs of patients, and collect and analyze measures relevant to accurately measure the success of telehealth medicine. 

Measuring, Tracking & Reporting on Telehealth Services

If a practice can optimize their systems to expand both the use of telehealth and their ability to measure, track, and report on the quality of telehealth, it could change the outcome of care for many patients. So how would a patient or a provider make sure they are using telehealth correctly and efficiently? These questions can be sought through a framework of measurable data identifying the level of accessibility, financial impacts, user experience, and effectiveness of a system. 

How to Measure the Quality of Telehealth Services

A great way to collect metrics is through the use of pre- and post-telehealth visit surveys for both patient and provider, and also Electronic Clinical Quality Measures (eCQM).  eCQMs are measures specified in a standard electronic format that use data exported from electronic health records (EHR) and/or health (IT) systems to measure the quality of health care provided. The Center for Medicare and Medicaid Services (CMS) use eCQMs in a variety of quality reporting and value-based purchasing programs. Each eCQM is documented in a special way defining its intent, populations included, logic, data elements, and value set identifiers. 

CMS, required by federal law,  provides a quality incentive program, rewarding providers one of two ways, one being a merit-based incentive payment system (MIPS) and another through Advanced Alternative Payment Models (APMs).

pMD Platform Provides the Perfect Solution

In light of this year’s unparalleled events, telehealth is being pushed more now than ever, but with so many variables and deterrents, how does one solve problems and address barriers relating to virtual care? The pMD platform offers a great solution to meet CMS MIPS requirements with our point-of-care data capture which provides a robust dashboard to monitor performance metrics and offers real-time data for reporting purposes. Having the ability to enter these eCQMs at the point of care can help providers focus more on patients. Rather than spending hours on paperwork, providers can save time, improve on and assess the quality of treatment, and foster a goal of access-driven real-time data to help decrease medical errors.  When a provider seeks out a telehealth solution, it’s a no-brainer that pMD is a perfect solution, not just for now but for the future of patient care.


Related articles:
Telehealth Workflow: Best Practices for Building a Long-Term Workflow
MIPS 2020: What’s New
Investing in Partnerships Pays Dividends

 

To find out more about pMD's suite of products, which includes our charge capture and MIPS registrysecure messagingclinical communication, and care navigation software and services, please contact pMD.


I’ve worked in health care for many years, and while providers face their fair share of challenges, there’s one question that I’ve noticed almost always bubbles to the top - who do I ask about coding questions? This can be especially distracting as they attempt to focus their efforts on providing the best medical care.

Why Coding is So Difficult

Coding appears to be a thorn in everyone’s side. Why is that? Well, imagine having to enter codes on patients 30+ times a day! Currently, to determine whether you’ve made the correct E&M (evaluation and management) code selection, providers must successfully meet each criterion of the 1997 Documentation Guidelines for E&M Services. Yes, you read that correctly, 1997! 

Let’s take a look at charge code 99213 as an example. While this may seem like a straight-forward, low-level subsequent visit, think again! To correctly select this code, you need to meet two of the following three requirements: 1) an expanded problem-focused history; 2) an expanded problem-focused examination; and/or 3) medical decision-making of low complexity. But, that’s not all. Now answer the following question; how do you define and determine expanded and low complexity? Each of the previously required components is broken down even further into several categories and elements that need to be considered.

As you can see there are many variables that go into selecting the correct code. The question many providers are left with is: who has time to reference the various guides and available resources when trying to complete a patient visit? Unfortunately, inaccurate coding can lead to significant penalties and lost revenue.

The Consequences of Medical Coding Errors

The good news is that changes are coming. Starting in 2021, time-based billing will be available for applicable services, dramatically reducing the complexity associated with code selection. CMS alone has reported a 9.2% monetary loss due to incorrect coding and 55.2% loss due to insufficient documentation in the CY of 2019. If you were to submit an incorrect claim to the government, this would violate the Federal Civil False Claims Act (FCA). Penalties may include substantial fines and even possible imprisonment. As frightening as those repercussions are, the most common consequence of medical coding errors is not receiving reimbursement from the insurance carriers. 

It’s about time we actually apply the infamous motto “patients over paperwork” and remove the providers’ burden of having to recite coding guidelines. Thus, eliminating the fear of possible sanctions due to inaccurate coding.

pMD Helps Solve Coding Problems & Meet Medical Billing Needs

At pMD, we can create customized edits designed to prompt providers to select accurate codes based on specific parameters and requirements, such as charge code or diagnosis criteria, NCCI edits, patient demographics, and much more. This is a quick, seamless process that enables the provider and biller to feel confident in their code selection. Just a few extra clicks based on prompts can assist with accurate and timely claims submission. Additionally, it can result in quicker payment turnaround as well as the appropriate utilization of E&M codes. 

pMD is continuously evolving to serve the medical billing needs of practices. Contact us to learn more about how pMD can best assist you and your practice!

Related Articles:
Standardized Code Sets, Their Impact on Providers & the Solutions
Investing in Partnerships Pays Dividends
Electronic Health Records Don’t Reduce Administrative Costs - Mobile Charge Capture Does!

 

To find out more about pMD's suite of products, which includes our charge capture and MIPS registrysecure messagingclinical communication, and care navigation software and services, please contact pMD.


Electronic Health Records have greatly benefited health care. However, the wide adoption of EHRs did not come without certain drawbacks, especially for providers.  Do you remember what it was like to go to the doctor 15 years ago? You’d walk in and immediately see a lifetime supply of manila folders behind the front desk staff. When the provider entered the room, they were able to sit in front of you and have an engaging conversation. Today, a majority of providers are having to type into a computer in order to meet electronic documentation requirements. Although EHRs have propelled health care forward in many ways, unfortunately, they’ve added a new burden for providers: having to code from their patient visits with standardized code sets.

What are standardized code sets?

Providers are expected to document within different sets of billing and clinical terminologies. Simply put, these are standardized vocabularies that allow representation of the same health concepts between different health information systems. You can think of health care terminologies as the building blocks that support the entire health care documentation process. They allow patient data to be transferred in a way that can be understood and consumed universally, which is necessary not only for individual patient records but also for public health reporting, statistics, and billing.

ICD-10 and SNOMED-CT

You may be wondering: why is this a problem for providers? To dive in, let’s focus on two code systems often used by providers: 

ICD-10 (International Classifications of Diseases, 10th Edition) is often used for the backbone of diagnoses. The issue is that the coding hierarchy was built for billers and therefore is not provider-friendly. A lot of the terms aren’t expressed in everyday provider language (ie - “myocardial infarction” instead of “heart attack”), and there aren’t enough codes to capture the specificity of many clinical concepts. In general, ICD-10 is appropriate to be used as the backbone for billing but lacks the specificity needed for clinical documentation. 

SNOMED-CT (Systematized Nomenclature of Medicine – Clinical Terms) is a clinical term that includes diseases, clinical findings, etiologies, procedures, and health outcomes. It was the terminology required to meet Meaningful Use Stage 2 certification standards back in 2014 and is what providers typically use to document clinically in the EHR. Although this is a more comprehensive, clinical-based terminology, it still forces providers to document using the language of the code system rather than being able to document using their everyday language. There are several complexities to each code set - such as having to post-coordinate on a term to make it more clinically specific. 

This is burdensome because providers are, on top of their growing list of patient responsibilities, now tasked with learning multiple coding languages - which was something that was previously handled exclusively by billers and coders. With the wide adoption of EHRs, it moved the clerical task of coding to the providers, which shows that EHR technology is not assisting the providers, but rather the providers are assisting the technology. Why make providers learn all of these different code languages instead of allowing them to document clinically in the way they were trained?

Are there any solutions?   

Thankfully, there are solutions that help to ease this new coding burden on providers. Here at pMD, we accomplish this on the charge capture side by making the diagnosis and charge lists extremely customizable - not only to each practice but down to the individual provider. We can rename ICD-10 and CPT terms based on the provider’s preference, float important terms to the top, and delete terms that are not necessary. By offering a highly customized pick list, we eliminate the need for providers to memorize multiple coding languages. 

There are also clinical interface terminology solutions that serve as a bridge between code sets and providers. These companies offer expansive clinical vocabularies that have multiple synonyms and ways of documenting each term (ie - “type 2 diabetes,” “t2dm” and “diabetes, type II” would all be options for documenting the clinical concept of type II diabetes mellitus). They are very helpful to providers documenting in the EHR where more in-depth documentation is required. Overall, EHRs have helped propel health care forward, but pMD helps to take the coding burden back away from providers. 

Related Articles:
Electronic Health Records Don’t Reduce Administrative Costs - Mobile Charge Capture Does!
Medical Scribes: The Solution To EHR Inefficiencies, Or Just A Temporary Bandage?
Let pMD Be Your Coding Assistant

 

To find out more about pMD's suite of products, which includes our charge capture and MIPS registrysecure messagingclinical communication, and care navigation software and services, please contact pMD.

Improved medical billing and payment system boosts patient satisfaction

Everyone who has received medical care in the U.S. has experienced the complex system built around paying for the care you receive. From complicated insurance types to delayed and unforeseen bills, many agree that the financial burdens that come from U.S. health care are the toughest to swallow. The system, in all its complexity, is difficult for a reason. The negotiations that take place between insurance carriers and medical billing teams determine the amount that each patient has to pay on a case-by-case basis. The limited forms of payment exist for the security of the patient and the protection of their private health information. But is there a way to improve the patient experience when it comes to paying for medical care?

Providing Patients Cost Estimates & Easy Way to Pay for Medical Care

In 2018, in a survey conducted by HIMSS Analytics, researchers found that 68% of patients would be more likely to return to a practice for future care if a cost estimate was available to them at the time of service. It was also found that 75% of patients wished they could keep a credit card on file for any balances that come up during their care. Simple fixes go a long way towards improving patient retention and driving practice growth. The easier you make it for your patients to pay for their care, the more money you are likely to receive.

Benefits of Providing Patient Care Cost Estimates

Cost estimates of patient care are one of the largest things a practice can do to make patients feel more financially comfortable while navigating their episode of care. An unforeseen bill, or one that is larger than expected, can unsettle a patient and may lead to higher rates of uncollected revenue. Upfront estimates provide peace of mind and allow patients to make informed decisions about the care they are receiving. The HIMSS Analytics survey found that 46% of patients also said they would be more likely to pay a significant portion of their bill upfront if an estimate were available. This simple step can create massive benefits for both practice and patient by keeping all parties informed and engaged throughout all aspects of care.

Patients Prefer Modern Medical Billing & Payment Solutions

The growth of consumer culture in health care also means patients want to be able to pay for their visits using modern solutions. Scheduling apps and HIPAA-compliant payment portals are growing in popularity and patients are responding positively. By allowing patients to pay online, not only is the patient experience improved, but the providers will receive reimbursement for their work faster than paper billing alternatives. A 2016 survey by Aite Group shows that 56% of all bills that year were paid online, while 77% of health care practices specifically use paper billing systems. This comparison shows that the needs of the 50% of patients that state they would prefer online or paperless medical billing are not being properly addressed by their health care providers.

pMD Charge Capture the First Step

Tools like pMD® Charge Capture™ allow providers to capture their charges in real-time and reduce billing lag. These workflow improvements are the first step to providing patients with quick and accurate estimates of the money they owe and create more actionable opportunities for providers to maximize their revenue while driving patient growth. It all stems from the patient experience.

Related Articles:
What to Look For When Evaluating Charge Capture: Charge Lag Statistics
Health Care Communication: Electronic Vs. Paper Follow Up for Millennials


To find out more about pMD's suite of products, which includes our charge capture and MIPS registrysecure messagingclinical communication, and care navigation software and services, please contact pMD.


 

When the pandemic hit this year, my team struggled to become telemedicine software experts. We still struggle with this.” 

I thought downloading a trial version was great. But after hours of attempting to figure it out on my own, I still don’t have a system that meets my needs.”  

We liked the product, but we had to hire employees just to help support it.

All too often, medical technology companies offer software separately from supportive services, like product customization, best practice implementation, systems integration, and product support. This is because unlinking services from a product into discrete offerings makes it easier for that company to account for internal costs. But what’s easier for the vendor adds complexity for the customer to an already complex decision-making process.  

This is the strategy of a vendor. If you look at an invoice or pricing proposal today and see unbundled products and services, that means you’ve likely hired a vendor. And in practical terms, it means that when you have a new problem to solve, you’re either on your own or you’re likely going to pay more money. In financially stressed times like these, you simply can’t afford to invest another cent with a vendor.   

Partnerships are about value creation


Good partners, as opposed to vendors, understand that a successful relationship requires that a combination of services be delivered from a team of experts in order to maximize the value created. pMD's products are backed by some of the highest quality services in the industry. But you won’t see a separate quote for those.  

“pMD acts as an extension of each practice from day one. I’ve seen firsthand their effort to understand the needs of each practice stakeholder and identify workflow improvements down to the individual user level. Each time the result is the same; a finely-tuned set of pMD solutions optimized to deliver value for that team,” says Ibrahim Ali, Associate Director of Product Management for McKesson, The US Oncology Network. 

Since pMD’s corporate strategy is not driven by short-term investors looking to maximize profitability and make a quick exit, pMD prefers to invest in helping to solve your complex issues without a new contract wherever possible. We know that a sustainable partnership is based on mutual successes. Mr. Ali went on to add, “pMD’s investment in understanding our practices and their goals has built our trust in this partnership over the past several years. Leveraging this relationship will be key as we navigate the future of community oncology care together.”  

pMD releases of HIPAA-compliant secure messaging, telehealth, and automated patient appointment reminders to the existing pMD® Charge Capture™ platform at no additional cost were huge value additions for care teams. Customers received those new features paired with experienced pMD workflow experts to deliver the most value possible. No new contracts discussed. No new money requested. These are just a few examples of value-added feature additions that pMD partners have enjoyed over the past years.  

Good partners invest to understand industry trends from industry experts


“Partnerships, like the one between pMD and MedAxiom, are critical to advancing innovation and best practices in the cardiovascular industry,” said Joe Sasson, Executive Vice President at MedAxiom, an American College of Cardiology company.

Anticipating the future needs of specialists, patients, or the industry as a whole is crucial given the development and testing of a new feature can take months. Thus consistently investing in strategic industry partnerships means when a need strikes that industry, a partner like pMD is there waiting with a tested solution. This was very much the case in 2019 when pMD built secure video for telemedicine and added it to our platform for free, months before the industry urgently needed it in 2020.

Mr. Sasson went on to say, “Advancing health care takes place through these types of partnerships, and they are essential to our philosophy of creating bi-directional education between industry and CV programs as a means of creating value through innovation.”

The cost of not partnering with pMD is simply too high


In today’s environment, where every team is tasked with doing more with less, you can’t afford to waste resources on a poorly performing vendor relationship. Fire your vendors. And then click here to discover more about all of the value that a pMD partnership delivers.

To find out more about pMD's suite of products, which includes our charge capture and MIPS registrysecure messagingclinical communication, and care navigation software and services, please contact pMD.




I actually had to go in for a colonoscopy the other day. The next day when I got home from work, my wife said, "The doctor called with your colonoscopy results. Good news - they found your head.”

All jokes aside, in advance of pMD’s attendance at the upcoming GI Outlook conference hosted by ASGE (American Society for Gastrointestinal Endoscopy) this week, we want to share a little more than just GI-related humor. If your gastroenterology practice is interested in improving efficiencies and ultimately patient care, you have come to the right place!

Our mobile charge capture and advanced rounding tools enable providers to easily capture and submit hospital charges in real-time, reducing charge lag from weeks to less than a day. In fact, gastroenterology groups using pMD have reduced their charge lag from 14 days to just 0.2 days

Our custom suite of powerful, efficient, and intuitive technology allows health care teams to communicate and capture data at the point of care, improving accuracy and ROI. 

For example, an average 50-provider practice can realize close to $400K per year in additional revenue by implementing a proactive process around transitions of care. pMD’s automated discharge alerts and scheduling instructions make managing this process a breeze, helping grow outpatient practices in the process. With the help of our robust analytics dashboard, practices can easily follow up with patients, reduce readmissions, and recognize Transitional Care Management (TCM) revenue.

Ultimately, it all comes down to streamlining physician workflows. When providers and staff are equipped with the right tools to enhance productivity and increase collaboration for rounding and hand-offs, consult notifications, billing and secure communication, they can spend less time worrying about processes and more time caring for patients. 

But don’t just take our word for it:
"The most common question I am asked about pMD has nothing to do with its use; my doctors and staff want to know why we didn't get pMD years ago. Hospital billing lag time and lost charges have all but been eliminated. The secure messaging feature works great on both provider cell phones and staff desktops. We had high hopes that pMD might improve our operations...seamless integration with existing systems and workflows, better secure messaging, and a reduction in lost charges and billing lag time. pMD has surpassed these high hopes and become one of the best investments made in my 25-plus years of managing medical practices."

- Lucien Roberts, Gastrointestinal Specialists, Inc., Virginia

"The doctors love it, we love it! We are much more efficient with pMD. We're able to track charges better, and bridge the gap of missing charges. It's easier to maintain over paper and has made our process so much easier. pMD has helped us reduce charge lag by at least 75 percent. We also love the ability to message within a particular patient record. It helps our messaging organization, and allows for faster messaging overall by not having to retype patient information into the message. Everyone references the correct patient immediately and as a result, responses come much faster.”

Tamra Crespo, Coding Compliance Team Lead, Austin Gastro, Texas

We will be exhibiting at the GI Outlook (GO) Practice Management Conference in the Loews Hollywood Hotel, August 2 - 4. Come stop by booth #4 for a demo! 

All groups are different, which is why we provide all customers with a full workflow analysis and unlimited consultation services. We’ll continue to work with your practice until you see tangible improvements to the key metrics that matter most to you!

For more information click here or contact us directly.

Find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, clinical communication, and care navigation software and services, please contact pMD.





New research has found that Electronic Health Records don’t reduce the administrative costs of medical billing. In a large academic health care system with a certified EHR, “costs for processing a single bill ranged from $20 for a primary care visit to $215 for an inpatient surgical procedure, or up to 25 percent of revenue.” That’s a staggering drain on the bottom line.

Worse yet, the researchers did not find any obvious process issues within the institution’s central billing office that could be streamlined. They said that “the high costs were not caused by wasteful, inefficient processes, duplicate or redundant tasks, or the inappropriate use of high-wage personnel to perform low-skilled tasks.” So what gives?

One factor to consider is the quality and the timeliness of the information that reaches the central billing office. If the institution is relying on EHR software to capture billing information as part of the patient’s progress note or op report, then it may take days or weeks for the physician to finalize and sign that note. Additionally, it may be missing information that is needed for billing. For example, it may have the patient’s complete problem list, but a coder may be required to determine which specific ICD-10 diagnoses this physician was addressing during their visit on this date of service. Charge entry lag and requiring coders to look at every charge would both contribute to billing overhead that can’t be streamlined away on the back end. In other words: garbage in, garbage out.

This is where mobile charge capture software is like delicious revenue peanut butter that complements the EHR’s clinical chocolate. It can get complete and accurate billing information to the central billing office in less than a day, regardless of how long the EHR progress note takes to complete. And that charge already has just the ICD-10 and charge codes that are specific to the physician’s specialty and to the date of service. The charge even acts as a “ticket” to find missing notes and thus lost revenue.

Desktop EHRs were never meant to be mobile charge capture systems, and they don’t reduce the cost of billing for medical services. And it’s expensive to try to patch up and work around issues with charge lag and coding, especially when those originate on the front end, with getting accurately and timely information to the central billing office. Fortunately, pMD Charge Capture and MIPS Registry solves this problem at its origin and results in a much faster and less expensive billing process.

 If you'd like to find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, clinical communication, care navigation, and clinically integrated network software and services, please contact pMD.




When you think of traditional sales, you might think of someone dressed in a suit talking at you and trying to persuade you of why you need their product right at this moment. When I joined pMD’s sales team, I thought about all the new tea flavors I would need to check out to prep my voice for all the talking I’d be doing while selling our products. Because I was joining pMD’s sales team with little previous sales experience, all I had to base my expectations off of were the Hollywood stereotypes of sales. I thought I would be informing people of why they needed our products. Unexpected to me, in the first few months of learning and leading my own sales, I found myself doing a lot more listening than talking. It was very different from what I had anticipated, but I quickly learned that if I did all the talking, there was a lot I’d be missing out on when learning about a customer.

pMD isn’t a one-size-fits-all product. If you work with us, you will quickly find out how focused we are on details and understanding processes. This begins in the sales process and goes all the way through to the implementation and account management stages. pMD employees are always open to listen and to hear how we can make our product work for you.

While we do wear business suits, our sales process differs from the Hollywood stereotype I thought it might be. When talking to a new group, I’m not able to tell them about what pMD can do for them until I take the time to learn about what inefficiencies and issues they’re experiencing in their current process - essentially the “why” they reached out to pMD in the first place. For example, during our charge capture sales process we spend a lot of time learning about how a group is currently keeping track of their billing charges and what areas pMD can assist to make the process more streamlined and efficient. You would think this information could be answered by asking a question or two and then answered in no more than three sentences. Oh no. We are not looking to hear the brief answer. We want to hear all the nitty gritty details. What is a provider's current workflow? What is really frustrating about their current system of collecting and submitting charges? In which areas would they like more transparency? What analytics are they hoping to track? We listen so closely and push for details to uncover the best way to improve a group’s workflow and make sure their account is set up so pMD is easy to use, efficient, and successful.

I recently implemented a customer on pMD's Charge Capture product who was solely using a paper process. During each of the many conversations I had with the group during the sales and implementation process, I learned something new every time from the providers or administrative team regarding difficulties in their current workflow that they were experiencing. Because I came to know their current process so well, we were able to customize pMD for them in a way that helped improve many of those kinks. Listening for key phrases like “it is difficult to track…” or “I find it hard to…” are triggers in my mind to get me thinking about customizations that would help make their process easier. There is something rewarding in having the ability to talk to a group and continue learning about them through each conversation along with what customizations could make their pMD experience more useful and easy to use. At the completion of the group’s implementation, these customizations allowed for better organization and reporting for everyone involved. It felt great to uncover some areas they didn’t even know could be improved!

I’ve come to learn and see first-hand the benefits of taking the time to really listen and uncover the needs of our customers. Customization is something pMD prides itself on and something we are always happy to discuss with any current or soon-to-be customer. If you'd like to find out more about pMD's suite of products, which includes our MIPS registry, charge capture, secure messaging, and care coordination software and services, please contact pMD.