Couer d’alene, U.S.A. — Financial Data Management (FDM), a provider of medical billing and practice management services to physician practice groups, is facilitating federal Meaningful Use reimbursement bonuses for filing electronic prescriptions by utilizing the E-Prescribing module of MedInformatix claims processing software.

Six ophthalmologists from different practice groups received Meaningful Use bonuses in Medicare and Medicaid reimbursements in 2010 and 2011 by remotely accessing the firm’s MedInformatix software to transmit electronic prescriptions, for example. The technology also helped the physicians avoid a penalty in 2012 for not filing electronic prescriptions.

Enacted as part of the 2009 American Recovery and Reinvestment Act, the Meaningful Use program aims to improve patient care by encouraging healthcare providers to use certified technology that generates electronic health records MedInformatix E-Prescribing Module, which is fully-integrated with the MedInformatix EHR/PM Version 7.5 base product, and certified through Surescripts, which is the nation’s largest e-prescription network.

The system checks prescriptions for drug-to-drug interactions, allergies and adherence to medical data table guidelines set by the National Council for Prescription Drug Programs (NCPDP).

More physicians in FDM’s network could qualify for Meaningful Use incentives, as much as $44,000 per eligible provider, if they begin using certified technology to collect and track clinical conditions electronically before 2015.

“The incentives provide a strong push for complying with Meaningful Use, especially for older physicians who are comfortable circling patient diagnoses on paper and have little interest in logging in to a computer or mobile device to record the same,” said Stacy Alan Ramsey, FDM president.

Using the MedInformatix system, FDM has leveraged advanced capabilities including the ability to scan documents, post explanation of benefits from insurers or electronic remittance advice, and extract data by time period and insurance carrier through robust filters when questions arise about claims.

Among other benefits achieved by FDM through use of MedInformatix:

  • Most of the firm’s practices transmit their superbills directly to the MedInformatix system using remote access, eliminating paper documents and associated overhead costs.
  • FDM’s billers, coders and payment posters can handle more work because of MedInformatix’s streamlined processes. Today the firm processes more than 10,000 claims monthly and works with more than 1,000 insurance companies, including small entities focused on worker’s compensation €“ all without adding staff from the days when its volume was a fraction of the size.
  • Because the system runs on Microsoft SQL Server, the firm also can access its own raw data to create complementary applications and automate charge entry and other functions. The firm’s programmers built a document management system and added criteria to run simultaneously with MedInformatix’s checklist that flags errors before claims are sent to insurance companies. Other systems lack this customization ability because they have proprietary databases housed on the Web, not with the client.

MedInformatix has supported FDM through its expansion to serve a range of practice specialties including pain management, cornea ophthalmology, retina ophthalmology, anesthesiology, cardiothoracic surgery, radiology and otorhinolaryngology (ENT).

 

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