Medical necessity is determined by clinical documentation. How procedures are documented and coded and ultimately reimbursed will depend on two things:
1. The system of record that contains discrete data supporting the documentation, better know as an electronic health record (EMR) or electronic medical record (EMR)
2. The quality of the coding which will soon be based on ICD-10 CM for all HIPAA Covered Entities when diagnosing patients, and ICD-10 PCS for all HIPAA Covered Entities who bill for inpatient medical procedures.
Our team can assist with :
- Selection of healthcare IT vendors
- Vendor contract negotiations
- Implementation and configuration
- Clinical documentation improvement for ICD-10
- Clinical scenarios to evaluate EMR readiness for ICD-10
- Meaningful Use Attestations
- Meaningful Use Audit Defense
- Led multiple electronic medical record (EMR) / Electronic Health Record (E.H.R) implementation projects for hospital systems.
- Create and maintain training courses to further the technical education of customers in software development practices, and reporting methodology.
- Deep understanding of Meaningful Use of EMRs
Our experience includes full life cycle implementations of:
- GE Centricity / GE IDX
- eClinicalworks (eCW)
…and a host of oncology-specific systems. Our partner acted as the EHR technical advisor to American Society of Clinical Oncology (ASCO) for five years.
- ARIA (Varian)
- MOSAIQ (ELEKTA)
- OncoEMR (Altos Solutions)
- IKnowMed by US Oncology (McKesson Distribution)
Others we would recommend in specialized applications:
Small oncology systems:
- Rabbit E.H.R.
- iClinic Ambulatory (MDLand)
- MedSymEHR : Multispecialty, (MedSym Solutions)
- Oncology System – EHR/CIS (Integrated Clinical Care)