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Superior EMR Development

Every medical practice uses an EMR, however, not all EMRs are created equal.  Most practices saw their EMR as a necessary – but clunky part of their business until they discovered the power of the EMR triad.  These are elements you will need to be aware if you have a burning desire to grow, expand and run an even more profitable, even more streamlined medical practice, because the lack of these three key pieces can cost you dramatically, specifically – financially, and for some, more importantly, will cost your practice from an efficiency and patient perspective.

Customization

EMRs are built to be sold to the highest number of medical practices and in doing so, they are built on sweeping generalizations of the medical industry.

When your EMR is rigid and does not conform to the processes and specific needs of your practice, there is an immediate tax placed on your staff and on your day-to-day processing of patient encounters, insurance, billing, and all other facets of your back and front office.

We have a client who was running his medical practice on one of the big 5 EMRs, you would know the name.  This EMR was first built out in 1996 and had been sparsely updated since, the interface was very difficult to navigate.  The system had many features that his practice never used and didn’t need – and worse, many core features that he needed, additional modules to track patients progress over time, telemedicine, diagnostics, labs, and insurance and billing, as some examples, were not provided.

His previous EMR would build out a customized set of features into the EMR, but their $1.68 million estimate he received from the EMR developer sat in his inbox.  He ended up piecing together his own “EMR-Frankenstein’s-Monster” which cost more time than it was worth.  By the time he logged into his telemedicine 3rd party, logged his SOAP notes in his EMR and manually emailed a request for labs, his back-office team was in the vicious cycle of having to collect the time spent with the patient and sort out which was billable and which was non-billable on another platform to send the claims to while having three different platforms open.  It was mayhem.

We built him a solution that allows him to run his practice on a single platform, his platform.  His telemedicine, labs, EMR, encounter notes, patient medical history, billing, insurance, in office visits – literally everything he did was covered with his own platform.

When he sold his practice a few years later, the proprietary technology he owned had attracted interest from a private equity firm who wanted to roll it out to similar practices they owned, and he collected a much larger multiple in his exit valuation as a result.

The question we encouraged him to ask was, “How would I run my practice if my EMR was built for me and my practice?”.

Building out your EMR begins with looking at the best, most efficient processes of seeing, serving, and billing patients first, and then looking at how to build technology that serves that process rather than the other way around.

You will have specific needs that are unique to your practice, such as integrating with other physicians at other locations who are seeing your patients and need to update pertinent patient details.  Maybe you have a need for a telemedicine module in your EMR so your patients can have their visits when they are travelling or unable to go to your office.  Some practices build partnerships with other similar practices that have crossover or high referral rates between each other and desire highly integrated EMR systems for efficient patient medical history transfers, diagnostics, and labs for example.

Customized EMR software can be tailored to meet the specific needs of your practice. This can include features such as templates for recording patient data, access to specific drug databases, customized settings on CPT and ICD lists for patient encounters and lab result tracking.

Integration

Most EMR’s are terrible at integrating with the software, labs, pharmacies, and insurances that you need to connect with the most.  This leads to delays, frustrations and a high energy and resource tax placed on your front and back-office staff, physicians, and nurses and ultimately your patients’ experience is affected.

A poor EMR has little to no integration, a “good” EMR in our current landscape has some integrations but they are costly to setup and highly unreliable (we have seen and heard the horror stories).  A truly robust and great EMR works seamlessly with your partners and 3rd parties you connect with regularly.

This allows for a streamlined process and keeps everyone focused on the patient’s care.

EMRs that can’t and won’t interface with other software creates problems in a medical office, large or small.

You would think that an EMR should be able to interface with laboratories. You already know the reasons why, this allows for results of tests (and requests for diagnostics) to be automatically uploaded into the EMR, which makes it easier for doctors to track a patient’s care.

You can request directly from the EMR as well, seems to be a win-win all around… why isn’t it common place?

Automation

Claims management is one of the most important and time-consuming aspects of a medical practice. With the help of a custom EMR, many of the tasks associated with claims management can be automated, saving your staff time and money.

An EMR can automate the process of billing insurance companies by automatically creating claim forms based on information entered in the system. The EMR can also verify that the correct codes have been used to bill for services, ensuring that you are reimbursed accurately. Additionally, an EMR can create lists of CPTs, ICDs and other code sets used in claims management, making it easier for your staff to sort, validate and process claims.

We had a client come to us with a critical problem that was costing them in the 7 figures every quarter, that single problem was that their EMR wouldn’t talk to insurance, which meant that his staff had to spend days and days inputting all the information about the patient’s visit, demographics, CPTs, ICDs and other relevant details into three separate systems. This led to mistakes, delays and wasted time, and ultimately, it cost them millions each year.

The Summary

Anything that takes time away from physicians and nurses spending billable time with patients is costing you every single month quarter and year financially.  

Imagine a practice where physicians, nurses, front office staff, everyone – is focused on what they can do best and having technology handle the rest.  That can become a reality when the systems core of your business, your EMR, is built around your practice, for your patients, for your providers.

If this has piqued your interest and you would like to explore the potential of having your own EMR, built by a dedicated group of professionals in the medical space, you can click here to schedule a conversation.

 

We will design, develop and deploy a custom EMR for your group.  It will be based on your specific needs and use cases.  We will build out the features together and our consultants will help clarify, organize and further your ideas based on our experience in the industry.  You will retain full ownership of the IP and do not pay fees apart from your internal server costs to run the EMR (<$50 a month on avg) and of course, if further enhancements are desired on the app.  We guarantee our code for a full 12 month period in which we will resolve any bugs that may arise.  The app will be accessible on EMR.yourdomain.com or any other domain you own. Our EMRs are typically developed as a web app first and within a 3-6 period following the launch, we will develop a companion tablet for your nurses and staff to use during patient encounters and phone app for your patients to schedule, communicate with your group, access their records, attend telemedicine visits and obtain prescriptions.

Features typically included in EMR development:

 

  • Patient Scheduling
    • Register patients
    • Schedule
    • Choose purpose of visit
    • Full calendar capabilities including integrations with all common calendars (Google, Outlook, etc)
  • Patient Portals
    • Complete medical history
    • Lab results
    • Allergies
    • Medications
    • Discharge summaries
    • Immunizations
    • Forms for download
    • Recent visit history
    • Appointment scheduling
    • Prescription refill request forms
    • Contact information update forms
    • Payment methods & insurance integrations
  • Patient History Recording
    • Staff can quickly update and access patient history when required
  • E-Prescriptions
    • Electronically print for patients
    • Transmit to patient
  • Medical Billing Dashboards
    • Send bills
    • Transfer data from charts to bills
    • Autofill bills with services from other charts
  • Order Entry (CPOE)
    • Enter, save and transmit orders for prescriptions, medical tests and other services
  • Lab Integration
    • Monitor delivery
    • View scrutiny, results and certainty of samples
  • E/M Coding
    • Physical examination results
    • Pertinent health risk factors
    • Treatment and diagnosis codes
    • Prior diagnostic test results
    • Complete, legible medical records
    • Clinical imprint, valuation, and diagnosis
    • Applicable history and reason for the encounter
    • Medical care proposal
  • Document Management
    • Store copies of patient’s clinical records and other documents
    • Send documents to patients or other providers or insurance quickly when required
  • Centralized Communication
    • Telemedicine calls with your patients
    • CRM (email and call directly from your EMR)