Dharmaraj Nagarajan

Problems with prior authorizations? Check out this AMA podcast on how EHR data exchange can help. #priorauthorization #ehr #emr #ama #qualcodeinc Link: https://lnkd.in/eQk6VS_2

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Managing document requests can be overwhelming, especially when you're dealing with compliance standards that allow no room for error. Missed requests or late submissions can lead to major setbacks, both in terms of customer trust and regulatory compliance. That's where AsterDocs steps in. With real-time document request management, AsterDocs ensures that every request is tracked and fulfilled promptly, preventing compliance issues from ever slipping through the cracks. Whether it's fulfilling COA, MSDS, or certification requests, you can stay on top of it all without the hassle. ✔️ Real-time tracking: Never lose track of document requests again. ✔️ Compliance ensured: Keep up with regulations without any last-minute scrambles. ✔️ Customer satisfaction: Deliver documents on time, keeping your supply chain relationships strong. Ready to take control of your document management? #ComplianceManagement #SupplyChainCompliance #AsterDocs 

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📌Enhancing CDI (Clinical Documentation Improvement) to Achieve Superior Coding Accuracy 🚀 ALPINE PRO HEALTH LLP 🚀CDI is considered the bedrock for true Medical Coding accuracy. Its practice ensures that healthcare provider documentation reflects the breadth and depth of the services rendered to the patient. Superior coding accuracy not only improves compliance but also pays off in reimbursement and health outcomes. Here are 10 necessary strategies for achieving superior coding accuracy through improved CDI practices: 1️⃣ Comprehensive Staff Training Continuous education for coders, physicians, and CDI specialists on coding guidelines, payer policies, and compliance updates is crucial. A well-informed team is less likely to make errors. 2️⃣ Leveraging Clinical AI Tools Incorporating AI-powered solutions can identify gaps, flag inconsistencies, and suggest improvements in documentation, making the process faster and more accurate. 3️⃣ Promoting Interdepartmental Collaboration Establishing strong communication between coders, CDI specialists, and healthcare providers ensures clarity in clinical documentation and reduces ambiguity. 4️⃣ Conduct Pre-Bill and Post-Bill Audits Execute regular pre-bill and post-bill audits to detect, correct, and prevent error at claim preparation and submission time. 5️⃣ Educating Providers on Physician Engagement To ensure clinical records capture all of a patient's conditions and treatments, educate physicians on the importance of specific and complete documentation. 6️⃣ Providing Real-Time Feedback via Documentation Providing real-time feedback to healthcare providers while they document can greatly enhance the credibility and pertinent nature of the clinical record. 7️⃣ Monitoring for Compliance with ICD and CPT Coding Guidelines Keeping up with the ever-evolving standards for ICD-10, CPT, and HCPCS coding is essential to ensure that all documentation complies with regulatory requirements. 8️⃣ Monitoring and Analyzing Key Performance Indicators  Ongoing review of CDI KPIs, such as query rates and response times, helps to identify opportunities to increase performance and can show how progress towards accuracy standards is gained. 9️⃣ Investing in Advanced CDI Technology Modern CDI tools that incorporate NLP and machine learning make the review process streamlined and actionable for coders and clinicians. 🔟 Documentation Audits Should be Regular Regular, in-depth reviews of documentation can identify trends, highlight frequently recurring errors, and help with targeted training aimed at improvement. 👉 Contact us today to learn more about how ALPINE PRO HEALTH LLP can benefit your practice. For more info Reach us🤙 ✉Mail:[email protected] 📲Phone: +1(914)-292-9596 🕸https://lnkd.in/gDskJQvj #ClinicalDocumentationImprovement #Alpineprohealth #CDI #CodingAccuracy #MedicalCoding #HealthcareCompliance #RevenueIntegrity #CDIAudit #HealthcareInnovation #AccurateCoding #HealthcareExcellence

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Get an exclusive sneak peek into CoDoc Academy's upcoming webinar, "Right Documentation of the Most Common Conditions in Outpatient Practice," under the nuances of ICD-10 and HCC Risk Adjustment in Version 28. Register now and join us live on August 3rd for the full webinar experience! #linkedIn #community #medicalcoders #USA #Nevada #webinar #registertoday

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Problem: Too many claims being held or written off, and aging AR is growing. How many practices have experienced this with their EHR platform? RCM programs that submit claims and provide minimal follow-up on those that are not paid for various reasons (additional documentation required, different code or modifier needed, etc.) cost physicians revenue that they should be receiving. Solution: KollectMD can access your existing EHR platform to analyze your aging AR to determine which claims are still eligible for payment and resubmit them, working with your office staff to ensure all necessary information is included prior to resubmission. We can also run custom denial reports on a regular basis and review it with you so that errors can be corrected for future claims. Our team is committed to making sure you receive the revenue you are entitled to. If you want to learn more about how our services can improve the operation of your practice, contact us at [email protected]. #revenuecyclemanagement #medicalbilling #medicalcoding #medicalbillingandcoding #medicalpracticemanagement

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If there’s one topic that’s sure to elicit groans from claims and billing teams, it’s prior authorizations. Efficient and timely management of #priorauthorizations remains a headache for #healthcare providers, with 89% citing this as one of their top three improvement priorities in patient access (according to Experian Health's State of Patient Access 2024 survey). Read the blog post to learn about the 5 benefits of prior authorizations: https://lnkd.in/geqvk5Ma

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As of 2023, Epic holds 39.1% of the U.S. acute care hospital EHR market share. If your institution isn’t currently using Epic, chances are you’re either considering it or your EHR vendor is already planning their next moves based on Epic’s roadmap. This—combined with the fact that health systems are hesitant to adopt new solutions if Epic has a comparable tool on its roadmap—gives Epic the ability to outcompete nearly any startup in a given category, should they choose to. In other words, what Epic does should be of interest to every health system leader, health IT startup executive, and health tech investor across the country. In our newest report we’re breaking down Epic’s current and publicly announced planned AI features to help healthcare decision makers understand how best to navigate an Epic-dominated ecosystem. Download the report here: https://lnkd.in/eHx3XVHN

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🔥 It's ok to ask for help in IT🔥 Maintaining and enhancing the technology that healthcare organizations rely on is no small feat. With diverse tech systems in play, it's unrealistic to expect any single IT manager to be a master of them all. That's where the expertise of an Oracle Health EHR consultant becomes indispensable. Our latest blog post delves into the vital responsibilities and transformative impact these consultants have on advancing healthcare systems with cutting-edge technology. Don't miss out on understanding the pivotal role they play in modern healthcare here: https://lnkd.in/e_Aj6AJr #OracleHealth #EHRConsultant #HealthcareTechnology #HealthTech #DigitalHealth #HealthcareInnovation

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📊 When was the last time you optimized your EHR? If it’s been 3–5 years, it’s time to take a closer look. We help healthcare organizations maximize the value of their EHR investments with tailored optimization strategies and Epic Refuel projects. 🚦Signs you need optimization: 🔹 High clinician dissatisfaction 🔹 Workflows that don’t match organizational needs 🔹 Frequent help desk tickets Our seasoned consultants ensure your system supports your team—not the other way around. Ready to unlock the full potential of your EHR? #EHROptimization #EpicRefuel #HealthcareEfficiency #PatientCare

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#TechTuesday Streamlining Prior Authorization with Automation Prior authorization remains a major bottleneck in healthcare, with providers spending an average of 13 hours per week on manual tasks instead of patient care​. This process is not only time-consuming but prone to errors, leading to delays in care and increased administrative costs. AI-driven automation offers a powerful solution to these challenges. By automatically extracting patient data, cross-referencing payer requirements, and submitting authorization requests, AI can drastically reduce wait times, improve accuracy, and lower the risk of denials. In fact, automation can save up to 16 minutes per authorization, freeing up almost 11 hours per week for healthcare providers​. At Jorie AI, we are dedicated to tackling these inefficiencies with cutting-edge AI tools that help healthcare organizations streamline prior authorization, enabling them to focus more on delivering quality care. 🌐 https://bit.ly/40CGsYE #HealthTech #AIinHealthcare #PriorAuthorization #MedicalAutomation #JorieAI #HealthcareInnovation

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Inpatient CDI and coding are complex, especially when multiple teams struggle to capture all the appropriate DRGs, CCs, and MCCs. But there’s a better way. With VISION Clinical Validation Technology™, you can simplify your CDI process and significantly improve your hospital’s financial performance—by up to 10X. Hospitals that implement VISION achieve a final denial rate of less than 1%* with our proven, AI-data-driven technology that ensures accurate documentation, validates DRGs, and minimizes denials. Discover how VISION is transforming hospital CDI programs nationwide https://hubs.li/Q02PMjfr0 *with our comprehensive program #CorroHealth #CDIWeek2024 #ACDIS #CDI #Healthcare

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🔄 𝐁𝐫𝐞𝐚𝐤𝐢𝐧𝐠 𝐃𝐨𝐰𝐧 𝐭𝐡𝐞 𝐄𝐇𝐑 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧 𝐑𝐞𝐯𝐨𝐥𝐮𝐭𝐢𝐨𝐧: 𝐀𝐦𝐛𝐢𝐞𝐧𝐭 𝐈𝐧𝐭𝐞𝐥𝐥𝐢𝐠𝐞𝐧𝐜𝐞 𝐌𝐞𝐞𝐭𝐬 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐈𝐧𝐟𝐫𝐚𝐬𝐭𝐫𝐮𝐜𝐭𝐮𝐫𝐞 📊 Current EHR Landscape: • 89% of hospitals use multiple EHR systems • 4.3 hours/day spent on EHR documentation • $36B yearly spent on EHR maintenance • 67% integration failure rate Let's decode how ambient technology is bridging these gaps. 🎯 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧 𝐀𝐫𝐜𝐡𝐢𝐭𝐞𝐜𝐭𝐮𝐫𝐞 𝐃𝐞𝐞𝐩-𝐃𝐢𝐯𝐞: 𝟏. 𝐃𝐚𝐭𝐚 𝐅𝐥𝐨𝐰 𝐅𝐫𝐚𝐦𝐞𝐰𝐨𝐫𝐤: • HL7/FHIR protocols • RESTful API integration • Bi-directional sync • Real-time data mapping • Custom field matching 𝟐. 𝐂𝐨𝐧𝐧𝐞𝐜𝐭𝐢𝐨𝐧 𝐓𝐲𝐩𝐞𝐬: → Direct Integration: • Native API connections • Real-time database sync • Automated field mapping • Custom triggers • Error handling → Middleware Solutions: • Integration engines • Data transformers • Message queues • Format converters • Load balancers 📈 Performance Metrics (Based on 200+ Implementations): Efficiency Gains: • Documentation time ⬇️ 72% • Data accuracy ⬆️ 94% • Integration uptime ⬆️ 99.9% • Error rates ⬇️ 87% • Sync speed ⬆️ 3x 🔧 𝐓𝐞𝐜𝐡𝐧𝐢𝐜𝐚𝐥 𝐈𝐦𝐩𝐥𝐞𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐅𝐫𝐚𝐦𝐞𝐰𝐨𝐫𝐤: 𝐏𝐡𝐚𝐬𝐞 𝟏: 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 • EHR system audit • Data flow mapping • Integration points identification • Security compliance check • Performance baseline 𝐏𝐡𝐚𝐬𝐞 𝟐: 𝐃𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭 • API configuration • Custom field mapping • Workflow automation • Testing environment setup • Security implementation 𝐏𝐡𝐚𝐬𝐞 𝟑: 𝐃𝐞𝐩𝐥𝐨𝐲𝐦𝐞𝐧𝐭 • Staged rollout • Real-time monitoring • Performance optimization • User training • Support system setup 🎯 Key Integration Features: 𝟏. 𝐃𝐚𝐭𝐚 𝐒𝐲𝐧𝐜𝐡𝐫𝐨𝐧𝐢𝐳𝐚𝐭𝐢𝐨𝐧: • Real-time updates • Conflict resolution • Version control • Audit logging • Error recovery 𝟐. 𝐖𝐨𝐫𝐤𝐟𝐥𝐨𝐰 𝐀𝐮𝐭𝐨𝐦𝐚𝐭𝐢𝐨𝐧: • Smart templates • Auto-population • Clinical validation • Decision support • Quality checks 𝟑. 𝐒𝐞𝐜𝐮𝐫𝐢𝐭𝐲 𝐌𝐞𝐚𝐬𝐮𝐫𝐞𝐬: • End-to-end encryption • Role-based access • Audit trails • Data validation • Compliance monitoring 💡 𝐁𝐞𝐬𝐭 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐞𝐬 𝐅𝐫𝐨𝐦 𝐓𝐨𝐩 𝐏𝐞𝐫𝐟𝐨𝐫𝐦𝐞𝐫𝐬: Pre-Integration: • Comprehensive system audit • Workflow analysis • Staff readiness assessment • Data cleanup • Integration testing During Integration: • Phased implementation • Continuous monitoring • Regular backups • Performance tuning • User feedback collection Post-Integration: • Optimization cycles • Usage analytics • ROI tracking • Staff satisfaction surveys • Continuous improvement 💡 Share your biggest EHR integration challenges below - let's solve them together. #HealthcareIT #EHRIntegration #HealthTech #DigitalHealth #Healthcare #TechnologyIntegration #MedicalTechnology #HealthcareInnovation

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In our 2024 EHR Salary Insights Report, 77% of HIT professionals reported that they are currently seeking or plan to seek a new role in the next 12 months. One of the main reasons is that they don’t see a clear path to promotion. Here are 3 strategies to stay ahead of potential challenges: 1️⃣ Create advanced roles like Application Architect or Product Manager for top performers who prefer staying in individual contributor roles. 2️⃣ Communicate career paths clearly and offer mentorship programs to guide employees toward growth. 3️⃣ Acknowledge progress regularly by celebrating milestones, even when they don’t result in a title change, to keep the team's motivation high. Invest in your team's growth, and they’ll invest in your company. #CareerGrowth #EmployeeRetention #Leadership

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Health Data News Roundup: TEFCA and Payer-Provider Interoperability; Medicare Advantage Questions; and Achieving HEDIS Compliance and Enhancing Star Ratings #TEFCA #HEDIS #HealthData #Payers #HealthPayers https://bit.ly/4dZdsyk

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🌟 Training Integration for Modular Systems 🌟 The transition to modular Medicaid Enterprise Systems requires a culture change for Medicaid agencies, vendors, and care providers. To equip system users to maximize efficiencies and cost savings, a robust Organizational Change Management strategy, including Training Integration, is critical. Effective training must go beyond system functions and relate to a user’s job role and daily activities. Are you preparing your people for the scope of change to their daily activities when planning your technology implementation? Don't lose sight of your people by focusing only on the technology! #BrilliantPossibilities #Learning #Training #System #Implementation #Change

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🌟 Training Integration for Modular Systems 🌟 The transition to modular Medicaid Enterprise Systems requires a culture change for Medicaid agencies, vendors, and care providers. To equip system users to maximize efficiencies and cost savings, a robust Organizational Change Management strategy, including Training Integration, is critical. Effective training must go beyond system functions and relate to a user’s job role and daily activities. Are you preparing your people for the scope of change to their daily activities when planning your technology implementation? Don't lose sight of your people by focusing only on the technology! #BrilliantPossibilities #Learning #Training #System #Implementation #Change

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Learn all about NextGen Healthcare EHR: Practice Management, Billing, and Clinical Outcomes in a 'one on one' zoom call. Or buy the Handbook. Please email [email protected] for pricing. Comes with 100% money back guarantee if not satisfied. Covers the following: Chapter 1: Introduction to NextGen Healthcare EHR Overview of Electronic Health Records (EHR) Introduction to NextGen Healthcare Key Features and Benefits of NextGen EHR Industry Trends in EHR Systems Chapter 2: Getting Started with NextGen EHR Initial Setup and Configuration Navigating the NextGen Interface Role-based Access and Permissions Customizing Dashboards and Workflows Chapter 3: Practice Management with NextGen Overview of Practice Management Features Patient Scheduling and Appointment Management Managing Patient Information and Demographics Automated Task Management and Alerts Chapter 4: Streamlining Billing Processes Introduction to Billing Solutions in NextGen Insurance Verification and Claims Submission Revenue Cycle Management (RCM) Reducing Errors and Denials in Billing Chapter 5: Optimizing Patient Engagement and Communication Patient Portal and Self-service Features Streamlining Communication Between Providers and Patients Telemedicine Integration with NextGen Enhancing Patient Satisfaction and Retention Chapter 6: Improving Clinical Workflows with NextGen Optimizing Documentation with Templates and Tools Clinical Decision Support Systems (CDSS) Automating Routine Tasks for Clinical Efficiency Workflow Best Practices for Improved Productivity Chapter 7: Enhancing Data Accuracy and Reporting Data Entry Best Practices Utilizing NextGen’s Reporting Tools Performance Metrics and Quality Reporting Using Analytics for Data-driven Decisions Chapter 8: NextGen's Role in Population Health Management Population Health Features in NextGen Managing Chronic Diseases and Patient Cohorts Integration with Health Information Exchanges (HIE) Promoting Preventative Care and Health Outcomes Chapter 9: Improving Clinical Outcomes with NextGen Tracking and Measuring Clinical Outcomes Implementing Evidence-Based Practices Reducing Medical Errors and Enhancing Patient Safety Case Studies on Clinical Outcome Improvements Chapter 10: Integrating NextGen with Other Healthcare Systems Interoperability with Other EHR Systems Integration with Laboratory, Radiology, and Pharmacy Systems Data Sharing and Exchange Standards NextGen’s API and Third-party Integrations Chapter 11: Security and Compliance with NextGen HIPAA and Other Regulatory Compliance Data Security and Encryption Practices Auditing and Monitoring for Compliance Disaster Recovery and Backup Solutions Chapter 12: NextGen for Specialized Practices Chapter 13: Training and Onboarding for NextGen Users Chapter 14: Future Trends in NextGen and EHR Systems Chapter 15: Conclusion and Best Practices for Success More eBooks available at https://lnkd.in/gyWHTuPw

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📢 Discover how Ensure Data Solutions supports healthcare providers in overcoming challenges like interoperability, population health management, and addressing SDoH. Together, let's improve outcomes, reduce costs, and drive health equity. 🌟 #valuebasedcare #healthcareinnovation #SDoH #ensuredatasolutions #healthcaredataanalytics #clinicalinterventions #populationhealthmanagement #managedcare

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