Archive for the ‘business’ Category

Consultation Office Update

I am still in the process of turning my office into another exam room. Now that I use an electronic health record, I don’t really actually need a physical office during most of the day. I don’t tend to dictate during the middle of the day so giving up my office is not a big [...]

Using e-mail to increase panel size

After doing some practice innovations (group visits are restarting, I’m undiagnosing patients from hypertension treatment with my ABPM) I may have some availability in my practice without affecting my continuity. That means I can potentially increase my panel size a bit and still provide similar care. I’ve just done a little free within-my-practice advertising and [...]

Psychological Testing Procedure template

This template was created by Christine Hunter, PA-x. (x stands for extraordinary) This includes some billing codes (so you can get credit for reviewing and interpreting Vanderbilts, for example.) Psychological_Testing Template

Lessons from hosting my first Webex

Before my first webex, James Foster of e-MDs advised me (paraphrased): Mute participants to avoid horrible distraction. Have the technical support number handy. Embed some music at the start so people don’t say, “I don’t hear anything, has the webinar started?” Start the webinar 30 minutes prior and load the slide deck up Don’t actually [...]

Medicare e-Rx Report

The Medicare e-Rx code drove my practice crazy last year. We e-prescribe all the time and many of us successfully attested for Meaningful Use. But the e-prescribing rule doesn’t allow for tracking that way. Instead it requires a bonus g-code be submitted. Please, Medicare, stop the madness! Sara Evans rightly recognized this as a reporting [...]

Stage 2 Proposed Guidelines

Print this for yourself and your partners Download Handout: Proposed MU Stage 2 Benchmarks Made for printing double side. This was written initially by John Crankshaw as a forum post, then we collaborated to make it into a handout. Since these are ‘proposed’ guidelines, these are our interpretations.

e-MDs Portal Auto-Messages

One of the setup tasks for portal is to create some standard messages — disclaimers, warnings, and the like. I had forgotten that it was one of the things I ‘ran through my readability program’ I’ve been re-writing clinic paperwork for a while. My all time fav: the HIPAA form — unrecognizable compared to the [...]

Quick Feedback with Google Forms

Fred Wilson, a Venture Capitalist, has a great blog post about continuous feedback. At a small startup they ask: What’s three things we’re doing well at? What’s three things we need to do better? Getting that type of feedback on a regular basis allows you to spot issues quickly. Or exploit strengths to do really [...]

Security and HITECH Tools

Thanks to Andy Helm and Georgia HITREC for security-related info for Meaningful Use. (And Thanks to Samuel Church, MD/MPH, for hooking this up for sharing.) This includes two major tools: a spreadsheet tool for conducting a security audit and a document with principles of security and checklists for applying them in a small practice. Good [...]

Patient Health History Form

Christine Hunter, PA, provided this Word Document which lines up with the history that you would put in for e-MDs health summary. Original Discussion on SupportCenter Patient Health Summary Form

Insurance Invoice Status Report

Chat Kidkul made this report Chat says: This being used by billing to track down invoices still sitting out there waiting for action. It will pull invoice with a balance and can be broken down by financial group and payor. This was created for use until e-MDS fixes the insurance AR report. There are still [...]

Custom Payer Invoice Count

Chat Kidkul made this report Chat says: This counts % of invoices by payor, can be broken down by provider, facility, payor and financial group. Mainly used to see patient volume by insurance company. The detail report will show appointment information along with invoice information. He used this report to determine if he could get [...]

Custom Appointment Data

Chat Kidkul made this report Chat says: Custom Appointment Detail report – being used to track appointment visits by reception. Pulls from appointment data showing types of patient visits, to help with identifying no shows and new patients. That’s one of my favorite bits: The best report is one that is actually run repeatedly and [...]

Patient Preferences for Office Technology

So the theme I pull out of this: Patients have a stronger preference for access than doctors have. We’re all used to creating walls to protect us from too much access. To me, that might be a symptom of not being careful about managing your panel size. (See my recent Provider Panel Report as a [...]

Duplicate Names Report

We add a special pop up alert to patients who have a name that is the same or similar to existing patients. For example, I worry about a medical assistant calling someone with lab results and not noticing that they have the wrong “Bob Smith.” A pop-up doesn’t solve the problem, but at least the [...]