Finding the ROI in Your EHR

PAGE 1 KAREO | @GoKareo; #KareoTipPAGE 1 KAREO | CONFIDENTIAL

Finding ROI in Your EHR

PAGE 2 KAREO | @GoKareo; #KareoTip

Our Schedule for Today…

1 Introduction & Welcome Laurie & Joe

2 Finding ROI in Your EHR

3 Discover Kareo’s Role

4 Answer Questions


Your Hosts Today…

Laurie MorganSenior Consultant & Partner,

Capko & Morgan

Joe CapkoSenior Consultant & Partner, Capko & Morgan


Participate via Social

Facebook.com/GoKareo

Twitter.com/GoKareo

http://kareo.ly/kareogroup

We’ll be live tweeting during today’s webinar!

How to participate:

1. Follow @GoKareo on Twitter

2. Follow @LeaChatham on Twitter

3. Search for #KareoTip

4. Join the conversation using #KareoTip


Laurie Morgan

Practice management and healthcare consultant

Focus on revenue growth, operational excellence and start-up strategy

Author of Management Rx e-book series: Get the Best From Your Medical Billing Service and Patient Flow Mistakes Smart Practice Manager Make – and How to Avoid Them

Laurie has an MBA from Stanford University

[email protected]

[email protected]

www.capko.com

mailto:[email protected]


http://www.capko.com/


Joe Capko

Specializes in strategic planning, business development, qualitative/quantitative studies, and statistical analysis

Conducted patient satisfaction and community needs assessments for all sizes

Over ten years experience with statistical research

Fielded public opinion polls for Public Research Institute and PC World Magazine

BA in Political Science and Urban Planning

[email protected]

[email protected]

www.capko.com



http://www.capko.com/



1 Introduction & Welcome Laurie



4 Answer Questions


Why Did You Get an EHR?

“The government said we had to”

“We were afraid of penalties”

“We wanted the Meaningful Use money”

“All our peers were doing it”


The Right Thing for the Wrong Reasons

Think positive: even vegetables can taste good!

Odds are:

– Your EHR already delivers a positive return

– Higher ROI is a few simple steps away

© raphotography - Fotolia.com


ROI=Return on Investment

Costs are easy to spot

Revenue/expense reduction can be less obvious

– Offset costs

– Billing and coding consistency

– Marketing and analysis tools

– New revenue generating opportunities

– Physician convenience; efficient access and teamwork

– Error reduction


Hidden Costs of Paper Charts

ROI assessments often underestimate paper chart costs

– Space (medical records, fax, inventory)

– Supplies

– Risks of errors, damage, destruction

– Staff (records management, transcription, prescriptions, slower patient flow)

– Inconvenient access – delayed care


Less Paper, More Profit

Repurpose your medical records area

– Conference room

– Physician office space (convert existing offices to exam rooms?)

– Clinical research

– Workflow: phlebotomy, vaccinations, sub-waiting

Redeploy staff, or downsize through attrition


Billing and Reimbursement

Better coding up-coding

But better documentation avoids denials, enables appeals

Integration saves billing time, reduces missed charges

– If you don’t have an integrated system, start shopping


Segment Your Patients for Marketing

Preventive care

Follow-up care

Elective services

Possibly even payer negotiations

Many of these activities contribute to MU


Start With Standard Reports


Explore Custom Reporting


New Revenue Sources, New Rules

Group visits – use EHR to pull, poll population

Care coordination

PCMH

Value-based payments


Growth of FFS-Alternative Programs

Program Started Current Participation

ACOs 2012 600+*

PCMH 2008 27,000+ clinicians**

~7,000 practice sites

~10% of PC practices

Other alternative

payment models

HHS Announcement:

January 2015

20 hospitals and health

plans already set 75%

alternative payment

target***

Source:

*Leavitt Partners/Becker’s Hospital Review

**NCQA

***Advisory Board Company (Daily Briefing)


Insist On Quality

Get the training you need for reporting

Add a module like Crystal Reports if necessary

Make sure templates are up to date – structured data is key to reporting


Internal Communication and Efficiency

Tasking and instant messaging

Tablet systems, portals allow patients to enter their own data

Patient forms (population health, school forms)


Tasking and Instant Messaging

Physicians can communicate with staff without leaving room

– Request supplies, order labs

Billing, scheduling questions can be answered in real-time

In some cases, messages can be attached to patient

Pitfall: tasking in lieu of immediate handling


“Within primary care practices, valid

patient entered family health history

data can be obtained electronically at

higher rates than a standard of care that

depends on provider-entered data.”

Murray, MF, Giovanni, MA, et al – J Gen Internal Med, Dec

2013


Portals: What if Some Patients Refuse?

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.berkeleyside.com/2010/10/06/thieves-target-bank-of-america-atm-machines/&ei=mvvLVKLHGoHnoASD14GQAw&bvm=bv.85076809,d.cGU&psig=AFQjCNGCNDOdu6B_TRT9YxgEEBZCMBaEGA&ust=1422740711255750

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.berkeleyside.com/2010/10/06/thieves-target-bank-of-america-atm-machines/&ei=mvvLVKLHGoHnoASD14GQAw&bvm=bv.85076809,d.cGU&psig=AFQjCNGCNDOdu6B_TRT9YxgEEBZCMBaEGA&ust=1422740711255750


Portals: Get ROI from Willing Adopters

Every patient that uses it increases your ROI

– Scheduling

– Labs and prescription updates

– Entering own data

– Communication (marketing)

– Online payments


More Under-tapped Features

Fax server

Integration with Dragon or scribe service

Measure workflow efficiency

Automate patient forms (e.g., school forms)


Build Your Career Skills

Create a super-user team

Join local user groups for your vendor

Brainstorm with other practice managers in your specialty


Time for a Switch?

Look to the cloud

Insist on integration – even if using two vendors

Consider reporting, portal quality, other tools

Plan for post-adoption (re)training






4 Answer Questions


Discover Kareo’s Role

Cloud-based

Insurance & Patient Billing

Scheduling & Practice Management

Electronic Health Records

Medical Billing Services

Education, Training, & Support

Ranked #1 by Black Book 2 Years

25,000 Providers Nationwide



• Kareo EHR

• Over 150 templates

• Create custom templates

• eRX and eLabs

• Built for mobile

• Training, implementation, and ongoing support



• Kareo Practice Management

• Simple workflow

• Updated Medicare Fee Schedule

• Claim tracking

• Patient collections

• ICD-10 ready



• Kareo PM

• Kareo Billing Services

• Kareo Virtual Office

• Kareo Partners

• Online appt. scheduling

• Text reminders

• Recalls

• Reputation Management

• Specialty EHRs








4 Answer Questions


How to Participate Today…

Type your questions

888.775.2736 x1

[email protected]

-- Questions After the Webinar --



Finding the ROI in Your EHR

Health & Medicine

kareotip page

kareotip roi

kareotip billing

ehr page

shopping page

attrition page

capko morgan page

answer questions page