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the Electronic Office for O&P Practices

 

O&P ALMANAC May, 2006

 
 
 
An Overview of O&P Business Software, Part I

By Deborah Conn


While not impossible, it is difficult to find an O&P facility that is completely computer-free, relying solely on paper for patient schedules, clinical notes, purchasing, billing and collections.

Yet many practices limit their computer use to one or two functions or try to adapt software designed for the general business or physician medical market to their O&P organization.

Software designed specifically for O&P has been around for more than a decade, but recent years have seen an increase in the number of companies producing O&P-specific software–not to mention a far greater sophistication and range of capabilities in these programs.
 

 
 
 
MedePresence
 

MedePresence practice management software was first developed for M&M Orthotics & Prosthetics Centers in Las Vegas. Paul Laria, director of orthotics for M&M, and Jenefer Edelen, M&M’s billing specialist, were instrumental in developing clinical and financial systems for the program.

Kris Madsen is the owner of M&M, and her husband, David Dugan, founded MedePresence in 2002 and have since expanded the software to encompass other medical specialties.

What sets MedePresence apart, according to Mark McNeill, vice president of marketing and sales, is that “MedePresence is the only solutions provider that not only offers a customized EMR and practice management system for the O&P market, but also one that offers value-added business services. We offer a total package, a soup-to-nuts solution for the O&P practitioner."

Additional offerings include billing and collections, insurance authorizations, verification and explanation of benefits and chart editing and transcription. MedePresence also provides marketing creative services, including Web site development, and the ability to create brochures and business cards.

MedePresence consists of a full complement of patient, clinical and administrative management tools, including patient scheduling and registration, electronic medical records, billing and financial management.

Roy Riding, CO, is owner of Red River Orthotic Specialists in Shreveport, La. Riding recently established his business after 10 years as director of O&P at the Shriners Hospital for Children in Shreveport.

He has been using MedePresence software and billing services since August 2005. “We had used electronic recordkeeping at Shriners, so I found the transition fairly easy,” he notes.

“And once the initial setup is done, it’s much less expensive than hiring billing personnel. I like that everything is electronic; it makes us automatically HIPAA compliant.” Riding has used MedePresence marketing services as well, both for creating brochures and developing a Web site.

McNeill highlighted several features of the MedePresence system: Expedited billing. According to McNeill, many practices are able to bill patients for their share of the cost before they even leave the office, as a result of MedePresence’s insurance authorization service and Quick Bill, its proprietary billing program built into the software.

As the practitioner works with the patient, he or she enters information into the system, which is automatically sent to the front office or billing manager for processing.

The software calculates what percentage of the bill will be assigned to the insurer and how much is the patient’s personal responsibility, generates an invoice and, once paid, a receipt.

Digital tablets:

MedePresence generates authorization and compliance forms for patients, who can digitally sign the documents using an electronic tablet. Not only does this eliminate the need for paper, it stores the information securely and makes it easily accessible in the event of an audit.

Practitioners can also use electronic pen tablets for making clinical notes, as well as the traditional keyboard. Some practitioners dictate notes to create audio files, which are then transcribed and entered into the patient record.

Patient registration options. MedePresence offers several ways for patients to register. In addition to traditional paper registration, patients can use a wireless pen tablet, which electronically captures the information for immediate input into the system.

Riding says, “If you do clinics or hospital visits, it’s really convenient to register patients with the pen tablet and you don’t have to carry around a lot of paperwork.”

Patients can also register from home using the Internet, which saves time and inconvenience on the initial visit. McNeill says, “We focus on obtaining accurate demographic and insurance information so that claims can be processed more quickly and with fewer denials.”

Auto Notes:

This feature, exclusive to MedePresence, helps practitioners construct various
sections of progress notes by creating full sentences and paragraphs based on information entered by the patient and from the physical exam. This both saves time and ensures that documentation is complete.

MedePresence also offers the Progress Notes Composer Tool. With a single click, practitioners can compose a patient’s entire progress note in a format that can be used for clinical correspondence and insurance claims. Notes can be e-mailed or printed as needed.

Exam templates:

Based on the patient’s diagnosis, MedePresence displays templates for orthotists and prosthetists to record measurements and other data. A screen for work in progress displays the status of each task, showing what has been completed and what remains to be done.

Financial Dashboard:

This screen allows practice managers to access and analyze financial
information, from the status of a single payment to total revenues by insurance company, referring physician or other sources.

A modular system:

MedePresence offers a number of options for the O&P practice, including an introductory package that includes scheduling, registration and Quick Bill financials.

“We can always add the exam templates when the practitioner is ready for them,” explains McNeill. “It streamlines the process without forcing practitioners to learn a whole new system.”

Practitioners can also buy software separately from such additional services as billing and financial management, insurance authorizations and verification and explanation of benefits, although McNeill believes that practices will realize the greatest benefit from a more inclusive package.

He says, “By providing billing services and doing insurance authorizations for our customers, we can remove a heavy administrative burden from them, help them reduce their costs and allow practitioners to focus more on their patients.”
 

 
 
 
 
 
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