Technology and Its Role in EHR Solutions -Avontix

The technological advancements have changed our lives tremendously. The impact of technology can be seen in every field of life. In the healthcare industry, technology has not only helped improve the quality of life with new machines and medicines but also has helped both the healthcare providers and patients with patient information at the fingertips which facilitate faster decisions. The electronic medical records and electronic health records are a result of the technology. Let us a take a look at some of the recent trends in the electronic health records arena.

Using mobile technology: With more and more people using smartphones, there is an increase in the demand for access to medical records on mobile phones. Since patients move from one place to another and visit different specialists, it is understood that it becomes necessary to be able to access the information from anywhere.
The cloud technology comes with its own benefits of cost-effectiveness, more storage capacity and security. This induces healthcare providers to use cloud technology to maintain their electronic health records.

Linking pharmacies: Using the technology more and more pharmacies are getting linked with healthcare providers and this facilitates easy access to medication prescribed by physicians and helps in reducing errors that occur due to the illegible writing of the physicians.

Integration with medical billing: With the growing use of technology many healthcare providers are looking for vendors who can provide both medical billing and EHR solutions as integrated services.
Integration with telemedicine market: The telemedicine market is seeing a growth and many physicians are searching for opportunities that help them in providing best healthcare to their patients even remotely. In such scenario, it becomes important that such remote care providers integrate their services with the electronic health records to be compliant with the healthcare regulations.

Avontix provides to ASCs through its EZchart, a complete chart management solution that is designed to bring efficiency EHR solutions and savings to ASC patient record management. Our EHR solutions utilize the latest technology and simplify processes.

Modifiers and Their Significance in Medical Coding -Avontix

                            
With billions of people getting affected by illnesses and diseases, it is a tough job to report all the details regarding the patients’ visits to healthcare facilities. This is all the more difficult when there are multiple healthcare facilities and the same patient may visit a physician multiple times. To ease the process of reporting these details for future references and for insurance purpose, medical codes are used and medical coding has become one of the most significant professions in the healthcare sector. Medical coding involves taking medical reports from healthcare providers which include patients’ conditions, diagnoses, treatment provided and translating them into a set of codes as per the international standards. Coding modifiers accurately is absolutely necessary to get the due revenues for a healthcare provider which can be learnt by enthusiastic medical coders at the best medical coding company in Hyderabad. There are three types of codes that are used in medical coding jobs – ICD, CPT and HCPCS codes.
Modifiers:
As the medical diagnoses and procedures are too complex in nature, sometimes a need for some additional information arises at the time of coding. In such cases, the need for modifying codes arises which provide additional information about the procedures. To see success in medical coding jobs, it is of utmost importance to know the various modifiers as they are critical in coding and using them wrongly may result in revenue losses.
Modifiers are those codes that describe if a service or procedure has been modified under some circumstances. They give additional information or change the description per the physician’s documentation to give more specific details for a service or procedure performed. Modifier codes consist of 2 digits and can be categorized into two levels. They are:

  • Level I modifiers: These are also known as the CPT modifiers and consist of 2 alphanumeric characters which are updated once a year by the American Medical Association (AMA). These modifiers are added at the end of a CPT code with a hyphen. In cases where there is more than one modifier that has to be mentioned, first, the functional modifier has to be listed and then the informational modifier. Anesthesia procedures have a special set of modifiers to state the condition of a patient when anesthesia is administered.
  • Level II modifiers: These are also known as HCPCS modifiers and consist of 2 alphanumeric characters which are updated once a year by the Centers for Medicare and Medicaid Services (CMS). These modifiers are used to give additional specification to a procedure performed and can impact the claim payments.

Importance:
The modifiers play a crucial role in medical coding field as they are vital in medical claims processing. Modifiers give clarity on the following aspects to insurance payers.

  1. If the provided services included technical component or professional component or both
  2. If more than one physician has rendered a service or procedure
  3. If service was rendered at more than one location
  4. If service was performed completely or partially
  5. If any optional extra service or bilateral service was performed
  6. If a service was performed multiple times
  7. If any mishap occurred while providing the service

Thus, the modifiers play a significant role in the accuracy of medical coding and billing. Hence, a proficient medical coder is required to do this job. Avontix is one of the best medical coding companies in Hyderabad that gives aspiring medical coders great scope of experience and growth. 
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Build Your Life with Confidence -Avontix

What is that one thing that can take you to success in times of difficulty? It is confidence. Confidence to overcome difficult situations and handle pressure in tough times will bring success. Confidence is built on many things but primarily it is built on choices you make and accomplishments you get from your choices.  We all definitely want to be confident, but how to build confidence is a big question for many. Building self-confidence is not a matter of one or two days. It is a process and habit that has to be built over a period of time investing your time and energy and this can be done by anyone who wants to be successful following some simple rules.
  • Be positive – Being positive is the first thing that has to be followed to be self-confident. You ought to give yourself positive self-affirmation that tunes your mind to think right and take right decisions. Words like “I can do this” and “I am capable” are examples for positive self-affirmation. Positive statements like these can work wonders for you. Keep repeating these statements to yourself to register them in your subconscious mind and it will build your confidence that you can do.
  • Dress right: Your attire makes a lot of difference to your look. The way you dress can make or break your image. One of the easiest ways to gain confidence is dressing like an authority. Smart outfits make others perceive you as important and that makes you start feeling like one. Always wear clothes that are comfortable for you and at the same time make you look elegant that add to your confidence.
  • Speak clearly: The way you talk shows your confidence levels. So, to look and feel confident, speak loudly and clearly. Only those people who are shy and do not want attention speak in a low voice. Hence, speaking loudly makes you look confident. Speaking loud does not mean you should shout or scream. It is all about speaking in a manner that is audible to all and projects you to be a confident person.
  • Use body language: Walking tall, looking into the eyes of others while speaking are few aspects of body language that make you look confident. Try to notice the body language of successful people and inculcate them in you. It is easier to build confidence by adopting a body language of someone who feels confident.
  • Know your strengths: The first thing you should shun in the process of building self-confidence is to stop focusing on your shortcomings or weaknesses. To gain the confidence you should start focusing on your strengths rather than weaknesses. Think of things you are good at and embrace those strengths to become confident.
  • Set reachable targets: One of the sure shot ways to become confident is setting targets or goals that can be achieved. If you set a very big goal at the outset, it gets difficult to achieve, and that results in losing confidence. The best way to counter this is setting smaller goals that can be achieved and lead to your bigger goals. Learn to celebrate even the smallest of your achievements as these will boost your confidence levels and make you successful.
Being self-confident helps you perform better, get you noticed in a group, helps you achieve want you want. Be confident and be successful.
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Qualities That Employers Want in Medical Transcriptionist -Avontix

Medical transcription has been a lucrative career option for many since the start of business outsourcing industry in India. When you are looking out for a new career, you may not be sure if you are fit for the industry or not. You may be skeptical about the qualities that employers look for in prospective candidates wishing to join medical transcription jobs. The role of a medical transcription professional is to transcribe the audio files dictated by a physician into written documents. For such a role the following skills are required to become a successful medical transcriptionist.
  • English Language skills – The basic quality that employers look for in a candidate vying for medical transcription jobs is a good understanding of the English language. One has to have a fair command of grammar and punctuation to be able to transcribe appropriately.
  • Medical Terminology – A medical transcriptionist requires having sound knowledge of the medical terminology, human anatomy and physiology. If you are not from a science background and do not have this knowledge, it should not be a matter of concern, as there are many medical transcription companies in Hyderabad that give training to candidates who are interested in this profession upon selecting them for the job based on their other qualifications.
  • Typing skills – The job of a medical transcriptionist is to write reports of the healthcare practitioners. So, if you have a decent knowledge and understanding of the English language grammar and medical terminology you have fairly good chance to make it in this field. An important aspect of this field is the prominence of accuracy and clarity in the reports produced by medical transcriptionists. Hence, you should have a good grip on these qualities along with typing skills. Good typing skills will help you in submitting reports within the turnaround time.
  • Self-discipline – One who wishes to be a medical transcriptionist has to be self-disciplined and focused towards learning new things. Healthcare industry is one where new illnesses, diseases, treatments and medicines join the already elaborate list. Hence, to grow in this industry one has to keep motivating the self with continuous learning.
If you have these basic qualities, then you too can join and shine in the field that plays a pivotal role in the healthcare industry. The first step towards this success should be to join the best company in the industry and hone your skills. Join Avontix, one of the best medical transcription companies in Hyderabad for a fruitful career.

Documentation Errors That You Should Not Overlook -Avontix

        
                        

It is being noticed that documentation errors in medical records that even result in deaths are on the rise. According to studies, inaccurate medical documentation is one of the major reasons for patient deaths in the recent times. Per a report, thousands of the Americans are being killed from preventable adverse effects of inaccurate medical documentation. It is important to incorporate best EHR solutions into your medical practice along with some efforts in documentation processes. Let us understand some common documentation mistakes that cost you.

Incomplete medical record: Care should be taken that patient’s every encounter with the healthcare facility should be documented properly with complete information including the patient’s medical history, reasons for the visits, diagnosis, test results, and treatments.

Risk factors: All the health risk factors should be identified and documented appropriately in the medical records. Along with this, the response shown by the patient towards treatment and any changes in the proposed treatment plan should be keyed in timely.

Chief Complaint: The mention of the chief complaint should be there in every medical note and documentation of the history of present illness is also necessary. It is important that this information is properly documented by the physicians.

Review Documentation: Documentation for The Review of Systems ought to be elaborated and in depth as incomplete note won’t help.

Approach:  The kind of approach that we have always done it this way will not work. Documenting the criterion behind the medical decision made and detailing the answers for the “why” and “what” of the treatments will help in future medical necessities.

Data duplication: Care should be taken to avoid duplication of data that can prove to be detrimental for both patients and practice.

Empower the staff: Many physicians do not give importance and time to coach their staff on operating with EHR systems. This successively results in improper documentation of medical records. Empowering the staff is the most effective and easiest way towards accurate documentation.

Along with all these steps to eliminate errors in documentation, integrating the best suitable EHR solutions into your healthcare practice is important. Avontix provides the best EHR solutions for ASC.

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Challenges Faced by ASC -Avontix

In the recent times, the ambulatory surgery centers (ASC) have become popular and are growing in numbers. They are establishing their place in the American healthcare space as cost-effective healthcare providers with services that match the best in the healthcare field. Like all organizations, the ambulatory surgery centers also are going through few challenges which are outlined here.

Low volume: Though the ambulatory surgery centers are increasing in numbers and increasing their services, the volume of cases with ambulatory surgery centers is a challenge yet. Even though it is true, that high volumes need not provide success, it is also equally true that low volumes in any kind of business result in failure over a period of time.

Relationship with Insurance Payer: To get a high volume of cases, it is necessary that the ambulatory surgery centers get insurance companies on board. In spite of the fact that the ambulatory surgery centers provide the best services at comparatively lower costs the insurance companies do not come forward to promote them which is indirectly resulting in more payments from insurance companies for the same services offered at other hospitals or healthcare facilities. This is not a good sign for both the ASCs and the insurance companies. Measures are being taken by the ambulatory surgery centers to collaborate with the insurance companies in order to increase the case volume and the reimbursement through them.

Reimbursement issues: One of the major operational challenges faced by the ambulatory surgery centers are the reimbursement of the services provided and this is applicable to both Medicare and insurance companies.

Bigger hospitals: When the same surgeons working in the ambulatory surgery centers become employees in bigger hospitals, they will not be able to take up cases at their owned ASCs, which is a loss to the ASCs as the case volume gets decreased. Also, the physicians who join hospitals will not be able to refer patients to the ASCs. In such a scenario, it becomes important for ASCs to work out strategies to retain the physicians and surgeons.

Finding staff: In the face of tough competition from bigger health systems and hospitals, finding staff is also a major challenge for the ambulatory surgery centers. Ambulatory surgery centers are pretty much the same like the hospitals, with the only difference being the revenue generated. ASCs provide the same kind of services as in hospitals but without the same income levels. When services provided are at par with the hospitals, the staff is also required on the same levels to complement the work. However, due to revenue shortages, ASCs require multifunctional specialists who can fill in many roles in the ASC, which is rather difficult.

Regulatory compliance: With so many operational challenges, there comes another administrative challenge in the form of regulatory compliance which again requires staff that is dedicated to taking care of the regulatory issues of the ASCs.

With these many challenges, maintaining electronic health records also should not be an issue for the ambulatory surgery centers. For this reason, choose Avontix the best provider of EHR solutions in Hyderabad. To provide the best EHR solutions to the ambulatory surgery centers, we have EZchart, a complete chart management solution that is designed to bring efficiency and savings to the ASC patient records management.

Speciality Certifications in Medical transcriptions -Avontix

Everyone craves for superior knowledge and expertise once they are well versed with the basics of the subject. For the people in medical coding profession, who are experienced, there are certain AAPC credentials which can establish their superior levels of knowledge in certain specialty disciplines. These credentials are independent certifications and do not require one to hold certified professional coder (CPC) certification. These specialty credentials help in substantiating a coder’s knowledge in a specialty regarding the codes, reimbursement and compliance issues.
To get a specialty credential in medical coding one has to show expertise in the operative and patient-note based coding apart from the correct application of ICD-10 CM, CPT, HCPCS level II and modifier coding. To clear the exam for these credentials one has to prove their knowledge in specialty-specific coding and related regulations. Let us take a look at the different specialty certifications that one can earn.
CASCC (Certified ASC Coder Credential) – This exam tests the ability read and comprehend the operative notes so as to apply the correct codes related to ICD-10-CM, CPT, HCPCS level II and modifier coding. Along with this, the examinee has to know the various types of surgeries which can be carried out at an ASC.  The rules and regulations related to the reimbursement of the services provided at ASC also have to be known by the examinee to clear this examination for attaining this credential.
CANPC (Certified Anesthesia and Pain Management Coder Credential) – The knowledge tested for this credential includes selection of appropriate CPT codes for the surgical cases, appropriate use of the modifiers that are applicable for anesthesia cases, determination of time units and total units for anesthesia cases, rules and regulations of Medicare billing, and coding per NCCI.
CCC (Certified Cardiology Coder Credential) – This exam tests the ability to code surgical procedures performed by cardiologists, rules and regulations related to Medicare billing, evaluation and management of 1995 and 1997 Documentation Guidelines along with the coding abilities with regard to physician office notes and operative notes.
CCVTC (Certified Cardiovascular and Thoracic Surgery Coder Credential) – The knowledge tested for this credential includes coding appropriately for the surgical procedures performed by the cardiovascular and thoracic surgeons, rules and regulations related to Medicare billing, evaluation and management of 1995 and 1997 Documentation Guidelines along with the coding abilities with regard to physician office notes and operative notes.

CCPC (Certified Chiropractic Professional Coder Credential) – This exam tests the ability of how accurately one can assess the type and level of Evaluation and Management Service; ability to use appropriate use of Modifier 25 & 59, apply the medical policy standards in making decisions regarding coding, ability to apply AMA and CMS rules related to time-based services, use appropriate codes for procedures related to radiology, neurology, and musculoskeletal diagnosis.
If you are among the people who interested in medical coding jobs and wish to gain experience in specialty medical coding, then Avontix is the right place for you. Join us and polish your coding skills with the best medical coding company in Hyderabad.
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Common Medical Billing Denials and How to Avoid Them -Avontix

A medical billing denial occurs when the insurance company refuses to honor the request to pay for the healthcare services provided by a healthcare professional. Medical billing denial is a serious matter as it has a negative impact on the healthcare provider’s cash flow, revenue cycle and operational efficiency. The rate of medical billing denials is usually between 5% and 10%. If you are the best in medical billing jobs, then this rate is around 4%. Medical billing denials can always be avoided and reduced with care and a reduction in medical billing denials improves the revenue cycle of the healthcare facility. To avoid denials, you should first understand the common medical billing denials and then you can take remedial action for the denials.

Common medical billing denials:

  • Information is missing:  Any information that is missing, any code that is missing or incorrect code, any wrong information or missing information regarding the social security number may lead to the claim denial. These kinds of denials account for more than 60% denials.
  • Duplicate claim:  Claims that are submitted again for the same service provided on the same date by the same provider and for the same patient are duplicate claims.
  • Adjudicated services: Denials may happen when benefits for a service are already included in the payment for another service that has been settled.
  • Charges not covered: The services that are charged in the claim may not be covered by the insurer under the benefit plan.
  • Filing limits: Most insurance payers have directives that the claims are to be submitted within a time frame for the services provided. If this time limit is not met and claims are submitted beyond the specified time, then the claim may be denied. People in medical billing jobs should have alerts in place to avoid filing claims beyond the time limit.
Though denied claims can be worked upon later, avoiding denials should be the priority for healthy revenue cycle of the healthcare provider. Let us see how we can prevent medical billing claims.
  • Categorize denials: You should be able to quantify and categorize the denials by tracking them on the basis of doctor, specialty, treatment and insurance payer. For this, you can rely on technology and data analytics and they prove to be worthy of time and money invested.
  • Create team: Create a team that is responsible to analyze denials and identify what kinds of resources are required to get solutions.
  • Improve data quality: All the healthcare facility staff that deal with patient data must ensure that the services being provided to the patient are covered by the patient insurance. The staff should also be cautious while recording patient details as any small error in these details may lead to denials that cause a lot of time and money waste.
  • Check coding processes: If the denials are arising as a result of insufficient medical necessity, you should check where the problem is and bring in necessary processes to prevent such denials.
  • Don’t neglect pre-authorization: Neglecting to perform pre-authorization processes may affect your revenue cycle very badly. It is always better to get pre-authorization for a treatment or procedure rather than getting it authorized after performing the procedure.
  • Never miss deadlines: It should be your priority to submit claims and follow up on these claims within the stipulated deadlines.
For a great exposure in the field of medical billing in Hyderabad, join the Avontix team, which is into the business of medical transcription and medical coding also. Avontix is one of the top medical billing companies in Hyderabad.
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Medical Transcription – Outsourcing Industry -Avontix

Medical transcription has been one of the best career options for many graduates with good English language skills. With a little bit effort in learning the medical terminology, many people have made a successful career in the medical transcription services. Many job aspirants get skeptical that opportunities in medical transcription may dwindle with time. However, there are many medical transcription companies in Hyderabad that provide training and jobs to true aspirants. Here are the reasons for the growing outsourced jobs in transcription services.

Quality services: Outsourcing of medical transcription to companies like Avontix that work from India gives the assurance of quality services to the healthcare providers. These companies strictly adhere to the global procedures and follow the rules and regulations without any deviation.

Accurate records: The process of medical transcription followed in these companies is very stringent. After the audio files are transcribed, the processes of editing, proofreading and quality control are also followed rigorously to avoid any kind of errors. This means that healthcare providers receive accurate medical reports that are of the highest quality.

Lucrative option for providers: Medical providers in the USA benefit a lot by outsourcing their medical transcription work to companies here in India. The factors that benefit them are the low rate per line and the low labor costs.

Seasonal fluctuations: We know that medical transcription is majorly outsourced by the US healthcare providers. In America availability of personnel who deal with transcription services may be difficult in the festive holiday season. Such things do not happen with companies working from India and uninterrupted services will be provided to the physicians
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No Setup costs: When transcription work is outsourced, the setup costs of in-house medical transcription infrastructure are not eliminated which helps the healthcare providers to use these finances towards better healthcare facilities and equipment.

Time zone: The difference in the time zone of the US healthcare providers and the medical transcriptionists in India works as an advantage to the physicians as they can get their files transcribed and reported to them on the following day.

Join Avontix, the best medical transcription company in Hyderabad for a stable career with tremendous growth opportunities.

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Rejections vs. Denials of Health Insurance Claims -Avontix

   



Medical billing jobs demand accuracy of the highest levels and however efficient a medical biller maybe, there would be instances where rejections and denials of medical claims come across. For a layman, both rejection and denial may appear similar. But, in the real sense, there is a huge difference in them and it is utmost important for the medical billing professionals to understand the difference between rejections and denials in order to adopt the appropriate remedial for the ruling of rejection or denial. A good understanding of this difference brings in timely reimbursements for the services provided by the healthcare provider, thereby, increasing the profitability of the organization. 
Rejection:
Medical claims that are submitted to the insurance payer but fail to meet certain specified requirements are rejected. In the medical billing field, these are called rejections. The rejection of the claim may be a result of not meeting specific data requirements or not meeting basic format that is required to be followed for insurance claims. Rejected claims are not processed as they are not considered to be received by the insurance payer. A rejected claim can be resubmitted after rectifying the error that is the reason for the rejection.
Denial:
A denial is an altogether different issue from rejection. Denials are those medical claims that are received by the insurance payer but a negative decision is taken regarding the payment. It means the claim is processed by the payer, but, payment is denied. In such cases, it has to be ascertained as to why the claim was denied. Once, the reason for denial is determined a reconsideration request or an appeal has to be submitted for considering the claim again.
Reasons for Denials:
Identifying the reason for rejection and resubmitting the claim is much simpler than a denial case. Let us understand why claims are denied.

  • Information is missing: Any missing information, any missing code or incorrect code, any wrong information or missing information regarding the social security number may lead to the claim denial.
  • Duplicate claim: If the claim is a duplicate claim, then it is denied.
  • Settled claim: If the services mentioned in the claim are already settled, like in the case of unbundling charges.
  • Services not covered: The services that are charged in the claim may not be covered by the insurer, hence denied.
  • Filing time: Insurer payers require that the claims are submitted within a time limit for the services provided. If this time limit is not met and claims are submitted beyond the stipulated time, then the claim is denied.

Rejections and denials are an inevitable part of medical billing jobs and a thorough understanding of these is mandatory to minimize rejections and denials and improve the revenue cycle of the healthcare provider. Choosing a medical billing company in Hyderabad that provides appropriate guidance and training in the nuances of medical billing is vital if you want to make a career in this profession. Avontix is the best medical billing company in Hyderabad that provides the best training and scope for growth for a medical biller.
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