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ImagineSoftware
Continuous Innovation for Best-in-Class Revenue Cycle Solutions
Sam Khashman
President & CEO
Revenue Cycle
Management
Solution Providers
The10Best
2018
www.insightscare.com
December 2018
Company of The Month
Richard Atkin, CEO
Greenway Health
Editor’s Column
he revenue cycle in healthcare has been following the
Tfee-for-service reimbursement strategy for a long time
now. According to various healthcare experts, this
process has proven to be very time-consuming. Patients are
paying more for the out-of-the-pocket services, which are not
very beneficial, and opting less for the necessary services. All
of these concerns call out for a change in the existing revenue
cycle management system. This is where the value-based care
reimbursement strategy comes in.
The value-based payments bring to us the opportunity to lower
the cost of patient care while improving the quality. The
process is solely based on charging medical bills for positive
clinical outcomes. Not only does it increase the sense of
accountability in healthcare organizations, but it also shifts the
burden of financial responsibility from payors to providers.
The question that arises is - can we do this? Yes! Although, the
transition from fee-for-service to value-based payments is not
easy, it is definitely possible. A few strategies can help make
the process faster and smoother. Data analytics play a major
role in analyzing quality metrics of an organization and
monitoring its progress. This will help in keeping track of the
quality of the services provided. The medical bills can then be
tied to outcomes of those services.
Alongside, healthcare companies should promote collaboration
among its several professionals, like nurses, doctors, finance
managers, and so on. Often, due to lack of sync between these
role-players, the payment process becomes confusing and is
delayed. Also, front-end revenue cycle tasks are to be paid
attention to. If the patients are educated about their financial
responsibilities at every step, the transparency and ease in the
entire process can be maintained. Population health
management is another factor to be considered. Providing
preventive and post-treatment care can aid to this.
As it is said, change is the only constant thing and such a
change for better results is today a necessity in healthcare. By
adopting value-based care reimbursement system, the industry
can holistically improve its revenue cycle.
Aishwarya Nawandhar
Aishwarya Nawandhar
Editor
Transiting to the
Value-based Care
Reimbursement
sales@insightscare.com
Corporate Ofces:
December, 2018
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Co-designer Paul Belin
Art & Picture Editor Sapana, Deepanjali
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Editor-in-Chief Pooja M. Bansal
Managing Editor Ashwini S. Deshpande
Executive Editor Aishwarya Nawandhar
Copyright © 2018 Insights Success Media and Technology Pvt. Ltd., All rights reserved. The content and images used in this magazine should not be reproduced or
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Senior Editor Anish miller
Contributing Editors Sneha, Ananda
Visualiser David King
Poonam, ShwetaArt & Design Assistant
Circulation Manager Tanaji
Research Analyst Eric Smith
Nandan DeshpandeBusiness Development Executive
Peter CollinsBusiness Development Manager
Sales Executives Mark, Kelli, John, Amy, Bill, Sarah
SME-SMO Executives Rahul, Gemson, Swati
Digital Marketing Manager Alina Sege
Technical Consultants David, Robert
Technical Head Jacob Smile
Marketing Manager Marry D’Souza
Assistant Technical Head Swapnil Patil
Assistant Digital Marketing Manager Prashant Chevale
Insights CareInsights Care
Company of the Month CXO
Expanding Possibili es
in Healthcare with Leading-Edge
Technology Solu ons and Services
Greenway Health Expert’s Corner
How Today's
Environment is Reshaping the
Medical Device Industry
CoverStory
ImagineSoftware
Con nuous Innova on for Best-in-Class
Revenue Cycle Solu ons
8
16 32
CONTENTS
ARTICLES
Billing Tree
Enhancing the Pa ent Payment
Process with Avant-Garde Solu ons
Editor’s Choice
8 Tac cs to Augment
Pa ent Financial Experience
Health Spotlight
Balancing Health and
Fitness at Workplace
Emerging Trends
Healthcare's Big
Leap to Big Data
20
Intuit Micro
Offering State-of-the-art So ware
Solu ons to Improve Pa ent Care
42
ezDI
Making Data
Management Intelligent
26
22 28 38
Meet the Innovators
of Tomorrow
he world is embracing digitalization at a rapid pace and the global healthcare industry is not an exception.
TPatient care is made better, disruptive innovations have engulfed the industry and there’s a lot more
development going on, in and around healthcare. Along with focusing on improving and personalizing the
care, the healthcare providers need to focus on remaining financially fit. Efficient revenue cycle management is the
key to ensure this. There are various companies around the globe that are helping the care providers in efficiently
managing their financial duties, as well as reducing the patients’ financial responsibilities.
In a pursuit to acknowledge the revolution some of these companies are bringing to the existing revenue cycle
segment in healthcare, we bring to you the special edition, titled “The 10 Best Revenue Cycle Management
Solution Providers 2018”. It highlights the pioneers in this industry as well as their contribution to augment the
existing workflow.
On its “Cover”, is featured a remarkable contributor in this domain who is reinventing the revenue cycle experience
and is striving to create a truly patient-centered experience, ImagineSoftware. The cover story provides the insight
into the company and how it is making its mark in the healthcare domain.
Other than the interesting cover story, we have Greenway Health, a company aiding physicians run their business
better while improving care for patients, listed as the “Company of the Month”. Apart from this, we have also enlisted
BillingTree, a pioneer providing integrated payment solutions; ezDI, Inc. that offers holistic and state-of-the-art
billing solutions; Intuit Micro Technology, LLC, who is a leading healthcare IT solution provider in the Middle East;
Impact Advisors; Intuitive Solutions; MD1, Inc.; RSource; and the MEDCOR Group.
As you flip through the pages, you will find an engaging article by an ingenious personality of the industry Jeff
Mongelli, the CEO and Founder of Acentec, Inc., under the title Expert’s Corner. Contributing further to this
special edition are certain brilliant articles by our in-house editors- Health Spotlight, Emerging Trends, and Editor’s
Choice.
Walk yourself through the pages and enjoy a good read!
Revenue Cycle
Management
Solution Providers
The10Best
2018
Imagine
Software
We are committed to the
success of our clients, partners,
and employees.
Continuous Innovation for Best-in-Class Revenue
Cycle Solutions
‘‘ ‘‘
Sam Khashman
President & CEO
Revenue Cycle
Management
Solution Providers
The10Best
2018
evenue cycle management possesses the
Rpotential to financially make or break healthcare
organizations. In addition to ever-changing
policies and regulations, effective billing and collection
processes are becoming more important than ever for
medical billing companies, practices, and hospitals to
stay afloat. Designed as a complete medical billing
solution, ImagineSoftware offers the technology needed
to capitalize on collections throughout the lifecycle of a
medical claim. The company is reinventing revenue
cycle management to create a more streamlined and
patient-centered experience.
ImagineSoftware is a leading provider of billing
automation software and revenue cycle management
applications. Offering powerful technology solutions for
medical billing offices, practices, and hospitals, it
currently services more than 46,000 physicians across all
50 states. It is headquartered in Charlotte, North Carolina
with additional office locations in San Diego, CA and
Daytona Beach, FL. The company’s solutions improve
financial efficiency, build provider reputation, and
ultimately improve the patient payment experience.
A Journey of Innovation
“If you can imagine it, they can do it.” A statement
proclaimed by one of ImagineSoftware’s first clients that
shaped the future of the company. ImagineSoftware was
incorporated and launched in 2000 as a workflow and
document imaging company. After successfully
developing enterprise-wide analysis and financial
systems in 2002, the company began to focus on the
healthcare IT sector around 2003. Eighteen years later,
the goal remains the same: ‘To be the leading healthcare
revenue cycle management platform.’
Today, the company has grown to a grand stature.
ImagineSoftware was the first mover in the industry after
implementing Artificial Intelligence (AI) within its
product suite to address patient insurance eligibility.
Further, it is committed to innovative development and
intuitive revenue cycle management solutions, helping
clients achieve peak performance and measurable results
by streamlining the billing and collections workflow,
improving staff productivity and increasing practice
profitability.
The Seasoned Leader
Sam Khashman, ImagineSoftware President and CEO,
established the company with the vision of workflow-
centric computer systems. Khashman leveraged his
experience working with high volume transactions in the
manufacturing, financial and insurance industries to
develop Imagine’s revenue cycle management system.
He has spent his career evolving markets with various
software solutions and is recognized in the health
industry for combining complex processes into efficient,
single system solutions. He has an extensive background
in systems integration, process efficiency, and imaging
systems. With more than two decades of executive
leadership positions, he has led the development and
commercialization of more than 18 software products
which are utilized by thousands of unique users and
serve millions of patients.
Cover Story
We are committed to innovative development and
intuitive revenue cycle management solutions.‘‘ ‘‘
The Product Suite
ImagineSoftware is built for high-volume and complex
medical billing. After years of client feedback, research,
and collaboration across numerous specialties, Imagine
has developed cutting-edge medical billing software that
is both flexible and scalable. It is designed to meet the
needs of numerous specialties and helps to streamline the
practice management workflow to increase revenue. The
products not only offer providers increased collections
and better staff productivity, they also ensure a better
patient payment experience. Along with providing
advanced technology and automation, the company
provides seamless connectivity for a fully optimized
practice management experience.
Designed as a complete healthcare billing systems and
revenue cycle solution, the Imagine software suite of
products offer the technologies and tools needed to
enhance practice management, capitalizing on
collections throughout the entire lifecycle of a claim.
With the ImaginePay™ online payment portal and
HonorCare® patient payment plan, patients are
provided with convenience, affordability, and the
freedom to take better control over their medical bills.
ImagineAI™, as it is aptly named, allows health
providers to gather detailed patient demographics and
payor information, while customizing billing messaging
based on patients’ ability to pay their medical bills. The
system learns and adjusts over time to maximize revenue
without compromising compliance.
Tailoring Services to Fit Client Needs
At the heart of ImagineSoftware’s core values is servant
leadership. Each clients’ business challenges are unique
making the selection of medical billing software a
complicated process. To meet the needs of health
organizations of all shapes and sizes, ImagineSoftware’s
three areas of focus are medical billing solutions that
cater to numerous specialties, exceptional
implementation, and customer support. Much of
ImagineSoftware’s growth over the years can be
attributed to its dedication to customers. “We never
forget who we work for. Without our clients, we’re just a
software company. They are the reason we’re
successful,” says Khashman.
Honorable Laurels
ImagineSoftware has been named to the 2018 Grant
Thornton North Carolina 100® (Nc100), which ranks
the state's largest private companies by revenue.
Khashman states, “This award reflects our commitment
to delivering innovative software solutions to our
customers in the healthcare space through our culture of
servant leadership.” In addition, the company holds a
place in the Inc.5000 list, the NC Mid-Market Fast 40
list and the Fast 50 list.
The Imagine Family
There’s more to ImagineSoftware than the services and
products it provides. It is the family, with all its
employees having a significant place. The
ImagineSoftware team works together in a transparent
environment where all ideas and suggestions are
respected. Employees are provided with numerous
benefits including free lunches, family and employee
social events, recognition awards, and more. This helps
create a positive, flexible work-life balance.
ImagineGives, an internal charitable initiative that
provides Imagine employees with the opportunity to
support their community through volunteering,
prioritizes philanthropy for its surrounding communities
and people. This was started to make a lasting and
positive impact on the people and communities that have
supported ImagineSoftware. alsoThe company
encourages the spirit of giving by supporting its
employees through a matching gifts program.
The firm encourages its employees to grow in their
We never forget who we work for.
Without our clients, we’re just a software company.
They are the reason we’re successful.
‘‘ ‘‘
current and future careers with Imagine by offering weekly time for learning and training courses as well as defined
paths for positional movement within the organization.
Hand-in-hand with Technologies
With rapid changes in the healthcare industry due to the adoption of innovative technologies, ImagineSoftware has
made it a point to stay at pace with these developments. The evolution of AI and machine learning is now a reality and
AI is already disrupting various sectors. ImagineSoftware has adopted the technology to revamp the world of
healthcare, and endeavors to continue the same. It is transforming the revenue cycle experience to move closer to the
notion of patient personalization. Its holistic medical billing and revenue cycle solution has empowered healthcare
providers with technology and tools. With this, they can enhance practice management and capitalize on collections
throughout the complete lifecycle of a claim from front-end scheduling to back-end reporting.
Endeavors in Care Enhancement
“Healthcare is an industry in need of innovation as health plans, providers, healthcare companies, and the
government, are facing rising costs and inconsistent outcomes. All involved are working to improve care and health
outcomes, all while reducing costs and spending. At ImagineSoftware, we pave the way for peak performance in
medical billing as we continue our focus on results-driven innovation,” asserts the CEO. ImagineSoftware plans to
drive its business forward and create new advancements in the industry by understanding client needs and anticipating
its next steps. It also foresees the benefits for automation and intelligence in the current healthcare space and far into
the future. The company plans to continue to react to the needs of its customers by implementing quality technology to
combat ongoing challenges in capturing revenue through payor reimbursements and patient payments.
For more info visit
www.imagineteam.com
With our state-of-the-art solutions, we are here to help
healthcare move closer to patient-centric care.
It's not just about the software, it's our people too.
‘‘ ‘‘
‘‘
‘‘
Company Name Management Brief
BillingTree CareView™
mybillingtree.com
Edgars “Edz” Sturans
CEO
BillingTree is a leading provider of integrated payment
solutions in Healthcare and other biller direct verticals.
ezDI, Inc.
ezdi.com
Chetan Parikh
CEO
ezDI claims to be the only provider of born-in-the-cloud, AI-
based, fully integrated, Speech to text, CDI, CAC, Encoder,
Auditing and Analytics platform on the planet.
Greenway Health
greenwayhealth.com
Richard Atkin
CEO
Greenway Health provides software services to ambulatory
healthcare practices, so that physicians can better run their
businesses and care for their patients.
ImagineSoftware
imagineteam.com
Sam Khashman
President & CEO
ImagineSoftware is reinventing the revenue cycle experience
to create a truly patient-centered experience.
Impact Advisors
impact-advisors.com
Peter Smith
Co-founder & CEO
Impact Advisors is a healthcare consulting firm dedicated to
improving healthcare through technology and process
improvement.
Intuit Micro Technology,
LLC
intuitme.com
Intuit Micro is a healthcare IT solution provider and software
developer in the Middle East.
Intuitive Solutions
intuitive.solutions
Tayyab Yunus
CEO
Intuitive Solutions Inc. (ISI) is a
global People > ProfitSM company.
Md1
md1health.com
Richard Hicks
CEO
Md1 provides patient encounter, revenue cycle, practice
operations, and transitional care management solutions.
Rsource
rsource.com
Lawrence Reid
CEO
Rsource provides innovative third-party-payer solutions that
improve revenue cycle performance for hospitals.
The MEDCOR Group
medcorinc.com
Jonathan Gerber
CEO
MEDCOR Revenue Services is a premier independent
billing and revenue cycle management services provider.
Giri Rajan
Founder & CEO
Revenue Cycle
Management
Solution Providers
The10Best
2018
Greenway Health:
Expanding Possibilities in Healthcare with Leading-Edge
Technology Solutions and Services
The consumerization of
healthcare is dramatically
changing the equation for
providers. Competitive pressure is
forcing physicians to invest in new
technologies and processes designed to
improve the patient experience, all
while they're seeking ways to grow
their bottom line. Thanks to innovative
technology available today, practices
can simplify billing and identify new
revenue opportunities. One company
making this possible is Greenway
Health.
Greenway, a market leader in the U.S.
healthcare space for more than 40
years, provides software and services
to ambulatory practices so physicians
and their office staff can better run their
businesses, nurture their practices, and
‘provide better care’ for ‘their’
patients. The company provides
services that create value for providers
and patients through a proven team of
clinical, financial and technology
experts committed to innovations that
keep people healthier and happier.
Their primary focus: to make patient-
driven care a reality while navigating
the ever-changing healthcare system.
To date, Greenway has partnered with
more than 10,000 organizations and
75,000 progressive providers across
more than 40 specialties, which
translates into more than 100 million
lives that are touched by its solutions.
All of Greenway’s solutions and
services are designed to meet its
company-wide goals of ‘delivery high
quality solutions that create value for
providers and patients.’ The company
aims to expand possibilities in care,
contributing to the success of its
customers in ways no one else is doing
in the industry.
Prominent Services for Managing
the Revenue Cycle
Greenway goes beyond Electronic
Health Record (EHR) and practice
management solutions, providing its
customers with integrated, user-
friendly tools, such as Greenway
Revenue Services (GRS), the top-rated
revenue cycle partnership chosen by
high-performing practices of all
specialties to improve their focus on
patient care while increasing their
revenue. Excelling in denial
management, consultation, and billing
expertise, GRS’ dedicated teams invest
personally to help each practice expand
their revenue potential and consults on
billing best practices to optimize a
practice in the front office, back office,
and clinical-side to improve insurance
and patient collections. As a revenue
cycle management (RCM) partner, its
billing expertise and transparency
enables administrative staff to shift
their focus to regulatory compliance,
security and patient engagement.
The Journey to Innovation
Nearly 40 years ago, under a previous
name, Greenway helped healthcare
providers tackle a major problem by
introducing the first-ever practice
management system: Medical
Manager. The solution revolutionized
scheduling, billing and reporting by
eliminating paper on the practice side,
and is now in the Smithsonian
Institute. Following several
acquisitions and name changes, the
company became the present-day
Greenway Health after combining with
Greenway Medical Technologies in
2013.
Today, Greenway continues its
tradition of innovating, introducing
new capabilities to its platforms and
products that balance a deep
understanding of what’s required today
with a keen eye toward the emerging
future. The company continues to
focus on creating innovative tools and
services that help its customers
navigate value-based care and
capitalize on government incentive
programs while keeping their patients,
and their practices, healthy. GRS plays
an important role in doing that.
In fact, this year Greenway was named
a Category Leader for Ambulatory
Revenue Cycle Management Services
in the Best in KLAS: Software &
Services report. The company and its
16 | December 2018 |
As CEO of Greenway, Richard Atkin brings extensive executive experience to the company. He has a strong
background in developing talent, team building and organizational alignment, and has a focus on process-driven
management. He received his B.Sc. honors in physics and electronic materials from Bangor, University of Wales,
and his MBA from the University of London, Imperial College.
Prior to joining Greenway Health, Richard worked at Vista Equity Partners, serving its portfolio companies,
including DealerSocket, EagleView, Finastra, Omnitracs, Solera, and STATS. Receding to his role as an operating
principal, he was the president of Vista Consulting Group from 2014 to 2017, where he helped the organization
evolve and scale to support the growth in the Vista portfolio. Before joining Vista, Richard was the President and
CEO of Sunquest from 2005 to 2014. Prior to that, he was President of Hospital Systems at Misys plc, CEO of
Spacelabs Medical, and CEO of Datex–Ohmeda Inc.
An Experienced, Natural-Born Leader
“Our mission is to
partner with our
customers to help
keep them financially
healthy, so they can
focus on keeping
their patients physically
healthy”
Richard Atkin, CEO
Company of The Month
| December 2018 | 17
software were recognized for “a true
partnership, transparency of financials,
expertly trained staff and proactive
service.”
Greenway has more than 15 years of
extensive experience in revenue cycle
management and optimizing billing
processes, which enables the team to
apply deep expertise in order to
efficiently maximize revenue potential.
Also, with a key focus on data analysis
and metric performance with over 85%
of customer excelling beyond RCM
industry benchmarks, the firm
improves revenue generation. Adding
to this is its dedicated team with
ongoing communication and
transparency, which is often cited by its
customers as an extension of their own
teams.
A Valued Partner: Helping
Healthcare Practices Achieve Their
Goals
One of Greenway’s prestigious clients,
Dr. Ernesto Gomez with Mesa
OB/GYN states, “If Greenway Revenue
Services had not come into my life, I
don’t think I’d be in private practice
today.” GRS educated his billing staff
on claim practices and helped update
their processes to improve efficiency.
The front office staff was trained to
improve accuracy on in-take and
collecting patient payments. Mesa
OB/GYN has doubled its average
reimbursement per encounter;
improved days in A/R from 54 to 36;
grew payments in 60 days to 72
percent. Dr. Gomez only receives 10
percent less revenue than when it had
twice as many providers and
contributes that adds to the success of
his partnership with GRS.
Valley Day and Night, a five-location
practice in southern Texas, is another
happy Greenway customer. It provides
affordable, reliable quality care to
about 15,000 patients each month.
Upon partnering with GRS, the
company uncovered $1 million in
uncollected revenue, down-coding
visits and opportunities to train internal
staff on new billing procedures and
improved processes. The key outcomes
of this partnership include decreasing
denial trends from $100,000 to nearly
$19,000 per month; decreasing days in
A/R 75% from 142 days to 36 days;
and the accessibility to the GRS team
for guidance that also opened new
doors to additional efficiencies in the
practice. Melissa Jareño, Chief
Operating Officer of Valley Day and
Night states, “I am able to focus on
efficiencies because I am no longer
worried and focused so much on
billing and fighting to bring in every
dollar while fearing that my billing
department was having trouble keeping
up with the workload, and keeping up
to date on billing challenges.”
Apart from the success stories of its
clients, Greenway has also received
several awards and recognitions.
Greenway’s revenue cycle
management solution received the top
KLAS rating for Ambulatory Revenue
Cycle Management Services among
small clinics in the 2017 Ambulatory
Revenue Cycle Management Services
report. It was also honored with 2015
Enabling Technology Leadership
Award for the U.S. Ambulatory
Electronic Health Record Market by
the consulting firm Frost & Sullivan.
Future Roadmap: What’s Ahead for
Greenway Health
The average revenue improvement
seen by the company’s practices after
switching to GRS is 6%. Moreover, net
collections average 97% for those who
partner with GRS. This is a true
testament to how GRS helps practices
simplify billing and identify new
revenue opportunities while also
providing the consultation, expertise
and resources practices need to achieve
their financial goals. Moving forward,
Greenway plans to continue meeting
the needs of its customers in the
evolving healthcare landscape,
providing tools and solutions their
customers need to achieve success with
value-based care.
“A partnership with
Greenway Health
gives your practice
full insight into its
financial standing,
and proactive service
from an expertly
trained staff”
“Improving healthcare
is at the heart
of our work.
We help you
turn data and
insights into action,
so you can
fit life-saving care
into real life”
18 | December 2018 |
The landscape of healthcare is
changing, and for better. The
term- ‘Positive Disruptive
Innovation’ has made the healthcare
providers committed to improving the
quality of healthcare solutions while
effectively reducing the costs involved.
For balancing this financial curve,
value-based, state-of-the-art RCM has
become a thing of prime importance. A
company focused on technological
innovation in payment processing to
render state-of-the-art billing solutions
to the healthcare industry is
BillingTree. It is a leader of payment
solutions for the new age. Through its
technology-driven suite of products
and services, the company empowers
organizations to increase their
efficiency and decrease the costs of
accepting payments and
patient/consumer communications,
while adhering to the most stringent
compliance regulations.
Headquartered in Phoenix, Arizona,
BillingTree was established to meet the
market’s growing demand for a
vertically-focused provider of
integrated payments solutions. Today,
it is the leading provider of these
solutions to the Healthcare, ARM,
Property Management, B2B, and
Financial Services industry verticals.
Journeying to the Top
Incepted in 2003, BillingTree has
witnessed constant and spectacular
growth over the years. Initially, it was
founded mainly as a sales and
marketing company with ACH
processing. Later, it developed the
business model of integration with an
ARM software package beginning with
CR Software. Within a few years, it
added credit card processing, offering
its customers an easier, more secure,
faster, and cost-effective payment-
processing solution. With the
announcement of the integration of
new digital payment solutions
including CareView into its suite in
2018, BillingTree has journeyed to
become a leading a fintech innovator.
The testimony to its incredible growth
in innovation is its Payrazr that offers
its customers comprehensive, in-house
developed payment solutions and
CareView Patient Hub.
The Perfectly Designed Suite
The BillingTree’s CareView HUB is a
suite of sophisticated features and
services designed to rapidly
communicate and accurately capture
healthcare-focused patient payments
securely through multiple channels.
It empowers the patients with the
ability to make a quick, one-time
payment against an outstanding bill.
They can also enroll their credentials
for a more enriching portal-based
account management experience where
they can view statements, setup
payment plans, view payment history,
and save virtual wallets. Moreover,
with CareView HUB, patients can pay
at the point of care with their
credit/debit/FSA/HSA card or via cash
and check, further enhancing the
channels and methods of payment
available. It also supports SMS
notifications and mobile text-to-pay
along with inbound Interactive Voice
Response (IVR) to check balances and
make payments over the telephone.
Additionally, for the practitioner, this
suite allows customer service agents to
have a full range of always-on features
to capture payments and obtain
advanced reporting of transaction
activity. It also supports fully
customizable data integration within
every leading healthcare practice
management system. If the healthcare
practice doesn’t have its own merchant
account to accept credit cards or
eChecks, BillingTree offers these with
a fast turnaround - getting any practice
up and running on the CareView HUB
quickly.
“Insurer payments are only part of
today’s healthcare revenue cycle. In a
world of copays and rising deductibles,
nearly every healthcare encounter now
requires some type of patient payment.
That’s why BillingTree’s CareView
solutions are designed to ensure that
BillingTree
Enhancing the Patient Payment Process
with Avant-Garde Solutions
20 | December 2018 |
you receive your fair share in a process that’s quick, effective
and convenient – for you AND your patients,” asserts its CEO.
Outshining Peers with Innovation at its Heart
With its focus on cutting-edge comparatively priced payment
solutions and technology, BillingTree offers convenience, high
service levels, risk mitigation, and compliance above and beyond
its peers. Unlike other payment problem solvers, the company
offers innovative in-house developed CareView, Payrazr gateway
solution, and multiple other fintech solutions in the product suite.
It is dedicated to creating the least resistant payment pathway for
the patients. The company has helped in maximizing settlements
by allowing clients to move freely between several channels and
payment methods, making the whole process more convenient
for them. In addition, BillingTree’s customers can maximize the
timely collection of balances by using their end-to-end suite of
payment options and solutions.
Catalyst to the Growth of BillingTree
Edgars “Edz” Sturans is the CEO of BillingTree, joining in
2014. Prior to BillingTree, he served as a VP of Global Product
Services at FICO®, which acquired CR Software. Under Edz’s
guidance, the company has experienced significant growth,
welcoming new clients and expanding its payment offerings
across the ARM, Auto Finance, Student Loan Rehab, Credit
Union, and Healthcare industries.
Accolades and Recognitions
Three years back, BillingTree began surveying the healthcare
industry on payment technology challenges, trends, and
opportunities for revenue cycle management professionals in its
annual industry study. It has now become a benchmark for the
changes in the industry, a copy of the recent survey results is
available at https://mybillingtree.com/collateral/2017-
collections-operations-and-technology-survey-report/.
BillingTree was also included in the Beckers Hospital Review’s
160 healthcare revenue cycle companies to know 2017. The
company has also been accredited with ‘A+’ rating by the highly
reputed Better Business Bureau (BBB). It strongly complies to
PCI-DSS 3.2, HIPAA (ePHI).
Future Endeavors
BillingTree is all set to continue its growth trajectory with the
CareView integration solidified within their growing product
portfolio to focus on the healthcare payment needs. The company
expects to process more than $4.00 billion in payments in the
U.S. this year.
‘‘We make
payments
easier, for both
your practice
and your
patients
‘‘
Edgars “Edz” Sturans
CEO
21| December 2018 |
HEALTH
FITNESS
BALANCING
AT WORKPLACE
&
22 | December 2018 |
The modern corporate life is very challenging
and hectic. Due to the highly competitive
business environment, employees have to
give their 100% at work, at times even more than
that. They have to deal with a variety of issues at the
same time in the office including client meetings,
deadlines, weekly and monthly goals, and so on. As a
result, most of their time is spent either in the office
premises or in front of laptops or computers.
Employees get very little time because of which
indulging in healthy activities like exercise, going to
the gym, or other similar institutions often becomes
difficult.
23| December 2018 |
Health Spotlight
Maintaining a Healthy Routine is the Biggest Challenge
These days, employees get very little time to engage in
healthy activities. They spend almost 9-10 hours in office.
After this hectic office routine, employees find it lazy to go
to gym or attend dance or yoga classes. Moreover, many
also engage into unhealthy snacking considering it as a
stress buster. Also, stress of office work prevents them from
enjoying quality time with friends and family.
For many, the prime challenge is not only to meet the
deadlines, deal with client demands, and upcoming
performance reviews. In fact, for them, maintaining a
healthy diet and accomplishing their fitness goals amidst
team lunches, short snack breaks, month-end, and birthday
celebrations with cakes and fried food is also a big pressure.
Being a part of the office fun is essential for building a team
atmosphere. But, it creates hindrances for one to
accomplish their fitness goals.
Setting Desired Objectives
In order to remain healthy and fit, individuals can set
certain goals which are specific, measurable, achievable,
relevant, and time bound. They can create a specified
framework which can be followed for better health-oriented
results. For example, an individual can set a certain time
limit within which they intend to shed/gain weight.
Following small routine activities like reducing sugar intake
or a short walk after lunch can be very helpful.
Steps to Accomplish Health Goals
Maintaining a healthy routine isn't very difficult and can
work wonders if followed properly. Individuals can follow
the below mentioned steps to meet their health objectives.
Constant Reminder
Individuals should always remind themselves of why they
started following a healthy regimen. People should
understand the importance of the goal. Subtle reminders at
workplace will help them to stay focused. For extra
attention, people can put a sticky note on their desk or on
their computer screens. These reminders will help them in
controlling their cravings for a pastry or a take-out.
Teaming up with a Partner
When it comes to maintaining a healthy routine, looking for
like-minded people and working with them can be helpful.
Finding a colleague with similar goals can help fend off
unhealthy temptations. A partner focused on being fit and
healthy will always remind you of your wellness goals
whenever you divert from your healthy eating ways.
Reminding each other of taking healthy food is also a good
step.
Tracking Progress
An individual should always be aware of what they are
eating. They should keep a daily record of their food intake.
Recording weight, measurement, and energy levels every
week can also be helpful. Occasionally, treating oneself can
help in managing temptations. If one keeps a track of how
many calories they have consumed, it will be helpful for
them to indulge into snacking if they ever feel to do so.
Proper Planning
Sometimes, employees may have to go for multiple dinners
in a week and during celebrations and business. During
such times it may become difficult to overcome
temptations. To deal with this, one can plan for what they
might indulge in and prepare accordingly. They can pack
healthy foods in case they have to travel for business
purpose. Occasionally, a small piece of dark chocolate can
be consumed to overcome sweet cravings.
Act as a Leader
Sometimes it may so happen that there are many people
who are trying to follow a healthy lifestyle. An individual
can act as a leader by offering their colleagues a healthy
alternative to junk food like pizza or fried noodles. One can
even suggest starting a wellness community at office that
gives employees the opportunity to eat well and maintain a
healthy lifestyle at office. A person can set an example
among their colleagues and motivate them to lead a healthy
life.
In a lifetime, an individual spends a significant portion of
time at work. They don’t want to miss out on the socializing
and fun activities associated with their work. It is true that
every temptation at work cannot be overcome. But, with
proper planning, awareness, dedication, and accountability,
one can enjoy their life at office and achieve their health
goals as well.
-By Ananda Kamal Das
24 | December 2018 |
Majority of the people look
for an ‘order’ in everything.
Same is the case with
‘data’. We look for B after A and C
after B. In healthcare, this order is not
always maintained, making it harder
for the users to make sense out of the
pile of data available. With a vision to
understand and convert this
unstructured clinical data into
actionable structured data, the
co-founders of ezDI started the
company in 2014 after five years of
stealth R&D.
ezDI is focused on providing the best
possible user experience using its
dictation applications and transcription
services. The company’s applications
optimize mid-revenue cycle
workflows, coding compliance, quality
measures, and key performance
measurements. In collaboration with
Wright State University, the Indian
Institute of Technology Bombay
(IITB), and Jawaharlal Nehru
University (JNU), it has engineered its
own world-class, award winning
Natural Language Processing (NLP)
engine and comprehensive medical
knowledge graphs. The company also
offers computer-assisted coding (CAC)
and clinical documentation
improvement (CDI) products. These
solutions improve medical coding and
clinical documentation, increase
productivity, reduce denials, and
improve revenue cycle management.
ezDI aims to be the best NLP platform
for healthcare. With a passion of
saving lives at their heart, the zealous
team of researchers and engineers at
ezDI are dedicated to leveraging AI
technologies that achieve the effortless
management of healthcare data.
About the Tech-Savvy Leader
Chetan Parikh, a serial entrepreneur
with more than 15 years of experience
in healthcare, is the CEO of ezDI. He
is responsible for the overall growth of
the company. His mantra is, “Empower
people to develop innovative solutions
that enhance human life.” At heart, he
is a technologist. He strongly believes
that for any company to become a
significant and formidable player, a
strong technology backbone is
essential. For the same, he has initiated
various tactics and collaborations,
which has brought technological
advantage to the company. Chetan is a
certified Six Sigma Black Belt and
holds numerous patents. He is an avid
reader and a charter member of TiE
Ahmedabad. He believes that, “In
Healthcare, we are data rich but
information poor”.
A Basket of Solutions
ezDI offers a wide array of services
and products to the healthcare sector.
Software
Computer-assisted coding software: It
is the use of computer software that
automatically generates a set of
medical codes for review/validation
and/or use based upon clinical
documentation provided by healthcare
practitioners.
Computer-assisted CDI software: CDI
is the process of improving healthcare
records to ensure improved patient
outcomes, data quality and accurate
reimbursement.
Computer-assisted quality measures
software: It is comprehensive software
for flagging, searching, managing, and
reporting quality measures.
Computer-assisted auditing software: It
is an excellent solution for internal
audit processes, ongoing monitoring of
the recovery audit contractor (RAC)
program and other CMS and payer
audits.
Computer-assisted enterprise analytics:
It is a ‘Healthcare Analytics Platform’
focusing on advancing and applying
web-scale data analytics to empower
key healthcare stakeholders to solve
complex care, treatment, and cost
challenges.
Medical speech recognition software:
ezDI offers both front-end and back-
end speech recognition solutions.
Services
Medical transcription services: ezDI is
one of the leading medical
transcription service providers in the
US, catering to healthcare
organizations of all size and shape.
NLP-as-a-Service: ezDI offers its NLP
platform as a service to enable clients
extract meaningful information from
the huge chunks of data located in
Making Data Management Intelligent
26 | December 2018 |
complex patient documentation.
De-identification services: ezDI solutions give its customers a
quick and easy way to de-identify data. They can remove
sensitive patient data, while leaving clinical workflows intact.
KPI consulting services: ezDI analysts and consultants perform
in-depth analysis of a hospital’s KPIs, including Case Mix Index
(CMI), Coder and CDI Productivity, Denials and a host of other
metrics.
Data Labeling/Annotation Services: ezDI provides data
annotation services for text, audio, and image.
Prominent Honors
ezDI has bagged a number of awards and accolades since its
inception. It has been ranked #1 in the Semantic Evaluation of
Clinical Data (SemEval) competition for the year 2015 and
named as one of the top 100 highly innovative companies at
TiECon 2014. It has also been featured in several popular
publications. In 2016, after very careful vetting process, ezDI
was chosen by one of the largest and renowned technology
companies to become their partner to develop certain AI
technologies for healthcare. ezDI has been working with their
research team since then on various stealth projects.
What’s Next for ezDI?
In near term, ezDI claims to be well-positioned to become a
significant player in the CDI, CAC, and Quality Measures
spaces. It is also in discussion with the giant vendors to open
some of its AI technology and tools to create a vibrant developer
community. The long-term goal of the company is to become the
‘Premier Healthcare IT Company’, with cost-effective solutions
and customer obsession. ezDI believes that by staying true to its
core values, it can achieve this.
ezDI currently employs a customer-intimacy strategy. It works
closely with its customers to understand their challenges in order
to create an exacting solution. The company has been investing
heavily in Research & Development and hence is always
operating on the most advanced technologies available.
In the long run, ezDI aims to become the global leader in
converting healthcare data into intelligence.
‘‘We are poised
to empower people
to develop innovative
solutions that
enhance human life‘‘
Chetan Parikh
CEO
27| December 2018 |
TACTICS TOTACTICS TO
AUGMENTAUGMENT
PATIENTPATIENT
FINANCIALFINANCIAL
EXPERIENCEEXPERIENCE
TACTICS TO
AUGMENT
PATIENT
FINANCIAL
EXPERIENCE
28 | December 2018 |
A
good clinical experience
followed by a bad billing
experience always leaves a
patient disappointed. Today, patients
are bearing more and more financial
responsibilities of their treatments and
are very interested to know when,
where, how they have to pay. With
health issues already being their major
problem, patients do not want to be
stressed about their medical bills. It is
necessary that the healthcare providers
focus a little more on ‘Patient Financial
Experience’. Every billing statement
that is sent to the clients can be used to
create a positive brand image on them.
It can be a leveraged to show
transparency, clarity, fidelity, and
flexibility of the firm.
The world is going digital and what
better than leveraging this to enhance
the patient’s billing experience?
Healthcare providers, today, have
several tools and methodologies at
hand to implement this. Some
traditional ways along with some
modern techniques can help an
organization strategize a perfect
financial experience for its customers.
Mentioned below are some tips for the
same.
Meet the Patients at their Door-Step
To stay in the race, it is very necessary
to go digital. Make available digital
payment tools for the patients, with
which they can pay their bills sitting in
the comforts of their home. In today’s
day, maximum population owns a
smartphone or a computer and has
access to the internet. It is beneficial
for the healthcare providers to
acknowledge this fact and provide
digital payment options to their
patients.
Educate the Patients
Once the patients are aware of their
financial responsibilities, their medical
29| December 2018 |
Editor’s Choice
bills come as no surprise to them. This also increases the predictability of the financial dues on the patient’s end. It is a good
practice to educate the customers about their medical duties before the start of any treatment process. This helps them to
choose between the available options and be prepared in advance.
Estimation at All the Points-of-Care
With a state-of-the-art, reliable system, a firm can generate accurate billing statements at every point in the treatment process;
from registration to service delivery to post-treatment care. This develops a sense of involvement in the patients and prevents
the impending stress. All the staff members should have the access to the same information, so that whenever a patient
enquires, he or she receives the same answer.
One-to-One Communication
To enhance the patient financial experience, it is important to communicate with them effectively. This can be done by
leveraging technology to create a patient engagement platform on their preferred communication channels. The system
should customize the messages separately for every patient, to provide a patient-centric experience. Implementation of this
technique is said to increase patient payments by around 25%.
Customize Packages
How easy it would be if the patients could access information about the needed treatment and its billing statements online;
more so, if they could select the packages that could fit their financial situation? This would make healthcare very convenient
and burden-free for them. Additionally, the features of negotiation as well as customization can be added, to further ease the
process and enhance the experience. Colleting the patient’s data can help the health system device a perfect package tailored
to fit the patient’s needs.
Keep them updated in Real-Time
The patient financial experience can be further made better by providing the patients with their billing statements in real-time.
This will develop in the patients a sense of loyalty and transparency in the services provided by the organization. ‘Price
Transparency’ is valued today, more than ever. Having the latest data and updates about the billing statements will ensure
faith of the patients in their healthcare provider.
Employ the Right Staff
Once you put your feet in the patient’s shoes, the realization that the patient-facing roles cannot be entry level comes
automatically. The billing aspects are as significant as clinical aspects for the patients and they expect likewise from the
providers. The staff involved in patient engagement should be properly trained and efficient. All the members should have the
access to the right and similar information, so that everyone can provide the same answers to the client’s questions. They
should be well informed about every patient’s financial history, insurance coverage, payment process and channels, and the
patient’s responsibilities.
Allow them to Rate the Experience
A feedback always helps to find the loophole in the system or the place where the organization is lacking. It ensures
continuous improvement. So, how can patients rate their experience? Focus groups and online feedback panels can come to
aid here. Using these, patients can talk about their financial experience with the company. Receiving feedbacks after every
treatment process can significantly improve the health system as well as the quality of service.
When it comes to the medical billing process, there is no one-size-fits-all strategy. Healthcare is moving towards providing
more affordable and accessible services to the patients. Also, patients are bearing most of the financial burden. And in this
landscape, the healthcare providers should pay more attention to their revenue cycle management and come up with ideas to
revamp the financial experience they provide to their patients. Today, numerous tools and technologies are available to aid
them in this. The catch is to leverage these efficiently to provide sophisticated, flexible, and compassionate services.
-By Aishwarya Nawandhar
30 | December 2018 |
HOW
TODAY’Sis
RESHAPING
the
MEDICAL
DEVICE INDUSTRY
ENVIRONMENT
32 | December 2018 |
Jeff Mongelli
Founder & CEO
Expert’s Corner
33| December 2018 |
uring a recent trip to the
Ddoctor’s office, other than the
nurse using two fingers on my
wrist and a watch to take my pulse,
everything else was completely
different. From booking my
appointment online, to completing
much of the usual paperwork from
home, things have changed. For the
first time, I was able to provide an
actual medical history, since I was
home where that information is. When
I arrived at the office, I checked in on a
tablet and was told the wait would be
less than 5 minutes. Once the doctor
entered the exam room, she had
already reviewed a thorough and
accurate medical history and began
firing off questions about the sorts of
things that happen during an active
lifestyle. Although my first encounter
with this provider, she seemed to know
me like she’d been treating me for
years. During the encounter, I was able
to share with her the heart rate alerts I
had received on my Apple Watch while
essentially doing nothing. This type of
information has been made available
by the Internet of Things, or internet
connected devices, both wearable and
otherwise. That’s the positive side of
technology’s impact on healthcare.
It’s not just our physician encounters
that have changed. Medical devices
have also seen great change. Not only
do our elderly have access to home
health monitoring equipment, but
virtually every medical device being
manufactured is now either connected
directly to an internal network or onto
the World Wide Web. These
technological advancements have
allowed for the flow of data into
software systems that analyze, alert,
and share that information with
providers throughout the care chain.
The result is leading to better health
outcomes and improved quality of life
for many of us.
Sadly, it’s not all good news. The
connectivity of all these devices has
created a treasure trove of
opportunities for cyber criminals. The
possibility of extorting someone for
bitcoins or they’ll shut your pacemaker
off is not an unrealistic concern. In
fact, a 2017 Ponemon Institute study
found that 39% of medical device
manufacturers reported attackers have
taken control of their devices.
Additionally, 38% of care delivery
organizations said inappropriate
therapy/treatment had been delivered
to patients because of an insecure
medical device. Imagine a hacker in
Romania manipulating the medicine
pump connected to your arm when
you’re in the hospital – this is today’s
reality.
Jeff Mongelli built and sold his finance company 17 years ago to GE Capital to enter
the healthcare industry. As the Founder and CEO, Jeff built Acentec, Inc. into a
national leader in improving the clinical and financial performance of healthcare
organizations. He understands that achieving the promise of improved healthcare
through aggregated data requires dedicated commitment to the protection and privacy
of that information. Jeff is considered an industry expert in IT Technology & Security,
HIPAA compliance, and is actively involved in the field of artificial intelligence. He is
frequently quoted in the industry’s publications and is a featured speaker at national
trade shows and Medical Association meetings. He’s a member of the FBI’s Infragard
program and a collaborator in their Healthcare CyberSecurity Workgroup and also a
member of Homeland Security’s Information Network.
About the Author:
34 | December 2018 |
What’s being done about it?
Truthfully, not enough. Rather than
pile on the device manufacturers
themselves, let’s consider 3
stakeholders and where each carries a
share of the burden. First, it’s the
device manufacturers who’s brands are
on the line, so one would think they’re
doing all they can to strengthen their
final products. That may not be the
case. The Ponemon study goes on to
state most device manufacturers have
yet to adopt more stringent software
and device security protocols, resulting
in production devices with vulnerable
code. The urge to get to market as
quickly as possible often supersedes
adhering to the proper process of
security and vulnerability testing.
Second, one must consider the security
of the facilities who house these
devices, namely hospitals, other care
facilities, and even our own homes.
From a hackers perspective, medical
devices are simply another node on a
network, much like a computer or a
printer. That means they’re as
vulnerable as any other networked
device. If medical devices are not
being routinely patched and updated,
whether manually or automatically,
then they’re vulnerable to new threats
and exploits.
Finally, the third culprit in our trio is
the facilities who refuse to update their
devices. Believe it or not, there are still
medical devices in use today that are
running Microsoft XP as their
operating system. This OS became
unsupported in April of 2014, which
means for the past 4 plus years, any
new Microsoft based attacks would
find an open door to those devices.
Again, to be fair, a significant reason
these devices haven’t been upgraded is
because the cost to small and rural
facilities is prohibitive. Many of these
smaller organizations, like solo
providers, are struggling to stay above
water in our new healthcare
environment. The thought of spending
$200,000 or more on a new X-Ray
machine, for example, is beyond their
reach and reason. This particular issue
doesn't have a simple fix.
What was left off the list?
Many industry insiders grew
accustomed to blaming the
bureaucratic morass as their reason for
not developing and pushing out
updates to their devices. However, as
far back as 2005 the FDA began
making allowances for security related
patches and updates and this year again
issued an update to this policy with the
intent to streamline the process.
Frankly, we can’t accuse the FDA of
standing in the way on this issue.
We also omitted the fact that few IoT
devices communicate their data over
encrypted channels. This includes
medical devices. Citing the Ponemon
study, only a third of device makers
built encryption into their devices and
few healthcare facilities were
deploying it on their own IoT devices.
While the percentages have likely
improved since the study was
published, those devices, and the
thousands produced before them, are
still in use and will be in use for years
to come. Lack of encryption of data in
transit and data at rest violates a
HIPAA recommendation and can be a
source of fines from the Office for
Civil Rights (OCR), so it should be
implemented wherever possible.
What needs to change?
Due to these increased vulnerabilities,
a paradigm shift is required and it’s as
significant as the technological
advancements that led to them. The
traditional way of contracting with a
software development team to add the
soft layer on top of a device is no
longer valid. Gone are the days when
an offshore software team can be hired,
given a functional specification, and
then be released once the project is
completed. Now, medical device
manufacturers need to bring software
development in house and incorporate
it into the design cycle as early as
possible. Likewise, the firmware team
needs to stay intact post development
and work closely with the software
team to coordinate patches and updates
on an ongoing basis. Needless to say,
these teams aren’t cheap, nor is this
talent easy to come by. As a result, it’s
going to take some time for medical
device manufacturers to get the right
teams in place and to adjust their
business models to account for the
increased overhead they present.
Like all things cybersecurity related,
the manufacturers can do everything
right, but a secure environment is as
much dependent on the training of the
workforce as the hardware itself. Even
today, despite the security holes that
exist in the bulk of the currently
deployed medical devices, the greatest
source of breaches originate at the user
level.
Ultimately, the costs of this shift will
be borne by the consumers through
increased costs of care. We can hope
that more vigilant cybersecurity efforts
will leverage down the risks involved,
but unfortunately this new business
model is here to stay.
| December 2018 | 35
ith a growing population and demand for
Wservices, the healthcare industry is facing a new
set of challenges. New diseases, frequent
outbreaks, growing healthcare demand, care with
convenience, costs and more. With the advancements in
science, technology, and medicine, it is imperative for the
healthcare industry to take on these challenges using a new
approach. Big Data and Analytics bring in an incredible
solution to this problem. Big Data is already taking strides
in different industries. The healthcare industry is warming
up to it and trying to leverage its services. The primary
function of Big Data in healthcare is to analyze the huge
quantity of data available through different resources and
improve operational efficiency.
To understand the relation between big data and healthcare,
think about spring cleaning. While spring cleaning, one is
bound to come across papers related to family’s health say,
medical bills, prescriptions, tests, vaccinations and so on.
So what does one do with these papers or data? Throw them
away? Or organize and study them for a better health-year
ahead? Big Data lets one do the latter on a huge scale.
These data sources in healthcare industry can be the claims
and cost data, data collected from pharmaceutical
HEALTHCARE’S
BIG
DATABIGLeapto
“It is health that is the real
wealth and not pieces
of gold and silver”
- Mahatma Gandhi
38 | December 2018 |
Emerging Trends
39| December 2018 |
researches, data from the clinics and data related to the
patient’s behavior. Using Big Data we can better manage
and analyze the data. Healthcare analytics will help the
industry in reducing costs of treatment, predict outbreaks,
and avoid preventable diseases.
Decoding Data
The key to implementing Big Data in healthcare is to filter
the important information and discard the unwanted ones. It
will also need feeding data from all possible sources,
binding them and then breaking them down into meaningful
pieces. Once the industry is past the initial hiccups, the
benefits it can reap are many. Some of the major benefits
are listed below.
Advanced Patient Care can be provided by using a patient’s
medical records and his/her health habits. Data collected
from the patient’s electronic health records regarding
previous health issues, current medications, and health
combined with data from wearable health gadgets can be
used to provide better care and treatment.
Reduced Cost and Time by managing data and identifying
cost incurring areas and reducing them wherever possible.
The processes and procedures taking more time and
incurring more costs than they should be can be handled
easily.
Better Staffing according to the footfall trends can be done.
A hospital never wants to be understaffed or overstaffed.
Gathering data to identify the admission and discharge rate
over the past few years can give an insight into the general
proceedings of the hospital in a day. Accordingly, more staff
can be assigned during the bustling hours and reduced
during the laid-back hours.
Minimization of Error in medications and personalized care
treatment can be achieved using the services of Big Data.
Patient’s records can be analyzed along with the prescribed
medicines and anything out of place can be flagged by the
system utilizing Big Data. This will help prevent issues like
wrong medication, drug abuse and grave drug interaction.
Fraud Detection like medical abuse and insurance fraud can
be predicted and minimized well in time. A large set of data
pertaining to claims history can be analyzed to find fraud
patterns and prevent further such incidents. Possible drug
abuse cases can be similarly captured and curtailed by
analyzing diagnosis, test, prescriptions, and follow-ups.
Real-time Monitoring of high-risk patients can avoid an
emergency case. A patient’s vital stats can be constantly
monitored and an alarm triggered, alerting the concerned
doctor, allowing the healthcare professionals to take
appropriate action.
Optimal Reimbursement amount can be decided with help
of Big Data. It can take into account the quality of services
provided, the efficiency of treatment, and the patient’s
response to the treatment, the claim process, and many such
contributing factors.
Inventory Management in a hospital can be improved using
Big Data Analytics. Based on previous inventory records,
the analysis can predict the number of tools and supplies the
hospital is going to need in the current year. This will save
the hospital from over-stocking or under-stocking. It will
also help in proper budgeting allowing the hospitals to
allocate funds fittingly.
Predictive Analysis can be utilized to identify people,
classes and areas more susceptible to certain diseases and
health concerns. This will help in providing customized and
personalized services to individuals. Mass vaccinations,
free public health check-ups and other preventive measures
can be taken well in advance to prevent an outbreak.
Better Personal Health can be achieved by patients when
they are well informed about their medical condition, their
medicines, and their vital stats. Knowing about what they
can and can’t do and how they are performing right now
can be a great motivational factor for them to achieve better
health.
Data is easily available, but need is to filter, organize,
manage, re-arrange and make sense out of them. Big Data
can help the healthcare industry to do just what it needs
right now and make it better An improved health care
industry goes a long way in building a great nation.
- By Sneha Sinha
40 | December 2018 |
S
tarted in 2005 as a value-
added distribution company,
Intuit Micro Technology,
LLC has now grown into a full-
blown empire. It is a healthcare IT
solution provider and software
developer in the Middle East. It
aimed at creating intuitive,
intelligent, and integrated software
for healthcare industry keeping the
patient care in mind.
Headquartered in Dubai, today Intuit
has expanded its business within the
GCC region. Intuit Micro has also
established a development office in
Chennai and is very soon planning to
open an office in KSA. The company
envisions to provide an exemplary
ecosystem to healthcare professionals
and patients so that they can interact
smoothly for a better tomorrow.
The Luminary Leading Intuit
Giri Rajan is the Founder and CEO
of Intuit Micro. He has spent over ten
years developing solutions for the
healthcare in the twenty-five years of
his experience IT. He is an
Electronics and Communication
engineer with a Bachelor’s and a
Master’s degree in Business
Administration.
Prior to founding Intuit in 2005,
Rajan has worked with Apple IMC in
the Middle East for nine years. He
has been the catalyst to the growth of
the firm from a typical IT company
to one of the top five healthcare IT
companies in the region. He has zeal
for technology and is focused on
bringing enterprise solutions to the
masses at an affordable cost.
Dual Lines of Service
The company has two divisions
within Healthcare IT. One of these
develops Simplex HIMES that helps
clinics, diagnostic centers, and
referral labs. Simplex HIMES also
covers Patient Management, Medical
Records, Decision Support Tools,
LAB, Radiology, Pharmacy, Revenue
Cycle, Document Management,
Inventory, HR Payroll, and Analytics.
As a part of patient engagement, the
company also has its own patient
portal and mobile app.
The second division of Intuit Micro
is for the third-party product
distribution where it has products
like Rimage CD publisher, Rimage
patient report publisher, RESMD
0FP, and RADSPA enterprise PACS.
At Intuit, Clients Come First
There are three areas that
differentiate Intuit from all its
contemporaries. One is its support.
It’s one of the best in the region.
Intuit Micro has automated systems,
policy, and procedures in place to
handle any kind of customer queries.
Even then, it has made it a point to
listen to its clients and work on
improving the existing solutions. The
company goes one step further in
understanding the objectives of its
customers instead of simply
providing what they ask for or
solving their problem.
Another interesting practice at Intuit
Micro is that once a company or an
individual becomes its customer,
they are treated as the part of an
extended family. The firm works
closely with them and helps them in
technical and commercial solutions.
This has made the company a
preferred partner for its customers. In
Intuit Micro
Offering State-of-the-art
Software Solutions to Improve Patient Care
42 | December 2018 |
the last thirteen years of business, Intuit does not have a
single customer who was left unsatisfied with the company’s
solutions or support.
To add to this, the company’s passionate about studying and
adopting technologies and it also understands that the
products are used as tools to treat patients. Therefore, it builds
products with love and responsibility, making a huge
difference in its space.
Life at Intuit
Intuit claims to have one of the most flexible and comfortable
work atmospheres in Dubai as well as Chennai. It does not
follow the system of hierarchy and has no attendance policy.
Every individual at Intuit Micro has only one responsibility-
‘to take care of the customers’. Some of their developers play
dual role of being HR manager. This helps them to understand
how management decisions are made and can then further
explain it to their peers. At Intuit, most of the decision making
or policies are automated with guiding principles. “We have
only one rule -’There is no rule as long as the freedom is not
exploited’. Our team enjoys the freedom of work and our
customers are happy,” asserts Rajan.
Optimistic about a Bright Future
Intuit Micro aspires to be the number one choice for HIS in
Middle East. The trajectory of its growth is soaring higher
every day, and this goal may not be far way. The company is
introducing a lot of smart tools and working on AI to ease the
burden on physicians and facilities to care for patients and run
the business profitably. It is focused on making these tools
available to all its customers and will be releasing them
without additional cost. Even for the customer bought the
software few years back, the company will be providing all
the updates and new features within the purchased modules
free of cost, as long as they are under the firm’s maintenance.
This approach is greatly admired by Intuit Micro’s customers
aiding to the company’s current and future growth.
‘‘With humility,
great
responsibility,
and love
we create
software for
healthcare
‘‘
Giri Rajan
Founder and CEO
43| December 2018 |
The 10 Best Revenue Cycle Management Solution Providers 2018
The 10 Best Revenue Cycle Management Solution Providers 2018
The 10 Best Revenue Cycle Management Solution Providers 2018

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The 10 Best Revenue Cycle Management Solution Providers 2018

  • 1. ImagineSoftware Continuous Innovation for Best-in-Class Revenue Cycle Solutions Sam Khashman President & CEO Revenue Cycle Management Solution Providers The10Best 2018 www.insightscare.com December 2018 Company of The Month Richard Atkin, CEO Greenway Health
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  • 4. Editor’s Column he revenue cycle in healthcare has been following the Tfee-for-service reimbursement strategy for a long time now. According to various healthcare experts, this process has proven to be very time-consuming. Patients are paying more for the out-of-the-pocket services, which are not very beneficial, and opting less for the necessary services. All of these concerns call out for a change in the existing revenue cycle management system. This is where the value-based care reimbursement strategy comes in. The value-based payments bring to us the opportunity to lower the cost of patient care while improving the quality. The process is solely based on charging medical bills for positive clinical outcomes. Not only does it increase the sense of accountability in healthcare organizations, but it also shifts the burden of financial responsibility from payors to providers. The question that arises is - can we do this? Yes! Although, the transition from fee-for-service to value-based payments is not easy, it is definitely possible. A few strategies can help make the process faster and smoother. Data analytics play a major role in analyzing quality metrics of an organization and monitoring its progress. This will help in keeping track of the quality of the services provided. The medical bills can then be tied to outcomes of those services. Alongside, healthcare companies should promote collaboration among its several professionals, like nurses, doctors, finance managers, and so on. Often, due to lack of sync between these role-players, the payment process becomes confusing and is delayed. Also, front-end revenue cycle tasks are to be paid attention to. If the patients are educated about their financial responsibilities at every step, the transparency and ease in the entire process can be maintained. Population health management is another factor to be considered. Providing preventive and post-treatment care can aid to this. As it is said, change is the only constant thing and such a change for better results is today a necessity in healthcare. By adopting value-based care reimbursement system, the industry can holistically improve its revenue cycle. Aishwarya Nawandhar Aishwarya Nawandhar Editor Transiting to the Value-based Care Reimbursement
  • 5. sales@insightscare.com Corporate Ofces: December, 2018 Insights Success Media Tech LLC 555 Metro Place North, Suite 100, Dublin, OH 43017, United States Phone - (614)-602-1754 Email: info@insightscare.com For Subscription: www.insightscare.com Insights Success Media and Technology Pvt. Ltd. Ofce No. 510, 513, 5th Floor, Rainbow Plaza, Shivar Chowk, Pimple Saudagar, Pune, Maharashtra 411017 Phone - India: +91 7410079881/ 82/ 83/ 84/ 85 Email: info@insightscare.com For Subscription: www.insightscare.com Co-designer Paul Belin Art & Picture Editor Sapana, Deepanjali Art & Design Head Amol Kamble Editor-in-Chief Pooja M. Bansal Managing Editor Ashwini S. Deshpande Executive Editor Aishwarya Nawandhar Copyright © 2018 Insights Success Media and Technology Pvt. Ltd., All rights reserved. The content and images used in this magazine should not be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from Insights success. Reprint rights remain solely with Insights Success Media and Technology Pvt. Ltd. Insights Care is powered by Insights Success Media and Technology Pvt. Ltd. Follow us on : www.facebook.com/insightssuccess/ https://twitter.com/insightssuccess We are also available on : Senior Editor Anish miller Contributing Editors Sneha, Ananda Visualiser David King Poonam, ShwetaArt & Design Assistant Circulation Manager Tanaji Research Analyst Eric Smith Nandan DeshpandeBusiness Development Executive Peter CollinsBusiness Development Manager Sales Executives Mark, Kelli, John, Amy, Bill, Sarah SME-SMO Executives Rahul, Gemson, Swati Digital Marketing Manager Alina Sege Technical Consultants David, Robert Technical Head Jacob Smile Marketing Manager Marry D’Souza Assistant Technical Head Swapnil Patil Assistant Digital Marketing Manager Prashant Chevale Insights CareInsights Care
  • 6. Company of the Month CXO Expanding Possibili es in Healthcare with Leading-Edge Technology Solu ons and Services Greenway Health Expert’s Corner How Today's Environment is Reshaping the Medical Device Industry CoverStory ImagineSoftware Con nuous Innova on for Best-in-Class Revenue Cycle Solu ons 8 16 32
  • 7. CONTENTS ARTICLES Billing Tree Enhancing the Pa ent Payment Process with Avant-Garde Solu ons Editor’s Choice 8 Tac cs to Augment Pa ent Financial Experience Health Spotlight Balancing Health and Fitness at Workplace Emerging Trends Healthcare's Big Leap to Big Data 20 Intuit Micro Offering State-of-the-art So ware Solu ons to Improve Pa ent Care 42 ezDI Making Data Management Intelligent 26 22 28 38
  • 8. Meet the Innovators of Tomorrow he world is embracing digitalization at a rapid pace and the global healthcare industry is not an exception. TPatient care is made better, disruptive innovations have engulfed the industry and there’s a lot more development going on, in and around healthcare. Along with focusing on improving and personalizing the care, the healthcare providers need to focus on remaining financially fit. Efficient revenue cycle management is the key to ensure this. There are various companies around the globe that are helping the care providers in efficiently managing their financial duties, as well as reducing the patients’ financial responsibilities. In a pursuit to acknowledge the revolution some of these companies are bringing to the existing revenue cycle segment in healthcare, we bring to you the special edition, titled “The 10 Best Revenue Cycle Management Solution Providers 2018”. It highlights the pioneers in this industry as well as their contribution to augment the existing workflow. On its “Cover”, is featured a remarkable contributor in this domain who is reinventing the revenue cycle experience and is striving to create a truly patient-centered experience, ImagineSoftware. The cover story provides the insight into the company and how it is making its mark in the healthcare domain. Other than the interesting cover story, we have Greenway Health, a company aiding physicians run their business better while improving care for patients, listed as the “Company of the Month”. Apart from this, we have also enlisted BillingTree, a pioneer providing integrated payment solutions; ezDI, Inc. that offers holistic and state-of-the-art billing solutions; Intuit Micro Technology, LLC, who is a leading healthcare IT solution provider in the Middle East; Impact Advisors; Intuitive Solutions; MD1, Inc.; RSource; and the MEDCOR Group. As you flip through the pages, you will find an engaging article by an ingenious personality of the industry Jeff Mongelli, the CEO and Founder of Acentec, Inc., under the title Expert’s Corner. Contributing further to this special edition are certain brilliant articles by our in-house editors- Health Spotlight, Emerging Trends, and Editor’s Choice. Walk yourself through the pages and enjoy a good read! Revenue Cycle Management Solution Providers The10Best 2018
  • 9.
  • 10. Imagine Software We are committed to the success of our clients, partners, and employees. Continuous Innovation for Best-in-Class Revenue Cycle Solutions ‘‘ ‘‘
  • 11. Sam Khashman President & CEO Revenue Cycle Management Solution Providers The10Best 2018
  • 12. evenue cycle management possesses the Rpotential to financially make or break healthcare organizations. In addition to ever-changing policies and regulations, effective billing and collection processes are becoming more important than ever for medical billing companies, practices, and hospitals to stay afloat. Designed as a complete medical billing solution, ImagineSoftware offers the technology needed to capitalize on collections throughout the lifecycle of a medical claim. The company is reinventing revenue cycle management to create a more streamlined and patient-centered experience. ImagineSoftware is a leading provider of billing automation software and revenue cycle management applications. Offering powerful technology solutions for medical billing offices, practices, and hospitals, it currently services more than 46,000 physicians across all 50 states. It is headquartered in Charlotte, North Carolina with additional office locations in San Diego, CA and Daytona Beach, FL. The company’s solutions improve financial efficiency, build provider reputation, and ultimately improve the patient payment experience. A Journey of Innovation “If you can imagine it, they can do it.” A statement proclaimed by one of ImagineSoftware’s first clients that shaped the future of the company. ImagineSoftware was incorporated and launched in 2000 as a workflow and document imaging company. After successfully developing enterprise-wide analysis and financial systems in 2002, the company began to focus on the healthcare IT sector around 2003. Eighteen years later, the goal remains the same: ‘To be the leading healthcare revenue cycle management platform.’ Today, the company has grown to a grand stature. ImagineSoftware was the first mover in the industry after implementing Artificial Intelligence (AI) within its product suite to address patient insurance eligibility. Further, it is committed to innovative development and intuitive revenue cycle management solutions, helping clients achieve peak performance and measurable results by streamlining the billing and collections workflow, improving staff productivity and increasing practice profitability. The Seasoned Leader Sam Khashman, ImagineSoftware President and CEO, established the company with the vision of workflow- centric computer systems. Khashman leveraged his experience working with high volume transactions in the manufacturing, financial and insurance industries to develop Imagine’s revenue cycle management system. He has spent his career evolving markets with various software solutions and is recognized in the health industry for combining complex processes into efficient, single system solutions. He has an extensive background in systems integration, process efficiency, and imaging systems. With more than two decades of executive leadership positions, he has led the development and commercialization of more than 18 software products which are utilized by thousands of unique users and serve millions of patients. Cover Story We are committed to innovative development and intuitive revenue cycle management solutions.‘‘ ‘‘
  • 13. The Product Suite ImagineSoftware is built for high-volume and complex medical billing. After years of client feedback, research, and collaboration across numerous specialties, Imagine has developed cutting-edge medical billing software that is both flexible and scalable. It is designed to meet the needs of numerous specialties and helps to streamline the practice management workflow to increase revenue. The products not only offer providers increased collections and better staff productivity, they also ensure a better patient payment experience. Along with providing advanced technology and automation, the company provides seamless connectivity for a fully optimized practice management experience. Designed as a complete healthcare billing systems and revenue cycle solution, the Imagine software suite of products offer the technologies and tools needed to enhance practice management, capitalizing on collections throughout the entire lifecycle of a claim. With the ImaginePay™ online payment portal and HonorCare® patient payment plan, patients are provided with convenience, affordability, and the freedom to take better control over their medical bills. ImagineAI™, as it is aptly named, allows health providers to gather detailed patient demographics and payor information, while customizing billing messaging based on patients’ ability to pay their medical bills. The system learns and adjusts over time to maximize revenue without compromising compliance. Tailoring Services to Fit Client Needs At the heart of ImagineSoftware’s core values is servant leadership. Each clients’ business challenges are unique making the selection of medical billing software a complicated process. To meet the needs of health organizations of all shapes and sizes, ImagineSoftware’s three areas of focus are medical billing solutions that cater to numerous specialties, exceptional implementation, and customer support. Much of ImagineSoftware’s growth over the years can be attributed to its dedication to customers. “We never forget who we work for. Without our clients, we’re just a software company. They are the reason we’re successful,” says Khashman. Honorable Laurels ImagineSoftware has been named to the 2018 Grant Thornton North Carolina 100® (Nc100), which ranks the state's largest private companies by revenue. Khashman states, “This award reflects our commitment to delivering innovative software solutions to our customers in the healthcare space through our culture of servant leadership.” In addition, the company holds a place in the Inc.5000 list, the NC Mid-Market Fast 40 list and the Fast 50 list. The Imagine Family There’s more to ImagineSoftware than the services and products it provides. It is the family, with all its employees having a significant place. The ImagineSoftware team works together in a transparent environment where all ideas and suggestions are respected. Employees are provided with numerous benefits including free lunches, family and employee social events, recognition awards, and more. This helps create a positive, flexible work-life balance. ImagineGives, an internal charitable initiative that provides Imagine employees with the opportunity to support their community through volunteering, prioritizes philanthropy for its surrounding communities and people. This was started to make a lasting and positive impact on the people and communities that have supported ImagineSoftware. alsoThe company encourages the spirit of giving by supporting its employees through a matching gifts program. The firm encourages its employees to grow in their We never forget who we work for. Without our clients, we’re just a software company. They are the reason we’re successful. ‘‘ ‘‘
  • 14. current and future careers with Imagine by offering weekly time for learning and training courses as well as defined paths for positional movement within the organization. Hand-in-hand with Technologies With rapid changes in the healthcare industry due to the adoption of innovative technologies, ImagineSoftware has made it a point to stay at pace with these developments. The evolution of AI and machine learning is now a reality and AI is already disrupting various sectors. ImagineSoftware has adopted the technology to revamp the world of healthcare, and endeavors to continue the same. It is transforming the revenue cycle experience to move closer to the notion of patient personalization. Its holistic medical billing and revenue cycle solution has empowered healthcare providers with technology and tools. With this, they can enhance practice management and capitalize on collections throughout the complete lifecycle of a claim from front-end scheduling to back-end reporting. Endeavors in Care Enhancement “Healthcare is an industry in need of innovation as health plans, providers, healthcare companies, and the government, are facing rising costs and inconsistent outcomes. All involved are working to improve care and health outcomes, all while reducing costs and spending. At ImagineSoftware, we pave the way for peak performance in medical billing as we continue our focus on results-driven innovation,” asserts the CEO. ImagineSoftware plans to drive its business forward and create new advancements in the industry by understanding client needs and anticipating its next steps. It also foresees the benefits for automation and intelligence in the current healthcare space and far into the future. The company plans to continue to react to the needs of its customers by implementing quality technology to combat ongoing challenges in capturing revenue through payor reimbursements and patient payments. For more info visit www.imagineteam.com With our state-of-the-art solutions, we are here to help healthcare move closer to patient-centric care. It's not just about the software, it's our people too. ‘‘ ‘‘ ‘‘ ‘‘
  • 15.
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  • 17. Company Name Management Brief BillingTree CareView™ mybillingtree.com Edgars “Edz” Sturans CEO BillingTree is a leading provider of integrated payment solutions in Healthcare and other biller direct verticals. ezDI, Inc. ezdi.com Chetan Parikh CEO ezDI claims to be the only provider of born-in-the-cloud, AI- based, fully integrated, Speech to text, CDI, CAC, Encoder, Auditing and Analytics platform on the planet. Greenway Health greenwayhealth.com Richard Atkin CEO Greenway Health provides software services to ambulatory healthcare practices, so that physicians can better run their businesses and care for their patients. ImagineSoftware imagineteam.com Sam Khashman President & CEO ImagineSoftware is reinventing the revenue cycle experience to create a truly patient-centered experience. Impact Advisors impact-advisors.com Peter Smith Co-founder & CEO Impact Advisors is a healthcare consulting firm dedicated to improving healthcare through technology and process improvement. Intuit Micro Technology, LLC intuitme.com Intuit Micro is a healthcare IT solution provider and software developer in the Middle East. Intuitive Solutions intuitive.solutions Tayyab Yunus CEO Intuitive Solutions Inc. (ISI) is a global People > ProfitSM company. Md1 md1health.com Richard Hicks CEO Md1 provides patient encounter, revenue cycle, practice operations, and transitional care management solutions. Rsource rsource.com Lawrence Reid CEO Rsource provides innovative third-party-payer solutions that improve revenue cycle performance for hospitals. The MEDCOR Group medcorinc.com Jonathan Gerber CEO MEDCOR Revenue Services is a premier independent billing and revenue cycle management services provider. Giri Rajan Founder & CEO Revenue Cycle Management Solution Providers The10Best 2018
  • 18. Greenway Health: Expanding Possibilities in Healthcare with Leading-Edge Technology Solutions and Services The consumerization of healthcare is dramatically changing the equation for providers. Competitive pressure is forcing physicians to invest in new technologies and processes designed to improve the patient experience, all while they're seeking ways to grow their bottom line. Thanks to innovative technology available today, practices can simplify billing and identify new revenue opportunities. One company making this possible is Greenway Health. Greenway, a market leader in the U.S. healthcare space for more than 40 years, provides software and services to ambulatory practices so physicians and their office staff can better run their businesses, nurture their practices, and ‘provide better care’ for ‘their’ patients. The company provides services that create value for providers and patients through a proven team of clinical, financial and technology experts committed to innovations that keep people healthier and happier. Their primary focus: to make patient- driven care a reality while navigating the ever-changing healthcare system. To date, Greenway has partnered with more than 10,000 organizations and 75,000 progressive providers across more than 40 specialties, which translates into more than 100 million lives that are touched by its solutions. All of Greenway’s solutions and services are designed to meet its company-wide goals of ‘delivery high quality solutions that create value for providers and patients.’ The company aims to expand possibilities in care, contributing to the success of its customers in ways no one else is doing in the industry. Prominent Services for Managing the Revenue Cycle Greenway goes beyond Electronic Health Record (EHR) and practice management solutions, providing its customers with integrated, user- friendly tools, such as Greenway Revenue Services (GRS), the top-rated revenue cycle partnership chosen by high-performing practices of all specialties to improve their focus on patient care while increasing their revenue. Excelling in denial management, consultation, and billing expertise, GRS’ dedicated teams invest personally to help each practice expand their revenue potential and consults on billing best practices to optimize a practice in the front office, back office, and clinical-side to improve insurance and patient collections. As a revenue cycle management (RCM) partner, its billing expertise and transparency enables administrative staff to shift their focus to regulatory compliance, security and patient engagement. The Journey to Innovation Nearly 40 years ago, under a previous name, Greenway helped healthcare providers tackle a major problem by introducing the first-ever practice management system: Medical Manager. The solution revolutionized scheduling, billing and reporting by eliminating paper on the practice side, and is now in the Smithsonian Institute. Following several acquisitions and name changes, the company became the present-day Greenway Health after combining with Greenway Medical Technologies in 2013. Today, Greenway continues its tradition of innovating, introducing new capabilities to its platforms and products that balance a deep understanding of what’s required today with a keen eye toward the emerging future. The company continues to focus on creating innovative tools and services that help its customers navigate value-based care and capitalize on government incentive programs while keeping their patients, and their practices, healthy. GRS plays an important role in doing that. In fact, this year Greenway was named a Category Leader for Ambulatory Revenue Cycle Management Services in the Best in KLAS: Software & Services report. The company and its 16 | December 2018 |
  • 19. As CEO of Greenway, Richard Atkin brings extensive executive experience to the company. He has a strong background in developing talent, team building and organizational alignment, and has a focus on process-driven management. He received his B.Sc. honors in physics and electronic materials from Bangor, University of Wales, and his MBA from the University of London, Imperial College. Prior to joining Greenway Health, Richard worked at Vista Equity Partners, serving its portfolio companies, including DealerSocket, EagleView, Finastra, Omnitracs, Solera, and STATS. Receding to his role as an operating principal, he was the president of Vista Consulting Group from 2014 to 2017, where he helped the organization evolve and scale to support the growth in the Vista portfolio. Before joining Vista, Richard was the President and CEO of Sunquest from 2005 to 2014. Prior to that, he was President of Hospital Systems at Misys plc, CEO of Spacelabs Medical, and CEO of Datex–Ohmeda Inc. An Experienced, Natural-Born Leader “Our mission is to partner with our customers to help keep them financially healthy, so they can focus on keeping their patients physically healthy” Richard Atkin, CEO Company of The Month | December 2018 | 17
  • 20. software were recognized for “a true partnership, transparency of financials, expertly trained staff and proactive service.” Greenway has more than 15 years of extensive experience in revenue cycle management and optimizing billing processes, which enables the team to apply deep expertise in order to efficiently maximize revenue potential. Also, with a key focus on data analysis and metric performance with over 85% of customer excelling beyond RCM industry benchmarks, the firm improves revenue generation. Adding to this is its dedicated team with ongoing communication and transparency, which is often cited by its customers as an extension of their own teams. A Valued Partner: Helping Healthcare Practices Achieve Their Goals One of Greenway’s prestigious clients, Dr. Ernesto Gomez with Mesa OB/GYN states, “If Greenway Revenue Services had not come into my life, I don’t think I’d be in private practice today.” GRS educated his billing staff on claim practices and helped update their processes to improve efficiency. The front office staff was trained to improve accuracy on in-take and collecting patient payments. Mesa OB/GYN has doubled its average reimbursement per encounter; improved days in A/R from 54 to 36; grew payments in 60 days to 72 percent. Dr. Gomez only receives 10 percent less revenue than when it had twice as many providers and contributes that adds to the success of his partnership with GRS. Valley Day and Night, a five-location practice in southern Texas, is another happy Greenway customer. It provides affordable, reliable quality care to about 15,000 patients each month. Upon partnering with GRS, the company uncovered $1 million in uncollected revenue, down-coding visits and opportunities to train internal staff on new billing procedures and improved processes. The key outcomes of this partnership include decreasing denial trends from $100,000 to nearly $19,000 per month; decreasing days in A/R 75% from 142 days to 36 days; and the accessibility to the GRS team for guidance that also opened new doors to additional efficiencies in the practice. Melissa Jareño, Chief Operating Officer of Valley Day and Night states, “I am able to focus on efficiencies because I am no longer worried and focused so much on billing and fighting to bring in every dollar while fearing that my billing department was having trouble keeping up with the workload, and keeping up to date on billing challenges.” Apart from the success stories of its clients, Greenway has also received several awards and recognitions. Greenway’s revenue cycle management solution received the top KLAS rating for Ambulatory Revenue Cycle Management Services among small clinics in the 2017 Ambulatory Revenue Cycle Management Services report. It was also honored with 2015 Enabling Technology Leadership Award for the U.S. Ambulatory Electronic Health Record Market by the consulting firm Frost & Sullivan. Future Roadmap: What’s Ahead for Greenway Health The average revenue improvement seen by the company’s practices after switching to GRS is 6%. Moreover, net collections average 97% for those who partner with GRS. This is a true testament to how GRS helps practices simplify billing and identify new revenue opportunities while also providing the consultation, expertise and resources practices need to achieve their financial goals. Moving forward, Greenway plans to continue meeting the needs of its customers in the evolving healthcare landscape, providing tools and solutions their customers need to achieve success with value-based care. “A partnership with Greenway Health gives your practice full insight into its financial standing, and proactive service from an expertly trained staff” “Improving healthcare is at the heart of our work. We help you turn data and insights into action, so you can fit life-saving care into real life” 18 | December 2018 |
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  • 22. The landscape of healthcare is changing, and for better. The term- ‘Positive Disruptive Innovation’ has made the healthcare providers committed to improving the quality of healthcare solutions while effectively reducing the costs involved. For balancing this financial curve, value-based, state-of-the-art RCM has become a thing of prime importance. A company focused on technological innovation in payment processing to render state-of-the-art billing solutions to the healthcare industry is BillingTree. It is a leader of payment solutions for the new age. Through its technology-driven suite of products and services, the company empowers organizations to increase their efficiency and decrease the costs of accepting payments and patient/consumer communications, while adhering to the most stringent compliance regulations. Headquartered in Phoenix, Arizona, BillingTree was established to meet the market’s growing demand for a vertically-focused provider of integrated payments solutions. Today, it is the leading provider of these solutions to the Healthcare, ARM, Property Management, B2B, and Financial Services industry verticals. Journeying to the Top Incepted in 2003, BillingTree has witnessed constant and spectacular growth over the years. Initially, it was founded mainly as a sales and marketing company with ACH processing. Later, it developed the business model of integration with an ARM software package beginning with CR Software. Within a few years, it added credit card processing, offering its customers an easier, more secure, faster, and cost-effective payment- processing solution. With the announcement of the integration of new digital payment solutions including CareView into its suite in 2018, BillingTree has journeyed to become a leading a fintech innovator. The testimony to its incredible growth in innovation is its Payrazr that offers its customers comprehensive, in-house developed payment solutions and CareView Patient Hub. The Perfectly Designed Suite The BillingTree’s CareView HUB is a suite of sophisticated features and services designed to rapidly communicate and accurately capture healthcare-focused patient payments securely through multiple channels. It empowers the patients with the ability to make a quick, one-time payment against an outstanding bill. They can also enroll their credentials for a more enriching portal-based account management experience where they can view statements, setup payment plans, view payment history, and save virtual wallets. Moreover, with CareView HUB, patients can pay at the point of care with their credit/debit/FSA/HSA card or via cash and check, further enhancing the channels and methods of payment available. It also supports SMS notifications and mobile text-to-pay along with inbound Interactive Voice Response (IVR) to check balances and make payments over the telephone. Additionally, for the practitioner, this suite allows customer service agents to have a full range of always-on features to capture payments and obtain advanced reporting of transaction activity. It also supports fully customizable data integration within every leading healthcare practice management system. If the healthcare practice doesn’t have its own merchant account to accept credit cards or eChecks, BillingTree offers these with a fast turnaround - getting any practice up and running on the CareView HUB quickly. “Insurer payments are only part of today’s healthcare revenue cycle. In a world of copays and rising deductibles, nearly every healthcare encounter now requires some type of patient payment. That’s why BillingTree’s CareView solutions are designed to ensure that BillingTree Enhancing the Patient Payment Process with Avant-Garde Solutions 20 | December 2018 |
  • 23. you receive your fair share in a process that’s quick, effective and convenient – for you AND your patients,” asserts its CEO. Outshining Peers with Innovation at its Heart With its focus on cutting-edge comparatively priced payment solutions and technology, BillingTree offers convenience, high service levels, risk mitigation, and compliance above and beyond its peers. Unlike other payment problem solvers, the company offers innovative in-house developed CareView, Payrazr gateway solution, and multiple other fintech solutions in the product suite. It is dedicated to creating the least resistant payment pathway for the patients. The company has helped in maximizing settlements by allowing clients to move freely between several channels and payment methods, making the whole process more convenient for them. In addition, BillingTree’s customers can maximize the timely collection of balances by using their end-to-end suite of payment options and solutions. Catalyst to the Growth of BillingTree Edgars “Edz” Sturans is the CEO of BillingTree, joining in 2014. Prior to BillingTree, he served as a VP of Global Product Services at FICO®, which acquired CR Software. Under Edz’s guidance, the company has experienced significant growth, welcoming new clients and expanding its payment offerings across the ARM, Auto Finance, Student Loan Rehab, Credit Union, and Healthcare industries. Accolades and Recognitions Three years back, BillingTree began surveying the healthcare industry on payment technology challenges, trends, and opportunities for revenue cycle management professionals in its annual industry study. It has now become a benchmark for the changes in the industry, a copy of the recent survey results is available at https://mybillingtree.com/collateral/2017- collections-operations-and-technology-survey-report/. BillingTree was also included in the Beckers Hospital Review’s 160 healthcare revenue cycle companies to know 2017. The company has also been accredited with ‘A+’ rating by the highly reputed Better Business Bureau (BBB). It strongly complies to PCI-DSS 3.2, HIPAA (ePHI). Future Endeavors BillingTree is all set to continue its growth trajectory with the CareView integration solidified within their growing product portfolio to focus on the healthcare payment needs. The company expects to process more than $4.00 billion in payments in the U.S. this year. ‘‘We make payments easier, for both your practice and your patients ‘‘ Edgars “Edz” Sturans CEO 21| December 2018 |
  • 25. The modern corporate life is very challenging and hectic. Due to the highly competitive business environment, employees have to give their 100% at work, at times even more than that. They have to deal with a variety of issues at the same time in the office including client meetings, deadlines, weekly and monthly goals, and so on. As a result, most of their time is spent either in the office premises or in front of laptops or computers. Employees get very little time because of which indulging in healthy activities like exercise, going to the gym, or other similar institutions often becomes difficult. 23| December 2018 | Health Spotlight
  • 26. Maintaining a Healthy Routine is the Biggest Challenge These days, employees get very little time to engage in healthy activities. They spend almost 9-10 hours in office. After this hectic office routine, employees find it lazy to go to gym or attend dance or yoga classes. Moreover, many also engage into unhealthy snacking considering it as a stress buster. Also, stress of office work prevents them from enjoying quality time with friends and family. For many, the prime challenge is not only to meet the deadlines, deal with client demands, and upcoming performance reviews. In fact, for them, maintaining a healthy diet and accomplishing their fitness goals amidst team lunches, short snack breaks, month-end, and birthday celebrations with cakes and fried food is also a big pressure. Being a part of the office fun is essential for building a team atmosphere. But, it creates hindrances for one to accomplish their fitness goals. Setting Desired Objectives In order to remain healthy and fit, individuals can set certain goals which are specific, measurable, achievable, relevant, and time bound. They can create a specified framework which can be followed for better health-oriented results. For example, an individual can set a certain time limit within which they intend to shed/gain weight. Following small routine activities like reducing sugar intake or a short walk after lunch can be very helpful. Steps to Accomplish Health Goals Maintaining a healthy routine isn't very difficult and can work wonders if followed properly. Individuals can follow the below mentioned steps to meet their health objectives. Constant Reminder Individuals should always remind themselves of why they started following a healthy regimen. People should understand the importance of the goal. Subtle reminders at workplace will help them to stay focused. For extra attention, people can put a sticky note on their desk or on their computer screens. These reminders will help them in controlling their cravings for a pastry or a take-out. Teaming up with a Partner When it comes to maintaining a healthy routine, looking for like-minded people and working with them can be helpful. Finding a colleague with similar goals can help fend off unhealthy temptations. A partner focused on being fit and healthy will always remind you of your wellness goals whenever you divert from your healthy eating ways. Reminding each other of taking healthy food is also a good step. Tracking Progress An individual should always be aware of what they are eating. They should keep a daily record of their food intake. Recording weight, measurement, and energy levels every week can also be helpful. Occasionally, treating oneself can help in managing temptations. If one keeps a track of how many calories they have consumed, it will be helpful for them to indulge into snacking if they ever feel to do so. Proper Planning Sometimes, employees may have to go for multiple dinners in a week and during celebrations and business. During such times it may become difficult to overcome temptations. To deal with this, one can plan for what they might indulge in and prepare accordingly. They can pack healthy foods in case they have to travel for business purpose. Occasionally, a small piece of dark chocolate can be consumed to overcome sweet cravings. Act as a Leader Sometimes it may so happen that there are many people who are trying to follow a healthy lifestyle. An individual can act as a leader by offering their colleagues a healthy alternative to junk food like pizza or fried noodles. One can even suggest starting a wellness community at office that gives employees the opportunity to eat well and maintain a healthy lifestyle at office. A person can set an example among their colleagues and motivate them to lead a healthy life. In a lifetime, an individual spends a significant portion of time at work. They don’t want to miss out on the socializing and fun activities associated with their work. It is true that every temptation at work cannot be overcome. But, with proper planning, awareness, dedication, and accountability, one can enjoy their life at office and achieve their health goals as well. -By Ananda Kamal Das 24 | December 2018 |
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  • 28. Majority of the people look for an ‘order’ in everything. Same is the case with ‘data’. We look for B after A and C after B. In healthcare, this order is not always maintained, making it harder for the users to make sense out of the pile of data available. With a vision to understand and convert this unstructured clinical data into actionable structured data, the co-founders of ezDI started the company in 2014 after five years of stealth R&D. ezDI is focused on providing the best possible user experience using its dictation applications and transcription services. The company’s applications optimize mid-revenue cycle workflows, coding compliance, quality measures, and key performance measurements. In collaboration with Wright State University, the Indian Institute of Technology Bombay (IITB), and Jawaharlal Nehru University (JNU), it has engineered its own world-class, award winning Natural Language Processing (NLP) engine and comprehensive medical knowledge graphs. The company also offers computer-assisted coding (CAC) and clinical documentation improvement (CDI) products. These solutions improve medical coding and clinical documentation, increase productivity, reduce denials, and improve revenue cycle management. ezDI aims to be the best NLP platform for healthcare. With a passion of saving lives at their heart, the zealous team of researchers and engineers at ezDI are dedicated to leveraging AI technologies that achieve the effortless management of healthcare data. About the Tech-Savvy Leader Chetan Parikh, a serial entrepreneur with more than 15 years of experience in healthcare, is the CEO of ezDI. He is responsible for the overall growth of the company. His mantra is, “Empower people to develop innovative solutions that enhance human life.” At heart, he is a technologist. He strongly believes that for any company to become a significant and formidable player, a strong technology backbone is essential. For the same, he has initiated various tactics and collaborations, which has brought technological advantage to the company. Chetan is a certified Six Sigma Black Belt and holds numerous patents. He is an avid reader and a charter member of TiE Ahmedabad. He believes that, “In Healthcare, we are data rich but information poor”. A Basket of Solutions ezDI offers a wide array of services and products to the healthcare sector. Software Computer-assisted coding software: It is the use of computer software that automatically generates a set of medical codes for review/validation and/or use based upon clinical documentation provided by healthcare practitioners. Computer-assisted CDI software: CDI is the process of improving healthcare records to ensure improved patient outcomes, data quality and accurate reimbursement. Computer-assisted quality measures software: It is comprehensive software for flagging, searching, managing, and reporting quality measures. Computer-assisted auditing software: It is an excellent solution for internal audit processes, ongoing monitoring of the recovery audit contractor (RAC) program and other CMS and payer audits. Computer-assisted enterprise analytics: It is a ‘Healthcare Analytics Platform’ focusing on advancing and applying web-scale data analytics to empower key healthcare stakeholders to solve complex care, treatment, and cost challenges. Medical speech recognition software: ezDI offers both front-end and back- end speech recognition solutions. Services Medical transcription services: ezDI is one of the leading medical transcription service providers in the US, catering to healthcare organizations of all size and shape. NLP-as-a-Service: ezDI offers its NLP platform as a service to enable clients extract meaningful information from the huge chunks of data located in Making Data Management Intelligent 26 | December 2018 |
  • 29. complex patient documentation. De-identification services: ezDI solutions give its customers a quick and easy way to de-identify data. They can remove sensitive patient data, while leaving clinical workflows intact. KPI consulting services: ezDI analysts and consultants perform in-depth analysis of a hospital’s KPIs, including Case Mix Index (CMI), Coder and CDI Productivity, Denials and a host of other metrics. Data Labeling/Annotation Services: ezDI provides data annotation services for text, audio, and image. Prominent Honors ezDI has bagged a number of awards and accolades since its inception. It has been ranked #1 in the Semantic Evaluation of Clinical Data (SemEval) competition for the year 2015 and named as one of the top 100 highly innovative companies at TiECon 2014. It has also been featured in several popular publications. In 2016, after very careful vetting process, ezDI was chosen by one of the largest and renowned technology companies to become their partner to develop certain AI technologies for healthcare. ezDI has been working with their research team since then on various stealth projects. What’s Next for ezDI? In near term, ezDI claims to be well-positioned to become a significant player in the CDI, CAC, and Quality Measures spaces. It is also in discussion with the giant vendors to open some of its AI technology and tools to create a vibrant developer community. The long-term goal of the company is to become the ‘Premier Healthcare IT Company’, with cost-effective solutions and customer obsession. ezDI believes that by staying true to its core values, it can achieve this. ezDI currently employs a customer-intimacy strategy. It works closely with its customers to understand their challenges in order to create an exacting solution. The company has been investing heavily in Research & Development and hence is always operating on the most advanced technologies available. In the long run, ezDI aims to become the global leader in converting healthcare data into intelligence. ‘‘We are poised to empower people to develop innovative solutions that enhance human life‘‘ Chetan Parikh CEO 27| December 2018 |
  • 31. A good clinical experience followed by a bad billing experience always leaves a patient disappointed. Today, patients are bearing more and more financial responsibilities of their treatments and are very interested to know when, where, how they have to pay. With health issues already being their major problem, patients do not want to be stressed about their medical bills. It is necessary that the healthcare providers focus a little more on ‘Patient Financial Experience’. Every billing statement that is sent to the clients can be used to create a positive brand image on them. It can be a leveraged to show transparency, clarity, fidelity, and flexibility of the firm. The world is going digital and what better than leveraging this to enhance the patient’s billing experience? Healthcare providers, today, have several tools and methodologies at hand to implement this. Some traditional ways along with some modern techniques can help an organization strategize a perfect financial experience for its customers. Mentioned below are some tips for the same. Meet the Patients at their Door-Step To stay in the race, it is very necessary to go digital. Make available digital payment tools for the patients, with which they can pay their bills sitting in the comforts of their home. In today’s day, maximum population owns a smartphone or a computer and has access to the internet. It is beneficial for the healthcare providers to acknowledge this fact and provide digital payment options to their patients. Educate the Patients Once the patients are aware of their financial responsibilities, their medical 29| December 2018 | Editor’s Choice
  • 32. bills come as no surprise to them. This also increases the predictability of the financial dues on the patient’s end. It is a good practice to educate the customers about their medical duties before the start of any treatment process. This helps them to choose between the available options and be prepared in advance. Estimation at All the Points-of-Care With a state-of-the-art, reliable system, a firm can generate accurate billing statements at every point in the treatment process; from registration to service delivery to post-treatment care. This develops a sense of involvement in the patients and prevents the impending stress. All the staff members should have the access to the same information, so that whenever a patient enquires, he or she receives the same answer. One-to-One Communication To enhance the patient financial experience, it is important to communicate with them effectively. This can be done by leveraging technology to create a patient engagement platform on their preferred communication channels. The system should customize the messages separately for every patient, to provide a patient-centric experience. Implementation of this technique is said to increase patient payments by around 25%. Customize Packages How easy it would be if the patients could access information about the needed treatment and its billing statements online; more so, if they could select the packages that could fit their financial situation? This would make healthcare very convenient and burden-free for them. Additionally, the features of negotiation as well as customization can be added, to further ease the process and enhance the experience. Colleting the patient’s data can help the health system device a perfect package tailored to fit the patient’s needs. Keep them updated in Real-Time The patient financial experience can be further made better by providing the patients with their billing statements in real-time. This will develop in the patients a sense of loyalty and transparency in the services provided by the organization. ‘Price Transparency’ is valued today, more than ever. Having the latest data and updates about the billing statements will ensure faith of the patients in their healthcare provider. Employ the Right Staff Once you put your feet in the patient’s shoes, the realization that the patient-facing roles cannot be entry level comes automatically. The billing aspects are as significant as clinical aspects for the patients and they expect likewise from the providers. The staff involved in patient engagement should be properly trained and efficient. All the members should have the access to the right and similar information, so that everyone can provide the same answers to the client’s questions. They should be well informed about every patient’s financial history, insurance coverage, payment process and channels, and the patient’s responsibilities. Allow them to Rate the Experience A feedback always helps to find the loophole in the system or the place where the organization is lacking. It ensures continuous improvement. So, how can patients rate their experience? Focus groups and online feedback panels can come to aid here. Using these, patients can talk about their financial experience with the company. Receiving feedbacks after every treatment process can significantly improve the health system as well as the quality of service. When it comes to the medical billing process, there is no one-size-fits-all strategy. Healthcare is moving towards providing more affordable and accessible services to the patients. Also, patients are bearing most of the financial burden. And in this landscape, the healthcare providers should pay more attention to their revenue cycle management and come up with ideas to revamp the financial experience they provide to their patients. Today, numerous tools and technologies are available to aid them in this. The catch is to leverage these efficiently to provide sophisticated, flexible, and compassionate services. -By Aishwarya Nawandhar 30 | December 2018 |
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  • 35. Jeff Mongelli Founder & CEO Expert’s Corner 33| December 2018 |
  • 36. uring a recent trip to the Ddoctor’s office, other than the nurse using two fingers on my wrist and a watch to take my pulse, everything else was completely different. From booking my appointment online, to completing much of the usual paperwork from home, things have changed. For the first time, I was able to provide an actual medical history, since I was home where that information is. When I arrived at the office, I checked in on a tablet and was told the wait would be less than 5 minutes. Once the doctor entered the exam room, she had already reviewed a thorough and accurate medical history and began firing off questions about the sorts of things that happen during an active lifestyle. Although my first encounter with this provider, she seemed to know me like she’d been treating me for years. During the encounter, I was able to share with her the heart rate alerts I had received on my Apple Watch while essentially doing nothing. This type of information has been made available by the Internet of Things, or internet connected devices, both wearable and otherwise. That’s the positive side of technology’s impact on healthcare. It’s not just our physician encounters that have changed. Medical devices have also seen great change. Not only do our elderly have access to home health monitoring equipment, but virtually every medical device being manufactured is now either connected directly to an internal network or onto the World Wide Web. These technological advancements have allowed for the flow of data into software systems that analyze, alert, and share that information with providers throughout the care chain. The result is leading to better health outcomes and improved quality of life for many of us. Sadly, it’s not all good news. The connectivity of all these devices has created a treasure trove of opportunities for cyber criminals. The possibility of extorting someone for bitcoins or they’ll shut your pacemaker off is not an unrealistic concern. In fact, a 2017 Ponemon Institute study found that 39% of medical device manufacturers reported attackers have taken control of their devices. Additionally, 38% of care delivery organizations said inappropriate therapy/treatment had been delivered to patients because of an insecure medical device. Imagine a hacker in Romania manipulating the medicine pump connected to your arm when you’re in the hospital – this is today’s reality. Jeff Mongelli built and sold his finance company 17 years ago to GE Capital to enter the healthcare industry. As the Founder and CEO, Jeff built Acentec, Inc. into a national leader in improving the clinical and financial performance of healthcare organizations. He understands that achieving the promise of improved healthcare through aggregated data requires dedicated commitment to the protection and privacy of that information. Jeff is considered an industry expert in IT Technology & Security, HIPAA compliance, and is actively involved in the field of artificial intelligence. He is frequently quoted in the industry’s publications and is a featured speaker at national trade shows and Medical Association meetings. He’s a member of the FBI’s Infragard program and a collaborator in their Healthcare CyberSecurity Workgroup and also a member of Homeland Security’s Information Network. About the Author: 34 | December 2018 |
  • 37. What’s being done about it? Truthfully, not enough. Rather than pile on the device manufacturers themselves, let’s consider 3 stakeholders and where each carries a share of the burden. First, it’s the device manufacturers who’s brands are on the line, so one would think they’re doing all they can to strengthen their final products. That may not be the case. The Ponemon study goes on to state most device manufacturers have yet to adopt more stringent software and device security protocols, resulting in production devices with vulnerable code. The urge to get to market as quickly as possible often supersedes adhering to the proper process of security and vulnerability testing. Second, one must consider the security of the facilities who house these devices, namely hospitals, other care facilities, and even our own homes. From a hackers perspective, medical devices are simply another node on a network, much like a computer or a printer. That means they’re as vulnerable as any other networked device. If medical devices are not being routinely patched and updated, whether manually or automatically, then they’re vulnerable to new threats and exploits. Finally, the third culprit in our trio is the facilities who refuse to update their devices. Believe it or not, there are still medical devices in use today that are running Microsoft XP as their operating system. This OS became unsupported in April of 2014, which means for the past 4 plus years, any new Microsoft based attacks would find an open door to those devices. Again, to be fair, a significant reason these devices haven’t been upgraded is because the cost to small and rural facilities is prohibitive. Many of these smaller organizations, like solo providers, are struggling to stay above water in our new healthcare environment. The thought of spending $200,000 or more on a new X-Ray machine, for example, is beyond their reach and reason. This particular issue doesn't have a simple fix. What was left off the list? Many industry insiders grew accustomed to blaming the bureaucratic morass as their reason for not developing and pushing out updates to their devices. However, as far back as 2005 the FDA began making allowances for security related patches and updates and this year again issued an update to this policy with the intent to streamline the process. Frankly, we can’t accuse the FDA of standing in the way on this issue. We also omitted the fact that few IoT devices communicate their data over encrypted channels. This includes medical devices. Citing the Ponemon study, only a third of device makers built encryption into their devices and few healthcare facilities were deploying it on their own IoT devices. While the percentages have likely improved since the study was published, those devices, and the thousands produced before them, are still in use and will be in use for years to come. Lack of encryption of data in transit and data at rest violates a HIPAA recommendation and can be a source of fines from the Office for Civil Rights (OCR), so it should be implemented wherever possible. What needs to change? Due to these increased vulnerabilities, a paradigm shift is required and it’s as significant as the technological advancements that led to them. The traditional way of contracting with a software development team to add the soft layer on top of a device is no longer valid. Gone are the days when an offshore software team can be hired, given a functional specification, and then be released once the project is completed. Now, medical device manufacturers need to bring software development in house and incorporate it into the design cycle as early as possible. Likewise, the firmware team needs to stay intact post development and work closely with the software team to coordinate patches and updates on an ongoing basis. Needless to say, these teams aren’t cheap, nor is this talent easy to come by. As a result, it’s going to take some time for medical device manufacturers to get the right teams in place and to adjust their business models to account for the increased overhead they present. Like all things cybersecurity related, the manufacturers can do everything right, but a secure environment is as much dependent on the training of the workforce as the hardware itself. Even today, despite the security holes that exist in the bulk of the currently deployed medical devices, the greatest source of breaches originate at the user level. Ultimately, the costs of this shift will be borne by the consumers through increased costs of care. We can hope that more vigilant cybersecurity efforts will leverage down the risks involved, but unfortunately this new business model is here to stay. | December 2018 | 35
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  • 40. ith a growing population and demand for Wservices, the healthcare industry is facing a new set of challenges. New diseases, frequent outbreaks, growing healthcare demand, care with convenience, costs and more. With the advancements in science, technology, and medicine, it is imperative for the healthcare industry to take on these challenges using a new approach. Big Data and Analytics bring in an incredible solution to this problem. Big Data is already taking strides in different industries. The healthcare industry is warming up to it and trying to leverage its services. The primary function of Big Data in healthcare is to analyze the huge quantity of data available through different resources and improve operational efficiency. To understand the relation between big data and healthcare, think about spring cleaning. While spring cleaning, one is bound to come across papers related to family’s health say, medical bills, prescriptions, tests, vaccinations and so on. So what does one do with these papers or data? Throw them away? Or organize and study them for a better health-year ahead? Big Data lets one do the latter on a huge scale. These data sources in healthcare industry can be the claims and cost data, data collected from pharmaceutical HEALTHCARE’S BIG DATABIGLeapto “It is health that is the real wealth and not pieces of gold and silver” - Mahatma Gandhi 38 | December 2018 |
  • 42. researches, data from the clinics and data related to the patient’s behavior. Using Big Data we can better manage and analyze the data. Healthcare analytics will help the industry in reducing costs of treatment, predict outbreaks, and avoid preventable diseases. Decoding Data The key to implementing Big Data in healthcare is to filter the important information and discard the unwanted ones. It will also need feeding data from all possible sources, binding them and then breaking them down into meaningful pieces. Once the industry is past the initial hiccups, the benefits it can reap are many. Some of the major benefits are listed below. Advanced Patient Care can be provided by using a patient’s medical records and his/her health habits. Data collected from the patient’s electronic health records regarding previous health issues, current medications, and health combined with data from wearable health gadgets can be used to provide better care and treatment. Reduced Cost and Time by managing data and identifying cost incurring areas and reducing them wherever possible. The processes and procedures taking more time and incurring more costs than they should be can be handled easily. Better Staffing according to the footfall trends can be done. A hospital never wants to be understaffed or overstaffed. Gathering data to identify the admission and discharge rate over the past few years can give an insight into the general proceedings of the hospital in a day. Accordingly, more staff can be assigned during the bustling hours and reduced during the laid-back hours. Minimization of Error in medications and personalized care treatment can be achieved using the services of Big Data. Patient’s records can be analyzed along with the prescribed medicines and anything out of place can be flagged by the system utilizing Big Data. This will help prevent issues like wrong medication, drug abuse and grave drug interaction. Fraud Detection like medical abuse and insurance fraud can be predicted and minimized well in time. A large set of data pertaining to claims history can be analyzed to find fraud patterns and prevent further such incidents. Possible drug abuse cases can be similarly captured and curtailed by analyzing diagnosis, test, prescriptions, and follow-ups. Real-time Monitoring of high-risk patients can avoid an emergency case. A patient’s vital stats can be constantly monitored and an alarm triggered, alerting the concerned doctor, allowing the healthcare professionals to take appropriate action. Optimal Reimbursement amount can be decided with help of Big Data. It can take into account the quality of services provided, the efficiency of treatment, and the patient’s response to the treatment, the claim process, and many such contributing factors. Inventory Management in a hospital can be improved using Big Data Analytics. Based on previous inventory records, the analysis can predict the number of tools and supplies the hospital is going to need in the current year. This will save the hospital from over-stocking or under-stocking. It will also help in proper budgeting allowing the hospitals to allocate funds fittingly. Predictive Analysis can be utilized to identify people, classes and areas more susceptible to certain diseases and health concerns. This will help in providing customized and personalized services to individuals. Mass vaccinations, free public health check-ups and other preventive measures can be taken well in advance to prevent an outbreak. Better Personal Health can be achieved by patients when they are well informed about their medical condition, their medicines, and their vital stats. Knowing about what they can and can’t do and how they are performing right now can be a great motivational factor for them to achieve better health. Data is easily available, but need is to filter, organize, manage, re-arrange and make sense out of them. Big Data can help the healthcare industry to do just what it needs right now and make it better An improved health care industry goes a long way in building a great nation. - By Sneha Sinha 40 | December 2018 |
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  • 44. S tarted in 2005 as a value- added distribution company, Intuit Micro Technology, LLC has now grown into a full- blown empire. It is a healthcare IT solution provider and software developer in the Middle East. It aimed at creating intuitive, intelligent, and integrated software for healthcare industry keeping the patient care in mind. Headquartered in Dubai, today Intuit has expanded its business within the GCC region. Intuit Micro has also established a development office in Chennai and is very soon planning to open an office in KSA. The company envisions to provide an exemplary ecosystem to healthcare professionals and patients so that they can interact smoothly for a better tomorrow. The Luminary Leading Intuit Giri Rajan is the Founder and CEO of Intuit Micro. He has spent over ten years developing solutions for the healthcare in the twenty-five years of his experience IT. He is an Electronics and Communication engineer with a Bachelor’s and a Master’s degree in Business Administration. Prior to founding Intuit in 2005, Rajan has worked with Apple IMC in the Middle East for nine years. He has been the catalyst to the growth of the firm from a typical IT company to one of the top five healthcare IT companies in the region. He has zeal for technology and is focused on bringing enterprise solutions to the masses at an affordable cost. Dual Lines of Service The company has two divisions within Healthcare IT. One of these develops Simplex HIMES that helps clinics, diagnostic centers, and referral labs. Simplex HIMES also covers Patient Management, Medical Records, Decision Support Tools, LAB, Radiology, Pharmacy, Revenue Cycle, Document Management, Inventory, HR Payroll, and Analytics. As a part of patient engagement, the company also has its own patient portal and mobile app. The second division of Intuit Micro is for the third-party product distribution where it has products like Rimage CD publisher, Rimage patient report publisher, RESMD 0FP, and RADSPA enterprise PACS. At Intuit, Clients Come First There are three areas that differentiate Intuit from all its contemporaries. One is its support. It’s one of the best in the region. Intuit Micro has automated systems, policy, and procedures in place to handle any kind of customer queries. Even then, it has made it a point to listen to its clients and work on improving the existing solutions. The company goes one step further in understanding the objectives of its customers instead of simply providing what they ask for or solving their problem. Another interesting practice at Intuit Micro is that once a company or an individual becomes its customer, they are treated as the part of an extended family. The firm works closely with them and helps them in technical and commercial solutions. This has made the company a preferred partner for its customers. In Intuit Micro Offering State-of-the-art Software Solutions to Improve Patient Care 42 | December 2018 |
  • 45. the last thirteen years of business, Intuit does not have a single customer who was left unsatisfied with the company’s solutions or support. To add to this, the company’s passionate about studying and adopting technologies and it also understands that the products are used as tools to treat patients. Therefore, it builds products with love and responsibility, making a huge difference in its space. Life at Intuit Intuit claims to have one of the most flexible and comfortable work atmospheres in Dubai as well as Chennai. It does not follow the system of hierarchy and has no attendance policy. Every individual at Intuit Micro has only one responsibility- ‘to take care of the customers’. Some of their developers play dual role of being HR manager. This helps them to understand how management decisions are made and can then further explain it to their peers. At Intuit, most of the decision making or policies are automated with guiding principles. “We have only one rule -’There is no rule as long as the freedom is not exploited’. Our team enjoys the freedom of work and our customers are happy,” asserts Rajan. Optimistic about a Bright Future Intuit Micro aspires to be the number one choice for HIS in Middle East. The trajectory of its growth is soaring higher every day, and this goal may not be far way. The company is introducing a lot of smart tools and working on AI to ease the burden on physicians and facilities to care for patients and run the business profitably. It is focused on making these tools available to all its customers and will be releasing them without additional cost. Even for the customer bought the software few years back, the company will be providing all the updates and new features within the purchased modules free of cost, as long as they are under the firm’s maintenance. This approach is greatly admired by Intuit Micro’s customers aiding to the company’s current and future growth. ‘‘With humility, great responsibility, and love we create software for healthcare ‘‘ Giri Rajan Founder and CEO 43| December 2018 |