Case Studies
Cardiology
Case #1 - an eighteen physician cardiology group purchased a new electronic medical record (EMR) system. A series of broken promises and lack of existing interface capabilities created an undesirable double data entry scenario. The group turned to EDI Solutions to create a custom HL7 interface to eliminate the double data entry nightmare. Because of the non-cooperative attitude of the billing vendor, a unique non-intrusive interface was developed. An eighteen month projected temporary fix turned into three year solution until a new practice management system was selected and implemented.
Pathology
Case #2 - an eleven physician pathology group receiving all their hospital-based patient information on paper approached EDI Solutions to automate the electronic collection and ultimate billing of hospital data. In addition to eliminating the need to manually key high volumes of hospital data, unique screen capture technologies were also deployed that allowed the pathology group to bill for charges that were previously cost prohibitive.
"The EDI Solutions System was designed around how we do business. Because of the nature of our clinical business (high volume transactions and lower profit margins), the EDI Solutions hospital interfaces have virtually eliminated any manual data entry. Our overall data entry costs have been reduced by sixty-six percent. In addition to the reduction of data entry costs, we are now billing for two new hospitals."
Case #3 - a twenty-two physician pathology group had been in discussion with a hospital IT department for almost two years trying to work out a diagnostic reports interface. The pathology group wanted to send diagnostic reports via the hospitals gateway and then have the results available to the physician community via the hospital electronic health record (EHR) system. The hospital information system (HIS) provided a single gateway point that extends access to multiple area hospitals and had existing interfaces with several medical groups supporting multiple standalone EHR systems. Due to an incompatible data element issue between the HIS and pathology lab information system (LIS), the hospital’s final recommendation was for the pathology group to start entering case information in the hospital's LIS system and cease using the pathology group's LIS as the point of data entry. Instead, the pathology group continued entering case information into their own LIS system (business as usual) and EDIS created an interface that got all their reports into the hospital's EHR system through a unique order entry interface utilizing HL7 messaging.
"Getting this interface up and working was critical to our ability to deliver laboratory results to our broader physician community. We are grateful to EDI Solutions for stepping in and making this interface work. We were very pleased that we didn't have to change the way we did business. We were also able secure key physician accounts because of priority delivery protocols that EDIS worked into their delivery system."
Radiology
Case #4 - a seventeen-physician radiology group desiring to reduce data entry costs associated with "re-keying" hospital data, has significantly reduced their operating costs as a result of the EDIS System. Demographic and charge data traditionally provided by the hospital on paper is now electronically collected, reformatted and entered into their billing systems without the need to key in the data.
"The impact has been huge. It used to take two people one day to enter demographic / insurance data and post charges for one of our larger hospitals. With the EDIS System, one person can post the equivalent of three days worth of charges in just one day for the same hospital."
Case #5 - a seventy-five physician radiology group, an EDIS client since 1997, while considering making a substantial investment in an EDI 835 remittance payment posting module from their practice management software (PMS) vendor, turned to EDIS for an alternate solution. Based on some unique customer requirements, EDIS developed a payment posting interface at a fraction of the cost proposed by their PMS vendor.
"Our production levels have exceeded all expectations. Recently we received our largest single Medicare batch ever. The batch included over 3300 line items and it balanced to the penny."
Case #6 - twenty-two physician radiology group waited over 14 years for their hospital to finally send them electronic data. While our client patiently waited for the hospital to send data, EDIS developed a system that automatically captured all the data they needed, without the help or cooperation of the hospital. EDIS bridged the data gap for over fourteen years with an estimated data entry saving between $500,000 and $1,000,000. EDIS applications continue to provide value added data scrubbing not inherent in in host software.
"EDIS picks up the slack in our system's software edits. We wanted a custom application to show only the differences in how A-LIFE Medical coded claims and how the hospital coded the claim. EDIS always delivers the functionality we want."
Cardiology
Case #1 - an eighteen physician cardiology group purchased a new electronic medical record (EMR) system. A series of broken promises and lack of existing interface capabilities created an undesirable double data entry scenario. The group turned to EDI Solutions to create a custom HL7 interface to eliminate the double data entry nightmare. Because of the non-cooperative attitude of the billing vendor, a unique non-intrusive interface was developed. An eighteen month projected temporary fix turned into three year solution until a new practice management system was selected and implemented.
Pathology
Case #2 - an eleven physician pathology group receiving all their hospital-based patient information on paper approached EDI Solutions to automate the electronic collection and ultimate billing of hospital data. In addition to eliminating the need to manually key high volumes of hospital data, unique screen capture technologies were also deployed that allowed the pathology group to bill for charges that were previously cost prohibitive.
"The EDI Solutions System was designed around how we do business. Because of the nature of our clinical business (high volume transactions and lower profit margins), the EDI Solutions hospital interfaces have virtually eliminated any manual data entry. Our overall data entry costs have been reduced by sixty-six percent. In addition to the reduction of data entry costs, we are now billing for two new hospitals."
Case #3 - a twenty-two physician pathology group had been in discussion with a hospital IT department for almost two years trying to work out a diagnostic reports interface. The pathology group wanted to send diagnostic reports via the hospitals gateway and then have the results available to the physician community via the hospital electronic health record (EHR) system. The hospital information system (HIS) provided a single gateway point that extends access to multiple area hospitals and had existing interfaces with several medical groups supporting multiple standalone EHR systems. Due to an incompatible data element issue between the HIS and pathology lab information system (LIS), the hospital’s final recommendation was for the pathology group to start entering case information in the hospital's LIS system and cease using the pathology group's LIS as the point of data entry. Instead, the pathology group continued entering case information into their own LIS system (business as usual) and EDIS created an interface that got all their reports into the hospital's EHR system through a unique order entry interface utilizing HL7 messaging.
"Getting this interface up and working was critical to our ability to deliver laboratory results to our broader physician community. We are grateful to EDI Solutions for stepping in and making this interface work. We were very pleased that we didn't have to change the way we did business. We were also able secure key physician accounts because of priority delivery protocols that EDIS worked into their delivery system."
Radiology
Case #4 - a seventeen-physician radiology group desiring to reduce data entry costs associated with "re-keying" hospital data, has significantly reduced their operating costs as a result of the EDIS System. Demographic and charge data traditionally provided by the hospital on paper is now electronically collected, reformatted and entered into their billing systems without the need to key in the data.
"The impact has been huge. It used to take two people one day to enter demographic / insurance data and post charges for one of our larger hospitals. With the EDIS System, one person can post the equivalent of three days worth of charges in just one day for the same hospital."
Case #5 - a seventy-five physician radiology group, an EDIS client since 1997, while considering making a substantial investment in an EDI 835 remittance payment posting module from their practice management software (PMS) vendor, turned to EDIS for an alternate solution. Based on some unique customer requirements, EDIS developed a payment posting interface at a fraction of the cost proposed by their PMS vendor.
"Our production levels have exceeded all expectations. Recently we received our largest single Medicare batch ever. The batch included over 3300 line items and it balanced to the penny."
Case #6 - twenty-two physician radiology group waited over 14 years for their hospital to finally send them electronic data. While our client patiently waited for the hospital to send data, EDIS developed a system that automatically captured all the data they needed, without the help or cooperation of the hospital. EDIS bridged the data gap for over fourteen years with an estimated data entry saving between $500,000 and $1,000,000. EDIS applications continue to provide value added data scrubbing not inherent in in host software.
"EDIS picks up the slack in our system's software edits. We wanted a custom application to show only the differences in how A-LIFE Medical coded claims and how the hospital coded the claim. EDIS always delivers the functionality we want."