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How Technology Reduces the Administrative Burden on Physicians

The Quality Measures developed by the Centers for Medicare & Medicaid Services (CMS) are primarily designed to improve patient care and safety. CMS defines them as “tools that help us measure or quantify healthcare processes, outcomes, patient perceptions and organizational structure and/or systems that are associated with the ability to provide high-quality healthcare and/or that relate to one or more quality goals for healthcare.”

Though these tools are well-intentioned, healthcare providers in the United States spend an average of 785 hours per physician and more than $15.4 billion annually on the reporting of quality measures. This doesn’t include the time doctors spend completing the documentation required to comply with the Children's Health Insurance Program (CHIP), the Medicare Access and CHIP Reauthorization Act (MACRA) and Merit-based Incentive Payment System (MIPS). It’s no surprise nearly 40 percent of physicians list regulatory and insurance requirements as one of the two least satisfying aspects of their job.

Many doctors in the U.S. average 40-60 working hours per week and report burnout at rates two times greater than non-physician working adults. Almost half of a doctor’s workday is spent on administrative work, while only 27 percent is spent on direct clinical care. For each hour of clinical face time physicians spend with patients, an additional two are filled with administrative and clerical tasks.

The Benefits of Employing Automation

Many doctors prefer the use of technology for administrative purposes. A multitude of technologies, including electronic health record (EHR) systems and computerized physician order entry (CPOE), have been designed to decrease paperwork and streamline the administrative side of healthcare for clinicians.

A key solution used to increase patient satisfaction is digital technology utilized during the intake process. It streamlines registration and enables physician practices to more quickly and easily retrieve completed patient forms and insurance verification, increase patient privacy and improve patient flow. Research has shown high percentage of patients seek providers with technology that offers digital scheduling, online payment options, portal and engagement capabilities and results reporting tools.

Similarly, tools that provide electronic charge capture and automated medical billing increase coding accuracy and efficiency and staff productivity, enhance denial management processes and cut operational costs. Physicians have the capability to use the data from this type of solution to calculate and track their RVUs, which often are factored into their compensation and demonstrate their value to the practice, hospital or health system that employs them.

Te advantages physicians achieve by implementing these types of technologies to reduce their administrative burden are many. By automating essential tasks, they can focus on what matters most: patient care. Other benefits include enhanced cycle management, improved HIPAA-compliance, increased patient engagement, reduced medical errors and decreased risk of audits.

How a patient is classified is another crucial part of correct coding. There are specific rules for whether someone is categorized as a new or returning patient. A new patient is one who hasn’t received professional services from you or a member of your group in any location (e.g. hospital) in the past three years. For example, an established patient that has not been seen by you 2015 would be considered a new patient. Conversely, a returning patient is one to whom you or another physician in your group have provided services, including inpatient hospital consultations.

A Focus on Accurate Coding

Another major advantage of technologies for electronic charge capture and automated medical billing is increased coding accuracy. This level of accuracy might not seem vital to a provider’s sustainability, but it results in improved compliance, reduced waste and more complete quality reporting.

Increased coding accuracy also affects a provider’s reimbursement. Many physician practices and other providers forgo thousands of dollars annually in revenue through delayed and denied healthcare claims, often due to inaccuracy. The costs from these inaccuracies aren’t always financial; sometimes they come in the form of a damaged reputation.

By using tools to ensure accurate coding, providers avoid consequences from a lack of compliance with regulations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). As mentioned in a previous blog, criminal penalties for HIPAA violations vary from a fine of $50,000 and up to a year in prison to $250,000 and up to ten years of jail time. Penalties for civil HIPAA violations range from $100 - $50,000 per violation, with an annual maximum of $25,000 for repeat violations, to $50,000 per violation, with an annual maximum of $1.5 million.

maxRVU: HIPAA-compliant Charge Capture and Communications

Solutions for electronic charge capture and automated medical billing enable healthcare providers to track and report key performance indicators while analyzing accurate data on revenue and costs. maxRVU Charge Capture automates data entry for quick and accurate charge capture on-the-go. If you’re a physician looking to reduce the amount of time you spend on administrative tasks, start your free trial of maxRVU today!

  • LoneStar Orthopedics

    Being a physician assistant, I see a lot of patients in and out of the hospital. Keeping track of each charge sheet was immensely tedious and I’m pretty sure I lost a few of them. Ever since I started using maxRVU, I haven’t forgotten or lost a single charge. My biller even told me I’m coding more accurately which I think is because I can submit the session right after it happens, rather than waiting like I used to.

  • University of Louisville – Neurosurgery

    The Neurosurgery group at the University of Louisville were in the market for a better way to track individual RVUs for each physician; on top of ensuring every patient encounter was sent to the biller (including the unscheduled ones.) maxRVU became their quick and easy solution to a complex problem, and they’ve never looked back.

  • University of South Alabama – Mitchell Cancer Center

    Obviously I am a big fan of maxRVU. Very user friendly. Y'all have developed an impressive service.

  • Fort Worth Brain & Spine

    maxRVU helps take a worrisome task and turns it into a pretty simple task I don’t worry about. I love that I can scan the patient labels to capture patient information.

  • OrthoSouth

    The customer service has been super responsive and open to my ideas and suggestions.

  • Park Ridge Health

    My first two months after starting to use maxRVU were my two most productive months by far. My office assistant also loves it, and it makes it very easy for her to submit charges. Thanks!

  • ENTiCare

    I enjoy using the program and the main advantage for me has been more accurate procedure coding and wireless real-time communication with my biller; that has resulted in significant reduction in the time needed to process and submit claims.

  • Texas Brain & Spine

    I am very happy with the product. I like the layout and some of the latest features such as bundled codes and scanning of patient information.

  • Lone Star Orthopedics

    maxRVU has helped me streamline my patient billing…no more paper notes stuffed hastily in my pocket or a stack of superbills with hastily scribbled notes for my assistant to interpret. Most importantly, I am recovering all missed billing opportunities and getting insurance payments faster.

  • Atlantic Neurosurgical and Spine Specialists

    I previously relied on a cumbersome system of facesheets, patient stickers, and notecards to track my patient encounters leading to lost revenue. I discovered maxRVU to streamline my billing sessions and this program is incredible.

  • LoneStar Orthopedics

    We looked around and found solutions costing almost twice as much with the added cost of support. We're a midsize group and the savings with maxRVU made our decision a no brainier.

  • The Women's Cancer Center

    maxRVU has been a great tool for communication between our gynecologic oncologist, who spends 3.5 days per week in the operating room, and our billing/coding staff.

  • Austin Cancer Center

    With maxRVU we were able to reduce time to bill from weeks to days from the very start, while getting more visibility on our facility activity.

  • Dr. Baolien Tu

    I appreciate very much all of the hardwork that you have put into upgrading and adding new features to the app. I have not purchased any app (game or productivity) that brings me as much satisfaction as maxRVU. BaoLien Tu, M.D

  • RPG Logo

    Thanks, as always for your prompt attention! It’s the one thing that I value most in our partnership with maxRVU. You really deliver on customer service.

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