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February 3, 2014 News 1 Comment

CMS issues a final rule allowing patients or their representatives to access completed lab reports directly from laboratories, rather than only permitting physicians to provide their patients with results.

A fee schedule survey of 2,619 practices reveals that 2013 reimbursement levels remained flat for existing patient visits and declined as much as 21 percent for new patient visits.

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Spectrum Health (MI) selects PerfectServe’s Clinician-to-Clinician and DocLink platforms for direct and secure clinician communication.

EHR alerts show promise in changing physician behavior when treating overweight and obese children, report researchers from the University of California at Davis. Researchers added obesity-related alerts to the health system’s outpatient EHR and found significant, though not dramatic improvements in treatment. Findings included modest increases (from 40 to 57 percent) in the proportion of children diagnosed as overweight or obese; a 10 percent increase for lab tests for diabetes and dyslipidemia; an increase in follow-up appointments from 24 to 42 percent; and a static number of referrals to dietitians (13 percent.)

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Last week on HIStalk we recognized athenahealth for unseating Epic for the first time in eight years as the top overall vendor in the “Best of KLAS” awards, and mentioned all the Best in KLAS winners. In the ambulatory EHR and PM categories the top-ranked vendors and their scores were:

Ambulatory EMR (over 75 physicians) Epic EpiCare Ambulatory (85.7), eClinicalWorks (72.8), Cerner Millennium PowerChart (72.4)

Ambulatory EMR (11-75 physicians) –  EpiCare (84.5) athenahealth, athenaClinicals (83.6), Greenway Medical PrimeSUITE (80.4)

Ambulatory EMR (1-10 physicians) – SRSsoft (90.9), athenaClinicals (87.2), e-MDs (85.2)

PM (over 75 physicians) – Epic Resolute/Prelude/Cadence Ambulatory (87.5), eClinicalWorks (77.9),  NextGen Healthcare (76.4)

PM (11-75 physicians) –  athenaCollector (87.7), Greenway (83.3), NextGen Healthcare (77.0)

PM (1-10 physicians) –  athenaCollector (89.5), Greenway (85), Henry Schein MicroMD (81.8)

KLAS also named the highest rated products in a couple of EMR and PM subset categories:

  • 150+ physicians – Epic for ambulatory EMR (85.8) and for ambulatory PM (88.3)
  • Single physician EMR – e-MDs (84.2)
  • Single physician PM – athenaCollector (81.4)

A small shout-out to PCC Partner, which scored highest in both the EHR (94.4) and PM (91.7) 1-10 physician segments, but was excluded from the overall rankings because KLAS considers them to be “component” products.

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CMS reports that through 2013, 436,000 EPs and hospitals have registered for the MU program and 334,000 have been paid incentives for meeting MU requirements, including 63 percent of all EPs. A mere 213 EPs out of 215,288 who attested for Medicare in 2013 were unsuccessful.

The average wait time to schedule a doctor appointment if you live in a large metropolitan area: 19 days, though depending on the specialty and region it could be as little as a day or more than eight months. Boston has the longest average wait times across all specialties at 45 days.

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Athenahealth accepts about $6.7 million in state and local incentives to open an R&D office in Austin, TX and pledges to create 600 jobs over the next ten years with an average salary of $132,000. The company will invest $13 million to convert 110,000 square-foot of office space space within the redeveloped Seaholm Power Plant.

CMS gives physicians and their billing staff a chance to assess their ICD-10 readiness during a limited front-end testing session March 3-7. During the testing week, physicians can submit claims using ICD-10 codes for services rendered between October 1, 2013 and March 3 to determine if their Medicare administrator contractors can receive the claims and determine if the claims are accepted or rejected.

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The 50-physician Green Clinic (LA) implements Bomgar’s appliance-based remote support solution to provide IT support across its seven locations.

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More than 400 Walgreen Healthcare Clinic locations will implement Inovalon’s Electronic Patient Assessment Solution Suite to provide predictive analytics tools at the point of care.

Inga large

Email Inga.


Comments 1
  • Thank you, Inga, for the shoutout about PCC and KLAS.

    KLAS told me that they have already corrected the on-line report – and I just confirmed it – and the printed report as well. We are now listed with our pediatric speciality and not with a big “[C]”, which implied that we’re somehow not a complete nor fully certified solution. We’ve discussed this with them before but they keep returning to this behavior.

    I recognize the challenge that we represent to KLAS. We’re a small company with a particular focus, so putting us at the top of the list above Athena, Greenway, etc., isn’t quite appropriate…but, at the same time, we dominate just about every category so heavily you’d think they’d figure out a way to highlight what we do. But they don’t, they prefer to hide us.

    As I’ve explained to them: we are the highest scoring vendor they’ve ever had but not ONCE has that ever had any effect on our sales. No one ever calls to say, “I saw your great KLAS scores…”

    Our relationship with KLAS is strained at times because of this issue. I find them to be impeccably honest when it comes to their data but their business model doesn’t suit the customers we want to reach.

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