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Your Money: Economic Stimulus

George Washington wants you to save your money. Doctations can help your practice achieve ‘Meaningful Use’ and run a cleaner, tighter ship.

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Our Partners

Everyone needs a little help, especially if they want to be as good as us. Meet our partners:

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News

08/10/09
Physicians ... Move Towards Internet Healthcare...

02/13/09
Doctations, Inc. Honored with Prestigious TEPR Awards...

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Free Trial

Doctations Pay as You Go tier allows any doctor to sign-up as a member of the DocPatient network to use the system and to participate in secure text/audio/video messaging with colleagues. This tier also gives physicians access to patient information with the patient’s permission and the ability to document patient encounters. You can sign-up for a Risk-Free Trial Membership for 1 month at $35/months. If you’re not fully satisfied with our application and service we will refund your money or, let us know what features you would like added or enhanced and we will upgrade our service to meet your needs. Please note, you may be responsible for transcription, coding, and online billing fees if you elect to use these services during your trial.

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To sign-up for a Risk-Free Trial Membership, simply give us a call at 877-Doc-Patient or

1-877 -362-7284 and a Doctations Representative will assist you with the registration process.

Register for a FREE Trial Registration HERE.

Getting Started

3 Easy steps to get started with Doctations:

1. Register above
2. Verify Email
3. Login and Learn More

Download the Getting Started Presentation (.ppt)

Take a Tour

Please register for a free Doctations account in order to view our instructional videos. These videos include overviews of Doctations, iMedical Home and iBill Well, and more advanced training for paid users.

3 Easy steps to get started with Doctations:

1. Register HERE
2. Verify your Email address
3. View the Tutorial Videos HERE (available now if you are already a registered user)

Training

Want to learn more about how Doctations can benefit your practice? Participate in live Web seminars or view product demonstrations. This is a great way to see Doctations in action, right from your desktop.

Monday
Sales Demo: 9:30am - 10:30am
Front Desk Session: 11:00 am - 1:00pm
Clinical Session: 4:00pm - 6:00pm

Tuesday
Practice Management Session: 9:00am - 11:00am
iMedical Home: 4:00pm - 6:00pm

Wednesday
Clinical Session: 9:00am - 11:00am
Front Desk Session: 3:00pm - 5:00pm
Sales Demo: 5:30pm - 6:30pm

Thursday
iBill Well: 9:00am - 11:00am

Friday
Advanced User: 9:00am - 11:00am
Sales Demo: 1:30pm - 2:30pm
TBD Session: 2:30pm - 4:30pm

* Training schedule on a weekly basis

Stimulus Plan

On February 17, President Barack Obama signed the American Recovery and Reinvestment Act of 2009.  The Act is intended to achieve widespread adoption of health IT and enable electronic exchange of health information. It offers incentives through Medicare and Medicaid to reward providers for demonstrating the “meaningful use” of certified electronic health record (HER) technologies.

The Facts

• Starting in 2011, meaningful EHR users can earn $44,000 under the Medicare plan and $64,000 under the Medicaid plan over 5 years.
  
  
• Early adopters benefit most, as about 70% of the payments come in the first two years.
  
  
• Those engaged in Physician Quality Reporting Initiative (PQRI) and electronic prescribing can earn an additional $6,000 - $8,000 per year beginning immediately.
  
  
• Physicians that do not adopt an EHR by 2015 will be penalized through percent decreases in Medicare reimbursement rates.

What is Meaningful Use?

• It is not enough to just purchase and implement an EHR system.  “Meaningful use” is defined in the legislation as:
  
  
• Using certified EHR technology that includes electronic prescribing
  
  
• Using EHR technology that allows electronic exchanged of health information
  
  
• Eligible professionals must submit information for the period on the clinical quality measures and other measures selected by the secretary of the Department of Health and Human Services (HHS).
  
  

It is anticipated that HHS will provide specifics and clarity about what providers will need to do to demonstrate meaningful use. This means that most providers will have one year – 2010 – to finish EHR implementation and put the infrastructure, applications and training in place to be eligible to receive as much of the incentive money as possible.

Privacy

In addition to these regulations, Congress passed a number of privacy protections designed to safeguard the rights of patients to keep health records private.

The Bill:

• Prohibits the sale of out medical records without consent.  (There are exceptions for research, public health and treatment.)
  
  
• Limits marketing
  
  
• Requires any entity using an EHR to keep an audit trail of all people and organizations with whom they share your information.
  
  
• Mandates policies setting standards for technology systems to segment sensitive information.
  
  
• Mandates policies setting standards for encryption of data.
  
  
• Increases monetary penalties for violations

The Solution

Providers will now need to choose from dozens of technology companies and evaluate which will allow them to seamlessly upgrade to a paperless practice and become a part of the healthcare revolution. There is only one choice that will give physicians the ability to:

• Document their patient encounters through use of multiple input methods in less time than it takes today
  
  
• Access medical records anywhere, at any time, through a secure internet connection so all of their patient’s doctors can access the record in an emergency in a HIPAA-compliant manner
  
  
• Use a revolutionary billing system that allows them to create claims from voice-driven hybrid digital medical records and prepare and submit claims to insurance providers in less than 30 minutes
  
  
• Order labs, provide educational material to patients, send prescription requests and earn the full Medicare E-Prescribing bonus payments
  
  
• Participate in a virtual community of colleagues and find the right answers faster
  
  
• Take advantage of the growing abundance of web services designed to improve their practice
  
  
• Be a part of the Internet healthcare revolution

Doctations is the world’s first web-native software as a service for doctors, patients and billing staff to provide a better solution. This innovative technology helps doctors rapidly and sensibly author high quality Internet-enabled Digital Medical Records (iDMRs). This revolutionary technology was integrated with an intelligent front desk management system and a state-of-the-art, automated billing system to help physicians achieve practice efficiencies not previously possible. Doctations leverages the Internet to share workload, conserve physician time, increase practice profitability and improve patient care. All while moving physicians and their patients towards internet healthcare and onto a shared network called the DocPatientNetwork.

By utilizing subscription pricing instead of a substantial upfront investment, Doctations provides physicians with an affordable option that is completely customizable to suit any medical practice. Through efficient patient interactions, interoffice communications and by leveraging the Internet, Doctations enables doctors to collaborate on shaping solutions to the national healthcare crisis. The future of healthcare is on the web. By leveraging the Internet, Doctations improves doctors’ quality of life and empowers a grassroots movement to improve healthcare for all of us.

Billing

The medical billing software is the primary means of maintaining income in private practice medicine today – it is critical to the viability of a medical practice. As such, it must provide the following four core functions:

• Claim creation
  
  
• Claim submission & tracking
  
  
• Payment posting and Reconciliation
  
  
• Analytics to determine promptness of submission, payment and reconciliation
  
  

While all of these functions were manual only a few years ago, most of them can be at least partially automated today. Changes to the billing process occur almost monthly and even the process of maintaining a billing software system and its resources can be very time consuming. The consequence of not properly maintaining these resources, such as updating medicare fee schedules in a timely fashion, is a source of financial loss in many billing operations. The iBillWell Billing Software as a Web Service (SaaS) alleviates this need completely – all updates are performed centrally.

More importantly, billing software itself must change to meet new requirements in a timely fashion. Classic Client-Server software installations require that the user install updates on a regular basis. Often this requires a maintenance contract with the vender and, often, IT personnel to assist with server operations in the doctor’s office. Again, the iBillWell SaaS takes care of these issues centrally. This reduces cost and both for the physician and his or her staff.

iBillWell allows you to take back control of your practice in three ways:

• By automating processes by using EDI-based information exchange with insurance companies.
  
  
• By providing every iBW user with an Internet-Based BILLING PLATFORM that allows the physician to outsource billing work while maintaining complete control of billing records and all billing supporting material.
  
  
• By providing access to a growing list of online services such as claim scrubbing and automated phone reminders to improve office patient flow and billing operations.
  
  

iBillWell provides the average small practice with the tools often seen only in very large billing operations such as in hospitals and large clinics.

Finally, iBillWell can provide your practice with maintenance, support and surveillance to help you improve in-office billing-related processes in ways that can improve net revenue collection by 7% or more in very little time and with minimal effort. We can have professional billers observe your entire operation – front desk to back office billing and collections – and provide you with the information you require to optimize these processes. This costs, on average, about 1% of net revenues and can be negotiated into your billing company costs.

The Benefits of E-Prescribing

E-prescribing is the electronic method of generating prescriptions by using a system that transmits scripts to participating pharmacies electronically.

What are the Incentives/Penalties?

Beginning January 1, 2009, providers who use a qualified system to e-prescribe can receive a higher level of reimbursement under Medicare in form of a 2% reimbursement bonus in 2009 and 2010. That reimbursement bonus will drop to 1% in 2011 and 2012 and to .5% in 2013.
Also, eligible providers who do not e-prescribe will see a penalty strong of 1% in their reimbursement starting in 2012. The penalty increases to 1.5% in 2013 and to 2% in 2014 and beyond.

Who is Eligible?

For the 2009 e-prescribing reporting year, to be a successful e-prescriber and qualify to receive an incentive payment, an eligible professional must use a “qualified” e-prescribing system to report one e-prescribing measure in at least 50% of eligible cases (the cases in which the measure is reportable by the eligible professional) during 2009 and at least 10% of the eligible professional´s total Medicare Part B allowed charges for 2009 are from covered services listed in the denominator of the measure.

Under the E-Prescribing Incentive Program, covered professional services are those paid under the Medicare Physician Fee Schedule (PFS). To the extent that eligible professionals are providing services which are paid under the PFS, those services are eligible for E-Prescribing Incentive Program.

What does E-prescription do?

• EMR meets all the requirements of a “qualified e-prescribing system” including the following tasks:
  
  
• Generates a complete active medication list using electronic data received from applicable pharmacies and pharmacy benefit managers (PBM), if available.
  
  
• Allows providers to select medications and transmit prescriptions electronically, alerting the prescriber of drug-drug interactions, allergy concerns, or other unsafe or undesirable situations.
  
  
• Provides information on lower cost alternatives
  
  
• Provides information on formulary or tiered formulary medications, patient eligibility and authorization requirements received electronically from the patient’s drug plan
  
  
• Meets the Part D specifications for messaging that will be implemented on April 1, 2009.
  
  

Benefits to Providers (Summary)

• Safe and timely delivery of prescriptions
  
  
• Point-of-care access to patient’s eligibility and formulary
  
  
• Reduced errors related to drug-to-drug and drug allergy interactions as well as misread hand-written scripts
  
  
• Minimize doctor-pharmacy communications
  
  
• Easier and faster prescription authorization-fulfillment-renewal
  
  

Benefits to Providers (Detail)

It allows you to automate the entire prescribing process via SureScripts ®, the country´s largest national electronic prescribing network for the following services and benefits:

Eligibility and Formulary

E-prescription provides prescribers with real-time, electronic access to eligibility and formulary information from patient drug plans.

Benefit:

• Enables prescribers to select medications that are on formulary and are covered by the patient’s drug benefit.
  
  
• Informs prescribers of lower cost alternatives such as generic drugs.
  
  
• Unnecessary phone calls from pharmacy staff to physician practices related to drug coverage are reduced.
  
  

Prescription History

E-prescription allows prescribers to electronically access patient medication history from pharmacies and payers at the point of care.

Benefit:

Access to medication history decreases the risk of preventable medication errors. Prescribers who can access critically important information on their patient´s current and past prescriptions are better informed about potential medication issues with their patients and can use this information to improve safety and quality.

Prescription Routing:

E-prescription replaces old, error-prone approaches to sending new prescriptions (i.e. handwritten, printed or faxed prescriptions), with the secure computer-to-computer exchange of prescriptions between prescribers and pharmacies.

New Prescriptions:

It facilitates the electronic transmission of new prescriptions from physician to pharmacist reducing the risk of medication errors associated with poor handwriting, illegible faxes and manual data entry.

Renewals/Refills:

It enables physicians to electronically receive and respond to renewal requests and refill authorizations from pharmacies saving time and money by dramatically reducing the number of phone calls and faxes typically associated with the prescription renewal authorization process, which could translate into more time for patient care or other reimbursable activity.

Benefit:

By eliminating paper, phone and fax, electronic Prescription Routing makes getting patients the medications they need a safer and more efficient process, resulting in savings in time and money.

Benefits to Patients

• Improved Safety- lower medication errors
• Increased Convenience-no paper Rx to drop off
• Lower Costs- allows prescribers to select medications on drug plan

Meeting CMS Guidelines

• As of October 1, 2008, CMS requires all written Medicaid prescriptions to be on a tamper resistant blank. Electronic prescriptions are excluded from this requirement. E-prescriptions are excluded from this requirement.
  
  
• Beginning January 1, 2012 Part D prescriptions can no longer be sent to pharmacies by computer generated fax. If your EMR or e-prescribing system is not enabled to send prescriptions to pharmacies electronically by this date prescriptions must be printed and handed to the patient, or manually faxed.
  
  

Other Incentives and Benefits:

Learn all about the Economic Stimulus Plan and how we can help you capitalize on Medicare and Medicaid incentive payments and receive maximum dollars available.