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November 22, 2016
4 Ways to Make the Revenue Cycle Work for You

The business side of medicine may be even more difficult than the healing side. Performing administrative and financial tasks is not the training of most medical professionals, and yet they are expected to keep up with coding, billing, reporting and technologies to a degree that may actually infringe upon their clinical effectiveness. Attempting to succeed at all these responsibilities is a recipe for physician burnout.

So the question is how to deal with electronic health record (EHR) requirements and the high paperwork burden, while retaining quality patient care and maintaining efficiency (and profitability) in the revenue cycle. ScribeAmerica has come up with a unique solution to time-consuming clerical tasks that uses an efficient method of incorporating clinical and clerical duties into a timely workflow. The Queuelogix company, launched by Scribeamerica in June of this year, was established with the intent to unite clerical and clinical duties and was founded on the concept that “unites back-office operations with frontline documentation in real-time”. By working together and communicating in real-time, medical staff and billing personnel are able to achieve precision and efficiencies that far exceed what has been done previously.

To help better elucidate what Queuelogix is — and how it works — here are four different practical ways it helps drive the revenue cycle to your advantage.

Accurate documentation of clinical events

Successful billing starts with accurate and thorough medical documentation. To ensure this, the Queuelogix process of revenue cycle efficiency begins at the point of care with trained, certified medical scribes. Using scribes helps ease the clerical burden of EHR data entry, and Queuelogix goes a step further to join that real-time documentation directly to the billing and coding process, thus contributing to the revenue cycle in a more dynamic way.

Accurate coding information from coding experts

Further down the line, billing and coding can be maximized through an accurate reflection of what happened during the patient contact. The Queuelogix concept is taken from Scribeamerica’s earlier coding model, LiveCode, in which medical scribes, who document the medical events taking place between physician and patient in real-time, are also in real-time contact with the billing personnel “on the other side.” With Queuelogix’s software platform, which is able to match up to almost any EHR system, medical scribes can consult with coding experts who assist and support them in marking the right pre-coding decisions for medical diagnoses, services or procedures, on the spot. This step helps speed physician review of documentation that has been produced before it is passed on to the coding and billing office.

Accelerate the overall revenue cycle

Profitability increases when the revenue cycle is completed quickly. And the revenue cycle is accelerated when claims are not backlogged for later but, instead, are sent to payors within hours rather than days. Queuelogix resolves the issue of accumulated billing claims by simultaneously processing correctly coded billing claims while the patient is being seen by the physician. This real-time medical billing/coding not only saves time through complete claims and lower clerical burden but, because of the high level of accuracy arising from direct communication between billing personnel and medical scribes during the actual examination, also helps to avoid the headaches of rejected claims.

Keep the revenue cycle running smoothly and continuously

An additional support feature that is offered by Queuelogix involves situations where a practice may be temporarily understaffed and in need of more manpower (e.g. during periods of holiday or illnesses). In these cases, Queuelogix offers a temporary support staff to whom you can outsource the billing work, so that your practice can stay up to speed, without delays.

These services from Queuelogix are also flexible and can be used for as short or as long as a provider or medical group needs. The ultimate goal of this real-time solution to revenue cycle woes is to help physicians to regain the precious interaction with their patients, while keeping them productive and satisfied with their work.

Care Navigators
As healthcare business models evolve, so should care teams.

Patients who are paired with Care Navigators report feeling less anxiety, and an increased ability to self-manage their conditions between visits. And providers report increased job satisfaction from improved efficiency, and knowing their patients have access to care teams, and strategic support.

Chronic Care Management
With an increased aging population managing two or more chronic illnesses, extending your care teams’ ability to communicate with patients is critical. We take a strategic approach to helping patients chart a path towards their health goals, while self-managing their chronic conditions between clinical visits.

AI Chatbots
We deliver a robust AI Chatbot solution to help manage and sustain effective communication with patients. Care teams implement the conversational text messages and customize patient communication to deliver high quality care.

Nurse Care Team Assistants
Adding a qualified Nurse CTA to the care team increases quality of work-life and reduces stress on nurses. The nursing profession is also experiencing an alarming shortage due to increased clerical burdens and burnout.

Revenue Cycle Management
Transition Revenue Cycle Management into the modern age with a suite of software tools that will transform your billing and coding processes. Transact at lightning speed, with increased transparency and decreased siloes. The QueueLogix software application seamlessly integrates with existing EMRs to ensure the clinical activities and back-office operations are well aligned, monitored and successful.

Referral Management
Referrals scheduled by navigators in the clinical setting builds long term, patient care integrity across the care continuum. With the authority, along with the provider to search for specialists in network, navigators assess their schedules, and ensure appointment compliance.

Scribe Services
There’s a reason why we’re the nation’s most frequently used scribe company: we offer professionally trained medical scribes to meet the specific needs of our clients. We offer a variety of scribe programs, as well as technology and personnel solutions that address revenue cycle management, the transition to value-based care, and more through our HealthChannels family of companies.