Orthopedics Specialists Streamline Record Management

Leading Cardiology Group Eliminated 98% of Phone Calls

Nephrology Practice Saves Dozens of Hours Weekly Outsourcing

Nephrology Group Ignites Hope by Eliminating Administrative Burdens and Costs

The Client

This Nephrology group is dedicated to a mission of igniting hope and healing for people with kidney disease through compassionate, innovative care. They aim to slow the progression of kidney disease, reduce hospitalization rates, and successfully transition people to dialysis through education and choice.

The Challenge: Administrative Burden and High Costs

Despite their robust infrastructure and large patient base, Balboa Nephrology faced significant operational hurdles regarding medical records (MR). The primary drivers for seeking a solution included:
Volume Overload: The sheer volume of requests created a heavy administrative burden for the staff.
Operational Costs: The costs associated with managing these requests internally were becoming unsustainable.
Resource Drain: Time spent on records diverted attention from other critical duties within the practice.

The Solution: A Seamless, No-Cost Transition

The decision to partner with Provider1st was driven by the need for a solution that could integrate smoothly without disrupting existing workflows. Provider1st addressed the practice's pain points by:
Seamless Integration: Provider1st’s ability to work within Balboa’s existing system allowed for a seamless transition.
Timely Delivery: The partnership ensured that requests were delivered in a timely manner, maintaining high service standards.
Zero Cost: The "no cost to the practice" model eliminated the financial strain previously associated with processing records.

“Partnering with Provider1st was an easy decision considering no cost to the practice and Provider1st’s ability to timely deliver requests.”

-Director, Revenue Cycle Management

The Results: 12 Hours Saved Weekly and Focus on RCM

The impact of partnering with Provider1st was immediately felt across the organization's operations. By offloading the medical records process, Balboa Nephrology achieved:

12 Hours Saved Weekly:

The staff saved approximately 12 hours a week, freeing up significant capacity.

RCM Focus:

With the administrative burden removed, staff could pivot their focus to other Revenue Cycle Management (RCM) duties.

Timely Compliance:

Requests are now delivered promptly, ensuring the practice meets the needs of patients and partners efficiently.

 

Shield Your Patient Data from Your EMR

Discover the hidden risks of EMR (Electronic Medical Records) patient data sharing and its potential impact on your medical practice's revenue. Learn how to take control and protect your practice from negative consequences by opting out of patient record sharing.

Did you know that your EMR (Electronic Medical Records) vendor might be using your patient data in ways that could negatively impact your medical practice's revenue? It's time to take control. Contact your EMR representative today and request them to remove your practice from any type of Patient Record Sharing, which is often enabled by default in most contracts. Read on to understand how EMR patient record sharing can affect your practice.

The Legal Landscape

Under both state and federal law, patient health information can be used and disclosed for treatment, payment, and healthcare operations (such as auditing, resolving complaints, and evaluating quality of care) without needing written permission. Technically, no laws are being broken. However, it’s important to understand how your patient data flows from your practice to payors (health plans) via your EMR.

The Hidden Pathway of Your Patient Data

Under both state and federal law, patient health information can be used and disclosed for treatment, payment, and healthcare operations (such as auditing, resolving complaints, and evaluating quality of care) without needing written permission. Technically, no laws are being broken. However, it’s important to understand how your patient data flows from your practice to payors (health plans) via your EMR.

4 Reasons to Block Your EMR From Sharing Patient Data

  1. Influence RAF Scores: Risk Adjustment Factor (RAF) Scores determine government budget allocations per patient. With access to your patient data, payors can identify gaps and use third-party vendors to maximize a patient's risk profile, affecting your reimbursements and care processes.
  2. Increased Claim Rejections: Payors with detailed access to patient data from your EMR can find reasons to reject claims and require prior authorizations, creating a cycle that hinders collections and disrupts cash flow.
  3. Unfavorable Contract Negotiations: Armed with detailed insights into the type of care you provide, payors can leverage this information during contract negotiations to secure terms that may not be in your best interest.
  4. Reduced New Patient Acquisition: Payors can deprioritize you in provider directories, making it harder for new patients to find and choose your practice, directly impacting your patient base and growth potential.

 Many providers are already taking steps to protect their data. As a healthcare professional, you can be proactive by contacting your EMR sales representative and asking them to opt your practice out of patient record sharing. Most EMR contracts have this sharing enabled by default, so it’s crucial to make this change to safeguard your practice. For further guidance on protecting your data, Provider1st offers a free data assessment. Click here to learn more

Industry Standard Compliance

Every step of the way, Provider1st ensures our processes are met with industry compliance standards your practice and patients expect with their data.

HIPAA SOC HITRUST badges

Provider1st Pulse

Shield Your Patient Data from Your EMR

Is your EMR vendor using your patient data in ways that could negatively impact your revenue?

Learn More

5 Benefits to Outsourcing Medical Record Requests

Discover how outsourcing medical record requests can alleviate common pain points that your healthcare practice is more than likely experiencing daily.

Learn More

How an Orthopedic Clinic Refocused on Their Patient Experience

Discover how outsourcing medical record requests can alleviate common pain points in your healthcare practice.

Learn More

Stay Connected

Join us on LinkedIn for the latest news and events surrounding Provider1st

Join the Conversation

Ready to drive next level patient experiences?

Our mission is to help providers increase revenue while decreasing administrative burden that leads to incredible patient care. Schedule your meeting to get started today.