• Evaluating practice management software is the first step in making sure you realize full efficiency and profitability benefits for your medical practices. Finding the right solution for your work environment requires a thorough understanding of what makes your practice tick and insight into what areas can be improved upon.
• Here are a few tips to consider as you’re evaluating practice management systems.
• Look to the future: Your practice needs software that is easy to use, yet is sophisticated enough to offer the benefits of a full-featured practice management system. You should look for a product that’s designed for the size of your practice but that can grow with it as your needs change.
• Get the big picture: Look for a practice management program that gives you a full 360 degree perspective of your business – clinical, administrative, business and management functions – from a single point, using common tools.
• Consider integration: Integration with electronic health records, business intelligence and electronic data services, for example, make a strong practice management software system even more valuable. And you can adopt the additional components at your own pace, when you’re ready and on your own terms.
• Ongoing training and support is vital: Look for flexible training options such as online education coupled with on-site training. Ask about support programs. Find out if there is a remote diagnostic function to help with troubleshooting. And ask if there are regional experts who can come to your site if there is a problem.
• Find a long-term partner: Remember… The choice you make now will affect how your practice is run day-to-day for years to come, so it’s wise to put your trust in a company that will meet your needs today and well into the future.

CCHIT Certified Ambulatory EHR 2007

The following products have achieved CCHIT Certified status by testing against the 2007 Ambulatory EHR criteria.

* Pre-market conditional certification

Top 5 Reasons for Claims Rejections According to Cahaba Government Benefit Administrators®, LLC in Georgia during December 2007. 209 INVALID LAST NAME FOR HIC NUMBER (14,871 claims) The last name submitted for the beneficiary does not match the last name on record for the HIC number on the claim. The beneficiary's last name must include apostrophes, spaces, hyphens, etc., if they appear in the beneficiary's last name on his or her Medicare card. 383 INVALID NPI/LEGACY MEDICARE PROVIDER NUMBER COMBIN (14,165 claims) The legacy provider number submitted in the indicated loop is not associated on our crosswalk with the NPI submitted. Be sure the NPI submitted is the correct NPI for the legacy provider number submitted. If it is then verify the provider's information with enumerator; be sure all of the information entered is correct and complete, including tax ID numbers, addresses, phone numbers, etc. If this information is correct then contact the provider enrollment department at 877.567.7271 210 INVALID FIRST NAME/INIT FRO HIC (12,802 claims) The first name submitted for the beneficiary does not match the last name we have on record for the HIC number on the claim. The beneficiary's first name must include apostrophes, spaces, hyphens, etc., if they appear in the beneficiary's last name on his or her Medicare card. 421 DIAG CODE (XXXXX) INVALID FOR DATE SVC (9,298 claims) The invalid diagnosis code will appear inside the parenthesis. Be sure that you are using the latest ICD-9 diagnosis codes, and that the code you are using is the most specific one. Also be sure that you are not using a date of service that is before the effective date of the diagnosis code. 333 INVALID PROVIDER NUMBER IN LOOP XXXXXX (9,128 claims) The provider number is the indicated loop is not valid. The invalid provider number used will appear in the text for the edit.
Are you getting NPI rejections? If your claims are rejecting, here are steps in resolving your NPI issues. First go into the NPPES website located at https://nppes.cms.hhs.gov/ and validate that your information is correct and that you reported your provider legacy provider numbers in the appropriate sections of the ‘Other Provider Identification Numbers’ field. Your legacy provider number is the identifier assigned to you by the insurance plan upon enrollment and used prior to NPI assignment. Sometimes multiple legacy identifiers are assigned to a single provider, usually because the provider had multiple locations or, if the provider is an individual and worked in multiple locations. If the information in your NPPES record is correct and contains your valid legacy identifiers, print the screen, call your insurance plan and ask that they confirm your NPI information is in their crosswalk. Remember, getting an NPI is free. Not having an NPI or not registering your NPI can be costly!