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Mar 28

7 Strategies to Transform Your Revenue Cycle

Healthcare providers are in the middle of enormous change. Declining reimbursement, the transition from fee-for-service to value-based payment models, and consumerism are all influencing the way providers get paid, how much they get paid—even whether they get paid at all. While it’s difficult to stop in the middle of managing these changes to evaluate existing revenue cycle processes, it’s an important step in ensuring your organization is positioned for success.

In Availity’s new ebook, 7 Strategies to Transform Your Revenue Cycle, we look at opportunities for healthcare providers to improve financial performance and increase patient engagement. Below are the highlights:

  1. Track yield as a metric: While many healthcare providers focus on KPIs like “days in A/R” and “cash as a percentage of the cash target,” tracking yield (calculated as cash collected ÷ net expected reimbursement) provides a better indicator of how revenue cycle processes are contributing to the overall financial performance of your organization.
  1. Address the root cause of denials: According to Advisory Board, 67 percent of denials are recoverable and 90 percent are preventable. Get to the root cause and fix them by focusing on where, why, and how.
  1. Focus on upfront processes: Many denials can be tracked back to the patient access processes. Look for ways to improve the front of the revenue cycle by focusing on admission and registration, eligibility and benefits, pre-authorization and point-of-service collections.
  1. Integrate and automate systems: Many hospitals and physician practices are struggling with data silos. Look for ways to break down them down and integrate clinical and financial data across the continuum of care.
  1. Educate and engage patients: A recent study found that only 14 percent of respondents accurately understood the concepts of deductible, copay, co-insurance, and out-of-pocket maximum. Helping patients understand what they owe and why can help improve collections.
  1. Collect more upfront: Collecting at the point of service hasn’t always been a priority for healthcare providers, but with the percentage of patient responsibility increasing, it’s taken on a new sense of urgency. To be successful, you must have the right policies and programs in place, and making sure employees have the resources they need can
  1. Commit to ongoing training: New revenue cycle initiatives—whether that includes new technology, reengineered workflows, or new programs—must be accompanied by robust training and educational programs. Making sure staff has the skills necessary to perform critical tasks is key to a successful program.

To learn more about each of these strategies, download our new ebook, 7 Strategies to Transform Your Revenue Cycle.

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December 23, 2016
MicroMD Security Features Overview
The Health Insurance Portability and Accountability Act (HIPAA) Security Rule establishes a national set of
minimum security standards for protecting all ePHI that a Covered Entity (CE) and Business Associate (BA)
create, receive, maintain, or transmit. The Security Rule contains the administrative, physical, and technical
safeguards that CEs and BAs must put in place to secure ePHI as outlined below
(https://www.hhs.gov/hipaa/for‐professionals/security/laws‐regulations/):
 Administrative Safeguards – Administrative safeguards are administrative actions, policies, and
procedures to prevent, detect, contain, and correct security violations. Administrative safeguards
involve the selection, development, implementation, and maintenance of security measures to protect
ePHI and to manage the conduct of workforce members in relation to the protection of that
information. A central requirement is that you perform a security risk analysis that identifies and
analyzes risks to ePHI and then implement security measures to reduce the identified risks.
 Physical Safeguards – These safeguards are physical measures, policies, and procedures to protect
electronic information systems and related buildings and equipment from natural and environmental
hazards and unauthorized intrusion. These safeguards are the technology and the policies and
procedures for its use that protect ePHI and control access to it.
 Organizational Standards – These standards require a CE to have contracts or other arrangements with
BAs that will have access to the CE’s ePHI. The standards provide the specific criteria required for
written contracts or other arrangements.
 Policies and Procedures – These standards require a CE to adopt reasonable and appropriate policies
and procedures to comply with the provisions of the Security Rule. A CE must maintain, until six years
after the date of their creation or last effective date (whichever is later), written security policies and
procedures and written records of required actions, activities, or assessments. A CE must periodically
review and update its documentation in response to environmental or organizational changes that
affect the security of ePHI.
To assist Covered Entities (CEs) and Business Associates (BAs) in meeting HIPAA Security Rule requirements to
protect sensitive ePHI and in completing HIPAA Security Rule Risk Assessments, we’ve compiled the following
information on MicroMD security, processes, policies and features related to:
 ePHI encryption (Surescripts CIN & Henry Schein MicroMD Patient Portal)
 Auditing functions (MicroMD PM & EMR)
 Backup and recovery routines (Cloud‐based MicroMD)
 Unique user IDs and strong passwords (MicroMD PM & EMR)
 Role‐ or user‐based access controls (MicroMD PM & EMR)
 Auto time‐out (MicroMD PM & EMR)
 Emergency access (MicroMD EMR)
 Amendments (MicroMD EMR)
 Secure practice‐to‐patient communications (Henry Schein MicroMD Patient Portal)
 Secure provider‐to‐provider email (Surescripts CIN)
P: 330‐758‐8832 • F: 330‐758‐0182 ‐ 760 Boardman‐Canfield Road Boardman, OH 44512 2
micromd.com
Signed BAA Required for All MicroMD Clients: MicroMD requires having a signed BAA on file with every client.
The BAA outlines joint responsibilities between the CE and MicroMD for access, usage and protection ePHI
during in the normal course of business.
Client Server Hosted MicroMD PM & EMR: If a CE using MicroMD PM and/or EMR hosts their own database on
their own network, it is the responsibility of the CE to ensure they assess, implement, test and monitor the
required administrative, physical, organizational standard and policies and procedures needed to protect ePHI
stored in and transmitted to and from their own network.
Cloud‐based MicroMD PM & EMR: In additional to the security features built in to the MicroMD PM & EMR
software, clients hosting their data in our cloud environment have additional levels of security, including:
 24/7 secure data storage, access, monitoring and maintenance and 99% average uptime
 Server tools including switches, firewalls, software and infrastructure support
 Data disaster recovery and managed data backups
 SSL 128 bit encryption
 Unique logins and password for each user and audit trails for log‐in, log‐out and system access
 System log‐off after a pre‐set length of inactivity
MicroMD PM
 Access management through role‐based access, privileges and permissions for users and/or groups
 Audit logging of failed login attempts
 Specify password strength and reset requirements
 Login in attempt and timed system lock out settings
 Automatic lock based on established settings
 Limit access to the system on established days and times
MicroMD EMR – 2014 and 2015 Edition CEHRT: MicroMD EMR was first certified by an Office of the National
Coordinator‐Authorized Certification Body (ONC‐ACB) starting with Version 7.5 in 2011 and continues to
maintain compliance in accordance with the criteria adopted by the Secretary of Health and Human Services
(HHS). 2014 Edition CEHRT for MicroMD EMR has been tested and certified to security requirements as per 2014
Edition 45 CFR 170.314 criteria. 2015 Edition CEHRT for MicroMD EMR will test and certify to security
requirements as per 2015 Edition 45 CFR 170.315 criteria below:
 §170.315.d.1 Authentication Access Authorization
 §170.315.d.2 Auditable Events and Tamper‐resistance
 §170.315.d.3 Audit Reports
 §170.315.d.4 Amendments
 §170.315.d.5 Automatic Access Time‐Out
 §170.315.d.6 Emergency Access
 §170.315.d.7 End‐User Device Encryption (We don’t store the data on the end user device (computer);
data is only stored on a client’s server or in a secure Cloud server environment.
 §170.315.d.8 Integrity
 §170.315.d.9 Trusted Connection
If you have any questions about MicroMD security features, please contact Client Support:
hsms.support@micromd.com.

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