Thursday, May 24, 2012

Ehr Adoption - New Jersey Experiments With Ehr to Cut Physicians' Paper Work

Aetna Health Care - Ehr Adoption - New Jersey Experiments With Ehr to Cut Physicians' Paper Work
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Can billing offices save time and money in insurance payments through Ehrs?

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Last month, five national condition insurance plans along with the two largest plan industry groups announced that they will be launching a groundbreaking initiative in New Jersey to cut insurance paperwork for physicians' offices.

If it's successful, the initiative will be the first experiment in Ehr adoption to cut down on chasing insurance money, what providers say is the biggest time and money drain on their practices.

According to a New York Times report about the initiative, the five plans - Aetna, AmeriHealth New Jersey, Cigna, Horizon Blue Cross Blue Shield of New Jersey, and United Healthcare represent about 95 percent of confidentially insured patients in New Jersey.

The plans are collaborating with two industry groups, America's condition insurance Plans (Ahip) and the Blue Cross Blue Shield relationship (Bcbsa), and are using a multi-payer web portal advanced by NaviNet, Insurer Connect.

According to Ahip, five doctor groups are also collaborating on the project, namely, the medical society of New Jersey; New Jersey Academy of family Physicians; New Jersey relationship of Osteopathic Physicians and Surgeons; New Jersey medical Group administration Association; and Partners in Care, Corp.

The condition plans will provide the portal assistance to 50,000 providers at zero cost, and NaviNet says it will offer them one place where they can, in real-time: check eligibility and benefit information; submit and ask about claims; and check referral and authorization submissions.

A probable twist in the ideas is that the personel plans still have to feed the site information, and not all the plans provide the same level of electronic condition data, according to the Times. This means that doctors will still be obtaining different levels of personel Ehr info from different subsections of the NaviNet portal.

However, supplier groups are hopeful. Leaders at the New Jersey Academy of family Physicians, one of the collaborating doctor groups, continue to state their concern that executive responsibility on physicians grow every year, but they affirm that this initiative is at least a step in the right direction.

A study put out late in 2009 by the center for learning condition ideas change and referenced on the Njafp's web site found a gap between policymakers' expectations of and practitioners' palpate with Ehr. according to the study, what's assuredly required to make Ehr work is to reform payment policies to address coordination of care, even within a particular providers' office, but assuredly among practices.

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