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Cycle Management Final File optimize

In a pursuit to acknowledge the revolution some of these companies are bringing to the existing revenue cycle segment in healthcare, we bring to you the special edition, titled “The 10 Best Revenue Cycle Management Solution Providers 2018”. It highlights the pioneers in this industry as well as their contribution to augment the existing workflow.

In a pursuit to acknowledge the revolution some of these companies are bringing to the existing revenue cycle segment in healthcare, we bring to you the special edition, titled “The 10 Best Revenue Cycle Management Solution Providers 2018”. It highlights the pioneers in this industry as well as their contribution to augment the existing workflow.

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www.insightscare.com<br />

December 2018<br />

Company of The Month<br />

The 10 Best<br />

Revenue <strong>Cycle</strong><br />

<strong>Management</strong><br />

Solution Providers<br />

2018<br />

Richard Atkin, CEO<br />

Greenway Health<br />

Sam Khashman<br />

President & CEO<br />

Imagine<br />

Software<br />

Continuous Innovation for Best-in-Class Revenue <strong>Cycle</strong> Solutions


Editor’s Column<br />

he revenue cycle in healthcare has been following the<br />

Tfee-for-service reimbursement strategy for a long time<br />

now. According to various healthcare experts, this<br />

process has proven to be very time-consuming. Patients are<br />

paying more for the out-of-the-pocket services, which are not<br />

very beneficial, and opting less for the necessary services. All<br />

of these concerns call out for a change in the existing revenue<br />

cycle management system. This is where the value-based care<br />

reimbursement strategy comes in.<br />

The value-based payments bring to us the opportunity to lower<br />

the cost of patient care while improving the quality. The<br />

process is solely based on charging medical bills for positive<br />

clinical outcomes. Not only does it increase the sense of<br />

accountability in healthcare organizations, but it also shifts the<br />

burden of financial responsibility from payors to providers.<br />

Transiting to the<br />

Value-based Care<br />

Reimbursement<br />

The question that arises is - can we do this? Yes! Although, the<br />

transition from fee-for-service to value-based payments is not<br />

easy, it is definitely possible. A few strategies can help make<br />

the process faster and smoother. Data analytics play a major<br />

role in analyzing quality metrics of an organization and<br />

monitoring its progress. This will help in keeping track of the<br />

quality of the services provided. The medical bills can then be<br />

tied to outcomes of those services.<br />

Alongside, healthcare companies should promote collaboration<br />

among its several professionals, like nurses, doctors, finance<br />

managers, and so on. Often, due to lack of sync between these<br />

role-players, the payment process becomes confusing and is<br />

delayed. Also, front-end revenue cycle tasks are to be paid<br />

attention to. If the patients are educated about their financial<br />

responsibilities at every step, the transparency and ease in the<br />

entire process can be maintained. Population health<br />

management is another factor to be considered. Providing<br />

preventive and post-treatment care can aid to this.<br />

As it is said, change is the only constant thing and such a<br />

change for better results is today a necessity in healthcare. By<br />

adopting value-based care reimbursement system, the industry<br />

can holistically improve its revenue cycle.<br />

Aishwarya Nawandhar<br />

Aishwarya Nawandhar<br />

Editor


Editor-in-Chief Pooja M. Bansal<br />

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Cover Story<br />

8<br />

ImagineSoftware<br />

Con nuous Innova on for Best-in-Class<br />

Revenue <strong>Cycle</strong> Solu ons<br />

Company of the Month<br />

CXO<br />

Greenway Health<br />

Expanding Possibili es<br />

in Healthcare with Leading-Edge<br />

Technology Solu ons and Services<br />

16 32<br />

Expert’s Corner<br />

How Today's<br />

Environment is Reshaping the<br />

Medical Device Industry


CONTENTS<br />

20<br />

Billing Tree<br />

Enhancing the Pa ent Payment<br />

Process with Avant-Garde Solu ons<br />

ezDI<br />

Making Data<br />

<strong>Management</strong> Intelligent<br />

26<br />

42<br />

Intuit Micro<br />

Offering State-of-the-art So ware<br />

Solu ons to Improve Pa ent Care<br />

ARTICLES<br />

22 28 38<br />

Health Spotlight<br />

Balancing Health and<br />

Fitness at Workplace<br />

Editor’s Choice<br />

8 Tac cs to Augment<br />

Pa ent Financial Experience<br />

Emerging Trends<br />

Healthcare's Big<br />

Leap to Big Data


The 10 Best<br />

Revenue <strong>Cycle</strong><br />

<strong>Management</strong><br />

Solution Providers<br />

2018<br />

Meet the Innovators<br />

of Tomorrow<br />

he world is embracing digitalization at a rapid pace and the global healthcare industry is not an exception.<br />

TPatient care is made better, disruptive innovations have engulfed the industry and there’s a lot more<br />

development going on, in and around healthcare. Along with focusing on improving and personalizing the<br />

care, the healthcare providers need to focus on remaining financially fit. Efficient revenue cycle management is the<br />

key to ensure this. There are various companies around the globe that are helping the care providers in efficiently<br />

managing their financial duties, as well as reducing the patients’ financial responsibilities.<br />

In a pursuit to acknowledge the revolution some of these companies are bringing to the existing revenue cycle<br />

segment in healthcare, we bring to you the special edition, titled “The 10 Best Revenue <strong>Cycle</strong> <strong>Management</strong><br />

Solution Providers 2018”. It highlights the pioneers in this industry as well as their contribution to augment the<br />

existing workflow.<br />

On its “Cover”, is featured a remarkable contributor in this domain who is reinventing the revenue cycle experience<br />

and is striving to create a truly patient-centered experience, ImagineSoftware. The cover story provides the insight<br />

into the company and how it is making its mark in the healthcare domain.<br />

Other than the interesting cover story, we have Greenway Health, a company aiding physicians run their business<br />

better while improving care for patients, listed as the “Company of the Month”. Apart from this, we have also enlisted<br />

BillingTree, a pioneer providing integrated payment solutions; ezDI, Inc. that offers holistic and state-of-the-art<br />

billing solutions; Intuit Micro Technology, LLC, who is a leading healthcare IT solution provider in the Middle East;<br />

Impact Advisors; Intuitive Solutions; MD1, Inc.; RSource; and the MEDCOR Group.<br />

As you flip through the pages, you will find an engaging article by an ingenious personality of the industry Jeff<br />

Mongelli, the CEO and Founder of Acentec, Inc., under the title Expert’s Corner. Contributing further to this<br />

special edition are certain brilliant articles by our in-house editors- Health Spotlight, Emerging Trends, and Editor’s<br />

Choice.<br />

Walk yourself through the pages and enjoy a good read!


Imagine<br />

Software<br />

Continuous Innovation for Best-in-Class Revenue<br />

<strong>Cycle</strong> Solutions<br />

‘<br />

We are committed to the<br />

success of our clients, partners,<br />

and employees.<br />


The 10 Best<br />

Revenue <strong>Cycle</strong><br />

<strong>Management</strong><br />

Solution Providers<br />

2018<br />

Sam Khashman<br />

President & CEO


Cover Story<br />

‘<br />

We are committed to innovative development and<br />

intuitive revenue cycle management solutions.<br />

‘<br />

evenue cycle management possesses the<br />

Rpotential to financially make or break healthcare<br />

organizations. In addition to ever-changing<br />

policies and regulations, effective billing and collection<br />

processes are becoming more important than ever for<br />

medical billing companies, practices, and hospitals to<br />

stay afloat. Designed as a complete medical billing<br />

solution, ImagineSoftware offers the technology needed<br />

to capitalize on collections throughout the lifecycle of a<br />

medical claim. The company is reinventing revenue<br />

cycle management to create a more streamlined and<br />

patient-centered experience.<br />

ImagineSoftware is a leading provider of billing<br />

automation software and revenue cycle management<br />

applications. Offering powerful technology solutions for<br />

medical billing offices, practices, and hospitals, it<br />

currently services more than 46,000 physicians across all<br />

50 states. It is headquartered in Charlotte, North Carolina<br />

with additional office locations in San Diego, CA and<br />

Daytona Beach, FL. The company’s solutions improve<br />

financial efficiency, build provider reputation, and<br />

ultimately improve the patient payment experience.<br />

A Journey of Innovation<br />

“If you can imagine it, they can do it.” A statement<br />

proclaimed by one of ImagineSoftware’s first clients that<br />

shaped the future of the company. ImagineSoftware was<br />

incorporated and launched in 2000 as a workflow and<br />

document imaging company. After successfully<br />

developing enterprise-wide analysis and financial<br />

systems in 2002, the company began to focus on the<br />

healthcare IT sector around 2003. Eighteen years later,<br />

the goal remains the same: ‘To be the leading healthcare<br />

revenue cycle management platform.’<br />

Today, the company has grown to a grand stature.<br />

ImagineSoftware was the first mover in the industry after<br />

implementing Artificial Intelligence (AI) within its<br />

product suite to address patient insurance eligibility.<br />

Further, it is committed to innovative development and<br />

intuitive revenue cycle management solutions, helping<br />

clients achieve peak performance and measurable results<br />

by streamlining the billing and collections workflow,<br />

improving staff productivity and increasing practice<br />

profitability.<br />

The Seasoned Leader<br />

Sam Khashman, ImagineSoftware President and CEO,<br />

established the company with the vision of workflowcentric<br />

computer systems. Khashman leveraged his<br />

experience working with high volume transactions in the<br />

manufacturing, financial and insurance industries to<br />

develop Imagine’s revenue cycle management system.<br />

He has spent his career evolving markets with various<br />

software solutions and is recognized in the health<br />

industry for combining complex processes into efficient,<br />

single system solutions. He has an extensive background<br />

in systems integration, process efficiency, and imaging<br />

systems. With more than two decades of executive<br />

leadership positions, he has led the development and<br />

commercialization of more than 18 software products<br />

which are utilized by thousands of unique users and<br />

serve millions of patients.


The Product Suite<br />

ImagineSoftware is built for high-volume and complex<br />

medical billing. After years of client feedback, research,<br />

and collaboration across numerous specialties, Imagine<br />

has developed cutting-edge medical billing software that<br />

is both flexible and scalable. It is designed to meet the<br />

needs of numerous specialties and helps to streamline the<br />

practice management workflow to increase revenue. The<br />

products not only offer providers increased collections<br />

and better staff productivity, they also ensure a better<br />

patient payment experience. Along with providing<br />

advanced technology and automation, the company<br />

provides seamless connectivity for a fully <strong>optimize</strong>d<br />

practice management experience.<br />

Designed as a complete healthcare billing systems and<br />

revenue cycle solution, the Imagine software suite of<br />

products offer the technologies and tools needed to<br />

enhance practice management, capitalizing on<br />

collections throughout the entire lifecycle of a claim.<br />

With the ImaginePay online payment portal and<br />

HonorCare® patient payment plan, patients are<br />

provided with convenience, affordability, and the<br />

freedom to take better control over their medical bills.<br />

ImagineAI, as it is aptly named, allows health<br />

providers to gather detailed patient demographics and<br />

payor information, while customizing billing messaging<br />

based on patients’ ability to pay their medical bills. The<br />

system learns and adjusts over time to maximize revenue<br />

without compromising compliance.<br />

Tailoring Services to Fit Client Needs<br />

At the heart of ImagineSoftware’s core values is servant<br />

leadership. Each clients’ business challenges are unique<br />

making the selection of medical billing software a<br />

complicated process. To meet the needs of health<br />

organizations of all shapes and sizes, ImagineSoftware’s<br />

three areas of focus are medical billing solutions that<br />

cater to numerous specialties, exceptional<br />

implementation, and customer support. Much of<br />

ImagineSoftware’s growth over the years can be<br />

attributed to its dedication to customers. “We never<br />

forget who we work for. Without our clients, we’re just a<br />

software company. They are the reason we’re<br />

successful,” says Khashman.<br />

Honorable Laurels<br />

ImagineSoftware has been named to the 2018 Grant<br />

Thornton North Carolina 100® (Nc100), which ranks<br />

the state's largest private companies by revenue.<br />

Khashman states, “This award reflects our commitment<br />

to delivering innovative software solutions to our<br />

customers in the healthcare space through our culture of<br />

servant leadership.” In addition, the company holds a<br />

place in the Inc.5000 list, the NC Mid-Market Fast 40<br />

list and the Fast 50 list.<br />

The Imagine Family<br />

There’s more to ImagineSoftware than the services and<br />

products it provides. It is the family, with all its<br />

employees having a significant place. The<br />

ImagineSoftware team works together in a transparent<br />

environment where all ideas and suggestions are<br />

respected. Employees are provided with numerous<br />

benefits including free lunches, family and employee<br />

social events, recognition awards, and more. This helps<br />

create a positive, flexible work-life balance.<br />

ImagineGives, an internal charitable initiative that<br />

provides Imagine employees with the opportunity to<br />

support their community through volunteering,<br />

prioritizes philanthropy for its surrounding communities<br />

and people. This was started to make a lasting and<br />

positive impact on the people and communities that have<br />

supported ImagineSoftware. The company also<br />

encourages the spirit of giving by supporting its<br />

employees through a matching gifts program.<br />

The firm encourages its employees to grow in their<br />

‘<br />

We never forget who we work for.<br />

Without our clients, we’re just a software company.<br />

They are the reason we’re successful.<br />


‘<br />

With our state-of-the-art solutions, we are here to help<br />

healthcare move closer to patient-centric care.<br />

current and future careers with Imagine by offering weekly time for learning and training courses as well as defined<br />

paths for positional movement within the organization.<br />

Hand-in-hand with Technologies<br />

With rapid changes in the healthcare industry due to the adoption of innovative technologies, ImagineSoftware has<br />

made it a point to stay at pace with these developments. The evolution of AI and machine learning is now a reality and<br />

AI is already disrupting various sectors. ImagineSoftware has adopted the technology to revamp the world of<br />

healthcare, and endeavors to continue the same. It is transforming the revenue cycle experience to move closer to the<br />

notion of patient personalization. Its holistic medical billing and revenue cycle solution has empowered healthcare<br />

providers with technology and tools. With this, they can enhance practice management and capitalize on collections<br />

throughout the complete lifecycle of a claim from front-end scheduling to back-end reporting.<br />

Endeavors in Care Enhancement<br />

“Healthcare is an industry in need of innovation as health plans, providers, healthcare companies, and the<br />

government, are facing rising costs and inconsistent outcomes. All involved are working to improve care and health<br />

outcomes, all while reducing costs and spending. At ImagineSoftware, we pave the way for peak performance in<br />

medical billing as we continue our focus on results-driven innovation,” asserts the CEO. ImagineSoftware plans to<br />

drive its business forward and create new advancements in the industry by understanding client needs and anticipating<br />

its next steps. It also foresees the benefits for automation and intelligence in the current healthcare space and far into<br />

the future. The company plans to continue to react to the needs of its customers by implementing quality technology to<br />

combat ongoing challenges in capturing revenue through payor reimbursements and patient payments.<br />

For more info visit<br />

www.imagineteam.com<br />

‘<br />

It's not just about the software, it's our people too.<br />

‘<br />


The 10 Best<br />

Revenue <strong>Cycle</strong><br />

<strong>Management</strong><br />

Solution Providers<br />

2018<br />

Company Name <strong>Management</strong> Brief<br />

BillingTree CareView<br />

mybillingtree.com<br />

Edgars “Edz” Sturans<br />

CEO<br />

BillingTree is a leading provider of integrated payment<br />

solutions in Healthcare and other biller direct verticals.<br />

ezDI, Inc.<br />

ezdi.com<br />

Chetan Parikh<br />

CEO<br />

ezDI claims to be the only provider of born-in-the-cloud , AI -<br />

based , fully integrated, Speech to text, CDI, CAC, Encoder,<br />

Auditing and Analytics platform on the planet.<br />

Greenway Health<br />

greenwayhealth.com<br />

Richard Atkin<br />

CEO<br />

Greenway Health provides software services to ambulatory<br />

healthcare practices, so that physicians can better run their<br />

businesses and care for their patients.<br />

ImagineSoftware<br />

imagineteam.com<br />

Sam Khashman<br />

President & CEO<br />

ImagineSoftware is reinventing the revenue cycle experience<br />

to create a truly patient-centered experience.<br />

Impact Advisors<br />

impact-advisors.com<br />

Peter Smith<br />

Co-founder & CEO<br />

Impact Advisors is a healthcare consulting firm dedicated to<br />

improving healthcare through technology and process<br />

improvement.<br />

Intuit Micro Technology,<br />

LLC<br />

intuitme.com<br />

Giri Rajan<br />

Founder & CEO<br />

Intuit Micro is a healthcare IT solution provider and software<br />

developer in the Middle East.<br />

Intuitive Solutions<br />

intuitive.solutions<br />

Tayyab Yunus<br />

CEO<br />

Intuitive Solutions Inc. (ISI) is a<br />

global People > ProfitSM company.<br />

Md1<br />

md1health.com<br />

Richard Hicks<br />

CEO<br />

Md1 provides patient encounter, revenue cycle, practice<br />

operations, and transitional care management solutions.<br />

Rsource<br />

rsource.com<br />

Lawrence Reid<br />

CEO<br />

Rsource provides innovative third-party-payer solutions that<br />

improve revenue cycle performance for hospitals.<br />

The MEDCOR Group<br />

medcorinc.com<br />

Jonathan Gerber<br />

CEO<br />

MEDCOR Revenue Services is a premier independent<br />

billing and revenue cycle management services provider.


Greenway Health:<br />

Expanding Possibilities in Healthcare with Leading-Edge<br />

Technology Solutions and Services<br />

The consumerization of<br />

healthcare is dramatically<br />

changing the equation for<br />

providers. Competitive pressure is<br />

forcing physicians to invest in new<br />

technologies and processes designed to<br />

improve the patient experience, all<br />

while they're seeking ways to grow<br />

their bottom line. Thanks to innovative<br />

technology available today, practices<br />

can simplify billing and identify new<br />

revenue opportunities. One company<br />

making this possible is Greenway<br />

Health.<br />

Greenway, a market leader in the U.S.<br />

healthcare space for more than 40<br />

years, provides software and services<br />

to ambulatory practices so physicians<br />

and their office staff can better run their<br />

businesses, nurture their practices, and<br />

‘provide better care’ for ‘their’<br />

patients. The company provides<br />

services that create value for providers<br />

and patients through a proven team of<br />

clinical, financial and technology<br />

experts committed to innovations that<br />

keep people healthier and happier.<br />

Their primary focus: to make patientdriven<br />

care a reality while navigating<br />

the ever-changing healthcare system.<br />

To date, Greenway has partnered with<br />

more than 10,000 organizations and<br />

75,000 progressive providers across<br />

more than 40 specialties, which<br />

translates into more than 100 million<br />

lives that are touched by its solutions.<br />

All of Greenway’s solutions and<br />

services are designed to meet its<br />

company-wide goals of ‘delivery high<br />

quality solutions that create value for<br />

providers and patients.’ The company<br />

aims to expand possibilities in care,<br />

contributing to the success of its<br />

customers in ways no one else is doing<br />

in the industry.<br />

Prominent Services for Managing<br />

the Revenue <strong>Cycle</strong><br />

Greenway goes beyond Electronic<br />

Health Record (EHR) and practice<br />

management solutions, providing its<br />

customers with integrated, userfriendly<br />

tools, such as Greenway<br />

Revenue Services (GRS), the top-rated<br />

revenue cycle partnership chosen by<br />

high-performing practices of all<br />

specialties to improve their focus on<br />

patient care while increasing their<br />

revenue. Excelling in denial<br />

management, consultation, and billing<br />

expertise, GRS’ dedicated teams invest<br />

personally to help each practice expand<br />

their revenue potential and consults on<br />

billing best practices to <strong>optimize</strong> a<br />

practice in the front office, back office,<br />

and clinical-side to improve insurance<br />

and patient collections. As a revenue<br />

cycle management (RCM) partner, its<br />

billing expertise and transparency<br />

enables administrative staff to shift<br />

their focus to regulatory compliance,<br />

security and patient engagement.<br />

The Journey to Innovation<br />

Nearly 40 years ago, under a previous<br />

name, Greenway helped healthcare<br />

providers tackle a major problem by<br />

introducing the first-ever practice<br />

management system: Medical<br />

Manager. The solution revolutionized<br />

scheduling, billing and reporting by<br />

eliminating paper on the practice side,<br />

and is now in the Smithsonian<br />

Institute. Following several<br />

acquisitions and name changes, the<br />

company became the present-day<br />

Greenway Health after combining with<br />

Greenway Medical Technologies in<br />

2013.<br />

Today, Greenway continues its<br />

tradition of innovating, introducing<br />

new capabilities to its platforms and<br />

products that balance a deep<br />

understanding of what’s required today<br />

with a keen eye toward the emerging<br />

future. The company continues to<br />

focus on creating innovative tools and<br />

services that help its customers<br />

navigate value-based care and<br />

capitalize on government incentive<br />

programs while keeping their patients,<br />

and their practices, healthy. GRS plays<br />

an important role in doing that.<br />

In fact, this year Greenway was named<br />

a Category Leader for Ambulatory<br />

Revenue <strong>Cycle</strong> <strong>Management</strong> Services<br />

in the Best in KLAS: Software &<br />

Services report. The company and its<br />

16 | December 2018 |


Company of The Month<br />

“Our mission is to<br />

partner with our<br />

customers to help<br />

keep them financially<br />

healthy, so they can<br />

focus on keeping<br />

their patients physically<br />

healthy”<br />

Richard Atkin, CEO<br />

An Experienced, Natural-Born Leader<br />

As CEO of Greenway, Richard Atkin brings extensive executive experience to the company. He has a strong<br />

background in developing talent, team building and organizational alignment, and has a focus on process-driven<br />

management. He received his B.Sc. honors in physics and electronic materials from Bangor, University of Wales,<br />

and his MBA from the University of London, Imperial College.<br />

Prior to joining Greenway Health, Richard worked at Vista Equity Partners, serving its portfolio companies,<br />

including DealerSocket, EagleView, Finastra, Omnitracs, Solera, and STATS. Receding to his role as an operating<br />

principal, he was the president of Vista Consulting Group from 2014 to 2017, where he helped the organization<br />

evolve and scale to support the growth in the Vista portfolio. Before joining Vista, Richard was the President and<br />

CEO of Sunquest from 2005 to 2014. Prior to that, he was President of Hospital Systems at Misys plc, CEO of<br />

Spacelabs Medical, and CEO of Datex–Ohmeda Inc.<br />

| December 2018 | 17


“A partnership with<br />

Greenway Health<br />

gives your practice<br />

full insight into its<br />

financial standing,<br />

and proactive service<br />

from an expertly<br />

trained staff”<br />

software were recognized for “a true<br />

partnership, transparency of financials,<br />

expertly trained staff and proactive<br />

service.”<br />

Greenway has more than 15 years of<br />

extensive experience in revenue cycle<br />

management and optimizing billing<br />

processes, which enables the team to<br />

apply deep expertise in order to<br />

efficiently maximize revenue potential.<br />

Also, with a key focus on data analysis<br />

and metric performance with over 85%<br />

of customer excelling beyond RCM<br />

industry benchmarks, the firm<br />

improves revenue generation. Adding<br />

to this is its dedicated team with<br />

ongoing communication and<br />

transparency, which is often cited by its<br />

customers as an extension of their own<br />

teams.<br />

A Valued Partner: Helping<br />

Healthcare Practices Achieve Their<br />

Goals<br />

One of Greenway’s prestigious clients,<br />

Dr. Ernesto Gomez with Mesa<br />

OB/GYN states, “If Greenway Revenue<br />

Services had not come into my life, I<br />

don’t think I’d be in private practice<br />

today.” GRS educated his billing staff<br />

on claim practices and helped update<br />

their processes to improve efficiency.<br />

The front office staff was trained to<br />

improve accuracy on in-take and<br />

collecting patient payments. Mesa<br />

OB/GYN has doubled its average<br />

reimbursement per encounter;<br />

improved days in A/R from 54 to 36;<br />

grew payments in 60 days to 72<br />

percent. Dr. Gomez only receives 10<br />

percent less revenue than when it had<br />

twice as many providers and<br />

contributes that adds to the success of<br />

his partnership with GRS.<br />

Valley Day and Night, a five-location<br />

practice in southern Texas, is another<br />

happy Greenway customer. It provides<br />

affordable, reliable quality care to<br />

about 15,000 patients each month.<br />

Upon partnering with GRS, the<br />

company uncovered $1 million in<br />

uncollected revenue, down-coding<br />

visits and opportunities to train internal<br />

staff on new billing procedures and<br />

improved processes. The key outcomes<br />

of this partnership include decreasing<br />

denial trends from $100,000 to nearly<br />

$19,000 per month; decreasing days in<br />

A/R 75% from 142 days to 36 days;<br />

and the accessibility to the GRS team<br />

for guidance that also opened new<br />

doors to additional efficiencies in the<br />

practice. Melissa Jareño, Chief<br />

Operating Officer of Valley Day and<br />

Night states, “I am able to focus on<br />

efficiencies because I am no longer<br />

worried and focused so much on<br />

billing and fighting to bring in every<br />

dollar while fearing that my billing<br />

department was having trouble keeping<br />

up with the workload, and keeping up<br />

to date on billing challenges.”<br />

Apart from the success stories of its<br />

clients, Greenway has also received<br />

several awards and recognitions.<br />

Greenway’s revenue cycle<br />

management solution received the top<br />

KLAS rating for Ambulatory Revenue<br />

<strong>Cycle</strong> <strong>Management</strong> Services among<br />

small clinics in the 2017 Ambulatory<br />

Revenue <strong>Cycle</strong> <strong>Management</strong> Services<br />

report. It was also honored with 2015<br />

Enabling Technology Leadership<br />

Award for the U.S. Ambulatory<br />

Electronic Health Record Market by<br />

the consulting firm Frost & Sullivan.<br />

Future Roadmap: What’s Ahead for<br />

Greenway Health<br />

The average revenue improvement<br />

seen by the company’s practices after<br />

switching to GRS is 6%. Moreover, net<br />

collections average 97% for those who<br />

partner with GRS. This is a true<br />

testament to how GRS helps practices<br />

simplify billing and identify new<br />

revenue opportunities while also<br />

providing the consultation, expertise<br />

and resources practices need to achieve<br />

their financial goals. Moving forward,<br />

Greenway plans to continue meeting<br />

the needs of its customers in the<br />

evolving healthcare landscape,<br />

providing tools and solutions their<br />

customers need to achieve success with<br />

value-based care.<br />

“Improving healthcare<br />

is at the heart<br />

of our work.<br />

We help you<br />

turn data and<br />

insights into action,<br />

so you can<br />

fit life-saving care<br />

into real life”<br />

18 | December 2018 |


BillingTree<br />

Enhancing the Patient Payment Process<br />

with Avant-Garde Solutions<br />

The landscape of healthcare is<br />

changing, and for better. The<br />

term- ‘Positive Disruptive<br />

Innovation’ has made the healthcare<br />

providers committed to improving the<br />

quality of healthcare solutions while<br />

effectively reducing the costs involved.<br />

For balancing this financial curve,<br />

value-based, state-of-the-art RCM has<br />

become a thing of prime importance. A<br />

company focused on technological<br />

innovation in payment processing to<br />

render state-of-the-art billing solutions<br />

to the healthcare industry is<br />

BillingTree. It is a leader of payment<br />

solutions for the new age. Through its<br />

technology-driven suite of products<br />

and services, the company empowers<br />

organizations to increase their<br />

efficiency and decrease the costs of<br />

accepting payments and<br />

patient/consumer communications,<br />

while adhering to the most stringent<br />

compliance regulations.<br />

Headquartered in Phoenix, Arizona,<br />

BillingTree was established to meet the<br />

market’s growing demand for a<br />

vertically-focused provider of<br />

integrated payments solutions. Today,<br />

it is the leading provider of these<br />

solutions to the Healthcare, ARM,<br />

Property <strong>Management</strong>, B2B, and<br />

Financial Services industry verticals.<br />

Journeying to the Top<br />

Incepted in 2003, BillingTree has<br />

witnessed constant and spectacular<br />

growth over the years. Initially, it was<br />

founded mainly as a sales and<br />

marketing company with ACH<br />

processing. Later, it developed the<br />

business model of integration with an<br />

ARM software package beginning with<br />

CR Software. Within a few years, it<br />

added credit card processing, offering<br />

its customers an easier, more secure,<br />

faster, and cost-effective paymentprocessing<br />

solution. With the<br />

announcement of the integration of<br />

new digital payment solutions<br />

including CareView into its suite in<br />

2018, BillingTree has journeyed to<br />

become a leading a fintech innovator.<br />

The testimony to its incredible growth<br />

in innovation is its Payrazr that offers<br />

its customers comprehensive, in-house<br />

developed payment solutions and<br />

CareView Patient Hub.<br />

The Perfectly Designed Suite<br />

The BillingTree’s CareView HUB is a<br />

suite of sophisticated features and<br />

services designed to rapidly<br />

communicate and accurately capture<br />

healthcare-focused patient payments<br />

securely through multiple channels.<br />

It empowers the patients with the<br />

ability to make a quick, one-time<br />

payment against an outstanding bill.<br />

They can also enroll their credentials<br />

for a more enriching portal-based<br />

account management experience where<br />

they can view statements, setup<br />

payment plans, view payment history,<br />

and save virtual wallets. Moreover,<br />

with CareView HUB, patients can pay<br />

at the point of care with their<br />

credit/debit/FSA/HSA card or via cash<br />

and check, further enhancing the<br />

channels and methods of payment<br />

available. It also supports SMS<br />

notifications and mobile text-to-pay<br />

along with inbound Interactive Voice<br />

Response (IVR) to check balances and<br />

make payments over the telephone.<br />

Additionally, for the practitioner, this<br />

suite allows customer service agents to<br />

have a full range of always-on features<br />

to capture payments and obtain<br />

advanced reporting of transaction<br />

activity. It also supports fully<br />

customizable data integration within<br />

every leading healthcare practice<br />

management system. If the healthcare<br />

practice doesn’t have its own merchant<br />

account to accept credit cards or<br />

eChecks, BillingTree offers these with<br />

a fast turnaround - getting any practice<br />

up and running on the CareView HUB<br />

quickly.<br />

“Insurer payments are only part of<br />

today’s healthcare revenue cycle. In a<br />

world of copays and rising deductibles,<br />

nearly every healthcare encounter now<br />

requires some type of patient payment.<br />

That’s why BillingTree’s CareView<br />

solutions are designed to ensure that<br />

20 | December 2018 |


you receive your fair share in a process that’s quick, effective<br />

and convenient – for you AND your patients,” asserts its CEO.<br />

Outshining Peers with Innovation at its Heart<br />

With its focus on cutting-edge comparatively priced payment<br />

solutions and technology, BillingTree offers convenience, high<br />

service levels, risk mitigation, and compliance above and beyond<br />

its peers. Unlike other payment problem solvers, the company<br />

offers innovative in-house developed CareView, Payrazr gateway<br />

solution, and multiple other fintech solutions in the product suite.<br />

‘ We make<br />

payments<br />

easier, for both<br />

your practice<br />

and your<br />

‘patients‘<br />

Edgars “Edz” Sturans<br />

CEO<br />

It is dedicated to creating the least resistant payment pathway for<br />

the patients. The company has helped in maximizing settlements<br />

by allowing clients to move freely between several channels and<br />

payment methods, making the whole process more convenient<br />

for them. In addition, BillingTree’s customers can maximize the<br />

timely collection of balances by using their end-to-end suite of<br />

payment options and solutions.<br />

Catalyst to the Growth of BillingTree<br />

Edgars “Edz” Sturans is the CEO of BillingTree, joining in<br />

2014. Prior to BillingTree, he served as a VP of Global Product<br />

Services at FICO®, which acquired CR Software. Under Edz’s<br />

guidance, the company has experienced significant growth,<br />

welcoming new clients and expanding its payment offerings<br />

across the ARM, Auto Finance, Student Loan Rehab, Credit<br />

Union, and Healthcare industries.<br />

Accolades and Recognitions<br />

Three years back, BillingTree began surveying the healthcare<br />

industry on payment technology challenges, trends, and<br />

opportunities for revenue cycle management professionals in its<br />

annual industry study. It has now become a benchmark for the<br />

changes in the industry, a copy of the recent survey results is<br />

available at https://mybillingtree.com/collateral/2017-<br />

collections-operations-and-technology-survey-report/.<br />

BillingTree was also included in the Beckers Hospital Review’s<br />

160 healthcare revenue cycle companies to know 2017. The<br />

company has also been accredited with ‘A+’ rating by the highly<br />

reputed Better Business Bureau (BBB). It strongly complies to<br />

PCI-DSS 3.2, HIPAA (ePHI).<br />

Future Endeavors<br />

BillingTree is all set to continue its growth trajectory with the<br />

CareView integration solidified within their growing product<br />

portfolio to focus on the healthcare payment needs. The company<br />

expects to process more than $4.00 billion in payments in the<br />

U.S. this year.<br />

| December 2018 |<br />

21


BALANCING<br />

HEALTH<br />

&<br />

FITNESS<br />

AT WORKPLACE<br />

22 | December 2018 |


Health Spotlight<br />

The modern corporate life is very challenging<br />

and hectic. Due to the highly competitive<br />

business environment, employees have to<br />

give their 100% at work, at times even more than<br />

that. They have to deal with a variety of issues at the<br />

same time in the office including client meetings,<br />

deadlines, weekly and monthly goals, and so on. As a<br />

result, most of their time is spent either in the office<br />

premises or in front of laptops or computers.<br />

Employees get very little time because of which<br />

indulging in healthy activities like exercise, going to<br />

the gym, or other similar institutions often becomes<br />

difficult.<br />

| December 2018 |<br />

23


Maintaining a Healthy Routine is the Biggest Challenge<br />

These days, employees get very little time to engage in<br />

healthy activities. They spend almost 9-10 hours in office.<br />

After this hectic office routine, employees find it lazy to go<br />

to gym or attend dance or yoga classes. Moreover, many<br />

also engage into unhealthy snacking considering it as a<br />

stress buster. Also, stress of office work prevents them from<br />

enjoying quality time with friends and family.<br />

For many, the prime challenge is not only to meet the<br />

deadlines, deal with client demands, and upcoming<br />

performance reviews. In fact, for them, maintaining a<br />

healthy diet and accomplishing their fitness goals amidst<br />

team lunches, short snack breaks, month-end, and birthday<br />

celebrations with cakes and fried food is also a big pressure.<br />

Being a part of the office fun is essential for building a team<br />

atmosphere. But, it creates hindrances for one to<br />

accomplish their fitness goals.<br />

Setting Desired Objectives<br />

In order to remain healthy and fit, individuals can set<br />

certain goals which are specific, measurable, achievable,<br />

relevant, and time bound. They can create a specified<br />

framework which can be followed for better health-oriented<br />

results. For example, an individual can set a certain time<br />

limit within which they intend to shed/gain weight.<br />

Following small routine activities like reducing sugar intake<br />

or a short walk after lunch can be very helpful.<br />

Steps to Accomplish Health Goals<br />

Maintaining a healthy routine isn't very difficult and can<br />

work wonders if followed properly. Individuals can follow<br />

the below mentioned steps to meet their health objectives.<br />

Constant Reminder<br />

Individuals should always remind themselves of why they<br />

started following a healthy regimen. People should<br />

understand the importance of the goal. Subtle reminders at<br />

workplace will help them to stay focused. For extra<br />

attention, people can put a sticky note on their desk or on<br />

their computer screens. These reminders will help them in<br />

controlling their cravings for a pastry or a take-out.<br />

Teaming up with a Partner<br />

When it comes to maintaining a healthy routine, looking for<br />

like-minded people and working with them can be helpful.<br />

Finding a colleague with similar goals can help fend off<br />

unhealthy temptations. A partner focused on being fit and<br />

healthy will always remind you of your wellness goals<br />

whenever you divert from your healthy eating ways.<br />

Reminding each other of taking healthy food is also a good<br />

step.<br />

Tracking Progress<br />

An individual should always be aware of what they are<br />

eating. They should keep a daily record of their food intake.<br />

Recording weight, measurement, and energy levels every<br />

week can also be helpful. Occasionally, treating oneself can<br />

help in managing temptations. If one keeps a track of how<br />

many calories they have consumed, it will be helpful for<br />

them to indulge into snacking if they ever feel to do so.<br />

Proper Planning<br />

Sometimes, employees may have to go for multiple dinners<br />

in a week and during celebrations and business. During<br />

such times it may become difficult to overcome<br />

temptations. To deal with this, one can plan for what they<br />

might indulge in and prepare accordingly. They can pack<br />

healthy foods in case they have to travel for business<br />

purpose. Occasionally, a small piece of dark chocolate can<br />

be consumed to overcome sweet cravings.<br />

Act as a Leader<br />

Sometimes it may so happen that there are many people<br />

who are trying to follow a healthy lifestyle. An individual<br />

can act as a leader by offering their colleagues a healthy<br />

alternative to junk food like pizza or fried noodles. One can<br />

even suggest starting a wellness community at office that<br />

gives employees the opportunity to eat well and maintain a<br />

healthy lifestyle at office. A person can set an example<br />

among their colleagues and motivate them to lead a healthy<br />

life.<br />

In a lifetime, an individual spends a significant portion of<br />

time at work. They don’t want to miss out on the socializing<br />

and fun activities associated with their work. It is true that<br />

every temptation at work cannot be overcome. But, with<br />

proper planning, awareness, dedication, and accountability,<br />

one can enjoy their life at office and achieve their health<br />

goals as well.<br />

-By Ananda Kamal Das<br />

24 | December 2018 |


Making Data <strong>Management</strong> Intelligent<br />

Majority of the people look<br />

for an ‘order’ in everything.<br />

Same is the case with<br />

‘data’. We look for B after A and C<br />

after B. In healthcare, this order is not<br />

always maintained, making it harder<br />

for the users to make sense out of the<br />

pile of data available. With a vision to<br />

understand and convert this<br />

unstructured clinical data into<br />

actionable structured data, the<br />

co-founders of ezDI started the<br />

company in 2014 after five years of<br />

stealth R&D.<br />

ezDI is focused on providing the best<br />

possible user experience using its<br />

dictation applications and transcription<br />

services. The company’s applications<br />

<strong>optimize</strong> mid-revenue cycle<br />

workflows, coding compliance, quality<br />

measures, and key performance<br />

measurements. In collaboration with<br />

Wright State University, the Indian<br />

Institute of Technology Bombay<br />

(IITB), and Jawaharlal Nehru<br />

University (JNU), it has engineered its<br />

own world-class, award winning<br />

Natural Language Processing (NLP)<br />

engine and comprehensive medical<br />

knowledge graphs. The company also<br />

offers computer-assisted coding (CAC)<br />

and clinical documentation<br />

improvement (CDI) products. These<br />

solutions improve medical coding and<br />

clinical documentation, increase<br />

productivity, reduce denials, and<br />

improve revenue cycle management.<br />

ezDI aims to be the best NLP platform<br />

for healthcare. With a passion of<br />

saving lives at their heart, the zealous<br />

team of researchers and engineers at<br />

ezDI are dedicated to leveraging AI<br />

technologies that achieve the effortless<br />

management of healthcare data.<br />

About the Tech-Savvy Leader<br />

Chetan Parikh, a serial entrepreneur<br />

with more than 15 years of experience<br />

in healthcare, is the CEO of ezDI. He<br />

is responsible for the overall growth of<br />

the company. His mantra is, “Empower<br />

people to develop innovative solutions<br />

that enhance human life.” At heart, he<br />

is a technologist. He strongly believes<br />

that for any company to become a<br />

significant and formidable player, a<br />

strong technology backbone is<br />

essential. For the same, he has initiated<br />

various tactics and collaborations,<br />

which has brought technological<br />

advantage to the company. Chetan is a<br />

certified Six Sigma Black Belt and<br />

holds numerous patents. He is an avid<br />

reader and a charter member of TiE<br />

Ahmedabad. He believes that, “In<br />

Healthcare, we are data rich but<br />

information poor”.<br />

A Basket of Solutions<br />

ezDI offers a wide array of services<br />

and products to the healthcare sector.<br />

Software<br />

Computer-assisted coding software: It<br />

is the use of computer software that<br />

automatically generates a set of<br />

medical codes for review/validation<br />

and/or use based upon clinical<br />

documentation provided by healthcare<br />

practitioners.<br />

Computer-assisted CDI software: CDI<br />

is the process of improving healthcare<br />

records to ensure improved patient<br />

outcomes, data quality and accurate<br />

reimbursement.<br />

Computer-assisted quality measures<br />

software: It is comprehensive software<br />

for flagging, searching, managing, and<br />

reporting quality measures.<br />

Computer-assisted auditing software: It<br />

is an excellent solution for internal<br />

audit processes, ongoing monitoring of<br />

the recovery audit contractor (RAC)<br />

program and other CMS and payer<br />

audits.<br />

Computer-assisted enterprise analytics:<br />

It is a ‘Healthcare Analytics Platform’<br />

focusing on advancing and applying<br />

web-scale data analytics to empower<br />

key healthcare stakeholders to solve<br />

complex care, treatment, and cost<br />

challenges.<br />

Medical speech recognition software:<br />

ezDI offers both front-end and backend<br />

speech recognition solutions.<br />

Services<br />

Medical transcription services: ezDI is<br />

one of the leading medical<br />

transcription service providers in the<br />

US, catering to healthcare<br />

organizations of all size and shape.<br />

NLP-as-a-Service: ezDI offers its NLP<br />

platform as a service to enable clients<br />

extract meaningful information from<br />

the huge chunks of data located in<br />

26 | December 2018 |


complex patient documentation.<br />

De-identification services: ezDI solutions give its customers a<br />

quick and easy way to de-identify data. They can remove<br />

sensitive patient data, while leaving clinical workflows intact.<br />

KPI consulting services: ezDI analysts and consultants perform<br />

in-depth analysis of a hospital’s KPIs, including Case Mix Index<br />

(CMI), Coder and CDI Productivity, Denials and a host of other<br />

metrics.<br />

Data Labeling/Annotation Services: ezDI provides data<br />

annotation services for text, audio, and image.<br />

‘ We are poised<br />

to empower people<br />

to develop innovative<br />

solutions that<br />

enhance human life<br />

‘ ‘<br />

Chetan Parikh<br />

CEO<br />

Prominent Honors<br />

ezDI has bagged a number of awards and accolades since its<br />

inception. It has been ranked #1 in the Semantic Evaluation of<br />

Clinical Data (SemEval) competition for the year 2015 and<br />

named as one of the top 100 highly innovative companies at<br />

TiECon 2014. It has also been featured in several popular<br />

publications. In 2016, after very careful vetting process, ezDI<br />

was chosen by one of the largest and renowned technology<br />

companies to become their partner to develop certain AI<br />

technologies for healthcare. ezDI has been working with their<br />

research team since then on various stealth projects.<br />

What’s Next for ezDI?<br />

In near term, ezDI claims to be well-positioned to become a<br />

significant player in the CDI, CAC, and Quality Measures<br />

spaces. It is also in discussion with the giant vendors to open<br />

some of its AI technology and tools to create a vibrant developer<br />

community. The long-term goal of the company is to become the<br />

‘Premier Healthcare IT Company’, with cost-effective solutions<br />

and customer obsession. ezDI believes that by staying true to its<br />

core values, it can achieve this.<br />

ezDI currently employs a customer-intimacy strategy. It works<br />

closely with its customers to understand their challenges in order<br />

to create an exacting solution. The company has been investing<br />

heavily in Research & Development and hence is always<br />

operating on the most advanced technologies available.<br />

In the long run, ezDI aims to become the global leader in<br />

converting healthcare data into intelligence.<br />

| December 2018 |<br />

27


TACTICS TO<br />

AUGMENT<br />

PATIENT<br />

FINANCIAL<br />

EXPERIENCE<br />

28 | December 2018 |


Editor’s Choice<br />

Agood clinical experience<br />

followed by a bad billing<br />

experience always leaves a<br />

patient disappointed. Today, patients<br />

are bearing more and more financial<br />

responsibilities of their treatments and<br />

are very interested to know when,<br />

where, how they have to pay. With<br />

health issues already being their major<br />

problem, patients do not want to be<br />

stressed about their medical bills. It is<br />

necessary that the healthcare providers<br />

focus a little more on ‘Patient Financial<br />

Experience’. Every billing statement<br />

that is sent to the clients can be used to<br />

create a positive brand image on them.<br />

It can be a leveraged to show<br />

transparency, clarity, fidelity, and<br />

flexibility of the firm.<br />

The world is going digital and what<br />

better than leveraging this to enhance<br />

the patient’s billing experience?<br />

Healthcare providers, today, have<br />

several tools and methodologies at<br />

hand to implement this. Some<br />

traditional ways along with some<br />

modern techniques can help an<br />

organization strategize a perfect<br />

financial experience for its customers.<br />

Mentioned below are some tips for the<br />

same.<br />

Meet the Patients at their Door-Step<br />

To stay in the race, it is very necessary<br />

to go digital. Make available digital<br />

payment tools for the patients, with<br />

which they can pay their bills sitting in<br />

the comforts of their home. In today’s<br />

day, maximum population owns a<br />

smartphone or a computer and has<br />

access to the internet. It is beneficial<br />

for the healthcare providers to<br />

acknowledge this fact and provide<br />

digital payment options to their<br />

patients.<br />

Educate the Patients<br />

Once the patients are aware of their<br />

financial responsibilities, their medical<br />

| December 2018 |<br />

29


ills come as no surprise to them. This also increases the predictability of the financial dues on the patient’s end. It is a good<br />

practice to educate the customers about their medical duties before the start of any treatment process. This helps them to<br />

choose between the available options and be prepared in advance.<br />

Estimation at All the Points-of-Care<br />

With a state-of-the-art, reliable system, a firm can generate accurate billing statements at every point in the treatment process;<br />

from registration to service delivery to post-treatment care. This develops a sense of involvement in the patients and prevents<br />

the impending stress. All the staff members should have the access to the same information, so that whenever a patient<br />

enquires, he or she receives the same answer.<br />

One-to-One Communication<br />

To enhance the patient financial experience, it is important to communicate with them effectively. This can be done by<br />

leveraging technology to create a patient engagement platform on their preferred communication channels. The system<br />

should customize the messages separately for every patient, to provide a patient-centric experience. Implementation of this<br />

technique is said to increase patient payments by around 25%.<br />

Customize Packages<br />

How easy it would be if the patients could access information about the needed treatment and its billing statements online;<br />

more so, if they could select the packages that could fit their financial situation? This would make healthcare very convenient<br />

and burden-free for them. Additionally, the features of negotiation as well as customization can be added, to further ease the<br />

process and enhance the experience. Colleting the patient’s data can help the health system device a perfect package tailored<br />

to fit the patient’s needs.<br />

Keep them updated in Real-Time<br />

The patient financial experience can be further made better by providing the patients with their billing statements in real-time.<br />

This will develop in the patients a sense of loyalty and transparency in the services provided by the organization. ‘Price<br />

Transparency’ is valued today, more than ever. Having the latest data and updates about the billing statements will ensure<br />

faith of the patients in their healthcare provider.<br />

Employ the Right Staff<br />

Once you put your feet in the patient’s shoes, the realization that the patient-facing roles cannot be entry level comes<br />

automatically. The billing aspects are as significant as clinical aspects for the patients and they expect likewise from the<br />

providers. The staff involved in patient engagement should be properly trained and efficient. All the members should have the<br />

access to the right and similar information, so that everyone can provide the same answers to the client’s questions. They<br />

should be well informed about every patient’s financial history, insurance coverage, payment process and channels, and the<br />

patient’s responsibilities.<br />

Allow them to Rate the Experience<br />

A feedback always helps to find the loophole in the system or the place where the organization is lacking. It ensures<br />

continuous improvement. So, how can patients rate their experience? Focus groups and online feedback panels can come to<br />

aid here. Using these, patients can talk about their financial experience with the company. Receiving feedbacks after every<br />

treatment process can significantly improve the health system as well as the quality of service.<br />

When it comes to the medical billing process, there is no one-size-fits-all strategy. Healthcare is moving towards providing<br />

more affordable and accessible services to the patients. Also, patients are bearing most of the financial burden. And in this<br />

landscape, the healthcare providers should pay more attention to their revenue cycle management and come up with ideas to<br />

revamp the financial experience they provide to their patients. Today, numerous tools and technologies are available to aid<br />

them in this. The catch is to leverage these efficiently to provide sophisticated, flexible, and compassionate services.<br />

-By Aishwarya Nawandhar<br />

30 | December 2018 |


HOW<br />

TODAY’S<br />

ENVIRONMENT<br />

is<br />

RESHAPING<br />

the<br />

MEDICAL<br />

DEVICE INDUSTRY<br />

32 | December 2018 |


Expert’s Corner<br />

Jeff Mongelli<br />

Founder & CEO<br />

| December 2018 |<br />

33


About the Author:<br />

Jeff Mongelli built and sold his finance company 17 years ago to GE Capital to enter<br />

the healthcare industry. As the Founder and CEO, Jeff built Acentec, Inc. into a<br />

national leader in improving the clinical and financial performance of healthcare<br />

organizations. He understands that achieving the promise of improved healthcare<br />

through aggregated data requires dedicated commitment to the protection and privacy<br />

of that information. Jeff is considered an industry expert in IT Technology & Security,<br />

HIPAA compliance, and is actively involved in the field of artificial intelligence. He is<br />

frequently quoted in the industry’s publications and is a featured speaker at national<br />

trade shows and Medical Association meetings. He’s a member of the FBI’s Infragard<br />

program and a collaborator in their Healthcare CyberSecurity Workgroup and also a<br />

member of Homeland Security’s Information Network.<br />

uring a recent trip to the<br />

Ddoctor’s office, other than the<br />

nurse using two fingers on my<br />

wrist and a watch to take my pulse,<br />

everything else was completely<br />

different. From booking my<br />

appointment online, to completing<br />

much of the usual paperwork from<br />

home, things have changed. For the<br />

first time, I was able to provide an<br />

actual medical history, since I was<br />

home where that information is. When<br />

I arrived at the office, I checked in on a<br />

tablet and was told the wait would be<br />

less than 5 minutes. Once the doctor<br />

entered the exam room, she had<br />

already reviewed a thorough and<br />

accurate medical history and began<br />

firing off questions about the sorts of<br />

things that happen during an active<br />

lifestyle. Although my first encounter<br />

with this provider, she seemed to know<br />

me like she’d been treating me for<br />

years. During the encounter, I was able<br />

to share with her the heart rate alerts I<br />

had received on my Apple Watch while<br />

essentially doing nothing. This type of<br />

information has been made available<br />

by the Internet of Things, or internet<br />

connected devices, both wearable and<br />

otherwise. That’s the positive side of<br />

technology’s impact on healthcare.<br />

It’s not just our physician encounters<br />

that have changed. Medical devices<br />

have also seen great change. Not only<br />

do our elderly have access to home<br />

health monitoring equipment, but<br />

virtually every medical device being<br />

manufactured is now either connected<br />

directly to an internal network or onto<br />

the World Wide Web. These<br />

technological advancements have<br />

allowed for the flow of data into<br />

software systems that analyze, alert,<br />

and share that information with<br />

providers throughout the care chain.<br />

The result is leading to better health<br />

outcomes and improved quality of life<br />

for many of us.<br />

Sadly, it’s not all good news. The<br />

connectivity of all these devices has<br />

created a treasure trove of<br />

opportunities for cyber criminals. The<br />

possibility of extorting someone for<br />

bitcoins or they’ll shut your pacemaker<br />

off is not an unrealistic concern. In<br />

fact, a 2017 Ponemon Institute study<br />

found that 39% of medical device<br />

manufacturers reported attackers have<br />

taken control of their devices.<br />

Additionally, 38% of care delivery<br />

organizations said inappropriate<br />

therapy/treatment had been delivered<br />

to patients because of an insecure<br />

medical device. Imagine a hacker in<br />

Romania manipulating the medicine<br />

pump connected to your arm when<br />

you’re in the hospital – this is today’s<br />

reality.<br />

34 | December 2018 |


What’s being done about it?<br />

Truthfully, not enough. Rather than<br />

pile on the device manufacturers<br />

themselves, let’s consider 3<br />

stakeholders and where each carries a<br />

share of the burden. First, it’s the<br />

device manufacturers who’s brands are<br />

on the line, so one would think they’re<br />

doing all they can to strengthen their<br />

final products. That may not be the<br />

case. The Ponemon study goes on to<br />

state most device manufacturers have<br />

yet to adopt more stringent software<br />

and device security protocols, resulting<br />

in production devices with vulnerable<br />

code. The urge to get to market as<br />

quickly as possible often supersedes<br />

adhering to the proper process of<br />

security and vulnerability testing.<br />

Second, one must consider the security<br />

of the facilities who house these<br />

devices, namely hospitals, other care<br />

facilities, and even our own homes.<br />

From a hackers perspective, medical<br />

devices are simply another node on a<br />

network, much like a computer or a<br />

printer. That means they’re as<br />

vulnerable as any other networked<br />

device. If medical devices are not<br />

being routinely patched and updated,<br />

whether manually or automatically,<br />

then they’re vulnerable to new threats<br />

and exploits.<br />

<strong>Final</strong>ly, the third culprit in our trio is<br />

the facilities who refuse to update their<br />

devices. Believe it or not, there are still<br />

medical devices in use today that are<br />

running Microsoft XP as their<br />

operating system. This OS became<br />

unsupported in April of 2014, which<br />

means for the past 4 plus years, any<br />

new Microsoft based attacks would<br />

find an open door to those devices.<br />

Again, to be fair, a significant reason<br />

these devices haven’t been upgraded is<br />

because the cost to small and rural<br />

facilities is prohibitive. Many of these<br />

smaller organizations, like solo<br />

providers, are struggling to stay above<br />

water in our new healthcare<br />

environment. The thought of spending<br />

$200,000 or more on a new X-Ray<br />

machine, for example, is beyond their<br />

reach and reason. This particular issue<br />

doesn't have a simple fix.<br />

What was left off the list?<br />

Many industry insiders grew<br />

accustomed to blaming the<br />

bureaucratic morass as their reason for<br />

not developing and pushing out<br />

updates to their devices. However, as<br />

far back as 2005 the FDA began<br />

making allowances for security related<br />

patches and updates and this year again<br />

issued an update to this policy with the<br />

intent to streamline the process.<br />

Frankly, we can’t accuse the FDA of<br />

standing in the way on this issue.<br />

We also omitted the fact that few IoT<br />

devices communicate their data over<br />

encrypted channels. This includes<br />

medical devices. Citing the Ponemon<br />

study, only a third of device makers<br />

built encryption into their devices and<br />

few healthcare facilities were<br />

deploying it on their own IoT devices.<br />

While the percentages have likely<br />

improved since the study was<br />

published, those devices, and the<br />

thousands produced before them, are<br />

still in use and will be in use for years<br />

to come. Lack of encryption of data in<br />

transit and data at rest violates a<br />

HIPAA recommendation and can be a<br />

source of fines from the Office for<br />

Civil Rights (OCR), so it should be<br />

implemented wherever possible.<br />

What needs to change?<br />

Due to these increased vulnerabilities,<br />

a paradigm shift is required and it’s as<br />

significant as the technological<br />

advancements that led to them. The<br />

traditional way of contracting with a<br />

software development team to add the<br />

soft layer on top of a device is no<br />

longer valid. Gone are the days when<br />

an offshore software team can be hired,<br />

given a functional specification, and<br />

then be released once the project is<br />

completed. Now, medical device<br />

manufacturers need to bring software<br />

development in house and incorporate<br />

it into the design cycle as early as<br />

possible. Likewise, the firmware team<br />

needs to stay intact post development<br />

and work closely with the software<br />

team to coordinate patches and updates<br />

on an ongoing basis. Needless to say,<br />

these teams aren’t cheap, nor is this<br />

talent easy to come by. As a result, it’s<br />

going to take some time for medical<br />

device manufacturers to get the right<br />

teams in place and to adjust their<br />

business models to account for the<br />

increased overhead they present.<br />

Like all things cybersecurity related,<br />

the manufacturers can do everything<br />

right, but a secure environment is as<br />

much dependent on the training of the<br />

workforce as the hardware itself. Even<br />

today, despite the security holes that<br />

exist in the bulk of the currently<br />

deployed medical devices, the greatest<br />

source of breaches originate at the user<br />

level.<br />

Ultimately, the costs of this shift will<br />

be borne by the consumers through<br />

increased costs of care. We can hope<br />

that more vigilant cybersecurity efforts<br />

will leverage down the risks involved,<br />

but unfortunately this new business<br />

model is here to stay.<br />

| December 2018 | 35


HEALTHCARE’S<br />

BIG<br />

Leap to<br />

BIG<br />

DATA<br />

ith a growing population and demand for<br />

Wservices, the healthcare industry is facing a new<br />

set of challenges. New diseases, frequent<br />

outbreaks, growing healthcare demand, care with<br />

convenience, costs and more. With the advancements in<br />

science, technology, and medicine, it is imperative for the<br />

healthcare industry to take on these challenges using a new<br />

approach. Big Data and Analytics bring in an incredible<br />

solution to this problem. Big Data is already taking strides<br />

in different industries. The healthcare industry is warming<br />

up to it and trying to leverage its services. The primary<br />

function of Big Data in healthcare is to analyze the huge<br />

quantity of data available through different resources and<br />

improve operational efficiency.<br />

“It is health that is the real<br />

wealth and not pieces<br />

of gold and silver”<br />

- Mahatma Gandhi<br />

To understand the relation between big data and healthcare,<br />

think about spring cleaning. While spring cleaning, one is<br />

bound to come across papers related to family’s health say,<br />

medical bills, prescriptions, tests, vaccinations and so on.<br />

So what does one do with these papers or data? Throw them<br />

away? Or organize and study them for a better health-year<br />

ahead? Big Data lets one do the latter on a huge scale.<br />

These data sources in healthcare industry can be the claims<br />

and cost data, data collected from pharmaceutical<br />

38 | December 2018 |


Emerging Trends<br />

| December 2018 |<br />

39


esearches, data from the clinics and data related to the<br />

patient’s behavior. Using Big Data we can better manage<br />

and analyze the data. Healthcare analytics will help the<br />

industry in reducing costs of treatment, predict outbreaks,<br />

and avoid preventable diseases.<br />

Decoding Data<br />

The key to implementing Big Data in healthcare is to filter<br />

the important information and discard the unwanted ones. It<br />

will also need feeding data from all possible sources,<br />

binding them and then breaking them down into meaningful<br />

pieces. Once the industry is past the initial hiccups, the<br />

benefits it can reap are many. Some of the major benefits<br />

are listed below.<br />

Advanced Patient Care can be provided by using a patient’s<br />

medical records and his/her health habits. Data collected<br />

from the patient’s electronic health records regarding<br />

previous health issues, current medications, and health<br />

combined with data from wearable health gadgets can be<br />

used to provide better care and treatment.<br />

Reduced Cost and Time by managing data and identifying<br />

cost incurring areas and reducing them wherever possible.<br />

The processes and procedures taking more time and<br />

incurring more costs than they should be can be handled<br />

easily.<br />

Better Staffing according to the footfall trends can be done.<br />

A hospital never wants to be understaffed or overstaffed.<br />

Gathering data to identify the admission and discharge rate<br />

over the past few years can give an insight into the general<br />

proceedings of the hospital in a day. Accordingly, more staff<br />

can be assigned during the bustling hours and reduced<br />

during the laid-back hours.<br />

Minimization of Error in medications and personalized care<br />

treatment can be achieved using the services of Big Data.<br />

Patient’s records can be analyzed along with the prescribed<br />

medicines and anything out of place can be flagged by the<br />

system utilizing Big Data. This will help prevent issues like<br />

wrong medication, drug abuse and grave drug interaction.<br />

Fraud Detection like medical abuse and insurance fraud can<br />

be predicted and minimized well in time. A large set of data<br />

pertaining to claims history can be analyzed to find fraud<br />

patterns and prevent further such incidents. Possible drug<br />

abuse cases can be similarly captured and curtailed by<br />

analyzing diagnosis, test, prescriptions, and follow-ups.<br />

Real-time Monitoring of high-risk patients can avoid an<br />

emergency case. A patient’s vital stats can be constantly<br />

monitored and an alarm triggered, alerting the concerned<br />

doctor, allowing the healthcare professionals to take<br />

appropriate action.<br />

Optimal Reimbursement amount can be decided with help<br />

of Big Data. It can take into account the quality of services<br />

provided, the efficiency of treatment, and the patient’s<br />

response to the treatment, the claim process, and many such<br />

contributing factors.<br />

Inventory <strong>Management</strong> in a hospital can be improved using<br />

Big Data Analytics. Based on previous inventory records,<br />

the analysis can predict the number of tools and supplies the<br />

hospital is going to need in the current year. This will save<br />

the hospital from over-stocking or under-stocking. It will<br />

also help in proper budgeting allowing the hospitals to<br />

allocate funds fittingly.<br />

Predictive Analysis can be utilized to identify people,<br />

classes and areas more susceptible to certain diseases and<br />

health concerns. This will help in providing customized and<br />

personalized services to individuals. Mass vaccinations,<br />

free public health check-ups and other preventive measures<br />

can be taken well in advance to prevent an outbreak.<br />

Better Personal Health can be achieved by patients when<br />

they are well informed about their medical condition, their<br />

medicines, and their vital stats. Knowing about what they<br />

can and can’t do and how they are performing right now<br />

can be a great motivational factor for them to achieve better<br />

health.<br />

Data is easily available, but need is to filter, organize,<br />

manage, re-arrange and make sense out of them. Big Data<br />

can help the healthcare industry to do just what it needs<br />

right now and make it better An improved health care<br />

industry goes a long way in building a great nation.<br />

- By Sneha Sinha<br />

40 | December 2018 |


Intuit Micro<br />

Offering State-of-the-art<br />

Software Solutions to Improve Patient Care<br />

Started in 2005 as a valueadded<br />

distribution company,<br />

Intuit Micro Technology,<br />

LLC has now grown into a fullblown<br />

empire. It is a healthcare IT<br />

solution provider and software<br />

developer in the Middle East. It<br />

aimed at creating intuitive,<br />

intelligent, and integrated software<br />

for healthcare industry keeping the<br />

patient care in mind.<br />

Headquartered in Dubai, today Intuit<br />

has expanded its business within the<br />

GCC region. Intuit Micro has also<br />

established a development office in<br />

Chennai and is very soon planning to<br />

open an office in KSA. The company<br />

envisions to provide an exemplary<br />

ecosystem to healthcare professionals<br />

and patients so that they can interact<br />

smoothly for a better tomorrow.<br />

The Luminary Leading Intuit<br />

Giri Rajan is the Founder and CEO<br />

of Intuit Micro. He has spent over ten<br />

years developing solutions for the<br />

healthcare in the twenty-five years of<br />

his experience IT. He is an<br />

Electronics and Communication<br />

engineer with a Bachelor’s and a<br />

Master’s degree in Business<br />

Administration.<br />

Prior to founding Intuit in 2005,<br />

Rajan has worked with Apple IMC in<br />

the Middle East for nine years. He<br />

has been the catalyst to the growth of<br />

the firm from a typical IT company<br />

to one of the top five healthcare IT<br />

companies in the region. He has zeal<br />

for technology and is focused on<br />

bringing enterprise solutions to the<br />

masses at an affordable cost.<br />

Dual Lines of Service<br />

The company has two divisions<br />

within Healthcare IT. One of these<br />

develops Simplex HIMES that helps<br />

clinics, diagnostic centers, and<br />

referral labs. Simplex HIMES also<br />

covers Patient <strong>Management</strong>, Medical<br />

Records, Decision Support Tools,<br />

LAB, Radiology, Pharmacy, Revenue<br />

<strong>Cycle</strong>, Document <strong>Management</strong>,<br />

Inventory, HR Payroll, and Analytics.<br />

As a part of patient engagement, the<br />

company also has its own patient<br />

portal and mobile app.<br />

The second division of Intuit Micro<br />

is for the third-party product<br />

distribution where it has products<br />

like Rimage CD publisher, Rimage<br />

patient report publisher, RESMD<br />

0FP, and RADSPA enterprise PACS.<br />

At Intuit, Clients Come First<br />

There are three areas that<br />

differentiate Intuit from all its<br />

contemporaries. One is its support.<br />

It’s one of the best in the region.<br />

Intuit Micro has automated systems,<br />

policy, and procedures in place to<br />

handle any kind of customer queries.<br />

Even then, it has made it a point to<br />

listen to its clients and work on<br />

improving the existing solutions. The<br />

company goes one step further in<br />

understanding the objectives of its<br />

customers instead of simply<br />

providing what they ask for or<br />

solving their problem.<br />

Another interesting practice at Intuit<br />

Micro is that once a company or an<br />

individual becomes its customer,<br />

they are treated as the part of an<br />

extended family. The firm works<br />

closely with them and helps them in<br />

technical and commercial solutions.<br />

This has made the company a<br />

preferred partner for its customers. In<br />

42 | December 2018 |


the last thirteen years of business, Intuit does not have a<br />

single customer who was left unsatisfied with the company’s<br />

solutions or support.<br />

To add to this, the company’s passionate about studying and<br />

adopting technologies and it also understands that the<br />

products are used as tools to treat patients. Therefore, it builds<br />

products with love and responsibility, making a huge<br />

difference in its space.<br />

Life at Intuit<br />

‘ ‘<br />

With humility,<br />

great<br />

responsibility,<br />

and love<br />

we create<br />

software for<br />

healthcare<br />

‘ ‘<br />

Giri Rajan<br />

Founder and CEO<br />

Intuit claims to have one of the most flexible and comfortable<br />

work atmospheres in Dubai as well as Chennai. It does not<br />

follow the system of hierarchy and has no attendance policy.<br />

Every individual at Intuit Micro has only one responsibility-<br />

‘to take care of the customers’. Some of their developers play<br />

dual role of being HR manager. This helps them to understand<br />

how management decisions are made and can then further<br />

explain it to their peers. At Intuit, most of the decision making<br />

or policies are automated with guiding principles. “We have<br />

only one rule -’There is no rule as long as the freedom is not<br />

exploited’. Our team enjoys the freedom of work and our<br />

customers are happy,” asserts Rajan.<br />

Optimistic about a Bright Future<br />

Intuit Micro aspires to be the number one choice for HIS in<br />

Middle East. The trajectory of its growth is soaring higher<br />

every day, and this goal may not be far way. The company is<br />

introducing a lot of smart tools and working on AI to ease the<br />

burden on physicians and facilities to care for patients and run<br />

the business profitably. It is focused on making these tools<br />

available to all its customers and will be releasing them<br />

without additional cost. Even for the customer bought the<br />

software few years back, the company will be providing all<br />

the updates and new features within the purchased modules<br />

free of cost, as long as they are under the firm’s maintenance.<br />

This approach is greatly admired by Intuit Micro’s customers<br />

aiding to the company’s current and future growth.<br />

| December 2018 |<br />

43

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