The Urology Group

A Practice Faces a Brighter Future

 

When The Urology Group in Memphis, Tennessee initiated its search for new practice management and electronic health record (EHR) systems, there was no time to lose. They had made a massive investment in their previous system, but it was draining the practice's revenue and efficiency. Staying profitable was a challenge, and growth was unthinkable — even though the opportunity for growth was there.

"The practice was experiencing significant losses," says partner David Gubin, MD. "We had no choice but to look for an alternative." The group's exhaustive search for a better EHR eventually led to athenahealth, whose cloud-based, integrated medical billing, EHR, and patient communication services were appealing on many levels.

The Urology Group found athenahealth's centrally-hosted software-plus-service approach appealing. They liked that athenahealth offered to relieve the practice's paperwork and billing follow-up headaches, and that the EHR, athenaClinicals, and the medical billing service, athenaCollector, were tightly integrated. They liked the fact that athenahealth's business model linked the company's success level directly to the practice's success level—that athenahealth was a partner, not just a vendor.

Swift, Dramatic Results with EHR

The results in clinical efficiency were immediately apparent. In the first four months after athenaClinicals and athenaCollector were implemented, The Urology Group increased their scheduled appointments by 8%. This is in striking contrast to the fact that many practices implementing traditional EHRs report significant work slowdowns of 10-15%. However, it wasn't just clinical efficiency that impressed Dr. Gubin.

"While we fully realized our need for a better EHR, we hadn't appreciated just how much of a positive impact athenaCollector would have on our ability to get paid quickly and correctly for the care we deliver," he says. "Our practice income has increased significantly because of it." The practice saw a 28% reduction in DAR* after just three months with athenahealth, and collections per claim increased 8% practice-wide from 2008 to 2010.

"The amazing thing is that two people in our billing office handle all of the income for this busy, four-doctor practice. Most practices this size without athenaCollector would need 4 to 5 people to handle our level of income!" The group's collections per work RVU increased 7% practice-wide from 2008 to 2010.

Fran Parker, who works in the group on insurance and medical billing, appreciates athenahealth's handling of the four Pay-for-Performance programs in which the practice participates. "I love that athenahealth takes that off my hands. It frees me up to do a lot of other tasks."

Dr. Gubin identifies athenahealth's cloud-based rules engine as a key to the system's success. "It continually—and at no extra charge to us—updates rapidly changing insurance payment rules."

One particular advantage of a cloud-based, integrated system for their practice, says Dr. Gubin, is that physicians are now able to access the clinical software on handheld devices to record charges for out-of-office procedures such as surgical cases and hospital consults. "We can initiate a claim for

reimbursement even before they leave the hospital&mash;an important first step toward getting those payments faster."

Paperwork Bottleneck a Thing of the Past

athenaClinicals, athenahealth's cloud-based EHR service, has proven to be equally popular—and effective—within the practice. One of the features that The Urology Group enjoys most is that athenahealth assumes responsibility for handling the majority of the paperwork related to patient medical records.

"Previously, at any given time, about half of our staff was involved in some aspect of tracking down or handling patient records. They were pulling and re-filing the records and reviewing every record-related fax, document, and e-mail—prescription requests and renewals, lab reports, and physician referral letters. Then they had to put the documents in the patient's record for action or information."

Now these tasks are handled by the experts at athenahealth. "The opportunity that athenaClinicals gives you to step out from under the tremendous amount of paperwork that practices have to process each day is unparalleled. Paperwork was a major time hog for us—and it would have been disastrous with new Medicare regulations! Now, we're nearly paperless. It saves our practice an enormous amount of time and money."

Another cost-saver is the fact athenahealth, not the practice, hosts and maintains the shared software platform centrally in "the cloud"—and upgrades it free of charge continually. As a result, the practice's costs for hardware, maintenance, upgrades, and technical assistance have decreased dramatically.

Looking to the Future

The Urology Group's latest addition is athenaCommunicator, athenahealth's on-demand, automated, and live patient communication service. Using athenaCommunicator's patient web portal, the practice can now enable patients to request appointments, review and pay bills, complete or update medical forms, find health information, and exchange messages with doctors.

"One of the ways that athenaCommuncator will save us time is with test results. There are a lot of routine test results—negatives, for instance—that need to be communicated to patients. athenaCommunicator will save us a lot time, because it will take care of all that for us."

Dr. Gubin wholeheartedly recommends athenahealth to other practices: "Ask yourself: Are you getting paid quickly and accurately for the services your practice provides? Are you maximizing efficiency and lowering costs at every point in the process? athenahealth has made such a positive difference in the efficiency and the profitability of our practice that we haven't looked back."

Perhaps that's because The Urology Group is too busy moving forward.

* These results reflect the experience of this particular practice and are not necessarily what every athenahealth client should expect. athenahealth clients see an average 9.2% increase in collections based on a weighted average for athenahealth clients with valid pre-athenahealth benchmark data that had their 15-month anniversary with athenahealth during 2009.

At a Glance

Client

The Urology Group
Memphis, TN

Organization

  • 4 physicians
  • 30 non-physician staff
  • 1,900 patient visits per month

Issues

  • Previous EHR draining practice hours and income
  • Claims spending far too much time in accounts receivable
  • Out-of-office services difficult to track and bill for
  • Physician productivity not high enough to accommodate growth

Solutions

Results

  • Days in accounts receivable reduced by 28% after just three months*
  • Collections per claim increased 8% and collections per RVU 7% over two years
  • Out-of-office services easily captured with handheld device, speeding billing
  • Physician productivity increased by 8% four months after implementation