Founded in 1997, athenahealth, Inc. is one of the largest public-listed EHR company in the US. The Massachusetts based company provides web-based Electronic Medical Records, Practice Management and Me.. Read more
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eClinicalWorks is an award-winning vendor offering integrated EHR, Practice Management, Population Health, and Revenue Cycle Management solutions and services to more than 130,000 physicians across th.. Read more
Epic Systems Corporation, or Epic, has been in the market since 1979 and employees around 10,000 personnel. Headquartered in Verona, Wisconsin, Epic has ranked in numerous accolades and awards over th.. Read more
PrognoCIS, set up in the early 2000s, is a healthcare company that is suitable for all sizes of practices and hospitals. It offers integrated modules for EHR, practice management, and patient portal a.. Read more
Allscripts has been in business for the past 30 years with presence across four countries; US, UK, Canada, and Australia. Over time, the company has transitioned from a core electronic prescribing ent.. Read more
Amazing Charts, a leading developer of Electronic Health Record, Practice Management, and Medical Billing Systems for outpatient practices, was founded in 2001 by a practicing family physician. In 201.. Read more
AdvancedMD is an integrated medical software suite for independent practices. Founded in 1999 and based in South Jordan, Utah, the vendor serves an expansive national footprint of more than 22,500 pra.. Read more
ChartLogic, a subsidiary of Medsphere Systems Corporation, has been in the market since 1994. It is headquartered in Salt Lake City, Utah. The vendor provides an ambulatory electronic health record sy.. Read more
DrChrono’s All-in-One integrated EHR and medical billing software aims to modernize patient care and optimize practice efficiency. The EHR software is apt for practices of all sizes, small to large, c.. Read more
CareCloud Charts is a specialty-driven EHR that allows clinicians with in-depth customization and a clean user interface. CareCloud EMR currently supports nine specialties; cardiology, ophthalmology, .. Read more
NextGen Healthcare offers NextGen Office (formerly known as MediTouch)—a cloud-based EHR – specifically designed for private practices. NextGen Office is a fully integrated practice management solutio.. Read more
Kareo was founded in 2004 and has been in business for over 13 years. The solution is purpose-built to cater to the unique needs of independent small practices, avoiding the standard complicated, time.. Read more
Office Practicum is a leading EHR software specifically designed for pediatric practices. It was founded 25 years ago by a pediatrician and her husband. Over the years they have used inputs from leadi.. Read more
The claim to fame for Total MD is a completely integrated EHR and Practice Management software leading to a seamless flow of information between both systems. For example, clinical information such as.. Read more
Azalea Health EHR provides affordable healthcare solutions for a variety of care settings. The company is headquartered in Atlanta, Georgia, USA and has around 101-250 employees.The company offers Hea.. Read more
The telemedicine industry is booming. By the year 2025, it will surpass $64.1 billion in the USA and go beyond $130.5 billion internationally. Thanks to the advances of modern technology, Telemedicine makes it possible for healthcare providers to consult with and care for patients remotely using various software tools.
COVID-19 has further enhanced the importance of telehealth services in the US. In an age where contagious and deadly diseases & viruses are spreading, avoiding physical contact becomes a necessity not only for the sake of the patient but for providers as well. Thus, Telemedicine is a safe solution. Our buyer's guide takes a closer look at types of Telemedicine, its advantages, and disadvantages & the difference between EMR integrated Telemedicine and standalone telehealth products.
We also cover the finer details of the price point for telemedicine solutions and how much payment a provider can expect for such a service.
Telemedicine, also known as virtual healthcare, enables a healthcare provider to see patients remotely. Patients can receive a diagnosis and treatment without waiting for an appointment. Both healthcare providers and patients prevent exposure & don't put themselves at higher risk unnecessarily. Among others, there are three main telemedicine types:
Through interactive medicine, patients and physicians can communicate in real-time using HIPAA compliant secure software tools such as phone consultations or video conferences. Also called live Telemedicine, doctors offer services such as evaluating a patient's medical history or performing a psychiatric evaluation.
Example of Collain Healthcare and a Remote Patient Monitoring platform
Caregivers monitor home-based patients remotely through Remote Patient Monitoring. Using mobile medical devices, they can collect data and observe changes such as blood pressure or blood sugar.
Elderly patients can benefit from this type of care as their doctors can share the gathered information with them. Vital signs can be sent to providers to adjust patient treatment where necessary.
The store and forward function of Telemedicine allows healthcare providers to share a patient's information with a practitioner located elsewhere. A physician can refer medical data to a specialist without face to face contact. Both these physicians can then work together to manage the patient's health without having to interact with him directly.
As a provider, you can benefit from using Telemedicine:
It's helpful to know the challenges you may face with Telemedicine:
While selecting a telehealth solution for your practice, you will have the option to either opt for a standalone teleconferencing/ telemedicine solution or to opt for a system that comes integrated with your EMR.
The first thing to do is to get in touch with your EMR provider to ask if they are offering a telemedicine module. Some EMR vendors will either have their software or offer integration with third-party software. For example, Drchrono EMR does not have its telehealth module but offers integration with its partners. The problem is that telemedicine software provided by your EMR vendors or its integrated partners is usually more expensive than the standard teleconferencing app in the market. For example, your vendor can offer you a complete telemedicine module with scheduling for anywhere between $80 to $200. At the same time, a standard teleconferencing app is either free or comes at very nominal charges.
Here are some other differences between EMR integrated with Telemedicine and standalone telehealth products:
Example of EMR Integrated Medicine using PrognoCIS
A telehealth module integrated with your EMR allows you to access all patient data such as medications, histories, past soap notes while conducting a telehealth visit. It also enables you to automatically make updates to a patient's record in real-time without having to transfer or copy your notes in the system like you would have to do if your telehealth system does not integrate with your EMR.
There is also the apparent advantage of dealing with a single vendor; you do not have to go to and fro between two companies to fix an issue when it does arise.
Example of Standalone Telehealth Products using Doctor on Demand
Standalone telemedicine platforms don’t necessarily interface with your EMR. You can pay a monthly subscription fee for access to the software.
Average telemedicine software costs can range from as little as $25 per user monthly up to $600. There are many excellent software packages available, and the prices vary dependent on features included. If you’d like to add more applications in your software suite, you’ll pay more. Some vendors also offer a pricing model based on per visits. Get in touch with our consultants at softwarefinder or the EMR vendor to understand their pricing models and what would work best for you.
Be sure to clarify whether a telemedicine system requires a minimum number of users, as this also influences the cost. It’s always advisable to determine what the once-off and ongoing costs will be so you can budget accordingly.
In addition to purchasing software, consider the hardware expenses involved. These aren’t usually included. You’ll need to make provisions for carts, cases, a digital telescope, an examination camera, and wall mounts, among other items.
While negotiating the contract, try not to opt for extended term contracts. Either request for a free trial or opt for a system with a month to month contract. You can learn more about these offerings by EMR vendors at the bottom of this article.
Till now, there is a lot of confusion regarding the laws that govern telemedicine setup and payments. The federal, state, and private payors all differ in what constitutes telemedicine and its coverage. It is essential, thus, to get in touch with your malpractice insurer and top private payors to get their input on the laws governing your practice.
Telehealth parity laws in some states require private payors to reimburse telemedicine services. Private payers are required to pay for video conferencing in all states with parity laws. However, payment for telemedicine services may not be the same as onsite services.
There are also differences in who can or can't provide telehealth services. Legal healthcare providers offering telemedicine services include:
According to the CCHP’S 2019 findings:
The states of Alaska, Arizona, Maryland, Minnesota, New York, Texas, Virginia, and Washington provide reimbursements for all three types of telemedicine services, while California & Connecticut reimburse eConsultations.
There are changes to these laws under COVID-19 that are discussed below.
Due to COVID-19, massive changes have been made by the government on laws regarding telemedicine. Greater flexibilities have been offered both by Medicare and private insurers to encourage physicians to set up telemedicine in their practices. These flexibilities include:
You can learn more about COVID-19 waivers in our webinar " Adopting telemedicine successfully in the times of COVID-19"
To facilitate the adoption of telemedicine software in 2020, top EMR vendors are providing free or discounted telemedicine software during the pandemic. Some of the offerings include:
You can learn the details about the top EMR vendor COVID-19 telemedicine offering here.
Telemedicine is now being used in homes, hospitals, private physician offices, and other healthcare facilities. At a time when more and more patients require assistance, telemedicine could be the solution you’re looking for. You’ll be able to serve the ill, flatten the curve of raging viruses through reduced physical contact, and ultimately reach & help more patients.
[Download Whitepaper] Adopting Telemedicine successfully in the times of COVID-19.