Epiphany Healthcare Blog

Buyer’s Guide 3:  Cardio Server — Resolve Your Healthcare Billing Challenges

Posted by Lisa Wolfenbarger on December 16, 2015 at 1:38 PM

Electrocardiograms are one of the most prolific examinations in a hospital. They may not be complicated to perform but the sheer number of them make ECGs a challenge to manage, particularly in hospitals working with paper-based ECGs.

We hear repetitive grievances from managers of paper-based departments. They typically state problems that relate to lost revenues from the ECGs as well as other study types. Problems include:

  • Late physician over-reads that delay billing;
  • Weekend/holiday orders and over-reads that get lost with weekend/holiday staff; and
  • Human error in processing studies resulting in missed charges and duplicate billing.

Epiphany has solved these problems for dozens of formerly paper-based hospitals. Here is how it works:

  • Configure Epiphany’s Cardio Server with orders, results, and billing modules;
  • Orders come to Epiphany from your EHR and match to completed studies using patient ID, first name and last name;
  • Completed studies promote to an unconfirmed queue for physicians to read;
  • Physicians read from anywhere at any time versus only in the Cardiology Department;
  • When they confirm the study, a result message automatically goes to the EHR along with a completion message that automatically goes to the billing system.

hospital_billing_statement.jpgBy having access to Cardio Server from anywhere, hospitals eliminate late physician over-reads; this happens daily and on weekends/holidays. By automatically linking orders to billing messages, human error in manual billing is eliminated; hospitals using Epiphany’s automated billing module no longer miss charges or double bill—they capture previously lost billing.

Additionally, we customize the billing workflow to your requirements. For instance, some of our customers want to separate technical from professional charges. We accomplish this by flexible triggers. In the separation instance, we trigger the technical charge once an order is linked to a study and promoted to the unconfirmed queue. The study is then read by the physician and confirmed. The physician’s confirmation triggers a second charge, the professional charge. (To learn more about Epiphany’s HL7 integration for automated billing, see our blog: “HL7 Integration Developments – Technical Charges, Professional Charges, and Credits.”)

On top of all the billing problems we solve, our formerly paper-based customers save money in the labor required to manually process ECGs. Many of them save enough money in the first year to pay for the entire system and enjoy the benefits of reduced labor costs forever. This also applies to other modality types, e.g., Holter, stress, PFT, and more. (See our blog: “Inefficient Paper Process Weighing You Down? Let us Analyze Your Workflow!”)

If you would like to improve efficiency and save money at your hospital or hospital system, contact Epiphany Healthcare today for a demonstration and see what Cardio Server can do for you!

Buyer's Guide 1:  Support, Training & Upgrades   Buyer's Guide 2:  Interoperability

Let Epiphany Help Solve Your Workflow Challenges

Topics: Cardio Server, Epiphany's Cardio Server, reduce costs, ECG, hospital billing, paper-based hospitals, healthcare billing challeges, healthcare billing, duplicate billing, healthcare workflow efficiency, automated billing

5th Year in a Row: Epiphany’s Cardio Server Awarded "Category Leader" in 2013 Best in KLAS Report

Posted by Allison Fawber on February 4, 2014 at 9:12 AM

Epiphany Healthcare is proud to announce theKLAS Category Leader 2013 top ranking for its Cardio Server as the "Category Leader" for ECG Data Management in the 2013 Best in KLAS: Software & Services report.

This year’s award marks the fifth consecutive year Epiphany has received the “Category Leader” recognition in ECG Management from KLAS. KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, and impartial vendor performance information.

"At Epiphany, we listen to our customers and strive to provide them with exceptional service," said Joe Noto, VP of Strategic Partnerships and Marketing. "Their meaningful input fuels our passion to develop innovative products. It is a profound honor to receive the KLAS award for the fifth year in a row. We believe it is a recognition of our unwavering commitment to the success of our customers."

Epiphany’s Cardio Server is a vendor neutral, multi-modality, intuitive management system that receives, manages, and exports diagnostic test results to EMRs. Cardio Server communicates with over 100 devices, from over 40 vendors, in 15 diagnostic modalities, consolidating individual device interfaces to the EMR. Physicians and other users access and edit ECG and other diagnostic test data from anywhere in the hospital, the office, or home using a standard web browser.

About Epiphany Healthcare 
Epiphany Healthcare simplifies diverse clinical workflow using one consolidated EMR interface. With over 500 hospital customers in the US and abroad, Epiphany is committed to serving its customers’ needs through product innovation, the delivery of exceptional service, and an unwavering dedication to interoperability. Discover why Epiphany is the preferred provider when managing multi-vendor, multi-modality diagnostic test data. For more information, please visit, follow Epiphany on Twitter (@epiphhealth), or Linkedin (

About KLAS 
KLAS is a research firm on a global mission to improve healthcare delivery by enabling providers to be heard and counted. Working with thousands of healthcare professionals and clinicians, KLAS gathers data on software, services, medical equipment, and infrastructure systems to deliver timely reports, trends, and statistical overviews. The research directly represents the provider voice and acts as a catalyst for improving vendor performance. Follow KLAS on Twitter at


Watch a Cardio Server Overview Video

Topics: EKG software, ECG software, Cardio Server, Epiphany's Cardio Server, KLAS Category Leader, KLAS Research, ECG Data Management, ECG management

Join Epiphany In Observing National Doctor’s Day 2013

Posted by Allison Fawber on March 29, 2013 at 2:36 PM

This March 30th, Epiphany Cardio invites you to join us in observance of National Doctor’s Day, 2013. The theme for this year’s celebration is “Thank You,” and we hope you will take the time to show your appreciation for the efforts of physicians in your community and across the country for the time and effort they have dedicated to the health and well-being of America over the past year.

Patient Thanking Doctor

What is National Doctors’ Day?

Doctors’ Day originated in Winder, Georgia on March 30, 1933 when Eudora Brown Almond, the wife of a doctor, decided to set aside a day for the honoring of physicians. Many people honored their doctors with greeting cards or placed flowers at the resting places of deceased doctors to show their appreciation for those who devoted themselves to the health of their communities.

In 1990, both the House of Representatives and the Senate overwhelmingly approved legislation designating March 30 as National Doctors’ Day. President George Bush signed the resolution, and in a statement, the president encouraged the honoring of groundbreaking physicians of the past, as well as those who “carry on the quiet work of healing each day in communities throughout the United States—indeed, throughout the world.”

How to Observe National Doctors’ Day

There a number of ways you can observe National Doctors’ Day, here are a few ideas: 

Just say thank you: The simplest way to honor the physicians in your life falls right in line with this year’s theme of “Thank You.” Simply send a card or email expressing thanks and appreciation the doctors in your life.

Flowers: Send your doctor flowers, or in the tradition of the first doctors’ day, you may want to place flowers at the grave of a doctor who has passed away. The red carnation has long been associated with National Doctors’ Day.

National Doctors’ Day Merchandise: There are a number of websites offering merchandise specific to National Doctors’ Day. Some items you might find include specialized greeting cards, lapel pins, and National Doctors’ Day t-shirts. 

Spread The Word: Share the news about National Doctors’ Day with friends, family and co-workers. Greater awareness equals greater participation. Sharing news articles or blog posts (such as this one) on social media platforms is a particularly effective way to get the word out. The more doctors we can honor this Saturday the better!

Epiphany recognizes our nation’s physicians for their dedication to the treatment and prevention of illness and injury as well as the contributions they make to the study of medicine. All of us have had our lives touched or improved by a doctor, be it through treatment, care, or medical advancements. This March 30, please remember to join us as we say “Thank You” in observance of National Doctors’ Day.

An Inside Look: Tour Cardio Server from Physician's Perspective

Topics: Epiphany Cardio, Epiphany's Cardio Server, National Doctor's Day

KLAS Awards Cardio Server “Category Leader” for ECG Management

Posted by Allison Fawber on January 18, 2013 at 10:43 AM

Epiphany Cardiography Products, LLC is proud to announce that KLAS awarded Cardio Server
“Category Leader” for ECG Data Management in the Best in KLAS: Software & Services report for 2012.

KLAS Research

This year’s award marks the fourth consecutive year Epiphany has received the “Category Leader” recognition in ECG Management from KLAS.¹

What is KLAS? KLAS helps healthcare providers make informed technology decisions by measuring and reporting accurate, honest, and impartial vendor performance data. KLAS speaks with hospital and clinic executives, administrators, physicians, nurses, and other directors and managers with business responsibilities regarding the experiences they are having with their vendors and products. Routinely, KLAS works with over 20,000 people from 5,000 hospitals and nearly 3,000 ambulatory organizations annually in order to gather direct client feedback on vendor performance.

Epiphany's Cardio Server ECG Management System

Epiphany’s Cardio Server is a browser-based, intuitive management system that receives, manages, and exports diagnostic test results to EMRs. Cardio Server communicates with over 100 devices, from over 40 vendors, in 15 diagnostic modalities, consolidating individual device interfaces to the EMR. Physicians and other users can access and edit ECG data and other diagnostic test results from anywhere in the hospital, the office, or home using a standard web browser. Users are also able to access ECGs from their smart devices.

“It is an honor to receive the 'Category Leader' award from KLAS for the fourth year in a row", states Kelli Sudduth, VP Implementations, Training, and Support at Epiphany. “Epiphany works to maintain a constant level of customer satisfaction across many levels; from new customers to our long standing 'customer partners,' we strive to assist healthcare providers in achieving their clinical, administrative and IT objectives. As we continue to grow in the industry and face new challenges, it is rewarding to know that our customers believe we are on the right path, positively contributing to their success.”

About Epiphany Cardiography Products, LLC. 
Founded in 2004, Epiphany’s mission is “to simplify the collection and management of diagnostic test results. With over 450 hospital customers in the US and abroad, Epiphany is committed to serving its customers’ needs through product innovation and the delivery of exceptional service with an unwavering dedication to driving open systems. Discover why Epiphany is preferred when managing multi-vendor, multi-modality diagnostic test results. 

¹In 2009, the category Epiphany received the KLAS "Category Leader" award for was Patient Monitoring Systems

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Topics: EKG software, ECG software, Cardio Server, Epiphany's Cardio Server, KLAS Category Leader, KLAS Research, ECG Data Management, ECG management

Epiphany’s Cardio Server Receives DIACAP Certification

Posted by Allison Fawber on December 21, 2012 at 10:36 AM
The United States Department of Defense (DoD) (Air Force) awarded Epiphany its DIACAP certification for Cardio Server on December 21, 2012. DIACAP stands for DoD Information Assurance Certification and Accreditation Process. It is a multi-faceted approach to security involving assessment, remediation, monitoring, and vigilance. Further, it requires the company whose system or software is involved to potentially tighten their processes and to maintain continuous compliance.

Epiphany's Cardio Server is DIACAP Certified

Over the past year, Epiphany’s Cardio Server has undergone the stringent DIACAP certification process. It involved a thorough inspection of our development and support processes with an overall security posture in view. During the certification process, every line of code was audited by the Epiphany engineering team for (Information Assurance) IA compliance. All points of entry into the system were documented and tested.

Here is the breakdown of systems tested and the number of checks involved for Cardio Server:

  • Windows Server Operating System: 315
  • .NET: 73
  • Application Development: 158
  • IIS: 65
  • Internet Explorer: 128
  • Database: 231

In all, 970 discrete security checks were made on Cardio Server. The results of some checks required remediation in order to make the application DIACAP compliant. For example, vulnerabilities related to Web Services were addressed. Another example would be that when an account has been locked out due to failed attempts, it can only be reset by an administrator; there is no reset based on duration. Even the development process was tweaked as a result of these checks to ensure that IA guidelines were heeded at every step of the process. For example, developers now must have their code reviewed for IA impact before it can be accepted into the product. That IA awareness during development is now codified and followed by Epiphany engineers.

Cardio Server underwent several automated audits and three manual audits conducted by the United States Air Force. The automated tests involved the use of a scanning product called Retina. The manual tests involved a skilled Air Force contractor manually checking Cardio Server’s security posture by running through his own checklist.

The end result is that Epiphany’s DIACAP initiative has resulted in a more secure Cardio Server which will serve as a better neighbor in your corporate network. If you work in a DoD medical treatment facility then the software that you use must be DIACAP compliant and Cardio Server is ready to fill that role for you.



Topics: EKG software, ECG software, Epiphany's Cardio Server, DIACAP, DIACAP Certification

Cardio Server Changed Workflow for Physicians at Northeast Georgia Medical Center

Posted by Denisha Waldrop on September 9, 2011 at 11:49 AM

Northeast Georgia Medical Center (NGMC) in Gainesville, Georgia, is a 557-bed hospital northeast of Atlanta. HealthGrades® rated NGMC number one in overall cardiac care for the entire state of Georgia, and in the top 5% in the nation, for the last six years in a row (2006 – 2011).


NGMC performs ~60,000 ECGs per year. Like many hospitals with that volume, it was not uncommon for ECGs to remain unconfirmed for extended periods of time as physicians read on paper in the Cardiology Department.

With the installation of Epiphany’s Cardio Server at NGMC, physicians are now able to view ECGs immediately after they are acquired with the previous ECG available on the same screen. They can view these studies in the same high quality just as if they had the original in their hands. The physicians can see these studies from any PC in the hospital or from their offices and homes; they can see them on their iPhones, their iPads, or their Droid phones. Cardio Server also tracks the number of studies they read for accurate reimbursement from the hospital.

In summary, installing Cardio Server at NGMC:

  • Significantly reduced the amount of time it took to access an ECG from the time it was captured until it was viewable
    by a physician;

  • Provides the previous ECG, when available, for comparative statement to be included in the interpretation;

  • Allowed the organization to automatically bill for the procedure when the study was confirmed (i.e., no more missed charges);

  • Prioritized viewing STAT ECGs immediately after they are performed from any PC, resulting in quick determination of severity of tracing;

  • Gave the physicians the ability to read more studies in a shorter amount of time by not having to report to the ECG department and sift through a stack of papers; and

  • Enabled multiple physicians to read at one time from various locations.


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Topics: Epiphany's Cardio Server, workflow for physicians, Northeast Georgia Medical Center, NGMC, EKG, ECG

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