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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

From the President’s desk: "Outrageous ECG Management Support Costs"

Posted by Lisa Wolfenbarger on May 30, 2013 at 11:03 AM

In the last couple of weeks I have had the chance to speak with cardiology department managers in three different hospitals. All three accounts are in the process of replacing their legacy ECG Management Systems with Epiphany. As you read the anecdotes below, please remember that Epiphany’s support agreement is 24/7/365 and includes lifetime software upgrades. Also, Epiphany has been rated as best in KLAS for the last four years in customer support; MDBuyline has rated us a best customer support in ECG Management in 2012. 

The first hospital was a medium sized community medical center with a total of 12 cardiographs. Their support agreement was expiring and they wanted to be sure that we would have our system up and running before the expiration date. I asked them what the renewal cost would have been from their legacy vendor. The answer shocked me, "$252,000 for a 5-year contract”. This hospital’s contract from Epiphany is $47,880 for the 5-year support agreement

I was on a conference call with a second hospital finishing up the terms and conditions on a contract to replace their legacy ECG Management system. They are a small rural hospital with only 6 cardiographs. We were discussing our support charges and I asked what they were paying for their current contract? Their answer was more disturbing than the one above. “We can’t afford their contract and are on the pay as you go program”. How much was the contract for a small rural hospital with 6 carts? $232,000 for 5 years! This hospital is on Epiphany’s support agreement at a total 5 year charge of $27,360.

My final comments are regarding a university medical center. They have over 50 cardiographs and are replacing everything in a phased approach. The 5-year support agreement renewal for their legacy system was $306,000. This was a major reason they decided to find an alternative vendor. Epiphany’s 5-year support agreement for this medical center is $132,000.

As healthcare tightens its collective belt you may be looking for savings. If any of the legacy support system cost examples seem familiar; I encourage you to ask us how you may be able reduce your ECG Management system lifecycle costs. 


Russ DeRemer
Founder & CEO 

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Topics: Epiphany Cardio, KLAS Category Leader, ECG Data Management, legacy ECG data, Lifecycle Expenses, alternative vendor, Support Costs, reduce costs, Epiphany support, Epiphany's support agreement, Cardio Server Support, ECG management

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