One of the many things that seems to be getting lost in the mix of all the noise about EHR software and the EHR incentive money is medical billing software. As I think through all of the presentations from EHR vendors and discussions I’ve had with doctors, consultants and other professionals in the Healthcare IT industry, I think the practice management system is getting lost in the EHR shuffle. Let me ask some important questions:
Does anyone care about the billing software now? What if the billing software that comes packaged with your EHR sucks?
A regular reader of my sites John Brewer often talks about how many of the benefits we like to talk about with technology in a practice are coming from the practice management system, not the EHR. These days most people seem to consider the EHR and PM one package. Yet, I’ve seen people spend little time really understanding whether the billing side of the EHR is going to work for their practice.
In contrast to this comment though is that I haven’t seen an uproar of people complaining about implementing an EHR and their billing going down the tubes. Does this mean that medical billing software has basically become a commodity that every EHR vendor has done to a reasonably sufficient level that no one has a problem? Or maybe we don’t hear about it much because most doctors aren’t business people.
While I don’t have anything but anecdotal evidence of the disregard to medical billing software, I think this is going to eventually come back to bite us. Although, in our generally provider driven world the EHR matters more in the daily workflow and so this isn’t a surprise that we see the EHR bias during medical software selection. Once the physician sees the reimbursement levels lower, they’ll likely wake up to the reality that you need both a solid EHR and a solid PM.