CDWTCDWT

CASE STUDY

VANGUARD RHEUMATOLOGY

CMS/QPP Quality Score

58.8 Out Of 60

Total Collections

Up 23% From Average

Minutes Saved

10-15 Per Clinical Encounter

Fast Facts

Rheumatology practice
5 Providers
4 Locations
20 Staff Members

Solutions

Charts EHR for Rheumatology
Central PM
Concierge RCM

KEY DIFFICULTIES

COMPLEX DOCUMENTATION

In rheumatology, documentation requirements may be complicated and time-consuming, sometimes tripling the time needed to examine a patient. Vanguard was using a well-known, remotely hosted but locally installed EHR + PM that was making this procedure even more cumbersome, since the panels were cluttered with checkboxes and lacked simple choices.

STAFFING CHALLENGES

Vanguard was always concerned about the difficulty of recruiting and supervising office employees, as well as the possibility that they might depart. When billing is performed internally, sick days, natural personnel turnover, and the day-to-day difficulties of maintaining an office sometimes have an effect on billing.

BILLING PROCESSES WEREN’T SCALING

Due to rising patient load and staffing issues, Vanguard Rheumatology might soon fall behind on administrative costs related with each patient. As A/R and FPRR grew, it became more difficult to track down claims. Accounts receivable once exceeded $300,000, highlighting the need for reform.

"For instance, if I encounter a patient with scleroderma who is difficult and you are seeing them for the first time, you should write a really great consult note. It would likely take 10 to 15 minutes to write up the typical recommendations for the diagnostic assessment and therapy. It requires just a few keystrokes to complete."
JaimDr. Carlos A. Sesin, MD, Vanguard Rheumatologye Franco, Office Manager, Franco & Co

KEY OUTCOMES

CLOUD-BASED SOLUTION OFFERS SOLID FOOTING

The first migration to MedCloud’s EHR + PM platform was exceptional, helping Vanguard decrease accounts receivable (A/R) from $300,000 to a manageable $10,000 and enabling the practice to demonstrate Meaningful Use Stage 1 & 2 compliance.

CUSTOMIZABLE EHR SPEEDS DOCUMENTATION

Utilizing text shortcuts in MedCloud Charts expedites clinical interactions, saving up to 15 minutes each patient. Every provider in the practice is on the same page, since everyone uses the same terminology in their documentation and often updated short texts reflect new facts.

BILLING YOU CAN COUNT ON

Vanguard replaced self-billing with MedCloud Concierge RCM. Dr. Sesin understands he can depend on his account manager and the whole MedCloud team to continue to be his experts on the current medical and reimbursement situation, unlike workers who may quit, use sick days, and need supervision and benefits. MedCloud aided in a 56% increase in total billing and the implementation of an unique MACRA Action Plan that met (and surpassed) CMS criteria.

Download Case Study