Behavioral Healthcare Technology
DENmaar Guardian EHR/RCM Revolution

Most people are not even aware, but Telehealth technology has been around since the 1980’s. Yes! That’s how old the technology is. Since then Telehealth has grown to become a revolutionary tech that can convey medical information throughout the globe in real-time. Medical professionals can now provide services to individuals and areas that previously had no access to health care.

Now that the entire world is reeling in the face of an unexpected pandemic outbreak, Telehealth has become more important than ever. It has already proven its mettle in saving countless lives by making individuals abode by the golden rules of social distancing that our current situation demands.

In this article, we will be looking at the 5 ways in which Telehealth technology is transforming modern healthcare.

So without much further ado, let’s get started

Spreading Expertise in All Areas

Telehealth has graced rural areas with its presence. These areas have suffered a lot due to inadequate health care. Usually, these areas have their own community doctor to take care of an entire community. However, he might not have the expertise to deal with all kinds of medical conditions. Telehealth act as a convenient assisting tool in this regard.

Let’s say a community doctor is dealing with a patient with stroke, with very little expertise in the field. With the help of Telehealth, he can consult an expert over video calls and take better care of the patient suffering from a stroke.

Helping People with Limited Access to Care

A majority of the world we inhabit still lives in conditions of great suffering and lack the basic privilege of proper healthcare. Before telehealth, deaths and aggravated medical conditions were typical in rural and underdeveloped regions of our planet due to the absence of expert medical personnel. Thanks to telehealth, there is no excuse anymore for healthcare professionals to transmit care over the internet, which can lead to many lives being saved.

It is Inexpensive

With telehealth, patients are rewarded with the benefit of affordable healthcare. Telehealth technology like Fit bit and Apple watches are now relatively affordable and can provide great health benefits to users. Insurance companies along with Medicare and Medicaid are also now reimbursing the use of telehealth, which has made Telehealth more trustworthy amongst insured individuals.

Pervasive Adoption

With the current pandemic, telehealth is likely to be adopted by all forms of healthcare channels, making it even more popular than it was before. Remote home care will quickly replace long wait times at clinics. More telehealth treatment options will be reimbursed by our healthcare system.

DENmaar’s TeleHealth Services

At DENmaar, our telehealth solution offers both patients and providers with a communication technology that allows the access and management of health care services from homes of patients or the practices of doctors.  This tele-conferencing feature allows practitioners to attend to their patients, on their computer screens, where-in they can consult and serve their clients without having to make them wait in their clinics or making them transit long distances. 

All you have to do to access our feature, whether you are a provider or patient, is to sign up to our app and avail our telepsych feature.

The recent novel coronavirus outbreak has cemented the fundamental nature of Telehealth in our health care system. It has quickly proven to be a lifesaving innovation in health care technology and many providers are making sure they facilitate their patients with TeleHealth services for continued, safe provision of health care.

The federal government has already expanded on the concept of TeleHealth services, deeming it to be the perfect tool in the face of COVID – 19. Tele-Health succeeds in the practice of healthcare provision by implementing the principals of social distancing and isolation, both of which are important to decimate the super contagious virus. 

Telehealth provides patients with the tool to consult with their doctors from the comfort of their respective abodes. It allows for face to face communication without compromising on the concept of physical distancing. 

Apart from social distancing, TELEHEALTH also offers the following benefits to both providers and patients.

The Benefits of Telehealth include:

• •     Making Healthcare accessible for rural and isolated communities.
• •     Access to behavioral and other medical specialists
• •     Making services available for communities and people with limited mobility, or transportation options
• •     Improved communication between doctors and patients
• •     Improved self-management of health care practice

For many traditional health care professionals, Telehealth is still uncharted territory. Venturing into something this unknown to them can seem intimidating. However, most TeleHealth services today are easy to use and can be implemented with only minor level training.

As of now, there are no legal certifications required by practitioners to provide TeleHealth services to their clients. However, there are many professional behavioral health associations that demand some level of competence in the part of providers to better implement the new service. 

As some states are relaxing licensing requirements, that is not the case with all states. Be sure to check with your local licensing boards on the formalities and rules that apply to your practice. Make sure that telehealth and cross-state services are covered under your policy before rendering the service.

DENmaar’s TeleHealth Services

At DENmaar, our telehealth solution offers both patients and providers with a communication technology that allows the access and management of health care services from homes of patients or the practices of doctors.  This teleconferencing feature allows practitioners to attend to their patients, on their computer screens, where-in they can consult and serve their clients without having to make them wait in their clinics or making them transit long distances. 

All you have to do to access our feature, whether you are a provider or patient, is to sign up to our app and avail our telepsych feature. 

Telehealth for Patients

Our telehealth feature offers patients with the following benefits

• •     Easy communication with doctors and nurses online
• •     Prescription refill requests
• •     Schedule appointments
• •     Review Test Results

Telehealth for Providers

• •     Counseling Patients Online
• •     Provide healthcare advice and services in remote and rural areas
• •     Schedule appointment or post-appointment reminders
• •     Review and deliver test results

At first glance, both claim denial and claim rejection can seem the same exact thing. Many practitioners use the term interchangeably. We are here to tell you how to grave a mistake that can be. This ostensibly simple misunderstanding can be detrimental to your practice and push your revenue cycle into disarray. It is extremely imperative to understand the differences between these two terms if you are to stabilize your practices cash flows.

The Difference

Claim Denial

Claim denial can be defined as claims that were received and processed by the insurance companies, but a negative determination was made. You simply cannot resubmit such claims; they need to be researched to understand why this particular claim was denied and then write an appropriate appeal for its resubmission. If this claim is resubmitted without an appeal, then the chances are that it will be rejected as a duplicate, thus costing you more time and money.

Claim rejection

Claim rejection is altogether a different concept. These are claims that do not meet specific data requirements or are formatted inappropriately, which ultimately resulted in their rejection. These medical claims cannot be processed as they were never received by the insurance companies and entered into their computer database. This type of claims can be easily resubmitted if the errors are rectified. The errors can be as simple as a missing alphabet in the name or a transposed digit from the patient’s user I.D

The Reason for Denial and Rejection of Claims

There are 5 major reasons for medical claim rejections, and they are as follows:

• •     Missing information, for e.g. missing address, pin code or phone number.
• •     Duplicate claim for service – claims that were mistakenly submitted more than once
• •     Service is already adjudicated
• •     Service is not covered by the payer
• •     The limit for filing has expired

Improving claim rejection and denial rates

Whether you are someone who has a dedicated in-house staff, or outsourced coding and billing to a third-party service provider, you need to follow some crucial steps to ensure your claims aren’t rejected or denied.

• •     Track and analyze patterns in payer denial and rejections. Once you have categorized these denials and rejections, you can devise a strategy to cut their rates.
• •     Train your billing staff on how to handle claim denials appropriately.
• •     Schedule routine audits to identify problems before claims are sent to the payer.
• •     Work with payers to avoid denials by discussing, revising and eliminating contract requirements.
• •     Use billing software or hire a vendor to take care of claim denial and rejections efficiently.

The Bottom Line

Claim denials and rejections are some of the most prevalent challenges that practitioners face today. A lot of care needs to be taken to avoid denial and rejections. Thankfully, we at Denmaar are here to clear the air surrounding medical billing and help you submit strong claims that have very low chances of denial and rejection.

Here at Denmaar, we partner with concerned practitioners to offer pre-authorization, third party billing, claims follow-up, and to assist with appeals for any denied insurance claims. With Denmaar, you get the assistance of our behavioural health billing specialists to make your billing process easier than ever.