Medical practice management system

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A medical practice management system (also practice management system or PMS) is a software-based information and enterprise management tool for physician offices that offers a set of key features that support an individual or group medical practice's operations. Those key features include — but are not limited to — appointment scheduling, patient registration, procedure posting, insurance billing, patient billing, payment posting, data and file maintenance, and reporting.[1]

History of the PMS

While computing was advancing in the early 1970s, for many physicians with their own practices the hardware and software of the time wasn't adequate. Aside from the sheer expense, common complaints included the hardware was too complicated, noisy, and wasteful while the software had insufficient language compatibility, lacked flexibility, and wasn't user-friendly.[2][3] But by the end of the 1970s computers were shrinking in size and becoming relatively more viable, and software companies were beginning to develop and sell their own practice management systems to physicians.[4][5][6][7]

Technology

In some practices, a PMS is often connected to an electronic health record (EHR) system. While some information in these systems may overlap — patient and provider data, for example — in general the EHR system is used to track patients' clinical outcomes, while the PMS is used for administrative and financial matters. The decision to interface the two systems together or acquire an integrated software package is one of the more challenging considerations for modern medical practices.[8][9] In June 2015, customer satisfaction surveyor Black Book found that 86 percent of providers sought to acquire or upgrade to an integrated PMS-EHR, citing the need to ensure "clinical data and revenue cycle management are aligned in order to support improved operational efficiencies and broad initiatives like population health management and quality reporting."[10]

Standards affecting PMS

Further reading

References

  1. Correa, Cindy (2011). Getting Started in the Computerized Medical Office: Fundamentals and Practice (2nd ed.). Cengage Learning. ISBN 9781435438477. https://books.google.com/books?id=OYNyTXJi7dwC&printsec=frontcover. Retrieved 17 June 2015. 
  2. Mikuriya, Tod H. (28 June 1972). "Hardware, Software Don't Fulfill Doctors' Needs". Computerworld 6 (26): 8. https://books.google.com/books?id=_GFqy-RrTtAC&pg=PT7. Retrieved 17 June 2015. 
  3. Ryan, George A.; Monroe, K. E. (1971). Computer Assisted Medical Practice: The AMA's Role. American Medical Association. pp. 98. https://books.google.com/books?ei=8h-CVaTtH4X8oASt6YGoAg&id=GT1rAAAAMAAJ. Retrieved 17 June 2015. 
  4. "NCR Package Aids Doctors". Computerworld 12 (33): 52. 14 August 1978. https://books.google.com/books?id=Z4s8fil_zIIC&pg=PA52. Retrieved 17 June 2015. 
  5. "Software Professionals". Computerworld 13 (25): 73. 18 June 1979. https://books.google.com/books?id=rfsvbXyn0ZEC&pg=PA73. Retrieved 17 June 2015. 
  6. "Software/Job Specific/Medical". PC Mag 1 (7): 379. November 1982. https://books.google.com/books?id=vy3cBZkjbZgC&pg=PA379. Retrieved 17 June 2015. 
  7. "Wanted: Medical Office Software". InfoWorld 4 (25): 94. 28 June 1982. https://books.google.com/books?id=ZTAEAAAAMBAJ&pg=PA94. Retrieved 17 June 2015. 
  8. Mitchell, Bob (23 November 2011). "Practice Management & EHRs: Interface or Integrate?". Clinical Innovation + Technology. TriMed Media Inc. http://www.clinical-innovation.com/topics/ehr-emr/practice-management-ehrs-interface-or-integrate. Retrieved 17 June 2015. 
  9. Chatham, Lea (29 May 2014). "How Important Is EHR and Billing System Integration for Medical Practices?". Getting Paid. Kareo. http://gettingpaid.kareo.com/gettingpaid/2014/05/how-important-is-ehr-medical-billing-software-integration-for-medical-practices/. Retrieved 17 June 2015. 
  10. Bresnick, Jennifer (8 June 2015). "86% of Providers Aim for Integrated EHR, Practice Management". HealthITAnalytics. Xtelligent Media, LLC. http://healthitanalytics.com/news/86-of-providers-aim-for-integrated-ehr-practice-management. Retrieved 17 June 2015.