All Countries boosts earnings 150% with new EHR and earnings cycle tech

Positioned in Missoula, Montana, All Countries Health Heart is one of 41 Urban Indian Health Functions all over the U.S. Founded larger than 50 years within the past, the clinics centered totally on social products and companies and restricted behavioral successfully being for his or her first 48 years.

However, in 2018, in picture to make holistic, complete wellness for the Missoula AIAN community, the provider organization added predominant care products and companies to its existing behavioral successfully being as successfully as dental products and companies, and attained federally certified successfully being heart (FQHC) location.


“Before every thing of 2019, we were on the hunt to interchange our Indian Health Carrier (IHS) electronic successfully being fable intention, Helpful resource and Affected person Administration Gadget (RPMS), with a larger HER,” acknowledged Skye McGinty, govt director at All Countries Health Heart. “Reason being, our RPMS changed into once very outdated and advanced to exercise.

“Our workers participants wished an EHR they are going to navigate without different practicing or assistance, and following a demo of Greenway’s EHR and apply administration expertise, Intergy, our workers changed into once desirous to pass forward.”

One other predominant instruct for All Countries changed into once holding the earnings cycle. Previously, it had now now not centered on third-occasion billing, in particular for behavioral successfully being. So the organization changed into once attempting for a earnings cycle administration vendor that might possibly now not handiest help with reporting but that basically understood the wants of an FQHC, which has very explicit reporting requirements.

“For months main as much as the implementation of our new EHR and RCM applied sciences, we worked with our partner for two to four hours a day.”

Skye McGinty, All Countries Health Heart

So All Countries opted for Greenway Income Products and companies.

“We knew we would have the benefit of their expertise, and that the corporate would be ready to present different reporting capabilities that supported the details wants of our explicit affected person populations,” McGinty acknowledged.


To proceed to invent strengthen to the metropolis Indian community it serves, All Countries knew it wanted an EHR that featured a person-pleasant interface and required diminutive practicing or instruction.

“We were drawn to Intergy for this cause, because it changed into once recede the expertise would enable us to improve efficiency, place time and improve the affected person expertise,” McGinty explained. “Greenway also had only within the near past offered upgrades to the resolution that were of hobby to our workers, much like streamlined navigation to decrease clicks, modernized person interfaces, motivate-cease optimization to improve performance and responsiveness, and extra.

“Our old EHR changed into once now now not very person-pleasant and required skilled-stage navigation to drag ample recordsdata,” she persisted. “Our teams did now not have the bandwidth to learn to navigate that intention without serious distractions from their day-to-day affected person care, which precipitated friction capabilities all along the details series and data reporting pipeline.”


The COVID-19 pandemic hit healthcare onerous, but FQHCs in explicit have confronted many challenges as a result. Whereas many predominant care practices shifted to a virtual care mannequin to proceed seeing sufferers on the onset of the public successfully being emergency, FQHCs had operational challenges and financial obstacles with virtual care.

In many cases, companies had now now not dilapidated virtual care forward of and struggled to derive the simply codes for every carrier. Furthermore, with restricted virtual ready rooms, companies weren’t ready to rob with the identical affected person quantity. Further, their sufferers weren’t conversant within the expertise.

As a result, many FQHCs were restricted of their skill to proceed serving sufferers, which had drastic impacts on the backside line.

“Curiously, our crew residing the day of implementation for Intergy on March 25, 2020 – decrease than 10 days after the dispute of Montana shut down since the pandemic,” McGinty recalled. “No matter the immediate alternate to pass the kickoff to a ways-off within the course of the pandemic, our clinic did now not trudge over a beat.

“We knew we wanted to pass forward with the implementation in picture to withhold the apply afloat and proceed offering quality affected person care,” she persisted. “And, in spite of a miles-off implementation, we were running at 100% productivity by Might simply 2020, when compared with the frequent six-month time it takes practices to form motivate as much as beefy productivity.”

Deploying Intergy with a cloud-secured option also caused many benefits, including that All Countries changed into once ready to implement seamlessly whereas many of its workers were a ways-off. Hosted products and companies also give the organization extra peace of suggestions with 24/7 monitoring, nightly backups and added security protocols that minimized stress around HIPAA compliance.

Furthermore, the organization is able to collect tool upgrades and full its reporting wants much extra without instruct.

“As successfully as to implementing Intergy, we also added Greenway Income Products and companies, which helped us withhold trade continuity, form extra earnings streams and improve affected person outcomes,” she added.


No matter a 4.5% initial reduction in earnings due to the the pandemic, All Countries saw an overall 150% amplify in earnings for 2020 when compared with 2018.

As successfully as, month-to-month billing increased by 88% since it started using the brand new EHR and earnings expertise – from $8,000 to $15,000 – and the organization increased collections by 75% and expected to double 2020 receipts by the cease of 2021.


“When looking for any new expertise partner, my advice would be to condominium ‘pre-work,'” McGinty suggested. “For months main as much as the implementation of our new EHR and RCM applied sciences, we worked with our partner for two to four hours a day. Whereas the pre-work changed into once extraordinarily thorough, it paid off by a seamless transition and an improved expertise for our companies going forward.

“I also counsel working with a partner that has deep expertise on your explicit distinctiveness,” she persisted. “On this case, we knew our chosen partner had over 20 years of expertise working with Indian and tribal successfully being purchasers, serving 30 Indian Health and Urban Indian Health Products and companies, as successfully as to over 100 FQHCs, community successfully being facilities and rural successfully being clinics.”

It is serious to now now not take appropriate any EHR, but one who will meet a apply’s explicit wants – and that has the flexibility to invent a seamless expertise from practicing to head-live, she concluded.

Twitter: @SiwickiHealthIT

Electronic mail the author: [email protected]

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