CMS reimbursement cuts to ophthalmology have some industry experts predicting big changes to practice patterns, from fewer residents entering the specialty to fewer surgeons entering the operating room. To survive, specialists are going to need a game plan for increasing revenue.

Every year, Black Book Market Research releases 2015 healthcare industry surveys across multiple specialties, ranking the top electronic health record vendors in each specialty. We’re thrilled to announce that Nextech's MDIntelleSys solution was ranked as the No. 1 Ophthalmology EHR vendor in Black Book’s 2015 Ophthalmology Survey! This newest accolade adds to what has already been a very exciting year for Nextech as we’ve introduced new tools, solutions and improvements since January. Here are the additional top rankings Nextech received from Black Book’s 2015 Ophthalmology Survey.

On this blog, we’ve done our best over the last nine months or so to give our readers as many resources as possible to get prepared for the switch to ICD-10 in advance. In fact, back in February I provided our readers with a three-part blog series that provided a detailed look at how some of the more commonly used ICD-9 codes in Dermatology, Ophthalmology, and Plastic Surgery would translate over to ICD-10.

Use of electronic medical records (EMRs) continues to spread throughout medical practices in the United States, especially in the field of ophthalmology. According to the American Society of Ophthalmic Administrators (ASOA) 2015 EHR Customer Satisfaction Report, 75 percent of ophthalmologists are currently using an EMR in their practice. EMR’s growth in ophthalmology can largely be attributed to Meaningful Use since the majority of ophthalmology patients are elderly and likely using Medicare. Unfortunately, with the increase in EMR use has come a slight rise in dissatisfaction in EMRs as well. In the last two years, dissatisfaction rose four percent in the survey (18-22 percent).

The United States is currently the only developed country in the world that is still using the outdated ICD-9-CM Volume III for diagnosis codes, electronic health records, and insurance claims. However, this is soon to change. As of October 1st 2015, the official final deadline for ICD-10 implementation, insurance companies will no longer be accepting ICD-9 for diagnosis or procedure codes. This means that all healthcare professionals must begin learning ICD-10-CM and ICD-10-PCS codes now, especially as they apply to medical specialties.

One of several factors inhibiting ophthalmologists from adopting electronic medical record (EMR) systems has been the way Meaningful Use mandates were originally developed. In an article from Ophthalmology Times, titled “Eye-care professionals still slow to adopt electronic health records,” Dr. Chiang, chairman of the AAO Medical Information Technology Committee, offered the following comment: "The government's meaningful use programs are geared toward all health-care providers, for that reason, they inherently have somewhat of a one-size-fits-all approach, where the requirements that an ophthalmologist needs to meet are the same as what an internist or general surgeon would need to meet." However, the number of ophthalmology practices implementing EMR and practice management systems is growing due to the emergence of specialty vendors offering fully customized solutions using more advanced and flexible technology. The following are some best practices, tips and practical advice for ophthalmology practices that are trying to find EMR solutions to best fit their needs.