AMA-MGMA Selecting a Practice Management System Toolkit
Use technology to meet today's practice challenges
The opportunities for automation in the physician practice have rapidly increased in recent years. From eligibility verification to claims submission and patient billing, many formerly manual, time-intensive administrative tasks can be streamlined and simplified with practice automation.
With all types of automation, the right technology ensures a smooth transition to new work processes. In the case of automating a medical practice’s revenue cycle, the right practice management system (PMS) is key to leveraging the improved efficiencies offered by electronic transactions and workflows. PMS software organizes a practice’s administrative and billing functions and typically includes features such as:
- Capturing patient demographics;
- Appointment scheduling;
- Patient pre-registration (including insurance eligibility and benefit checks);
- Determining patient financial responsibility in order to collect payments at the point of care;
- Maintaining lists of insurance payers;
- Performing billing tasks; and
- Generating administrative reports.
While the benefits of moving from manual to automated processes for these tasks are clear, choosing and purchasing an appropriate PMS—whether it’s your first system or you are upgrading to a new product—can be a daunting and overwhelming task. Selecting software that does not integrate properly with your practice workflow or that does not contain the features your practice needs can result in unnecessary costs, wasted time and endless frustration for you and your staff. In addition, purchasing a system that is not well supported by the vendor or is not compliant with federally mandated transactions and code sets will result in significant billing and collections challenges—not to mention unrealized administrative efficiencies.
The AMA and the Medical Group Management Association (MGMA) have partnered on this toolkit to help your practice make this important investment decision. Access the resources below to support your practice in the PMS selection process.
In the market for a practice management system?
This informative webinar will help you make the best choice for your practice. Speakers from the American Medical Association (AMA) and the Medical Group Management Association (MGMA) provide a step-by-step approach to picking the technology that will boost your practice's efficiency and meet your unique needs.
Disclaimer: This practice management system toolkit is strictly an informational tool for your use. The practice must use its own independent judgment when selecting a practice management system that best meets the needs of the practice. The practice is encouraged to consult with its own experts and/or consultants when making this decision. Neither the AMA nor MGMA accepts liability with respect to the use of the toolkit resources or any decision that is made by the practice based on the resources in the toolkit.
Six steps to PMS selection
Choosing a new technology for your practice is a big decision. Use this six-step guide to optimize the process of selecting a PMS software for your practice.
PMS Criteria Checklist This checklist is designed to help you determine those functionalities that are essential to your practice and may enhance your claims revenue cycle.
Download a Word version of the sample request for proposal to modify and send to vendors.