Telehealth in 2020: Provider Perspectives

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WAYSTAR SURVEY ANALYSIS


Waystar’s latest survey explores telehealth adoption from the healthcare provider and administrator perspectives. Respondents weighed in on the effects of COVID-19, challenges and opportunities in telemedicine, technology used and predictions for the future.

Telehealth in 2020: Provider Perspectives

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Respondents also use telephone communication and third-party technology outside of or in conjunction with their HIS/PM system

Technologies such as Zoom, Doxy.me and FaceTime were commonly used to provide video capabilities—with almost half of respondents relying on telephone conversations to conduct or augment telehealth.

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We’ve aligned our most effective claims and denials solutions to help make your organization as productive as possible. Drawing on the latest tech and predictive analytics, your team will benefit from:

Despite a quick transition, providers are generally satisfied with their telehealth platforms

Most respondents—89%—report being satisfied or very satisfied with the telehealth technologies at their disposal, and only 3% report dissatisfaction. As later responses show, however, there are technology enhancements that could make the process even better.

CT-CM-WP-Telehealth Survey 2020-Graph6.jpgInternet connection, logging in, patient communication and reimbursement represent the most commonly reported challenges

Internet connection problems lead the pack with nearly half of respondents reporting issues. Although about a third cited issues logging on and effective patient communications as challenges, only 11% report inadequate training or support. Perhaps expanded training could help offset login challenges and improve patient communication tactics.

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Improving the login experience and connecting telehealth technology to revenue cycle technology would be helpful enhancements

The majority of respondents indicate that it would be very or somewhat helpful to be able to offer telehealth and execute key revenue cycle tasks—such as eligibility checks, patient cost estimates, payment collection and claim submission—within the same technology platform. Most also report wanting an easier login experience.

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Most respondents are satisfied with payer reimbursement for telehealth as well as payer communications, but there is room to improve 

Although the largest group of respondents report being somewhat satisfied both with payer reimbursement and communicating with payers around new telehealth guidelines, only about a quarter report being very satisfied with reimbursement and 15% with communication. Roughly a third report feeling neutral to dissatisfied in both areas, indicating the opportunity to improve.

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Views of the current and future states of telehealth are generally positive, with respondents overwhelmingly favoring an extension of CMS telehealth reimbursement beyond the COVID-19 crisis

Most respondents report that telehealth improves aspects of healthcare including access in rural communities and willingness to adopt new technologies. Likewise, although about a third believe further training is necessary, only a minority have concerns about billing fraud or need for more clinical staff.

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Key takeaways

    • COVID-19 drove significantly more usage of telehealth across providers of all sizes and in all care settings.
    • Post-COVID, providers expect to continue offering telehealth services.
    • Providers are generally satisfied with their telehealth technology, reimbursement and communication with payers, but there are improvements on all fronts that could further increase satisfaction.

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Survey methodology

In mid-2020, Waystar surveyed a random sample of the company’s client base. Respondents represent a mix of physician practices, alternative care sites, and hospitals and health systems across 42 states. A total of 181 participants were screened for telehealth usage. If they reported no telehealth adoption, the survey ended. 143 respondents (79%) reported some telehealth usage and went on to complete the survey. 75% described their locations as urban or suburban and 25% as rural.

Most respondents began offering telehealth as a response to COVID-19

Prior to COVID-19, only 11% of respondents were offering telehealth services to their patients. Health systems and hospitals were more likely to have offered telehealth for more than seven months as opposed to smaller or mid-size organizations. 84% reported new telehealth adoption within the timeframe that COVID-19 set in.

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COVID-19 significantly increased use of telehealth as a means to provide medical care while social distancing

Almost all respondents (95%)—whether they offered telehealth before or not—reported increases in telehealth usage with the onset of COVID-19.

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Even as healthcare organizations resume on-site elective care, providers expect to continue using telehealth

Although only 11% of respondents had adopted telehealth before COVID-19, only 11% expect not to continue offering it even after the health crisis passes. In fact, 40% expect their telehealth offerings to grow or stay the same, whereas 49% expect a decrease, although they do plan to continue offering some telehealth services.

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About a third of respondents access telehealth services via their practice management or health information system

Systems used include: Cerner, eClinicalWorks, eMDs, Epic, Homecare Homebase, ICANotes, MEDITECH, NextGen, NextStep, Practice Fusion, Raintree, SimplePractice, TotalMD, TriMed, WebPT and WellSky.

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% Clients Satisfied

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Financial
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Integrity

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90%

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90%

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Automate bank reconciliation processes

     

Automated identification of missing or inaccurate deposits and ERAs

     

Streamlined payment posting workflows to avoid posting delays that increase AR days

     

Aggregated reporting for payment information —even if you use more than one bank

     

Convert paper EOBs to electronic files

     

Indexing of checks and documents for historical tracking

     

Automated payment posting and reconciliation

     

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FEATURES

 

ANALYTICS PRO

ANALYTICS PEAK

Expanded claim lifecycle visibility through date tracking and proof of timely filing reports

PRO

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PEAK

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Dynamic, interactive, easy-to-use data visualization tools that allow for a deeper understanding of your rev cycle

PRO

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PEAK

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Your data unified on an end-to-end RCM platform

PRO

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PEAK

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Unlimited custom dashboards + reports with simple, yet robust BI tools to see and explore the data your way

PRO

 

PEAK

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Tailored insights with custom defined calculations, definitions and KPIs unique to your organization

PRO

 

PEAK

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Ad-hoc data analysis tools for deeper insights into every facet of your revenue cycle

PRO

 

PEAK

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Number of claims you follow up on monthly

<  >

Number of FTEs dedicated to payer follow-up

<  >

Fully loaded annual salary of medical biller

<  >

Total savings per year

$204,327

These numbers are for demonstration only and account for some assumptions. Contact us for a more comprehensive and customized savings estimate.

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Monthly claim volume

<  >

Current denial rate

<  >

Average claim value

<  >

Average number of appeal packages submitted per month

<  >

Total additional revenue recovered per year

$204,327

Total staff hours saved

These numbers are for demonstration only and account for some assumptions. Contact us for a more comprehensive and customized savings estimate.

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Gross patient revenue

Net patient revenue

Patient mix (% Inpatient)

<  >

Payer Mix (% Commercial)

<  >

Payer mix (% Government)

<  >

Payer mix (% Other/self pay)

<  >

Note: The above values need add up to 100%

100%
$1.8M
$2.2M
$3.3M
$7.9M

OUTER RANGE: Likely cash impact range for a system of your size

INNER RANGE: Most probable range given your specific information

Benefit range accounts for benefit to be attained through missing charges, CPT coding errors and DRG assignment errors. This calculator is designed to be educational in nature based upon limited information. It is therefore not a guarantee of performance. 1 HFMA blog, 2016

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Join our clients in reducing rejections
and denials by payers

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Request demo

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