The Five Steps to a Successful, Thriving Independent Practice

The Five Steps to a Successful, Thriving Independent Practice

Sometimes we feel like this, right? Help is on the way! (Image Via Google.)


in·de·pend·ent [indəˈpendənt]


1. “not subject to the control of others”

We know what “Independent” means by definition, however, what does this mean to your practice?

Being independent within your practice may ultimately mean different things to different practices.

Solo and small practices have different industry regulations than larger practices and hospitals do. Staying independent through these regulations means deciding the course in which to drive and what your destiny is for the future of your practice.

With the Affordable Care Act (ACA) in place, doctors are held accountable to provide higher quality care at lower costs, with increased tracking and reporting demands. Sometimes, even in a facility that has declining reimbursement and high potential of liability.

It is possible to control this course of independence in your practice. These steps will prove to be essential in thriving and surviving in this new health care reality.

Step 1. Focusing on Financial Performance

Being prepared to handle new methods of reimbursement will help maximize financial performance. Independent physicians typically do not have the time to sort through changes enacted by government insurance payers, track claims or manage appeals, all the while trying to provide quality care and attention required to their patients.

Finding a practice management solution that integrates seamlessly with practice workflow, will allow for productivity boost and focus on patient care. The right practice management solution should be able to handle patient scheduling, claims submission and reporting, as well as sending out patient statements, in turn, getting you paid faster!

Step 2. Clinical Integration and Connectivity

Exchange of information is crucial to improve coordination between physicians. Lacking this information can lead to treatment errors, unnecessary costs accrued for the patient and possible, preventable hospital readmissions.

By implementing a cloud-based solution, it allows for access to the information needed and creates an easy transition for patient care and follow up. Having this connectivity, independent practices are able to meet payment requirements, avoid duplicate testing or redundant care and can ensure the data is provided to the physician at the point of care.

Step 3. Thriving in the ACO Environment

Joining an ACO vs. staying independent may make you feel lost. Let’s find a way out! (Image via Google.)

Taking up only a small portion of the massive new health laws are the Accountable Care Organizations (ACO). These are networks of physicians and hospitals that share responsibility for providing care to patients. There are physicians who are joining ACO’s but, there is also an increasing number of primary care physicians who want to remain independent.

To succeed under these payment reforms, independent practices must have an electronic health record that streamlines workflow in your practice, providing access to guidelines and maximizes efficiency, as well as a strong communication with local ACO’s to meet care coordination requirements. Lastly, health information technology is needed to monitor patients within or outside of your practice, ultimately being able to measure and report on the patients outcomes.

Step 4. Creating Foundations for an Engaging Environment

Independent practices must have something that appeals to the patient. Creating an attractive choice for patients and referral partners will be part of thriving in this business. Promoting a certain culture and maintaining a strong financial performance is just the beginning. A great start for this is an online patient portal.

Meaningful Use Stage 2 requires physicians to help patients view, download and transmit health information online. Patient portals not only streamline tasks such as scheduling or registration, but they also serve as communication between doctor and patient, satisfying those requirements for Meaningful Use Stage 2.

Step 5. Adapting to Change

Adapting to a changing environment can be overwhelming at times! (Image via Google.)

The future of health care is starting to take form after many years of uncertainty. This is where independent practices must be quicker than ever. Being able to adapt to all the “new’s” in the industry, such as new payment models, new care models, reimbursement, meaningful use and transitions with ICD-10. Independent practices must have a system in place to stay on top of these requirements.

We hope these steps will be helpful for you, as you embrace independence in your practice!

Let us know what you thought of this blog!

Leave a comment or give us a call @ 480-730-3055.

Need More Help?







Encoder Pro Update Now Available

Encoder Pro for Medisoft or Lytec

New Updated Version of Encoder Pro Now Available

There is a new version available of Encoder Pro for Medisoft v20 and Encoder Pro for Lytec 2015. If you have already purchased Encoder Pro, this is a FREE update for you to install over the top of your current version. Just download the program and install.

To get the update, visit our website.

[one_half]Download and install Medisoft Encoder Pro 7.7.2 ISO from our website here.[/one_half] [one_half_last]Download and install Lytec Encoder Pro 7.7.2 ISO from our website here.[/one_half_last]

Have you purchased Encoder Pro? What are you waiting for?

If you have not purchased Encoder Pro yet, here is your chance! Get the most recent Encoder Pro for your practice and streamline the process of searching all codes and seamlessly add them to your program (for Medisoft or Lytec).

Check out this quick video on what Medisoft Encoder Pro is all about.

(Fast forward in the video to the 10:35 mark for the Encoder Pro content)

Check out this quick video on what Lytec Encoder Pro is all about.

(Fast forward in the video to the 15:55 mark for the Encoder Pro content)

Get Encoder Pro To Add Your New ICD-10 Codes

You can now purchase Medisoft Encoder Pro online! Go to our online store to puchase now.

For Lytec users, you can purchase Lytec Encoder Pro by calling our office at (888) 799-4777.

Medisoft ICD-10 Frequently Asked Questions

Medisoft ICD-10 FAQ

October 1, 2015 has come and is now gone and the AZCOMP support department has been busy to say the least. The phone is ringing almost non-stop and we’re getting the same questions over and over. So we’ve put together this list of Frequently Asked Questions.

We’ve compiled this same list on our ICD-10 resource page, so be sure to check there for future updates. If there are more FAQ’s to add, we’ll add them on that page.

Visit our ICD-10 Resource Page

Here is a list of the current top 5 most frequently asked questions about ICD-10 and Medisoft.

#1: Why are my codes showing in red in Medisoft transaction entry?

This first video answers a question about why the old ICD-9 codes are showing in red when you try to enter new charges in the Transaction Entry screen as well as give some insight as to why ICD-9 codes still show. This video will also show you how to change the default diagnosis in the patient’s case from ICD-9 to ICD-10. Watch the video above to get help with this.

#2: Why are my old ICD-9 codes showing in transaction entry?

This video builds on the first video. A lot of people have been wondering why the Transaction Entry screen in Medisoft is still showing the old ICD-9 codes instead of the expected ICD-10 codes. This is a very common point of confusion that is addressed in this video. Watch the video above to get the confusion cleared up hopefully.

#3: Why are there no codes to map when I go into the code mapping tool?

This third video covers a question about the ICD-10 mapping utility in Medisoft. Many people have had questions about how it works and why there are no codes displayed or available to map when they go into the tool. Be sure to watch this video if you are having those problems.

#4: Why are my electronic claims getting rejected, and what is an ICD-10 qualifier?

This video is regarding electronic claims rejections. We’ve had many instances of electronic claims being rejected because the ICD-10 qualifier is sending a “BK” or “BF” rather than the needed ICD-10 qualifier of “ABK” or “ABF”. This video will show you how to resolved this common problem. Watch this video to learn how to solve these problems if you are experiencing claims being rejected.

#5: I still can’t send claims. Why can’t I submit my claims?

Video 5 explains why electronic claims are being rejected for users who send claims in “text file” or “print image” format using the CMS11 program. This will be a 2-part answer.

First, watch this short one-minute video to determine if you are sending claims in the old format:

If it is determined that you are sending claims in “print image” using the CMS11 or CMSFILE, watch this other video (which is the same as the video above at the beginning of this answer) on what this means to you:

We recommend you call your AZCOMP account representative at (888) 799-4777 to proceed forward with the implementation of Revenue Management. If you are currently using Revenue Management to send claims electronically this video will not apply to you and there may be other issues our support department will need to look at for you.

Need More Help?

If these videos don’t answer your questions, call AZCOMP for technical support and training!

We can help you with Medisoft and ICD-10 challenges with a support agreement starting for as little as $99 per month! We have support plans to fit all different sizes of practices as well, so give us a call to get started on your Platinum Support Membership.

Visit our ICD-10 Resource Page

Be sure to check out our ICD-10 Resource Page for more updates, more videos, more training and more information.


Medisoft ICD-10 Troubleshooting Tips

Day 1 ICD-10 Troubleshooting Tips in Medisoft

Day 1 of ICD-10 was a busy day at the AZCOMP Support Department. After a full day of helping resolve over 100 different support tickets, we’ve got a pretty good handle on what the struggles are for a lot of different people.

This quick video will give some tips on troubleshooting some problems you might be having so far in Medisoft with the ICD-10 transition. We’ll look at the following items:

  • Dx codes showing red
  • Making sure you have added your ICD-10 codes
  • Changing the ICD version for your various insurance carriers
  • Setting the ICD-10 date
  • Updating codes inside a patients case
  • Updating the settings in Revenue Management


If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video then let us know by giving us a “thumbs up”!

Watch the video now…

icd-10 troubleshooting tips for medisoft

Need More Video Help?

We have more videos you can watch to help you get through the transition. Check out these others if you need…

  1. Options for getting ICD-10 codes into Medisoft
  2. Start to finish how to setup Medisoft for ICD-10


Be sure to check out all our other ICD-10 and Medisoft training or support videos and subscribe to our channel!

ICD-10 Grace Period FAQ

ICD-10 Launch Button Cartoon

CMS Releases FAQ Sheet Regarding ICD-10 Grace Period

In July we wrote an article about the ICD-10 Grace Period (remember, this is not an extension!). CMS has been fielding questions ever since then about what this really means. So recently they posted a FAQ sheet to help providers better understand the grace period.

Check out the CMS grace period FAQ sheet by clicking here.

Today Is The Last Day Before The ICD-10 Transition!

Do you have all of your ducks in a row? Have you upgraded your software to Medisoft v20 or Lytec 2015? Do you have all of the training you need?

If you haven’t upgraded your software, do it today by calling us at (888) 799-4777.

If you need any ICD-10 training, check out our ICD-10 resource page at

We have a lot of other ICD-10 videos on our YouTube channel to help you get the education you need. Watch as many of these videos as many times as you want.

If you need one-on-one training, or tech support or any additional help, please call us at (888) 799-4777.

Do You Need To Run The “Clear ICD-10 Utility”?

What To Do When ICD-9 Codes Show Up In the ICD-10 Column of the Diagnosis Code List in Medisoft

Sometimes Medisoft users experience that somehow all or many of their ICD-9 codes are showing up in the spot where their ICD-10 codes are supposed to be in the diagnosis code list. This means that when they go to start adding ICD-10 codes, there is already an ICD-9 code in that spot.

This is a problem, and before you start adding all of the new ICD-10 codes, you need to clear out all of the ICD-9 codes that are mistakenly in the ICD-10 column. There is a utility that will clear all of the ICD-9 codes from the ICD-10 location. Running this utility is easy and will save you a lot of time and frustration during the process of adding new ICD-10 codes.

In this video, we show you how to run that utility to fix the problem. Prior to running this utility, please be sure to backup all of your Medisoft data.

Watch The Video

clear ICD-10 utility for Medisoft

Submitting ICD-10 Test Claims In Medisoft

How to Put Medisoft into Test Mode for Submitting Test Claims

This video is an excerpt from a recent webinar. In this video Loree discusses the options that are available for testing with your clearinghouse. Loree also demonstrates in Medisoft how to put the program into test mode so that you can submit test claims. There are a few other related steps that also need to be done in the program so that you can submit, and those are covered in the video as well.

At this late point in the game, if you want to submit test claims, you are somewhat limited with what can be done, but there are still options. So watch the video to see what is available to you.

Need Help With ICD-10 Claims?

Following the instructions in this video should give you what you need to know to put the program into test mode. If you need additional help, you can view other videos we have on our YouTube channel, or you can purchase one-on-one training, or you can purchase technical support. We have the best training and the best tech support teams in the nation! We are here to get you ready for the ICD-10 transition date.

Watch the Webinar Replay Video

testing icd-10 claims in Medisoft webinar replay

Installing Encoder Pro And Fix A Common Installation Error

How to install Medisoft Encoder Pro, and how to fix a common installation error.

Installing Encoder Pro for Medisoft is not a very complicated process, but we frequently get asked about an error that happens sometimes after the program has been installed. In this short video we made, we will walk you through the installation, and then we will show you the error that happens and how to fix it.

Please let us know if you have any other questions, and feel free to give us a “thumbs up” on the video and leave a comment if you’d like.

Watch the video here:

install medisoft encoder pro


What is Medisoft Encoder Pro?

Encoder Pro is an additional piece of software you can purchase from us that integrates with Medisoft. When installed, Encoder Pro becomes part of Medisoft, so to use the program, you don’t have to leave Medisoft.

This program becomes like a Google search for codes. You can simultaneously search across ICD-10, CPT, and HCPCS codes. So Encoder Pro replaces your paper code book. When using Encoder Pro, when you search for a code, you will get code details and lay descriptions, and then you can import that code directly into Medisoft and it will become part of the code library you have in your software.

Encoder Pro is a major time saver and you’ll be super happy you have it!

Call AZCOMP at (888) 799-4777 to get more information and to get pricing.

Last Chance For ICD-10 Training Webinars

Do You Still Need Help Getting Medisoft or Lytec Setup For ICD-10?

If you still need help getting Medisoft or Lytec setup for ICD-10, your days are numbered and you are running out of time. Everyday we get one more day closer to the deadline and we have more people calling for help. So here is one more chance to get the help you need to get your software ready for the transition.

The ICD-10 Prep Webinars Are Your Last Chance For FREE Help!

Join us on a FREE webinar to learn what you need to know to get Medisoft or Lytec setup for ICD-10. During this 90 minute webinar, we will teach you how to set the ICD effective date, update your insurance carriers, put the program into test mode for sending test claims, and all the options for importing your ICD-10 codes. Also, since this webinar will be live, there will be a Q&A at the end to try and answer any questions. Webinars are held separately for Lytec users and Medisoft users.

Click here to find out dates, times and to register.

icd-10 webinar register here

Still need additional help, or can’t wait for these webinar times? Register for our ICD-10 Webinar Recordings.

Early this year, we ran a series of detailed webinars and then put the recordings out on our blog for you to check out. You can access these recordings by going to our registration page here. There are a total of 5 webinar recordings in all, and will go into much more detail than the webinars we are running this month.

Register for the webinar recordings, or register for these live webinars…or both! Whichever works best for you.




Notice Regarding Print-Image Files and ICD-10

Are you still submitting claims to your clearinghouse using “Print-Image” files?

If you are still using the print image method for submitting claims, you need to start submitting using the new CMS 1500 02/12 claim form or your cash flow will be negatively impacted.

As October 1, 2015 approaches, the primary concern for all providers is whether or not they will continue to receive revenue as the entire industry makes the biggest transition in healthcare in 35 years! While many practices are finishing off the tail end of their ICD-10 Action Plans, and are well on their way to a smooth transition, we have recently seen a surge in calls from practices that have not yet completed ICD-10 testing with their clearinghouse and payers.

As we are assisting practices with their testing, we are finding a higher than expected number of practices that are sending print image files to their clearinghouses. Most clearinghouses cut off the use of print image files when the industry shifted to the new CMS 1500 02/12 form back on April 1, 2014. However, there are still a few outliers that continued to allow users to submit print image files.

Keep in mind that HIPAA required all electronic transactions to be submitted in the ANSI 5010 format as of January 1, 2012.

In order to comply with this new standard, Medisoft built the capability to submit claims in the 5010 format directly from the program through the Revenue Management module. If you are not using Revenue Management then you are submitting claims in a print image format to your clearinghouse. Then the clearinghouse is converting the print image file for you to the ANSI 5010 format and forwarding it on to the payers.

How You Can Find Out If You Are Sending “Print Image” Text Files

Typically the print image format comes from a file that is formatted based on the HCFA claim form fields. In Medisoft and Lytec the most common method of producing the print image file was by setting up an EDI receiver to launch an executable file called CMS11.exe. Here is a sample of what you may see when you are sending claims that notifies you that you are sending a “print image” text file.

medisoft cms11 text file print image

Or you can watch this short video where we show you in Medisoft how you can find out if you are sending “print image” files.

Don’t Let Your Claims Get DENIED

As of Medisoft v19 and Lytec 2014, Medisoft and Lytec discontinued support of the cms11.exe file. It was never updated to match the new claim form or to handle ICD-10 codes. Therefore, if you are still relying on this method to submit claims there is a very high likelihood that your ICD-10 claims will be DENIED starting October 1, 2015.

While some clearinghouses may continue to support print image file submissions, our understanding is that they will require you to use a print image file that produces a print image of the CMS 1500 02/12 claim form. Please take note that the CMS11.exe file produces the old 08/05 claim format and that print image submission is not supported in Medisoft or Lytec.

Get On Board With Revenue Management

The good news is Medisoft v19 (and Medisoft v20) and Lytec 2014 (and Lytec 2015) are both equipped with not only the new 02/12 claim forms, but also with Revenue Management. The Revenue Management module in Medisoft and Lytec can be configured to send claims to any clearinghouse or even directly to the payers in the 5010 format.

In addition, Revenue Management has features such as claim scrubbing and ERA posting that your practice can take advantage of to streamline billing processes.

revenue management claim check screen shot

While the Revenue Management application is included with the ICD-10 compatible versions of Medisoft and Lytec, it does require setup and configuration to successfully utilize it. If you need to get setup on Revenue Management please call us at (888) 799-4777 to schedule the configuration with an EDI Professional!

If You Need Revenue Management Configured, Don’t Wait!

Please do not wait to contact us as the backlog of practices that need configuration and training is growing and our availability is based on first come first serve.

We also highly recommend contacting your clearinghouse as soon as possible to discuss this change, and to coordinate the switch from the print image file to the ANSI 5010 format.

Here Is A Clip From A Recent Webinar Explaining The Problem And What You Can Do About It

video play - no print image support