October 9, 2019

EMSOW Weekly Newsletter – October 9, 2019


Healthcaretech Outlook reports increasing risk of HIPAA-protected patient information leakages. That is one more reason for imaging providers to consider switching to cloud PACS storage with encrypted connection.


[#19057] Transfer CARC and RARC codes to secondary claims

From now on, CARC and RARC codes from ERA files will appear in secondary claims generated by the system. This helps you avoid denials and improve your bottom line.


October 3, 2019

EMSOW Weekly Newsletter – October 3, 2019


Radiology Business reports an increasing ePHI leakage threat. Sometimes access to patient information reminds not even of hacking, but of walking into an open door. This serious HIPAA violation can be easily escaped by using secure cloud storage EMSOW provides.


[#19041] Ability to upload EEG files

We have extended the functionality of document management in EMSOW. Now our users can attach EEG files with the “.eas” extension to study records. All in all, the “Documents” section currently supports 16 file formats! To attach a file to a study, click the “Documents” button in the Processing module or in the Technologist Portal.

Ability to upload EEG files

[#19089] Check eligibility for the date of service

Previously, you could check insurance eligibility only for the current date. We have made the eligibility check feature more versatile, so now you can check eligibility for the date of service. For example, you can check if a patient is eligible to receive a service scheduled in advance.

September 19, 2019

DICOM and HL7: Solving Interoperability Issues


DICOM offers a lot of capabilities for storing, transmitting and processing medical images and patient data. However, you must be aware that there are several other protocols, which causes interoperability problems. This time we’ll talk about interoperability and compare two common medical data standards – HL7 and DICOM, which are the most common protocols.

Interoperability issues may be illustrated in different ways. For example, a patient has to change hospitals (say, he is moving to another town). He expects that his EHR and all medical information would be transmitted successfully. But these two hospitals use different standards, and their information systems are unable to understand each other. So, the patient needs to retrieve his medical records on paper and perhaps even do some tests again. Imagine that he is seriously ill and needs treatment as soon as possible – then any delay means health deterioration.

Or suppose you run a medical business and transmit patient data to an imaging operator or a hospital. If you and your partner use the same standards, you’ll faсe no obstacles. Otherwise, your systems will encounter many errors or barely be unable to communicate. This can result in losing the partner because none of you want to abandon the system you are using as the switch is costly.

Now let’s focus on the protocols. What are the similarities and differences between HL7 and DICOM? HL7 can be used as an alternative to DICOM MWL, which is more imaging-oriented.

Herman Oosterwijk, the President of O Tech Inc., a company specializing in healthcare technology consulting and training, has been exploring the subject for years. In his judgment, the main points are as follows.

  • HL7 is a transaction-based protocol. It is driven by events (e.g. the admission or discharge of a patient). According to these occurrences, an information system creates so-called “unsolicited events” and sends them to the other side of the connection, no matter who might be there. DICOM is a much more client-oriented protocol. For example, when using MWL, imaging equipment sends requests to an MWL server to receive a worklist.
  • HL7 is a flexible standard, therefore it has become more of a guide than a standard for many healthcare facilities. HL7 is often customized on-site, while DICOM is much more rigid.
  • HL7 files are somewhat larger in size because of character-based encoding, which implies conversion of pixel data to characters.
  • Thanks to MPPS, the DICOM protocol can provide more timely and precise information about performed diagnostic studies.

We should also mention some institutional peculiarities. For example, HL7 offers several types of membership and regularly holds conferences and workgroups. As for DICOM, its use depends on the equipment or software you buy; sometimes you have to purchase this or that option separately. They also educate their customers, but to a lesser extent.

“While HL7 and DICOM have their own domains, they do definitely connect, however. The interface consists from a workflow perspective of two areas, i.e. where the ordering information for the imaging procedure is exchanged, and where the results, in the form of a diagnostic report and/or measurements are sent back to the information system.”

To the benefit of the end customer, both of the protocols do try to solve the compatibility issue. Besides, software developers have come up with customized medical applications that can link the two protocols. Even if you and your partner have taken different sides on the subject, you still can be fully compatible if you use one of those applications. Patient data can be rapidly transmitted, recognized, easily processed and managed.


September 18, 2019

EMSOW Weekly Newsletter – September 18, 2019


The New England Journal of Medicine reports that vaping can cause lung diseases, i.e., marketing claims about the safety of electronic cigarettes may mislead the customers.


[#19044] Patient address in templates

We have enhanced our templated reporting engine. Now EMSOW can automatically fill a patient’s street address, city, state, and ZIP Code in report templates.

By the way, did you know that you could use the templates to create not just ultrasound worksheets and image interpretation reports, but also consent forms, requisition forms and other types of documentation? Ask us how!

September 12, 2019

EMSOW Weekly Newsletter – September 12, 2019


AAPC discusses the new ICD-10 coding updates for 2020. If you’re dealing with venous tests, this article might be of interest to you. Here at EMSOW, we are following the latest updates to satisfy the needs of your business.

This time we have made a brief presentation about EMSOW billing. Your billers will love it, that’s for sure!


We have made a brief presentation about EMSOW billing. Your billers will love it, that’s for sure!
EMSOW automates your revenue management cycle – from generating electronic claims and posting ERAs to tracking your invoices and detailed financial reporting.