News & Resources

Automating Eligibility Requests Helps RiverKids Serve Texas Children

January 2019

When you provide pediatric home health care in over 90 Texas counties, you need an outstanding staff, skilled managers and a crucial administrative asset: revenue cycle management efficiency. RiverKids Pediatric Home Health Therapy relies on EMS and its 270 Power Generator software to ensure the last part. Read case study…

Words related to healthcare medical pricing

Preparing for CMS’s Hospital Price Transparency Mandate of 2019

November 2018

Starting January 1, the Centers for Medicare & Medicaid Services (CMS) require all hospitals to post “standard charges” for inpatient and outpatient services online. Learn the details, objectives, and how exceeding requirements could put you in an advantaged position.
Excerpted from an Advisory Board summary.


Advancing Behavioral Health Collaboration in Long Island

logo of Advanced Health Network

November 2018

The Advanced Health Network (AHN) in Suffolk County, New York, became an EMS client this August. Its Independent Practice Association (IPA) includes 35 behavioral health providers in the Long Island / New York City Metro area. Read how EMS is playing a role in ensuring success for AHN in a value-based care model.


Reminder of 2019 AMA Code Set Changes

November 2018

American Medical Association logo

There are 335 code changes to begin January 1, 2019 from the new CPT edition set by the American Medical Association (AMA). Among this year’s changes are codes that reflect the potential of using connected health tools; revised codes for biopsies; new and revised codes for serving patients with autism spectrum disorder; and codes for psychological and neuropsychological testing. Read more and download the dataset today.


Power Reader Webinars Dec. 19 and Jan. 16

A laptop with books seen on the screenNovember 2018

Don’t miss our FREE monthly training webinars. We”ll cover all of the EDI Power Reader’s core functions in a style for both beginners and advanced users. Save time with tips and tricks that even seasoned users can benefit from! Register or learn more…



Automating 4010-5010 Conversions
September 2018

Principal Financial’s claims adjudication system could receive and send 4010 format EDI files. When the 5010 standard was mandated, however, the team needed an add-on software solution. Read about EMS’s automated solution.

ConnectiCare Solves Pending Claim Queue

September 2018

A subsidiary of EmblemHealth, ConnectiCare leads the individual, Medicare and small group markets in the state of Connecticut. Learn how EMS created a custom software solution for ConnectiCare to restore efficiency to its claims management system when handling rejected 837 files. Read details… 

Breaking Down the Top 5 Healthcare Revenue Cycle KPIs

September 2018

From hospitals to physicians and ambulatory surgical centers, the five KPIs apply to a wide range of provider organizations. Details from a story by Jacqueline LaPointe and RevCycle Intelligence.

3 Patient Collections Best Practices to Boost the Bottom Line

September 2018

Providers are relying more on their patients for complete payment of services. But as out-of-pocket costs increase, the chances of providers collecting all the revenue owed to them dwindles. Read more from our excerpt from RevCycle Intelligence.

Wednesday Webinars

Join us on October 17 or November 21 from 2 to 3 pm (EST) for free webinars showcasing  the power and features of our software solutions. Overview training on the EDI Power Reader on basic functions, advanced uses, and open Q&A. Or contact us to set up a 30-minute interactive webinar just for your organization, with no obligation. 

Easier EDI for KPH Healthcare Services

August 2018

KPH, headquartered in East Syracuse, New York, owns four complementary businesses including Kinney Drugs, a chain of 100 full-service drug stores in New York and Vermont. Read why the $1 billion company chooses EMS for its EDI to Excel conversion needs.


Custom EMS Software Skyrockets Efficiency for Midwest Payer

August 2018

Government exchanges offer many benefits, but can create data discrepancies and enrollment records transmitted out of sequential order. Read how our custom middleware solution is helping a large Midwestern health plan post nearly 100% of exchange enrollments automatically and accurately.


Healthcare It Demands for 2019: Technology Optimization Tops List

August 2018

The need for technology optimization leads as the top demand of hospitals and health systems over the next year-and-a-half, according to a new Black Book Market Research client satisfaction survey, which also showed the top picks for healthcare technology consultants. Read details in this story from Healthcare Finance and Healthcare Revenue Cycle Management News. cycle management review,


Wednesday Webinars: EDI Power Reader 

August 2018

Register for our free monthly EDI Power Reader training webinars held the third Wednesday of each month. Next up? September 19, 2018 and October 17, 2018 from 2 to 3 pm EST. Learn the EDI Power Reader’s core functions plus some advanced tips to save you time. Need a more customized session? We can demo for as few as one person, or as many as you need, and can accommodate viewers in multiple locations. Read details or call 716-626-3310 today!




837 Professional and 835 Claim Generators Coming Soon

July 2018

Providers, health plans, HMOs and plan administrators will soon have new options to help them get paid faster, and to gather more detail on potentially rejected files. EMS is currently completing a new line of professional EDI file generators, including an 837 Professional Claims Generator, an 837 Institutional Claims File Generator, an 835 Healthcare Remittance Advice Generator and an updated 277CA (Health Care Claim Acknowledgement) File Generator. Read details…


Libertana Home Health Chooses EDI Power Reader 

July 2018

Libertana Home Health is an innovative home healthcare provider serving more than 3,000 California clients. The franchise-based corporation provides one-stop shopping for integrated senior care services. Learn why this rapidly growing company picked EMS’s EDI Power Reader for its revenue cycle management needs. 

Tips on hiring for your revenue cycle management team

July 2018

Finding the exact candidates with all the skills you seek and who also are able to learn, adapt and fit in is more challenging than ever. Can you find new hires that might make an even bigger positive impact for your organization by matching “right-fit” employees with more training and development? Some experts say yes. Read tips for your healthcare organization from this Healthcare Finance story by Jeff Lagasse.


Discover the ETL Parsing Engine Offering Effortless Impact

Generate your own custom data exports from HIPAA EDI Transaction files; configure your own data elements to be extracted; and import results into data warehouses, billing systems, denial management systems, and more! Watch our 1.5-minute intro about EMS’s EDI Export Engine. Then learn more about product details and pricing….

Free Third Wednesday Webinars

Register for our free monthly EDI Power Reader training webinars held the third Wednesday of each month. Next up?  Wednesday, April 18 from 2 to 3 pm EST. We’ll cover the EDI Power Reader’s core functions plus tips and tricks that even seasoned users will benefit from. Need a more customized session? Call 716.626.3310 or email


Wingspan Powers Through Claims with EDI Power Reader

Wingspan Care Group out of Lorain, Ohio, helps its member agencies focus on mission-related goals more cost-efficiently. Read our interview with Wingspan’s IT Director, Ray Fink, about his selection of EMS and the benefits his team is gaining from the EDI Power Reader.




When Patients Lose Their Way in the Healthcare Revenue Cycle

Should hospitals increase consumer access to pricing information?

Healthcare pricing: Even when patients stop and ask for directions, it’s hard to get the information they need. Most of what’s available to patients, in fact, comes from insurers, apps and third party entities, and it shouldn’t be that way, according to Patient Engagement Specialist Jan Oldenburg. As a result many patients are left deeply frustrated. READ MORE…

Video Spotlight: EDI Power Toolbox

Sort, Filter, Split, Search, Join 835 and 837 Files

Watch our brief < 2 minute video preview of the EDI Power Toolbox. It’s 21 tools in one to speed up revenue cycle efficiency, mitigate issues and boost reimbursement accuracy. Easy to use for business or tech professionals. Search, sort, split, extract, join, read, edit, move and export files easily!

Free Training Webinar February 21

Register for our free monthly EDI Power Reader training webinar on Wednesday, February 21 from 2 to 3 pm EST. We’ll cover the EDI Power Reader’s core functions plus tips and tricks that even seasoned users will benefit from. Need a more customized session? Call 716.626.3310 or email

Troy, NY Mental Health Office Shares Thanks

“I wanted to let you know the significant improvement it (EMS’s EDI Power Reader) has made to our billing procedures. We have been able to streamline the process of reviewing our 837I files by quickly identifying problems and denials. (Your software) has drastically improved our Medicaid account workflow. Our billing staff cannot believe they did their jobs for years without it.”
– Lisa Lajeunesse, Rensselaer County Dept. of Mental Health in Troy NY



EMS Client BAYADA Home Health Care Becomes Worldwide Not-for-Profit

BAYADA Health began its work with EMS about a decade ago. Over the past few years, BAYADA expanded its use of EMS tools, including the EDI Power Reader and EDI Power Toolbox. “Our vision is to serve more millions of people worldwide, allowing them to experience a higher quality of life in the comfort of their homes,” explained Robert Scharff. Read about the company’s newest transition to not-for-profit status, and its strategic family leadership shift.

Product Spotlight: EDI 270 Power Generator

The EDI 270 Power Generator helps automate batch or bulk 270 eilgibility requests and 271 responses. It’s a complete Eligibility Inquiry system! Watch our short video to see the many benefits this product offers you and  your organization! See our full description and pricing.

EMS Client Focused on Ohio Behavioral Health Redesign

Teresa Heim, CEO of Behavioral Health Billing Solutions (BHBS) in Central Ohio, is a dedicated EMS partner and client. She’s also on a mission: to help the state of Ohio’s compliance to national coding changes and the carve-in of behavioral health Managed Care. Teresa and her team have built their entire billing process, which routinely results in 98% reimbursement, utilizing tools from EMS. Most people are unaware that Ohio leads the nation in opioid addiction. Thus, the need for the redesign’s success has taken on even more  importance . Read Teresa’s story…

How To Decrease Denials & Boost Revenue

According to the American Hospital Association (AHA), the average automated claim denial from Medicare’s Recovery Audit Program was worth $714 in the second quarter of 2016. If it was a more complex denial, it was worth an average of $5,418 each. That’s an awful lot of money not coming into your organization. So how can you prevent denials in the first place? Here are some tips.

Custom Application Solves St. Vincent’s/Ascension Urgent Need

When you’re responsible for revenue cycle, analytics and patient financial services for a division of the largest not-for-profit health system in the U.S., delays in anything are out of the question. Especially if your hospital has a 100+ year track record of uninterrupted service to vulnerable and economically disadvantaged patients. READ how we increased efficiency for the St. Vincent’s revenue cycle team.

Is This Patient Covered? Options for Easier Batch Eligibility Requests

By Dave Pontrello, VP Rising healthcare costs, an increase in plan options and expanded Medicaid eligibility have created  confusion and financial risk for many providers. Do you have an easy, fast and accurate way to routinely check patients’ coverages and changes? Read tips for decreasing your risks by automating benefit eligibility requests.

EMS Goes Platinum: Cheers and Thanks for 20 Years and Counting!

By David Cominsky, Founder, President & CEO As we move into our 21st year, I wanted to take the time to thank you as a valued client and user of EMS’s portfolio of products. You are the reason for our existence. You also are the source of our success and longevity providing software solutions for the healthcare industry. READ how EMS got its start, and about our future plans!

EMS University: Upcoming Free Webinars

Don’t miss our free monthly EMS University Power Reader training webinars. We cover all of the Power Reader’s core functions in a style basic enough for new users, yet comprehensive enough for advanced users. Learn tips and tricks that even seasoned users can benefit from! (PS: Need a custom complimentary webinar for your team’s specific needs? Just call 716.626.3310 or email to discuss details.)

  • August 16 — EMS University: Power Reader
  • September 20 — EMS University: Power Reader

Discover Power Reader & the EDI Power Tools Suite!

New to EMS Healthcare Informatics? Watch our new 1-minute video to see our software in action. Or share it with a friend or colleague who could also benefit from our services.

Changing of the Guard

You’ve never met her in person, but chances are good that you may have spoken with Janet Wendt, our longtime administrative assistant and receptionist, at least once. Janet has been our frontline officer extraordinaire since 2004. She married for the first time this summer, and decided to retire to enjoy her new life to the fullest! While we can never replace her, we are thrilled to have found and hired Sue Loewer as our new administrative assistant. We encourage you to welcome her the next time you call for any needs.