Sunny Sanyal is CEO of Dallas-based T-System Inc., which provides clinical, business, and IT solutions for emergency medicine. The company supports more than 1,900 facilities nationwide and 40 percent of U.S. hospitals. Sanyal brings more than 20 years of experience to the post. He began his career as a software engineer and has grown up in the healthcare IT industry, developing his unmatched leadership through a broad range of roles in software development, support, implementations, product management and operations.

2013 Legislation Could Mean Pain or Gain for Emergency Physicians

As I’ve spoken with ED docs in the last several weeks, many have expressed concerns about potential impacts to their financial livelihood. Medicaid payment cuts, continued growth in managed care, lower negotiated rates with insurers and other factors have led to an overall decline in annual growth of physician earnings for more than a decade now. It appears as though lawmakers are trying to stem further erosion of physician compensation. Congress passed the American Taxpayer Relief Act in January, which means emergency physicians can breathe a tentative sigh of relief—at least temporarily. The legislation postponed yet again the dreaded sustainable… Full Story

Improving ED Cash Flow and Patient Experience with Point-of-Service Collection

Not long ago, it was customary to receive treatment in the ED and leave without being asked to pay any portion of the bill. Typically, patients would receive a copy of the bill sent to the insurance company a few weeks later. Then, after the insurer paid its portion, the hospital would send the final bill to the patient requesting the balance. For hospitals, this put significant financial and operational stresses on the ED for collecting from payers and patients—a process that took weeks or even months. As a result, the long collection cycle negatively impacted cash flow and gave… Full Story

Cracking Down on Overcoding and Upcoding in the ED

In recent weeks, numerous hospitals and physicians in Texas and across the country have found themselves thrust into the media spotlight over suspected overcoding and upcoding in emergency departments. Between 2001 and 2008, hospitals nationwide dramatically increased their Medicare billing for emergency room care, adding an estimated $1 billion or more to the cost of the program. Among the potential causes for the increased billing is hospitals’ widespread adoption of electronic health records (EHRs). Computerized charting—as opposed to the handwritten and dictation charting methods of the past—captures more of the work that providers perform, so that visits are documented and… Full Story

Texas EDs: On the Front Lines of Accountable Care

After more than two decades working in healthcare, I know my way around a hospital, and I’m well versed in our industry’s issues and needs. However, when an accident recently landed me in the emergency room with a fractured wrist, the experience opened my eyes in a very personal way to the challenges in our healthcare system. Don’t get me wrong. I received top-notch care in the emergency department. But after the hospital discharged me with a cast on my wrist, I received no real guidance or help in connecting with a provider for the next steps of my care… Full Story

Emergency Medicine Under Pressure

Emergency departments are frequently stereotyped as a hospital’s “money-loser.” Due to the concentration of resources needed to staff an ED, they are expensive to operate and increasingly becoming overcrowded. The Supreme Court’s June 28 ruling pushes forward The Patient Protection and Affordable Care Act, which will extend insurance coverage to millions of uninsured Americans. Healthcare reform is likely to exacerbate the burden on EDs as health insurance does not guarantee access to care. More than 20 million additional people are expected to receive Medicaid, and it is likely that a substantial number of them will visit the ED because of… Full Story