As reported on Practice management IT startup provides a way to preserve data from patients’ after-hours calls


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One of the overlooked pitfalls facing physicians is after-hours calls. The information can fall by the wayside, queries can get lost in the shuffle or aren’t addressed in a timely way, or the on-call physician doesn’t have access to the patient’s chart at the time of the call. Another risk is that potentially crucial information from that call doesn’t get documented which can have serious implications in the event of a malpractice suit.

MedXCom was formed by a couple of physicians who lost a malpractice suit in part because they lacked the data from an after-hours call. CEO Henry Kane talked about the company’s approach to record and automatically integrate these calls in an interview from MedXCom’s Hoboken, New Jersey offices.

Ironically, Kane comes from the medical malpractice industry where he worked with large physician practices. He noted that most of the after-hour communication from patients is through a live operator service. He observed that these services tend to be national or regional and often use antiquated technology.

With MedXCom’s approach, patients decide whether to leave a voicemail for the office staff to be answered the next business day, leave a non-urgent voicemail for the provider, or connect with the physician at that time.

When patients want to speak with the provider after hours, they are identified by their number, the app automatically serves up relevant personal health information from their EHR, such as allergies, the medication they are on and last visit notes, Kane noted. The on-call physician can push a button to save the conversation, and their post-call notes, into the EHR.

Urgent calls are connected to the on-call provider in real time while the phone app displays the patient’s chart.  After the call, a link to the call recording and any post call notes automatically flow back into the patients EMR record as an encounter.

The target markets are practices that take a lot of after-hour calls, specifically pediatrics, cardiology, OB-GYN, and surgical practices.  The company is also endorsed by the American Academy of Oral and Maxiofacial Surgeons.

Two types of partnerships are helping drive sales. Athenahealth and AdvancedMD are the first major electronic health record vendors to partner with MedXCom and Kane said his company is talking to others. Medical malpractice insurers are also important partners.

“Medical malpractice carriers told us ‘if you integrate with EHRs we will support it.’” NORCAL Group is one such group. It incentivizes physician practices to adopt MedX by giving a 10 percent discount to those that use it.

Although many medical malpractice insurance companies offer discounts of up to 5 percent for taking a course or using a specific medical protocol, Kane claimed that MedXCom is the first automated tool to garner such a discount.

“I spent 20 years working in medical malpractice. We designed MedXCom after extensive conversations with the nation’s leading insurer. We asked them what features did they feel would substantially reduce risk in after-hours patient care.  They told us if we could record every after hour call and then fully integrate it into the EHR, it would be a no-brainer.”

The business has also added the ability to display data from a patient’s chart in real time, created a way to enable HIPPA-compliant texting and integrates with 90 percent of the live operator services in the country. The rationale behind this move is to provide an option for people who still want the personal touch of a local operator with a value-added service to sell full integration with the EHRs, Kane said.

To date, the company has 3,000 clinical users across 48 states, according to Kane. So far, the company has secured investment from angels and has not yet needed to approach institutional investors for funding, but that could change next year as the company focuses on scaling the business.

Photo: LDProd, Getty Images 

Medxcom Disruptive healthcare companies to watch in 2017 according beckershospitalreview-com

Disruptive healthcare companies to watch in 2017

MedXCom Partners with athenahealth’s ‘More Disruption Please’ Program to Allow for More Efficient Management of After Hours Communications

Hoboken, NJ- October 5, 2016 MedXCom, provider of the industry’s first hybrid medical answering service, today announced a partnership with athenahealth, Inc. through athenahealth’s ‘More Disruption Please’ (MDP) program, making MedXCom part of the athenahealth® Marketplace. This new integrated application is now available to athenahealth’s growing network of more than 80,000 healthcare providers for more efficient management of after-hours communications.

The MedXCom solution empowers healthcare providers with a medical answering service that incorporates both an automated and live operator which are seamlessly integrated into the electronic health record (EHR) allowing for real-time, smartphone display of a patient’s medical records as calls are received.

“MedXCom has changed the landscape of doctor-patient communication. Our team set out to meet the industry’s demand for a system that fully interoperable with EHRs, while also providing a secure, low-cost, low-risk solution for automatically managing after-hours patient communications,” said Henry Kane, CEO of MedXCom. “This partnership will potentially allow us to expand our provider base and continue to drive efficiencies in communicating, tracking, and preserving night call data with total accuracy.”

The self-managed platform can enhance or replace current answering services with a cutting edge technology that easily integrates into all devices on-the-go. MedXCom records and archives all calls and stores this information in a patient’s chart which significantly reduces liability. Built on a SaaS platform, MedXCom helps reduce healthcare providers’ costs by up to one half of those associated with a traditional live operator service.

athenahealth is a network-enabled services company with a vision to build a national health information backbone to help make healthcare work as it should. As an MDP partner, MedXCom joins a network of like-minded healthcare professionals who are looking to disrupt established approaches in healthcare that simply aren’t working, aren’t good enough, or aren’t advancing the industry and help providers thrive in the face of industry change.

To learn more about MedXCom’s new integrated application, please visit MedXCom’s product listing page on the Marketplace.


About MedXCom

MedXCom is changing the landscape of doctor-patient communication by creating the first ever hybrid medical answering service solution. The offering is designed to empower healthcare providers with a medical answering service that incorporates both an automated and live operator option that seamlessly integrates with their electronic medical records (EMR).  The MedXCom platform allows for real time, smartphone display of a patient’s medical history as calls are received, while also ensuring that the entire call is simply and securely recorded and stored within the patient’s medical notes. For parties interested in learning more about our low-cost, minimal-risk solution for automatically managing after-hours patient communications, please visit:

For business inquiries please contact:

1-877-633-9776 or

For media inquiries please contact:

Jessy Green, 401-490-9700,


The App Docs Don’t Know They Need

Startup offers new way for physicans to cope with late-night calls

By Anjalee Khemlani


Henry Kane, left, CEO, and co-founders Dr. Michael Rothkopf and Dr. Michael Nusbaum of MedXCom, a night call management system for physicians. – (PHOTOS BY AARON HOUSTON)

Keeping track of patient communications after hours is like a bad game of telephone. It’s all too easy for doctors to end up with inaccurate information, or no information at all, when they return the next morning.

So three New Jersey doctors got together to create MedXCom — a startup company that launched an app in 2010 to help doctors keep up with their technology-savvy patients and simultaneously remain HIPAA-compliant.

“Physicians don’t even know they need it at this point,” CEO Henry Kane said, explaining just how robust the app is.

The platform provides a way for patients to securely text and call doctors. It provides doctors with the ability to choose when to receive calls and texts, can instantly make changes to on-call redirects, differentiates between patients’ contact information and other physicians, and stores all communications for 23 years.

“Why 23 years? Because that is the longest statute of limitations in any state in the country,” Kane said. “And, right now, HIPAA-compliant cloud-based storage is so cheap right now that we can afford to (keep 23 years’ worth of data).”

It also shows patient information such as age, problems, medications and allergies on screen so the doctor can have all the details handy when communicating with the patient.

Up until two months ago, the app operated alone, but seeing that some patients and doctors still prefer a live operator, MedXCom added the feature, still keeping the hybrid service affordable.

The app is a cost-effective tool, its creators say, since it reduces the pay-per-minute billing that comes with live operators. Instead, the app is priced with flat rates on many services, resulting in one-third the cost, though the use of the live operator option will still result in traditional fees.

Every single form of communication — whether it’s a text or a phone call answered by the doctor, on-call doctor or resident, or even the live operators — is recorded and easily retrievable by the doctors. That was a key to the start of the app.

“It was born out of frustration, because live operators were the only choice we had for after-hours situations, and sometimes they are great and sometimes they are terrible,” said Michael Nusbaum, a bariatric surgeon in Morristown and a co-founder. “It’s kind of a black hole in health care, that there is no ability to track what takes place after hours. So we set out to communicate with our patients the same way the rest of the world communicates with each other.”

But texting and calling are not allowed under HIPAA rules, so the app was born.

And with the tech expertise of the founders, added security was a no-brainer.

“The database is encrypted, so even if you were able to hack into the database, it’s just kind of gibberish. It’s not like Ashley Madison. … That was just a straightforward database; it was not encrypted,” Nusbaum said. “So we made sure that if anyone was able to breach all that security that’s in front of it, the database is encrypted so you are not going to be able to make heads or tails of it.”

The robust app was created by three doctors, Nusbaum, Annette Nusbaum and Michael Rothkopf, after a colleague was sued in a he-said-she-said night call situation.

Nusbaum has a background in technology, having been an avid hacker in his teenage years. Both he and Rothkopf have been pioneers in medical technology, and revealed a tablet-like computer that they used to keep track of patient records in 2000, long before iPads ever made it a mainstream concept.


Doctors who communicate with patients after hours need to keep regulations in mind when they do so.

The founders began the company with $2 million of their own money (along with contributions from family and friends), and spent two and a half years developing the app before pushing for a wider audience and bringing Kane on board.

The 14-person operation is headquartered in Hoboken and is steadily growing despite having turned away investors, Kane said, adding that MedXCom currently has enough capital for operations 10 months out.

Having had time to work out any kinks, MedXCom now seeks to take on a larger share of users by relying on water cooler discussions through medical societies, health insurance agents and health care lawyers.

And the company is one of a growing population around the country. Just last week, an entire conference was dedicated to the so-called medtech field in California.

Meantime, Ernst & Young Global released a report Oct. 6 that defined financial struggles of such medtech startups. Venture capital investment held steady from 2013 to 2014, but early round investment dropped 19 percent to less than $1.3 billion.

And despite a robust market for initial public offerings and a number of mergers and acquisitions, there is a dwindling pool of investors for early-stage companies.

“Over the last 12 months, the disparity between the ‘haves’ and the ‘have-nots’ in the medtech sector has grown increasingly stark,” said Glen Giovannetti, EY’s global life sciences leader. “Even in this buoyant fundraising and deal-making environment, there remains a persistent gap in the type of early-stage venture capital funding required to support an innovative medtech ecosystem.”

The market trend is certainly reminiscent of the dot-com era, said Dave DeMarco, Northeast life sciences leader at EY.

“In the dot-com era it was technology; now with medtech it is a combination of technology and regulatory transformation,” DeMarco said. “The opportunities exist today for medtech to drive changes in the industry by being the first to deliver on the move to better health outcomes.

“Medtech is closer to the patient and has the possibility of using the data it holds to develop personalized interventions that can deliver better health outcomes. And the slow movement from the investor side is a byproduct of an increasingly lengthy and rigorous regulatory process.”


MedXCom & Medical Society of New Jersey Unite to Help Protect Doctors and Improve Patient Communication

MedXCom Provides Advanced Night Call Management System for Physicians

HOBOKEN, New Jersey – MedXCom, an innovative night call management and HIPAA secure texting company is proud to announce a new corporate partnership with the Medical Society of New Jersey (MSNJ). MedXCom will offer their cloud-based hybrid automated/live operator system to MSNJ members at a substantial discount. MedXCom, accessible via a simple to use smart phone app, helps put physicians directly in control of their practice, thereby improving risk management and enhancing patient safety.

Founded Hello by three highly successful New Jersey physicians, MedXCom streamlines patient/physician interaction and provides several benefits to doctors beyond improved risk management. The night call system initiates caller ID protection for physicians, filters non-urgent calls, provides HIPAA secure texting and records and archives all conversations with patients for 23 years.

According to Morristown, NJ plastic surgeon Dr. Farhad Rafizadeh, his patients are pleased with the efficiency of the MedXCom system. “My patients are impressed when they contact world! me through the MedXCom platform because they don’t waste time waiting for an operator to pick up the call. But, on the other hand, for my patients who really like a human voice answering the call, this system offers a live operator as well. Either way the call is recorded, HIPAA compliant and allows me to choose if I want cheap mlb jerseys a patient to see my phone number cheap jerseys which protects my privacy, which is important to me,” he said.

“It’s believed that over 60 percent of live operator assisted night calls don’t make it into the patient’s record or are transcribed inaccurately which can cost a physician more than a misdiagnosis,“ said Dr. Michael Nusbaum, one of the founders of MedXCom. When asked about texting a patient, Dr. Nusbaum also commented, “Many doctors do it. We understand the need for immediate communication and we are not suggesting they stop, just that they text legally and within HIPAA guidelines. This platform also helps them do that.”

As a member benefit, MSNJ members will receive a discount on the automated service bringing the average cost for physicians to about one third of what they might pay for a standard live operator service, without the added frustration of human error. MedXCom’s hybrid platform is customizable for every physician’s practice, allowing each to choose whether to use the fully automated cheap jerseys China system or have urgent calls answered by a live operator. Dr. Evan Sorokin, a NJ-based plastic and reconstructive surgeon, commented, “After using several traditional operator based answering services, I switched to MedXCom, which not only simplifies my life but is actually fun to use and is all right on my iPhone.”

MedXCom benefits patients as well by providing a HIPAA secure “portable medical record” accessible to them online or via their smart phone. This accessible portable medical record also allows any physician to make a more accurate diagnosis for the patient when a night call/emergency is necessary.

Three successful New Jersey physicians first conceived of MedXCom in 2010. “After a colleague of mine was sued over a ‘he said/she said’ conversation that occurred in the middle of the night, the idea to record all night calls was born,” said Dr. Nusbaum. “We kept asking ourselves how this situation could have wholesale mlb jerseys been Flyers avoided. We knew whatever we created had to fit our mobile society, be HIPAA secure and allow the doctor to remain in control.” Five years later, and after substantial development, MedXCom is considered cheap nfl jerseys to be one of the most advanced night call platforms available on the market today. For more information on MedXCom, visit