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What is Rock-Solid
Intelligence?
Rock-Solid Intelligence is the latest innovative product
from Rock-Pond Solutions. This FREE monthly publication is created specifically for the home infusion industry and is filled with information, timely
solutions, and valuable insight that you can use. |
In This
Issue: May
2007
Featured Sponsor - ProCure Consulting, Inc.
Rock-Solid Intelligence is supported by some of the best companies serving the home infusion industry. Each month we will
feature one company and list them all at the bottom of the publication. We appreciate their support and encourage you to learn more about their
products and services.
 ProCure is an innovative membership organization that provides
consultative services such as business development, pharmacy staffing support, pharmacy and clinical operations, and reimbursement.
ProCure
offers other value-added services to include clinical expertise, membership network, custom contracting, preferred contracts, customer service
representatives, and partners involved in legislative services.
Let ProCure help you grow your business!
New at Rock-Pond
Solutions
Rock-Pond launches web based
issue tracking system
One of the critical success factors of software implementation projects is
to have an effective issue tracking system that documents issues and tasks. The system must be readily available and easy to use by the people
working with the system, the vendors providing support and the project management team responsible for the success of the project.
Using the open source vTiger CRM software installed on
our Linux servers, Rock-Pond recently set up a an issue tracking system for one of our large software implementation customers. The screens
were customized and the users trained in about an hour and all issues are managed through the system. Issues can be escalated and reassigned by
simply modifying the issue and replacing the assigned to person. The system is completely integrated with email to notify people when issues are
added or changed. Scheduled Rock-Pond reports are distributed to track open issues by severity and closed issues for the prior week.
Follow up training curriculum changes, retraining and standard process changes are set up as tasks and tracked along with other issues.
The end result is more effective communication, prioritization of work and coordination among the people using and supporting
the system.
Cliff Ganus joins Rock-Pond
Solutions
We want to welcome Cliff Ganus who has joined Rock-Pond to provide marketing
and customer service support. As our products, services and customer base continues to expand, we've recognized the need to have someone
dedicated to promoting Rock-Pond and making sure the companies who rely on us are getting everything they need and more than they expected.
Customer Case Study:
Provider Turns to Rock-Pond Solutions to Monitor Payer
Contracts
How many times have you encountered a pricing or billing error only to find out
that the system tables were not set up right. This is one of the most consistent, costly and elusive problem we see on a regular basis.
How do you know your payer contracts are set up right? How do you keep them that way when MAC pricing is changing, AWP (and therefore
calculated list prices) changes and new inventory items are added.
Recently a home infusion provider turned to Rock-Pond Solutions to provide an automated process
to review payer contracts and inventory set up in their system to identify common errors in the pricing and inventory files before
they caused billing problems. Billing is automatically notified every time a new inventory item is added so the appropriate payer
contracts can be updated.
Need help with your business? Contact Rock-Pond Solutions. If we can't help you we
are sure one of our business partners can. |
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Reports of the
Month
Each month Rock-Solid Intelligence features a report from Home
Infusion Reports that give you critical business information from the data you already have.
Utilizing Billing Notes to improve visibility and
productivity
Your home infusion software should have a way to attach notes to claims as well as to categorize them
using a note type or subject line. Creating standard note types, processes to use them and reports to report against them is a very effective
way to zero in on specific A/R issues you are having.
The two reports below were developed for the Healthcare Automation HomecareNet application to identify
claims that are in A/R that have not had a claim note and Pending Claims in A/R based on a pre-defined claim note of "Pending A/R". The first
report quickly identifies claims that are old and not being worked and the second report is an excellent example of how a HomecareNet user has
created a specific billing note type to tag claims that have been produced but for various reasons have not been sent out.
Sample Report Outstanding Claims without
Notes
Sample
Report Pending A/R |
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NHIA Listserv
Lessons
The NHIA Listserv is a members-only resource for home infusion providers to get quick answers
to any question or concern they have from their peers across the country. Each month Rock-Pond Solutions selects a listserv thread and summarizes it
here for you.
Home Infusion Pharmacy
vs. Specialty Pharmacy, Medicare Part D
We have a few patients that are using standard drugs (Vancomycin) and some
drugs that are considered specialty drugs (Cancidas). The specialty drug is being denied stating "not a specialty pharmacy". So my
question is; can a home infusion pharmacy also be a specialty pharmacy for Medicare Part D?
Learn from the NHIA member responses.
These and other questions are posed, discussed and answered every
day on the NHIA listserv. The listserv is a member benefit you should take advantage of. If you are not a NHIA member, Rock-Pond Solutions
recommends you join today. |
Rock-Pond Solutions enjoys the opportunity to work along side the most
innovative people and organizations in the industry. Each month our partners share their experience, knowledge, and insight to help you solve a day-to-day
problem, keep you informed of industry trends, deliver critical business information, and save you time and money. |
Partner Connections
We are
pleased to offer some great experience and advice directly from our Rock-Solid partners.
Patient Satisfaction: How well are you managing expectations?: By
Pete Tanguay, Rock-Pond Solutions
We are taught to think that more for less is the key to success. However, when we finally learn that what we
deliver and how much it costs are not really the key measurement of our success. Rather, it is the difference between what our
[customers, employees, patients, referral sources, partners...] get versus what they expected to get really matters.
Read how this applies to patient satisfaction?
XDR TB (Extreme Drug-Resistant Tuberculosis) By HHLA Clinical Staff
Exciting new research suggests that the simple diagnostic tool of an easy inexpensive blood test may help
doctors determine the risk of cardiac events in patients with heart disease. The research revealed that the higher the level of
the peptide known as NT-proBNP in a patient’s plasma, the greater the chance that the patient has of dying or having a cardiovascular event
such as a heart attack or heart failure.
Read
more.
Managing your payer pricing
files: By Linda Payne, Reimbursement Concepts, LLC.
Your billing productivity and results
often depend on how well your inventory and payer pricing files are set up. Linda provides some insight into how to get these set up correctly
and monitor them to minimize billing errors and save time.
Read
more.
Software Implementations - it's a great time to be bilingual: By Pete Tanguay, Rock-Pond Solutions
Converting to a new system is a great time to learn a second language. If you have been taught to express a
dose in milligrams, it’s a great time to learn to speak in HCPCS units or dollars. If you are used to saying “sure,
we can make that delivery”, it’s a great time to learn to say, “Let me check and see if the authorization has expired”.
Read more. |
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TechnologyTip of the
Month
Each month
Rock-Solid Intelligence shares a technology tip or software program that has made our work a little easier.
For urgent, critical and escalating issues, go ahead
and make the call
Sometimes we get so wrapped up in new communication
technologies that we forget the importance and effectiveness of verbal communication. As email, PDA's and smart phones give us new ways to
communicate at any time and from anywhere we tend to forget how important it is to address certain types of issues with a 2-way technology
(talk,listen,talk,listen,...). How many times have you seen a string of emotion filled emails spanning many days that could have been addressed
in a simple phone call. Don't forget, people (customers, co-workers, referral sources, etc.) don't like to get voice mail, automated attendants
and email when trying to address something urgent, critical or escalating. Sometimes the smartest way to use your smartphone is with your
mouth and ears.
Rock-Solid Intelligence is
sponsored by:
The following companies are recognized industry
leaders and financial sponsors of Rock-Solid Intelligence. Take a minute to click on their logo to find out how their producs and services will
make a difference in your business.
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Rock-Pond Solutions
1910 Centennial Club Drive | Conway, AR 72034
info@rock-pond.com | 501-450-6446
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