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Over 45,000 5010 claims a day – That’s how we lead the way to 5010

September 26, 2011

Continual change continues to be the norm in the world of healthcare. Implementing the new HIPAA X12 5010 electronic data interchange standards, mandated by the Department of Health and Human Services could require practices to upgrade or even replace their current information systems and modify their existing coding practices.

We, at Sage Healthcare, are no strangers to changes like this. It’s apparent that the more than two years spent planning, building and testing our systems for 5010 has paid off, especially for our clients. We began 5010 testing in 2010, began deploying 5010 updates for products, including Sage Intergy and Sage Medical Manager, earlier this year, and, currently are processing more than 45,000 5010 claim transactions each day.

“Sage was the first software vendor to test on the 5010 final rule and the addenda and to go into production,” said Philip Hardin, Executive Vice President, Provider Services, at Emdeon. “We get more 5010 production volume from Sage for claims, ERA and eligibility than from any other submitter.”

We continue to lead and support our clients through change; transitioning to 5010 is no different. In addition to delivering guidance to clients and providing software solutions that fully support the new 5010 transaction standards, our 5010 solutions are designed to minimize the cash flow risk of the 5010 standard change for physicians and their practices.

The 5010 transaction standard improves the electronic exchange of information between organizations, which is a vital component as the industry embraces health information exchanges (HIEs) and programs to better coordinate care delivery. To those within the physician space, the 5010 transition provides the framework to implement ICD-10, which creates a more detailed coding structure to describe diagnoses and procedures. The higher level of detail within the ICD-10 code set will help physician practices closely monitor the quality of their care delivery while participating in an increasing number of pay-for-performance programs.

Implementing 5010 offers providers several benefits that they can take advantage of following implementation of the standards, such as increased functionality within EDI transactions. It’s anticipated that an increasing number of payers will take advantage of the 5010 standard. The improved use of the transactions by payers will help providers increase efficiencies and reduce overall costs across their practice.

The January 1, 2012, 5010 deadline is rapidly approaching, so practices should not delay in upgrading their systems to become compliant. Taking the time now to upgrade to a 5010-compliant system will reduce the risk associated with backlogs and last-minute requests.

The improvements in the 5010 standard set will help provider organizations achieve larger strategic goals, such as better connecting with HIEs and monitoring the care quality measures that are vital to earn full reimbursement. The organizations that carefully implement and fully leverage 5010 will have a competitive advantage in an industry that is moving toward paying for quality care, as opposed to simply paying for care delivery.


Why should you balance Sage Medical Manager each month?

September 7, 2011

By Sandi Hardingham                 

Do you spend time at each month end producing valuable financial reports?  What happens to those reports?  Who reviews the information or do they just get filed away?  Did you know that in any month your system can go “out of balance” due to miscellaneous occurrences such as power outages?  The best way to catch and resolve this potential issue is to balance your system on a monthly basis.

 There are 5 essential reports for balancing month end:

  • Guarantor Financial Summary
  • Aging analysis by Practice
  • Overpaid open item
  • System Financial Summary
  • Unapplied credit report

If you are not already balancing your system monthly check out our documentation that  provides you step by step directions on how to perform this task.   It is a simple activity to perform and guarantees that the information in your system is accurate.

How can I obtain additional information?

Check out the solution titled “Balancing Month End Reports” in the solution finder on Sage Support Center. If you need further information, you can log a Service Request within Sage Support Center or call our support desk helpline at 877-932-6301.

Vitals in Sage Intergy EHR are only displaying two digits, when it should be three. How can I correct that?

August 31, 2011

By Mike Bruzas
Field Services Engineer, Sage

Question: I only see vitals, such as blood pressure, displaying two digits when three were entered in Sage Intergy EHR? Why is this and how do I fix it?

Answer: Usually this means that the display font size needs to been changed to normal or default. Once this is reset everything should display correctly. Here are some quick steps you can take to reset your font size.

How to Change the Font Size in Windows XP

  1. Right-click an open area of the Windows Desktop and then click “Properties” to open the “Display Properties” window.
  2. Click the “Appearance” tab.
  3. In the drop down list labeled “Font Size”, select the normal size.
  4. Click “OK” to save the change and exit the “Display Properties” window.

How to Change the Font Size in Windows 7 and Vista

  1. First, right click on your desktop and click, “Personalize.” Alternatively, you can go to Control Panel -> Appearance and Personalization -> Personalization.
  2. In the “Personalization” window, go to the left pane and click on “Adjust font size (DPI).”
  3. Choose the default scale of 96 DPI.
  4. In the “Custom DPI Setting” window you can select the desired percentage for the DPI increase. You have the following options: 100% for the normal size of 96 DPI, 125% for 120 DPI, 150% for 144 DPI and 200% for 192 DPI. For Sage Intergy and Sage Intergy EHR make sure this is set to 100%.

Note: If you set the DPI higher than 96 and you are running Windows Aero, the text and other items on the screen might appear blurry in some programs that are not designed for high–DPI display in Windows Vista. You can avoid this issue by using Windows XP style DPI scaling.

How to Clean Your ID Scanner with Sage Intergy

August 24, 2011

Jeff Weaver
Field Technician, Sage

Sometimes Sage Intergy clients report having issues with ID card scans which are blurred or incomplete. There is a simple solution for this that involves getting out that box that the Card Reader Scanner came in:

  • Try to remember where you stored this box
  • Once you have found the box, inside it there should be two items.
    • One is a calibration page
    • The other is a cleaning sheet. This cleaning sheet is about the size of a 4×6 photo and looks and feels like a stiff dyer sheet.

To clean the Card Reader Scanner, open up a patient in Sage Intergy.

  • Click on Photo ID.
  • Click on Scan.
  • Get the cleaning sheet ready. (You may place a few drops of alcohol on the sheet if desired.)
  • Insert the cleaning sheet into the scanner.
  • Click on Calibrate.
  • Click on Clean.

The cleaning sheet will move back and forth through the scanner. Once this is complete, you should see an improvement in the quality of scans. You may have to do these two or three times if scanner has not been cleaned on a regular basis.

Return on Investment for Electronic Health Records: One Physician’s Perspective

August 22, 2011

We recently posted Dr. Patrick Golden’s Meaningful Use success story in our LinkedIn group. One of our group members responded, asking how Dr. Golden approaches the Return on Investment (ROI) for his Electronic Health Record (EHR) purchase. Here are Dr. Golden’s thoughts.

Dr. Patrick GoldenPatrick Golden, MD – To be quite frank, I did not initially look at Electronic Health Records as a means for receiving a return on investment, I was really looking for a better and more efficient way to run my business. I knew that the quality of the patient records, the ability to do electronic prescriptions for patients, the ability to have patients have access to their medical records (labs, RX’s, etc.) would only improve the quality of care I could provide my patients. As it turns out, my return on investment has been remarkable in many ways.

I have been able to receive incentive payments for doing RX prescriptions electronically for the past two years, I have just successfully attested for Meaningful Use and expect to receive $44,000 for that over the next three years, I also expect to receive an incentive payment for reporting on clinical conditions for my patients this year. The savings in transcriptions/dictations is also significant. I still have to dictate procedure notes for procedures performed in my office, but all other correspondence is generated through my electronic medical records system. As all MD’s know, the cost of transcriptions can be prohibitive. Another cost savings is that I have been able to eliminate the cost for a storage unit that held many years of paper records.

I have no doubt that in time all the facilities I work with will some day become bi-directional with their records and I am now in a position to receive hospital records, reports from other physicians and many other records electronically without paper. I actually feel sorry for MD’s who are still recording in a paper chart. I am able to create an electronic record of a patient visit in a much faster period of time than with paper records and with full legibility. Most Doc’s don’t have the best penmanship and Medicare and most insurance companies are strongly against illegible doctor’s records.

In summary, I never intended to receive money back from my purchase of the electronic medical record system. I looked at it as a tool to improve my practice and I looked at it as a business expense. In fact, I began my use of the EHR before Medicare ever began talking about a Meaningful Use reimbursement to physicians. I am certainly pleased I made the decision to purchase the system and that I have this practice tool. I have absolutely no regrets and would make the same decision again.

Want to join the discussion?
The Sage LinkedIn group is open to medical professionals working in ambulatory practices, hospital-owned practices and hospitals. Simply request to join the group and, once approved, feel free to add your thoughts to the discussion.

Is your practice using patient testimonials to build a patient base? Here are several tips to help you get started.

August 17, 2011
One of the most crucial elements of effective practice management is getting a healthy patient base. After all, doctors can’t practice their trade if they don’t have any patients to attend to.

Healthcare Success suggests that physicians use testimonials as a way to bolster prospects’ confidence and become an industry thought leaders. While doctors need to be mindful of HIPAA regulations, patient testimonials can be a powerful tool for reaching new clients.

As the source notes, many long-time patients are often happy to give testimonials, provided they have received high-quality care over the years. However, physicians need to remember that their clients are often busy – they don’t have the time to put pen to paper and draft long-winded praise for their doctors, no matter how deserving of it they are.

Therefore, practices should make it as easy as possible for patients to leave their feedback. By simply asking them to speak about their experiences and having a secretary write down their thoughts, doctors can get a potent piece of marketing material.

“Have a staff member take notes on exactly what the patient says. That staffer might remind patients of key aspects of the practice to capture the positive feelings about the results, practice capabilities and staff. Transcribe the patient’s words as they are expressed,” the news source notes.

The key is to consider patients’ time. Remember, a testimonial doesn’t have to be pages long – rather, a simple paragraph or even a few sentences can do the job.

Once the testimonial has been created, practices need to integrate it into their marketing efforts. If they use print materials, such as brochures, they could include a blurb on the inside.

Testimonials also make for good web content. Physicians could have a specific spot on their websites where they can post feedback from patients. If doctors have a presence on social media, they could also consider setting up a specific section on their Facebook pages for fans to leave comments and testimonials.

YouTube is another great location to post testimonials. Rather than having patients talk to a secretary, they could be recorded right at the office. People often like watching video content better than reading, so by creating this type of content, doctors may get even more mileage from their testimonials.

Regardless of whether practices use written or video testimonials, it’s crucial that they always ask patients for their full permission before making them public. This will help the practice stay out of any legal fiascoes and will also maintain the doctor-patient relationship.

Another use for those Alcohol Prep Pads you have lying around

August 9, 2011

By Jason Ingram
Sage, Field Services Engineer

Have you ever noticed a black vertical line on a scanned image that is not on the page that was scanned? This is typically caused by some sort of foreign matter stuck on the glass lens and alcohol prep pads are great for cleaning it.

To clean your scanner lens:

  • Open the scanner
  • Locate the glass lens (typically about a half inch tall and 8.5 inches wide)
  • Wipe glass lens with the alcohol pad to remove the debris