“But we’ve always done it this way before….”

Sometimes called “the seven most expensive words in business”, this phrase is one that seems to be the chief operating philosophy of many organizations, including the business side of your medical practice.  At its root is the general fear of change and the comfort we all seem to take from familiar things.  The other phrase you might hear related to this same idea is the old “if it ain’t broke, don’t fix it” line, which again is about not making changes because things are “good enough”.  Of course the problem with these mindsets is there are binary – either something is fine/working or it is a complete disaster/broken.  The truth is much more nuanced. Take the business side of running your medical practice.  You are making appointments, seeing patients, sending out claims, depositing insurance checks, doing follow up, billing patients, giving financial reports to the doctor and have been doing those tasks for years.  Your practice is still in business, so clearly whatever you are doing isn’t broken right?  The actual answer is most likely a resounding “maybe”. Yes, you are making appointments, but how often do patients miss their appointments and available time on your doctor’s scheduled goes unused?  Or how long does a patient typically have to sit in the waiting room before the doctor sees them (or complains to the front desk staff and storms out)?  How often do elderly patients need help filling out paperwork for ten minutes just to get checked in?  What percent of your copayments are being collected at the check in window?  How many claims are getting rejected due to insurance...

How to avoid claim denials, told by AntWorks own team of billing experts

As an RCM service provider, we see denials daily. These denials range from “improper diagnosis/procedure combination” to “inappropriate modifier assigned”.   While these are sometimes difficult to catch prior to claim submission, the most common denials are the ones that are avoidable altogether, and, surprisingly, they are responsible for the consistent cash flow issues for many practices. We have comprised a list of those most common denials as well as what can be done to correct the problem before it becomes a problem. Missing or incorrect patient demographics – solution interoperability Procedure unbundling – this can be avoided by having a trained coder on your staff that is knowledgeable in following the CMS NCCI billing guidelines.   This table can tell you prior to billing whether or not services are eligible to be reimbursed at the same encounter. This allows you the opportunity to assess the services that should be provided and form a treatment plan that meets the patients’ needs. Duplicate claim submission – this denial can be as simple as a claim being re-billed too quickly or as careless as keying the same charge twice. The claim will need to be traced back to the encounter form to see if the service was performed twice. If it was, and it is a service that allows for multiples, add the necessary modifiers and attach the notes to the claim for reprocessing.   If it is a billing error, it should be adjusted off the patient’s record to clear the A/R.   This can be avoided by making sure the necessary notes/modifiers are attached on the original claim. For errors in keying, implementing...

Hear from our Experts – Steps to Billing Success

Steps to Billing Success AntWorks Healthcare has patient check-in automation which allows scanning of information straight into the computer system. Get our automated PM software, which comes with a 95% accuracy level, to make sure human error is not a problem from the start. The first step is scanning the patient’s insurance card into the system. This safeguards against transposing incorrect numbers and letters from the member ID and policyholder information. The next step is to note the relationship field. If the patient is the spouse, child, or self, this affects how the claim is processed. For example, is the patients is listed as ‘self’ and they policy holder is the parent, a claim for an eight-year-old child will be denied for a well visit as age appropriate. Another important step for billing success is noting the subscriber information. The subscriber could be the patient, the parent or spouse. Incorrect subscriber name or gender will result in a claim rejection or denial, thus slowing down the payment process. A huge overall problem to look out for is the issue of transposing letters and numbers. Many claims are denied based on inaccurate subscriber numbers or group numbers. But this is easily remedied by double checking patient demographics. Following a few simple steps will result in prompt and correct insurance payments, thus eliminating the need to submit corrected claims. Don’t have time to ensure proficient billing? Let AntWorks Healthcare’s team of certified billers do it for you! They have a clean claims rating of 95%, which means hardly any room for error leading to more money to your practice, faster! Start...

AntWorks Healthcare named a Leader in FrontRunners Quadrant for Electronic Healthcare Record Software

AntWorks Healthcare named a Leader in FrontRunners Quadrant for Electronic Healthcare Record Software. Lynchburg, Virginia, September 13, 2017— AntWorks Healthcare announced today it has placed as the Leader on the FrontRunners quadrant for Electronic Healthcare Record software. “Too often than not, we hear of practices being unhappy with their EHR. We must understand what practices are worried about, what are their struggles and their downfalls. If we don’t engage with them, it doesn’t matter what technology they use. We have worked hard to listen to what practices really need, and bring them solutions that matter. Our EHR platform does just that, and is now recognized as an industry leader,” stated Joe Aromando, Vice President of Business Development. Over 335 EMR products were reviewed, and AntWorks Healthcare led in both the capability scores and the value scores. According to Software Advice, Leaders are all-around strong products. They offer a wide range of functionality to a wide range of customers. These products are considered highly valued to customers. FrontRunners is published on Software Advice, a trusted resource for software buyers. FrontRunners evaluates verified product data and end user reviews from softwareadvice.com, capterra.com and getapp.com, positioning the top scoring products based on capability and value for small businesses. The FrontRunners quadrant for EHR software is available at  http://www.softwareadvice.com/medical/electronic-medical-record-software-comparison/#top-products AntWorks Healthcare’s transformational suite of healthcare solutions leverages a complement of Healthcare technologies to help practices automate effectively to accelerate growth, minimize costs, and increase revenues. Driven by our Fresh. Fearless. Fast mantra – Fresh ideas, Fearless execution, Fast results, we are proud of our successful implementations of the AntWork’s Suite of Healthcare Solutions...

“These are a few of my favorite things…”

How Antwork’s Benchmark PM software is unique. Mark Sangston/Sr Implementation Consultant   Having worked in the HIT industry for over twenty years, I’ve had a chance to experience the in’s and out’s or Practice Management software from a variety of angles.  From training on it, using it daily, to supporting it, and changing it as a response to needs, I feel like I’ve seen it all.  So what gets me excited about Antwork’s software?  I thought you’d never ask.  Here are my top three items that I think makes our software packages truly excellent. Integrated Claims tracking.  We at Antworks are in the unique position of playing both sides of the fence; we are not only a software development company but also an EDI clearinghouse.   What that means for our PM product is that we have the ability to assign ever insurance claim a unique tracking ID at the time of creation, and be able to follow it completely through the electronic billing chain.  We always give you the “last known status” of a given claim, as it starts in our clearinghouse, progresses through other clearinghouses, to acknowledgement reports, submission reports, payer response reports, rejected claims reports, processing reports and eventually to the EOB itself.   And not only for primary claims, but secondary claims too.  It’s all tied together seamlessly, to make doing billing follow up incredibly efficient and effective.  Just ask our RCM staff! Reporting Flexibility.  I think “flexibility” is the appropriate word because I’m talking about both the way you can run your reports, and the type of reports you can have.  Our reporting engine allows you...

Red Nose Day 2016

Benchmark Systems, An AntWorks Company Red Nose Day 2016: Laugh. Give. Save a kid.   Would you like to be part of a mission to help kids who need our help the most?  Provide food for the hungry?  Medication for the sick?  Clean water to those without access?  Would you like to be a part of a BILLION dollar initiative to put a smile on the face of kids in the United States and around the world?  If so, all it takes is $1 and a Red Nose!   Benchmark Systems, an AntWorks company, will be a part of Red Nose Day 2016 on Thursday, May 26th, and we encourage your office to do the same!  All you need to do is visit your local Walgreens, give them at least $1 (more if you’d like), and get your very own Red Nose.  There are also many other ways you can be a part of this amazing event.  Please review the attachment here or visit RedNoseDay.org to learn how!  Once you and everyone in your office has their Red Nose, snap a picture of everyone and email it to us at CustomerSupport@benchmark-systems.com so we can post it, along with our own Benchmark Red Nose pictures, to our AntWorks Facebook, Twitter, and other social media pages.  Or post it to your own social media account(s) and tag AntWorks (Facebook) or @BenchmarkSys (Twitter) so we can see the fun you all are having for such a great cause!  And don’t forget to use the hashtag, #RedNoseDay, on all your posts so we can help trend this around the world!  Later that night,...

Goodbye 2015, Bring on 2016!

Doesn’t it seem that 2015 was a very long year, much longer than 365 days? As usual, I learned a lot and feel more competent in my job every day because of it. It was also a year of new phenomenon, not only personally but also professionally.   Let’s take a look at a couple of the big changes for 2015. First, of course, is ICD-10. We had plenty of warning and even at the last minute, there was a possibility that it wouldn’t materialize but here we are, three months in, and things are looking good. If you coded ICD-9, then you can code ICD-10. It’s not that much different. Sometimes there will be extra codes to use but each section of the coding book details the requirements and they’re easy to understand and follow. Thank you, CMS! Money is being paid on claims with ICD-10 codes on them. Before ICD-10 implementation, we had heard rumors that practices could go as long as six months with no income and a plan B should be in place to handle this. That didn’t seem to happen, at least as far as I can see. There were a few issues at first but they were easily ironed out and now the money is coming through without issue for the most part. What will happen when CMS stops accepting codes that are in the “family” of codes and demands a more specific one? I’m sure that they’ll try to hold that money for as long as they can and denials will come back on an EOB asking for a more detailed code.  Whatever...

AntWorks selected for 10 Most Promising Practice Management Software Solution Providers 2015

FREMONT, CA—December 18, 2015— HealthCare Tech Outlook (www.healthcaretechoutlook.com) has chosen AntWorks (www.ant.works) for its 10 Most Promising Practice Management Software Solution Providers 2015. The positioning is based on evaluation of AntWorks’ specialties in its customer-centric approach and two delivery models BPaaS and TaaS .The annual list of companies is selected by a panel of experts and members of Healthcare Tech Outlook’s editorial board to recognize and promote Technology entrepreneurship. AntWorks can help you create the technology and process backbones that will drive your next wave of growth. AntWorks’ cloud-enabled applications and platforms help clients to experience agility like never before. Its platforms for healthcare cover the entire lifecycle including EHR, practice management, scheduling and revenue management. Business-Process-as-a-Service (BPaaS, also been termed “platform BPO”) – This delivery model, typically part of Business Process Outsourcing (BPO) offers opportunities to leverage best-in-class technology and standardized yet configurable processes without major capital outlays. It sometimes provides the option of using a Software-as-a-Service layer that only encompasses the application part of the delivery stack.    About AntWorks AntWorks is a Singapore-based technology and services firm specializing in providing solutions primarily to the financial and healthcare sectors through two delivery models – BPaaS and TaaS. The company has a global presence with offices in Virginia, Qatar, London, Mumbai, and Singapore. AntWorks also has an operational 200-seat delivery center in Pune, India. Founded in 2015 by technology and outsourcing veterans Asheesh Mehra and Govind Sandhu, the USP of the company is its customer-centric approach. Driven by the principle of customer first, the mission statement of this firm is: Maintain zero distance from customer to enable faster...

ICD-10 Holiday Code of the Week | Burn By Candle

In the fourth installment of our ICD-10 Countdown to the Holidays Code of the Week Series,  AntWorks has chosen X08.8, Burn by candle.   As the nights of Hanukkah progress, the possibility of burns from the candles on your menorah steadily rise. If you’re as clumsy as we are, you could be looking at new medical bills from burn injuries! Make sure to keep your (and your children’s) fingers safe from the flames and candle wax this Hanukkah. Stay tuned next week for our fifth ICD-10 Holiday Code of the Week, and remember, if you’re struggling with your medical coding or billing vendor, AntWorks can be the next solution for your medical practice! Is your medical practice looking for new medical software solutions? AntWorks can assist with your EHR, Practice Management, Revenue Cycle Management and Medical Scheduling needs. Contact us or rquest a demo today to learn more. Request a...

Health IT Outsourcing on the Rise

Health IT outsourcing is growing in popularity as EHR Incentive Programs, ICD-10, and other health IT initiatives continue to drive the healthcare industry, and according to a recent Black Book survey, nearly 73 percent of hospitals with over 300 beds are using outsourced Health IT solutions.   After surveying over 1,030 hospital IT leaders, 240 CFOs, and over 1,000 business leaders, Black Book found an overwhelming trend toward outsourcing IT services. “Population health, analytics, revenue cycle management, EHR and HIE initiatives have accelerated IT expenses again,” said Doug Brown, Managing Partner of Black Book Market Research, and ““most hospital leaders see no choice but to evaluate and leverage next generation information and financial systems as an outsourced service in order to keep their organizations solvent and advancing technologically.” Because of this trend, 81% of provider organizations under 300 beds have also placed complex IT outsourcing in their priorities in the new year. What Motivates Hospitals to Outsource? The return-on-investment and immediate access to trained staff and needed technology are the primary motivators for outsourcing today. 90% of hospital organizations in Q3 2015 state they are at or near an immediate (3 months or less) return on their investment for IT outsourcing, and satisfaction with outsourcing vendors is also at an all-time high. 83% of the respondents also agreed on the top ten lessons in failed hospital IT contracting engagements: Outsourced IT services that should have stayed within the organization Selected the incorrect vendor for the job Neglected to realize the full costs of outsourcing Permitted the outsourced service to get out of control Disregarded employee and/or community concerns about outsourcing/offshoring Wrote ineffective...