Converting to ANSI 5010 Painless with Vertex

On January 1st, 2012, social services providers will need to submit to Medicaid and other units-of-service payers their claims transactions that will comply with the new ANSI-5010 format. Many of these providers that serve people with disabilities have been switching from a manual process or an outdated software system to a new electronic billing solution to meet these requirements.

Vertex Systems announces the availability of Intuition Service Billing for providers who need ANSI-5010 ready software to submit electronic transactions for services provided.

Agencies unable to meet the 2012 deadline should develop contingency plans with their trading partners that will provide a stopgap until they can meet full compliance, the Healthcare Information and Management System Society (HIMSS) has stated.

Current customers of Intuition Service Billing, as well as all new customers, will be able to conduct HIPAA 5010 electronic transactions, including: claims submission, eligibility, claims status, remittance advice, and referral authorizations.

“Vertex System customers can take advantage of our solution’s 5010 compliance with minimal or no disruption to workflow by the January 1, 2012 deadline,” stated Randy Bentley, Vertex Systems’ product manager.

The transition for users has been relatively painless, according to Bentley. “We have made the update very transparent and simple to implement for our customers as well as any new clients we bring on board who are looking for tested and approved 5010 EDI transactions.”

Among the changes from ANSI 4010 to 5010 were the use of 9 digit zip codes and the elimination of P.O. Box addresses for billing in favor of a physical mailing address. These and all the other mandatory changes required are now in Intuition Service Billing’s latest software update and require no additional changes or processes for customers.

According to John Casillas, senior VP of HIMSS, one of the most important issues is testing the 835 payment transaction.  “If providers aren’t paid because they can’t receive the payment files appropriately, they can’t process their payments, their cash flow stops, and they will shut down.”

Intuition Service Billing is the perfect tool for social services organizations looking to accurately maximize units-of-service billing for programs they provide.  The software is designed to reduce claim rejections, reduce hours spent by automating 75% of the billing process, reduce claim correction time, reduce the hours spent determining authorization balance, reduce time spent on re-authorizations, and reduce units not billed because of not having the daily authorization balance.

Intuition Service Billing Webinar – we’re always holding special billing webinars – utilizing our state-of-the-art iPad application.

Sign up today:
Description: Description: cid:image002.jpg@01CB42AE.61E63290

Can Productivity Help You Survive the Fiscal Crisis?

In a recent Bridgespan Group article, titled “Five Ways to Navigate the Fiscal Crisis“, the authors talk about how the government has been outsourcing human services to social services agencies to provide care and programs and how budget cuts are causing serious problems. They also offer tips on how these organizations can survive their most recently slashed funding sources as well as future cuts they know will be coming their way.

Because everyone understands the situation in this country is bleak, and more than likely not going to get better any time soon, social services agencies need to do everything they can to make the most of their situations. One major way to navigate these fiscal waters is through an increase in productivity. In every department, if possible.

The suggestion, in the Bridgespan article, to focus on productivity made great sense to us. We help agencies become more productive with their processes and have seen the results. But we have also seen a push back from nonprofit leaders and workers when we bring up productivity.

Most social services professionals do not see themselves as business people or those who would focus on for-profit terms like “return on investment” or “increasing productivity”. Others don’t understand the concept of productivity and how it would affect them. But, as the article states, non-profit leaders are starting to warm up the concept. Money quote:

[T]eam leaders realized that typing in case notes was taking up hours of clinician time, so the agency now uses electronic medical records and voice recognition software to allow clinicians to streamline their documentation—reducing time spent on that task by 40 to 50 percent. The productivity mindset “is now a big part of what we do and it has transformed our organization,” Lawler notes.

We have seen similar results with our social services clients who use our software to improve how they collect, use, and report on data. We’ve seen improvements in their client payroll time and piece count collection process for those with vocational employment facilities. We’ve seen how they’ve slashed the time and manpower required of them to submit billing invoices to Medicaid and other units-of-services payers.

It’s great that so many are starting to see the benefits of productivity in their business offices and in the programs they offer to those with disabilities. When they can enter notes faster, enter payroll with fewer errors, create reports without referring to four different sources, and when they can bill for maximum services provided they are making the most of what they’ve got. They are saving time, saving money, reducing staff, maintaining compliance, surviving audits, and making fewer errors.

One of our customers recently let me know about how much more productive they’ve been:

“Front office staffing was reduced by 40%, largely due to elimination of some steps formerly required to process our client payroll. Our production supervisory staff was reduced 40% as well, and their throughput is effectively unchanged from our pre-Vertex Systems days. We’ve redirected some of those resources into client care.”

And he added that, in their vocational employment facility, they are making the businesses  who hire them on a contract basis happy as well:

“A few have given up their own Bill of Material systems entirely because we now provide that to them as an added value. The effect has been huge because they highly value the fact they can pick up the phone and ask us, ‘How many XYZ assemblies can you build?’ and we can answer that question in about 10 seconds.”

Even for those social services agencies that don’t have manufacturing or services capabilities, many of our customers have been able to use software to doing something as simple as reducing the number of steps in a process all the way to replacing staff members or a whole department in order to meet their obligations.

The alternative? Agencies can continue to make due with what they have and hope things don’t get too much worse. Being productive means being able to not just continue offering the same number of programs but making those programs better. It means not only keeping the doors open but possibly expanding operations. We’ve seen the results and we think more and more non-profit leaders are recognizing the value of productivity across the board.

Check out the Bridgespan article for more tips to surviving budget cuts for government-sponsored social services organizations.

If you have questions about how to make your social services organization more effective and efficient, contact Vertex Systems today. We have 30 years experience in making agencies not only survive but thrive during any fiscal crisis.

 

Generate More Donations – The Power of You

With the rise of social networking, people are now used to being a part of the conversation. They can “like” something, post comments, re-tweet, follow or fan a brand and even put reviews out on the World Wide Web for everyone to read (both negative and positive reviews.)

When it comes to your fundraising activities, your donors and potential donors also want to feel like they are talking with you and not being talked to.

Traditional marketing with e-mails and direct mail letters is no where near as effective as it once was. And it’s because of this new interactivity in everyone’s life.

As you are looking to increase the number and amount of donations coming in, you need to understand the power of “you”.

It’s not some major groundbreaking realization here but it can be a powerful tool in your fundraising toolbox. And I’m even doing it here in this blog post.

I’m talking to you. By using third-person words in your e-mails or letters – words like ‘he’, ‘she’, ‘they’ or ‘them’ – it can be considered impersonal. By using ‘you’ and ‘I’, it is more personal and more interactive. At this point, we’re having a conversation.

For this blog post, I make my point and you, if you wish, can respond in the comments section. But in your fundraising campaign, if you’re asking for more donations to help your cause, you might receive a check back in the mail.

Here’s a quick example – “Organizations have a difficult time with their fundraising activities because they are in the middle of difficult economic times. This has really affected their bottom line.”

Stiff, distant, impersonal.

How about – “You’re not able to raise the money you need because of these difficult economic times we’re facing. I know. I understand. It’s probably hurt your bottom line, hasn’t it?”

It’s like we’re having a conversation and it can really do wonders for your fundraising campaigns. It can create more empathy for your organization and help you reach your goals.

Keep the power of ‘you’ in mind the next time you’re looking for more donations.

 

November Unemployment Rate for Persons with Disabilities (2011)

The U.S. Department of Labor’s Bureau of Labor Statistics has released disability employment statistics for November 2011 showing that the percentage of people with disabilities and the unemployment percentages:

November 2011
(Not seasonally adjusted)

Labor Force Participation

People with disabilities: 20.8%
People without disabilities: 69.5%

Unemployment Rate

People with disabilities: 13.0%
People without disabilities: 8.0%

4 Top Software Apps for Social Services Pros

As software providers for the social services industry, we wanted to point out a few software applications out there offering features we do not have. These are useful apps that can help streamline your processes and make you more productive and improve your quality of life.

And the best part – they’re all free.

Xpenser- Many social services pros must keep track of mileage and expenses and time while they’re on the road for case work, conferences, training, etc. This free tool allows you to take pictures of receipts with your mobile phone, forward your email receipts to Xpenser, record expenses  in e-mail, SMS, IM, Twitter, or you can call and say them.  You can review, organize and submit expenses quickly and easily. It can even export to most major accounting programs, including our Vertex Financial Manager application.

Evernote – This s a great tool for social services experts who want to save notes, ideas, links, or snippets of a new article on Medicaid discovered online. It’s a free note system that allows access from anywhere. There are apps for smart phones, iPads, desktops and laptops and they synch easily with each other (if you write down a note on your iPhone it will be visible on your desktop app when you’re in the office.)  Security could be a concern as it’s an app available “in the cloud”  so we don’t recommend using this for private client information or case notes.

Plaxo – This tool syncs up all your various contact information. You may have a list of client phone numbers and emails on your desktop, personal emails in your G-mail account, and family phone numbers on your cell phone. Plaxo allows you to bring them all together for access in one place.  It allows you to update contact changes or additions automatically.  There’s a two-way sync for your contacts to make sure they are always accurate.

Remember the Milk – The to-do list just got a lot better with Remember the Milk. You no longer have to write your to-do lists on sticky notes, whiteboards, random scraps of paper, or the back of your hand.  You can use this free app to manage your tasks, set reminders, access everything from your phone, and it’s compatible with nearly every email service and operating system.

Is this Your Password? The Top 25 Worst Passwords

Recently, SplashData conducted a survey to determine what people are using for their password on various websites – including personal banking, credit cards, email and other important and supposedly secure accounts.

Security is obviously very important in the human services field, as our customers can attest. Organizations that serve people with disabilities are required to keep their client demographic and documentation information secret and safe.

But how secure is your computer system? Well, your data might only be as safe as your password.

Many Internet users are guilty of choosing a simple password that is easy to remember but it could cause big problems if it’s too common. The SplashData compilation lists the top 25 most commonly used passwords.

The question is – are you using any of these passwords at your social services agency? Take a look at the possibilities:

1. password

2. 123456

3. 12345678

4. qwerty

5. abc123

6. monkey

7. 1234567

8. letmein

9. trustno1

10. dragon

11. baseball

12. 111111

13. iloveyou

14. master

15. sunshine

16. ashley

17. bailey

18. passw0rd

19. shadow

20. 123123

21. 654321

22. superman

23. qazwsx

24. michael

25. football

Change your online passwords as soon as possible if you’re using these or any password that might be similar to one of these. Keep your information and the information of your clients safe and secure.

Making a Case for New Technology – Measure the Results

This is PART 5 of Making a Case for Technology Purchases for Nonprofits – PART 1 is here, PART 2 is here, Part 3 is here, Part 4 is here.

 

When one considers everything involved in making a case for purchasing new technology, this final step of measuring your results seems to be occurring a bit too late in the process.

How will you make your case to justify new hardware or software by showing how well is works after your purchase?

Looking at the Return on Investment (ROI) of your technology decision accomplishes several tasks. First, it allows you to demonstrate to your stakeholders that you are determined to verify the effectiveness of this purchase by tracking the numbers and the feedback from users. Second, it gives you credibility for any future decisions on additional purchases – your results will show that you made the correct choice for your agency. Finally, by evaluating the usefulness of your new product, you’ll be able to make sure you’re achieving the results you want. You may find you’re not receiving as great a time savings, or salary/staff reductions, or an increase in revenue as was expected. By maintaining the proper facts and figures, you’ll be able to make better decisions to get the most from your investment.

Many who work for human services organizations shy away from for-profit business terms such as Return on Investment (or Total Cost of Ownership (TCO)) because they don’t feel it applies to them or their nonprofit mission. But the ROI is a fair way to review effectiveness and measure your results.

To see your return, you can use the simple formula for ROI as a way to see how well the new technology is working – you subtract the savings/revenue/gains from the cost of investment, divide that amount by the cost of the investment, and multiply by 100 to get your return percentage.

Keep in mind, the figures required can be complicated and require some digging to get the best results. For example, the cost of the investment is usually more than the purchase price. So include related costs, such as:  service agreements, training costs, additional warranties, implementation, and extra hardware or software required in your “investment” amount. And keep in mind your revenue amount can be more than just a dollar figure. There can be intangibles that should be accounted for, such as:  increased productivity, improved morale, staff reductions, and increased brand recognition/word of mouth exposure/referrals.

Just because something doesn’t have a monetary value, doesn’t mean it should be left out. And a lack of a dollar value doesn’t mean that measurements should not be taken. Make notes in your ROI calculation that shows the intangibles are not included but are counted.

Finally, the ROI amounts can be stretched this way and that to show whatever favorable results you need. The more concrete effects you can demonstrate – along with all the unfavorable details – the better off you and your organization will be. And you’ll make better decisions in the future. Track everything you can from the first day after implementation and review every month, quarter, or year to measure and report on your results.

Examine your ROI at different points in time so you can see the difference of the return for now and again in five years. Create a baseline for your current figures so you can make those future comparisons. Give yourself milestones or benchmarks so you’ll have goals to meet and, hopefully, exceed.

Commensurate Wages to Cause Problem for Employers?

NonProfit Software Solutions for Case Records & Payroll ManagementThis is from a great article from the online publication Eastern Iowa Government, a story that continues our discussion of the issues concerning bill H.R. 3086 – the Fair Wages for Workers with Disabilities Act 2011 – which proposes an elimination of the sub-minimum wage for people with disabilities:

Ever get one of those advertising flyers in the mail, the one with a car key that just might start your next car down at the local dealer?

Dan Harwood spent a good part of last Friday afternoon assembling those keys to send off to advertisers, patiently stringing 100 at a time on a metal rod. He also threaded the elastic string through the holes punched in several dozen instructional tags for office chairs.

Harwood, 30, who has Down Syndrome, is one of about 200 people with disabilities who work weekdays at Options of Linn County. The county-run program provides sheltered workshop and supported employment in the community, but Harwood’s parents worry his job may be endangered.

“He brings home a tiny paycheck, but he thinks it’s great,” said Dan’s father Craig Harwood. “For many of the clients out there, it’s their ability to have a social life” that’s most important.

Craig and Kathy Harwood, of southeast Cedar Rapids, worry a proposal in Congress to require sheltered workshops like Options to pay workers the minimum wage will price Dan and his coworkers out of a job.

“I wish it were not this way, but no one’s going to pay him a minimum wage,” Dan Harwood said. “It’s a pink slip for virtually every mentally handicapped worker in the U.S.”

“We’re concerned about it,” said Options director Jim Nagel. “When you’re making your bids for contracts, you’re bidding it on what the non-disabled person can do. You wouldn’t be able to pay the consumers the minimum wage”  (our emphasis) and stay in business.

You can read the full article here to find out more. One sign of hope in the article was this line from U.S. Rep. Cliff Stearns:

“The legislation provides five years to phase out this provision and I believe that nearly all could find a way to pay their disabled employees a fair wage in that time. However, if warranted this measure could be amended to provide an exception if it maintains the best interest of the disabled worker.”

 

Making a Case for New Technology – Determine the Risks

This is PART 4 of Making a Business Case for Technology Purchases for Non-Profits – PART 1 is here, PART 2 is here, Part 3 is here.

 

One of the biggest concerns many of our customers have had when they came to us for a social services software solution was overcoming their fear of making the wrong investment in new technology. It’s important that you assess the risks when you are making a case for buying new hardware or software or any technological system for your nonprofit organization.

By evaluating risk, you are showing you are aware of the concerns and are addressing what you’ll need to do to mitigate any issues before, during or after the implementation of technology.

What are some risks to consider when making a business case for new tech solutions?

  • Inferior Product Quality – what if the software or hardware cannot do what was promised? Or what if the vendor guaranteed to complete the process at a certain time and at a certain budget – and then fails to meet those expectations?
  • Low User Commitment – what if you bought the products and/or tech services and no one used it? What if your staff doesn’t want to or can’t understand your new solution and abandons it completely?
  • Too Technical – as your staff adoption of new technology can show, what if the system is too hard to use or difficult to learn? What if it requires a larger IT department to manage it? What if it takes months or longer to customize or update the solution? What if costs and frustration skyrocket?
  • It Costs Too Much – What happens if you do go over schedule or go over budget during implementation? What happens if you make a purchase and your economic situation changes and you’re stuck with a product you can’t afford? What if you spend all that money and the system cannot grow with you or adapt to your situation and you have to buy something new all over again?

There can be risks associated with anything your organization tries to do. And those risks compound when you start talking about serious money or resources. You simply can’t afford to make a mistake in the nonprofit world.

How to Overcome the Risks and Issues
There are ways to reduce the threat of problems that can come from any technology purchase.

First, it’s important to find a quality product – a server, or computer system, or productivity software – that has been proven in the industry. Throughout the history of technology, there have been fly-by-night vendors that have created products and threw them out into the market in “beta” (which basically means they’re testing it out on you… at your expense) and have disappeared into the ether.

Look for companies with a strong reputation, with a history of quality products and support, and that has been in business for while. Yes, that tablet PC is only $199 but it was made by a company in North Korea that has been in business for 10 months. An Apple iPad costs twice as much – but which manufacturers’ 2-year warranty will you trust more?

You’ll also want want to demo any product you are considering. Make sure you see the technology in action and not just view some salesperson’s PowerPoint presentation or read a brochure.  Understand what their system can do, what it can do for you, and whether or not it is easy to use and/or customizable to what you need it to do.

Next, make sure your new technology choice is adaptable. Can it be customized? Can it be updated to grow (or shrink) with your organization? It can be risky to purchase something that truly won’t work in a few years because of new regulations, rules, or restrictions.

Another great way to mitigate risk is to find a manufacturer or vendor of technology that creates products or solutions specifically for your nonprofit. For example, many companies manufacture accounting software. But how many of these software vendors understand the world of human services agencies? Do they know how to allow for tracking various grants and fundraising transactions and accounts? Can their system allow for greater transparency, for internal and external audits, for accreditation, or for special payroll needs? Find a company that knows your needs and understands how to help you achieve your goals.

Finally, to cut back on your financial risk quotient, look for a tech company that can provide you with financial options. Many vendors provide a solution that is one size fits all when it comes to price. There is a single system and you pay one amount and there are no options. But good companies give you only what you need, allowing you to pick the modules, apps, or accessories that are right for your organization. They have multiple payment plans and delivery methods for their solutions (hosted software versus Software as a Service (Saas) for example.) They do not make you buy or lease items that you don’t want by doing a thorough needs analysis before even discussing price so they understand what your requirements are.

When you can lay out of these mitigation strategies that you have analyzed while you were determining risk, your case will be airtight. It means more work for you to check out all of these ideas when considering a new technology, but it could save you time, money, and big headaches down the road. Remove the chance of elevated risk with proper due diligence in the research phase and you’ll make your case to concerned stakeholders.

In the final segment of Making a Case for New Technology, we’ll look into Measuring the Results to help you make sure you can get your next tech purchase approved because you’ll have genuine facts, figures, and performance results to show.

October 2011 Unemployment Rate for People with Disabilities

The U.S. Department of Labor’s Bureau of Labor Statistics has released disability employment statistics for October 2011 showing that the percentage of people with disabilities and the unemployment percentages:

October 2011
(Not seasonally adjusted)

Labor Force Participation

People with disabilities: 21.3%
People without disabilities: 69.6%

Unemployment Rate

People with disabilities: 13.2%
People without disabilities: 8.3%