Monday, March 30, 2009

How to Backup Your Computer if You Are Using Vista

With each version of the Windows operating systems the backup process has improved. In prior versions I relied on third party backup solutions. With the Vista operating system I found that the Backup program that comes with Vista is dependable, and there is no need to buy another backup program.

The above statements are true if you are backing up your data to a USB external drive. I have a 250Gb external drive and I backup my computer at least once a month. You can use DVDs, but you would need multiple DVDs.

If you have a home network you can also backup one computer to another. If you only have a wireless network I would not recommend it because it will be a very slow process.

To start the backup process click on the Start menu and select the All Programs button, then select the Accessories folder, then Systems Tools folder and click on Backup Status and Configuration menu option. You have three options here:

· Backup Files

· Restore Files

· Complete PC Backup

Backup Files is when you want to backup your data only. No programs or operating files will be backed up. This would be good if you have the Vista DVD and CDs for all of your application. You would then just have to re-install the operating system and the applications, then restore your data.

You can also set this for automatic and as long as the device that you back up to is connected, it will perform the backup automatically.

Restore Files if you needed to restore the files from step one discussed above. Restore Files will allow you to recover an individual file, or a backup made on another computer, or restore files made from this computer.

The Complete PC Backup will copy the entire contents of your hard drive. I usually backup my computer once a month using the data as the file name. You basically select the Complete PC Backup and click on Create a backup now. Make sure the hard drive you are backing up to is attached. It will take some time to backup your entire system, but I'd rather be safe than sorry.

Advanced Restore will allow you to transfer the entire contents of your backup to a new hard drive or computer. This is done through the Advanced Restore option after you click on the Restore Files button.

Backing up to another computer running Vista may cause problems with Windows authentication. If it is only the hard drive that is different, you will need to re-authenticate the computer, but it can be done in about ten minutes.

Everyone thinks that they are safe until their computer stops working. Hard drives fail on 35% of the computers within the first year. Why take a chance. Make sure you backup your computer today.

There are also on-line backup locations offered on the Internet. Some are inexpensive. If something happened to the backup device, you are still out of luck. Having an online backup might be the right solution because these companies have a lot of redundancy. Go to the newsletter section of my site where I recommend a vendor for backups.

Your Computer Connection

By John Gontowicz

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Outsourced Medical Billing Software and Service Selection in 14 Steps

Over four thousand vendors of medical billing services offer solutions to medical practices nationwide in response to poor in-house billing performance and increasing regulatory scrutiny of billing processes. On one hand, such a large number of outsourced billing solutions ensure continued competitiveness in terms of both service quality and pricing. On the other hand, the lack of uniform service standards and metrics among the vendors, combined with their large numbers, makes the process of vendor selection difficult and error-prone. While the availability of a large vendor selection allows finding an alternative to unsatisfactory service, billing vendor-switching costs remain high, motivating extra effort and focus during the stage of vendor selection. This article outlines basic fourteen-step guidelines for an effective and efficient medical billing vendor selection process.

1. Scope of Services

Decide if you are looking for billing technology, billing service, or practice workflow solution. If you plan to manage billing in-house, you may only need a billing technology solution. In that case your next decision is whether you wish to own the technology or to rent access to it.

Complete practice workflow solution belongs to the other end of the spectrum of services and starts with appointment scheduling and includes electronic medical records, SOAP notes, and billing. Few vendors today offer such integrated packages as they require powerful vericle-like technologies used by trained and skilled personnel implementing rigorous and disciplined service processes.

A billing-only service belongs to the middle ground between the choices described above and may include coding, electronic claim submission, "scrubbing" (validation), payment posting, claim and payment reconciliation, followup, secondary submission, and patient billing.

2. Billing Model

Billing model selection is the second most important decision in your definition of desired vendor. What is the policy of followup process prioritization? Who decides on which claims to followup? Which of the following functions are automated: upfront claim validation, submission, reconciliation, and follow-up workload allocation?

3. Reporting and Transparency

Transparency is a critical aspect of outsourcing billing service because without transparency the service may not be reliable. To be able to observe every step of the billing process on a continuous 24 x 7 basis, reporting must be available using a secure HIPAA compliant connection over the Internet.

The ability to provide timely and useful reports depends on billing model (see above) and billing technology. Vendors that manage their own billing technology typically have better control of reporting capabilities in terms of scope, analysis, frequency, and transparency. At the minimum, the following features must be available:

* Operational Report shows total claims and $ amounts submitted, paid, adjusted, written off, and failed. It allows breakdown by cpt, payer, referral, or a combination of such dimensions.
* Denials Report shows the list of denied claims and a log of followup actions. By sorting it by amount paid, you can tell the smallest payment the billing service will fight for.
* Compliance Report shows the potential for post-payment audit and itemizes compliance violations.
* Reporting Frequency defines the data update intervals on existing reports and turnaround time for new reports.
* Data Aggregation and Analysis must allow arbitrary data aggregation and drill-in. Export to Excel spreadsheets for further analysis is a very useful feature.

4. Certification

Request formal certification of compliance with basic regulatory requirements. Stay away from national vendors with New Jersey clients or New Jersey vendors without formal certification from New Jersey Department of Banking and Insurance.

5. References

Ask for a list of references owning similar practices. Are the clients satisfied with results, support, and changes over time? Can they quantify billing service quality in terms of Accounts Receivable over 120 days and underpayment reduction?

6. Billing Service Quality

Make a list of metrics used by the service. Focus on collections completeness and payment delay. Can the vendor quantify the differences between payers and between various CPT codes in real time? Does the vendor follow up every denial? What is the denial followup success rate?

7. Compliance

Consider two aspects of compliance, namely, your practice and billing service. Request to review a written compliance program for the billing service. Ask for its update procedure. For your practice, request an interface to a legal service specializing in post-payment audit risk management.

8. Communications Protocols

A disciplined vendor has a formal and simple process to report problems and track their resolution. Your practice must have a competent account manager and regular meetings scheduled to review outstanding problems.

9. Data Security and Protection

Review data center facilities. Ask for evidence on HIPAA compliance: claims must be viewed only on the "need to know" basis, access to claims and modifications must be thoroughly documented. Data must be protected with redundant disaster recovery measures. Review backup process, backup intervals, and data restore capabilities.

10. Data Entry Protocols

Modern technologies allow the doctor to take over coding and reduce the billing role down to claims processing and followup. Technology-competent vendor will supply your superbill online, along with a separate form for patient and charge entry, EOB posting, and on-line claim editing. Similarly, much of data entry validity, including some of claim scrubbing will be done online at the point of data entry.

11. Processes for Continuous Improvement

A successful vendor must have developed an effective process to identify and resolve systemic errors. Without such a process, the vendor will lose competitiveness and you will have to switch the services at a later stage.

12. Size and Scalability

Automation defines scalability. The more steps are automated, the easier it is for the vendor to take on new clients without impairing service quality. To understand vendor's scalability, you must compare gross annual billings, claim volumes, and numbers of doctors. Avoid vendors that would have to treble their scale because of serving your practice.

13. Staffing

Review staff numbers, educational background, experience, and reporting structure. Understand the process of quality assurance and accountability. Avoid vendors that would have to double their staff to serve your account.

14. Pricing

Most billing service vendors charge a percentage of monthly collections. This percentage varies across specialties, depending on the average claim billing size and claim volume. Note that the lowest cost provider is not necessarily the best. Read our companion article on relative value of billing quality and price-performance relationship.

Yuval Lirov, PhD, author of Practicing Profitability - Network Effect for Revenue Cycle Control in Healthcare Clinic and Chiropractic Office: Scheduling, SOAP Notes, Care Plans, Coding, Billing, Collections, and Audit Risk (Affinity Billing) and Mission Critical Systems Management (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net - Distributed Billing and Practice Management Technologies. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com

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