The BridgeBlog

In a recent poll and study on the ICD-10 transition, 75% of healthcare professionals indicated deep concern over the conversion, while another 50% expect a loss of revenue. Respondents are concerned about staff training, understanding the new ICD codes, and increasing denials. Nearly half of all financial leaders who contributed to the study by HealthLeaders Media, ICD-10 Puts Revenue at Risk, anticipate a revenue loss of some kind from ICD-10. Even more significant, is that they anticipate losing margin over the next few years. The Importance of Education In the ICD-10 Puts Revenue at Risk study, Albert Oriol, the VP and CIO of Rady Children’s Hospital and Health Center in San Diego comments on the amount of learning that must take place prior to the conversion.

He says, “Many have compared ICD-10 to Y2K, [but] ICD-10 is more complex. It requires staff along the care continuum to learn and use a new order of magnitude of diagnostic and procedure codes—from the scheduler, to the physician, HIM professional and the biller. Unquestionably, ICD-10 introduces an added layer of complexity to the multitude of challenges already at hand.”

BridgeFront case studies can prove that revenue cycle staff education can improve employee productivity and increase accuracy; well-trained employees also have fewer denials, rejections, and re-bills. Staff education can clearly reduce the negative impact healthcare providers are expecting after the transition to ICD-10.

Informational Web Portal

BridgeFront recently announced its ICD-10 and HIPAA 5010 informational portal, located at www.icd10-education.com. Healthcare professionals can visit the website for complimentary resources on the conversions to ICD-10 and HIPAA 5010. Visitors can sign-up for a free on-demand webinar and a monthly preparation email newsletter.

ICD-10 and HIPAA 5010 Education by BridgeFront

BridgeFront also announces its ICD-10 and HIPAA 5010 online education. For more information, complete this form or contact us directly. Send an email to info@bridgefront.com or call 1-866-447-2211.

By Nancy Friedman, President of the Telephone Doctor

If your job entails taking calls or working with unhappy, irate customers, you’ve got your work cut out for you. Employees who work with this type of situation are especially vulnerable to outbursts from customers who are going through an emotional, stressful time.

Handling this type of customer takes time and training, but it can be accomplished effectively. Here are some of the Telephone Doctor’s best techniques for turning this situation into satisfied customers.

Get Off on The Right Foot

Realize that upset angry customers are not unhappy with you, but with the situation. Don’t take a customer’s hostility personally. You are merely the rod that redirects the violent lightening. You can do a great deal to diffuse the anger before you get to the customer. How? By smiling before you answer that call. You can really “hear” a smile over the phone. It’s very difficult to be rude to someone who is warm and friendly.

Four Steps to Handling the Irate Customer

There are four basic steps to handling an irate customer; we call them our ‘ASAP’ techniques.

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Acknowledge the person’s feelings and apologize for the inconvenience the customer has encountered. Make an effort to be sincere. In today’s impersonal society, it’s incredibly rare to hear the words, “I’m sorry that happened. Let me get the ball rolling to fix it.” Those are MAGIC words. You’ll probably spend about 80 percent of your time massaging the caller’s feelings and 20 percent actually solving the problem.

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Sympathize and empathize with the caller. Phrases like “I can understand why you’re upset” can help soothe ruffled feathers. Pretend it’s you calling. Then get busy solving the problem.

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Accept 100 percent responsibility for the call. OWN IT. This is probably the toughest part. Chances are excellent that you had nothing to do with the problem. However, it’s your job to take the responsibility and help initiate a solution.

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Prepare to help. Begin by re-introducing yourself – callers don’t usually remember your name. State that you will be able to help. Use the caller’s name, if possible. This helps to diffuse anger. A willing attitude is essential, because if the caller senses insincerity or indifference, it will cause them to stay angry. It’s exasperating to file a complaint with someone who obviously doesn’t care.

Excuses – When to Use Them

NEVER. Never make an excuse to a complaining caller. No one wants to hear “The computer is down” or “I’m the only one here.” That is your problem, not the caller’s problem. When you give an excuse, the caller automatically hears “I’m not going to help you.”

Transferring Calls

Sometimes you’re not able to solve the problem on the spot. Many times you need more information from another department. Perhaps the call needs to be handled by another person. Although these are legitimate courses of action, they usually upset your caller all over again.

If you need more information, TELL the caller. Ask them if they’re able to hold while you obtain it, or would they prefer a call back. “Joe, I need to check with our claims department in order to answer your question. It will take two or three minutes, are you able to hold/wait while I check?” Avoid untrue, frustrating phrases like “Hold on a second.” Nothing takes a second.

If you need to transfer a caller, if you can, let them know the name of the person they’ll be speaking with. It’s also good to explain a reason why you’re bringing in a third party. “Joe, Mrs. Smith in our claims department is the real expert in resolving your type of situation. May I transfer you directly to her?”

For more customer service tips, explore BridgeFront’s Customer Communications online education. Visit our website at www.bridgefront.com, send an email to info@bridgefront.com or call 1-866-447-2211.

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Reprinted with permission of Telephone Doctor Customer Service Training, St. Louis, MO. Nancy Friedman, president, is a featured speaker at association and corporate meetings. She has appeared on OPRAH, The Today Show, CNN, FOX News, Good Morning America, CBS This Morning and many others and has written articles for USA Today and the Wall Street Journal. For more information, log on to www.telephonedoctor.com or call 314-291-1012.

By Lorraine Schnelle, Co-Founder and EVP of BridgeFront

Remember sitting or standing in a circle and whispering something into the ear of the kid next to you…then watching the faces as your message was passed from person to person. The looks on each face ranged from confusion, surprise, and laughter as you all played the “telephone game.”

This picture popped into my head as I was thinking about a survey question I asked participants in a recent online webinar. The webinar was on educational tools and techniques. The attendees were primarily healthcare finance professionals—many of whom are responsible for managing one or more areas of the revenue cycle.

The survey question was, “What educational activity do you rely on most when delivering staff education?” The top two answers were on the job (OTJ) and one-on-one instruction.

Sounds to me like it could easily turn into the “telephone game” played out in our everyday work world. Don’t get me wrong, the National Training Laboratory found the average retention rate of students participating in “practice by doing” educational activities is 75%. Their study re-enforces the value of OTJ training.

However a word of caution, don’t rely on OTJ or verbal instruction as the main ‘source of truth.’ Because this same study found that only about 5% of what a student hears is retained.

Ensure you have additional educational activities and materials that are and will be used by your staff to support and re-enforce key learning concepts. This material can be in form of online courses, written procedures, video demonstration, work flow diagrams, user manuals, screen shot job aid, etc.

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For more information about BridgeFront’s online education, go to www.bridgefront.com or contact us directly. Call 1-866-447-2211 or send an email to info@bridgefront.com.

By Lorraine Schnelle, Co-Founder & EVP of BridgeFront

Improving the total patient experience is on the agenda of most healthcare organizations today. A newly published whitepaper suggests that customer service—throughout the revenue cycle—plays a vital role in the patient experience.

According to the whitepaper, The Revenue Cycle: An Essential Component in Improving Patient Experience by The Beryl Institute, good customer service—at each step of the revenue cycle process—is often more recognized by patients than quality healthcare; and good customer service often leads to increased patient satisfaction.

A typical revenue cycle in healthcare includes coding, insurance verification, third-party payers, financial counseling, billing, payment, or follow-up and collection. The whitepaper suggests that every step of the revenue process impacts the patient experience—beginning with the patient’s first interaction with the organization in scheduling his/her appointment, to discharge and communications with the finance department.

Here are four suggestions, noted in the whitepaper, for healthcare organizations to improve customer service at every step of the revenue cycle process:

1. Establish patient loyalty as an organization-wide goal
2. Educate employees on the new initiative
3. Train employees on essential interpersonal and soft skills
4. Ensure outsourced business providers also understand the new goals

The whitepaper’s research stems from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) annual survey. The HCAHPS survey is the first national, standardized, publicly reported survey of patients’ perspectives of hospital care.

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BridgeFront is a leading provider of revenue cycle and customer service online education. For more information on BridgeFront, go to www.bridgefront.com. If you have specific questions, please contact us directly. Send an email to info@bridgefront.com or call (866) 447-2211.

By Kent Lane, COO of BridgeFront

Companies with new products generally lack good customer support at the beginning of their product launch. However, when you find a product and company that does break the mold, you should shout about it—and ’shouting’ is what the new company Yard Rents just did.

Yard Rents is a new business in the Portland area. Essentially, they’re an outdoor and indoor equipment rental company that delivers and picks up what you need, when you want it and where you need it. Simply go online, select what you need and then ‘presto’ there they are with a van full of what you ordered.

This company is a perfect merger of internet freedom plus real live customer service. Upon delivery, they helped connect the equipment, instruct me on the usage, test the starting of the engine … and even made sure that I was wearing the right safety devices.

“Holly paradigm shift Batman!” (If you are old enough to remember the TV series Batman and Robin, you enjoyed that quote … if not old enough, sorry.)

These guys have taken the aloof sense of the internet and personalized it to the point where I feel as connected to them as I do any brick and mortar company I do business with. No more will I haunt rental companies, stand in their lines, and tout heavy equipment around … never again. Just point click and open the front door to a smiling, knowledgeable Yard Rents team member.

See them at www.yardrents.com (Portland, Oregon area only for now).

And … while you’re in the learning mood, take a look at your customer service departments. Would someone ’shout’ about them? One look and you may see a cross section of employees that certainly know how to communicate electronically…but can they successfully communicate to your patients and clients?

Give them the training they need to become ambassadors of your organization.  Our ‘Communicating with Customers’ e-learning series will transform any text’er to a successful verbal communicator. Courses are about 20 minutes each, and include real-life experiences and expert tips to handle any situation. Act today; take a look online and then call us at (866) 447-2211. Mention this blog post and get an additional 5% off.

By Nancy Friedman, the Telephone Doctor

We hear what bugs people a lot in customer service – and often. One of the most common compliants we’ve heard recently is that we’re told “no problem” from those serving us on the phone or in-person. Instead of a genuine “thank you” or something else that might be more appropriate, some insist on saying “no problem.”

When a customer is asking for something, most would rather hear, “I’ll be happy to get that for you” instead of “no problem.”

Did you ever wonder where the expression “no problem” came from? Ever been on a cruise? Well if you have, you know that if you wanted six more desserts, the waiter will tell you, “No problem.” In fact, everyone seems to be saying “no problem” everywhere on the ship for just about everything.

And, when you come down to it, it’s not a terrible thing to say to someone. Now, there are those that don’t find it offensive; however, it seems as though there are many more who do! It’s not a dirty word. It’s not a swear word. It is, however, an inappropriate word. It started in the islands and made its way to our country.

So today, we’re concentrating on eliminating “no problem” and sharing a few other phrases that are more “customer friendly.” Try using words that turn people on instead of turning them off. Example: The other day in a restaurant, I asked for some water without ice. And I got the old, “No problem.” The person with me asked, “Why would requesting water without ice be a problem?” I was used to the expression so I didn’t give it too much thought.

A more appropriate answer to my request might have been, “Certainly. I will get that for you.” Or, even mirroring my request like, “Water with no ice? My pleasure.”

So, when you are tempted to offer up a “no problem,” it is best you remember the public would like a genuine and simple “thank you.” Now why is that a problem?

Reprinted with permission of Telephone Doctor Customer Service Training, St. Louis, MO. Nancy Friedman, president, is a featured speaker at association and corporate meetings. She has appeared on OPRAH, The Today Show, CNN, FOX News, Good Morning America, CBS This Morning and many others and has written articles for USA Today and the Wall Street Journal. For more information, log on to www.telephonedoctor.com or call 314-291-1012.

For more customer service tips, explore BridgeFront’s Communication Skills e-learning. Visit our website at www.bridgefront.com, send an email to info@bridgefront.com or call 1-866-447-2211.

By Peter N. Cizik, CEO of BridgeFront

Let’s talk about the new term, “data liquidity.” No—it’s not some new physics concept. For those of you in health information technology, it’s a term you may begin to hear.

As the industry lurches forward trying to connect the many unique health information systems (EHRs, CPOE, eRx, disease registries, HIEs, etc.), there is a push to standardize and streamline information, so all the systems can talk to each other.

Hence—make data more “liquid” so it can easily flow from one system to the other. This is clearly a necessary step to realize the goals of increased patient safety, better population health, and decreased health system cost.

One huge hurdle that has yet to be satisfied is the privacy and security controls to prevent unintended consequences of all this “open access.” As data becomes more liquid, the potential consequences of a breach grows exponentially, since the volume of data flowing within the entire system is considerably higher.

At this point, I don’t think anyone has the “right” solution—both sides are passionately arguing their position—on the surface, fully integrated systems that allow for the free flow of information sounds like the absolute right answer. What makes privacy advocates cringe are the unintended consequences and potential abuse that could occur if information falls into the wrong hands.

They argue that people need to have the power to restrict where their information flows. I don’t have the answer—but you should be aware of the issue and get involved in the debate.

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If your organization needs help with HIPAA compliance, BridgeFront is your number one resource. We can step in, initiate a compliance program, or move the process along; we can also take a back seat and simply support your staff during the process.

Our consultants are experts in both HIPAA Privacy and Security regulations. We can quickly assess your organization’s level of compliance and help you develop a plan to eliminate any risks. We offer HIPAA risk assessments, certification, and consulting services.

Get started by downloading a free HIPAA compliance self-assessment. Then, learn more by visiting us online or contacting us directly. Call (866) 447-2211 or send an email to info(at)bridgefront.com.

Next week we are flying to sunny Orlando for the 2011 Healthcare Compliance Association’s (HCCA) Compliance Institute—that takes place April 10-13. We’re excited about our debut appearance at the conference in booth number 109. Here are three reasons you should be excited too:

#1 Live Demonstrations of Our New Mobile Learning Platform

Did you know that 2011 was dubbed ‘the year of mobile?’ Mobile learning is catching on like wildfire and BridgeFront is one of the first e-learning providers to offer it. Don’t miss a glimpse at the future of e-learning by joining us for a 5-minute demonstration of the new mobile learning platform. Learn first-hand about the evolving world of e-learning.

#2 Chance to Win a SmartPen

Stop by and enter our drawing for a chance to win a SmartPen—this product is a great learning tool which converts written notes and audio into text, right on your own computer. This tool is ideal for seminars, conference sessions, workplace meetings, and much more.

#3 Meet BridgeFront Face-to-Face

BridgeFront team members Tamara Wanamaker and Chelsey Slack will be in booth number 109 ready to meet you and answer your questions. We are also attending the afternoon “speed networking” session on Sunday, April 10—it’s like speed dating, but for attendees and exhibitors to network.

The 2011 HCCA Compliance Institute, the nation’s largest compliance conference, is expecting more than 2,000 attendees. Here are some of the topics covered in the educational sessions: long-term care, privacy and security, physician compliance, legal and regulatory, auditing and monitoring, and quality of care. Learn more about the conference by visiting www.compliance-institute.org.

BridgeFront offers compliance online education, written compliance guides, template policies and procedures, and risk assessment services. Since 2002, BridgeFront has served more than 10,000 organizations with its educational services. Learn more about BridgeFront’s compliance education by visiting www.bridgefront.com.

By Peter N. Cizik, CEO of BridgeFront

If you don’t know what you don’t know – then what? How’s that for a little riddle at this beginning of the New Year?

We’ve been working with several Regional Extension Centers across the country trying to decipher how to structure our new Meaningful Use education in a way that is most helpful for providers. One area that’s obvious is education on how to perform a HIPAA risk assessment, since that is one of the core measures of the Meaningful Use criteria.  OK – go ahead and roll your eyes – here we go again! Many provider practices hear this and say: “We’re fine!” “We already did this years ago.” “My Office Manager took care of it.”

However, if someone walked into to your office today and said, “Show me written evidence of a risk assessment,” could you do it? You may be just fine, but if you can’t show it and show that it’s relatively current, then you don’t meet the test of HIPAA compliance. By the way – insert Business Associate anywhere I refer to providers – all these rules apply to you as well!

Here’s the real reason you should care – a proper risk assessment will do several things:

1. Validate that any controls that have been implemented are actually working.

2. Identify areas that lack controls that should have something implemented.

3. Provide an audit trail documenting that each area of risk identified within the HIPAA regulations has been analyzed and addressed.

You now know what you don’t know – and can do something about it.

Things can still go haywire and result in a breach, but with written evidence of a risk assessment you can show that you’ve applied “reasonable” effort to prevent it. That is the goal. BridgeFront is developing a course to help organizations perform their own risk assessment. We hope this will demystify the whole process for those who’ve never formally completed one or those that should do it again. Now, this is not a “one off” event. You need to periodically refresh the assessment to make sure what you thought you knew… is still accurate.

Happy New Year everyone!

Whether you agree with the goals of healthcare reform and the way it’s being implemented or not – one thing we all can agree on is that it’s creating concern, confusion and most of all – change. Much of that ‘change’ has yet to unfold, but several components are here.

The HITECH Act in 2009 brought additional regulations around tracking and reporting breaches, while significantly increasing the responsibilities of Business Associates. This reporting requirement is causing a significant increase in the number of breaches.

Breaches have always been a problem, but now a bright light is shining on this issue (e.g. wikileaks). It shows us how prolific it has become. Also, I still think the number of breaches is under reported; many organizations just don’t have the controls in place to detect them. I can’t tell you how many times I hear stories of documents with PHI being emailed unsecured.

Now, we have the HIPAA compliance requirement as part of the ‘Meaningful Use’ rules.  For those of you who don’t swim in these waters…providers that meet certain requirements are eligible to receive $44,000 if they implement an Electronic Health Record (EHR) system and meet certain ‘Meaningful Use’ measures. One of those measures is demonstrating compliance with HIPAA.

This is not just a ‘feature’ in an EHR; HIPAA compliance is a combination of people, process and technology. The EHR technology is just one of the three legs of the stool. Contact BridgeFront if you want help with the other two legs – people and process.

Learn more about BridgeFront’s HIPAA compliance education or contact us directly for more information.

You can also sign-up to receive our quarterly HIPAA e-newsletter.