Our technology innovation is where Ingenix-CareTracker truly shines. Workflow is essential for a smooth operation. Back office efficiency starts with good front office management. From the first point of patient contact—scheduling and eligibility verification, through closure—prescriptions and order management, our rules-based PMS manages patient encounter workflow and brings information richness to all intended users.

The real innovation of our Web technology lies in its online transaction functionality. Practices of all sizes benefit from Ingenix-CareTracker’s online insurance eligibility verification, order processing, and results delivery.
Using embedded coding software claim edits, claims are scrubbed thoroughly to ensure a clean transmission. The system’s “dashboard” then guides the front office, billing office and clinical staff of any corrections needed before the claim goes out.

Nightly EDI transmissions from HST ensure consistent cash flow. No longer do you need to have a staff member sending, retrieving, and interpreting EDI files and reports. It’s all done for you. Providers encounter significant challenges and risks in sending electronic claims to payors and face threats to their economic well being if the clearinghouse improperly translates the claim formats. Not with HST.

HST offers integrated claims reporting data, enabling the billing manager to monitor EDI transmissions, ensuring that claims were sent and received.

Workflow Satisfaction

Traditional practice management systems are reactive. Most report the critical information only after it becomes a problem. Reports must be manually generated to review key information such as missed appointments, changes in schedule and overdue recalls, track missing test results and open orders, A/R management such as unpaid claims adjustments, aged accounts, unbilled claims, missing encounters by comparing charges to actual services scheduled, and inactive claims.

Database changes to update the tables in the “client server” PMS depend on the staff correctly entering hundreds of ICD-9 and CPT changes each year. Additional databases critical to claims payment such as referral source UPINS, Zip Codes and NPI numbers also must be properly maintained.

HST and Ingenix-CareTracker solve both issues by providing a proactive dashboard that brings key information to the desktop of the staff, enabling them to take action on issues before they become problems. A common database with valid CPT, ICD-9 and HCPCS, and insurance codes is at the fingertips (or mouse-click) of physicians and data entry staff, proving a means for correct and accurate coding. A comprehensive rule-based scrubbing engine brings alerts to operators, giving them the support and information to make instant decisions before validating transactions.

Compatibility

In the past, electronic medical record (EMR), e-prescriptions, electronic charge capture, lab order systems and others were stand-alone applications. This left the practice manager to ponder how to integrate these systems to avoid duplication. Often, the integration involved costly programming, ongoing downloads and an internal IT staff to monitor the compatibility of the systems. For example, patient registration must be done in the practice management system. Once the practice has purchased an EMR, when the need arises to upgrade the PMS, patient insurance changes now have to be entered into both systems. This can lead to an accounts receivable nightmare if the information is not updated accurately. Not with Ingenix-CareTracker!