You’ve heard it too many times, you read about it every day, you interact with it, your co-workers, employees, everyone is talking about it in one form or the other, and consciously or otherwise, you are very much a part of it. The web 2.0 It’s big and growing.

The twitters, the Facebooks, the LinkedIns, the delicious, the flickrs, and an ever growing range of services that pop up online every single day. It is spreading like wildfire, and now it threatens to invade your safe havens, and come inside the firewall.

You like the Web 2.0 because you love the services, you love your interactions with it, it has made browsing, sharing, and connecting with your family and friends, very easy, and a lot of fun. But, the talk about bringing it within the firewall, all the talk about Enterprise 2.0 makes you uneasy.

web 2.0 is not just about personal profiles, blogging, instant messaging, poking, sharing photos, and videos. It is a set of standards, and practices for collaboration, sharing, design, and technology concepts. While bringing Web 2.0 to the Enterprise means using those standards and best practices, the design and technology concepts within the enterprise, to enhance it.

Web 2.0 = Culture Shift

For the upcoming generation of the newly or soon-to-be employed, Web 2.0 technologies provide an important new way of communicating and sharing information. Web 2.0 represents more than a change in technology, it is bringing a cultural shift in the way people work, collaborate and share knowledge. A premium is placed on transparency. The degree of transparency is controlled by the author ranging from complete free-flow of information to everyone, or moderated flow of information to a controlled group. A sense of community and collective contributions is a hallmark of the Web 2.0 world.

The cultural shift with Web 2.0 is adding a twist to a major generational changing of the guards underway in the workplace, as the OLD begins to retire. In their place, a new generation is coming into the workforce with different expectations and a Web 2.0 work style characterized by a strong sense of openness, group contributions and a blurring of the lines between the social and professional that runs counter to the traditional corporate model.

SharePoint as an Enterprise Web 2.0 Platform
sharepoint services Features and Benefits
• Provides out of the box collaboration features like blogs, wikis, discussions, project management, document libraries, lists etc., that are easy to use and allow information workers to share and manage contents.
• Advanced Document management capabilities with support of content types allows information workers to easily create documents, fill information and share them securely
• Can be a single platform for Intranet, Extranet and Internet with support for hosting to provide applications and software as service
• Supports collaboration both within the internal users, external users, and anonymous users of the Enterprise.
• Supports out of the box reporting dashboards, KPI web parts etc. that can be used to build mash ups and integration with backend systems.

There’s no question companies can benefit from Web 2.0 technology. And organizations can use the technology to offer dynamic new ways to improve knowledge sharing and collaboration, and make people more productive in their work lives.

If companies can strike the right balance with Enterprise 2.0, the possibilities are enormous. But the time to plan for and begin to use these new technologies is now. Web 2.0 is here and it will find its way into your organization one way or the other. The opportunity to harness the power of Web 2.0 shouldn’t be missed.

But just having that is not sufficient, the use of the right kind of technology platform is of utmost importance, and that is why we think, SharePoint is a great platform for building robust and flexible self service and social applications that are extensible and secure, and it provides the tools to leverage Web 2.0, within the Enterprise, in a holistic fashion to empower business users, and help organizations become more agile, efficient and productive, all in a seamless, integrated and secure fashion.

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In the recent years, due to the increasing popularity and user demand of Microsoft messaging and collaboration environments like Microsoft Outlook, Microsoft Exchange, Microsoft SharePoint and Microsoft active directory; companies are looking into migrating their messaging and application infrastructure from other platforms, like Lotus Notes to the Microsoft Messaging and Collaboration environment.

sharepoint solutions and .Net provide key integration benefits with Exchange, Active Directory, Outlook, and Microsoft Office “out of the box” allowing the development of better collaborative business applications while being standardized on a Web based architecture and having a relational databases as the data store for reporting, scalability and disaster recovery. SharePoint and .Net applications can also integrate both structured content from enterprise applications and unstructured content from intranets, file folders, etc. due to the many utilities provided with the development environments. Also, given the large Microsoft developer community; extensive online support and the ease of rapid application development in the .Net environment it is easier for Lotus Notes based development groups to translate their skills into a Microsoft based environment.

Since sharepoint solutions and .Net are web based environments they provide many benefits in being able to centralize administration and management while reducing client based administration. Also, given that they have robust integration frameworks and methodologies, organizations can extend their ERP, MRP, Supply Chain and CRM platforms by providing easy access and integrations from those platforms into the SharePoint Portal and .Net environment.

Given that the goal of any migration is to reduce disruption to the business and the users of the systems, it is critical to come up with standards and best practices to make the adoption of the new platform easy in the end user community and reduce support requests after the migration. The following are some of the standards and best practice areas –

1. User Experience –
• To facilitate the transition of business users from the Notes platform to the Microsoft platform, it is necessary to keep the essence of the user experience and the navigation scheme to be similar to the one the designed in Notes.
• Any changes in the UI elements [for example differences in the behavior of multi-select boxes between Notes and SharePoint/.Net environments] should be done in a standardized format.
• A guide for UI changes should be developed to highlight the differences in the navigation in the converted applications.

2. Database Design –
• Given that the databases in Lotus Notes are non-relational while SQL Server is a relational database certain standardization is required during the conversion –

• Standardization of Unique identifiers for entities within the database and mapping scheme from the Lotus Notes ID scheme to the entity ID scheme in the relational database.
• Parsing attachments from rich text fields to be stored in separate relational tables with BLOBs.
• Transforming multi-values from a single string to a set of entries in a relational table
• Analyzing and converting relationships from hierarchical to relational

3. Development –
• Forms – Forms and sub-forms in Lotus Notes can be translated into ASP.Net forms, SharePoint lists, or InfoPath forms dependent on the complexity of the forms/database. The more complex forms should either be targeted for ASP.Net or InfoPath while the simpler forms can be targeted for the SharePoint environment.
• Validations – Complex logic based validations can be achieved using VBScripts in .Net forms or InfoPath forms while simple validations can be achieved in SharePoint without any code.
• Lookup data – Single level lookups are easily possible in SharePoint while multi-level dependent lookups can be accomplished in either InfoPath or ASP.Net
• Application Security – A common framework for application security should be developed so that both authorization of roles based security can be handled within all of the converted .Net applications.

Converting Lotus Notes applications to the Microsoft environment can be a very systematic and manageable project. The project needs upfront planning and dedication of the right resources, tools, frameworks, and processes. The converted applications provide for greater standardization, accessibility through a web browser, greater scalability, along with the ability to do comprehensive reporting using standard commercial tools like SQL Reporting Services, Crystal reports among others. Additionally, the applications provide for integrations with Microsoft office, Microsoft Outlook & Exchange along with the integrations with the company Active Directory infrastructure leading to better sharing of information, collaboration and utilization of the resources within the organization.

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A medical claims billing service can improve the efficiency of your billing system, reduce denials, cut down operating costs, boost reimbursements and save valuable time that can be devoted to patient care. These services are better equipped to adapt to continuously changing billing codes and industry requirements.

But can a medical billing service deliver the promised results? Yes, it can. However, to find the right medical billing service for your practice you will need to undertake a comprehensive evaluation, one that transcends the regular performance track record metrics. The following five criteria will enable you to identify real expertise from market hype and find a reliable, long-term medical billing partner:

1. Quality of resources assigned to your account

The best criteria for selecting a medical billing service provider is evaluation of the number of employees assigned to the account, and their expertise. Before hiring a service provider, consider the following aspects:

* Number of employees who will support the account and their credentials.

* Length of experience of the employees.

* Experience in practices specialty. Many agents specialize in collecting a specific type of claim, such as nephrology, chemotherapy, radiology, cardiology, or vision care.

2. Commitment to regulatory compliance

As a medical practitioner, you are directly responsible for complying with legal regulations, whether or not you outsource collections to a medical billing service. For example if a billing service changes codes to increase collections, you will be held responsible for any regulatory incompliance.

To assess how well medical billing service providers’ follow regulations, ask them to give you a list of compliance policies and procedures used by their staff. Also, inquire about the training and methods that providers’ use to inform their staff about current state and federal rules, regulations and guidelines.

3. Dedication to maintain customer service standards

A medical billing service, which interacts directly with your patients, has a significant impact on the reputation of your practice and customer satisfaction. Therefore, the service should meet your customer service standards and project the right image of your practice on patients. A professional medical billing service will always have published customer service guidelines for its staff to follow and will review these guidelines with you before attending to your patients.

4. Performance and Accountability Metrics tracking and reporting

When you outsource billing responsibilities to a medical billing service, you should have comprehensive performance metrics to evaluate their performance. Ask potential providers about their standard performance benchmarks and productivity measures, and whether they regularly review employee performance. Professional medical billing services maintain their accountability by regular updates on performance and progress through monthly overview reports and account receivable reports. Additional reports must be made available to you when using a software-based or web-based billing service. Reports must be clear, easy to read and sort for different types of information. Get sample reports from service providers to determine if they meet your requirements.

5. Use of IT resources and billing software

Ask the medical billing service provider about the medical billing software and other technology resources. Evaluate their security features and ease of use. Additionally, if the service provider owns the medical billing software, ask about the frequency of updates.

Several medical billing services have now moved towards electronic claims submission. In this case, you must assess their technology solutions and automated systems, their security and how often the systems are updated to keep pace with industry changes.

Assess potential medical billing service providers on the above-mentioned criteria to identify the right medical billing partner for your practice and reap the rewards.

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