10.9

New Features / Refinements

New major module released: ICD-10 HIPAA EDI billing format 5010 support

The ICD-10 and EDI billing format 5010 is tested including changing the diagnosis code to 6 digits, expanding the length of the patient name field, and about 50 other less significant changes to the EDI billing format.  Testing with BCBS-edi starts first quarter 2010.

Web Viewer for Electronic Medical Records

View the your EMR from anywhere through the web, iphone or netbook.

 

Scan-Shell insurance card scanner   

This new scanner allows scanning of both sides of the insurance card with a single swipe of the card.

 

10.8     

 

Demographics:

 

Multiple Credit Cards card be scanned/managed.

 

A New command “CF” prints a series of merged patient documents for surgical consent forms, pre surgical orders and post surgical discharge instructions.

These documents must be setup in a table in a profile based on the type of surgical procedure being preformed.

 

 

 

Ø      A popup list of recently accessed Patients can be listed by pressing the

 <Down Arrow> in patient Name/ID fields. This holds the last 50 patients accessed in chronological order.

 

Ø      A1, A2 & A3 commands for new color block scheduler – see scheduler below

 

Ø      RX command for shortcut to Script Writer.

 

Ø      Support for multiple Dymo label printers with different size labels from the same workstation.

 

Ø      Outgoing lab log has mini result reporting capability and tracking capability. 

Ø      Ex: INR results.

 

Billing:

 

Ø      New secondary claim types are now billable through BCBS-edi

 

Ø      Sending claims to a clearing house called INFINEDI is now supported.

 

Ø      New secondary insurance claim report which runs after posting payment, deductible or co-pay transactions.  “SECONDARY.rpt” Located on Automated Billing Menu.

 

Ø      Sorted billing options #8 > #3 enhanced for EDI-rebilling secondary claims.

Ø      Sorted billing prompts to print secondary EOB’s after printing forms

 

Ø      Ability to handle assigned resident with a rotating Supervising physician

 

Ability to auto post by a single check number or 835 ERA file with multiple checks

Ø      Auto post balance report includes secondary insurance name column

 

Ø      EDI Claim Transmission report prints log of all EDI claim transmission receipt numbers and amounts. Located on the Telecommunications Menu.

 

Ø      Reports:

Ø      Explain field in provider information now displayed in header of all Physician sorted reports in order to better explain the use of alternate Dr Numbers ex: Hospital

 

Ø      Procedure Query Report now can query up to 30 individual procedures or use a revenue center code to pull a group of procedures.

 

Ø      3060/90 aging reports excel version much improved.

 

 

Scheduling:

New Color Block scheduler – Allows contiguous blocks

 

 

 

Schedule slots now have 15 color choices.

 

EMR

Integration with Vista Voice recognition through dictation icon on lower toolbar.

 

Simpler version of laboratory interface available that does not require the full Pathology reporting system to be used. Loads HL7 files from Quest, Corning, Beaumont, any private lab directly into the EMR “PLAB” template.

 

Shorthand trigger key can selected to expand a shorthand or macro.

 

Seamless integration with the Sure-scripts e-prescribing network –Transfers patient demographics and synchronizes Rx history instantly with the Sure-Scripts web site.

There is a monthly charge from sure-scripts for this service in 2010.

 

Numerous other enhancements not listed  - ask if you request was included.

officemedicine@comcast.net

 

 

1.      The Claim number can now be universally entered using a single step from any “PATIENT ID” field, including the ledger, patient demographics, appointments, etc.

Enter the “@” followed by the claim number in a single step.

example: ENTER PATIENT NAME/ID: “@12354” <Enter>

 

2.   Legacy numbers for individual carriers can be toggled on/off by use of the HCFA_FLAGS field ( Field #29) in the Carrier Library.  Add the letter “I” to Include legacy numbers in this field and the legacy numbers will be included on both hardcopy and EDI claims.

1. Auto-Eligibility lookups are possible directly from Patient Information by use of the “runner” icon.
2. Durable Medical Equipment billing is now supported.
3. The third and fourth pricing modifiers are now prompted and stored permanently.
4. Sales Tax for OTC items is supported simultaneously with medical procedures. 

By placing a “%” character in the “FLAGS” field of the procedure dictionary, sales tax is automatically

Calculated for the state where the Site job is located.

This will add the procedure code “STAX” with the sales tax amount automatically.

A report can be run with “STAX” for sales tax reporting purposes.

5. Inventory module is completed and being tested for Dermatology and Optical.
6. The “NEXT” auto-assigned carrier from Line Item Posting will now auto assign two carriers with the same carrier code correctly ( Example: 2 policies with BCBS )
7. A new electronic billing command “BP” ( Bill Primary ) is available from HIPPA Telecom Billing and HCFA 1500 Hardcopy.  This command bills only the Primary Carrier ( Example: Medicare) and will not report the secondary carrier on the claim.  This is helpful in cases where Medicare denies payment based on the unknown status of the supplemental coverage being reported by the patient.
8. The email address of the patient, guarantor and subscriber are new fields in Patient Demographics and emailing can be done through Outlook.
9. The email address and website is now available for Insurance carriers.
10. “CT” Command ( Billing History ) from Line Item Posting Action Line was improved.
11. Default Function keys:

F5 – Main Page

F6 – Scheduler

F7 – Ledger

F8 – Line Item Posting

F9 - Problem List

F10 – Permanent Meds

F11 – Recall

F12 - Roledex

This allows a single keystroke to move between demographic screens.

12. New merge code FULLSSNO can be used to remove the protective “mask” and display the entire SS#.
13. On demand Router Forms will prompt for the correct appointment when a patient has multiple appointments for the day.
14. Aetna and Health-Point check posting is now available with 835 ERA Auto Posting.
15. A Cancel Auto-Receive button has been added to the Auto-Receive Responses program.
16. Patient Statement listing now contains the date of the last patient payment and the payment amount.
17. Changing of the Address-2 field also automatically prompts for the Subscriber/Guarantor/Family Address Update.
18. Rx writer II now contains a checkbox for Pharmacy Called & DAW for each Rx.
19. Rx Writer can go directly through “efax” electronic fax service w/o a fax machine.
20. Rx writer now has a “Flow Chart, Current Meds and History reports by use of the “Reports” icon.
21. Appointment System – Starting Date Field:

You can also now type M=months, W=weeks, or just the number of days.
3M - This would be 3 months ahead, 6M = six months, etc.
8W - These would be 8 weeks ahead, 4W = 4 weeks, etc.
90 - This would be 90 days ahead.

 

 

Three methods are available:

1. Type “NPI” from the Main Menu – The NPI search screen will appear.
2. Type “NPI” from the command line of  EDI or Hardcopy Claims.

This function checks the NPI and also allows an NPI search.

The Referring Provider Table allows for NPI searching – see below.

       3. Type NPI2 from the Main Menu – This is for searching facilities or labs.

 

1. Hardcopy Claims 

1. Now has the “PT” command from the command line. This allows direct access to Patient Information from Hardcopy Claims.
2. Added the “INS” command from the command line. This allows access of the insurance dictionary from Hardcopy Claims. (If you have the proper Operator level).
3. Automated Billing and Line Item posting now all contain the above commands.

 

2. Ledger Workbench now explains each field when the field is selected with the mouse/pointer.

a.      The “L2” ( Ledger View II ) now explains diagnosis codes when selected with the mouse/pointer.

3. New detailed Excel based reports for these programs:

a.      Aged 30/60/90

b.      Delinquent Patient List

c.      Financial Report

d.      Single Procedure List.

e.      Collection List.

     You must have excel loaded on the workstation and select “Send to Excel” when selecting the printer.

 

4. Patient Information:

Printing the Hardcopy Screen through the “HRDCY” button, now also includes the changes made just prior to printing, and this screen also includes the patient’s age. – Needed Document: ROUTEH

 

5. Batch Recall now has Word Labels Options.

a.      Enter a document type of “LABELS”

b.      Select “Send to Word” when selecting the printer.

 

6. Patient Report Generator now has a “Word Labels” Option.

a.      Select “Send to Word” as the printer

b.      Select “M” for Mailing Labels.

 

7. New Merge Code added RFM ( Referral Middle Initial )

a.      [SOC_SEC] has the first 5 digits hidden or “masked”

b.      [SOC_SEC2] contains the full SS#

 

Adding the next family member or Dependent:

Startinf from the Patient Information Screen:

1. Enter the account number of the family with an asterisk as the last digit of the account number:

Examples:

000010 enter as 1*

000540 enter as 54*

414870 enter as 41487*

 

2. A list of all the accounts in the family will display.

 

3. Click on the "ADD" icon, or enter the letter "A"  or  a plus sign "+" or  an asterisk "*"

    (what ever is more convenient for the operator for typing purposes)

 

4. The "SYSTEM" will select the next highest family account and prompt about adding the account.    Click "Yes" or enter "Y"

 

 

5. Enter the Name, DOB and Sex.

 

6. Use the "#" in the SOCSEC field to copy the remainder of the demographics.

( Entering a “#” as the Social Security Number will copy the remainder of the demographics from the first family account.)

 

Prior Auth Numbers are now expanded to 25 digits.

Prior Auth numbers now automatically transfer from the “P.A” notation in Patient Demographics to Charge Entry.

 

Transactions on the Ledger can be assigned a Color.

Transaction Dictionary – Field#26 TX_COLOR:

1=Blue

2=Red

3=Magenta

4=Green

5=Cyan

6=Yellow

7=White

8=Grey

 

 

1. BCBS EDI of MICHIGAN
1. BCN claim format updated for new Blue Shield PIN number
2. Commercial Claims no longer attach the Type of Service in PM4
3. DME now handles Non-DME mixed claims
4. ERA posting handles bundled procedure reductions
5. ERA posting handles new BCBS contract changeover matches
6. ERA posting prints EOBs for the next insurance in batch.
7. Secondary Claim submission for Medicare/BCBS correction to partial deductible claim.
8. TCMENU change – Add Medicare RR, Delete old UBPC format

 

2. Single Procedure List has a Procedure Name option on detail lines.

 

3. Patient Information now has a “Rebill Policy” button for batch rebilling insurance policy changes. This prompt is automatically triggered when an insurance company code is changed from one company to another.  Rebilling has two options: (Y)es for rebilling all open items with the respective policy, or (I)nteractive which allows a picking any date of service.

 

4. Patient Information Insurance window – Once a policy is opened ( The policy window for an insurance is displayed page keys will go forward and backwards through all the policies without closing and reselecting another policy.

 

5. Charge Entry now retains the ONSET date when the FORM OPTIONS command is selected also.

 

6. Line Item posting has Default Amount calculations for NON-EOB types of posting.

 

7. Manually entered charge amounts exceeding $1,000.00 are double verified.

 

8. Transcription Database – Transcription type of Word Based Electronic Chart released – No Charge.

 

9. Script Writer has “Fax” button added to front panel instead of inside the printer window.

 

10. New Roledex pharmacy program released.

 

11. Reminder call system now reports on Answering Machine calls vs Human Answered calls.

 

12. Patient Birthday Labels now have print through Word Labels option.

 

13. Patient Information can be accessed from Hardcopy Claims or Automated billing screens.

 

14. Nurse level visit copay supported in addition to regular visit copay.

 

15. MCIR updated to current level.