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VHN 11.3 Release Notes - Southwest Georgia Public Health

1. qapay 44 and Hearn eiii ies ose Ioue Doe Ho 45 TE M diIC3II01ISu k uuu T LITT 45 Tiimesang 45 47 elTe 3 S ERREUR 47 WN OLK HOWO ae al 47 HU 49 BINO TACO ONS T E 49 Release 11 3Notes PR OU u tie tinted T 56 z 62 qc 66 Breast and Cervical Program Enrollment 66 mula rame t Ee 67 FOM GIANG 68 eu 68 OTT CO ent ep OM na dara 69 Westchester New uu 69 Wife T 69 oystem 71 New Tables and GOGGS siii cni I e OO 71 7 E Chakulig 74 meg cree kaku ataban kaku aku tatu aan 76 CON te Eo ud 79 7 D 79 IMMUPIZ ATION InterfaGe 79 SUPANCC
2. iska 82 New Tables and Permissions 83 Piling HOFA FOMO uu TT TIE 84 Program Intobtriatlori SM 85 SY Siem SCC SM uu ux 85 WOK OW mr 88 Fe MUN Ue OA MR RU IR M RI RM RI RE EE ed 91 Non Clinical Alerts 1 Automatic alert insert from Health Education Class Enrollment 1 Enroll the patient in a class 2 Alert inserts automatically 1 Date and time 2 Beginning Date date enrollment is completed 3 Ending Date date of the class 3 For classes with multiple sessions an alert is inserted for each session 4 Access Classes from the Scheduler menu Select the class Update Enter the patient number Message displays to enroll patient for all the classes Click OK Patient enrolled in all sessions of the class Alerts insert Authorization 1 Change in header to the Authorization 1 added Health Department Name and Address Billing 1 Able to Query by the Billing Provider 1 Access the Billing Encounter screen 2 Query and select the provider from the drop down 3 Use Next option to see encounters using that provider code 2 Billing Statements address 1 Affects all of the following 1 Patient 2 Contractor 3 Transaction list 2 Can use one of the below to print on the statement 1 Mailing address 2 Physical address of clinic
3. s Prints HCFA s and Generates Billing Report Beginning Date For HCFA 06012013 Ending Date For HCFA Enter Ending Insurance Code Default lt 777 gt Enter Beginning Program Code Default lt 00 gt Enter Ending Program Code Default lt 77 gt R Error report only and Print HCFAs Default lt B gt Printer for HCFA Forms BE Select B for Billing FEST COUNTY HEALTH CENTER List Items that Billed with Total Amount HCFA 1500 Billing Run for Jan 21 2014 For Insurance Codes 0000 2222 Between 06 01 2013 09 30 2013 Patient Patient Name Insured s Record Encounter Date of Prog Service CPT Amount Insurance ID No No Service Code Code Code Billed Code 1289 RICHARDSON WALTER D AAS4567W 87095 11698362 09 17 2013 32 SKIL 0551 153 00 HPM 1289 RICHARDSON WALTER D AA34567W 87166 11698378 09 19 2013 32 SKIL 0551 185 00 HPM TOTAL HCFA AMOUNT FOR THIS BILLING DATE 338 00 3 CMS Report 1 New Reinstated Client Report 1 List new patients and patients that have been reinstated during a specific time frame 2 Added to Management Reports 2 1 Select New Reinstated Client Report 2 Enter the beginning and ending date for the report 3 Report list patients newly enrolled or reinstated during the selected time frame 64 Specific States 4 Billables 1 Added functionality to report Medicaid information for Georgia 2 Reports 1 Charges 2 Amounts paid 3 Current amounts due 4 Reports b
4. M La La la ba bo Go fo En Go Go Go Go Oo fo En v Lu Er bs Cn ir in ig to bo lo 4o ky e y 0 c Uy y 5 Un n i E k kE kE k ba ba ba ba ba ba ba ba C3 Ti oo cC Cn 5 iu lo lo bo wo lo d ok da ab abo CQ re rs rx Ta Hj Ed Ej ey 7 0m UR iy Oy bh ta Oy by CHALKIAS CHALKIAS CHALKIAS CHALKIAS CHALKIAS CHALKIAS CHALKIAS CHALKIAS in Lj So un c i in ip cm C ib ey hy Dy id teo 1 Cr bo m Qm 06 ium ANTRONY ANTRONY ANTRONY NTRONY ANTRONY ANTRONY ANTRONY ANTHONY ANTHONY ANTHONY ANTRONY ANTRONY ANTRONY ANTHONY fa Ha ba Es y 3 GG ba Es ba ba ba kus Total for Provider Lu k Ha 7 ka P E E e lj ig lj bj laj Lu ka d e La Lu Lu ia 4 d
5. Review This E Chart female Physical Exam 1 _ Head Neck Throat Ears Eyes Hegft I System Review Describe all VES answers Completed and Locked Head Neck examined If not assessed note reason Female Physical Exam Head Neck examined 2 E chart print out Printout for e charts now contains on each page 1 Patient s name 2 Patient s number 3 Date printed 26 Specific States Page number Total number of pages Attribution of each item pulled forward and person response attributed to oF IS See System Administration Notes for Long Descriptions and Insert into Encounter Note 3 Long Descriptions 1 Ability to have long text descriptions linked to e chart responses 2 Descriptions are for all users Not unique to any one user 3 Display 1 Short description Code displays on actual e charting screen 2 Long description linked to code displays on any printout and on encounter screen 4 Linked to the following question types 1 Radio buttons 2 Checklists 3 Lookups General Assessment Head Weck Throat Ears Eyes Heart Lungs Breast ct skif Long Description Attached Review Describe all VES inswers Short Response Was 2 Long Description Attached to Yes Yes WNL System Re Des
6. 11 2013 thru Dec 31 Center 01 thri Program 01 thru Sorted by Provider in Error sorted by Provider Patient Enc Number Pat Ctr Servdate Prog Error MARY CHALKIAS ANTHONY CHALRKIAS ANTHONY CHALKIAS ANTHONY CRALKIAS ANTHONY CHALRIAS ANTHONY CHALKIAS ANTHONY NTRONY CHALRIAS ANTHONY 7 Las B LE FE E No Diagnosis Specified Billing record does not exist No Diagnosis Specified No Diagnosis Specified Billing record does not exist Biliing record does not exist No Diagnosis Specified Biliing record does not E l in i 3 hs bs Da Pa 380246 380246 380246 380246 380246 280246 280246 RES bu bw bg Bg Ea Fo Bo Es bg us a 3 7 he E 0m 2 vo My C 7 n FG ip Ch FB EB PF sl M Ch uw m e gt oU E fab Kuas 5 1 1 1 1 1 1 I I E Ry cC E a E Val Ha Ha La Gry E e Th Total for Provid r 829 AQJ hai S hy 1 in ub ee in Eri c oj ANTRONY ANTHONY ha 7 7 yog C oF c bh
7. 5 System Administration Notes for address information Release 11 3Notes 3 Billing 6 Output Access the Billing screen Choose Output from the menu Select option Enter needed dates Messages in new format 1 Include zero charges 2 Include confidential services 3 Responses are Yes or No Form prints 4 HCFA Forms 1 2 3 4 s Applies to both HCFA and the MDCR HCFA Address in Block 33 controlled by check box in maintenance tables Allows 3 options for the billing address payer LHD decides on the options to use 1 Billing address 2 Center Address 3 Pay to Address Selection applies to Batch as well as individual HCFA 5 System Administrators Notes for Set up 5 Denial Codes used for non electronic remittances 1 When posting payments manually can add up to 3 denial codes 2 Allows users to enter denial codes at time of posting 2 From the Billing menu choose view post 1 Click Post Payment 2 Select the line to be posted 1 Use the payment code for the service that was not paid This will vary 2 Enter the Payment Amount of 0 00 3 Inserts into the correct remittance file based on the Payment Type 1 03 into Medicaid Remittance file 2 04 into Insurance Remittance file 3 05 into Medicare Remittance file 3 New fields added to the screen to enter the Denial Codes for this service Specific States 1 Enter up to 3 codes 2 Codes pull from the error file in the Maintenance Tables
8. Full charge Any amount due remaining Payment type Amount written off Specific States Totals the amount written off for this patient 1 Access the billing screen 2 Select the mode patient or guarantor 3 Select Output Write offs 4 List prints 7 Confidential billing New field added to billing records 1 Allows LHD to control the confidentiality of individual billing records 1 Applies to transactions for all payment types 03 Medicaid 04 Commercial Insurance and 05 Medicare 2 Confidentiality applies to the individual insurance 1 Each insurance in a payment type can be different 2 Can be changed as needed in the billing screen 3 Works with the Central Registry OK to Contact 1 option 3 Completed when the bill is generate 4 Release install will set the flag to N No for both options 2 Options 1 Omit Confidential Patients from Billing Generation Y 1 Patient is OK to Contact No 1 2 3 4 Flag set for Insurance type ABC to Omit Confidential Patient from Billing Generation Billing records insert with Confidential Y yes Billing records display in Red on the Billing screen Record does not insert into the billing file generation for insurance ABC 2 Patient s with OK to Contact Yes will bill as before 2 Omit Confidential Encounters from Billing Generation Y 1 Patient is OK to Contact Yes 1 2 Flag set for Insurance type ABC to Omit Confidential Enco
9. Signed e charts 1 User that created and or signed the e chart can void with or without the permission flag set select the e chart to be voided Note User s signature Click Void Verify that the record is to be voided Enter login and password In this case same user that signed 6 Displays message that record is voided Record removed from the e chart summary list 2 User that did Not create or sign an e chart must have permission flag set in the Provider table to Y to void any e chart select the e chart to be voided Note User s signature Click Void Verify that the record is to be voided Enter login and password Pas eet gt N see System Administration Notes to set the flag 2 Accessing E charts from an encounter 1 New message to allow user to review or create a new e chart for the same type and same day if 1 E chart set up allows more than one version per day 2 Original e chart must be signed 3 Affects e charts created from the tool bar icon or the workflow 2 Create an e chart and sign 1 Select the signed e chart from the workflow Check mark is green 2 Message displays to Review Existing e chart or Create a New e chart 25 Release 11 3Notes select review takes user to the signed e chart 2 Select create a new takes user to add new e chart of this type if another one is allowed to be entered for the same day of service Program Details lu Female Physical Exam
10. inventory 2 Example immunizations given or queries done when GHITS is not receiving transmissions 4 Enter the date range to monitor Defaults to today s date 5 run for a single county or district wide 1 County defaults to the county database where the user is logged in 2 district wide if in the district database 6 Refresh Click to update counts if monitoring in real time 4 Registry Transmission Reports 1 Run using multiple parameters 1 Enter the date range 80 System Administration 2 S number of transactions sent 3 number of errors 4 M number of items missing Immunization _ Suspend UNsuspend 2 Runs per center a 3 Report runs Immunization Registry Reports Select Type of Report to Beginning Transaction Date Run Ending Transaction Date 5 for Sent Report E for Errors M for Missing o be added to a menu Include the menu to attach the item Create Incident ko Password will be set up when added to a menu 81 Release 11 3Notes Insurance Table 1 New fields to handle confidential patients and encounters 1 Must be set for each insurance code 1 If not checked then defaults to N 2 Controls the confidentiality of each billing record in the patient s Billing Screen 2 Options 1 Omit Confidential Patients from Billing Generation 1 If checked Y then billing for confidential patients is not included in the generation of the billing fi
11. 2 Annual exam date pulls forward from a previous encounter 3 Both fields can be changed as needed 4 Access the Program Details form the Workflow 1 Add 2 Date pull forward after the Add is clicked 2 Family Planning Transmission Date 1 Added ability to Unflag individual Family Planning Visit forms famplan P Ie D Query the Family Planning form Make any corrections needed View to page 4 Date for Transmission inserted by system when the Visit File is transmitted Click the Unflag button Date is removed 6 Release 11 3Notes Pap Form Change 1 State issued Pap Form change 1 Form now prints multiple race codes 1 Client Race indicated as O ther on Patient screen 2 Displays multiple race choices 3 Click on the race codes that apply service Slip Georgia Only 1 Medicaid type will print on the service slip 1 Must be entered in the 3Pinsurance screen under type 2 Prints in parentheses next to the Medicaid indication 3 Prints for 1 MPW 2 Planning 4 Health Babies 3 Peachcare 4 SSI Medicaid Idaho Only 1 Depo Injection Fee 1 Added reminder to the dispensing screen 1 When administering Depo warning displays if the injection fee has not been selected from Procedures Warning displays when user tries to OK the screen Click OK on the Warning Message to save the record Does not prevent completion of the Dispensing Screen Return to the encounter and select the Injection
12. 2 dose 1 record s successfully sent Pat No 3421 Jones Macy Deduct 1 0 x 0 5ml Lot G54898 Pub Prevnar 13 1 record s successfully sent 8 record s successfully sent for 5 patients 8 record s successfully sent for 5 patients 62 Specific States 2 HCFA Batch Error Report 1 2 Print 5 Added the ability to select just the error Report R or the Billing and Error report B Option allows to run error report prior to running the batch 1 No insert into the billing records 2 Error Report only prints select Billing 1 HCHA s print 2 Listing of what was billed prints No change to process for billing individual HCFA s from the billing screen Beginning Date For HCFA Ending Date For HCFA 09302013 Enter Beginning Insurance Code Default lt 0000 gt 0000 Enter Ending Insurance Code Default lt 72277 gt fife Enter Beginning Program Code Default lt 00 gt 00 R Error report only and Print HCFAs Default lt B gt Enter Ending Program Code Default lt 77 gt 22 R Printer for HCFA Forms Error Printer New Select Parameter for Error Repart Only Error List for HCFA 1500 Printed 01 21 14 Between 06 01 2013 09 30 2013 For Insurance Codes 0000 2222 Error Description Enc Service No Matching Diagnosis Code 11698154 No Matching Diagnosis Code 11698286 Correct These Errors Before Rerun Items that Did Not Bill 63 Release 11 3Notes Print
13. Descrip tion Order Date Ordered By BENIGN HYPERTENSION 401 1 ADALAT CC 60 MG ADALAT CC 60 MG TABLET CERVICITIS 616 0 AZITHROMYCIN 1 w AZITHROMYCIN 1 GM PWD PACKET 02 13 2014 62 CONTRACEPTIVE MANGMT NOS 25 9 DEPO PROVERA DEPO PROVERA 150 MG ML VIAL 02 13 2014 MOG2 These Items Insert from the Medication Recommendations Screen Choose How the Order is to be Completed 1QD TAKE 1 TABLET CAPSULE BY MOUTH D 0 STAT STAT User Completes this Portion of the Screen Completed Orders ADALAT 60 MG TABLET n2 13 2014 30 0 1 ign TAKE 1 TABLET CAPSULE MOUTH D AZITHROMYCIN 10M PWD PACKET 02 13 7014 1 04 STAT STAT DEPO PROVERA 150 MG ML VIAL 02 13 2014 1 00 5 DEPO DEPO INJECTION 42 Specific States Medication Screen Change to the Output Print of the screen Stop Date changed to indicate Stopped or Expired 2 Change to avoid confusion of why medication was stopped 3 Choose Output from the Medication List 2 Directions look up changes Functions when ordering medications and when doing Add to History 1 Allows expanded Directions field to allow users to enter detailed directions 2 Directions Sig search expanded to find all directions with the word anywhere in the directions In the drop down to use the smart zoom function the user can also type the word and it will find the directions with that word in it NOT JUST at the start of the line 3 List expanded to allow 200
14. Orders 25 Order Set 26 Order Sets Program 2 Outprocessing 28 Perinatal Summary 29 Print TB Cardex 30 Print TB Contact Worksheet NOD CH I QU Dore 88 System Administration 31 Print TB Intake Sheet 32 Print TB Risk Assessment Form 33 Prioritize Diagnosis 34 Process Claims 35 Produce Final Oasis 36 Progress Note 3 Referrals 38 Radiology Orders 39 Review Final Oasis 40 Review Lab Results 41 Review Orders 42 Review Task List 43 ROC Oasis 44 Ryan White 45 Scheduler 46 SHAPP Status 47 Health Assessment 48 TB DOT 49 Time and Activity Screen 50 Transportation EVS 51 WWW Link 52 X Ray Orders 53 X Rays 3 Workflow items that DO NOT require a Time and Activity code to be checked 1 lime and Activity code is optional 2 Time inserts into the Time and Activity screen if a code is assigned to the Workflow item 3 List 1 Vitals Entered for same date of service as encounter 2 Lab orders 3 Med orders 4 Meds reviewed 5 Echart Yellow check mark if started but not signed Green if signed OR locked by encounter closing 6 HIV counseling HIV screen record associated with encounter 7 Referral orders 8 Appointment orders 9 Immunizations Immunizations given or if none given immunizations reviewed 10 Allergies allergies documented or if none document allergies reviewed 11 3p insur added or updated insurance record 12 PPD if Skin test record linked to this encounter or has a read date
15. Primary Care Provider 1 Added field to display the patient s outside provider 2 Defaults from Patient Central Registry Referrals 1 Allows users to cycle through screen without having to cancel or OK 1 Make corrections 2 Complete fields that were missed during initial add 2 Access the referral screen 1 Add Update depending on if processing from an order 2 Tab through fields entering data 3 Atthe bottom of the page the cursor returns to the top of the screen to allow for corrections or further additions 44 Specific States School Based Vision and Hearing 1 Output button added to menu 1 Added to the Follow up screen menu 2 Available from both Vision and Hearing Follow up screens 3 Access the Follow up screen from the Vision or Hearing Screening 1 Click output 2 Prints Follow up form TB Medications 1 Change to the labels on the TB medication screens 1 Units label now reads Doses Visit 2 Changed for clarification Time and Activity Screen 1 New button added to Time and Activity Screen to allow for the filtering out of System Generated Time and Activity codes Details Show System Entries oystem Generated Entries Begin Program Client Patient Loc Miles Units Activity Time Code Type Inst ode Code P 390254 12 59 00 01 390212 1 Allows users to view System Generated Items 2 System adds each day automatically when a workflow item is checked Items inserted from Work
16. Used 1 Sorts by percentage of encounters it is used for 2 Check the box to select the medication 2 Click the tab with the Diagnosis to see all drugs recommended for this condition 1 Check the medication to order 2 Medication inserts into Selected Medications 3 shorten a long list of medications 1 Search function at bottom of the screen 2 Works as a zoom feature 3 Start typing the medication needed and the list will shorten 6 Selected Medications 1 Displays multiple medications at once 2 User can see all medications ordered at one time 3 Can remove and order another medication before completing the medication order 7 Click OK for Medication Orders screen to display List all of the selected medications Tab to the Quantity Prescribed field enter the amount here Enter the Number of Refills Enter the Direction Code to add the directions Select Fill Method 1 In house 2 Outside 3 E prescribe he ES 35 Release 11 3Notes 4 Function as before 6 Complete each medication ordered 8 Click OK for interactions to run 1 Drug Allergies 2 Drug Drug 3 Duplicate Therapy 4 Approve Disapprove Interaction Alerts FP Initial Workflow 6 Allergies Enter siai aT Female Physical an Encounter Info m Smoking Status Review Iw Review Lab Results Review Problem List Office Visit WA Procedured Select Order P Education Education Order Date Give Date ASP325 ASPIRIN 325 MG C
17. lid IM JM rM ES Lu La me la Lu i a 7 9 Lu 7 Bo hj b Ka C3 3 3 C3 C ns bl bl b b b b lo ta Lg ER Is m hy ha ha Bo h ha h jJ Fa La amp ooh oo Billing rec Diagnosi No Diagnosi No Diagnosis Specified No Diagnosis Specified Billing record i Billing record Billing record No Diagnosis Billing record not pecified does not No Diagnosis Specified No Diagnosis Specified exist exist exist exisat 99 Release 11 3Notes 9 Overdue Referrals 1 New option added to Referral Report 1 Shows all referrals due before a specific date 2 Includes Patient number Patient name Referral date Referral Source Staff person responsible Referred By 1 program then the program code 2 f from outside then the Facilities code for the organization 7 Referred to 1 Program code 2 Facilities code 8 Due Date 3 Run for 1 Inside referrals 2 Outside referrals Both in and out 2 Access from 1 Referral Screen 2 Reports 10 School Vision and Hearing Consolidated Report For anyone using School Based Vision and Hearing Module 1 Allows users to run a concise report as op
18. the screen oe ut 4 Reports 1 Parameter added to Time and Activity Reports to Include System Generated Items 1 To Include Enter YES at Include System Generated Entries 2 To Exclude Enter NO at Include System Generated Entries 46 Specific States TST Card 1 Additions to printing of TST results Card 1 Added the MM to the result 2 Now reads Positive Negative __MM 1 Enter TST results 2 Click menu option Card 3 Card form will print Vital Signs 1 Print feature 1 The print out for vitals sign realigned to make print out easier to read 2 Added BMI 3 Added Physical Activity Minutes Week Workflows 1 Encounter workflow indication 1 Allows user to view workflow used for a specific encounter 2 Workflow picked from the Choose Workflow list 1 Display with encounter 2 User leaves encounter and opens again 3 Opens with the workflow that has been used for the current encounter 47 Release 11 3Notes 2 Backdated Encounters 1 For items indicated as required to complete the encounter 1 The item will not check off 2 User will receive a warning that required items are not completed 2 Required items continue to check off for encounters for current date Attempted to Sign 1 NEW INITIAL VISIT 99204 Without Allergy Review Allergies Last reviewed by GRISCOM MARGARET on 03 05 2013 LA Allergies is a required workflow item However because this encounter is being backloaded you wil
19. 0 direction code entries 4 List no longer includes items that have been expired Move to the Sig Code field Accessed from 1 Medication History 2 Dispensing Screen 3 In house Outside Orders Enter a word amount found in the Directions Can not use special characters in search The Directions Codes that include that word amount will display If user uses the drop down button to do the search with a smart zoom it will also narrow down the list if the word is found anywhere in the directions Select the needed direction Direction inserts into the Direction field on the screen 43 Release 11 3Notes Patient Summary Screen 1 Alerts 1 Beginning and Ending dates added to display 1 Allows users to track items that need to be repeated 2 Items continue to display only during the date range 2 Authorize screen 1 Access to the authorization screen added to Patient Summary 1 Allows clinical staff to view Authorizations and Authorization Log 2 Allows clinical staff to add new authorizations for release of records 2 Click Authorization menu option b User s Manual for instructions regarding the Authorization Screen 3 Lab Results Display 1 Changes analyte descriptions now display instead of analyte codes 1 Has more meaning for end users 2 Some analyte codes are not representative of the actual result code see VHN Maintenance Manual re Lab Maintenance to create change analyte descriptions if needed 4
20. 1 Enter Update Address 2 Center Name and Address are used on the HCFA Check to Use Address in 84 System Administration Program Information Screen 1 Use Alerts This is used with case management module to display alerts for patients 2 Lab ID column added 1 Allows users to identify laboratories based on program and centers 1 Large laboratories use sub lab ids to identify areas where testing is completed for a specific type of program 2 May be linked to billing in the future 3 Access the Programs menu option on the Main Maintenance Menu 4 Column added to screen is Lab ID System Configuration Screen 1 Flag to hide the user name in the Record Created and Last Updated display 1 Flag controls visibility of the User Name fields only on page 3 of Central Registry 2 Date record created and last updated continues to display 3 Flag works for all centers and all programs 5 have flag set Indicate if Yes to hide fields or No for display to be unchanged Miscellaneous Data Miscellaneous Record created 10 25 2004 Record created 10 25 2004 By SCHIMP Last Updated 10 15 2013 Last Updated 10 15 2013 By maggie Flag Set to Yes Flag Set to No 2 Statement address field 1 Same address used on all statements and transaction printouts 1 Regular billing statements 2 Patient and Contractor Statements 3 Patient and Contractor Transaction lists 2 To use the mailing address 1 C
21. 14 1 5 25 9 Confidential Indicator Checked Se Self Pay Hs weu Last Ref Date Other 0 00 Tier Bill MMC 3 50 v 15 00 f Displays Only on Confidential Services 390290290 12 21 1999 2145 5411 CONFIDENTIAL Not 3909090902 Confidential 10 23 1999 214576127 Specific States Notifications 1 Change in the Copy To process 1 No longer defaults to person Sending the notification 2 Access Notifications 1 System continues to insert user logged in as the sender 2 Copy to is blank 3 User can add self to Copy To if desires a copy Central Registry Screens 1 New field added to Emergency Contact 1 Relationship drop down 5 System Administration notes for Valid Codes 2 Guarantor 1 The Guarantor screen now has an expiration date 2 Expiration Date entered the expiration date 1 In the Maintenance Screen under Guarantor 1 Contracted Agencies 2 Employers 3 Parent guardians that change responsibility 2 of the Central Registry Screens In Update or Add access the Guarantor Screen Enter the expiration date Complete the Eligibility Screen OK Responsible Party is blank Update to enter a new Responsible Party if needed 3 Expired Guarantors 1 Not available for creating encounters service slip 2 Will generate billing records for service 3 Removed from the Guarantor drop down list gt G O 3 Relative Informatio
22. 16 07 0000 NExT AVAILABLE PROVIDER ANYTEST COUNTY HEALTH DEPARTMENT Contact info 2165 W PARK PLACE STONE MOUNTAIN ID 30087 1234 Tel 770 465 1511 able of Contents Items Included in the Immunizations Medications Prescription and Non Prescription Summary Allergies Labs Conditions or Problems Immunizations Results of View Option No Known Immunizations Medications Prescription and Non Prescription No Known Medications Allergies No Known Allergies Labs No Known Results Conditions or Problems e 10 14 2013 ROUTINE MEDICAL EXAM V70 0 Active e 10 14 2013 CHRONIC CLUSTER HEADACHE 339 02 Active e 10 14 2013 MIXED HYPERLIPIDEMIA 272 2 Active 94 System Administration 2 Click Download to save a copy of the record to their computer 1 File information displays at bottom of window Patient Portal Records Choose the patient Last Name First Name Click Download ta View Current File Current files Click File to Save to Computer 2 Right Click the file information to display the download to save 95 Release 11 3Notes _ Select Method Desired Download Open link in new tab Open link in new window pen link in incognito window Save link as Current files Copy link address Inspect elernent CCD TESTING 525064 xm File Downloaded Current files m CCD TESTING 525064 xml 3 File is in XML fo
23. 3 User with appropriate permission can add codes at the time of posting 1 Enter the code 2 Screen displays to allow user to enter code and description 3 Add 1 Insurance Code 2 Code 3 Description of error 4 OK to save new code in the appropriate Error table 4 Updates the Billing History screen 1 Record in the Billing History has to match the record in the Billing screen 2 System inserts the Amount Paid and the Remit Status 3 Click on the BillingHist button to see the billing history Select the Code From the List DIAGNOSIS INCONSISTENT WITH PATIENT S GENDER Click to View the Code PAYMENT MADE TO PATIENT INSURED List ANTICIPATED PAYMENT UPON COMPLETION OF SERVICES MAJOR MEDICAL ADJUSTMENT PROVIDER PROMOTIONAL DISCOUNT MANAGED CARE WITHHOLDING TAX WITHHOLDING PATIENT PAYMENT OPTION ELECTION HOT IH EFFECT Release 11 3Notes Disallowed Amount Do Not Bill Payment Amount Next Payor Enter Denial Infomation if Denial code s 10 HALKIAS DOB 01 21 2000 WELL S MEDICAID ERROR MAINTENANCE Screen Displays 3 Insurance Code Error Code Enter New Code Description MEDICAID ERROR MAINTENANCE Insurance Code WELL Add Insurance Error Code 300 Description Description PATIENT NOT ALLOWED Enter Dental Infomation if A New Cade 6 Write offs Lists write offs per patient or guarantor 1 XOT moo I Service date Service code CPT Code
24. 5 4 Problem List with ICd 10 and SNOMED Concepts First step toward conversion to ICD 10 and SNOMED for Problem List Flag created to turn the SNOMED feature on in the Problem List Flag set to Y users will see ICD 9 and SNOMED as part of Problem List Flag set to N users will continue to see Problem List in current format Flag will be set to No when release installed and turned on when activated by Mitchell and McCormick gt N 8 Release 11 3Notes Workflow 1 Workflow Items 1 Workflow items divided into 2 groups 1 Those that require a Time and Activity code to generate a Green Check on the workflow 2 Those that DO NOT require a Time and Activity code to generate a Green Check on the workflow 2 Workflow items that require a Time and Activity code 1 Generate a time entry in the user s Time and Activity record for the day 2 Are displayed on the System Generate view of Time and Activity see Time and Activity Screen notes 3 Listed below ACCU Referral Add HH Orders Approve Final HH Bill Breast Cancer Screening Cancer Screening Cervical Cancer Screening Central Registry Check Encounter Collect Lab Samples 10 Current TB Med Order 11 Current TB Meds 12 HH Care Plan 13 HH Episode 14 Home Health Orders 15 HH Patient Master List 16 HH Referral 17 Home Health Visits 18 ID Referrals 19 Labs 20 Lab History Screen 21 Maternal Health Visit 22 Maternal OB Screen 23 Mini Registry 24 Miscellaneous
25. DDICKS AKIRYEMI ALEXANDER ANDREWS AVERY BARBER BARBER BLAND BOATRIGHT BOATRIGHT BORSOS BRANNOCK BROWN BUCKEL BUNCKER BURKS BUSTER CALDWELL CAMP CASEY Provider GRISCOM Last name MARGARET First name JAMIE SARAH SARAH RALPH STACEY EMILY KIMBERLY ANITA JASMINE KENNETH RYAN RYAN BETHANIE KRISTINE CHRISTOPHER ASHLEY JOSEPHINE ANGELINA BRINNY MARIAH WENDY BRENDA KAMUYU 2 New Appointment Report 1 1 Patient s Medicaid number 07 05 2013 09 16 2013 09 16 2013 10 16 2013 01 08 2013 10 04 2013 11 27 2013 07 02 2013 01 24 2013 11 18 2013 05 02 2013 10 01 2013 09 19 2013 08 28 2013 08 15 2013 08 28 2013 11 26 2013 11 26 2013 10 04 2013 01 24 2013 07 17 2013 08 29 2013 01 13 1990 03 30 1992 03 30 1992 08 19 1987 01 13 1988 07 06 1987 08 10 1955 05 13 1988 08 14 1991 05 25 1981 04 24 1984 04 24 1984 99203 99211 04 10 15 1987 99203 01 29 1986 08 18 2001 01 29 1986 05 04 1954 04 05 1952 07 04 1987 08 07 1991 07 16 1983 10 22 1990 12 03 2013 Office Visit 01 04 1990 LAB ONLY Allows for number to be verified before patient visit 2 Allows for Mzoom for patient to be used if needed 4 Buncombe County NC Only Lab Only will display in place of the office visit code when the patient has labs done without an open encounter 57 Release 11 3Notes 2 Select Appointment reports from the menu options 1 Select Print Appt List by Prim
26. DROCHLOROTHIAZIDE 12 5 MG TABLET LOSARTAN 100 MG HYDROCHLOROTHIAZIDE 25 MG TABLET LOSARTAN 25 MG TABLET LOSARTAN 50 MG TABLET LOSARTAN 50 MG HYDROCHLOROTHIAZIDE 12 5 MG TABLET 40 Specific States Medication me Source Management Of FDA Label Packaged Product Name Problem O FDA Approved Related Conditions gt Unlabeled All 9 All COZAAR 100 MG TABLET Medication List 5 Changed COZAAR 25 MG TABLET p 1 COZAAR 50 MG TABLET a HYZAAR 100 MG 12 5 MG TABLET HYZAAR 100 MG 25 MG TABLET HYZAAR 50 MG 12 5 MG TABLET Medication Name Source Management Of FDA Label Inventory Packaged Product Name 2 Problem FDA Approved Inside Generic Name 2 Related Conditions Unlabeled 18 Outside Generically Named Packaged Product 9 All amp All 2 All items in Inventory Recommended for This Condition Change to Use Medications in oh In House Pharmacy Only FREQUENTLY USED HIGH LOOD PRESSURE Medication NDC in Inventory HYDRODIURIL 25 MG TABLET 254569054601 IHDERAL 40 MG TABLET 00046042495 LASTX 40 MG TABLET 00039006010 41 Release 11 3Notes Selected Medications to Order ADALAT CC 60 MG TABLET EXTENDED RELEASE AZITHROMYCIN 1 GRAM ORAL PACKET DEPO PROVERA CONTRACEPTIVE 150 MG ML INTRAML Continue the Process Until All Needed Medications are n New Medication Orders Screen Converted Med Code Converted Med
27. Fee from Procedures Oh ON 68 Specific States North Carolina 1 Automatic Alert generated 1 Alert generated to indicate the date of an annual exam 2 Based on the Preventive services under Office Visit in the Clinical Encounter 1 When Preventive service selected alert generates with Exam date 2 f Encounter voided for any reason the alert will be ended and note added that the encounter was voided 3 Displays for any program where a Preventive exam services has been created Westchester County New York 1 Guarantor Table fields 1 Removed the following from the screen 1 SSN 2 Driver s license number 3 Date of birth 2 Removed from the Guarantor screens accessed from the following 1 Page 3 of Patient Central Registry 2 Billing Subsystem menu xGuarantor 3 Maintenance Menu 2 Chlamydia Surveillance Form 1 Added field to form 1 Test Ordered By 2 Inserts from the Ordered By field in lab orders 2 From the Lab Orders screen 1 Choose Output 2 Chlamydia Form 3 Form Prints New York 1 PPD Standing Order 1 Standing Order inserts automatically into patient s file cabinet 2 Access TST icon from Patient Summary Add Complete screen to the lot number Click OK Message to save Standing Order Standing Order displays Mis Duct 69 Release 11 3Notes 6 Standing Order inserts into patient s file cabinet 2 TB Case Warning 1 Warning displays automatically when adding a TB Case if an active Case R
28. Release 11 3 Notes 4 Table of Contents t 5 AIET 2v TP da died lye 5 5 Dill ua 5 NOMIC IONS 2 M 15 CIONS EHE 15 DISDIAY aeva 16 C i e 18 SPINSUPANCE SolG6l assi veda d NC YN D ORE ACER NOE OC DANCE gare AA 18 PTOgressSiN01662 uyu ehh ead cet eee 18 NEW sedet du d 18 n ener 19 Central Office Payment Posting Across Organizations 20 acetate tela ott ila E 22 T T D I LITT 22 aed acuta 23 Entering an encounter for previous date 24 F EIN TERTIO asas 25 bob OV u uu u TITRE 32 AD TAC SUNS uyu u Zula opa aero S Spa Sob tmm 33 Medication 34 Medication 43 Pauen 44 S
29. SIGNER Grouped by Each Individual Provider PAYMENT TYPE 02 SELF PAY 11 IMMUNIZATION TOTAL FOR Payment Type 02 SELF PAYMENT TYPE 03 MEDICAID 04 DENTAL 11 IMMUNIZATION TOTAL FOR Dayment Type 03 MEDICAID PAYMENT TYPE 04 INSURANCE 01 FAMILY PLANNING 11 IMMUNIZATION TOTAL FOR Payment Type 04 INSURANCE PAYMENT TYPE 05 MEDICARE Totals for Each 11 IMMUNIZATION Individual Provider 91 HEALTH EDUCATION TOTAL FOR Payment Type 05 MEDICARE Totals for Provider BLB BRENDA BENNETT OFFICIAL 1 034 13 Billing reports optional output 1 Billing reports can now output to Excel 2 Must have Excel 97 2003 xls on the local PC 3 Each page of the report becomes a sheet in the spread sheet 4 M amp M does not support Excel or assist in data manipulation 5 Reports currently available to export to Excell 6 Accounting Summary 7 Claim Cycle 8 Billing Activity 9 Payor Mix 10 Payor Mix Under 5 11 Payor Mix By Age 12 Access 13 Select the report from the appropriate menu option 14 Enter the report parameters 15 New screen called Report Output Options displays 16 Click Excel and OK 17 Excel opens and report inserts 04 Specific States Enter Beginning Service Date 06012013 Enter Ending Service Date Enter Beginning Program Default2 017 Enter Ending Program Default lt 99 gt Print Service Detail Default lt N gt Choose Report O
30. ance table to allow local set up of custom age ranges for reporting 2 Select only permissions for users that run reports 3 Select Update Insert permissions to do maintenance 6 requistionnum 1 Used for lab interface 71 Release 11 3Notes 72 2 Generates unique requisition numbers 3 Select only permissions for users collecting lab specimens 7 eligrecv 1 Used to do real time eligibility 2 Users doing real time eligibility will need all permissions 8 icd1O agency 1 Allows LHD to map SNOMED concept to an ICD 10 code 2 All users should have select 3 System Administrator needs all permissions to maintain this table 9 New First Databank Tables used for Medication Recommendation Module 1 All users will have Select permission on these tables and the release install will set them as Select These tables are not in database instance but at the vhn level 2 Tables gt Q N fst dxid search fst indcts mstr fst indcts gcnseqno link fst navigation desc fst labeled desc fst gcnseqno mstr fst hic therap class desc fst dxid syn fst ndc gcn medid 10 fst ndc medid 10 SNOMED Tables 1 All users will have Select permission to all these tables and the release install will set them as Select The exception will be the last 3 tables in the list will need the System administrator to be logged in as Informix to do any inserts updates or deletes to these tables These tables are not in database ins
31. ary Payer 2 Enter the parameters Authorization Form 1 Name of the Health Department added to the form 2 Access the Authorization Screen 1 Patient More authoriZe 2 Patient Summary Authorization 3 Add 1 Each record request requires a NEW authorization 2 Complete the required fields 4 Pap Log Report 1 Indicator that patient has Medicaid at the time the Pap was ordered 2 Access the Pap Log from the menu 3 Enter the parameters 4 The report runs with Medicaid indicated 5 Outside Lab Log 1 Update print out 2 Now prints 1 Date Result Received 2 Result Date 3 Run the report from the menu option 1 Enter the parameters 2 OK to print the report Encounter Edit Report 1 Additional sort function added 1 Able to sort by provider 2 Allows report to sort as before if needed 2 Access Encounter Edit Report from the Fees menu 1 Enter parameters 2 Sort Order now includes V for providers 3 Report generates by provider 08 Specific States Enter Beginning Center Number to Edit Default lt 01 gt Enter Ending Center Number to Edit Default lt 99 gt Enter Beginning Encounter Date to Edit Enter Ending Encounter Date to Edit Enter Beginning Program to Edit Default lt 01 gt Enter Ending Program to Edit Default lt 99 gt Enter Sort Order Program N Patients D ate C tr V Pro TESTING COUNTY HEALTH DEPARTMENT Encounter Edit service Dates
32. at must be completed Patient name Patient date of birth Patient e mail address Patient contact preference Available in Portal must Yes Patient address Emergency Contact name 2 Available with Family 1 Optional 2 Allows family members linked by family number access to other family members records 1 Mother access to children s records 2 Opouse partner s access to each other s records 3 Only available if the patient s Available with Family Yes 2 Patient Portal Login 1 Patient provided with information on access to the Portal 1 LHD provides patient with access information URL or Website 2 To obtain a password Information must match Patient Central Registry exactly 1 Patient goes to website 2 Enters Name date of birth and e mail address 3 Click login 4 VHN randomly generates a password and sends to the patient at the e mail address in Patient Central Registry 91 Release 11 3Notes Patient Portal Login Please provide your name date of birth email address and your password for the patient portal First Name PORTIA E Mail Address mitchellandmccormick net Last Name TESTIN Password Date of Birth 08 30 2013 5 I E First Time Click Login to Generate Password Advise patients to look in SPAM folder if password does NOT come immediately to in box First E Mail Address Last Mame Password Date of Birth 08 10 1950 4 Patient Portal Se
33. bles Report Enter Beginning Date Enter Ending Date Enter Beginning Center Default lt 01 gt Enter Ending Center Default lt 99 gt Enter Beginning Program Default lt 01 gt Beginning Provider Default lt 0 gt Ending Provider Default lt 777 7777 gt mU Enter Payment Type 05 04 03 02 or AA for ALL Default lt AA gt Group by Provider Default lt N gt Enter Detail or 5 ummary Only Default2 57 Specific States Run report by provider for a specific program To generate report for a single provider Enter the single provider code in the Beginning and Ending Provider parameters Enter the Beginning and Ending Provider parameters Allow to default for all 01012014 02122014 01 99 for Single Provider 51 Release 11 3Notes TESTING COUNTY HEALTH DEPARTMENT BILLABLES REPORT SUMMARY Service Dates Jan 01 2014 thru Feb 12 2014 Centers 01 thru 99 Programs 01 thru 99 Providers MOG2 thru MOG2 Payment Type ALL PAYMENT TYPE 02 SELF PAY I FAMILY PLANNING l1 IMMUNIZATION 22 CHILD HEALTH 54 PPD PROGRAM 67 BREAST TEST AND MORE 64 PERINATAL TOTAL FOR Payment Type 02 SELF All Providers Not Sorted 52 Enter Beginning Date Enter Ending Date Enter Beginning Center Default lt 01 gt Enter Ending Center Default lt 99 gt Enter Beginning Program Default lt 01 gt Enter Ending Program Default lt 99 gt Beginning Provider Default lt 0 gt En
34. cribe all YES answers L HEENT WNL INo headaches visual change tearing hearing loss ear Dain tinnitus mouth sores thrush odynophagia dysphagia tooth ache hoarseness epistaxis nasal discharge or stuffine 27 Release 11 3Notes E charts Yes Response Inserts Long Description ECHART Female Physical Exam 02 07 2014 into the Encounter Note Documentation from Echart Female Physical Exam HEENT WNL No headaches visual change tearing hearing loss ear pain tinnitus mouth sores thrush odynophagia dysphagia tooth ache hoarseness epistaxis nasal discharge or stuffiness Mouth Examined Yes WNL Throat examined Yes WNL Ears examined Yes WNL Cardiovascular Auscultated examined Yes WNL Respiratory System Auscultated examined Yes WNL Breast Exam examined Yes WNL Gastrointestinal Adbdomen examined Yes WNL Genitourinary examined Female Skin Exam WNL Yes WNL Neurologic Exam WNL Yes WNL 4 E charting items insert into Encounter Note 1 No longer have to drag and drop individual answers into the Encounter Note 2 Different question types can be inserted into different sections of the Encounter Note 3 Not unique to individual users 1 Questions insert into the same section of the note for all users 2 Multiple questions can insert into each section 3 Response can insert into only 1 section temale Physical Exam General Assessment Head Neck Throat Ears Eyes Heart Lungs Brea
35. ct section to add smoking status under 2 Section Contents 1 Click Button Modify Contents of name of section section 2 Move to a blank line to select the Smoking Status option RON 4 2 Educational Documents 1 See above 2 Inthe Section Contents 3 Individual documents must be loaded in the Workflow 73 Release 11 3Notes 3 Workflow 1 Program Details check off 1 Allows Program Details to check off if no Time and Activity code is assigned 2 System Administrators will make changes to Workflows if needed E charting Maintenance 1 Long Description added to responses 1 Allows a short display on the e chart screen that generates a longer response on the print out 2 Response triggers defined text 3 Limited to the following response types 1 Lookup 2 Checklist 3 Radio 4 Allows for response to generate standard text 5 Description is NOT unique to a specific user 1 Text inserts into printout every time the response is selected 2 Users must use macros to generate individualized items 6 Access E Chart maintenance 1 Update the e chart 2 Select Advanced 3 Select Question 4 Select Field Validation and Update Allowed Responses 5 Long Description added to the Define Valid Responses screen 7 Highlight the current response that needs additional information 1 Place cursor in the new field 2 Type needed text 3 Length is limited to 300 characters When User Selects the Yes VWNL Response the Text inserts into th
36. curity displays 1 Patient must choose their address from a list of 10 2 Patient chooses a name in their record If field is blank user can choose the Blank 3 Click Submit 92 System Administration Patient Portal Security Choose an address from your record 6733 N PARK ST 7736 CEDAR 5565 E MAIN ST 4114 2ND ST 4114 2ND ST 6649 CONFEDERATE Address in 8523 ST Patient Record 2375 15TH ST 67335 N PARK ST 9766 S PARK ST AVAJIMENEZ g SAM RAMSEY Name of Emergency LEROY KOCH 4 Contact 4 Information does not match 1 Screen returns to initial login screen 2 Repeat entering the name date of birth and e mail address 3 Re enter password 5 Information matches items in patient record 1 Presented a list of accessible patients 1 Only lists patient if Available with Family No 2 Lists contains family members if Available with Family Yes 2 Select the name of the patient requesting information for 93 Release 11 3Notes Patient Portal Records Choose the patient Last Name First Name select Patient From List Click Either View or Download Download 1 Click View to view the patient information Below is example of Summary Health Summary LC CHEN IG HIXS I AS QILI August 10 1950 sx Contact info 5565 E MAIN ST Patient IDs 525064 FLOWERY BRANCH GA 30542 Document Id CDA 2 16 840 1 113883 3 72 October 16 2013 08
37. ding Provider Default lt 7 Enter Payment Type 05 04 03 02 or AA for ALL Default lt AA gt Group by Provider Default lt N gt Enter D etail or Sjummary Only Default2 57 Totals for Single Provider PAYMENTS ADJUSTMENTS 01012014 2122014 TESTING COUNTY HEALTH DEPARTMENT BILLABLES REPORT SUMMARY Service Dates Jan 01 2014 thru Feb 12 2014 Centers 01 thru 99 Programs 01 thru 99 Providers 0 thru 2422522425 Payment Type ALL PAYMENT TYPE 02 SELF PAY OI FAMILY PLANNING 02 STD 04 DENTAL 11 IMMUNI ZATION 15 ADULT HEALTH 22 CHILD HEALTH 54 PPD PROGRAM 67 BREAST TEST AND MORE albis cann gm Totals Are for All BT HEALTH EDUCATION ders TOTAL FOR Payment Type 02 Billables Report Enter Beginning Date Enter Ending Date Enter Beginning Center Default 017 Enter Ending Center Default lt 99 gt Enter Beginning Program Default 017 Enter Ending Program Default lt 99 gt Beginning Provider Default2 07 Group Each Provider Specific States All Programs All Providers Grouped PAYMENTS ADJUSTMENTS 6 673 99 53 Release 11 3Notes TESTING COUNTY HEALTH DEPARTMENT BILLABLES REPORT SUMMARY BY PROVIDER Service Dates Jan 01 2014 thru Feb 12 2014 j Centers 01 thru 99 All Providers Programs 01 thru 99 Providers 0 thru ZZZZZZZZ7 Payment Type ALL PAYMENTS ADJUSTMENTS DROVIDER BLB BRENDA BENNETT OFFICIAL
38. ditions HIGH BL00D PRESSURE HIGH BLOOD PRESSURE HYPERTENSION WITH LEFT VENTRICULAR HYPERTROPHY i 3 Drug Displays in the Selected Medications T DALAT CC 30 MG TABLET EXTENDED RELEASE DALAT CC 60 MG TABLET EXTENDED RELEASE Select the Medication to Order a ADALAT 90 MG TABLET EXTENDED RELEASE ADROLAZINE 10 MG TABLET ADROLAZINE 25 MG TABLET maa Selected Medications to Order ADROLAZINE 50 MG TABLET ADALAT CC 60 MG TABLET EXTENDED RELEASE AFEDITAB CR 30 MG TABLET EXTENDED RELEASE e ALISKIREN 300 MG HYDROCHLOROTHIAZIDE 25 MG TA AFEDITAB CR 60 MG TABLET EXTENDED RELEASE AZIDE 25 MG 25 MG TABLET AZIDE 50 MG 50 MG TABLET 0 m Box to Remove Medication Not Needed 38 Specific States Remove Selected Medications to Order ADALAT CC 60 MG TABLET EXTENDED RELEASE Medication Removed MINIPRESS 2 MG CAPSULE RESA 0 25 MG TABLET RESERPINE 0 1 MG TABLET Start Typing the RESERPINE 0 25 MG TABLET Medication Name RESERPOID 0 25 MG TABLET RESA 0 25 MG TABLET RESERPINE 0 1 MG TABLET Start Typing the RESERPINE 0 25 MG TABLET Medication Name RESERPOID 0 25 MG TABLET 39 Release 11 3Notes Medication COZAAR 100 MG TABLET 25 MG TABLET COZAAR 50 MG TABLET HYZAAR 100 12 5 MG TABLET HYZAAR 100 MG 25 MG TABLET HYZAAR 50 MG 12 5 MG TABLET LOSARTAN 100 MG TABLET LOSARTAN 100 MG HY
39. e Incident place report Allow 7 10 working days to have change made to he menu pM ANYTEST COUNTY HEALTH DEPARTMENT Payment Type 04 Possible Claim Write off Report L brit Ll Program UI thru 99 Service Date 01 01 21 ALL Payment 08 12 2013 MMR2 13 iy E Pay Date 08 12 2013 Code 723 Amt 260 20 Entered Pay Date 08 12 2013 Code 321 Amt 560 Entered Pay Date 08 12 2013 Code 399 Amt 5121 00 Entered ntered ntered 08 12 201 723 NC Only Write Off of Immunizations as maka 321 Insurance Credit Adjustment Pay Date ER Da ES 399 Insurance Disallowed Amount F v L 08 2013 FP17 Pay Date 07 08 2013 i Payment 4 100 Amt 563 35 Entered 49 Release 11 3Notes 2 Addition to Accounting Summary report Additional Service Detail available Includes for a specific date range Charges for individual services per program Total per program Total for all programs Optional Report Select the Accounting Summary Report from a Billing menu option Complete the parameters To print the Service Detail enter Y Default for Service Detail is N Service Detail TT re iran rvi gt 5 harge IN Totals Match the Accounting Summary Report 90 a Billables Report Added ability to sort by provider Run report for a single provider or all To group report by multiple providers providers Group by Provider MUST BE Y Y VVVVV VV Single Provider Billa
40. e Notes or Printout am v ysm qe headaches visual change tearing hearing loss ear pain tinnitus mouth sores thrush odynophagia dysphagia tooth ache 2 Note Section This is an optional feature 1 Sections of the e chart automatically insert into the Encounter Note 1 Each question in the e chart can be assigned to a specific section of the note 74 System Administration 2 Multiple questions can be assigned to the same section 3 Not unique to an individual provider Questions are assigned to sections for all providers using the same e chart 2 Access the e chart as above 1 Click Update 2 Newcolumn Note Section 3 Select the question 1 Using the drop down choices choose the note section for the response 2 Items in the drop down are based on the Sections in the Chart Notes Maintenance table eee LLL I FPEXAM Title Female Physical Exam Question Text Select the Question 1 Date of last intercourse If not assessed note reason Neck ROM Limited Trachea Displaced Lymphadenopath If the the LHD has created an echart in the train instance and wants it moved to production create an incident to have an e chart copied over Include the name of the e chart the original database and the new database any version conflicts that might be expected changes in the document code or title Please allow 7 10 working days to complete the process M amp M staff will contact the person submitting the inc
41. ecord exists for the patient 1 Access the TB Case Details screen 2 Click Add 3 Enter patient number 4 Message displays that an open case already exists 5 Message displays that the Add is Aborted 2 Query the patient and update record as necessary Chaose Workflow f X Add Patient Number and wA m vs EE Message Displays 70 System Administration New Tables and Codes 1 Valid Codes Table 1 Emergency Contact Relationship field on page 2 of Central Registry 1 tabname patsupp 2 colname ecrelationship 2 Relative worktype field 1 tabname patsupp 2 colname worktype 3 Religion 1 tabname patient 2 colname religion 4 Reason for Visit 1 tabname encounter 2 colname complaint 3 Add program code to limit items in list 2 New Tables 1 notesigmt 1 Note Signature Screen 2 Select only permissions 2 freqused_meds 1 Used to store the frequency of use information by provider for the Medication Recommendations module 2 Select permissions for all users 3 All permissions for providers using the Medication Recommendations module 3 freqused_snomed 1 Used to store the frequency of use information by provider for the SNOMED Concept IDs and their associated ICD10 2 Select permissions for all users 3 All permissions for providers who will use the SNOMED module 4 labsourcesitemt 1 Used for lab interfaces 2 Maintenance done currently by M amp M 3 Select only permissions 9 leportagerange 1 Mainten
42. ems N Amt Unused Payment El Services Indicated in RED are Confidential Service Code 11699094 FPO1 11699094 01 11699094 FPO1 11699094 01 11699094 40 11699094 FP1 Encounter Number 12 Date of Service 02 11 2014 02 11 2014 02 11 2014 02 11 2014 02 11 2014 02 11 2014 Pmt Code 0 00 0 00 0 00 0 00 0 00 0 00 Pmt Amount 0 00 0 00 0 00 0 00 0 00 0 00 Adj Code Full Amount Charge Due Adj Amt Visit Review Cost Descr NEW COMPREH HX amp SUPPLIES PROVID SUPPLIES PROVID SUPPLIES PROVID SUPPLIES PROVID Billing Descr NEW COMPREH HX SUPPLIES PROVI SUPPLIES PROVI SUPPLIES PROVI SUPPLIES PROVI opecific States Date Range of Services Confidential Indicator Checked Confidential Service Serv Date 02 11 2014 02 11 2014 02 11 2014 02 11 2014 02 11 2014 02 11 2014 13 Release 11 3Notes View Post Billing Record Update Program Code DX Code Code Units Code Ins Bill Code Date Pay Type 02 11 2014 GA ONLY MDCR Bill Flag Provider MOG2 FPO1 15 99070 MDCR Bill Date Referring Prov Confidential Preg Medicare N 0 00 Georgia Only ARBILL Patient Information Org testph Patient No 380266 Medicaid No Birth Date Last Name MOONEY Chart No First Name Arbill Patient Information Org Patient No testph 380277 Last Name CARTER First Name JAMYRA Arbill
43. es were omitted from self pay billing 2 Now will omit billing where patient is marked Confidential OK to Contact N 3 Confidential services will be listed on the Error Report 5 Georgia Medicaid Only 10 Specific States 1 Confidential patients encounters and services WILL be generated into the 02 Billing Screen 2 Confidential services will be omitted during the billing file generation 1 Confidential services are included in the Error Report 2 See above to make corrections if needed 3 Confidential indicator will display on 02 Billing Screen Display Only on Confidential Services 65 System Administration Notes to set flag _ OK to Contact is No Patient is Confidential OK to Contact is Yes Patient is Not Confidential Phone Email None 800 282 1059 11 Release 11 3Notes Date of Service POS Center Number Accident Date Pregnant Miscellaneous Attending MD Walk in 01 FAMILY PLANNING NEXT AVAILABLE PROVIDE Cim 58 eur EH j Far IE Es laxe dre x 0 Confidential encounter v Encounter Billing Org testph Patient No Chart No Last Name First Name1 Service Payment Detail 380277 214576127 CARTER JAMYRA Guarantor CARTER JAMYRA Beginning Serv Date 02 01 2011 Date Paid Pay ID Confidential Encounter Ending 02 11 2014 Only Open It
44. flow activities Only inserts Workflow items with assigned Time and Activity Codes Inserts time as hh mm ss Location is generated as a 2 for the Health Department Inserts only Activity Codes Does NOT generate billing codes oystem generates a W33 code to intake the creation of the Encounter Va er qr 45 Release 11 3Notes 1 Not a Workflow Item 2 Code loaded with release 3 Inserts automatically 6 Does not activate error message if System Generated item time overlaps a User added item 2 Default screen display is User added entries 3 Time display now in hh mm ss 1 User adds the hour and minutes 2 Seconds insert as 00 when user adds an item to the screen 4 For users that do both workflows and user entered items 1 item from a workflow is done prior to a user added item 1 User Queries their provider code 2 Screen defaults to User entered screen 1 Update 2 Move to a blank line and enter the time 3 Complete entry as before 2 lf an item is entered by the User before doing a workflow 1 Access the Time and Activity screen 2 Screen defaults to User entry screen 1 Click Add 2 Enter the provider code and date 3 Enter the item into the first line 4 Click OK when complete 3 To view System Generated items Query the user by provider code Enter a date Click the Show System Entries button Cannot add items to this screen Click Hide System Entries to view User added items or to insert more items directly into
45. heck 5 Review Medications and Allergies 1 Now will insert Reviewed by even if no items in the lists 1 Allergies should always have NKA to insert in Encounter Note 2 Medications inserts that Medications History was reviewed Allergies Last reviewed by GRISCOM MARGARET on 02 14 2014 02 14 2014 NKA pe Medications Last reviewed by GRISCOM MARGARET on 02 14 2014 Entering an encounter for a previous date 1 When an encounter has to be put in late on another day the items in the workflow that are required may be skipped It will not check off allergies and medication reviews if encounter date is prior to the date entered 2 The items will not check off in the workflow and the user will still receive warning stating that required items were not completed but will allow them to proceed since it is a back loaded entry 3 You may still sign and close the encounter Attempted to Sign 1 NEW INITIAL VISIT 99204 Without Allergy Review Allergies Last reviewed by GRISCOM MARGARET on 03 05 2013 J4 EX 500 MG F 2 ULVULE Allergies is a required workflow item However because this encounter is being backloaded you will be allowed to finalize anyway a Click OK to Sign 24 Specific States Consult Form 1 Allows preview before printing now 1 Access from the Patient Summary Screen 2 Choose Print Consult 3 Displays PDF preview so able to check for errors E Charting 1 Ability to Void an e chart 1
46. heck flag for Pay to Address 85 Release 11 3Notes 2 Add mailing address to the in the address field in the Pay to Address grid 3 To use physical address 1 Do not check the Pay to Address 2 Address in the Submitter grid is used on all statements Mailing Address GRAYSON GA Zip 30017 0017 Add Mailing Address Physical Address 770 465 1511 3 Report Defaults 1 Allows local changes to age ranges for Patient Served Summary Reports and Payer Mix by Age reports If LHD needs this feature in other reports an incident needs to be put into help desk requesting this and specifying exactly which report to add this feature 2 lf more than 1 age range is available for these reports the user will be asked which one to use for the report 3 Default age range was added as part of the 11 3 release 4 System Admin staff needs to add the other choices that will be used by programs From System Configuration module click button Report Defaults Click Age Ranges 96 System Administration Query to see what is already set up Default and any others will appear At bottom of screen the number of age ranges found will show Use Next to go to the others Use Add to add a new set of age ranges Be sure and cover all ages in the ranges Look at the default record to see an example N a m ALI t Age Range DEFAULT Beginning Age Ending Age 0 1 gt 10 15 20 35 45 6
47. ident with questions and confirmation of the export import Allow more time if multiple e charts are to be moved 10 Release 11 3Notes Forms Changing a form version To create a new version of an existing form 1 Access the Forms Maintenance screen from the Main Maintenance Menu Query the form to be changed Click Load Template Click Load New Message Displays asking if the users wants to replace the current form If Yes second message displays asking to archive the current form If Yes ask for a new name for the form to be archived The existing document name is changed and the formtag is removed from it Msc version of the document patient Consent __ patientconsent gor nears ee Patient Consent patientconsent 76 System Administration Forms Maintenance Patient Consent patientconsent er FP Georgia Depo Use the Same Form Tag for the New Version 77 Release 11 3Notes 78 System Administration HCINFO Screen 1 Optional addition to Appointment Reminders 1 Access HCINFO from the Maintenance Menu 2 Query Center 3 Click View to Health Center Preferences Screen Scheduling page 3 4 Update 1 New option 1 Optional message to be printed on reminders 2 Enter message in the box Diagnosis Table The diagnosis table will now have multiple codes sets in it for use with 1 The codes currently in the LHD table will be set with the Coding Sys
48. ing 3 Medication recommendations display based on diagnosis codes 1 List condition s that are related 2 Displays list of medications to be ordered 3 Builds a Frequently Used List based on the User s Preferences 4 Restrict searches based on 1 All filters default to ALL 2 Medication Name or Source 1 Package Product Name 2 Generic Name 3 Generically Named Packaged Product 4 Unassociated 5 All name sources 3 Management of 1 Problem 2 Related Conditions 3 All of the above 4 FDA Label 1 FDA Approved 2 Unlabeled All the above 5 Inventory 1 Inside 2 Outside All of the above 5 Runs allergy duplicate therapy and drug drug interactions 6 New order screen 1 Orders insert based on the Recommendations chosen 2 User completes the 34 Specific States 1 Amount ordered 2 of refills 3 Sig code directions 7 Function 1 Complete the Clinical Encounter 1 Allergies 2 Drug history 3 Problem list 2 Select Order Meds from the workflow 1 At Medication screen select Add New 2 New screen displays 3 Select a problem from the Problem Option 1 Presents only the patient s current Problem List 2 Drop down for patient s with multiple problems 4 Problem and any related problem types displays in the Condition Related grid 1 Active Problem from the Problem List displays first 2 Highlight related Problem to change the Medication Recommendation 5 Recommended medications display 1 Defaults to Frequently
49. ity Count 1 Possible Prt Race Sex Age Totals by CPT code L Menu List of Possible Report Names Run Medicare Flu Proof List Report e e ES ES 5 14 Lead Reports 1 Lead reports will print No Data messages when no items found that meet the report criteria 61 Release 11 3Notes Georgia Reports 1 GRITS Real Time Interface Error Reports 1 Added to Immun Reports RT IMM Reg Reports 2 Enter the parameters for the report 1 Each Report runs individually 2 S Immunizations Sent 3 E Errors 4 M Immunizations Missing Beginning Transaction Date 0101201 Ending Transaction Date 5 for Sent Report E for Errors M for Missing nn P 5 Immunization Registry Sent Report Printed 2014 01 13 10 12 33 For Period 01 01 2014 01 10 2014 Center 01 HARALSON COMMUNITY HEALTH SERV Transaction Date 01 06 2014 Pat No 3456 Green Mary Deduct 1 0 x 1 0ml Lot AHBVC046AA Pub Engerix B Adult 1 record s successfully sent Pat No 567909 Wendell Wilkie Deduct 1 0 x 0 5ml Lot UH921AA Pub Fluzone PF gt 3 Years 1 record s successfullv sent Pat No 39409 Johns Hunter Deduct 1 0 x 0 5ml Lot C4452AA Pub DAPTACEL Deduct 1 0 x 0 5ml Lot J004815 Pub Varivax Deduct 1 0 x 0 5ml Lot H018948 Pub MMR II Deduct 1 0 x 0 5 1 Lot J1281 1 Pub IPOL 4 record s successfully sent Pat No 898989 Keenan Wynn Deduct 1 0 x 0 5ml Lot PT533 Pub Havrix Peds
50. l be allowed to finalize anyway Click OK to Sign Clinical Notes u amp Las s e frs f The Clinical Note Displays Can Sign or Go Back to Allergies Name LANESE HOLLOWAY mk 380237 Date of Service 02 12 2014 C AN AMERICAN She was last seen o rgies Last reviewed by GRISCOM MARGARET on 03 05 2013 04 29 2011 KEFLEX 500 MG PULVULE T Family Planr Planning Initial Record Famiy Planni Flow Sheet Sign Without Female Physical Exam Name LANESE HOLLOWAY Patient 38024 Warning Message 14 Immunization Consent Form Immunization Consent Form OVERVIEW MM Encounter Info Introduction 38 YEAR OLD FEMALE AFRICAN AMERICAN She was last seen o iw Smoking Status Review Meds it Type Documents Allergies Review Lab Results VISIT TYPE INITIAL MEDICAL EXAM ea aed sin Review Problem List 1 NEW INITIAL VISIT 99204 Allergies Last reviewed by GRISCOM MARGARET on 02 17 2014 h Program Details UX7ZU7ZUITI KEFLIEX 5UU MG PUTVT 48 Specific States Reports Billing Reports 1 Adjustment Write off 1 Indicates if a charge has been completely adjust off 2 List the service date program center and payment type 3 Enter report parameters Beginning and Ending Service Dates Beginning and Ending Centers Beginning and Ending Programs Payment Type the default is A for All s To have incident added to the menu Indicate menu option to Creat
51. le 2 If blank N then billing continues as before 2 Omit Confidential Encounters from Billing Generation 1 If checked Y encounters that are confidential even if the patient is not confidential will not be included in the generation of the billing file 2 If blank 2 N then confidential encounters will be included in the generation of the billing file 3 Flags will be set to N by the release install 1 Each insurance code that needs to be changed to yes must be done individually before tractions are entered 2 One or both flags can be set to Yes or No depending on the needs of the LHD AR Erie County New York Only the Medicare insurance code must be set to for the Omit Confidential Patient from Billing This is to continue billing generation that was previously handled by a customized process 82 New Tables and Permissions 1 Billing System Administration 1 New posting payments and denial codes see Non Clinical Billing item 5 2 Users doing this function need insert permission on the following tables CS E htrans Zoom inserror mderror mrerror mrremit 83 Release 11 3Notes Printing HCFA Forms 1 Billing Provider Information 1 Change to process that allows LHD to determine address to print in box 33 of the HCFA Form 1 Access the Claim Proc option from the More Maintenance Menu 2 Add record for HCFA 1 Code HCFA1500 2 Check the use Center Address 3 Access HCINFO
52. lected on separate dates 1 Example Sputums collected over 3 days 2 Use for labs that are ordered to repeat 1 Order date is the same for all of the repeated labs 2 Collection date now displays on Lab result screen 3 Result can now be posted for the specimen collected on a specific date 2 Lab Result Comment Field 1 Comments field 1 Comments can be added manually if not using the lab interface 2 Increase length to unlimited number of characters to accommodate the lab interface 3 Added View Comment button to view long comments 3 Additional Fields to be used by Lab Interface Only 1 Normalcy 2 Unsatisfactory 3 Both fields are blank if not using a lab interface For Lab Interface Only 3 Lab Result 1 When lab results are changed task list updated to indicate further review Lab re inserts into task list for review Tab through the Review Now fields and previous date is removed Inserts the new result into the Review Lab Screen Process is automatic when lab result is changed Example from a preliminary result to the final result FP 33 Release 11 3Notes Medication Recommendations 1 Optional Feature Not turned on unless requested 2 Needed for Stage Meaningful Use To have feature turned on Please allow 5 7 business days for process to be completed 3 Features 1 One screen to select medication and type of order 2 Can order medications 1 In house 2 Outside 3 E Prescrib
53. lick to do All of Orders Current TB Meds 36 Specific States Use the Drop Down to See Patient s Current Problem List f select a Problem J HYPERTENSION 401 1 CERVICITIS 616 0 CHLAMYDIAL FEMALE PELVIC INFLAMMATORY DI A56 11 CONTRACEPTIVE MANGMT NOS V25 9 COUGH VARIANT ASTHMA 145 991 L DIABETES TYPE WO COMPLICATIONS 250 00 LYMPHOGRANULOMA VENEREUM LGV 3 Release 11 3Notes HIGH BLOOD PRESSURE List Displays In ACCUPRIL 10 MG TABLET Alphabetical ACCUPRIL 20 MG TABLET _Order ACCUPRIL 40 MG TABLET ACCUPRIL 5 MG TABLET ACCURETIC 10 MG 12 5 MG TABLET ACCURETIC 20 MG 12 5 MG TABLET ACCURETIC 20 MG 25 MG TABLET Medication ADALAT CC 60 MG TABLET EXTENDED RELEASE ADALAT CC 90 MG TABLET EXTENDED RELEASE Conditions FREQUENTLY USED HYPERTENSION WITH LEFT VENTRICULAR HYPERTROPHY ae HYPERTROPHY Different Medication List VENTRICULAR COZAAR 100 MG TABLET 2 COZAAR 25 MG TABLET COZAAR 50 MG TABLET Change Condition by Highlighting F HYZAAR 100 MG 12 5 MG TABLET the 2nd Problem and to Change HYZAAR 100 MG 25 MG TABLET the Tab HYZAAR 50 MG 12 5 MG TABLET LOSARTAN 100 MG TABLET LOSARTAN 100 MG HYDROCHLOROTHIAZIDE 12 5 MG TABLET LOSARTAN 100 MG HYDROCHLOROTHIAZIDE 25 MG TABLET LOSARTAN 25 MG TABLET LOSARTAN 50 MG TABLET LOSARTAN 50 MG HYDROCHLOROTHIAZIDE 12 5 MG TABLET Selected Medications to Order a ra ral ra ra r ra r Con
54. n 1 Added second relative information to page 2 of Patient Central Registry 2 Allows user to enter both parents or other relatives if needed 15 Release 11 3Notes Access Patient screen Update an existing patient or enter when Add a new patient Move to Screen 2 Enter the Relative Information DIM Display Banner 1 Changes to the Display Banner for Insurance Display 1 LHD Specific No changes for other LHD 2 Georgia 1 Medicaid type added to the display 1 Type code must be in 3Pinsurance under type 2 Choose from the drop down 2 Medicaid CMOs now on the display banner Medicaid Type FRANCES s Buncombe County North Carolina 1 Sequence as follows Medicaid and type MDHC displays alone Medicaid and Insurance Insurance alone if no Medicaid Insurance and Medicare the Insurance displays d md e 16 Specific States 380247 AUSTIN GOVER DOB 01 22 1990 MDCD BCBS Ecalel 100 Scale3 100 Insurance and Medicare Nev Ci Code Description 0 1 MDCR MEDICARE i 0 2 BCBS BLUE CROSS BLUE SHIELD 123 Grand Traverse Michigan Will display 1 priority for each Payment Type 9 VHN v 11 GRAND TRAVERSE 2600 GIB DOB 11 30 2011 Scale1 100 17 Release 11 3Notes File Cabinet 1 Add categories to the file cabinet for scanned documents 1 Category assigned to form file when imported 1 Access 1 File cabinet on the clinical toolbars 2 Im
55. nizations that are in different Public Health database instances organizations on the central servers Georgia The option to change to a different organization to facilitate payment posting will be available in patient billing screen AND 02 FP Medicaid ARBILL table Other States The option to change to different organization to facilitate payment posting will be available in patient billing screen Other states do not use the ARBILL table for Medicaid billing Patient Billing Screen To do this the user MUST know the patient in the other organization In billing it can only be queried by patient after changing organization In the patient billing screen when the user is ready to change to a different organization click Change Organization button Change Organization Cancel OVR select the organization to change to for other payment postings _Be very careful when doing this because you do not want to post to the wrong patient in the jtient No Beginning Ending Chart na Serv Date Last Name Date Paid Only Open Items First Name1 PAY Amt Guarantor Unused Payment Service Pawment Detail Once the organization has been selected the screen will now display a different organization at top of screen Confirm you are in the correct organization Query by patient number This is the only way
56. ow or Final Edit Sign from the on the Encounter 1 Message displays E charts not finalized 2 Lists e charts that have been started but not signed 3 Allows user to choose to sign when sign the encounter To have signature flag set to sign e charts when encounters are signed Please allow 7 10 working days for the flag to be set M amp M staff will notify System Administrators when the flag is set pepe 29 Release 11 3Notes j E Not a Enter d f Famil gt ina Initial Record Immunization Consent Form Immunization Consent Form Mouth Examined Yes WNL Throat examined Yes WNL Ears See Yes to Edit Note and Sign Login maggie Password LI olgn the Final Edit 30 Specific States Neck inroat Ez s tyes 2art _ Breast GI GU Skin Neuro CALS JAM 7 02 05 2014 Locked When Encounter was Signed UAE SEES MiS 8 31 Release 11 3Notes Lab Orders 1 Comments added to Lab Orders 1 Required for Lab Interfaces 2 Lab Orders Collection Date 1 New Error message user attempts to collect a lab for a future date 2 User will no longer be able to collect the lab using a date in the future 3 Includes test that are auto collected 4 User must remove future Collection Date to exit screen 32 Specific States Lab Results 1 Collection Date added to lab results 1 Allows user to identify specimens for the same test that were col
57. ported Documents menu option on Patient Central Registry Click import select the document to import At the Import Document screen 1 Enter the title of the document 2 Select the category from the drop down 5 Document displays with the category type 6 Category type sort 1 Put the mouse cursor on the column name 2 Click the left mouse button and the column will group items by the category 3Pinsurance Screen 1 Policy Contract 1 Only accepts alpha or numeric characters No long allows special characters User receives warning message If special characters used Click OK on the Error Message Forces user back to Policy Contract field Must correct to alpha numeric to continue through screen a gt det Progress Notes New printout display Prints Created by Prints date created Prints time created If signature required still prints Electronically signed by On every page prints Patient name Patient number Date printed Page numbers 18 Specific States Service Slip 1 Reason for Visit 1 Drop down added in 11 2 2 Standard items for the health department will display 3 Now can limit drop down by program 4 Items not designated with a program will display for all programs 5 System Administrator notes for set up 19 Release 11 3Notes Central Office Payment Posting Across Organizations some agencies have central billing offices that post payment received in multiple orga
58. posed to the long report 2 Limit data to the following 1 Patient name 2 Patient date of birth 3 Grade 4 Initial screening date and result 5 Rescreen date and result 3 Access the report 1 Enter the parameters 2 New prompt to print the Consolidated Format 11 Unsigned Encounters 1 Lists encounters that have not been signed 1 Patient number 2 Date of service 3 Program 4 Center Number 60 Specific States o Who created the encounter 6 Who updated the encounter 2 Run by program or for all programs 12 Encounter by Program 1 Sort by Program 2 Sort by Center 3 Runs from the same menu option 13 Productivity Reporting 1 Usually found under the Manage Reports 2 Group of several reports 1 Patient served reports 2 Payer Mix by Age reports 3 Now age grouping may be changed for these reports A default age range is loaded with 11 3 release System administrators may set up others that can be used by programs more than 1 age range has been set up then it will ask the user which age range to use for the report To have age grouping changed for any other report Enter the report name Changes to reports will be not be guaranteed to be completed prior to the next release Print Provider Service Count Patient Served Program Center Prt Race Sex Age Totals by CPT code Print Pt Served Totals by Dx Code Prt Pt Totals by Prog Cty Residence Pt Served Summary by Cty Residence CPT Productiv
59. rmat 1 Intended to be saved to client pc 2 Saved file is transmitted to another provider electronically 3 Must be in XML format to be transmitted aDocur x m reg2 nist gow 8080 hi mr n a da C32 CDA xsd voc n ver x mins e2 org v if fmm wong 1999 xhtml p 00 2001 XML Schema instance xmoces urn hl7 5 840 1 113883 15 ngsuthonstyNar secs al Doc jecumente Sosdhostien gt NIS 1 are Praes AdminestratiweGenderCodes codeSystem 2 16 840 1 115883 5 1 dep eyMeme 3 When finished click Logout 96
60. st GI GU Skin Neuro Extremities 07 03 2014 Response for Question Allergies Last r wiewed by GRISCOM MARGARET 02 03 2014 01 06 2014 NKA i Medications Last reviewed D GRISCOM MARGARET on 02 03 2014 Immunizations Last reviewed by GRISCOMPMARGARET on 02 07 2014 Female Physical Exam Response Inserted Into Date of last intercourse 02 03 2014 4 Objective Section emale Physical Exam Within Normal Limits Response 28 Specific States E charts ECHART Female lt Documentation from Mouth Examined Yes WNL Throat examined Yes WNL Ears examined Yes WNL Cardiovascular Auscultated examined Yes WNL All Assessment Questions Insert Into Respiratory System Auscultated examined Yes WNL the Same Section Breast Exam examined Yes WNL Gastrointestinal Adbdomen examined Yes WNL Genitourinary examined Female Skin Exam WNL Yes WNL Neurologic Exam WNL Yes WNL 5 Unsigned e charts 1 New feature to sign e charts as part of the encounter 1 Limits unsigned e charts 2 Providers need one signature to sign Encounter Note and any e charts linked to the encounter 3 Previous e charts not overwritten because were not signed 2 Optional feature 1 Based on decision of the LHD 2 Flag to be set by M amp M 3 User to access e chart from Workflow Complete e chart but do not sign Workflow item is checked in Yellow Complete encounter Choose Sign Encounter from the Workfl
61. tance but at the vhn level 2 lables gt GQ N snomed_ association snomed attribvalue snomed codes snomed complexmap snomed concept snomed description snomed descriptiontype snomed dualkey concept snomed dualkey description 10 snomed extededmap 11 snomed identifier 12 snomed language 13 snomed moduledependency 14 snomed refsetdescriptor 15 snomed relationship System Administration 16 snomed_simplecontent 17 snomed simplemap 18 snomed statedrelationship 19 snomed textdefinition 20 snomed wordequiv 21 snomed wordkey concept 22 snomed wordkey description 23 snomed advice 24 snomed excludewords 1 System Administrators will ONLY be allowed to do insert update and delete as informix log in 25 snomed to icd10 1 System Administrators will ONLY be allowed to do insert update and delete as informix log in 26 snomed to icd9 1 System Administrators will ONLY be allowed to do insert update and delete as informix log in 3 New maintenance modules These are for future use 1 SNOMED to ICD10 Maps 1 Allows local control of defaults and or force a default map between SNOMED and ICD10 2 SNOMED Excluded Words 1 Allows local control to define the words that can be ignored during a SNOMED concept search 2 Default list is installed Chart Notes 1 Smoking Status added to chart notes 1 More Maintenance Menu Chart Notes Query ENOTE only one chart note set up available Update Modify 1 Sele
62. tem ICD 9 2 he ICD 10 codes are loaded with this release and Coding System ICD 10 They will not be visible to the user when picking a problem until that are to be used in October 2014 Immunization Interface 1 Real time interface 1 Monitoring stand alone for Immunization Registry 1 Allows monitoring of GRITS transaction by clinic users 2 Requires a password 2 Suspend Unsuspend 1 Click the button Allows users to stop transmissions 2 Click button the second time and transmissions resume 3 Allows users in the clinic to control this process Monitor Transactions Registry Tranmission Report di 3 Monitor Transmissions 1 Allows users to see the number of HL7 transactions sent and received by GRITS 79 Release 11 3Notes 2 Runs for a single county or district wide 3 Real time monitoring 1 Includes the 4 types of records used in the transactions 1 VXQ the query that goes to the registry 2 VXU the Update to the registry 3 ADT the patient demographics 4 Other unknown 2 Counts 1 Transmitted the number of records of each type that have been sent to the registry 2 Received the number of records of each type that have been received from the registry 3 Pending the number of records that are sent but no response from the registry 4 Holding the number of records that are waiting to be transmitted 1 Example immunizations given or queries done while transactions are suspended to do
63. that is the same as this encounter date 89 Release 11 3Notes 13 TB med orders entered 14 Problems reviewed 15 Ed document selected and viewed or printed from PDF Viewer screen 16 Merge document completed 17 Office visit for current encounter 18 Procedures 19 Ed topics 20 Encounter info if visit type has been entered 21 Signed encounter note 22 Pregnancy test pregtst record associated with this encounter 23 Smoking status smoking status completed 24 GA school screening if vision hearing dental and nutrition done then green checkmark if some but not all then yellow checkmark 25 Program details 4 Additional Workflow items are added by M amp M with new versions Create Incident o have a workflow item created Include desired action and name for the workflow step Workflow 90 steps will be added with the next release System Administration Patient Portal gt LHD needs to provide a separate Web Server M amp M will assist in the configuration of the server for access to the patient portal gt When email is entered and Available in Portal is marked Yes then an email is sent to the patient with a web address to access and a login gt The patient will have access to their Health Summary after they complete the set up of their account 1 To allow patient access to the Patient Portal 1 Add Update Patient Central Registry screen 1 Patient Central Registry must be complete 1 Items th
64. to find a patient after changing organization If will default the original patient number from the previous organization so change it to the patient number you want in this organization 20 Specific States After new patient from the different organization in on the screen the user may post the payment as usual When finished and exiting out of billing screen the user will be returned to original organization Georgia Only Medicaid ARBILL Screen From Medicaid bills screen after posting in the current organization click Change Organization button Current Organization Change Organization cancel Public Health Cancel OVR After selecting new organization Query for patient to post payment After record appears to post proceed with usual way of payment posting When Exit from screen user will be returned to original organization 21 Release 11 3Notes Clinical Case Management 1 Case Management Module now available 1 Can be customized for any case management program 2 Standard care plans can be added for each program 3 Set up and training is done by M amp M staff in conjunction with the local program gt Requesting a demonstration of the new module gt Discovery and analysis by M amp M staff gt Set up assistance gt Training 22 Specific States Clinical Encounter 1 Added the Center number to the Encounter 1 Allows user to verify center where patient is receiving services 2 Allo
65. unters from Billing Generation Encounter is Confidential Release 11 3Notes 1 System generated for program 2 Manually set when Service Slip is created 3 Billing records will generate with Confidential aye yes 4 Billing records display in Red on the Billing screen 5 Record does not insert into the billing file generation for insurance ABC If both options are set to Y 1 Any service for a confidential patient OK to Contact No is omitted from the billing process for that insurance 2 Where the patient is not confidential OK to Contact Yes 1 Confidential Encounters will be omitted from the billing process for that insurance 2 Encounters that are not Confidential will be as usual 4 f both options are set to N 1 Patient is OK to Contact No 2 Encounter is Confidential 3 Billing will generate for that insurance 3 Confidential Records 1 Records not included in the billing creation will be included on the Error Report 2 Records will be indicated with Confidential list as the exclusion reason 3 To make needed corrections to submit Confidential services 1 Access the Billing Screen Billing Bills 2 Click Visit Review 1 Update 2 Highlight the line to correct 3 Uncheck the Confidential box to bill 3 Click View Post 1 Choose Amend 2 Highlight the line to correct 3 Uncheck the Confidential box to bill 4 Self Pay patient billing 1 Previously only Confidential Encounters and or Servic
66. utput Type PDF Select Excel DENTAL SER 0 00 000 000 0 00 0 00 DIABETES DIABETES DISTRICT C DSS ADULT 0 00 000 000 0 00 0 00 0 00 0 00 DSS CHILD 0 00 0 00 0 00 0 00 0 00 61 Patient and Encounter counts are unique ay Program for this SERVICE date range 4 Worksheets Equal a 4 Page Rep ort 62 Report Date 02 07 2014 i C ae GOD Sheet 2 Sheet3 Sheet 4 7 c un en in N i om gt O i 55 Release 11 3Notes Reports 96 1 Visit List by Provider with OV a b C d e BENNETT Modification to Patient Visit List Prints the office visit code for the encounter Run Patient Visit List Run by Summary Prints totals by provider Run by Detail Prints a listing of patient s by provider and the summary totals 99 8 01 s 99 8 12 01 2013 oe ummary Report For Center 01 thru 99 MARY BETTY BAKER BRENDA BENNETT OFFICIAL SIGNE BUNCOMBE NURSE CODE FOR BILLIN CASE MANAGER Totals Per Provider CHRIS PARHAM DENTIST NEW YORK DR 2 NAME FAIR JOHN MD FARKAS LYNNE FREDA W NICHOLS GABRIELLE GEE ANTOINE Specific States Detail Listing for Provider Patient Visit Listing Center 01 thru 99 01 01 2013 From Includes Office Visit Code Provider GN em 433604 17672 1567 4000 4000 400224 6002 6708 6003 176771 7659 8004 17616 3223 7000 FARKAS LYNNE ACKERMAN ADDICKS A
67. ws clinician to note center where services were last entered 3 Reflects the center number for the encounter for that patient that day of service 4 Must be changed on patient central registry under Billing then Encounter screen Cannot be changed from the Clinical Encounter e Patient s center number and user s center number must match omoking status insert omoking status now part of the encounter note Section determined by LHD Displays on encounter with Code number and description Displays if entered through Encounter Info or Smoking Status as individual workflow item Any change to the smoking status before the encounter is signed will change the entry on the note pM e 5 system Administration notes for set up of workflow and encounter note 3 Education Documents added to Note configuration 1 Select Document from the workflow 2 Education Document inserts automatically into the encounter note 5 System Administration notes for placement in the encounter note 4 Program Details 1 Changes to Program Details require an addendum to be written 1 Encounter is signed 2 Select Program Details from workflow to make a change 3 Message displays to create an addendum 1 Yes the Program Details Screen displays 2 No the user is returned to the encounter screen 4 Change the Program Details 5 Create the Addendum 23 Release 11 3Notes 2 Program Details no longer requires Time and Activity code for Workflow to c
68. y payment type 3 Sort by Date range 2 Programs 3 Center 4 Payment Type 1 Run for all payment types or 2 Can specify single payment type 5 Summary or Detail report option 4 Totals for each payment type 5 Report Payments for services within the date range specified 6 See Output Options under Reports 5 Billing Reports for additional changes For Ware District Only 1 Encounter Edit Report and FP Edit Report exception 1 Report will not include items where the Provider is S Schedule 2 Access the reports from the appropriate menus 3 Enter the parameters 4 Select the Output Option Ge Repo rt Output Options Choose Report Output Type PDF Encounter Edit Report 99 02012014 2 Excel 97 2003 xls 02112014 o 99 65 Release 11 3Notes Specific States Georgia Only Breast and Cervical Program Enrollment 1 Form changes allow LHD District to determine Special Needs 1 Special Needs question remains on form 1 Yes No answer display is blank 2 User Provider must enter Special Needs based on LHD District policies 2 Access the Cancer Screening module Patient Summary Adult Cancer Screen select Breast or Cervical to begin Complete the needed screening information Output Enrollment LO Dh IE Check Jser Provider Must Printed Form 66 Specific States Family Planning 1 Enhancement to the Family Planning Details screen 1 LMP pulls forward from the previous encounter s

VHN 11.3 Release Notes - Southwest Georgia Public Health

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