RE: Re: Amazing Chart Users Question

[Guest guest]

Can any members from our group please share with us the different products you use along with AC at your office. I am also in the market for an EMR and it looks like AC is the most cost effective/user friendly way to go aleast from the recent AAFP emr reviews. I also want to compare it with eMD.

Please let me know the following-

1-Which online appointment scheduling system?

2-Which billing software/system?

3-Do you send your superbills directly fromAC into that with all the pertinent info?

4-Anyone use a clearinghouse compatible with eMD/ AC which follows up on cleaning up claims/ denials?

5-Can you access AC/eMD from home, to complete the charts later, if needed?

6-Does AC/ eMD have a Coding check/ advisor inbuilt to help justify the level of visit?

7-Which website/ hosting system do you use, if any? I have heard of Medfusion. Is it good?

8-Does AC/ eMD have a database of handouts?

9-Can one make /personalise quick texts for repetitive use if needed for charting of patient notes.

I appreciate all you help and advice as I plan to undertake this transition to Solo IMP within the next few months! I have so many questions! Sometimes it seems overwhelming and scary...but I am determined to do it! Thanks in advance for your input.

Nita

Re: Amazing Chart Users Question

Chirag- this is what I usually do, which takes about 2x 2-minuteblocks to register a new patient:When I have a new patient, if they've emailed me and set theirappointment on line and I return an email (have this in a macro) totheir address asking them to 1) download the registration papers fillout and sign and bring back with them to their visit, and 2) do anonline questionnaire. From the online appointment scheduling form Ican get most of the demographics- takes 2 minutes. If they'vecalled, and I decide to take them, I get demographics on the phone-takes 1.5 minute and enter directly into my new patient screen. Ifthey have email, I sent the registration forms to them and the IMHlink with instructions. If not- oh well, we do it in the office.When they show up, I scan the insurance card and the registrationpacket into the computer into separate registration folderalphabetized on my comupter, and

enter the insurance information intothe computer and enter the insurance number. Fill in any otherinformation I haven't gathered- usual pharmacy, emergency contact. Takes 1-2 minutes at most. When you sign the note, you generate the bill. You need to go back inand put in the copay. Takes 30 seconds. Apparently AC generates itsown HCFA now though I don't know how functional this is. I export thesuperbills to another program which doesn't require double entry ofdemographics or billing information.It's taken me while to figure out how to do this and a little practiceto do it efficiently but I think it works well and is fast andpainless on both sides.Lynn>> For

those of you that use AC, how does your officeregistration/ billing work? Do your own? Use AC?> Please explain from the time the patients arrives to the time theyleave, what happens?> Do they fill out a paper "registration" form and then you manuallycopy their insurance card? Or do you ask the patient for all theirinformation verbally and then copy their insurance information intothe AC demographic section? > Then do you generate a superbill at the end and send it out to yourbiller or use it for billing? Just a little curious about the initialoffice flow. > Thanks!> > > ------------ --------- --------- ---> Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.>

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

My system is simple, and very similar to Lynn Ho I believe.The basic design of

this set up goes back through Clemensen and before him it was actually Gwen

Hanson who I believe first put these pieces together in a low-cost, multi-piece

system.(is Gwen still on the list?? Any of us " old-timers " still in

touch with her?)I use --AC (emr with online prescribing)EZClaim (claims... file transfered easily from AC, see Lynn's recent

description)OneBox (email/fax/voice mail)AppointmentQuest (online

scheduling)Single land line for phone/internet (since I fax through OneBox)Cell phone.(I've not yet made jump to IMH, Instant Medical History,

but I should).... off the top of my head, I think the total for that is

about $4000-$4500 per year (mostly for phones/internet of course).Some folks

have moved to free claims systems and free online scheduling.With my setup,

anyone who calls the office get the voice mail automatically. Patients are educated

to leave a message like they were talking to a secretary... or, if needed, call me

urgently on my cell phone ... but most have moved to asynchronous communication with

emails.I back up computer with external hard drive and use a laptop

which I bring home ... or when I travel like this week to Bolivia for a

wedding. Will be able to " run the office " from afar (ie- at 12,000

ft elevation in La Paz) except for seeing patients in person or scanning into

computuer.Many others use programs like " gotomypc " for access

from outside the office (many recent discussions in group).I hope that

helps.TimOn Wed, April 23, 2008

9:45 am EDT, Nivedita Bijoor wrote:

Can

any members from our group please share with us the different products you use

along with AC at your office. I am also in the market for an EMR and it looks like

AC is the most cost effective/user friendly way to go aleast from the recent AAFP

emr reviews. I also want to compare it with eMD.

Please let me know the following-

1-Which online appointment scheduling system?

2-Which billing software/system?

3-Do you send your superbills directly fromAC into that with all

the pertinent info?

4-Anyone use a clearinghouse compatible with eMD/ AC which

follows up on cleaning up claims/ denials?

5-Can you access AC/eMD from home, to complete the charts later,

if needed?

6-Does AC/ eMD have a Coding check/ advisor inbuilt to help

justify the level of visit?

7-Which website/ hosting system do you use, if any? I have heard

of Medfusion. Is it good?

8-Does AC/ eMD have a database of handouts?

9-Can one make /personalise quick texts for repetitive use if

needed for charting of patient notes.

I

appreciate all you help and advice as I plan to undertake this transition to Solo

IMP within the next few months! I have so many questions! Sometimes it seems

overwhelming and scary...but I am determined to do it! Thanks in advance for your

input.

Nita

Re: Amazing Chart Users Question

Chirag- this is what I usually do, which takes about 2x 2-minuteblocks to

register a new patient:When I have a new patient, if they've emailed me and

set theirappointment on line and I return an email (have this in a macro)

totheir address asking them to 1) download the registration papers fillout and sign and bring back with them to their visit, and 2) do anonline

questionnaire.From the online appointment scheduling form Ican get most

of the demographics- takes 2 minutes. If they'vecalled, and I decide to take

them, I get demographics on the phone-takes 1.5 minute and enter directly into

my new patient screen. Ifthey have email, I sent the registration forms to

them and the IMHlink with instructions. If not- oh well, we do it in the

office.When they show up, I scan the insurance card and the registrationpacket into the computer into separate registration folderalphabetized on my

comupter, and enter the insurance information intothe computer and enter

the insurance number. Fill in any otherinformation I haven't gathered- usual

pharmacy, emergency contact. Takes 1-2 minutes at most. When you sign

the note, you generate the bill. You need to go back inand put in the copay.

Takes 30 seconds. Apparently AC generates itsown HCFA now though I don't know

how functional this is. I export thesuperbills to another program which

doesn't require double entry ofdemographics or billing information.It's

taken me while to figure out how to do this and a little practiceto do it

efficiently but I think it works well and is fast andpainless on both

sides.Lynn>> For

those of you that use AC, how does your officeregistration/ billing work? Do

your own? Use AC?> Please explain from the time the patients arrives to the

time theyleave, what happens?> Do they fill out a paper

" registration " form and then you manuallycopy their insurance card?

Or do you ask the patient for all theirinformation verbally and then copy

their insurance information intothe AC demographic section? > Then do

you generate a superbill at the end and send it out to yourbiller or use it

for billing? Just a little curious about the initialoffice flow. >

Thanks!> > > ------------ --------- --------- ---> Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try

it now.>

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended recipient,

you may not use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and destroy

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[Guest guest]

I use eMDs. The worst you can do, in my opinion, is to jerryrig some sort of

system together. If the various pieces don't talk to each other, you need to

reenter data, that is expensive. If they do talk to each other via an interface,

the interfaces need to change everytime one of the component changes. Unless you

know how to do that, it is expensive.

I use ENS for a clearing house, and all the uploading goes smoothly. They also

support ERA on each side, so the EOB from some of the insurances load directly

into the patient billing module. Less work, saves me having a billing company at

6%, I get to take those dollars home.

All of the systems have coding checkers and i believe handouts. In eMDs you

mostly use templates, but you can develop and store quick texts. I don't think I

have many because the templates are rich, and you make them yourself. They

appear as text, not bullets.

________________________________

From: on behalf of Nivedita Bijoor

Sent: Wed 4/23/2008 7:45 AM

To: ; nitasunny@...

Subject: Re: Re: Amazing Chart Users Question

Can any members from our group please share with us the different products you

use along with AC at your office. I am also in the market for an EMR and it

looks like AC is the most cost effective/user friendly way to go aleast from the

recent AAFP emr reviews. I also want to compare it with eMD.

Please let me know the following-

1-Which online appointment scheduling system?

2-Which billing software/system?

3-Do you send your superbills directly fromAC into that with all the pertinent

info?

4-Anyone use a clearinghouse compatible with eMD/ AC which follows up on

cleaning up claims/ denials?

5-Can you access AC/eMD from home, to complete the charts later, if needed?

6-Does AC/ eMD have a Coding check/ advisor inbuilt to help justify the level of

visit?

7-Which website/ hosting system do you use, if any? I have heard of Medfusion.

Is it good?

8-Does AC/ eMD have a database of handouts?

9-Can one make /personalise quick texts for repetitive use if needed for

charting of patient notes.

I appreciate all you help and advice as I plan to undertake this transition to

Solo IMP within the next few months! I have so many questions! Sometimes it

seems overwhelming and scary...but I am determined to do it! Thanks in advance

for your input.

Nita

Re: Amazing Chart Users Question

Chirag- this is what I usually do, which takes about 2x 2-minute

blocks to register a new patient:

When I have a new patient, if they've emailed me and set their

appointment on line and I return an email (have this in a macro) to

their address asking them to 1) download the registration papers fill

out and sign and bring back with them to their visit, and 2) do an

online questionnaire. From the online appointment scheduling form I

can get most of the demographics- takes 2 minutes. If they've

called, and I decide to take them, I get demographics on the phone-

takes 1.5 minute and enter directly into my new patient screen. If

they have email, I sent the registration forms to them and the IMH

link with instructions. If not- oh well, we do it in the office.

When they show up, I scan the insurance card and the registration

packet into the computer into separate registration folder

alphabetized on my comupter, and enter the insurance information into

the computer and enter the insurance number. Fill in any other

information I haven't gathered- usual pharmacy, emergency contact.

Takes 1-2 minutes at most.

When you sign the note, you generate the bill. You need to go back in

and put in the copay. Takes 30 seconds. Apparently AC generates its

own HCFA now though I don't know how functional this is. I export the

superbills to another program which doesn't require double entry of

demographics or billing information.

It's taken me while to figure out how to do this and a little practice

to do it efficiently but I think it works well and is fast and

painless on both sides.

Lynn

>

> For those of you that use AC, how does your office

registration/ billing work? Do your own? Use AC?

> Please explain from the time the patients arrives to the time they

leave, what happens?

> Do they fill out a paper " registration " form and then you manually

copy their insurance card? Or do you ask the patient for all their

information verbally and then copy their insurance information into

the AC demographic section?

> Then do you generate a superbill at the end and send it out to your

biller or use it for billing? Just a little curious about the initial

office flow.

> Thanks!

>

>

> ------------ --------- --------- ---

> Be a better friend, newshound, and know-it-all with Yahoo! Mobile.

Try it now.

>

________________________________

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

<http://us.rd.yahoo.com/evt=51733/*http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtD\

ypao8Wcj9tAcJ>

[Guest guest]

I believe LabCorp can interface, which would be great (no labs in my area do). However, that leaves mammograms, xrays, consultation notes, all of which can either be scanned from paper or Imported directly in. There are several methods of importing; you can pick between them (many ideas on this listserve).  Thanks .  Didn't consider that use for UpDox.  So Lab Corp or other lab you use could fax to you through your OneBox acct then though the use of UpDox you put hose results directly into AC and email patient with attached results as well.  These lab results as attachments are considered secure even if the email acct is not?Also, aren't some lab companies (Lab Corp) now able to interface directly with AC in some way? Am I dreaming that?  I certainly would hate to hand enter all lab results to this is a very good point.ThanksNeva Re: Amazing Chart Users Question> > >> > >> > >> > >> > >> > > Chirag- this is what I usually do, which takes about 2x 2-minute> > > blocks to> > > register a new patient:> > > When I have a new patient, if they've emailed me and> > > set their> > > appointment on line and I return an email (have this in a macro)> > > to> > > their address asking them to 1) download the registration > papers  > > fill> > > out and sign and bring back with them to their visit, and 2) > do an> > > online> > > questionnaire.> > > From the online appointment scheduling form I> > > can get most> > > of the demographics- takes 2 minutes. If they've> > > called, and I decide to take> > > them, I get demographics on the phone-> > > takes 1.5 minute and enter directly into> > > my new patient screen. If> > > they have email, I sent the registration forms to> > > them and the IMH> > > link with instructions. If not- oh well, we do it in the> > > office.> > > When they show up, I scan the insurance card and the registration> > > packet into the computer into separate registration folder> > > alphabetized on my> > > comupter, and> > >  enter the insurance information into> > > the computer and enter> > > the insurance number. Fill in any other> > > information I haven't gathered- usual> > > pharmacy, emergency contact.> > > Takes 1-2 minutes at most.> > > When you sign> > > the note, you generate the bill. You need to go back in> > > and put in the copay.> > > Takes 30 seconds. Apparently AC generates its> > > own HCFA now though I don't know> > > how functional this is. I export the> > > superbills to another program which> > > doesn't require double entry of> > > demographics or billing information.> > > It's> > > taken me while to figure out how to do this and a little practice> > > to do it> > > efficiently but I think it works well and is fast and> > > painless on both> > > sides.> > > Lynn> > > > > > >> > > > For> > >> > > those of you that use AC, how does your office> > > registration/ billing work? Do> > > your own? Use AC?> > > > Please explain from the time the patients arrives to the> > > time they> > > leave, what happens?> > > > Do they fill out a paper> > > "registration" form and then you manually> > > copy their insurance card?> > > Or do you ask the patient for all their> > > information verbally and then copy> > > their insurance information into> > > the AC demographic section?> > > > Then do> > > you generate a superbill at the end and send it out to your> > > biller or use it> > > for billing? Just a little curious about the initial> > > office flow.> > > >> > > Thanks!> > > >> > > >> > > > ------------ --------- --------- ---> > > > Be a better friend, newshound, and know-it-all with Yahoo!> > > Mobile.> > > Try> > > it now.> > > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >> > >       Be a better friend, newshound,> > > and> > > know-it-all with Yahoo! Mobile.  Try it now.> > >> > >> > >> > >> > >> > >> > > ----------------------------------------> > > Malia, MD> > >> > > Malia> > > Family Medicine & Skin Sense Laser> > > 6720 Pittsford-Palmyra Rd.> > > Perinton> > > Square Mall> > > Fairport, NY 14450> > >> > > (phone / fax)> > > www.relayhealth.com/doc/DrMalia> > > www.SkinSenseLaser.com> > >> > > --> > > Confidentiality Notice --> > > This email message, including all the attachments, is> > > for the sole use of the intended recipient(s) and contains> > > confidential information.> > > Unauthorized use or disclosure is prohibited. If you are not the> > > intended recipient,> > > you may not use, disclose, copy or disseminate this information.> > > If you are not the> > > intended recipient, please contact the sender immediately by> > > reply email and destroy> > > all copies of the original message, including attachments.> > > ----------------------------------------> > >> > >> >> > > >

[Guest guest]

Thanks , Tim and everyone else for sharing such a wealth of information.

I plan to open my solo practice in about three months. I am presently in the process of leasing some office space which needs some upfitting work. I am inspired by people like youself who are practicing IMP style.

How much in advance should I start contacting the various vendors like AC/onebox/updox/etc to make sure everything is up and running timewise? By the way, is anyone on our listserve practicing in and around the South Carolina upstate area? I would love to see how their EMR/ other software works in sync to help run the office efficiently.

Nita

[Practiceimprovemen t1] Re: Amazing Chart Users Question> > >> > >> > >> > >> > >> > > Chirag- this is what I usually do, which takes about 2x 2-minute> > > blocks to> > > register a new patient:> > > When I have a new patient, if they've emailed

me and> > > set their> > > appointment on line and I return an email (have this in a macro)> > > to> > > their address asking them to 1) download the registration > papers > > fill> > > out and sign and bring back with them to their visit, and 2) > do an> > > online> > > questionnaire.> > > From the online appointment scheduling form I> > > can get most> > > of the demographics- takes 2 minutes. If they've> > > called, and I decide to take> > > them, I get demographics on the phone-> > > takes 1.5 minute and enter directly into> > > my new patient screen. If> > > they have email, I sent the registration forms to> > > them and the IMH> > > link with instructions. If not- oh well, we do it in the> >

> office.> > > When they show up, I scan the insurance card and the registration> > > packet into the computer into separate registration folder> > > alphabetized on my> > > comupter, and> > > enter the insurance information into> > > the computer and enter> > > the insurance number. Fill in any other> > > information I haven't gathered- usual> > > pharmacy, emergency contact.> > > Takes 1-2 minutes at most.> > > When you sign> > > the note, you generate the bill. You need to go back in> > > and put in the copay.> > > Takes 30 seconds. Apparently AC generates its> > > own HCFA now though I don't know> > > how functional this is. I export the> > > superbills to another program which> > > doesn't require double entry

of> > > demographics or billing information.> > > It's> > > taken me while to figure out how to do this and a little practice> > > to do it> > > efficiently but I think it works well and is fast and> > > painless on both> > > sides.> > > Lynn> > > > > > >> > > > For> > >> > > those of you that use AC, how does your office> > > registration/ billing work? Do> > > your own? Use AC?> > > > Please explain from the time the patients arrives to the> > > time they> > > leave, what happens?> > > > Do they fill out a paper> > > "registration" form and then you manually> > >

copy their insurance card?> > > Or do you ask the patient for all their> > > information verbally and then copy> > > their insurance information into> > > the AC demographic section?> > > > Then do> > > you generate a superbill at the end and send it out to your> > > biller or use it> > > for billing? Just a little curious about the initial> > > office flow.> > > >> > > Thanks!> > > >> > > >> > > > ------------ --------- --------- ---> > > > Be a better friend, newshound, and know-it-all with Yahoo!> > > Mobile.> > > Try> > > it now.> > > >> > >> > >> > >> > >> > >> > >> > >> > >>

> >> > >> > >> > >> > >> > > Be a better friend, newshound,> > > and> > > know-it-all with Yahoo! Mobile. Try it now.> > >> > >> > >> > >> > >> > >> > > ------------ --------- --------- --------- -> > > Malia, MD> > >> > > Malia> > > Family Medicine & Skin Sense Laser> > > 6720 Pittsford-Palmyra Rd.> > > Perinton> > > Square Mall> > > Fairport, NY 14450> > >> > > (phone / fax)> > > www.relayhealth. com/doc/DrMalia> > > www.SkinSenseLaser. com> > >> > > --> > > Confidentiality Notice --> > > This

email message, including all the attachments, is> > > for the sole use of the intended recipient(s) and contains> > > confidential information.> > > Unauthorized use or disclosure is prohibited. If you are not the> > > intended recipient,> > > you may not use, disclose, copy or disseminate this information.> > > If you are not the> > > intended recipient, please contact the sender immediately by> > > reply email and destroy> > > all copies of the original message, including attachments.> > > ------------ --------- --------- --------- -> > >> > >> >> > > >

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

[Guest guest]

That is the BEST argument for getting the Updox I've ever heard.Likely it will

be straw that broke the camels back for trying the basic UpDox. I simply

didn't think that version was going to be robust enough to give you all that

advantage.Thanks for the post.Tim

Updox vs no Updox-I was using

electronically received faxes into a folder for 2 years before I started using

updox, but after I started using updox I would save 1-6 minutes PER patient lab that

was received and sent to to patient/filed. Also I used to print orders and

prescriptions to a desktop folder, then open an email browser, then write the email,

then attach the order to the email, which took again 2-3 minutes more PER patient

than doing it with updox. Savings during a day easily add up to an hour, and I

am not using the updox-onebox integrated suite that is using. An hour a day

(easy) over 2-3 weeks you've paid for the yearly cost. You could get by without it

if you are not busy at first and then add it in, but if I were doing it over I would

start with the onebox-updox system (I don't use it now but what I have is roughly

equivalent).Disclaimer - no financial connections to Updox or AC (though Jon

Bertman is my neighbor).Ly nnTo:

@...From: edens@...Date: Thu, 24

Apr 2008 08:11:03 -0400Subject: Re: Re: Amazing Chart

Users Question

Tim, I notice your set up is much

like 's but without the UpDox document management software. I watched 's

demo on this and find it a fascinating tool for moving documents to/from AC but

wondered if it's absolutely necessary (trying to save money). What are you doing

about documents/old records/referral letters etc... just scanning them and adding

them as pdf files?I would say other than the billing piece the other

daunting task is how to enter all the old records (I already have a patient base)

into AC or other EMR easily and quickly. Thanks for the info! Still making

plans for a possible IMP style practice here in NC (wasn't someone on this listserv

looking for that recently for a patient? - I'll be in Chapel Hill, which is about 30

min from Raleigh). Neva

Re: Amazing Chart Users Question> > > > > > Chirag- this is what I usually

do, which takes about 2x 2-minute> blocks to> register a new

patient:> When I have a new patient, if they've emailed me and>

set their> appointment on line and I return an email (have this in a

macro)> to> their address asking them to 1) download the

registration papers fill> out and s ign and bring back with them to

their visit, and 2) do an> online> questionnaire.>From the online appointment scheduling form I> can get most> of

the demographics- takes 2 minutes. If they've> called, and I decide to

take> them, I get demographics on the phone-> takes 1.5 minute and

enter directly into> my new patient screen. If> they have email, I

sent the registration forms to> them and the IMH> link with

instructions. If not- oh well, we do it in the> office.> When they

show up, I scan the insurance card and the registration> packet into the

computer into separate registration folder> alphabetized on my>

comupter, and> enter the insurance information into> the computer

and enter> the insurance number. Fill in any other> information I

haven't gathered- usual> pharmacy, emergency contact. > Takes 1-2

minutes at most. > When you sign> the note, you generate

the bill. You need to go back in> and put in the copay.> Takes 30

seconds. Apparently AC generates its> own HCFA now though I don't know> how functional this is. I export the> superbills to another program

which> doesn't require double entry of> demographics or billing

information.> It's> taken me while to figure out how to do this

and a little practice> to do it> efficiently but I think it works

well and is fast and> painless on both> sides.> Lynn> > >> > For> > those of you

that use AC, how does your office> registration/ billing work? Do>

your own? Use AC?> > Please explain from the time the patients arrives

to the> time they> leave, what happens?> > Do they

fill out a paper> " registration " form and then you manually> copy their insurance card?> Or do you ask the patient for all

their> information verbally and then copy> their insurance

information into> the AC demographic section? > > Then do> you generate a superbill at the end and send it out to your> biller

or use it> for billing? Just a little curious about the initial>

office flow. > >> Thanks!> > > > > > ------------ --------- --------- ---> > Be a better friend,

newshound, and know-it-all with Yahoo! > Mobile. > Try>

it now.> >> > > > > > > > > > > > >

> Be a better friend, newshound, > and >

know-it-all with Yahoo! Mobile. Try it now. & g t; > > > > > >

----------------------------------------> Malia, MD> > Malia> Family Medicine &

Skin Sense Laser> 6720 Pittsford-Palmyra Rd.> Perinton>

Square Mall> Fairport, NY 14450> > (phone /

fax)> www.relayhealth.com/doc/DrMalia>

www.SkinSenseLaser.com> > --> Confidentiality

Notice --> This email message, including all the attachments, is>

for the sole use of the intended recipient(s) and contains > confidential

information.> Unauthorized use or disclosure is prohibited. If you are not

the > intended recipient,> you may not use, disclose, copy or

disseminate this information. > If you are not the> intended

recipient, please contact the sender immediately by > reply email and

destroy> all copies of the or iginal message, including

attachments.>

----------------------------------------> >

Spell a grand slam in this game where word skill meets

World Series. Get

in the game.

---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended recipient,

you may not use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and destroy

all copies of the original message, including attachments.----------------------------------------

[Guest guest]

Yes. But when I started my system 2 years ago, I set it like this, and didn't find

the AC system so smooth (it's better now). Also, now my system for the

filetree with the patients is pretty good and I can find things rather rapidly.But inertia is inertia, and I can't make myself believe the effort to get

everyone's info over to the AC place that is already in the filetree will be so

advantageous... but I'm always open for the idea.TimOn Thu, April 24, 2008 7:54 pm EDT, Chirag Patel

wrote:

Tim-doesn't AC have a place in their

program within the patient chart where you can save this material instead of a seperate file tree?? " Malia, MD "

wrote:

I scan paper and keep them as PDFs in a file tree, along with lab sheets and

letters,etc, of all my patients that is actually separate from AC.Faxes come

through OneBox and I " print to Adobe Acrobat " and save in same way.I

have a scanned, signed lab sheet, and order sheets for radiology, saved as PDFs that

I open when needed, use the Adobe Acrobat tool for typewriter and fill in

patient's name/dob and save for future use, then I type in the labs and print, or

email to pt perhaps, and save in patient's file. is smoother with

the tech stuff. Other systems are smoother in integrating each piece. But my system

is cheap and easy for me. And now that I've been doing it for 2 yrs, it's

straight-forward.Basically, I do trade some time for cost, but that's a

personal decision we all must find the right balance for.I hope that

helps.TimOn Thu, April 24, 2008 8:11 am EDT,

edens@....edu wrote:

Tim, I notice your set up is much

like 's but without the UpDox document management software. I watched 's

demo on this and find it a fascinating tool for moving documents to/from AC but

wondered if it's absolutely necessary (trying to save money). What are you

doing about documents/old records/referral letters etc... just scanning them and

adding them as pdf files?I would say other than the billing piece the

other daunting task is how to enter all the old records (I already have a patient

base) into AC or other EMR easily and quickly. Thanks for the info! Still

making plans for a possible IMP style practice here in NC (wasn't someone on this

listserv looking for that recently for a patient? - I'll be in Chapel Hill, which is

about 30 min from Raleigh). Neva

Re: Amazing Chart Users Question> > > > > > Chirag- this is what I usually

do, which takes about 2x 2-minute> blocks to> register a new

patient:> When I have a new patient, if they've emailed me and>

set their> appointment on line and I return an email (have this in a

macro)> to> their address asking them to 1) download the

registration papers fill> out and sign and bring back with them to their

visit, and 2) do an > online> questionnaire.>From the online appointment scheduling form I> can get most> of

the demographics- takes 2 minutes. If they've> called, and I decide to

take> them, I get demographics on the phone-> takes 1.5 minute and

enter directly into> my new patient screen. If> they have

email, I sent the registration forms to> them and the IMH> link

with instructions. If not- oh well, we do it in the> office.> When

they show up, I scan the insurance card and the registration> packet into

the computer into separate registration folder> alphabetized on my> comupter, and> enter the insurance information into> the

computer and enter> the insurance number. Fill in any other>

information I haven't gathered- usual> pharmacy, emergency contact. > Takes 1-2 minutes at most. > When you sign> the note, you

gen erate the bill. You need to go back in> and put in the copay.> Takes 30 seconds. Apparently AC generates its> own HCFA now though I

don't know> how functional this is. I export the> superbills to

another program which> doesn't require double entry of>

demographics or billing information.> It's> taken me while to

figure out how to do this and a little practice> to do it>

efficiently but I think it works well and is fast and> painless on both> sides.> Lynn> > >> >

For> > those of you that use AC, how does your office>

registration/ billing work? Do> your own? Use AC?> > Please

explain from the time the patients arrives to the> time they>

leave, what happens?> > Do they fill out a paper>

" registration " form and then you manually> copy their

insurance card?> Or do you ask the patient for all their>

information verbally and then copy> their insurance information into> the AC demographic section? > > Then do> you generate

a superbill at the end and send it out to your> biller or use it> for billing? Just a little curious about the initial> office flow.

> >> Thanks!> > > > > >

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----------------------------------------> Malia, MD> > Malia> Family Medicine &

Skin Sense Laser> 6720 Pittsford-Palmyra Rd.> Perinton>

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---------------------------------------- Malia, MDMalia Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the

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---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

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