Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 ouch I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they " release " my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see. Mike -- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!) Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers "released" from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it "released". Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they "release" my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 ,I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers " released " from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it " released " . Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they " release " my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see. Mike -- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 OK. Please tell me what it means that one e prescribing company gets to hold your DEA and your NPI numbers. Are not these yours? Like your MD license? Since when are these guys the licensing agency? If the prescribing service is not satisfactory, then it seems that we should be able to change to another service. What? Do these guys own our ability to prescribe as well? If they say it's 'clerical', it think that's really a ?market control issue or intimidation issue. Please tell me that the other smaller parts of the dog are not beginning to think that they get to wag the dog too. Say it is not so. Do we roll over for this also? Are we not buying this service? Are these guys not vying to service us? Don't we pay for this service? If we are buying a service, then we get to choose. If we get to choose, then we have the power. Forgive me for being dense here. Kathleen ( who is thinking that all of the credentialing crap that third party payers market as 'protecting the patient from bad docs or NPs', is really about market control.),I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers "released" from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it "released". Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they "release" my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see.Mike-- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 : I may give that a try. Looking at Allscripts user forum- lots of complaints about server being down. I did actually get first script to go thru this morning, however. Should I try Practice Fusion? Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 Ok Kathleen, I think it is necessary to ensure that the refill requests are routed to the right escripts provider, and that the change request did originate in your office... OK. Please tell me what it means that one e prescribing company gets to hold your DEA and your NPI numbers. Are not these yours? Like your MD license? Since when are these guys the licensing agency? If the prescribing service is not satisfactory, then it seems that we should be able to change to another service. What? Do these guys own our ability to prescribe as well? If they say it's 'clerical', it think that's really a ?market control issue or intimidation issue. Please tell me that the other smaller parts of the dog are not beginning to think that they get to wag the dog too. Say it is not so. Do we roll over for this also? Are we not buying this service? Are these guys not vying to service us? Don't we pay for this service? If we are buying a service, then we get to choose. If we get to choose, then we have the power. Forgive me for being dense here. Kathleen ( who is thinking that all of the credentialing crap that third party payers market as 'protecting the patient from bad docs or NPs', is really about market control.) ,I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks On Mon, Oct 11, 2010 at 8:11 AM, Seto wrote: Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers " released " from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it " released " . Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they " release " my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see. Mike-- Sangeetha Murthy M.D -- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 Mike,I don't know that I would recommend that you use Practice Fusion JUST for e-prescribing, but it is free and a pretty good EMR too. What Allscripts product are you using? Their free ePrescribe? : I may give that a try. Looking at Allscripts user forum- lots of complaints about server being down. I did actually get first script to go thru this morning, however. Should I try Practice Fusion? Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 : Just using Allscripts free prescribing system. I also looked at a company called RxNT but they wanted $650 per year. I found another free service but can't remember the name. Some company called iPrescribe gives you an app for the iPhone. That one costs about $80/year I think. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 That seems like a 'clerical' pseudo system issue. I still don't understand. The e script service is software, the prescriber logs in/electronically identifies her/himself. If the particular pharmacy has an auto renewal program which will notify the prescriber that a renewal is needed, that renew request originates from the pharmacy and may go through the e prescribing service to the prescriber who acts on it. If the practice has changed its prescribing service since the last interaction, it seems that the renewal request just will not go through the old service. In this case the pharmacy has to contact the the doc who may then send the renewal back to the pharmacy by way of the new e prescribing service. At least in a simpler world. I still do not see how an e prescribing company can hold your DEA number and NPI number. for weeks. can you explain? Ok Kathleen, I think it is necessary to ensure that the refill requests are routed to the right escripts provider, and that the change request did originate in your office... OK. Please tell me what it means that one e prescribing company gets to hold your DEA and your NPI numbers. Are not these yours? Like your MD license? Since when are these guys the licensing agency? If the prescribing service is not satisfactory, then it seems that we should be able to change to another service. What? Do these guys own our ability to prescribe as well? If they say it's 'clerical', it think that's really a ?market control issue or intimidation issue. Please tell me that the other smaller parts of the dog are not beginning to think that they get to wag the dog too. Say it is not so. Do we roll over for this also? Are we not buying this service? Are these guys not vying to service us? Don't we pay for this service? If we are buying a service, then we get to choose. If we get to choose, then we have the power. Forgive me for being dense here. Kathleen ( who is thinking that all of the credentialing crap that third party payers market as 'protecting the patient from bad docs or NPs', is really about market control.),I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers "released" from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it "released". Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they "release" my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see.Mike-- Sangeetha Murthy M.D-- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 Why not? If the system shows that you have 2 eprescribing systems in place, how can it be routed right? . I don't know about holding the numbers hostage, but they had me fax that " yes I was switching " and allscripts terminated their service and practice fusion took over and that did take a couple of weeks of verification by Surescripts I believe it was That seems like a 'clerical' pseudo system issue. I still don't understand. The e script service is software, the prescriber logs in/electronically identifies her/himself. If the particular pharmacy has an auto renewal program which will notify the prescriber that a renewal is needed, that renew request originates from the pharmacy and may go through the e prescribing service to the prescriber who acts on it. If the practice has changed its prescribing service since the last interaction, it seems that the renewal request just will not go through the old service. In this case the pharmacy has to contact the the doc who may then send the renewal back to the pharmacy by way of the new e prescribing service. At least in a simpler world. I still do not see how an e prescribing company can hold your DEA number and NPI number. for weeks. can you explain? Ok Kathleen, I think it is necessary to ensure that the refill requests are routed to the right escripts provider, and that the change request did originate in your office... On Mon, Oct 11, 2010 at 9:20 AM, Kathleen Patton wrote: OK. Please tell me what it means that one e prescribing company gets to hold your DEA and your NPI numbers. Are not these yours? Like your MD license? Since when are these guys the licensing agency? If the prescribing service is not satisfactory, then it seems that we should be able to change to another service. What? Do these guys own our ability to prescribe as well? If they say it's 'clerical', it think that's really a ?market control issue or intimidation issue. Please tell me that the other smaller parts of the dog are not beginning to think that they get to wag the dog too. Say it is not so. Do we roll over for this also? Are we not buying this service? Are these guys not vying to service us? Don't we pay for this service? If we are buying a service, then we get to choose. If we get to choose, then we have the power. Forgive me for being dense here. Kathleen ( who is thinking that all of the credentialing crap that third party payers market as 'protecting the patient from bad docs or NPs', is really about market control.) ,I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks On Mon, Oct 11, 2010 at 8:11 AM, Seto wrote: Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers " released " from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it " released " . Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they " release " my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see. Mike-- Sangeetha Murthy M.D -- Sangeetha Murthy M.D -- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 Kathleen,I'm sure I don't know any more about this than anyone else. From what I do know, SureScripts is the major player in the e-prescription market with over 85% of pharmacies participating. Some others are RxHub and ProxyMed. SureScripts acts like a clearinghouse so that new prescription orders and refill requests can come from many different sources and then get routed to the appropriate provider or pharmacy. For example, if a pharmacy uses the SureScript system to request a refill, they are no longer contacting the doctor directly but going through SureScripts which then sends a refill request to the doctor. If the pharmacy calls or faxes the doctor directly, then SureScripts does not get involved.I would guess that SureScripts just wants to be sure that prescription requests only come from one trusted source. If prescriptions in my name were coming to them from more than one vendor (EMR, AllScripts free ePrescribe, RelayHealth, etc) then there might be a question of fraud. Or it may just be a SureScripts policy that only one vendor can send them prescriptions in your name at any one time. Personally, I feel better knowing that there are some safeguards in place to prevent the easy switching of ePrescribing vendors, especially since they will be turning on ePrescriptions for controlled substances.I don't see them as holding your DEA and NPI numbers hostage. For one thing, the system Mike is using is free, so perhaps you get what you pay for. Secondly, as the famous quotation says, "Never ascribe to malice that which can be explained by incompetence." Maybe I'm naive, but I guess I think they may just be slow and inefficient in freeing up his account.Here's an example. I have been a paying customer of RelayHealth for the past 5 years. They host my website which is a templated patient portal. For the past year, I have been unable to make any changes to the front page of my website. They said it was because I had typed more than 2000 characters and it screwed up their system somehow. Go figure. The first time they reset it right away. But I didn't count carefully and froze the webpage again. But despite me calling and e-mailing many times, every few months, asking them to reset it, it took them 1 year to finally reset my homepage. Maybe they were just trying to teach me a lesson for not following their instructions the first time. Maybe I pissed them off. I think they probably just had better things to do. I'm hoping Practice Fusion gets their patient portal up and running soon so that I can "weigh my options" with RelayHealth. SetoSouth Pasadena, CA That seems like a 'clerical' pseudo system issue. I still don't understand. The e script service is software, the prescriber logs in/electronically identifies her/himself. If the particular pharmacy has an auto renewal program which will notify the prescriber that a renewal is needed, that renew request originates from the pharmacy and may go through the e prescribing service to the prescriber who acts on it. If the practice has changed its prescribing service since the last interaction, it seems that the renewal request just will not go through the old service. In this case the pharmacy has to contact the the doc who may then send the renewal back to the pharmacy by way of the new e prescribing service. At least in a simpler world. I still do not see how an e prescribing company can hold your DEA number and NPI number. for weeks. can you explain? On Oct 11, 2010, at 1:07 PM, Sangeetha Murthy wrote:Ok Kathleen, I think it is necessary to ensure that the refill requests are routed to the right escripts provider, and that the change request did originate in your office... OK. Please tell me what it means that one e prescribing company gets to hold your DEA and your NPI numbers. Are not these yours? Like your MD license? Since when are these guys the licensing agency? If the prescribing service is not satisfactory, then it seems that we should be able to change to another service. What? Do these guys own our ability to prescribe as well? If they say it's 'clerical', it think that's really a ?market control issue or intimidation issue. Please tell me that the other smaller parts of the dog are not beginning to think that they get to wag the dog too. Say it is not so. Do we roll over for this also? Are we not buying this service? Are these guys not vying to service us? Don't we pay for this service? If we are buying a service, then we get to choose. If we get to choose, then we have the power. Forgive me for being dense here. Kathleen ( who is thinking that all of the credentialing crap that third party payers market as 'protecting the patient from bad docs or NPs', is really about market control.),I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks Mike,When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers "released" from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it "released". Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? SetoSouth Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they "release" my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see.Mike-- Sangeetha Murthy M.D-- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 The other company I am looking into is called NuNova, also free for e-prescribing. We'll see how it goes. They did say getting my SPI (Surescripts Prescribing Number) connected to them and out of Allscripts hands is something they would do. The Rep thought it would take about 24 hours. These services should be free for the docs because the pharmacies are paying both Surescripts, who owns the network/protocols, and the vendor for each script sent electronically. FYI, another thing to be careful about is to make sure the vendor isn't just faxing the script to the pharmacy. This doesn't count for purposes of getting the Medicare 2% extra. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2010 Report Share Posted October 11, 2010 Kathleen, I agree completely. Turf battle, marketing wars, intimidation. Hmm... maybe this is what happens when you try to make a service to humanity into a profit-taking business. Deanna Re: Allscripts Ok Kathleen, I think it is necessary to ensure that the refill requests are routed to the right escripts provider, and that the change request did originate in your office... OK. Please tell me what it means that one e prescribing company gets to hold your DEA and your NPI numbers. Are not these yours? Like your MD license? Since when are these guys the licensing agency? If the prescribing service is not satisfactory, then it seems that we should be able to change to another service. What? Do these guys own our ability to prescribe as well? If they say it's 'clerical', it think that's really a ?market control issue or intimidation issue. Please tell me that the other smaller parts of the dog are not beginning to think that they get to wag the dog too. Say it is not so. Do we roll over for this also? Are we not buying this service? Are these guys not vying to service us? Don't we pay for this service? If we are buying a service, then we get to choose. If we get to choose, then we have the power. Forgive me for being dense here. Kathleen ( who is thinking that all of the credentialing crap that third party payers market as 'protecting the patient from bad docs or NPs', is really about market control.) , I did some paperwork from allscripts to switch to practice fusion , took about 3 weeks Mike, When I got my e-prescription function activated with my Practice Fusion EMR, they did not tell me I had to get my DEA/NPI numbers "released" from the RelayHealth site that I had been using previously for my e-prescriptions. They just told me that I shouldn't go back and use RelayHealth for e-prescriptions anymore since they are both on the Surescripts system. So maybe you don't need it "released". Maybe just signing up with another system will supercede the old one. What e-prescribing system are you thinking of switching to? Maybe ask them how best to make the switch? Seto South Pasadena, CA I'm having a bad experience with Allscripts. Unfortunately since I registered with them, I cannot change to another e-prescribing system until they "release" my DEA/NPI number with Surescripts. There does not appear to be a way to get this done using their web interface. Sent an email to customer support- we'll see. Mike -- Sangeetha Murthy M.D -- Sangeetha Murthy M.D Quote Link to comment Share on other sites More sharing options...
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