e-prescribing and iMacros

[Guest guest]

The last one we had was only about 12

charts. Since we close early on Wednesdays, we scheduled the coder to come at

2 pm, when we are just finished seeing patients. I had our nurse open up all

of the charts (in e-MDs, you can have multiple charts open at the same time and

there is a drop-down box that you can use to flip from one chart to another

without losing your place). The coder was able to go through the first chart,

and then as she closed on the “x” to close that chart, the next one was already

there, open for the coder to review. Our nurse was able to sort of keep an eye

on the coder while she went through the charts, was there to answer any

questions, and it took only about an hour (our nurse was doing other tasks

while there – she usually works until 3 on Wednesdays anyways). The coder

thought it was fabulous that we had all of the charts already open so that she

didn’t have to figure out how to search for them. What she didn’t know was

that it was our way of keeping her eyes and nose out of what wasn’t her

business.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Myria

Sent: Friday, January 14, 2011

5:32 PM

To:

Subject: Re:

e-prescribing and iMacros

Yes, , but then I have to tie myself (or my new nurse) up to

show them the chart! How do I keep them to just the charts they request once I

open the EMR for them if I don't sit there watching them? I would love to

challenge this again as I sit with requests I have ignored for the past 2

weeks. Thanks for suggestions.

From:

To:

Sent: Fri, January 14, 2011

12:16:13 PM

Subject: Re:

e-prescribing and iMacros

I must say that if I had a contract that said I

had to do it for free I would not renew with those guys

without trying to negotiate that

I had a big to do about this stuff here a few yrs ago and knock on wood

they have not requested records since i asked to be paid But these

plans bury this information The contracts say you will [participate acc.

to the utilization plan which of course is accessed some other

place than the contract an d you do not know what you have agreed

to I am mostly medicare here and not much advantage but

I write this in before I sign contracts My one big advantage plan here pays for

records and pays for telephone call and and ev isits becasue they

" get it "

It is shame we spend so much time on so much embarrassing crap like

I do not work for free It belittels us and burns us out and makes us so

money grubbing

Jean

On Fri, Jan 14, 2011 at 11:26 AM, Pratt

wrote:

Myria,

Double check your contracts. Our

contracts state that we have to make our records “available.” It does NOT

say that we have to send them a copy. So we make them come to our office

to review charts. Remember, they are looking through YOUR charts to try

to make THEMSELVES more money!

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From:

[mailto: ]

On Behalf Of Myria

Sent: Friday, January 14, 2011

4:58 AM

To:

Subject: Re:

e-prescribing and iMacros

Please say more. I tried that last year with every

insurance I have for Medicare Advantage. It was a nightmare with their

threats to disenroll me and unfornately all the contracts say I must provide

records free of charge.

To: " "

< >

Cc: " "

< >

Sent: Thu, January 13, 2011 8:04:34

PM

Subject: Re:

e-prescribing and iMacros

Thanks for your replies.

I will start billing for med rec. Their faxes state they will not pay

per Medicare..whatever that means!

I currently use Relayhealth for erx but would like to use it through

Amazing charts to have it under one system.

Nita

Sent from my iPhone

We get paid or they don't get the records. Sent

approx. $500 worth last week after receiving payment from a Medicare Advantage

plan.

Sent from my Verizon Wireless BlackBerry

Sender:

Date: Thu, 13 Jan

2011 15:02:06 -0800 (PST)

To: < >

ReplyTo:

Cc: < >

Subject: Re:

e-prescribing and iMacros

Please pardon me if this has been discussed recently but I wanted to

know how my fellow physicians like using the e prescribing feature through

amazing charts. I just found out from them that it was an included option with

their guardian angel support and I was thinking of activating it.

Also how do you guys handle the unending requests for med records on

Medicare/ managed plans. It really uses a lot of our time and we don't get

reimbursed for it. Just frustrated!

Is there a good program to handle incoming/ outgoing faxes

through the computer ie to fax pt records as PDF files through the Emr.

Thanks in advance and Happy New Year to all!

Nita

Sent from my iPhone

On Jan 12, 2011, at 9:05 PM, Sangeetha Murthy

wrote:

I tried imacro a while ago, a littltle glitchy... vut

maybe I just needed to work more creatively...

Just found nice add-on for Firefox/Chrome: iMacros.

It's free! It records macros for the browser to automate tasks. I'm currently

using it to automate my e-prescribing. I'm using NuNova (also free); they were

kind enough to upload all my existing patients, but it still takes extra time

to put in the name and address of a new patient.

I use my EMR to create a text file with the new patient's demographic info in

one long line separated by commas:

, Doe, 22 Main Street, St. Louis, MO,

63144, 08/01/1960, etc

Many EMRs can export data to text or .csv (comma separated value) files. With

iMacros one can create a macro that logs in to NuNova, goes to the the correct

page to add new patients, takes the data from the text file and puts each part

in the correct place on the form, and finally submits the new patient data.

My next task is to figure out a way to enter prescription data only once but

have it appear in two places: my EMR and NuNova. I'm not sure if entering the

script in NuNova first and using a macro to transfer to EMR via text file is

best or the other way around.

Mike Barron

--

Sangeetha Murthy M.D

7830 mont Mesa

Blvd #287

San Diego,

CA 92111

www.mypcponline.com

--

MD

115 Mt Blue

Circle

Farmington

ME 04938

ph fax

impcenter.org