Amazing Charts Users Questions & Answers

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1-Which online appointment scheduling system?i do not currently use an online appointment scheduling system, but will probably be looking into it over the next year.

2-Which billing software/system?

i use the practice management portion of AC currently, and anticipate it will become far more robust within the next few months with version 4. the only things currently lacking are a summation of individual accounts receivable, and an aging function; everything else is essentially already there, including patient bill generation. there is already a function to upload patient billing files from AC to office ally, however it does require correcting some minor information once the billing file is parsed by OA. i hope the AC-OA interface will also become more robust with the release of AC v4, but i don't know for sure; it is acceptable for now.

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

the pertinent info?

see answer to q2.

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

follows up on cleaning up claims/ denials?

no one follows up on claims/denials other than you and/or your staff, or possibly a diligent outside biller.OA will reject claims for a variety of reasons, and will tell you so that they can be corrected within OA, and resubmitted.

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

if needed?there are a variety of ways to do this. i have used gotomypc, which worked fine until i installed my server/client network, so i have discontinued gotomypc; with my network, i use remote desktop through a vpn, and that works fine, and is probably the most secure, and can be accessed from anywhere as long as i have internet access.

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

justify the level of visit?

AC has such a function, on rare occasions i have used it, however it is not a substitute for the doctor knowing how to code a visit. i have a printout of the 99201-5 and 99211-5 with criteria and total time equivalents posted in front of me; i use it when i'm not sure.if you remain in doubt, take a billing and coding course at your local community college.

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

of Medfusion. Is it good?

i do not currently have a website, but will probably be looking into it over the next year.

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

under the help tab in AC, there are links to a variety of websites and handouts. find what you need, and bookmark those websites.

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

needed for charting of patient notes.there are a variety of ways to do this, with various macro programs, using templates in AC, and voice macros in dragon (which i prefer). the key problem with repetitive information entry is that it doesn't work well for the hpi, and perhaps marginally better for the ros. i am experimenting with formedic to see if that would be helpful, others use instant medical history, and i am considering that, too, to more efficiently enter information.in AC, you will have to be more facile with using a computer, loading programs, getting them to interact appropriately, and figuring stuff out.you cannot reasonably expect to "just be a doctor", sit down in front of patient with computer, and voila! and that's no matter what the program(s) is/are.i have been using AC since 2002, it remains in my mind the best bang for the buck. is it perfect? no. is it getting

better? yes.example: i want to be able to navigate and command and control AC completely by keystroke; that's why i got the ultranav keyboard. brian cotner and i have come up with a standardized method to do so, and jon bertman is in the process of implementing our suggestions. we do that because we want it to work better for us, we expect our suggestions to be taken seriously, and they are.the OA interface is in AC because i asked for it. i worked with OA and AC to get it done. one can't expect to have what one needs by watching it arrive, one must ask for it; that goes for emr's as well as life.one can take pretty much one of three different approaches:i have a lot of money, and i will pay a lot to know as little as possible, so i can concentrate on being a doctor.i don't have a lot of money, and i am willing to do a significant amount to make things work, so i can get paid.i am

morally and ethically opposed to paying money for what should be free, so i will build my own, or work with others with similar philosophy.each approach has it's advantages and disadvantages, with money or it's perception being the usual decider. no one value/set of programs is right for everyone; the set of programs i use are right for me and my particular circumstances, and for how and what i do, and i continue to look for and test out various programs and interfaces and other methods to get everything well done efficiently, so i am able to reap and enjoy the fruits of my labor.and yes, the beets are coming up today!happy harvesting.LLno financial attachment to AC, i just want what i want so it works for me.

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

[Practiceimprovemen t1] 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. >

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