What’s everyone doing for televisits on patients that don’t have an email address? We have a patient on the schedule today and we’re scrambling to find a way to connect with him.
Televisit for patients that don’t have an email address
POS code HELP
We are trying to create and file tickets through a telephone encounter and if you manually change the POS from our normal filing code 11 to a 02 as required it will reject the claim stating it does not match our facility POS code 11. We can go over to the claims screen and manually open a claim but then Medicare won’t have the encounter to view.
Does anyone know if this is being waived by Medicare or will we have to swap over our Facility ID everytime we file from schedule to televist?
HELP!!!!!!!
CHADIS with v11? currently usable or future version…
As a pediatric group, we have been eagerly hoping CHADIS would be available since it was brought up as an upcoming interface at the NUC back a hundred years ago (in pediatrician years).
I have heard both that it is avail in v11 and that it will be an upcoming feature in a future v11 release. Anyone using it? thoughts?
Chris
Telemedicine and Portal Accounts
Hello,
We are hoping to implement Televisits soon, and have run into a few access questions. Since the Patient Portal is a part of this functionality, how are other practices providing this option to children 0-17? Do you allow these patients to have a portal account with a proxy? We currently have the portal disabled for any patient ages 13-17 years old, and realize that when we begin using telemed they will not have the same opportunities.
Have any other practices already implemented this and have any recommendations?
Thank you!
Office 365 Migration
We are planning for an upcoming migration to Office 365. This includes both email and office products. If you have gone through this at your practice I’d love to have any feedback on lessons learned to insure a successful migration and minimize impact on eCW performance.
eMAR Newbie
Hello, All,
As an urgent care company, the eMAR has great potential for us.
I am starting the build and seeking advice for pediatrics. How many doses do you build into the eMAR for your providers? For example, ibuprofen 100mg/5ml has 10s of possibilities which starts to grow quickly when you consider .25 and .5 doses.
I want to make this simple for providers without being terribly overwhelming.
Any and all advice appreciated.
Thank you and stay well!
TeleVisits and Text Message Reminders
Hello,
We have the functionality turned on for patients to receive a reminder text before their TeleVisit appointment. We have had a few cases where it was reported to us that the text did not go out, but the reminder email did. I was able to replicate this with one of our test patients a few different times.
There is not a log on the front end that we can see the successful/failed texts for these TeleVisits, and when eCW looked on the portal server they did not see any texts in the failed log, nor were they in the success category. So we are unsure of how to even identify the total number of our patients that have failed texts. The only way we know it happens is when they call us to report the issue.
Have any other practices encountered this issue?
Thank you!
Progress Note “graying out”
We’re rolling out the web based v11e and some of our Providers are finding that when they try to close a window (vitals, treatment, etc.) within the progress note, the screen turns gray and they cannot click on anything to get out of it. They end up having to close down eCW and reopen the note, this happens repeatedly with various notes. Anyone experience this or have thoughts?
Trizetto Issue
“Based on this Cognizant Technology Solutions security incident, eClinicalWorks has decided to block all integrations with TriZetto from within the eClinicalWorks application as precautionary security measure.”
We are self hosted . . . is anyone else facing this problem? If so, would love to hear what plan B is from you.
Thanks,
Dave
Changes made within ECW version - cloud based practice
Does anyone know of an upgrade that was pushed out on the Cloud Based practices of ECW? We have noticed several changes in the last 2 days and did not get any notification that changes were made.
1. The T Jellybean for claims follow up. This went from showing all my claims pending and worked (198) to only the current ones unworked (5)
2. The insurance within demos - if you previously typed “aa”, it would only bring up insurance that had AA in the beginning of the master file, now it brings up any insurance that has “aa” anywhere in the name. e.g. aaa and USAA will now show in the list.
3. All of our progress notes now print a header as shown below - this is a test patient so none of the info is real PHI.
TEST, JAIMIN DOB: 08/21/1950 (69 yo F) Acc No. 3101 DOS: 03/06/2020
Progress Notes
Patient: TEST, JAIMIN
Account Number: 3101
Provider: Edmundo Rivera MD
DOB: 08/21/1950 Age: 69 Y Sex: Female Date: 03/06/2020
Phone: 775-275-1053
Address: 114 Turnpike Road, Westborough, MA-01581
Pcp:
Anyone have an idea how to turn that off? I am emailing my SAM as well.
Enrolling patient for h2h
I am testing h2h tomorrow with our group and I am having a tough time enrolling my test patient, which is web enabled. When I activate h2h, the patient is checked off for h2h in the air bubble/web enabling window., though says Not Enrolled in red. When I go into the Healow app and into settings, it shows that I am enrolled for h2h.
Anybody run into the same issue and am I missing a step to enroll the patient?
Thanks,
Karen
Kiosk or other method of remote check-in
With social distancing being the norm for the foreseeable future, we are looking for methods of remote check-in that would help to avoid lines.
Our main location is a multi-specialty office and it has about 30-40 facilities but centralized check-in. For example, there is a rheumatology office, an endocrinology, cardiology, podiatry, nephrology etc. Each of those is a separate facility and needs to be for financial and reporting reasons.
We looked at using eCW’s Kiosk feature, but that needs to be configured to one facility. Having a bank of kiosks in our shared waiting area each tied to one facility seems silly and inefficient.
We are open to using third party vendors. Does anyone have ideas/suggestions that have worked for them.
Here is our current check-in process:
- Car drives up and is given a paper with a phone number, and is asked to park and text the number.
- Registration staff calls the patient and goes over check-in information over the phone.
- They enter the cell number in the general notes section of eCW and mark the patient arrived.
- the office calls the patient when ready and the patient goes directly to the office.
Our problems arise when an insurance card or photo-ID needs to be scanned or any paperwork needs to be signed. At this point the patient needs to come in and wait on line at the check-in desk to get these items taken care of. We would like a way to capture signatures and scans remotely without having a kiosk for each facility.
Thanks in advance for any ideas/suggestions.
Commonwell/Carequality: helpful or not?
I say this knowing a couple of things, I believe:
1) It’s not perfect. Nowhere close.
2) There’s a chicken or the egg scenario. The network is incomplete so practices/entities don’t join. But the network is incomplete because practices/entities don’t join.
Having said that…..is it any level helpful? Has it given you any benefit at all? Or is the level of dissatisfaction so high that you’ve given up (for now)?
Allow me an equivalent. We subscribe to the Advanced Plan for Health population health tool. It gives us every claim filed for one of our corporate clients, no matter who rendered the service - hospital, lab, pharmacy, DME, physician, etc. But…..some of the data is lacking, or just plain bad. However, the shortcomings don’t keep us from using it - we just work around the faults.
Thanks.
Turning off Tracking board notifications for providers
We do not use the tracking board in our practices but status are showing in the s jellybean for our providers. Problem- providers are showing a number in the s jellybean when a patient was here for the lab but not a visit for them. The providers are wondering about shutting this feature off so that they are not alerted to lab visits but only their own visits with patients. Wondered if anyone has figured anything out for this?
browser vs exe cons and pros
what is better?
I was wondering if any of you could explain the differences between exe and browser version? I am familiar that there is a learning curve, some functionalities does not work in exe that works in browser and vice versa. There are multiple bugs and so fourth.
are there any other information i am missing.
in your opinion what are the pros and cons in going to browser version? thank you!!
Diable Ablity to Copy to Text, CSV, Excel
Does anyone know a way to not allow staff to use the copy buttons in 11e (11.40)?
I don’t know all of the various places, but some of them I’m finding is:
Office Visit Screen
Billing> Claim
Billing>Accounts Lookup
Billing> Payments
I didn’t find an obvious Security Attribute or Practice Default.
Thanks in advance.
Best Practice for Disabling Providers
Hello,
Does anyone have a workflow for disabling providers that leave the practice? For the last few years we have struggled with the appropriate way to disable their account. We would prefer to inactivate the provider but billing indicates this would impact claims. We used to add ZZ to the provider last name so they are not searchable in the system but this also impacts claims. We have resorted to leaving their account active for 2-3 months until all claims have processed which means someone has to watch their buckets daily. We can turn on the out-of-office but that only works for tel encounters.
Aetna and Blue Cross requiring POS 2 for televisits only
Has anyone found a way to automate dropping 02 for POS on claims for Aetna and BCBS only for televisits? I’ve looked at overriding the POS under POS mappings but this only applies to televisits not all claims. I think using explosion codes will put me in the same spot as it may override non-telehealth visits.
Telehealth Related Updates
Hello Everyone,
I wanted to create this area for Televisit related updates which I post in periodically. I have been posting updates in all the other threads and will attempt to consolidate it here. Depending on views here, I may also duplicate efforts and post in the other threads.
I will start by informing you about content you can access on support portal which you will definitely find helpful. In addition to all the documents and videos previously published on my.eclinicalworks.com, there are now two new short videos on how get your patients started with healow Televisits. There is one video in English and one in Spanish.
When you log-in to the the client portal, follow this path:
1)Click on Knowledge Tab
2) Documents and Videos
3)Expand Patient Engagement - Healow Core, Healow Telehealth Solutions, Healow Televisits, Televisits - Patient
4) you will find both videos here
Surgery Scheduling
Hi,
I was just wondering how anyone else schedules their surgeries. This question stemmed from us putting patients on the Bump List while rescheduling them for COVID. We had a hard time running reports based off of the Bump List, so we have been manually piecing an Excel sheet together from that bump list. Right now, our normal surgery scheduling is done as an appointment on the resource schedule. We still have some schedulers that are adamant about keeping their surgery books. I was just wondering if anyone else does the double work or has a better solution? We have physicians keeping their own bump lists of surgeries because they don’t care for the Bump List concept.
Thanks!