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Today’s Poll: Multiple Birth Indicator

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Multiple Birth Indicator


Does anyone know what this means?
What the point of it is?

I ask, because ECW placed it front and center of the patient hub, yet I have yet to meet a human being, outside of ECW , that knows what on earth it is for.

I can’t find the most recent colonoscopy, but I can find this meanignless indicator easily!


Chrome version 119 & eCW V12.0.1

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Has anyone updated their chrome browser to version 119? Any eCW bugs, functionality or performance for practices on eCW V12.0.1?
We are self-hosted

eCW Case # 11323074 - eCW, I do not need a call. I am looking for feedback from peers.

Card on File

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Has anyone utilized the Card on File feature yet? Is anyone having issues with it?

Resource Schedule cut off

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Do other eCW clients experience this same behavior on the Resource Schedule. (Screen shot)

When I set the screen resolution to 1366X768 to the eCW recommended in the V12e Prequisite document.
I can’t see all the resources in the list and I can’t use the My Resources scroll down arrow to view the rest of the resources.

The work around is to zoom the screen by Crtl and Minus (-) key.  Unfortunately this also makes the size of everything else smaller.

This behavior is seen on Plugin 5.3.4593 & 5.6.1378.

If anyone from eCW sees this.  I have ticket 11316195. I beleive this is a bug but there hasn’t been a JIRA assigned for it yet.

PRISMA vs. P2P/CCDA

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I’m unable to test these methods unless they are on real patients. What is the difference between PRISMA vs. the ecw P2P workflow.

Can the data be imported the same way between the two methods? Is the same amount of data available between the two? Why should I pick one over the other etc..

It seems PRISMA makes P2P obsolete with the fact it pulls records from all over.

Fee Schedule - Immunizations and procedurs

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Is anyone else experiencing the duplicates of codes when you add a new immunization or procedure code that is being performed in the office.
Example.  99188 is a procedure we are doing in our Peds office.
Rev Cycle adds the price.
Then we add the shortcut through the Visit codes > Add CPT > Then add the code to a short cut for In office Peds procedures.
however, now there is now code cpt codes in our Fee schedule and that procedure we just added, now is attached to a 0.00 dollar amount.
which now we have to go back into the fee schedule to update the price since its now duplicate.

Does anyone else do this process as well?

therapeutic injection cocktails

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How do other facilities deal with “cocktail” injections, where kenalog and lidocaine are mixed as per the provider wishes for each patient (not a set ratio)?  How do you log the lot numbers to attach to the patients and get your count correct?
Thanks in advance

Losing access to ecw cloud due to expired certificate..

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Frequently around 11:30 CST i lose access to ecw cloud for 20 to 30 minutes for security certificate not issued by trusted certificate authority.
Raised tickets and they claim that it is because “updates are being done”
Clearly bogus. Anyone else has the issue and what options do we have in that scenario? Please see attached.


FAX inbox Plug-In Mode Vs Web Mode.

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Good afternoon.

We are still on 11 305C.  Yes we were told we needed to upgrade to 12 because our version of MYSQL was EOL.

Our issues are with 11E. 
1 When in the fax inbox web mode you cannot delete the first page or current page.  You can in plugin mode. 
2 When in Plug-in mode you cannot attach a fax to a DI order. You can in web mode.

You have to bounce back and forth so you can delete cover pages in plug-in mode then move to web mode just to attach to a DI.

Of course we get the typical ECW answer “This is by design.”

They are designing a way to push customers to other EHR’s.

Frustrated in Florida.

Medical Assistant question- lab orders

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My MA are asking whats the best way to enter frequent routine lab orders - Using templates or Ordersets feature from MA workflow perspective.

Medication Reconciliation-1111F CPT

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I currently work for a physician organization and it appears that when our eCW practices utilize the Medications Reconciled check box, it populates the 1111F CPT (medications reconciled post-discharge) when doing a data transfer to our population health tool.  It is not populating the code on the patient claim and the code is not making it to the payer. But the code is living somewhere in the EMR in order for our pop health tool to grab it.  Unfortunately, it is being pulled on all patients that the medications reconciled box is checked-not just for post-discharge patients. Anyone have any background information on this?

Lab & DI Ordering Provider Updates to Appt Provider

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We have been using eCW since 2007 and have had long standing issues with the fact that the appointment provider trumps the ordering provider.  We have full in-house lab and imaging at our company.  We place orders as future orders then make appointments in our lab or DI resource schedules.  If someone makes an error and uses the wrong provider in the lab or DI appointment and the order is transferred from future to today in that visit, when the results populate back in eCW the ordering provider is updated to the appointment provider and the results go to the WRONG provider.  There is no easy way for the wrong provider to know who the results belong to. 

We were told by eCW we have to have separate appointments for each ordering provider.  If we have a patient recently diagnosed with cancer and they have blood work ordered by three different specialists, we would need three appointments to ensure they each received only the orders they placed.  We use visit type rules in our lab schedules.  Using this workflow would skew the lab availability since we would be using multiple appointments for one patient in some spots. 

Does anyone have a workaround for this?  We are currently on V12.0.1 self hosted. Lab interface with Orchard.  Imaging interfaced with RIS.

eCW unless you have something new to tell me, please do not call me to discuss.  See ticket #11319164.

Click Through Freezes

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V12.0.1.03007142 Plugin 5.3.4593
I have 1 provider (out of ~50) whose progress note click through will freeze up after several times clicking the next button.  The number of click throughs he can get to is different number of times sometimes it happens after 4 screens other times it happens after 10 screens.
He has found when it happens the next button stays blue when the mouse hovers over the Next buttone. (instead of turning gray).
He is able to click the X button can close out of the Click Through screen, but this causes extra steps for the provider.

When I logged into eCW (under his windows profile) I had the same behavior.

Has anyone seen this behavior and know a solution to this issue or have any other troubleshooting ideas?

My provider has turned off edgeview as he uses Dragon. 

Here is all the things we’ve tried so far:
I logged into the computer with a different windows profile both myself and the provider didn’t experience the freezing.

Under his windows profile:
Cleared Chrome Cache.
Reset Chrome
Allowed eCW to re-build the LocalAppDataeclinicalWorksPlugin files (by renaming the folder Plugin - Original)
Uninstalled EXE
Uninstalled Plugin 5.3.4593
Installed Plugin 5.6.1378

I’m trying to avoid the nucular option have to get a brand new Windows profile or getting him a new computer.

eCW—I haven’t submitted a ticket for this as the provider is out of the office for 2 weeks. I don’t want to be getting calls asking for times to connect with the provider while he is out.  When he is working his time is devoted to seeing patients.  He doesn’t have time to get eCW connected to his computer to watch someone click the same buttons we have already tried.

Structured Data

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We currently use the structured data section of the hub to input patient’s due dates and delivery hospital location preference. This information is no longer important once they are delivered so we would like to remove it.

Does anyone know of a way to run a report of data inputted in the structured data so that we can clear out unnecessary information from years ago?

CPT code license verification letter


HIV and HEP C Questions for patients

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Hi all!  We need to operationalize a way to document in eCW that patients (18 years of age and older and/or pregnant) have been offered a Hepatitis C screening/diagnostic test by their primary care provider and that patients (13 years of age and older) have been offered an HIV-related test by their primary care provider.  Minors should be offered HIV-related test without the parent(s) present.

This just might be a Connecticut thing, but in case anyone else is doing this, I would like to know

Thank you!

Does anyone know if you can have two Clearinghouses set up in eCW at the same time?

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At this time we are switching Clearinghouses from ClaimRemedi to Waystar.  When Waystar is setting up their side for each insurance enrollment, it becomes live for the ERAs.  So those are going through Waystar, but claims are still going through ClaimRemedi. I was asked to get with eCW to have this set up and I’m not sure if we can have two clearinghouses set up at the same time.  Also, Waystar is not an option at the time, so I know eCW needs to add that for us, a contract addendum, etc.  just curious if anything has changed over the years and this can be set up like I’m being asked.

Thanks,

Karen

Steps on billing side to do before switching clearinghouses

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We are moving from ClaimRemedi to Waystar soon and would love any input on what if any thing we should do prior to the move. Waystar doesn’t handle dental claims at this time so we know we should change our claims for dental to paper. Is there anything else we should do/clean up before moving?  We do have a lot of claims in Clearinghouse rejected status that I assume we need to correct before before moving? Any info is really appreciated.

Anyone on 12.0.2?

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Is anyone on 12.0.2? We are hoping to update soon, since we have some major bugs with V12.0.1.03007183.

Any bugs to note? Or fixes?

Sending Telephone Encounter to multiple users

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Does anyone know if there is a way to assign a telephone encounter to multiple users?  To my knowledge, there is not, but I wanted to check with the forum.  We are struggling to find a way to communicate to an entire team within ECW for specific patients.  Is anyone aware of a way to do this?

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