Blog

CECity Invoices for 2016

We are receiving inquiries about the recent invoices that were sent to your office regarding CECity enrollment years 2016 and 2017. Some offices received 2 invoices- this is not in error. Providers that enrolled later in the year for 2016 (October or later) received 2 invoices. The invoice for 2016, payment is expected UPON RECEIPT before your data feed can be started. Payment for 2017 enrollment year invoices for ALL recipients is expected by 12/15/2016. Read More →

Meaningful Use Attestation Period Update

Since our November newsletter, CMS has changed the reporting period for new and returning participants to be any 90 day period during 2016. Again, you must attest by the deadline of February 28, 2017. By successfully attesting and satisfying all other program requirements, you will avoid the payment adjustment in 2018. For more information on Meaningful Use, please visit the CMS website.

ChartMaker® 2016 Software Release 6.1.8

Here are some of the main highlights in ChartMaker® Medical Suite 2016 (file version 6.1.8). To read a full list of enhancements, view the Release Notes.
Referral Widget Updated

Where can I find it?

Clinical: Chart Note and the Referrals section of the Facesheet

What do I need to know?

Two changes have been made to the Referral widget accessed within a chart note, with the first being the ability to add additional SNOMED codes when the referral pertains to weight assessment or to an eye exam.

new_referral

Additional SNOMED codes are added for the referral by accessing the Search List dialog via the the Search button. Codes will default by the Category you have selected: Referral for Weight Assessment, or Referral for Eye Exam. You have the ability to add multiple codes for the referral as needed.

referral_snomed_search

This addition will aid in entering data for the Clinical Quality Measure (CQM) for Preventative Screening: Body Mass Index (BMI) Screening and Follow-Up (NQF 0421)  or Diabetes: Eye Exam (NQF 0055).

When a SNOMED code is saved for weight assessment, if the patient’s BMI (at the time of entry) and age combination falls into the underweight or overweight category as defined by the CQM for Preventative Screening: Body Mass Index (BMI) Screening and Follow-Up (NQF 0421), then the appropriate underweight (248342006) or overweight (238131007) SNOMED will also be attached to the event, and used when calculating the numerator for this CQM.

When a SNOMED code is saved for eye exam, that configured code will be used in conjunction with the SNOMED code generated by a referral response with a negative finding, when calculating the numerator for the CQM for Diabetes: Eye Exam (NQF 0055).

Next, the Referrals dialog has been updated with the addition of a Response Details column that contains a Details button.

referrals_dialog

The Details button allows you to access the Referral Response Details dialog where you can configure specific details for the referral response that was received for the patient. In this dialog you can add a Response, a Finding Status, and a Response Comment for the referral response.

referral_response_details

When the Response received option is selected, the system will attach a SNOMED code (371530004) to the event (similar to checking the Response Received option in the Referrals dialog proper). Likewise, if a Negative finding is selected for the response in the Finding Status section, an additional SNOMED code (442225006) will be attached to the event, and that code will be used in conjunction with the SNOMED code previously attached to the referral, when calculating the numerator for the CQM Diabetes: Eye Exam (NQF 0055).

You can also access the Referral Response Details dialog via the Referrals section of the patient’s facesheet by clicking the * (asterisk) button next to the applicable referring provider, and selecting the Response Details option in the context menu. When Response Details are configured via the facesheet, the system will automatically populate the corresponding information in the Referral widget in the chart note, and vice versa. When information is configured in one area, it will automatically populate in the other area.

facesheet_referrals

How do I use it?

Upon upgrade, the user will see the new options available in the Referral widget, as well as in the context menu in the Referrals section of the facessheet. To receive credit for quality reporting purposes, be sure to enter all applicable information through these new options.

Estimated Start Date for Pre-Existing Medication

Where can I find it?

Clinical: Prescribe Medication Dialog

What do I need to know?

The Prescribe Medication dialog has been updated so that whenever you uncheck the Started date to enter a preexisting medication for the patient, the Earliest Fill Date field will change to an Est. Start Date field, allowing you to enter the estimated start date for the preexisting medication. When an estimated start date is entered fop a preexisting medication, the system will use that date for any exclusion cases when calculating applicable CQMs for Meaningful Use.

prescribe_medication_est_start_date

The Confirm Prescription dialog will also contain an Est. Start Date field that will display the estimated start date whenever an estimated start date is configured for a preexisting medication for a patient in the Prescribe Medication dialog

 

How do I use it?

When adding a preexisting medication for a patient, once the Started field has been unchecked, check the Est. Start Date and enter the applicable estimated start date for the medication.

Dashboard Updates: CQMs

Where can I find it?

Clinical: Reports > Meaningful Use… > Dashboard

What do I need to know?

Three of the CQMs have been updated to accommodate for changes in the July 2015 version which is applicable to attestation year 2016.  The measures that had changes are below:

  • NQF0033 - Chlamydia Screening for Women
  • NQF0055 - Diabetes Eye Exam
  • NQF0421 Preventative Screening: Body Mass Index (BMI) Screening and Follow-Up
  •  

    How do I use it?

    Neither of these changes require intervention on the user's part in order for them to be displayed.

    New Screening Widget

    Where can I find it?

    Clinical: Chart Notes

    What do I need to know?

    A new Screening widget is available to add to chart note templates, via the Template Editor, that allows you to configure screening questionnaires, surveys and forms (at this time only the Social, Psychological and Behavioral questionnaire is available).

    screening_button

    When the Screening widget is accessed, a Screenings dialog will appear and you will see the corresponding questionnaire (at this time only the Social, Psychological and Behavioral questionnaire is available). Here you can configure the answers for questions regarding Financial Resource Strain, Education, Stress, Depression, Physical Activity, Alcohol Use, and Violence that are based on the 2015 Edition Health IT Certification Criteria published by the Office of the National Coordinator for Health IT.

    The Depression, Alcohol Use, and Violence options have a measured Total Score based on the answered questions within the respective section that allows you to quickly determine the severity of the screening and thereby offer further testing or treatment as needed. If you click the Total Score link in each section additional information is provided that displays how the scoring is conducted and providing further information.

    In addition, you also have the ability to determine how this information is outputted to the note. You can choose only to output only the Title, to output the configured information in List format, or to output the configured information in Paragraph format. When information is configured in the Screening dialog, the applicable LOINC codes will be attached to the options selected and the information will also be used for any applicable Meaningful Use objectives and measures.

    screening_dialog

    How do I use it?

    Upon getting the upgrade, a Screening option will be available in the Template Editor to add the Screening widget to applicable chart note templates. Once the widget has been added to a template, simply click the Screening button from inside a chart note to access the Screenings dialog.  Then select the applicable options and click the OK button once finished.

    Match Patients in PM Data Import Module

    Where can I find it?

    Practice Manager Data Import Module

    What do I need to know?

    A new Match Patients button has been added to the Practice Manager Data Import dialog that allows you to associate an unmatched patient in an imported file with a current patient in Practice Manager. When the system does not import all of the records in the imported file, you will see a number of possible matches in the # Possible Matches column in the Patient Records with Counts section.

    pmdi_dialog

    Upon accessing the Patient Matching dialog you will see the patients with possible matches displayed on the left-side of the screen. When you highlight a patient on the left, the system will display any possible matches. You also have the ability to modify the search criteria to locate the applicable patient. Once a the correct patient is located you can link that patient to the existing patient by clicking the Link to existing patient button, or you can click the Create new patient button if there is not a matching patient. And if you mistakenly match an unmatched patient to an existing patient, you can highlight that patient and then click the Remove account number button.

    pmdi_patient_mathcing

     

    How do I use it?

    Access the Practice Manager Date Import module and import a file. If that file contains patients that did not get matched, click Match Patients button, associate the unmatched patient with an existing patient, and then click the Link to existing patient button. When the patients have been matched, click the OK button.

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