Blog Archive: Electronic Health Records

Re-linking Your EPCS Token

If you are currently using Electronic Prescriptions for Controlled Substances (EPCS), you may come across a new update that will be need to addressed. This change comes from more stringent federal EPCS certification requirements. Starting in ChartMaker Medical Suite Version 6.2.0, each provider must be linked to the correct digital certificate provided with each Identrust EPCS token. Going forward, if a provider was linked to a non-digital signature certificate they will now need to be re-linked following the steps listed below.

Please note that going forward only one provider can be linked to an Identrust EPCS token. Additional tokens will need to be purchased in the event that additional providers will need EPCS privileges in ChartMaker Medical Suite.


The following pertains to existing prescribers after they upgrade:

  • If you were initially linked to the certificate with the digital signature there will be no change to your workflow.

    • If a token had been linked to a provider using the non-digital signature certificate, when you go to use EPCS, you will be presented with a warning dialog indicating that in order to continue you will need to re-link your token. When you go to the Token Linkage dialog they will only be able to select the correct certificate. This is a one-time event that you will encounter.

    • If a token has been linked to two users, one to each certificate, there will be a warning displayed if one of the users attempts to sign an EPCS prescription. The message will explain that multiple providers are linked to the token and only one is now permitted. They will be advised to return to the EPCS token linkage dialog to resolve the problem.

    • A similar message will be displayed to the user trying to link to the same token as another user.


    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.

    How To Stay Profitable As An Independent Practice 

    In the post-ACA era of health insurance, it’s important to understand how to stay profitable as an independent practice. Courtesy of Physicians Practice, learn strategies such as how to better train your staff, improve communication with patients and which metrics to track in your revenue cycle. Click here to read the full white paper.




    Two Computer Monitors For Better Productivity 

    Did you know that having two monitors on your desktop may increase productivity, reduce eye strain and save paper? By having multiple applications opened at the same time and viewable between 2 separate monitors, you’ll be able to multitask more efficiently between applications whether it is Practice Manager, Clinical or another site (i.e, labs, hospitals, Navinet).

    two-monitors Read More →

    It’s Time to Start Thinking About MIPS

    If you’re nervous about this, it’s okay. There is a lot to process in the new Merit-Based Incentive Payment System (MIPS) that has been created out of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MIPS rolls up PQRS, Physician Value-Based Modifiers, Advancing Care Information (formerly known as the EHR Incentive Program and Meaningful Use), as well as Alternative Payment Models.

    Know that we’ve helped you through changes like this before, and we’ll do it again. If you look back, together we’ve adapted to a host of new government laws, initiatives, and programs over the years that have impacted the business and practice of healthcare. They run the gamut from CCHIT 2007/2008/2011, Meaningful Use Stage 1 in 2011, and Stage 2 in 2014. We’ve also implemented the National Provider ID, switching from ANSI 4010 to ANSI 5010 for billing, and from ICD-9 to ICD-10. Remember when ICD-10 seemed like it would end the world?

    We’re more committed and more experienced than ever to advise, guide, and assist you in dealing with the impact of Meaningful Use Stage 3 which has been redefined via MACRA and MIPS. At STI we’ve always worked to provide a comprehensive range of software and services. And we’re on the move once again to help you thrive, not just survive.

    Here’s what’s happening now: Behind the scenes our software development team has already started working on the new features, dashboard, and quality measures. Our Customer Services organization is building the training materials and workflow recommendations to make this as painless as possible. Although the final rule is not due out until November 1st, there are things you should be doing now. You should report for PQRS and successfully attest for Meaningful Use for 2016. Not doing so will negatively affect your Medicare reimbursements in 2018.  If you have avoided implementing an EMR until now , you should acquire one in 2016. Twenty-five percent of your composite performance score with MIPS starting in 2017 is based on your use of a certified EMR.

    There’s a lot of talk, but also a lot of uncertainty and that’s what we’re managing for you. Upcoming dates include the publishing of CMS’s Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models Final Rule due out by November 2016. In addition, on or around November 1, 2016, CMS will announce the list of accepted Quality Measures that providers will need to report to meet part of the MIPS requirements.

    Here’s what you can expect from STI: Soon we’ll start a series of educational communications, webinars, and videos that cover the big picture. As the government clarifies the requirements, we’ll also develop and refine more specific information about what you should do and when. You can keep appraised by making sure we have your email so that we can notify you when new information is available. If you receive our newsletters, you’ve got that covered! If you prefer, you can also watch for similar announcements and read what we’ve already posted via Twitter and/or Facebook.

    We appreciate having you as our client and our goal is to make this easier for you!  Let us know whether we are on the right track or if you have any suggestions as to what could make the transition smoother in the comments below.