Keeping all your medical forms in one location Form Medic Keeping all your medical forms in one location

What is Form Medic? Replaces paper forms with electronic ones and allows them to be accessed, filled in and printed from the MFP screen. When completed documents are scanned, they are automatically distributed to printers, fax, email and archive systems. (C) 2013 FabSoft

Healthcare Industry Challenges Time and money are wasted on purchasing, storing and managing pre-printed forms. Healthcare forms constantly change - must ensure uniformity throughout the facility Inefficiencies due to forms that are filled out inaccurately or illegibly. *44,000 to 98,000 patients die each year because of medical errors in hospitals, the majority of these errors occur during ordering and patient administration stages *Reported from the Institute of Medicine (C) 2013 FabSoft

How Form Medic Can Help Form Medic alleviates the form management problems that the Healthcare industry faces by: Providing convenient, on-demand access to important forms Securely encrypting documents - 512-bit encryption for compliance with HIPAA and other regulatory requirements. Ensuring that the most up to date forms are being used facility-wide Printing forms with accurate and legible patient information Enabling automatic document distribution (C) 2013 FabSoft

Benefits of Form Medic Streamline form management and processing and improve the quality and speed of patient care Eliminate costs and time wasted on managing and storing paper documents Conveniently access and print forms on demand from any MFP Comply with HIPAA and other regulatory requirements since all documents are 512-bit encrypted (C) 2013 FabSoft

Benefits of Form Medic (Continued…) Guarantee that the most up to date forms are being used throughout the facility Automatically fill in forms with patient information Remove the potential of fatal errors due to inaccurate and illegible information Automate distribution of completed patient forms to printers, fax, email and archive systems Perform searches in order to quickly retrieve specific forms stored in archive systems (C) 2013 FabSoft

Form Medic Process: Centralized Access Users can access all of their forms and packages of forms upon login at the MFP List of accessible forms can vary depending on user or department Forms are printed directly to the MFP, ensuring secure delivery to the user that requested them (C) 2013 FabSoft

Form Medic Process: Populate & Print With Form Medic’s lookup field, quickly lookup patient information which will be used to fill in form fields Patient information can also be entered manually Printed forms are populated with patient information – eliminating the potential of critical mistakes. (C) 2013 FabSoft

The Form Medic Process: Automatic Distribution All printed forms are tagged with a barcodes, associated with form data Upon scanning, the document is automatically routed by using the document information tied to the barcode SCAN (C) 2013 FabSoft

The Form Medic Process: Automatic Distribution The patient information that was used to fill in the form fields is archived to the document repository (EMR) Searches can be performed using this information in order to quickly retrieve the form. (C) 2013 FabSoft

Example Form Medic Workflow A health insurance claim form is needed for the patient to fill out. The receptionist goes to the MFP screen and selects the form from a drop down list of forms. After selecting, the receptionist looks up and selects the specific patient’s name from the hospital database. This information is used to automatically fill in the form fields such as name, address, phone, insurance company etc. and the form is then printed. PRINT (C) 2013 FabSoft

Example Form Medic Workflow As the patient goes through the hospital visit, the rest of the form fields are hand-written and signed accordingly. The updated form is then scanned. The form is automatically routed via email to the Accounts Receivable department, faxed to the patient’s insurance company and archived to the hospital’s document repository (EMR) SCAN Insurance Company Accounts Receivable Hospital document repository