1. Mike Baeske, Software Applications Specialist – Team Leader HOW TO USE CUSTOM EMR FORMS TO PREVENT INSURANCE DENIALS

2. OBJECTIVES Learn how to enforce rules by disabling or hiding sections of the form. Discover how automatic flags can start the precertification process for key charges. See how handouts and letters could be used to aid with physical and electronic forms.

3. Orthopaedic practice founded in 1962 12 locations throughout Northeast Indiana 27 Physicians 6 Anesthesiologists 25 Mid-Levels 14 PT /OT 14 CRNAs Part ownership of an orthopaedic hospital Ortho NorthEast (ONE)

4. SOFTWARE USED Centricity EMR 9.5 Visual Form Editor 1 1 © 2001-2012 Logical Innovations http://visualformeditor.comhttp://visualformeditor.com

5. ENFORCING RULES

6. Disabling Objects Turn off a button or component until the user performs a certain action – Example: Diagnoses required to bill

7. Disabling Objects: How it is done Setup through the Visual Form Editor’s configuration option

8. Side Note: Diagnoses List Key programing tools for filtering the problems list: PROB_AFTER() used to retrieve problems list Getfield() used to chop up string to extract data For loop to cycle through entries – Format: For initiator, condition, increment-decrement Do code to be executed each cycle EndFor – Example: For counter=1, counter<5, counter=counter +1 Do value=value+10 EndFor

9. Hide Regions Prevent users from accessing a region and preferably explain why

10. Hide Regions: How it is done Overlapping Visibility Regions Overlapping Sections with Visibility Conditions

11. AUTOMATIC FLAGGING PRECERT

12. Two Methods Using the Orders Module to route flags Flagging directly through the MEL_SEND_FLAG function

13. Orders Module setup for flagging EMR 9.5

14. Orders Module setup for flagging CPS 11

15. Orders Module setup: Designating the flag recipient EMR 9.5

16. Flagging through MEL_SEND_FLAG Format: MEL_SEND_FLAG("Flag",, 'Normal‘, str(._todaysdate),,,'Update','') Not available in older versions of EMR Can be called through a button or monitor form components

18. USING LETTERS AND HANDOUTS

19. Letters Benefits: Can save to chart Ability to modify before transmitting Letterhead can be hidden Handouts Benefits: Can be printed directly from the forms

20. Printing an ABN Handout

21. AUTOMATING MODIFIERS

22. Automatically attaching modifiers based on circumstantial information Coding can automatically monitor insurance rules and attach accordingly Clinical staff can be oblivious or make final choice for information not in the EMR forms Examples: GA, GY, KX, and 25 modifiers

24. Questions?