Vitals

Vitals Record List

  1. Access the patient page
  2. Expand the Medical Menu
  3. Select Vitals
    Patient_Vital

Add Vitals from Vitals Widget

  1. Access the patient dashboard
  2. Click the ‘+’ sign on the bar above the graph.Medical Menu
Plot of patient height, weight & BMI are available on the Vitals Widget
The vitals widget is available on the Patient Dashboard

ENTERING DATA:

From the Vitals Record List, select the pencil icon to edit a record or the Add New Vital button to open the Vitals Entry Tool.

Vital entry tool tracks blood pressure, height, wieght, temperature, heart rate, pregnancy status, and calculates BMI automatically.
Enter and edit patient vital records using the Vitals Entry Tool

Medications

Medications

  1. Medication
  2. Strength
  3. Dosage
  4. Frequency
  5. Start Date
  6. End Date
  7. Active
  8. Entry Date
  9. NDCID
  10. Edit
  11. Delete
  12. Create (see below)

Adding a Medication

tools-medicine-create

  1. Medicine
    1. Launch Select  Medicine/Medication Tool
  2. Dose – Select Dose from drop down list
  3. Frequency – Select frequency from drop down list
  4. Strength  – Enter strength
  5. Start Date – Date patient stater taking medication
  6. End Date –  Date patient stopped taking medication
  7. Active – Patient is currently taking medication
  8. Save Button and Navigate back to Medication List

Amendments

An amendment is an official request made by the patient or patient representative. An amendment can be accepted or denied. If an amenedment is accepted it is the responsibility of the provider to update the patient record accordingly.

amendment

    Filter Values

  1. Subject
  2. Source
  3. Action Buttons

  4. Filter – Apply filters
  5. Reset – Clear filters
  6. Column Data

  7. Subject
  8. Status
  9. Source
  10. Date
  11. Time

Manage Payments

*Tabs for Cards on file and Guarantor Payments not pictured
  1. Launch Accept Payment Tool
  2. Issue a charge for product or service without creating a DOS record
  3. Shows current account summary
  4. Original Charges Tab
    1. DOS – date of service/appointment
    2. Date billed – date the claim was generated for the DOS
    3. Total Amt – The sum total of the services and procedures for claim
    4. Ins owes – the sum amount of all charges not marked as patient responsibility
    5. Patient Paid – the sum amount of copayments and payments and adjustments  from the patient or a patient guantor
    6. Insurance Paid –  Amount auto posted or entered that has been marked a Payer as the payment source.
    7. Ins Adj – Amount attriubeted to Payers that is either marked adjustment or write off
    8. Pt Owes – Sum amount of claims totals marked as patient responsibility.
    9. Balance
    10. More Info – View/edit details of the specific transaction
  5. Cash Charges Tab (see below)
  6. APT Payments Tab (see below)
  7. Payment History (see below)

5. Cash Charges Tab

The Cash Charges Tab lists all sales made using the Cash Charges Tool.

    1. Date of Sale
    2. Total Amt
    3. Ins Owes – OBSOLETE
    4. Patient Paid –
    5. Ins Paid
    6. Ins Adj
    7. Pt Owes
    8. Balance
    9. Action – More Info – View/edit details of the specific transaction

6. APT Payments

View edit payments accepted and applied using the Accept Payment Tool (APT)

Column b – j show the payment details including total a,mount accepted and total amount applied from the payment. Expanding this row shows the itemized breakdown (columns k – o) of how the payment was applied.

    1. Filters
    2. Hide/Unhide Details
    3. DOP – Date of Payment. Date the payment was accepted
    4. Payment Type
    5. Amount – Total amount of payment
    6. Paid Amount – total of the funds from the payment that have been applied to patient charges
    7. Payer
    8. Guarantor
    9. Edit payment
    10. Print payment receipt
    11. Delete payment – A payment cannot be deleted if any of the transaction has been used to pay patient charges.
    12. DOS – Date of service payment was applied to
    13. Date of payment
    14. CPT Code – code payment was applied to
    15. Amount – money that payment was applied to
    16. Delete payment – Deleting a payment here will return Amount to the patient account credit balance.

To apply payments from an entry with a blanace, click the Dollar Bill icon. You are presented with a selection of non-zero dollar charges for the selected patient and anyone they are the guarantor for.

APT Payments can be applied to the patient and anyone the are linked to as being the guarantor for.

7. Payment History

Payment applied using the more info tool, insurance check entry tool, or Auto Posted are listed on this tab

    1. Date of Service
    2. Date of Payment
    3. CPT
    4. Amount
    5. Payment Type
    6. Payer (if Insurance payment)
    7. Guarantor (If patient/guarantor payment)
    8. Notes
    9. View/edit details
    10. Delete payment

8. Guarantor Payments

Lists all payments that were applied to patient account using funds from a transaction made by someone other than the patient. Deleting the payment on this tab will return the funds to the guarantors credit balance.

9. Cards on File

    1. Cards on file – Only one can be active at a time.
    2. Add – Add a new card on file record
    3. Actions – Edit or delete a card on file.
    4. Guarantors – Any guarantors linked to other patient accounts show up here. If the Guarantor information is entered without linking to a patient, the information is not conveyed in this table.

1. Accept Payments Tool

Take a single payment from a patient and apply it to multiple outstanding charges. Payments made with the APT that are not applied to a charge are added to the Patient Account Credit balance.
*The APT applies payments using the oldest funds available first.

  1. Who Paid – Lists all payers and guarantors.
  2. Description – Will always be Payment
  3. Pay/Adj/Code – Cash, Check, or credit card
  4. Open Balances – the sum of all selected charges from the box below
  5. Charge selection – all charges with non-zero balance set to ‘Patient Responsibility’. Chacking the box will apply payments to the charges from oldest to most recent
  6. Patient Account Balance – Available funds from prepay/credits on the patient account
  7. Check # Auth – A field to enter CC transaction info or check number
  8. Amount – Total of transaction
  9. Notes – Open text field
  10. Save button – Apply the payments from 1 – 10 to the selected charges
  11. Apply From Balance – If applying from a balance then only charges need to be selected. Boxes 1-4 & 6 – 10 not necessary.
More on the Accept Payment Tool
  • If you accept payment greater than the sum from field 4, the balance is applied to Patient Account Balance
  • If you accept a payment without selecting any charges, funds will be allocated to Patient Account Balance
  • After you save or Apply From Balance, you will be asked if you want to print a reciept.
  • All the details from boxes 1 – 10 will be listed when you examine individual claims using the More Info Tool.
  • If the Patient or selected guarantor has an active card on file, ‘Use Card on File’ will be an option to charge the detialed payment.

2. Cash Charge Tool

    1. CPT/Billing Codes – Enter the code for the product or service
    2. Enter the number of units
    3. Enter a dollar value discount if applicable
    4. Save will add the record the the transaction box below. There is no limit of items that can be saved into the transaction box.
    5. The code you entered above appears here.
    6. If there is a fee already associated with the CPT code it will appear here. You can also double click on the fee and change it by typing in an amount or by clicking the arrows up or down.
    7. Units can be entered in when entering in the CPT code before you save or can be changed by double clicking. It can be changed by typing in a new unit quantity or by using the arrows up or down.
    8. Total automatically adds up to subtotal before any tax if applicable. Charge x Units= Total
    9. Any discount (in dollar amount) will be deducted from the subtotal if put in here.
    10. Tax will automatically be calculated if it was configured to have tax but if you need to add tax manually double click on the box and enter in value.
    11. Remove line item from transaction box
    12. Finish- will save it to your “Cash Charges” tab in Manage Payments.
    13. Finish and pay- will save it to “Cash Charges” tab in Manage payments and will bring up the Accept Payment Tool to apply payment to the cash charge.

    Related Page: Apply Payments

Guarantor

Patient_Gurantorinformation

Add Guarantor Form

BEST PRACTICE:

Click ‘Link to Patient’ box and choose patient.
Best Practice link patient guarantor to another patient account

Otherwise …

  1. Patient Guarantor
    1. Payer Contract – Select primary payer
    2. Same as patient – Tic box to save time completing form
    3. First Name
    4. Last Name
    5. Middle Name
    6. Date of Birth
    7. Gender
    8. Client Relation
    9. Address
    10. SSN
    11. Name of Employer
    12. Email
    13. Language
    14. State
    15. City
    16. Cell Phone
    17. Home Phone
    18. Zip

Add Button commits form.

Column Data

  1. Patient Guarantors
    1. Last Name
    2. First Name
    3. Relation
    4. Edit
    5. Delete

All Guarantors will show up as options to recieve payments.

NOTE: Any new patient created will automatically have guarantor added as self.