The providers are suggesting as a Therapeutic injection, but that doesn’t make sense to me.

Just curious what other orgs do for this.

Thanks in advance.

Eric

Thank you in advance for your responses.  Obviously, this is a HUGE dilemma for us!

*edit* Now I have learned its limited to Dental only.

Eric

We are a local government in New York State tasked with onsite home visits to patients collecting patient information about Lead poisoning cases (esp. children) for other government health organizations. We ask questions about patient environmentals, family history, document lab work etc. We would be using functions in eCW to report on patient progress, and then when report on number of cases, etc.

Are any of you using your eCWs in this way? If so, are there ANY downsides, legally miss use of an EMR?
Can you use your EMR in this way even though you are not providing medical treatment?

Thanks

The CPT II codes drop on the progress note billing section based on the Blood Pressure Range.  This works great, but the CPT codes are not linked to an ICD so unless the provider manually adds the ICD to the CPT II code, the claim fails with errors.  And there are two CPT II codes per Vital (Systolic and Diastolic).  Two extra clicks, or more if the ICD needs to be added as well.  Not helpful

Linking an ICD to the CPT II in the ICD configuration does not work as it does not pull in the ICD and link it to the CPT in the billing section when the CPT Code II drops from the BP Vitals configuration.  And worse if you add the linked ICD to the assessment section, it drops the linked CPT II code, basically adding twice (once from the assessment and once from the vitals configuration). 

eCW made it seamless to drop CPT II codes based on Vitals ranges without additional provider interaction but missed the step where any CPT code has to be linked to an ICD for the claim to process (unless the provider interacts by adding ICDs to the two CPT II codes that dropped.  -Save one step, add two or more…

1) the old way - I used an outdated Dragon alone (pre Dragon One) with limited licenses so cna only do in my office desktop and my home desktop.  No other devices. 
2 ) then in in order to get Sunoh, I subscribed to Scribe which allows some dictation. However Scribe does not let you dictate into Telephone encounters and web encounters. 
3) new ? - I just completed a chat and discovered the product activation for Speech to Text ($0.03/minutes).  This is clean, can dictate into anywhere per the chat support and does not require Scribe nor Dragon One subscription and can also dictate into Telephone encounters.  And you can dictate into any number of computers (no license restrictions like older dragon)
4) there is also a product Speech Recognition Mobile Solution for eclinicalmobile and eclinicaltouch.

A few options that I hope helps.  What method of dictation do you find more helpful

Seems like insurances are soon going to mandate extended BMI percentiles reporting. So basically BMI has to be reported as “Percent of the 95th Percentile”. e.g a 200 lb, 5 ft tall, 10 year old will be reported as
“176% Percent of the 95th Percentile”
ECW has not been helpful with my questions regarding this update vital sign.
Does any know if ECW can calculate this number for us and populate it in the vitals instead of just the BMI percentile.
CDC has already approved the use and encourages it.
https://www.cdc.gov/growth-chart-training/hcp/extended-growth-charts/index.html

Thank you

I am trying to rearrange questionnaires and having a very difficult time using the drag and drop method. It does not always work and I am not sure if there are any tips people have with this functionality. For example, we often add questions so I need to move to the proper spot. Sometimes, it seems like I should just recreate them from scratch to avoid the rearranging nightmare.

I have an open ticket with support and I have contact support in the past, but they’re just basically clicking and dragging to no end.