sequel systems
Join:facebook Follow: twitter
Newsletter
March 2011
banner

SequelMed Chart Viewer

SequelMed Chart Viewer is a free, standalone application that allows for patient charts to be viewed in an offline environment, providing instant access to the patient chart that is exported from the EMR.

Features and benefits of SequelMed Chart Viewer include:chart viewer

  • Secure, encrypted data that can only be accessed by authorized user
  • Compatible with Windows, Linux and Mac OS X
  • Patient chart can be exported manually or automatically from SequelMed EMR
  • Patient chart can be shared with other SequelMed users
  • When internet is not available or unavailable, patient chart can still be accessed

To download SequelMed Chart Viewer, click on the Chart Viewer.

Become Meaningful Use Compliant

SequelMed EMR version 8, ONC-ATCB 2011/2012 Meaningful Use Certified software can help providers be a Meaningful User.

Learn how the EHR Stimulus Program can benefit you and your practice:

The EHR Clock is ticketing and SequelMed is ready to help you take advantage of the EHR Stimulus Package. Let Sequel Systems train you to generate Clinical Quality Measure reports via SequelMed EMR’s built-in Business Intelligence reporting tool. To reference the Meaningful Use Core and Menu Set Objectives to be met by your practice, click here.

By demonstrating Meaningful Use of SequelMed EMR, providers are eligible to receive:

$18,000 in the first year from Medicare

or

$21,000 in the first year from Medicaid

Features and benefits of SequelMed EMR include:

  • Secure, Comprehensive Access to Patient Records (Financial and Clinical) in real-time
  • Customizable Templates and Flow Sheets
  • Complete Clinical (both Episodic and Longitudinal) Record Information
  • Complete Financial Management and Overall Outcome, Status and Quality Reporting
  • Built-in decision support tools and alerts capturing decision-making rationale
  • Comprehensive Rx and Lab Management
  • Improved communication and response to patient care
  • Workflow Optimization Leading to Reduced Operating Costs
  • Automated E&M Coding
  • Integrated Patient Education Protocols
  • Voice Recognition Integrated
  • Wireless and Internet Enabled

For more information on the Incentive Payments, click here.

Electronic Prescribing Incentive Program (eRx) Made Simple

The Medicare Electronic Prescribing Incentive Program (eRx), which began January 1, 2009 and is authorized under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), provides incentives for eligible professionals who are successful electronic prescribers. A web page dedicated to providing all the latest news on the eRx Incentive Program is available at http://www.cms.hhs.gov/ERxIncentive on the Centers for Medicare & Medicaid Services (CMS) website.

Participating in the 2010 eRx Incentive Program by Reporting the eRx Measure

You do NOT need to register to participate in this incentive program.

Reporting period is January 1, 2010 through December 31, 2010. Reporting options for this measure include: claims-based, registry-based, electronic health record (EHR)-based, and the Group Practice Reporting Option (GRPO). Before you report this measure, you should ask yourself the following questions:

QUESTION 1: Do I have an eRx system/program and am I routinely using it?
QUESTION 2: Is my system capable of performing the functions of a qualified system as defined in List 1?
QUESTION 3: Do I expect my Medicare Part B Physician Fee Schedule (PFS) charges for the codes in the denominator of the measure (as noted in List 2) to make up at least 10 percent of my total Medicare Part B PFS allowed charges for 2010?

If the answer to all three questions is YES, you may be eligible for an incentive payment equal to two percent of your Medicare Part B PFS allowed charges for services furnished during the reporting period and you should report the eRx measure.
If the answer to the first two questions is YES, but the answer to the third question is NO, you may not be eligible for the incentive payment. However, we encourage you to report the measure. In the event that your Medicare Part B PFS charges for the codes in the denominator of the measure (as noted in List 2) do make up at least 10 percent of your total Medicare Part B PFS allowed charges for 2010, you may be eligible for the incentive payment.

If the answer to either of the first two questions is NO, you cannot report this measure unless you obtain and use a qualified eRx system as defined in List 1.
List 1: What is a Qualified eRx System?
A qualified eRx system is one that is capable of ALL of the following:

  1. Generates a complete active medication list incorporating electronic data received from applicable pharmacies and pharmacy benefit managers (PBMs), if available.
  2. Selects medications, prints prescriptions, electronically transmits prescriptions, and conducts all alerts (defined below).
  3. Provides information related to lower cost, therapeutically appropriate alternatives, if any (the availability of an eRx system to receive tiered formulary information would meet this requirement for 2010).
  4. Provides information on formulary or tiered formulary medications, patient eligibility, and authorization requirements received electronically from the patient's drug plan, if available.

The system must employ, for the capabilities listed, the eRx standards adopted by the Secretary of the Department of Health and Human Services (HHS) for Medicare Part D by virtue of the 2003 Medicare Modernization Act (MMA).

List 2: eRx Measure Denominator Codes (Eligible Cases)
Patient visit during the reporting period (Current Procedural Terminology [CPT] or Healthcare Common Procedure Coding System [HCPCS] G-codes).

Once You Have Decided That You Want to Participate in the eRx Incentive Program for 2010, You Should Take the Following Steps to Report the Measure:

STEP 1: Did you bill a CPT or HCPCS G-code other than G8553 for the patient you are seeing?
NO: You do not need to report this measure for this patient for this visit.
YES: Proceed to Step 2.
STEP 2: You should report the following G-code (or numerator code) on the claim form that is submitted for the Medicare patient visit.
G8553 - At least one prescription created during the encounter was generated and transmitted electronically using a qualified eRx system.
We encourage you to report the G-code listed in Step 2 above on all of your patient visit claims along with one (or more) of the eligible denominator codes noted in List 2 above. An example of reporting the eRx measure on the Form CMS-1500 (Health Insurance Claim Form) with the new G-code for 2010 is available on the CMS eRx Incentive Program web page at http://www.cms.hhs.gov/ERxIncentive/Downloads/ClaimsBasedReportingPrinciplesforeRx062209_508.pdf on the CMS website.
STEP 3: To be a successful eRx prescriber and be eligible to receive an incentive payment, you must generate and report one or more electronic prescriptions associated with a patient visit; a minimum of 25 unique visits per year. Each visit must be accompanied by the eRx G-code attesting that during the patient visit at least one prescription was electronically prescribed. Electronically generated refills do not count and faxes do not qualify as eRx. New prescriptions not associated with a code in the denominator of the measure specification are not accepted as an eligible patient visit and do not count towards the minimum 25 unique eRx events.
STEP 4: Additionally, 10 percent of an eligible professional's Medicare Part B PFS charges must be comprised of the codes in the denominator of the measure to be eligible for an incentive.

There is NO need to register to participate in this incentive program. Simply begin submitting the G-code on your claims appropriately, report the information required by the measure to a qualified registry, or submit the information required by the measure to CMS via a qualified EHR, if you satisfy the above requirements.

ANSI 5010 and ICD-10-CM

HIPPA requires the HHS to adopt required standards.

Health plans, health care clearing houses, and health care providers are required to use the new versions when conducting certain health care transactions electronically, such as claims, remittance advices, and requests and responses for eligibility claims status.

Timelines established by the U.S. Department of Health and Human Services (HHS) are currently being followed by Sequel Systems so that the company will be fully compliant for processing both ANSI 5010 and the ICD-10-CM code sets. HIPPA requires the HHS to adopt required standards for health plans, health care clearing houses, and health care providers to use when conducting certain health care transactions electronically, such as claims, remittance advices, and requests and responses for eligibility claims status. Sequel Systems currently utilizes X12 version 4010A1 for the aforementioned, although internal testing for X12 version 5010 has commenced and Sequel will begin testing with Payors and Clearing Houses once they are ready.

The Centers for Medicare & Medicaid Services (CMS) has mandated the industry to upgrade versions, therefore implementation of ANSI 5010 is a prerequisite for implementing the new ICD-10 codes. The purpose of the upgrade to X12 5010 will increase transaction uniformity and support ICD-10-CM codification. The reason behind the transition from ICD-9-CM to ICD-10-CM is that 30 years after their inception of procedure codes, they are near to running out and many of the diagnosis categories are full, preventing further expansion. ICD-9-CM has proven to be not flexible enough to quickly incorporate emerging diagnoses and procedures as well as not accurate enough to precisely identify diagnoses and procedures. In contrast, ICD-10-CM provides detailed information on procedures, allows ample space for capturing new technology and devices, and has a logical structure with clear, consistent definitions.

By January 1, 2012, Sequel Systems will be complaint to handle all current formats including the new ANSI 5010 standards for incoming claims and inquiries and for outgoing payer files and remittances, while the ICD-10-CM code is set to be replaced by October 1, 2013. For more information about HIPAA 5010, please visit http://www.cms.gov/ElectronicBillingEDITrans/18_5010D0.asp

Should you have any questions or concerns, please contact Sequel System's EDI Department at EDI@SequelMed.com


Partnerships:

Sequel Systems is proud to partner with Gateway EDI, an industry leader in revenue management solutions.

Gateway EDI With this strong partnership, we are able to provide our clients with exceptional tools and services that are needed in order to ensure prompt and accurate payment from payers and patients. Gateway EDI doesn’t just process transactions for their clients, but actually improves revenue potential. They have proven results for reducing rejection rates, reducing paper claims, decreasing AR days, and increasing efficiency. Through innovative claims technology and powerful revenue management tools, their solutions have become the benchmark by which industry standards are measured.

Learn more about Gateway EDI at www.gatewayedi.com/sequel. For an online demo, contact Ike Yancey at 800.969.3666 x1262 or email iyancey@gatewayedi.com.


Harland Sequel Systems is pleased to announce the availability of IT Services and Solutions through our partner, Harland Technology Services (HTS).

Harland Technology Services is a leading provider of technology services and solutions. They currently provide support for over 15,000 clients, including over 3,200 physicians offices and clinics, across the United States.

We have found that universally, physicians’ offices and clinics are evaluating ways to manage costs and balance demand for reliable service options. HTS realizes this challenge and offers flexible technology solutions at a reasonable cost. With their onsite service and nationwide footprint you can be assured that any IT issues you will encounter will be diagnosed and repaired quickly.

Services and Solutions:

  • Network Maintenance Services
    • Their multivendor hardware services include support for major Operating System platforms such as Windows, UNIX, Linux and others. Harland Technology Services network maintenance solution includes services for a wide range of equipment including servers, workstations, tablets, printers and image scanners.
  • ITManager Managed Services
    • Their suite of Managed Services provides the fundamental support and risk remediation requirements of today’s modern networks. It’s the perfect solution for physician’s offices with limited or no internal IT resources.
  • Network Design and Implementation Services
    • Harland Technology Services’ solution and design experts can create custom hardware and software solutions when upgrades, additions or reconfigurations are required.
  • MPowerPrint™ Managed Print Services
    • This solution helps physicians manage printing cost using secure, state-of-the-art printer monitoring software to deliver proactive toner replenishment, onsite services and strategic printer fleet planning.

Harland Technology Services has a solid reputation in the industry and we are pleased to make their solutions available to SequelMed™ clients. If you would like additional information, or would like to speak with them directly, please contact Pat Dixon from Harland Technology Services at 800.228.3628 x3162 or via email at pat.dixon@harlandts.com.

---

tel800.965.2728 Share this newsletter:

twitter facebook myspace stumble digg delicous google redit yahoo technorati newsvine
© 2011 Sequel Systems, Inc. Click to un-subscribe from our mailing list