Professional Documents
Culture Documents
MSO# 17689
04/19/2012
For more information about Vitera, please contact us on the Web at
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Table of Contents
Vitera Intergy Basics ............................................................................................................ 1
Add Mobile Phone Numbers in Patient Registration .......................................................................................... 2
Edit and Delete Added States ..................................................................................................................................... 4
New Pending Charges Icon in the User Toolbar ................................................................................................... 5
Financial ............................................................................................................................. 19
Schedule Collections Automatic Add and Remove to be Run by the Vitera Intergy System .............. 20
Collections Add and Remove Finance Group Options ..................................................................................... 26
Delete Multiple ERA Checks at Once ...................................................................................................................... 29
Charge Posting Warning Message for Duplicate Charge Information ........................................................ 30
Reopen a Closed Journal ............................................................................................................................................ 31
Encounter Can Be Required for Charge Posting ................................................................................................. 32
Journal Management Displays User Who Closed the Journal........................................................................ 33
Patient and Account Alerts Shown When Selecting Pending Charge ........................................................ 34
General Ledger Account Code Maintenance Allows Inactive Codes........................................................... 35
Turn Off $0 Charge Posting Warning ...................................................................................................................... 37
Refund Check Batch Printing Has Refund Journal Filtering ............................................................................ 38
Journal Close Window Renamed Journal Management .................................................................................. 40
View Who Created an Insurance Card Scan.......................................................................................................... 42
Show Copay Amount if AEV is Unknown .............................................................................................................. 43
Clinical ................................................................................................................................ 61
Encounters ......................................................................................................................... 70
Select Encounter Date Range in the Pending Charges Window ................................................................... 71
Exclude Encounters That Have Pending Charges from the Patient Encounters Report .....................140
Clinical Activity Audit Reporting ............................................................................................................................142
Pending Charge Report .............................................................................................................................................143
Procedure Analysis Report Filters by Modifiers.................................................................................................145
Appointments by Day Report Can Include Primary Insurance Information ............................................147
Patient Report Can Show Deactivated or Deceased Patients Only ............................................................149
Additional Displays of Insurance Plan Information in Appointment Worksheet Report ....................150
Procedure Productivity Report Can Show Modifiers .......................................................................................152
Open Item Report Has Procedure Sort and Filter .............................................................................................154
Filter the Procedure Analysis Report by Diagnoses and Patient Age Range...........................................156
Filter the Referring Provider Analysis Report by Date.....................................................................................157
Additional Payment Allocation Report Sorts and Filters................................................................................158
Procedure Reimbursement Report Can Filter by Post Date ..........................................................................160
Procedure Reimbursement Report Sorts and Filters by Procedure Code ................................................161
Account Summary Report Has Additional Filters .............................................................................................163
Patient Report Sorts and Filters by Insurance ....................................................................................................164
Practice Financial Summary Report Provider Sort Change ...........................................................................166
Option to Remove the Total Payment Amount from the Payment Description in the Open Item
Payment History Report ............................................................................................................................................167
Stop Scheduled Reports from Being Run ............................................................................................................169
Appointments Detail Report and Appointments Exception Report Show Additional Dates and
Times ...............................................................................................................................................................................172
Patient Referral Source Report Filters by Patient Registration Date ..........................................................174
New Percent of Total Column in the Insurance Ranking Report .................................................................176
New Show Patient Detail and Include Event Comments Options in the Patient Flow Analysis Report
...........................................................................................................................................................................................177
Filter and Sort the Provider Productivity Report by Supervising Provider ..............................................180
Include Secondary Diagnoses Codes on the Diagnosis Analysis Report ..................................................181
Primary Insurance Productivity Report Enhancements..................................................................................182
Procedure Modifiers Now Display in the Insurance Productivity Report .................................................183
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Table of Contents
Phone Tree Report Contains New Fields .............................................................................................................184
Enhanced Sorting in Phone Tree Reports ...........................................................................................................185
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Additionally, the following Vitera Intergy system reports have been modified to display mobile
phone information in the report.
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Recall Report
Appointments by Patient Report (Note that the Appointments by Patient Report had
included mobile phone information prior to this enhancement.)
For example, the Appointments Detail Report now includes the Mobile Phone heading below
the Home Phone heading in the same column. The report displays the mobile phone number
for each patient included in the report who has a phone number recorded in the new Mobile
field in Patient Information.
The Appointments Detail Report has been enhanced to display mobile phone numbers. As a
result of the enhancement, if you use the Appointments Detail Report to manually generate
the output file for your Phone Tree system, it is necessary to contact Phone Tree to continue
this report with your Phone Tree system. It is possible to use the Appointments Phone Tree
Report for generating the output file for your Phone Tree system without additional changes.
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Note that you can edit and delete only those states that were created manually in Zip Code
Maintenance. You cannot edit and delete the pre-defined U.S. states.
Additionally, you can edit a manually added state from the State fields in some Vitera Intergy
windows, such as Service Center Maintenance and Person Maintenance.
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After the Pending Charges icon has been added to your User Toolbar, selecting the Pending
Charges icon will open the Pending Charges window.
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Patient Information
This chapter provides information about Patient Information enhancements.
Patient Information Remembers Last Page Accessed
Record Patient/Person Information History System Parameter Enhancement
High Priority Patient and Account Alerts
New Verified With Family Option for Advance Directives
Ethnicity Information Added to the Summary Tab in Patient Information
Canceled and Rescheduled Appointment Date and Time Now Display in
Patient Information
View Insurance Plan Notes From the Insurance Tab in Patient Information
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When you close the Patient Information window and/or logout of Vitera Intergy, Vitera Intergy
remembers the last page you accessed. The next time you open the Patient Information
window, the last Patient Information page you accessed before closing the Patient
Information window will display.
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The Record Patient/Person Information History system parameter now has the following
options:
(Y)es The user will not be prompted to record the previous patient/person
information and the previous patient/person information will be automatically
recorded.
(N)o The user will not be prompted to record the previous patient/person
information and the previous patient/person information will not be automatically
recorded.
(P)rompt The user will be prompted to record the previous patient/person
information.
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If patient and account alerts are specified as 'High Priority in the Alert Maintenance window,
they display in bold, red text and the 'Yes' indicator displays in the High Priority column of the
Patient Alerts and Account Alerts windows.
If you would like to specify an alert as 'High Priority' when assigning a new patient or account
alert in Vitera Intergy, you can select the High Priority check box to specify that a patient or
account alert should display as high priority.
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The Verified With Family check box specifies whether or not the family is aware of the advance
directive that determines the care provided in the situations specified in the advance directive.
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Note that if the Verify With Family check box is cleared, the Patient Aware check box must be
selected if the patient is aware of the advance directive or the name of the party responsible
for the advance directive must be entered in the Third Party field.
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Now, if a patient has ethnicity information in Vitera Intergy, it will display in the Summary tab
on the Personal page in Patient Information in the Race/Eth field.
For example if a patients race is defined as Caucasian and their ethnicity is defined as Other,
the patients race and ethnicity will display as C / O.
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In addition, both the date and time of cancelation or rescheduling now display in the Notes
box in the lower portion of the Appointments tab.
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Financial
This chapter discusses enhancements to financial features, including billing and charge
posting features.
Schedule Collections Automatic Add and Remove to be Run by the Vitera
Intergy System
Collections Add and Remove Finance Group Options
Delete Multiple ERA Checks at Once
Charge Posting Warning Message for Duplicate Charge Information
Reopen a Closed Journal
Encounter Can Be Required for Charge Posting
Journal Management Displays User Who Closed the Journal
Patient and Account Alerts Shown When Selecting Pending Charge
General Ledger Account Code Maintenance Allows Inactive Codes
Turn Off $0 Charge Posting Warning
Refund Check Batch Printing Has Refund Journal Filtering
Journal Close Window Renamed Journal Management
View Who Created an Insurance Card Scan
Show Copay Amount if AEV is Unknown
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1. You can open the Schedule Collections Automatic Add/Remove window from the
Collections Automatic Add and Remove window by clicking the Schedule link located in
the lower portion of the window.
Optionally, you can open the Schedule Collections Automatic Add/Remove window from
Vitera Intergy Practice Administration menu bar by selecting the Utilities menu, selecting
Schedule, and then selecting Collections Add/Remove.
2. To add accounts and selected responsible parties to Collections, select the Perform
Automatic Add check box. If you do not want to add any accounts at this time, clear the
check box.
If you selected the Perform Automatic Add check box, verify the default settings in the
Perform Automatic Add section for adding accounts and selected responsible parties to
Collections. You can add or edit field values, if necessary.
The next action that is specified for guarantors and insurance will be performed when the next
scheduled Collections Automatic Add and Remove system job is run.
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If you selected the Perform Automatic Remove check box, verify the Responsible Party Type
field default setting for removing accounts and selected responsible parties from Collections.
You can change the setting, if necessary.
4. In the Notification Users section, you can assign the Vitera Intergy system users who will
be notified about the system job run by clicking the Assign Users button and selecting
the users.
5. To set the schedule for the Collections Automatic Add and Remove system job, click the
Schedule button. The Schedule System Job dialog box displays on the Select Job Run
Frequency page. The Weekly radio button is selected to run the job on a weekly
frequency.
It is recommended that your practice run the Collections Automatic Add and Remove on a
weekly basis to update the accounts that are added to and/or removed from collections.
Optionally, you can select a different job run frequency by clicking the radio button for the
frequency that you want to use.
6. Click the Next button. The Select Job Run Time page displays.
7. In the System Job Name field, the 'Collections Add/Remove' job name is displayed. You
can edit the name of the system job.
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8. In the Start Date field, the date for today is displayed. You can change the date on which
the job run will be started.
9. In the Start Time field, the current time is displayed. You can change the time of day when
the job run will be started.
10. Specify the day(s) of the week on which to run the scheduled Collections Automatic Add
and Remove system job by selecting the check box for each day of the week that you
want to run the system job to add and/or remove collection accounts in your Vitera
Intergy system.
11. Click the Next button. The Activate System Job page displays.
12. To activate the job to be run by the Vitera Intergy system on the specified date and time,
select the Activate System Job check box.
13. Click the Finished button to save the scheduled Collections Automatic Add and Remove
system job and return to the Schedule Collections Add/Remove window.
The specified users will receive a notification task after the system job run. The task provides
the users with information about the system job run and the ability to view the add and/or
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You have just completed Step-by-Step Scheduling a Collections Automatic Add and
Remove System Job.
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The new Set Finance Group (Guarantor only) check box and field for entering a finance
group have been added to the Perform Automatic Add section.
You can select the Set Finance Group (Guarantor only) check box and specify a finance
group in the field on the right side of the check box to assign a finance group to replace
the current finance group.
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The new Set Finance Group (Guarantor only) check box, radio buttons, and field for
entering a finance group have been added to the Perform Automatic Remove section.
You can select the Set Finance Group (Guarantor only) check box and use the radio
buttons to specify whether to use the previous finance group that was set when the
account was added to Collections or to select a different finance group to replace the
previous one for the collection accounts. If you are selecting a different finance group,
you can enter the finance group in the field on the right side of the radio buttons.
Clearing the check box prevents a different finance group from being specified for the
accounts and guarantor-responsible parties that are being removed from Collections.
The same enhancements have been added to the Schedule Collections Add/Remove window.
This allows you to specify the finance groups that will be assigned when scheduled Collections
add/remove run is performed by the Vitera Intergy system.
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The finance group cannot be replaced for accounts with insurance-responsible parties that are
being added to Collections or removed from Collections.
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If you select more than one check and attempt to delete, the warning dialog box for the
deletion displays the number of checks that are about to be deleted.
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The new Deactivate button now displays when an active practice-defined Adjustment
or Refund general ledger account code is selected.
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General ledger account codes that have been deactivated now display in the GL
Account Codes list in gray text.
The new label Inactive in blue text now displays when a deactivated general ledger
account code is selected.
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In the Options section, the label of the Journals button was 'All Journals' and is now 'All
Refund Journals'.
When you click the Journals button, the dialog box that displays was 'Select Journal'
and is now 'Select Refund Journal'. In the dialog box, the 'All Journals' list is now 'All
Refund Journals'. The 'Selected Journals' list is now 'Selected Refund Journals'.
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To open Journal Management from the Vitera Intergy Desktop or Vitera Intergy Enterprise
menu bar, select the Financial menu, and then select Journal Management.
In addition, the security override for the Journal Management feature has also been renamed
Journal Management.
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The Copay column displays a copay amount associated with the visit type. The amount is
determined by the following conditions:
If the AEV status is Active and a copay value has been reported from the eligibility
check, this copay amount will be displayed. Note that multiple copays can be reported
from AEV for different categories of copays such as an office visit or a specialist. If
multiple copays are reported, the highest copay amount is displayed by the system.
If the AEV status is Active and a copay value has not been reported from the eligibility
check, the copay amount defined at the system level for the primary plan will be
displayed. Note that this amount is displayed in brackets in this field and the following
message is displayed in blue text at the bottom of the window: 'Not AEV'.
If the AEV Status field is blank because an eligibility check was not run or information
was not received from AEV, the copay amount defined at the system level for the
primary plan will be displayed. Note that this amount is displayed in brackets in this
field and the following message is displayed in blue text at the bottom of the window:
'Not AEV'.
Note that a blank field indicates that an eligibility check was run, but the patients status is
Inactive.
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Insurance Billing
This chapter provides information about enhancements to the Insurance Billing feature in the
Vitera Intergy system.
Auto Assign Insurance Serialization Change
Create Pending Insurance Policies
Universal Billing Page and Header Information
Ability to Open System Insurance Plan Maintenance in Vitera Intergy Desktop
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2. Add a master plan for the auto assign insurance rule by clicking the New button and
entering an insurance plan in the Master field of the New Auto Assign Insurance Rule
dialog box. The master plan is the parent insurance plan that provides the main patient
coverage for the payer source.
In the following example, Medicare will be the master plan for the auto assign
insurance rule.
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3. Click the Edit button. The Alternate Plans section of the window becomes available for
editing.
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4. Click the Add button. The Select Plan dialog box displays. Select the plan to be used as
the alternate plan and click OK. An alternate plan will be used instead of the master plan
for specific procedure codes or procedure classes.
In the following example, Medicare A will be the alternate plan.
5. In the Charges section, select the specific procedure classes and/or procedures that will
be billed to the alternate plan.
To Select:
Specific procedure classes
Specific procedures
Do this:
Select the Proc. Classes button and then select
the procedure class(es).
Select the Procedures button and then select
the procedure(s).
In the following example, procedure class Out-of-Office Services (OUT) is the class of
procedures that will be billed to the alternate insurance plan.
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The alternate plan and the procedure class of the new auto assign insurance rule for the
master plan are displayed.
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An insurance plan can be used as a master plan only once, however you can add multiple rules
to a master plan.
A master plan cannot be used as an alternate plan.
You have just completed Step-by-Step Adding an Auto Assign Insurance Rule.
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The auto assign insurance rule for master plan Medicare (MEDG), alternate plan Medicare A
(MEDA), and procedure class Out-of-Office Services (OUT) has been added for the practice.
The patient Claire League has the master plan Medicare (MEDG) as the primary insurance in
her coverage list.
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Charges for the procedure 93010 Electrocardiogram - In Hospital that was performed for the
patient Claire League are being added. Note that procedure 90310 has procedure class OUT
for which the alternate plan Medicare A (MEDA) was assigned.
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The posted charge for procedure 93010 is displayed for the patient in Patient Information
(Financial page, Charges tab). The alternate insurance plan Medicare A (MEDA) that was
applied for the charge is displayed in the Responsibility column.
The charge history of posting the charge to the alternate insurance plan is displayed.
In Patient Information (Personal page, Insurance tab), the Policies list for the patient displays
the alternate plan Medicare A (MEDA) below the #1 (primary coverage) plan Medicare with the
alternate plan selected. Note the Details text below the Policies for the selected alternate plan
that indicates that an alternate plan was used.
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You have just completed Tell Me More Working with Auto Assign Insurance Rules.
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The new Request button has been added to the Select Plan window.
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The New Patient Policy window and Edit Patient Policy window have been modified.
The Use Existing Plan link has been added to the New Patient Policy window when an
insurance plan has been requested for a policy that is being added.
The Set Patient Default Coverage Order dialog box has been modified to display and
identify a pending insurance policy that has been added for a patient when a plan was
requested.
Messages to warn you that a pending policy exists for a patient now display when you
are performing tasks such as viewing patient insurance coverage information and
posting a charge.
The new Plan Request task type has been added to the Task Setup window.
The new Plan Request tasks now display in Work Tasks and Task Administration.
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The claim collapse capability and the use of revenue codes still require the Universal Billing
serialization option. Contact your Sales/Support office for more information.
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With the proper security settings, you can open the System Insurance Plan Maintenance
window from the Insurance Plan Maintenance window in Vitera Intergy Desktop by selecting
the Utilities menu and then selecting System Insurance Plan Maintenance.
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In addition, the Insurance Plan Maintenance window in System Administration has been
renamed System Insurance Plan Maintenance window.
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Clinical Enhancements
This chapter discusses enhancements to the clinical areas of the Vitera Intergy software. All of
the windows in this chapter are optional features available for the Vitera Intergy system.
Internal Use Only Indicated on Rx Note
Editing a Lab Order Task in Work Tasks
Lab Purge Utility Changes
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In Vitera Intergy on the New Patient Reported Prescription window, the label Internal Note
Only has been added to the button for adding a note.
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In Vitera Intergy on the Patient Information window (Clinical page, Prescriptions tab), the label
Internal Note Only has been added to the button for adding a note.
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On the toolbar, an Edit Order button is available. It displays with a paper and pencil
icon.
From the window menu, an Edit command displays on the Action menu.
Selecting either of these options opens the Lab Order Header Details dialog box. This dialog
box displays the details of the lab order request. You can edit the available information in the
dialog box. It is important to note that changing the When Save Order option to anything
other than Requested will result in the task being completed. The Work Task window will be
updated to display a status of Completed.
Editing a Lab Order Task in Work Tasks
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If you are not already in the Work Tasks window, open it.
From the list of tasks, select the lab order task (LAB-O) that you want to edit.
Click the Work button. The Lab Order viewer display.
Click the Edit Order button (paper and pencil icon) on the toolbar.
- OR From the Actions menu, select Edit.
5. The Lab Order Header Details dialog box displays, from which you can edit the lab order
request. For help on a specific field, select the field and press F1.
6. Note that changing the When Save Order option to anything other than Requested
completes the task. The Work Task window will be updated to display a status of
Completed.
You have just completed Step-By-Step Editing a Lab Order Task in Work Tasks.
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For instance, your practice may want to use this option to delete lab orders for tests that are
no longer needed or that the lab no longer supports. Some examples of unsent lab orders that
you might want to delete are lab orders for tests that the patient later refused, lab orders for
tests that the lab no longer performs, and lab orders that were created in error.
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For example, the current date is July 17, 2011 and you want to purge all outstanding lab test
results in June 2011. In the Transmit Date section, you would select Outstanding. In the
Transmit Date section, you would enter 6/1/2011 in the Start field and 6/30/2011 in the
End field. Select the Run button to begin the purge.
When entering the date range, if you want the start date to be open ended (that is, to include
all dates prior to the end date), leave the Start field blank. If you want the end date to be the
current system date, leave the End field blank.
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If Outstanding or Unsent is selected in the Test Results section, the label of the date range
section is Ordered Date.
In previous versions, the section label from the date entry was always Report Dates.
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Encounters
This chapter discusses enhancements to the Encounters feature of the Vitera Intergy software.
Select Encounter Date Range in the Pending Charges Window
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2. From the Pending Charges window menu bar, select the Display menu and then select
Select Date Range.... The Select Encounter Date Range dialog box displays.
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4.
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You have just completed Step-by-Step Selecting an Encounter Date Range in the Pending
Charges Window.
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For example, if a Mental Health visit has the service date June 10, 2011, the patient coinsurance amount will be 45% of the amount entered for the total charge on the date. A
Mental Health visit that has the service date March 2, 2012 will have a patient co-insurance
amount that is 40% of the total charge amount.
Previously, the Medicare Mental Health payment amounts were calculated based on a single
percentage, regardless of the service date.
Now, the Mental Health payment amounts are calculated for multiple percentages by using
the service date of the Mental Health clinic rate visit to determine the correct percentage for
the payment amount.
The Medicare Clinic Rate feature has been enhanced to calculate patient co-insurance
amounts and insurance payment amounts based on the service date. When the Co-Insurance
Method field is set to Mental Health, Medicare Clinic Rate now calculates the patient
coinsurance amount using the percentage that is based on the year in which the service date
occurred.
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In the Details section, the new Slide Level, Service Center, and Department check
boxes have been added. The check boxes allow the user to indicate how charge and
visit minimum visit amounts may vary: by slide level, service center, and/or
department. If visit minimum fee amounts do not vary by Level, then an amount field
is provided for entering the default visit minimum amount for the Type.
In the lower portion of the window, the new Visit Minimum Overrides tab has
been added. The Visit Minimum Overrides tab displays visit minimum amounts that
have been set up for specific service centers and/or departments for which the Visit
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The new Visit Minimum Override page has been added. The Visit Minimum
Override page is available when the 'Visit Minimum Amounts Vary By Department' or
the Visit Minimum Amounts Vary By Service Center' check box on the Details page is
selected. The visit minimum amounts overridden by slide level, service center, and/or
department are displayed for the selected type. When a visit minimum override is
selected, the visit minimum override details can be edited. The visit minimum amount
for a slide level, service center, and/or department is applied when charges are posted
and the assigned slide level, service center, and/or department is on a charge included
in the visit. You can add, edit, and delete visit minimum overrides.
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The new Charge Minimum Override page has been added. The Charge Minimum
Override page is available when one or more Charge Minimum Amounts Vary By
check boxes on the Details page are selected for a sliding fee schedule type. For a
specific type of services, the charge minimum override amounts defined by slide level,
service center, and/or department are displayed. When a charge minimum override is
selected, the charge minimum override details for the override can be viewed or
edited. The charge minimum override amount for a slide level, service center, or
department is applied when charges are posted for those procedures that are
assigned a charge minimum override and the slide level, service center, and/or
department specified for the override is used on the charge. You can add, edit, and
delete charge minimum overrides.
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Additionally, the Sliding Fee Schedule Report has been enhanced to display charge minimum
amount and visit minimum amount overrides.
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The Add T-Code Charge To Claim field options have been modified. The field
allows you to specify whether a state Medicaid program requires a T-code procedure
to be reported on Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC)
Medicaid clinic rate claims, and if so, how the T-code procedure is displayed on the
claim. If you are reporting T-codes, you can specify whether the T-code procedure is
placed as the first procedure or the last procedure on the claim. You also have the
option to specify that only the T-code procedure is reported on the claim. You can
now select one of the following choices:
(F)irst The T-code procedure will be sorted to the position as the first procedure
on the Medicaid claim. Additionally, the T-Code List field will display on the
Medicaid Clinic Rate Maintenance window when the state program is selected.
This field enables you to select the alternate code list that will be used to specify
the procedure code for which the T-code procedure will be applied.
(L)ast The T-code procedure will be sorted to position as the last procedure on
the Medicaid claim. Additionally, the T-Code List field displays on the Medicaid
Clinic Rate Maintenance window when the state program is selected. This field
enables you to select the alternate code list that will be used to specify the
procedure code for which the T-code procedure will be applied.
(N)o The state Medicaid program does not require a T-code procedure on the
Medicaid claim.
(S)ingle T-Code The T-code procedure will be the only procedure displayed on
the Medicaid claim. The T-code procedure will replace the visit procedure for the
claim. Additionally, the T-Code List field displays on the Medicaid Clinic Rate
Maintenance window when the state program is selected. This field enables you
to select the alternate code list that will be used to determine the procedure
code for which the T-code procedure will be applied. When the Single T-Code
option is selected, the T-code will also be displayed in insurance pre-bill analysis,
EMC billing, and ERA remittance reports.
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The T-Code Billed Amounts field has been added. The field allows you to specify
how the billed amount of the T-code procedure charge should be calculated when a Tcode charge is included on Medicaid claims for a Medicaid rate state. You can select
one of the following choices:
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The Visit Billed Amounts field has been added. The field allows you to specify how
the billed amount of a visit procedure charge should be calculated when a T-code
procedure charge is included on Medicaid claims for a Medicaid rate state.
The T-code procedure may be displayed as the either the first procedure or the last
procedure on a Medicaid claim based on the setting of the Add T-Code Charge to Claim
field. You can select one of the following choices:
(G)ross visit charge The billed amount for the visit procedure charge will be the
gross charge amount of the visit procedure charge on the claim.
(N)et visit charge (clinic rate) The billed amount for the visit procedure charge
will be the clinic rate adjusted amount for the claim.
(T)otal gross charges The billed amount for the visit procedure charge will be
the total of all procedure gross charge amounts on the claim.
(Z)ero The billed amount for the visit procedure charge will be zero ('0') on the
claim.
The Ancillary Billed Amounts field has been added. The field allows you to specify
how the billed amounts of ancillary procedure charges should be calculated when a Tcode procedure charge is included on Medicaid claims for a Medicaid rate state.
The T-code procedure may be displayed as the either the first procedure or the last
procedure on a Medicaid claim based on the setting of the Add T-Code Charge to Claim
field. You can select one of the following choices:
(G)ross charge The billed amount of an ancillary procedure charge will be the
gross charge amount of the procedure.
(N)et charge The billed amount of the an ancillary procedure charge will be the
net amount of the procedure gross charge amount based on clinic rate
adjustments.
(Z)ero The billed amount of an ancillary procedure charge will will be zero ('0').
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For 2011 annual reporting, you need to use OSHPD Report Maintenance to change the
procedure code ranges for Section 5. This will enable your site to report the OSHPD Report
Section 5 data in compliance with the OSHPD 2011 specifications for OSHPD reporting.
The procedure code ranges for OSHPD Report Section 5 lines 3, 13, and 33 can be edited. This
allows any qualified charges posted within the OSHPD report date range that have the defined
procedure codes to display on the correct lines in the OSHPD Report Section 5.
In the following example, the procedure code ranges for Line 3 Hospital Related Services are
displayed. You can change the procedure code range of 99217 - 99223 to 99217 - 99226 by
editing the range.
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For official specifications and instructions about completing the OSHPD report, you
can refer to the Instructions for Completing Annual Utilization Report of Primary Care
Clinics for Report Periods Ended in 2011 by the Office of Statewide Health Planning
and Development.
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4 DTP/DTaP
3 IPV
1 MMR
3 Hib
3 Hep B
1 VZV (Varicella)
4 Pneumococcal conjugate
Now, in addition to the previous list, the following new items are also now required to be
counted for full immunization:
2 Hep A
2 or 3 RV (rotavirus)
2 seasonal flu
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You can use your patient chart records to verify that the correct patients are included in
Line 13 Column (a).
Counts for Line 16 are not displayed the UDS Report. The report prompts you to see the
Clinical Quality Measures dashboard in the Practice Analytics system or use the UDS
Report Clinical Audit Worksheet to obtain patient counts.
In the following example, you can see the new Table 6B sections F and G1 displayed.
Note
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Counts for Sections E, F, G1, G2, and H (Lines 12-16) of Table 6B are not displayed in
the UDS Report. The report displays a message that prompts you to see the Clinical
Quality Measures dashboard in the Practice Analytics system or use the UDS Report
Clinical Audit Worksheet to obtain patient counts. For more information about
obtaining patient counts for the sections, see Using Practice Analytics for Table 6B
Reporting and Using the UDS Report Clinical Audit Worksheet for Table 6B Reporting.
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The Diagnoses button in the Pregnancy section enables you to specify diagnoses that identify
patients who are pregnant. The selected diagnoses are applied when the UDS Report Clinical
Audit Worksheet is run for the Weight Adult section. The patients who have a recorded
diagnosis that has been specified for pregnancy will not be included in the worksheet list of
patients. According to the UDS reporting specifications, patients who are pregnant should not
be included in the UDS reporting for Section F: Adult Weight Screening and Followup section.
This provides you with the ability to generate a worksheet of the correct patients for the
section.
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Weight Child
Weight Adult
Tobacco Use
Tobacco Cessation
Asthma Pharm. Therapy
Additionally, the method for selecting a section type has been changed. Previously, you
selected a section type by clicking a radio button. Now, you select a section type by clicking
the down arrow on the right side of the field and clicking an item in a dropdown list.
Note
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4. View and change setup values and the settings for running the worksheet, if
necessary.
If your output patient data is not correct, you may need to change setup values in the UDS
Report Maintenance (Clinical Audit page) and worksheet generation settings in the UDS
Report Clinical Audit Worksheet window. You can then run the UDS Report Clinical Audit
Worksheet again to generate output data based on your changes.
5. Use the worksheet results.
You can use the resulting universe patient worksheet data to review patient chart clinical data
to identify those patients from the universe whose records met the requirement for
compliance for the section and can be counted as receiving the service.
For example, you can use the worksheet results for the Tobacco Use section to review the
universe patient chart records to determine those patients who have been asked about their
use of tobacco at their most recent visit or at a visit within 24 months of the last visit. A count
of the patients that meet the criteria corresponds to the UDS Report Table 6B Section G1:
Tobacco Use Assessment Column (c) Number of Patients Assessed for Tobacco Use.
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For official specifications and instructions for completing the UDS report, you can refer
to the Bureau of Primary Health Cares Users Manual: Uniform Data System by Health
Resources and Services Administration.
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Follow the steps below for instructions on obtaining Table 6B numbers from Practice
Analytics:
1. Log on to Practice Analytics by opening the Practice Analytics Logon window,
entering your logon name and password, and then clicking the Logon button. The
Practice Analytics - [Main] window will display.
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2. Display the dashboards by clicking the Dashboards navigation button in the lower
left corner of the Main window. The dashboards assigned to your user account will
display in the navigation pane under the My Dashboards folder in the left pane.
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3. Display the Clinical Quality Measures dashboard by clicking Clinical in the Quality
Measures folder of the Dashboards list located in the left pane. The Clinical Quality
Measures dashboard will display in the right pane.
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5. In the Measures section (known as a 'dimension'), select the measure for which you
want to obtain reporting numbers, such as QM-8 Adult Weight Screening and Followup. The measure scores will display.
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6. In the Measure Criteria area, locate the Measurement Period dimension and verify that
the End Date and Visits settings match your UDS reporting period criteria. You can
change them, if necessary.
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7. Verify that the service center settings in Intergy Practice Analytics match the UDS
reporting service center selection criteria in the Intergy Desktop. Selecting service
centers allows your site to include only those service centers that are grantee locations
for UDS reporting.
For example, you may be running your UDS Report for only the MRMC (Madison
Regional Medical Center) service center.
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In Intergy Practice Analytics, you will need to review measure scores for only the MRMC
service center.
To verify the service center settings in Intergy Practice Analytics, select the Summary
tab and select the Svc Cntr (Service Center) cycle group. The Measure Breakdown
displays a list of the service centers in the cycle group and details about each service
center.
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You can select a service center in the list to display Measure Scorecard details about the
service center by clicking on the row of the service center in the list. For example, you
may select the MRMC service center to match the selection for the UDS Report in the
Intergy Desktop.
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7. In the Measure Score bar located in the upper portion of the tab, locate and review the
Numerator and Denominator measure scores.
The Overall row shows the scores for all listed service centers. If you have selected a
service center, the Current row displays and shows only the scores for the currently
selected service center.
The Numerator score corresponds to the Column (c) patient count in UDS
Report Table 6B for Lines 12-16.
The Denominator score corresponds to the Column (a) patient count in UDS
Report Table 6B for Lines 12-16.
In the following example, the QM-8 Adult Weight Screening and Follow-up measure is
being reviewed and the MWC service center has been selected. In the Measure
Scoreboard, the Current row shows a Numerator count of '1' patient and a Denominator
count of '1' for the MWC service center.
The Numerator count of '1' may be reported for the UDS Report Table 6B, Section F, Line
13, Column (c).
The Denominator count of '1' may be reported for Line 13 Column (a).
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Notes
Alternatively, you can use the UDS Report Clinical Audit Worksheet to create a list of
qualifying universe patients for UDS Table 6B sections for UDS reporting. The UDS
Report Clinical Audit Worksheet allows you to manually audit clinical records to
compile submission values for Table 6B of the annual UDS Report.
For more information about using the UDS Report Clinical Audit Worksheet, see Using
the UDS Report Clinical Audit Worksheet for Table 6B Reporting.
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For official specifications and instructions for completing the UDS report, you can refer
to the Bureau of Primary Health Cares Users Manual: Uniform Data System by Health
Resources and Services Administration.
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Transcriptions
This chapter discusses enhancements to the Transcription Management System (TMS) of the
Vitera Intergy software.
New Referring Provider Merge Fields
Edit Transcription Catalog Entry From Transcription Writer Work List
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You can view all of the merge fields available to use in Vitera Intergy Transcription Writer for
transcription documents by creating a merge document in Microsoft Word, selecting the
patient.txt or RISpatient.txt data source, and clicking the Insert Merge Field button.
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From this window, you can click the Edit Details button to open the Edit Transcription
Catalog Entry window.
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In the Edit Transcription Catalog Entry window, you can make your edits in the fields provided.
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Info Collected
Info Generated From
Patients mobile phone
PI Personal - Summary tab
number
GuarMobilePhone
Mobile Phone number of Person Maintenance
the account guarantor
GuarWorkPhone
Work Phone number of the Person Maintenance
account guarantor
PatPharmacyName
Name of patients preferred Pharmacies page of Rx Utilities and
the Contacts tab on the Personal
pharmacy
page of Patient Information
PatPharmacyPhone
Phone number of patients Pharmacies page of Rx Utilities
preferred pharmacy
PatPharmacyPharmacistPh Phone number of patients Pharmacies page of Rx Utilities
preferred pharmacist
PatPharmacyFax
Fax number of patients
Pharmacies page of Rx Utilities
preferred pharmacy
PatPharmacyAddrLine1
1st line of patients
Pharmacies page of Rx Utilities
preferred pharmacys
address
PatPharmacyAddrLine2
2nd line of patients
Pharmacies page of Rx Utilities
preferred pharmacys
address
PatPharmacyAddrCity
City of patients preferred Pharmacies page of Rx Utilities
pharmacys address
PatPharmacyAddrState
State of patients preferred Pharmacies page of Rx Utilities
pharmacys address
PatPharmacyAddrZip
Zip code of patients
Pharmacies page of Rx Utilities
preferred pharmacys
address
PatPharmacyAddrCSZ
City, State, and Zip code of Pharmacies page of Rx Utilities
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RefProviderFax
RefProviderMobile
RefProviderPager
RefProviderAnsSrv
RefProviderEmail
patients preferred
pharmacys address
Fax number of patients
referring provider
Mobile number of patients
referring provider
Pager number of patients
referring provider
Answering service's
number of patients
referring provider
E-mail address of patients
referring provider
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Info Collected
Info Generated From
Fax number of patients referring provider Referring Provider
Maintenance
Mobile number of patients referring
Referring Provider
provider
Maintenance
Pager number of patients referring
Referring Provider
provider
Maintenance
Answering service's number of patients Referring Provider
referring provider
Maintenance
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Referring Provider
Maintenance
PatientMobilePhone
PI Personal Summary tab
PatPharmacyName
Name of patients preferred pharmacy
Pharmacies page of Rx
Utilities
PatPharmacyPhone
Phone number of patients preferred
Pharmacies page of Rx
pharmacy
Utilities
PatPharmacyPharmacistPh Phone number of patients preferred
Pharmacies page of Rx
pharmacist
Utilities
PatPharmacyFax
Fax number of patients preferred
Pharmacies page of Rx
pharmacy
Utilities
PatPharmacyAddrLine1
1st line of patients preferred pharmacys Pharmacies page of Rx
address
Utilities
PatPharmacyAddrLine2
2nd line of patients preferred pharmacys Pharmacies page of Rx
Utilities
address
PatPharmacyAddrCity
City of patients preferred pharmacys
Pharmacies page of Rx
address
Utilities
PatPharmacyAddrState
State of patients preferred pharmacys
Pharmacies page of Rx
address
Utilities
PatPharmacyAddrZip
Zip code of patients preferred
Pharmacies page of Rx
pharmacys address
Utilities
PatPharmacyAddrCSZ
City, State, and Zip code of patients
Pharmacies page of Rx
preferred pharmacys address
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Info Collected
Patients mobile phone number
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PatPharmacyAddrCity
PatPharmacyAddrState
PatPharmacyAddrZip
PatPharmacyAddrCSZ
address
City of patients preferred pharmacys
address
State of patients preferred pharmacys
address
Zip code of patients preferred pharmacys
address
City, State, and Zip code of patients
preferred pharmacys address
Utilities
Pharmacies page of Rx
Utilities
Pharmacies page of Rx
Utilities
Pharmacies page of Rx
Utilities
Pharmacies page of Rx
Utilities
Info Collected
Patients mobile phone number
GuarFullName
GuarMobilePhone
GuarWorkPhone
PatPharmacyName
Pharmacies page of Rx
Utilities
PatPharmacyPhone
Phone number of patients preferred
Pharmacies page of Rx
pharmacy
Utilities
PatPharmacyPharmacistPh Phone number of patients preferred
Pharmacies page of Rx
pharmacist
Utilities
PatPharmacyFax
Fax number of patients preferred
Pharmacies page of Rx
pharmacy
Utilities
PatPharmacyAddrLine1
1st line of patients preferred pharmacys Pharmacies page of Rx
address
Utilities
PatPharmacyAddrLine2
2nd line of patients preferred pharmacys Pharmacies page of Rx
address
Utilities
PatPharmacyAddrCity
City of patients preferred pharmacys
Pharmacies page of Rx
address
Utilities
PatPharmacyAddrState
State of patients preferred pharmacys
Pharmacies page of Rx
address
Utilities
PatPharmacyAddrZip
Zip code of patients preferred pharmacys Pharmacies page of Rx
Utilities
address
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Pharmacies page of Rx
Utilities
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Info Collected
The current system date displayed in
short format (e.g. 01/01/1981)
CurrentDateLong The current system date displayed in long
format (e.g. January 1, 1981)
LastInsBilledDateLong
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Info Collected
Info Generated
From
The last date that charges were billed to an PI Financial
insurance plan on this account displayed Summary tab
in short format (e.g. 01/01/1981)
The last date that charges were billed to an PI Financial
insurance plan on this account displayed Summary tab
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PI Financial
Summary tab
PI Financial
Summary tab
PI Financial
Summary tab
PI Financial
Summary tab
PI Financial
Summary tab
PI Financial
Summary tab
Info Collected
Info Generated
From
SubscriberDOB
Subscriber date of birth displayed in short
PI Personal
format (e.g. 01/01/1981)
Insurance
SubscriberDOBLong
Subscriber date of birth displayed in long
PI Personal
format (e.g. January 1, 1981)
Insurance
SecPlanSubscriberDOB
Date of birth of the secondary insurance plans PI Personal
subscriber displayed in short format (e.g.
Insurance
01/01/1981)
SecPlanSubscriberDOBLong Date of birth of the secondary insurance plans PI Personal
subscriber displayed in long format (e.g.
Insurance
January 1, 1981)
RecallRunDate
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Info Collected
Info Generated From
Date on which the recall will occur
PI Scheduling Recalls tab
displayed in short format (e.g. 01/01/1981)
Date on which the recall will occur
PI Scheduling Recalls tab
displayed in long format (e.g. January 1,
1981)
Date the recall was generated displayed in PI Scheduling Recalls tab
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Scheduling
This chapter discusses enhancements to scheduling features in the Vitera Intergy system.
Appointment Time Displayed When Printing Referral Information
Day of Week Is Displayed with the Date When Making an Appointment
Prevent New Appointments for Patients in Collections
Appointment Template Color Palette Expanded
Patient Flow Tracking Window Can Be Resized
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The time of a referral appointment has been added to the Referral Detail Report in the
Appointment section.
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The Referral In and Referral Out features are optional for the Vitera Intergy system. If your
practice is not serialized for the Managed Care subsystem of the Vitera Intergy system, the
menu items and windows associated with the features will not be available.
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Clicking this button displays the Select Colors pane. Click on the Select Foreground Color or
Select Background Color button to use a color from the expanded palette to configure the
appearance of the reason code setting.
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Default reason code colors that are shipped with Vitera Intergy have not been modified.
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Reports
This chapter describes new reports and enhancements for existing reports.
Exclude Encounters That Have Pending Charges from the Patient Encounters
Report
Clinical Activity Audit Reporting
Pending Charge Report
Procedure Analysis Report Filters by Modifiers
Appointments by Day Report Can Include Primary Insurance Information
Patient Report Can Show Deactivated or Deceased Patients Only
Additional Displays of Insurance Plan Information in Appointment Worksheet
Report
Procedure Productivity Report Can Show Modifiers
Open Item Report Has Procedure Sort and Filter
Filter the Procedure Analysis Report by Diagnoses and Patient Age Range
Filter the Referring Provider Analysis Report by Date
Additional Payment Allocation Report Sorts and Filters
Procedure Reimbursement Report Can Filter by Post Date
Procedure Reimbursement Report Sorts and Filters by Procedure Code
Account Summary Report Has Additional Filters
Patient Report Sorts and Filters by Insurance
Practice Financial Summary Report Provider Sort Change
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The Exclude Encounters with Pending Charges check box is available only when the
Unresolved Encounters Only check box is selected. When the Unresolved Encounters Only
check box is cleared, the Exclude Encounters with Pending Charges check box is cleared and
not available.
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Selecting the Exclude Encounters with Pending Charges check box prevents
encounters that have pending charges from being included with the unresolved
encounters in the report.
Clearing the Exclude Encounter with Pending Charges check box allows encounters
that have pending charges to be included with the unresolved encounters in the
report. Encounters that have pending charges will have the status of 'Unresolved' in
the report.
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The Pending Charge Report groups the pending charges by encounter and optionally shows
posted charges as well. For each pending charge or posted charge, the report lists detailed
information, such as the patient name, procedure code, provider name, encounter number,
encounter service date, primary insurance, post date, and service center. In the Post Date
column of the Pending Charge Report, a pending charge has a post date shown as a ('--')
because pending charges do not have post dates.
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The Procedure Analysis Report has been enhanced to display the modifiers that were selected
for the report. On each patients charge line, the modifiers for the procedure are displayed.
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When the check box is selected and the report is run, a new line for each patient in the report
now displays. The line contains the patients primary insurance plans name and whether the
patient has an insurance card for that plan that was scanned.
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When the check box is selected and the report is run, active patients will be included in the
report. Clearing the check box prevents active patients from being included in the report.
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Patient Information
Additionally, the Insurance column has been modified to display the full insurance plan name
in Insurance Information mode for either the Summary or the Detail report type.
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To display a separate line and total for each procedure/modifier combination, select the Show
Modifier Detail check box.
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When the check box is cleared, the report displays one line and total for each procedure only
and does not report each procedure/modifier combination.
When the Summary mode is selected, the check box is not available.
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When the report is run by procedure, each procedure code (that does not have optional
modifiers) is displayed on a new page with the procedure code and its description as the
heading.
The summary of the report will contain a line item for each procedure code.
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The new Patient Ages radio buttons and fields for the first and last years of the age
range have been added.
The diagnoses that are displayed in the report are the primary diagnoses for the procedures.
The patient ages for the report are based on the service date.
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When the report is run, the total dollar amount of charges that have dates (post dates or
service dates) within the date range will be included in each referring providers Total Charges
column.
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The new Payment Method radio button now displays in the Report Sort section.
The new Payment Methods button now displays in the View section when the
Payment Method radio button is selected as the report sort.
The new Payment Class radio button now displays in the Report Sort section.
The new Payment Classes button now displays in the View section when the Payment
Class radio button is selected as the report sort.
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The Service Dates section label has now been changed to the Charge Date Range.
The Service Date and Post Date radio buttons are now displayed. You can select the
Service Date radio button to include charges based on the service date of the
procedure associated with the charge, or select the Post Date radio button to include
charges based on the date the charge was posted to the patients account.
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The new Procedure Class mode has replaced the Summary mode. The Procedure Class
mode lists each procedure class.
The Procedure Class/Code mode has replaced the Detail mode. The Procedure
Class/Code mode includes the individual procedures for each procedure class and the
total for all procedures in the class.
The new Procedure Code mode now displays. The Procedure Code mode lists each
procedure code.
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The Primary Plan radio button now displays in the Sort By section. This provides you
with the ability to list patients alphabetically by the primary insurance plan of the
patient. Note that patients who do not have an active primary insurance plan in their
coverage list may be shown first in the report list.
The Plans radio buttons now display in the View section. This provides you with the
options to include patients regardless of insurance plans, patients who have specific
insurance plans only, or you can include only those patients who do not have a
primary insurance coverage plan.
To Include:
All insurance plans
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Do this:
Click the All Plans radio button.
The Plans button now displays in the View section when the Selected radio button is
clicked. This provides you with the ability to select the plans that you want to include
in the report.
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To display the total payment amount of the check in the payment description, select the check
box.
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The new Deactivate button now displays when a scheduled My Favorites report is
selected. This allows you to stop the report from being run and prevent its schedule
from being in effect.
The new Delete button now displays when a report that was scheduled to run once at
a later time is selected. This allows you to stop the report from being run at the
scheduled time.
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The new Include Deactivated Reports check box now displays above the reports list.
This allows you to display scheduled My Favorites reports that have been deactivated
in the reports list.
The new Reactivate button now displays when a deactivated scheduled My Favorites
report is selected. This allows you to set the prior schedule for running the report back
into effect. When a report schedule is reactivated, the report will be run on the first
appropriate future date based on the report schedule.
The new Deactivated indicator now displays in the Next Run column for deactivated
reports.
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The new Deactivate All option now displays in the Actions menu of the Report
Monitor window when the window is opened in Vitera Intergy System Administration.
This provides you with the ability to deactivate all of the scheduled My Favorites
reports and delete all of the reports that have been scheduled to run once at a later
time.
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In the Appointments Exception Report, the Original Appt. Created by column label has been
changed to Original Appt. Created, and the date and time an appointment was created are
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As a result of these enhancements, if you use the Appointments Detail Report to manually
generate the output file for your Phone Tree system, it is necessary to contact Phone Tree to
continue using this report with your Phone Tree system. It is possible to use the
Appointments Phone Tree Report for generating the output file for your Phone Tree system
without additional changes.
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In the Report Dates section, you can select the following date ranges:
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Current Month Includes all patients registered from the beginning of the current
month to the current date.
Last Month Includes all patients registered in the last full calendar month.
Current Three Months Includes all patients registered from the beginning of the
current three-month period to the current date. The current month is the third month
in the three-month period.
Current Year Includes all patients registered from the beginning of the current year
to the current date.
Last Year Includes all patients registered in the last full calendar year.
Custom Date Includes all patients registered from the date manually entered in the
Start field to the date manually entered in the End field.
All Dates - The report will include all patients in the practice.
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New Show Patient Detail and Include Event Comments Options in the
Patient Flow Analysis Report
You can now display patient details and event comments in the Patient Flow Analysis Report.
If the Event sort method has been selected, you can optionally select the Show Patient Detail
check box to display patient details, such as the Patient, Event Start Time, User, and Amount of
Time in Event.
If the Show Patient Detail check box has been selected, you can optionally select the Include
Event Comments check box to display comments about the patient event, if available.
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Note that if the Show Patient Detail check box option is selected, the Subtotals By check boxes
display in gray text and are unavailable.
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If a procedure does not have a supervisor associated to it, it will be grouped in the No
Supervising Provider section of the report.
In addition, when filtering providers in the View section when generating the Provider
Productivity Report in Supervising Provider mode, the providers chosen will filter the
supervising providers on the report.
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You can select the Primary radio button to list primary insurance productivity information or
select the Secondary radio button to list secondary insurance productivity information.
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HL7
This chapter describes an enhancement made to the HL7 communications protocol utilized by
the Vitera Intergy software.
Search HL7 Queue Using Text String
Viewing Unformatted HL7 Text
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When using filters to shorten the list, you may use a general text search to display HL7
messages that contain a specific string of characters in any part of the message. Click the Text
radio button to use this filter, then type the text to search for in the Message text contains
field.
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Now, an additional tab with the label HL7 Message is available at the bottom of the window.
Click this tab to view the raw, unformatted text of the HL7 message. This tab is available for
demographics, financial, results, and orders messages.
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RIS
This chapter provides information about new features of and enhancements to the Radiology
Information System (RIS) in the Vitera Intergy software. RIS is an optional system available for
the Vitera Intergy system.
Indicate the RIS Studies That Have a Report Attached
Cloud-based Fax Systems Available for Document Delivery System
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The new Fax System parameter has been added to Practice Configuration and System
Configuration. The parameter is used to specify the type of fax system to be used by
the Intergy Document Delivery System.
You can select from the following options:
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The Fax Server User ID parameter has been enhanced to support the cloud-based fax
system options in addition to the existing server-based fax system option. Previously,
the parameter name was 'Fax Server User ID'. The parameter name is now 'Fax System
User ID' to indicate support for the available types of fax system options. The
parameter is used to specify a unique name or sequence of letters and numbers that
identifies the user account on the fax system used by the Intergy Document Delivery
Server.
The Fax Server Password parameter has been enhanced to support the cloud-based
system options in addition to the existing server-based fax system option. Previously,
the parameter name was 'Fax Server Password'. The parameter name is now 'Fax
System Password' to indicate support for the available types of fax system options. The
parameter is used to specify a confidential sequence of letters or numbers that is used
in conjunction with the Fax System User ID to allow the Intergy Document Delivery
Server access to the selected fax system.
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The new pre-defined FaxSystem lookup type has been added to System-defined
Lookup Maintenance. The FaxSystem lookup type provides the options that are
available for the Fax System parameter. The available options are the Castelle
FaxPress, MetroFax, and Sfax fax systems.
The new FaxSystemURL lookup type has been added to System-defined Lookup
Maintenance. The FaxSystemURL lookup type has a lookup code for each cloud-based
fax system defined in the FaxSystem lookup type. The description of each
FaxSystemURL lookup code will contain the URL used to access the system. When the
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Practice Setup
This chapter discusses enhancements to features used for setting up your practice.
Warn If Saving a Duplicate Clinician Provider Identifier
Patient, Account, and Charge Notes Security Enhancements
Activity Audit Logs Include Report Duration
Copy a Role Definition
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You can proceed with saving the duplicate provider ID number by clicking Yes. You can cancel
saving the duplicate provider ID number by clicking No.
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The Practice Configuration feature check box and the Edit Practice Configuration activity
check box for this activity is cleared by default. For users who are set up with access to all
features, the Practice Configuration feature check box and the Edit Practice Configuration
activity check box will be selected by default. For users who are not set up with unrestricted
feature access, the Practice Configuration feature check box and the Edit Practice
Configuration activity check box will be cleared by default.
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When you copy an existing role, you also copy the role details and Vitera Intergy Desktop
permissions.
Copying a Role
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Copying a Role
You can now copy a role definition in the Users and Security window in Practice
Administration.
Follow the steps below for instructions on copying a role.
1. If you are not already on the Practice Users and Security window, from Practice
Administration, select the Setup menu, and then select Users and Security.
2. Display the definition tabs by selecting the Display menu and then selecting Show
Definition Tabs, if they are not already displayed.
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4.
5.
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Click the Copy button. The Copy Roll dialog box displays.
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7.
In the Copy To field, enter a name that uniquely identifies the copied role.
8.
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9.
Next, you can change the role's permissions for Vitera Intergy Desktop components.
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System Setup
This chapter discusses enhancements to features used for setting up the system.
Century Change Year Calculation
Restrict PHI Access in Administration Windows by User
Access Practice Configuration from Vitera Intergy and Vitera Intergy EHR
Limit Future Dates that Can be Entered
Copying System Users
Customize Transcription Approval Text
System Maintenance Scheduler Shows All Client Connections
Meaningful Use Update Utility
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Previously, the Century Change Year practice parameter was used to specify the year that
served as the dividing point between two centuries, such as '10' for the year ''2010'.
Now, the Century Offset from Current Year parameter provides you with the ability to specify
the number of years past the current year that is used to determine the century change year
for the Vitera Intergy system. The century change year serves as the dividing point between
the previous century (19__) and the current century (20__).
For example, if the current year is 2011 and the Century Offset from Current Year value is set to
'5', the century change year is '16'.
Therefore, if the year '15' is entered for a date, the year will be converted to the future year
'2015' in the current century because the year '15' is less than the century change year '16'.
However, if the year '16' is entered for a date, the year will be converted to the past year '1916'
in the previous century because the year '16' is equal to the century change year '16'.
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Note that ability to display the Practice Configuration window in Vitera Intergy EHR is only
available if the Vitera Intergy software is installed on the same workstation as Vitera Intergy
EHR.
Opening the Practice Configuration window in Vitera Intergy EHR
To open the Practice Configuration window in Vitera Intergy EHR, select the Setup menu from
the Vitera Intergy EHR menu bar and then select Practice Configuration.
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The Practice Configuration window will display just as it does when opened from the Vitera
Intergy Practice Administration desktop. Note that some actions that can be performed in this
window are controlled by security permissions.
Opening the Practice Configuration window in Vitera Intergy
To open the Practice Configuration window in Vitera Intergy, select the Setup menu from the
Vitera Intergy menu bar, select Administration, and then select Practice Configuration.
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The Practice Configuration window will display just as it does when opened from the Vitera
Intergy Practice Administration desktop. Note that some actions that can be performed in this
window are controlled by security permissions.
Instructions for specifying practice parameters for Vitera Intergy EHR in the Practice
Configuration window are available in the Vitera Intergy EHR Setup Guide in the Practice
Configuration Setup chapter.
Security Permissions for Displaying The Practice Configuration Window
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3 Click the Copy User button to open the Copying Security Settings for User Account
window.
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4 Observe that the User Type and Class fields are already populated with the same
information used in the original user account..
Type a new Logon name. This field may not be copied from the original user account and
must be unique.
Type a new Name for the user account. This field is required.
Enter the appropriate information in the Password, Contact Info and Permissionsboxes. Note
that some settings are copied from the original user account.
For help on a field, select the field and press F1.
5 Click Save when you finishing entering the fields for an account. You will return to the
Users and Security window, where the new account you have created is now displayed.
6 If necessary, select the Practice and Enterprise pages to make changes to the other group
membership and access settings. You may also need to access the Practice Users and Security
Window to make any other changes. Note that these settings have been copied from the
previous user account.
7 When you finish copying user accounts, click the Close button to return to the System
Security Setup window.
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3 Select the Transcription Approval Line parameter, and click the Value column to display
the Select Transcription Approval Line window.
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Notes
The transcription approval line value has a maximum size of 200 characters. This limit includes
the characters of the variable items.
You may omit any or all of the variables from the transcription approval line as needed.
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The Type column now displays the value 'Intergy' for standard Vitera Intergy desktop clients,
and 'EHR' for Vitera Intergy EHR client connections.
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To minimize the impact to practice workflows, the system will attempt to detect the data
practices do not want to use in their guidelines and respect those exclusions during data
imports and updates. For example, when users delete reminders from guidelines or delete
clinical events from reminders, the system will not delete those links. Instead, it will only
deactivate them. Therefore, during import, the system will detect that users do not want to
use the deactivated data and will not add that data back.
The Meaningful Use Update window allows you to apply meaningful use updates to your
Health Management guideline sets as well as import the updated Encounter Note form and
Document Template. Retrieving and downloading the latest Meaningful Use updates assists
your practice in accurate reporting of meaningful use clinical data.
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2. The Meaningful Use Update window displays. To retrieve and apply the updates for
your practice, select the appropriate option in the Retrieve Updates section and then
select the Retrieve button. Note that the status of the retrieved updates displays to
the right of the button.
Select the From Vitera Support Center option if you need to retrieve the latest
update. When this option is selected, the system will download the Meaningful
Use update from the Vitera Support Center website
Select the I have the latest update file if you already have retrieved the latest
update.
3. Once you have retrieved the latest update, select the practice which you want to
received the update. When you select the practice, information displays in the table at
the bottom of the window.
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You can view the guideline sets which are marked for updates and the knowledge base
which contains the guideline set. The Current Version column displays the date when
the guideline set was last updated and the Update column indicates if the guideline set
is marked to receive an update (Y) or not (N).
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4.
Select the Update button. The retrieved updates are applied to the practice. Note that
if your practice is new to using Health Management, then the Health Management Starter Kit
Knowledgebase including the Meaningful Use Quality Measures is imported as part of the
update.
5.
A message box displays containing the location of the log files from the update
process.
Select the OK button. The table refreshes to display the current information.
You have just completed Step-By-Step Retrieving and Applying Meaningful Use Updates.
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