1 EHR For Coders and Data Entry. 2 EHR will open to the Coversheet Click on aqua box to choose patient. You may choose by name or chart #. If chart #

1

EHR

For Coders and Data Entry

2

EHR will open to the Coversheet

Click on aqua box to choose patient. You may choose by name or chart #. If chart # is less than four numbers enter leading zeros.

The Appointment and Visits section of the coversheet will display similar to your displaying in PCC RPMS options.

Just left click on a visit to see the display.

3

Display of Visit plus the Note when clicking on an Appointment/Visit

4

Prob/POV tab

In order to see Visit Diagnosis you must

select the Visit in the Yellow Visit Box.

You will see

Historical Diagnosis without

having to select the visit in the Yellow Box

5

Services TabIf you show ALL you will see the CPT coding in Historical Services

E&M is shown here

This is the CPT coding for Selected Visit in Yellow Box

6

Notes Tab – Select the note you wish to view on the left and it will display on the right

Shows this note I selected. This

view is showing the last 100 notes. If you need to see

more you can change your view under the View

Dropdown menu.

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Notification Scheduling - After reviewing the visit, if you have questions for provider

1. Go to Notifications Tab2. Right Click in white area

3. Choose Schedule. And this window will open.

4. Click Add

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Enter delivery date, Subject, Recipients, and Message

Note this is associated with the patient, which normally you would leave checked. If your question

is not patient related you may uncheck this.

Remove your name by

highlighting and click the left aqua arrow.

Then just state OK to each

window.

Choose provider name and use aqua right

arrow to move name to right.

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Orders Tab – double left click on any order for Order Details

I double clicked on the Lancets order and got order

details.

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Medications Tab - May click on any column to re-sort. May double click any med and get details like the Orders Tab

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Triage Shows selected visit vitals and CC

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Wellness Tab Health Factors, Reproductive Status, Educations, Exams, Immunizations and Skin Tests

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Labs Tab

Click these buttons to navigate to other

lab results

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Reports – Clinical Reports – Outpatient Encounters/Visits

The Outpatient Diagnosis and Outpatient Encounter allow you to view visit information quickly.

Can quickly change your date range.

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Consults Tab – These consult progress notes are also viewable on the Notes Tab.

Choose the consult.Click on the related documents to

view the note.

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D/C Summ Tab

This tab will allow viewing of discharge summaries from hospital stays.

This tab is like the Notes Tab. Discharge Summaries are only

viewable on this tab. Versus, Consults are also viewable on

the Notes Tab.

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To review one provider in Coding Queue

IHS Core PCC Select Patient Care Component Option

DEM Patient Care Data Entry Menu ...ENT Enter/Modify/Append PCC Data ...

EHRC EHR/PCC Coding Audit Menu ...

Select EHR/PCC Coding Audit Menu Option: EHRD EHR/PCC Coding Audit for Visits in Date Range PEHR EHR/PCC Coding Audit for One Patient TUR Count Unreviewed Visits by Date/Service Category LIR List Unreviewed/Incomplete Visits

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EHR/PCC Coding Audit for Visits in Date RangePlease enter which FACILITY visits will be included in the list. Select one of the following:

A ALL Locations/Facilities S Selected set or Taxonomy of Locations O ONE Location/Facility

Enter a code indicating what LOCATIONS/FACILITIES are of interest: ALL

Please enter which CLINIC (IHS clinic codes) visits will be includedin the list. Select one of the following:

A ALL Clinics S Selected set or Taxonomy of Clinics O ONE Clinic

Enter a code indicating what CLINICS (IHS clinic code) are of interest: A// ONEClinic

Which CLINIC: PODIATRY 65

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Visits by Date Range cont…Please enter which HOSPITAL LOCATIONS will be included in the list.

Select one of the following:

A ALL Hospital Locations S Selected set of Hospital Locations O ONE Hospital Location

Enter a code indicating what HOSPITAL LOCATIONS are of interest: A for ALLPlease enter the Providers whose visits you want to displayThis will screen on the primary provider on the visit.

Select one of the following:

A ALL Providers S Selected set or Taxonomy of Providers O ONE Provider

Enter a code indicating which providers are of interest: A// LL Providers

A chart deficiency reason may have been previously entered for a visit.If you wish to display only visits whose LAST chart deficiency reason matchesone or more that you select, please enter them.

Select one of the following:

D Do NOT screen on Chart Deficiency Reason S Screen on Chart Deficiency Reason

Select visits based on chart deficiency reason: D// o NOT screen

This would display all

locations using Clinic Code 65 Podiatry Plus all providers under that

clinic code. You could also

choose One Provider and

enter the name.

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Visits by Date Range cont…I will display visits that meet the following criteria:

VISIT DATES: Nov 15, 2006 to Nov 15, 2006SERVICE CATEGORY: A, O, S, C, TVISIT TYPE: NOT ContractVisits with at least one POV and Primary Provider.

LOCATION OF ENCOUNTER: All

CLINICS: All

HOSPITAL LOCATIONS: All

PRIMARY PROVIDER ON VISIT: All

CHART DEFICIENCY REASONS: All (includes visits with no chart deficiency reason enteredDo you wish to continue? Y// ES

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Visits by Date Range cont… Choose how you want it displayed. Example: N for Patient NamePlease note: On the list of visits that will be displayedthere is a column labeled 'INS', in this column M stands forMedicare, C stands for Medicaid and P stands for PrivateInsurance. This does not mean the visit is billable, it justis an indication of whether or not the patient has a policy onfile that is currently active.

Select one of the following:

N Patient Name H HRN D Date of Visit T Terminal Digit of HRN S Service Category L Location of Encounter C Clinic O Hospital Location P Primary Provider A Chart Audit Status R Chart Deficiency Reason (Last one entered) I Has Medicare/Medicaid or PI

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Visits by Date Range cont…PCC/EHR VISIT AUDIT           Nov 16, 2006 13:03:20          Page:    1 of    2 Visit Dates:  May 01, 2006 to Nov 16, 2006                                      * an asterisk beside the visit number indicates the visit has an error           #   VISIT DATE     PATIENT NAME  HRN    FAC  HOSP LOC   CL INS  PRIM PROV STATU                                                                                1)*  10/02/06@13:07 DEMO,ADULT PA 101030 WRH  CVD ENCO A 06      DICKSON,E   .992)   10/13/06@08:56 DEMO,ADULT PA 101030 WRH  URGENT C A 80      WATTS,SIL      3)*  10/24/06@12:00 DEMO,ADULT PA 101030 WRH  PHARMACY A 39      MARBELLO,   NO 4)*  10/31/06@08:15 DEMO,ADULT PA 101030 WRH  INPATIEN A 76 M    CHAMBERLA   NO 5)*  10/31/06@09:00 DEMO,ADULT PA 101030 WRH  HURFORD  A 14 M    MOORE,CAT   NO 6)*  11/01/06@10:02 DEMO,ADULT PA 101030 WRH  PREOP PH A 28 M    WYLIE,ROB   NO 7)*  11/01/06@10:10 DEMO,ADULT PA 101030 WRH  SOCIAL S A 48 M    MOORE,CAT   NO 8)*  11/02/06@10:18 DEMO,ADULT PA 101030 WRH  OB ANTEP A 83 M    CONDOJANI   NO 9)*  11/06/06@14:56 DEMO,ADULT PA 101030 WRH  COLPO    A C3 M    MAHONEY,D   NO 10)* 11/06/06@15:25 DEMO,ADULT PA 101030 WRH  PHYSICAL A 28 M    CLARK,ELI   NO 11)* 11/08/06@13:09 DEMO,ADULT PA 101030 WRH  PHYSICAL A 28 M    CLARK,ELI   NO 12)  11/15/06@11:18 DEMO,ADULT PA 101030 WRH  ANTICOAG A 39 M    ROBERTS,R     

Q - Quit/?? for more actions/+ next/- previous >>>D Display Visit S Status Update X Visit DeleteN Note Display R Resort List + Next ScreenM Modify Visit C Chart Audit History - Previous Screen

A Append to Visit H Health Summary Q QuitG Visit Merge O One Patient's Visits                           

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Visits by Date Range cont…Commands

Q - Quit/?? for more actions/+ next/- previous >>>

D Display Visit S Status Update X Visit DeleteN Note Display R Resort List + Next ScreenM Modify Visit C Chart Audit History - Previous ScreenA Append to Visit H Health Summary Q QuitG Visit Merge O One Patient's Visits

Note: You can display the Visit and display the progress note from this

menu as well.You can do ?? to see additional

commands.

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PEHR EHR/PCC Coding Audit for One Patient

Select PATIENT NAME: ZANY,ADOLESCENT FEMALE <WA> F 02-24-1987 000001234 CL

26571

Select one of the following:

D Date of Visit S Service Category L Location of Encounter C Clinic O Hospital Location P Primary Provider A Chart Audit Status R Chart Deficiency Reason (Last one entered)

How would you like the list of visits sorted: D//