Electronic Medical Software Programs

Medical Office Online
Medical Office Online, Inc. 2821 North Ballas, Suite C25 St. Louis, MO 63131 314.995.9889 866.995.9889	info@medicalofficeonline.com http://www.medicalofficeonline.com

From the website www.medicalofficeonline.com

Medical Office Online

Medical Office Online offers the paperless medical office. Easy to set up, easy to learn, Medical Office Online is a HIPAA compliant, web/browser based application that integrates medical scheduling software, electronic medical records (EMR) and medical billing software. We call it Total Practice Management™. The Medical Office Online application and hosting service is available via the Internet for only $300 per Provider per month. System Test Drive

The Medical Office Online Test Drive allows you to try out the system before you sign up.

• Electronic Medical Records
• Medical Scheduling
• Prescribing
• Images/Attachments
• Reporting Functions
• Form Letters
• Charge Capture
• Medical Billing
• Electronic Claims Filing
• Electronic Remittances NEW!
• E&M Coding
• HIPAA, OSHA, etc.
• Test tracking
• Messaging
• Patient Access

Benefits - The Medical Office Online Advantage

• Web based
• 100% Paperless
• Accessible from anywhere
• Inexpensive
• Fully Integrated
• High level ASP Application Hosting
• All features for one low price
• Government level data security and encryption
• Regular offsite backups included
• Simple and easy exit policy
• 100% HIPAA compliant
• Easy to use
• Works with portable computers and wireless web devices.
• Enter data through typing, select lists, stylus, or voice recognition.
• EDI

Electronic Claim Submission

With Medical Office Online, you can have your claims filed electronically within days of signing up.

Electronic Medical Records

Medical Office Online's Electronic Medical Record is the core feature of the system.

General Design

Medical Office Online's Single Source Database (SSDB) design offers the next level in system integration. When a patient is scheduled using the Patient Scheduler, rather than a useless calendar entry being put on the calendar, an actual Electronic Medical Record (EMR) is created, filled out with all of the patient's demographic and insurance data, and given a time and date. It is this document which appears on the calendar. As the provider works through their day, they open up each of the electronic medical records and fill it out from top to bottom.

Features

The Medical Office Online EMR is set up to be extremely user friendly to the Provider. It is set up in a manner that should be familiar to the Provider while offering a myriad of time saving features and devices. The different sections of the Medical Office Online Electronic Medical Record are listed here in the order in which they appear in the system. All of the sections are provided on one page so that the Provider doesn't have to switch tabs.

Provider's Notes

At the top of the electronic medical record is a large box for the Provider's notes. It is generally recommended that the provider type the note or use customizable "Auto-Fills" to drop in commonly used notes while in the room. If the provider does not type or does not wish to type, then any of the following methods can be used with no degradation to the providers workflow.

• Have a scribe fill out the electronic medical record in the room
• Have a member of staff type your paper notes into the electronic medical record after the visit
• "Copy and Paste" text received in a Word document from a transcription service into the electronic medical record.

CC/HPI

The standard set of Chief Complaint and History of Present Illness boxes appear at the top of the electronic medical record. These boxes can be filled out through typing or by using pre-set-up "Auto-Fills" to drop in commonly used CC/HPI remarks.

ROS

The standard set of Review of System boxes are given near the top of the electronic medical record. These boxes can be filled out by typing or you can drop in commonly used ROS remarks by using "Auto-Fills" that are set up prior to the visit.

PE

Medical Office Online allows you to create custom Physical Exam Templates that can be added to the individual patient's electronic medical record when needed. Once inserted into the electronic medical record the template can be filled out by typing or by using "Auto-Fills" that are custom created for each template.

Vital Signs

Vital signs such as height, weight and blood pressure can be added by the office staff on a separate tab of the electronic medical record and can then be reviewed and/or modified by the provider while visiting with the patient.

Provider Notes / PE Summary

The Provider is given a section to add their own notes as a summary of the Physical Exam they performed. This makes it easier for the provider to assess the outcome/important discoveries of the exam when referring back to the electronic medical record.

Medications

The Medications section of the electronic medical record allows the provider to add medications to the patient's current med list, prescribe new medications and refill existing medications. Medications are chosen from a custom medication list that is pre-set by the provider. Prescriptions can be printed or faxed directly from the electronic medical record in as little as three clicks. When the electronic medical record is saved all additions and/or changes are reflected in the patient's current and past med lists.

Clinical Referrals

This section of the electronic medical record allows the provider to refer the patient to another Provider, a specialist, or clinic. The provider chooses the referral destination type and can also choose a specific destination or Provider.

Assessment Note

A large box is given on the electronic medical record for the assessment note which can either be typed in or dropped in using a custom"Auto-fill".

Diagnosis / ICD-9 Codes

The Provider is allowed to choose up to four diagnosis codes from a customizable list of ICD-9 codes. This list that appears on the electronic medical record is usually set up by the provider before the visit using our ICD-9 import function.

CPT Codes

On the electronic medical record CPT codes are broken up into the following sections:

Visit codes

• Operation/Procedure codes
• Lab codes
• X-ray codes
• Special Test codes

The provider is allowed to choose a visit code and up to 8 of each of the other code types from customizable select lists. When the electronic medical record is saved, all labs/X-rays/Special Tests ordered show up on the office staff's outgoing stacks.

E&M Counts

As the provider fills out the electronic medical record, the E&M counts are quietly being tallied in the background. When the provider reaches the bottom of the electronic medical record they are able to see exactly how many points they have qualified for. The provider is able to put in the required counts in the system configuration and compare the counts that they have amassed while filling out the electronic medical record to the required amount. This system of E&M tracking can result in a substantial increases in the revenue earned by the practice.

Administrative Functions

The administrative functions section of the electronic medical record allows the provider to do a number of different tasks. Create Custom form letters

At the conclusion of the visit, with a click of a button the Provider can drop information from the electronic medical record into a form letter in Microsoft® Word. An Envelope can also be printed allowing you to finish your letters in the examining room with little to no typing! If you want to do the letter later you can mark that the visit needs a letter and it will show up on your stack of visits that need letters.

Choose the next visit time and reason

The provider can choose that they would like to see the patient in 3 months for a follow up, for example. When the patient is being scheduled on their way out, the front office staff doing the scheduling is notified of the time and reason for the next visit as supplied by the provider.

Billing

Medical Office Online is a fusion of Electronic Medical Record and Medical Billing software. The Medical Office Online Visit form serves as both the electronic medical record and the invoice. After the provider enters the CPT and ICD9 codes and saves the visit, the visit is assigned a Billing Number and shows up in the accounts receivable. Take note that this is not two systems that have been integrated. This system greatly simplifies the patient care/billing process and streamlines workflow. It also allows you to print a HCFA 1500 form or file to an EDI right from the electronic medical record immediately after seeing the patient.

Attachments

The electronic medical record allows you to attach any type of document that you like to it. This gives you complete flexibility for using other systems with varying types of files. Below are some examples of the types of files that may be useful to attach.

• Letters - external or created from Medical Office Online letter generation (doc, wpd, etc)
• Images - take digital photos in the examining room (gif, jpg, etc)
• Scanned documents (jpg, pdf, etc)
• Files from other/legacy systems (anything; Note: these files may not be viewable from within the MOO system)

Handouts

Medical Office Online allows you to store handouts or articles that you commonly give to patients. You can then either print them out as needed or hand a pre-printed copy to the patient and mark on the electronic medical record that the handout was given to the patient.

Medical Office Online's Scheduler

Medical Office Online can replace and vastly improves upon any practice management system (PMS) or medical scheduling software package that you may be currently using.

General Design

Medical Office Online is a Single Source Database (SSDB). This means that all of the functions of Medical Office Online utilize one database and therefore one set of patient data. After loading the patient into the system, a patient can be scheduled with only five clicks! and no typing.

Multiple Providers, Multiple Locations, Resources

Medical Office Online allows you to give calendars to and schedule appointments for multiple providers and multiple resources(X-ray machines, etc.). With multiple location web based scheduling, practices with multiple locations are able to easily coordinate. The provider is also able to check his real-time calendar from anywhere in the world.

Schedulers

The Medical Office Online system comes two schedulers that serve the two very different types of appointments that a practice can have:

The Patient Scheduler

The patient scheduler is used for scheduling patients for clinical visits or operations. When a patient is scheduled using the patient scheduler an electronic medical record (EMR) is created and filled out with all of the patient's demographic and insurance data. It is also given a time and a date. It is the EMR that is listed on the calendar , rather than a useless calendar entry with only a date and name.

The Event Scheduler

The event scheduler allows you to add anything other than a patient to your calendar. Possible uses of the event scheduler include, but are not limited to:

• Meetings
• Lunch Appointments
• Blocking out time
• Marking a provider as unavailable
• Blocking out time for surgeries
• Scheduling personal events

Calendars

Each provider within a Medical Office Online practice gets three calendars:

• 1. A calendar that shows just their office visits
• 2. A calendar that shows all of their visits (office & hospital).
• 3. A personal calendar for events that are private or unrelated to the practice.

Each Medical Office Online system also has a consolidate calendar that shows all visits for all providers.

Access Control

Medical Office Online's access control feature allows you to control who has access to view each of your separate calendars. This ensures that appointments and patient visits are only known about by the people who need to know about them.

Duration

The Medical Office Online calendaring system allows you to choose the duration of both events and patient visits. Calendar entries with extended durations shade out the slots below them on the calendar but do not restrict you from scheduling into these slots or "double booking".

MOO Medical Billing / Accounts Receivable

Medical Office Online's Medical Billing, or Accounts receivable function may be truly unique in the industry for it's simplicity, flexibility, and lack of repetitive data entry.

General Design

Medical Office Online's Single Source Database (SSDB) design offers the next level in system integration. The Medical Office Online Visit form serves as both the Electronic Medical Record(EMR) and the invoice. Take note that our EMR and AR are not two systems that have been integrated, they are fully combined. If the provider enters the data correctly in the examining room there is no further work to be done before the claim can be filed.

Regular Workflow

The workflow of filing standard claims is as follows: Day Sheet or Super Bill

After completing all of the visits, procedures or operations for the day, the Day Sheet can be printed. When at full utilization this document serves simply as a way to ensure that all codes and insurance information has been entered correctly. If your office is using an external billing company, the day sheet should be all that they need to process your claims. A better system of course is to give them restricted access to your account, allowing them to login and process your claims with no data entry on their end.

Filing / HCFA Generation

After checking over the day sheet for errors or inaccuracies claims can be batch generated as a data file for electronic filing or can be printed to your laser printer for filing by mail. Medical Office Online can file electronic claims in "Print Image" format, ANSII 837 Professional and ANSII 837 Institutional formats. Claims can also be printed to any Laser Printer and most inkjet printers.

Remittances

Once checks and EOBs have come back from the insurance company , remittances are entered into the system. They can be entered by hand or through our automated Electronic Remittance Advice (ERA) feature.

Payments

Remittances are allocated to multiple visits by creating payments. When a payment from a remittance is made against a visit the payment amount is deducted from the remittance.

Filing to Secondaries

After creating the payment from the primary insurance company, the claim is ready to be filed to the secondary and the above steps are repeated.

Patient Billing

Once all insurance payments have come in, you can batch print patient bills directly out of the Medical Office Online system. Each bill lists each charge with the payments already made against that charge and is formatted so that the patient's address will accurately hit the window of a standard sized view window envelope.

HMOs

Medical Office Online allows you to create HMO invoices and add each covered visit as a line item to that invoice. You can then allocate the remittance received from the HMO to that invoice and record the financial loss or gain resulting from your HMO membership.

Miscellaneous Invoices

Miscellaneous Invoices allow you to bill for any products other than those immediately related to patient care. This is basically a standard accounts receivable program that is integrated with the rest of the system. Some example uses of miscellaneous invoices include

• Medical record copying
• Vitamin sales
• Crutches, wheelchairs, etc.
• Any other item that your practice sells