Responses to your Medical History Forms can now be exported to more places

Elation’s enhanced Medical History Forms feature was designed to make intake more efficient, streamlined, and accurate. With this feature, you can now customize intake forms and export patients’ responses directly in their charts. Today, you can now export responses to your customized questions into more places in the clinical profile and visit note so that information goes exactly where you need it to go.

Watch our video walkthrough here! 

How does it work?

Start using the new Medical History Forms at your practice with a few easy steps.

Setup:

  • From Practice Home, open “Settings”.
  • Click on the menu item called “Patient Forms”.
  • Click “Create New Form”.
  • From the “Add Topic” option, click “Other”.
  • Select the export destination for the answer to the custom question.
  • When you’re finished creating your form, click “Save”.

Export:

  • From the patient chart “Outstanding Items” queue, click on the newly submitted form to open it.
  • Select the export you wish to run (Clinical Profile, Visit Note, or both).
  • Select all the answers you wish to export.
  • Click “Export”.

Click here to get started using Medical History Forms.

Lucy Li
June 24, 2020

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Video Series: Transitioning to telehealth using Elation

Orders to stay at home and maintain social distances from others have forced many independent physicians to adjust their methods of providing healthcare to their patients. Telehealth is becoming more common and more accepted, by physicians, patients, and third-party payers. To help you during these challenging times, Elation Health has created a video series that will enable you to seamlessly and efficiently transition to telehealth throughout the coronavirus pandemic and beyond.

Transitioning to telehealth may be intimidating if you are used to face-to-face visits. You may be concerned about having to learn new technology or to install secure software for televisits. There are other, acceptable options that will enable you to use familiar communication tools and still keep your patient visits confidential. In this video series, we will demonstrate the ease of which you can initiate quality telehealth visits with your patients.

Telehealth is on the rise, in part because of the COVID-19 pandemic. One report shows that:

  • The adoption of telemedicine shifted into hyper-drive over the past month, with virtual health-care interactions on pace to top 1 billion by year’s end, according to analysts at Forrester Research.
  • March telehealth visits surged 50% amid the coronavirus pandemic, according to research from Frost and Sullivan consultants.
  • Analysts now expect general medical care visits to top 200 million this year, up sharply from their original expectation of 36 million visits for all of 2020.

In the telehealth video series, you will learn more about providing healthcare to your patients virtually, keeping them and your practice safe and healthy. Included in the 10-part series is:

  • A telehealth visit demo
  • Information on how to set up your Elation account for telehealth
  • Guidance on how to document and bill for all telehealth visit types

Transitioning to telehealth enables you to continue to deliver care to your patients through the coronavirus outbreak and ensures your practice’s financial stability during the pandemic.

Also, check out Elation Health’s Financial Guide providing help to you and your practice as you deal with the economic effects of COVID-19.

Telehealth services are gaining acceptance by healthcare payers as well. The Centers for Medicare and Medicaid Services (CMS) has published a new list of services payable under the Medicare Physician Fee Schedule when furnished via telehealth. CMS has also issued a fact sheet stating:

  • Effective for services starting March 6, 2020 and for the duration of the COVID-19 Public Health Emergency, Medicare will make payment for Medicare telehealth services furnished to patients in broader circumstances.
  • These visits are considered the same as in-person visits and are paid at the same rate as regular, in-person visits.
  • Effective for services starting March 6, 2020 and for the duration of the COVID-19 Public Health Emergency, Medicare will make payment for Medicare telehealth services furnished to beneficiaries in any healthcare facility and in their home.

The telehealth video series and COVID-19 guides are provided to support independent practices throughout the pandemic. Elation Health is focused on strengthening the relationship between patients and providers, and enabling phenomenal care for everyone, whether that care is delivered virtually or in person.

Lauren Hill
May 4, 2020

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Learn more about the new COVID-19 billing codes

How to code for the SARS-CoV-2 lab test

The American Medical Association (AMA) announced a new CPT® code for the novel coronavirus (SARS-CoV-2), effective March 13, 2020. 

Code 87635: Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique. 

This code should be added to your bill when a physician or another qualified healthcare professional suspects that a patient may have coronavirus and collects respiratory swabs to send to the lab. 

Please note that CMS also recently published a Frequently Asked Questions document regarding billing for COVID-19 lab tests through two new HCPCS codes:

  • (U0001): Used to bill for the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel. 
  • (U0002): Used to bill Medicare and other health insurers for non-CDC 2019-nCoV Coronavirus, SARS-CoV-2/2019-nCoV (COVID-19) tests using any technique, multiple types or subtypes (includes all targets).
  • The Medicare claims processing system will be able to accept these codes on April 1, 2020 for dates of service on or after February 4, 2020.

If you are administering COVID-19 tests, we would recommend saving these codes to your Elation Settings page so that you can easily add it to your bill, when necessary.

Adding new billing codes to your Settings

Saving codes in Elation enables any user to quickly search for these codes by name and add them to the billing section of a visit.

  1. Click on your email address in the upper right corner then click Settings.
  2. On the left hand side, click “Billing”.
  3. Scroll to the bottom of the page and click “Add CPT Code”
  4. Fill in the 5-digit code and give the code a description that is easy for you to remember.

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  1. Click “Create”.

In a visit note, you can add billing codes under the Procedure section of your note and have them drop automatically into the Billing section:

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Or you can add the code directly to the Billing section:

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Lucy Li
March 17, 2020

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COVID-19 and telemedicine services for independent practices

To reduce risk of exposure during the COVID-19 outbreak, we encourage your practice to explore alternative methods to check-in with your patients and evaluate their health.

There are a number of telemedicine services that may be reimbursable by CMS and private payers. CMS specifically categorizes telemedicine services in 2 groups: telehealth visits and virtual check-ins.

Telehealth Visits

Telehealth visits are full-visits and have historically been subject to stringent requirements in order for providers to be paid (ex. a patient must be from a rural area and present at an approved facility as the “originating site” of service). Recent legislation passed on March 6, 2020 grants the HHS Secretary the authority to lift such requirements in the event of a public health emergency.

For billing eligible visits, in many cases, coding for telemedicine services uses the corresponding codes for an in-person E/M visit with the -95 modifier and “02” for place of service.

According to the American Academy of Asthma & Immunology: 

“Some private payers permit telemedicine visits for new patients, but not with the standard new patient CPT codes. Instead, they require billing with code 99499 (Unlisted evaluation and management code) with place of service “02”.Medicare used to require modifier GT for synchronous visits and GQ for asynchronous visits, but this has been eliminated as of January 2018. Instead, the place of service code should also be designated as “02”.”

Virtual Check-ins

Virtual Check-ins are reimbursable services for brief communications between providers and patients for specific purposes. These services are not restricted by originating site and other Medicare telehealth regulations. They can be provided when patients are in their homes, regardless of public health emergency declaration. These services can be rendered via telephone, email, or Elation’s Patient Passport.

Please note, patients must be established Medicare beneficiaries (i.e. seen by the practice in the last 3 years). You must also document in the patient’s chart that patient consent for the “check-in” was verbally provided.

Their billable codes and CMS Physician Fee Schedule Non-Facility estimated prices are listed below. Please note that these reimbursement rates may differ based on your locality for Medicare. Please check your health plan provider network representative for your contracted rates.

Furnished using telephone

G2012: Virtual visit performed by a physician provided to an established patient, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours; 5-10 minutes of medical discussion. ($14.80)

Furnished using email

G2010: Remote evaluation of recorded video and/or images submitted by an established patient, including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours. ($12.27)

Furnished using Elation’s Patient Passport (must be patient initiated)

99421: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ($15.52)

99422: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ($31.04)

99423: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ($50.16)

G2061: Qualified nonphysician healthcare professional online assessment and management, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes ($12.27)

G2062: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes ($21.65)

G2063: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes ($33.92)

For more information on how to leverage Elation’s Patient Passport feature for Virtual Check-ins, please visit the following links:

Lucy Li
March 12, 2020

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Elation is here to help you address COVID-19 with your patients

In response to the growing concern around COVID-19 in the United States, our team wanted to share a few ways in which your practice can leverage Elation to reach out to your patients en masse.

Whether your objective is to share prevention recommendations or latest news, Elation’s built-in messaging functionality will allow you to push announcements to your patients to ensure they have the information they need to stay healthy.

Using Elation’s Bulk Letter feature to reach out to your patients

Bulk Letters allows you to send personalized messages to all patients who have registered Passport accounts.

For any patients without Passport, the feature gives you the option to bulk invite these patients to Passport, print out a PDF copy of your message for these individuals, or exclude them from the recipient list.

For HIPAA compliance reasons, you are not able to send messages directly to a patient’s email from within Elation. However, if you’d like, you can download a spreadsheet of patient email addresses from our Patient List to email them outside of Elation (instructions for downloading the spreadsheet can be found at the bottom of this article).

  1. Run a Patient List to see all patients in your panel.
    1. If you would only like to see patients with Passport accounts, you can check-off the “Patient passport status” filter and choose “Registered users”
    2. Once your Patient List is generated, check the box for “Select All” and click “Send Bulk Letter”
  2. Complete the Bulk Letter form to the right of your screen and click Next.
    1. Under Step 3, you can specify how you’d like to handle the Letter for patients without Passport accounts.
  3. Review the confirmation page and click “Send Bulk Letter”
  4. You’ll be redirected to a Dashboard view where you can track who has received and opened your message.

For more instructions please visit our help center article on Bulk Letters.

Again, for HIPAA compliance reasons, you are not able to send messages directly to a patient’s email from within Elation. To export a spreadsheet of patient email addresses:

  1. Go to “Reports > Patient List”
  2. Generate a list of your patients
  3. Check “Select all”
  4. Click “Download > Download CSV”

 

Lucy Li
March 12, 2020

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Write Prescriptions More Easily with Elation’s new Rx Form

Starting next Wednesday, 1/15, Elation will be turning on an upgraded Prescription form for Rx and OTC meds for your practice!

This new Rx form will allow your practice to:

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Spend less time writing and editing your Rx and OTC scripts with new features that allow you to easily complete and edit multiple medications in a single Rx order.

 

Initiate bulk refills of multiple meds with a click of a button from the patient’s medication list.

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Ensure patient safety with easy access to the drug-drug and drug-allergy interactions and alerts in a consolidated view on the right-hand side of the Rx form.

For additional details, please visit our Help Center Article.

Karin Feng
January 13, 2020

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Make booking fast and easy with patient self-scheduling

Elation is excited to announce that your patients can now book their own appointments with our newest feature, patient self-scheduling.

Empower the patient experience with HIPAA compliant, modern appointment booking that works seamlessly with your EHR.

Improve the quality of your patient engagement with improved appointment reminders and patient check-ins that reduce no-shows.

Make your booking site work for you even when you’re outside of office hours.

How does this feature work?

Patient Experience: 

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Provider Experience:

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How do I get access to this new feature?

Users within your practice can enable the booking site by using the toggle in Settings. To access this page:

  1. Navigate to your Settings page by clicking on your email address in the top right-hand corner
  2. Under Practice Settings in the leftmost pane, click Calendar & Booking
  3. Select the Booking Site tab and use the toggle to enable booking site for your practice

Karin Feng
December 17, 2019

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Write Prescriptions More Easily with Elation’s new Rx Form

Elation is excited to announce that you can now opt-in to an upgraded Prescription form for Rx and OTC meds.

Turn it on for your practice today!

Spend less time writing and editing your Rx and OTC scripts with new features that allow you to easily complete and edit multiple medications in a single Rx order.

Initiate bulk refills of multiple meds with a click of a button from the patient’s medication list

Ensure patient safety with easy access to the drug-drug and drug-allergy interactions and alerts in a consolidated view on the right-hand side of the Rx form

How does this feature work?

For additional details, please visit our Help Center Article

How do I get access to this new Rx form?

Admin users within your practice can turn the new prescription form by using the toggle in Settings. To access the new Rx form:

  1. Navigate to your Settings page by clicking on your email address in the top right-hand corner of the page and selecting Settings from the dropdown menu
  2. Under Practice Settings in the leftmost pane, click Prescriptions
  3. Use the toggle to turn on the new Rx form for your practice

Turn it on for your practice today!

 

Karin Feng
October 1, 2019

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Introducing the PHQ-9 Questionnaire to Elation

Easily document a patient’s PHQ-9 screening directly in the patient’s chart!

Elation is excited to announce that we have added the PHQ-9 depression screening questionnaire to the patient chart. Now you can easily capture a patient’s PHQ-9 screening answer directly in the patient’s clinical profile, and Elation will automatically calculate the PHQ-9 score based on what’s entered.

How does this help my practice?

  • Easily document PHQ-9 responses – Elation provides a structured PHQ-9 form that can be easily completed.
  • Automatically calculate the PHQ-9 score – Once the form is completed, Elation will also calculate the PHQ-9 score based on the responses.

How does this feature work?

How to start using this feature

Any provider or staff can access the PHQ-9 form directly in the patient’s chart.

  1. When in a patient chart, navigate to the history section of the patient’s clinical profile on the left-hand side.
  2. Under the Psych section, click the “Add special” dropdown and chose “Depression (PHQ-9 Questionnaire)”
  3. Click “Fill out form”
  4. Complete the questions, and a total score will be calculated based on the selected answers

What is PHQ-9 and why is it important?

PHQ-9 or the Patient Health Questionnaire is a nine-item depression scale questionnaire based on the nine diagnostic criteria for major depressive disorder in the DSM-IV. It is a multipurpose screening tool used to assist clinicians with diagnosing depression, measuring its severity, and monitoring treatment response. It can be used for adolescents as young as 12 years and can be administered rapidly in a variety of ways. It is particularly valuable in a clinical setting because it is well validated for a range of populations and is brief compared to other depression rating scales.

Click here to log into Elation and start using the new form today!

Karin Feng
June 25, 2019

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Everything you need to know about Ohio’s Positive Identification Law and how Elation supports it

Prescribing drugs that are considered dangerous has become a major issue as the opioid crisis continues in the US. A number of healthcare organizations are taking steps to ensure these drugs do not fall into the wrong hands. Several states have also introduced additional regulations for drugs that may be misused or abused if the prescriptions are not safeguarded. Ohio is one of those states that has implemented requirements around how prescriptions are written and how patients can have those prescriptions filled.

The Ohio Positive Identification Law, introduced in 2016 and reviewed in 2019, establishes requirements for healthcare providers regarding Board of Pharmacy rules for what constitutes a valid prescription. The Law defines “Positive identification” as a “method of identifying an individual who prescribes, administers, or dispenses a dangerous drug.” The law also states that positive identification “shall always be used to document the:

(a) Dispensing, compounding, or repackaging of a drug;

(b) Removal and possession of a controlled substance to administer to a patient;

(c) Waste of a controlled substance.

(d) All activities relating to the practice of pharmacy.

All providers in Ohio must keep “a printout of every transaction that is verified and manually signed within a reasonable period of time by the individual who prescribed, administered, or dispensed the dangerous drug.” Elation helps providers follow this requirement by providing an Rx Report feature that documents all prescriptions made by each provider within a desired timeframe.

The Rx Report, when printed and manually signed by the prescribing provider every 24 to 72 hours (the Ohio State Board of Pharmacy highly recommends Rx Report documentation every 24 hours), satisfies positive identification requirements. Every minute of every day must be accounted for, including weekends and holidays. Positive identification documentation must be kept for three years and provided in the case of an audit.

Electronic prescriptions are legal and accepted in Ohio. In fact, the Ohio Board of Pharmacy has stated that it “understands the benefits of electronic drug record keeping systems” and the additional safeguards that can be seen in electronic prescriptions. Electronic prescriptions written by Ohio Elation providers will be received by pharmacies without a manual signature displayed, which will satisfy Ohio’s prescribing requirements and will improve the security of the prescription.

Karin Feng
June 21, 2019

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