RE: [worldvista-adoption] EMR installation for 1000 physicians

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Actually, that's what we do. However, we bill the employer, and/or W/C
carrier, for the services we provide. Is your work for a sole-source
company? Do they monitor RVU's or any other type of work activity?

Thanks,

thurman

...not jealous YET - tell me more..;-)

> -----Original Message-----
> From: wor...@li... [mailto:worldvista-
> ado...@li...] On Behalf Of Nancy Anthracite
> Sent: Wednesday, June 29, 2005 8:48 AM
> To: wor...@li...
> Subject: Re: [worldvista-adoption] EMR installation for 1000 physicians
> 
> We do not bill.  Our clinic provides service free of charge to the
> employees
> courtesy of their employer!
> 
> Jealous yet?
> 
> 
> On Wednesday 29 June 2005 09:50 am, Thurman Pedigo wrote:
> > Nancy,
> >
> > The billing issue is a major concern surround VistA. While a billing
> system
> > seems relatively easy to build in VistA, some of the bells and whistles
> are
> > slightly more complicated. I also hear of some pretty rudimentary
> systems
> > on some of the list servers I monitor, leading me to wonder how many use
> > paper, how many use a clearing house, and how many submit direct
> electronic
> > media claims (EMC). How many get electronic media remittance (EMR).
> >
> > In my insurance company (PPO, TPA, latest stupid name) queries, the best
> > (electronic) offer I had in OccMed is to send a HCFA1500 via MS Word. In
> my
> > early days tracking of HIPAA I learned "clearing houses" were accepting
> EMC
> > and converting that to HCFA1500 for the insurance companies (who
> couldn't
> > do EMC).
> >
> > Nancy, I presume you are still in OccMed. Does your company do EMC,
> > HCFA1500, or what? Does anyone on this list know what we reference when
> we
> > say "billing" system? I don't. It would be nice to define what we are
> > discussing.
> >
> > thurman
> >
> > > -----Original Message-----
> > > From: wor...@li...
> [mailto:worldvista-
> > > ado...@li...] On Behalf Of Nancy Anthracite
> > > Sent: Wednesday, June 29, 2005 4:46 AM
> > > To: wor...@li...
> > > Subject: Re: [worldvista-adoption] EMR installation for 1000
> physicians
> > >
> > > There is a registration and scheduling system in VistA that you should
> > > probably take a look at before assuming that you will need another
> > > product.
> > > VistA-Office will have registration that should work well with any
> > > version of
> > > VistA that strips out the VA specific items.
> > >
> > > There is a system for providing the information for billing to a
> clearing
> > > house within VistA as well and VistA-Office will likely have tools to
> > > make building interfaces easier.  Depending upon your system of
> billing,
> > > it may be
> > > that you can use that to create your own billing without much
> difficulty.
> > > As
> > > you may well know, in the US the trouble with billing is that each
> > > insurance
> > > company has their own particular requirements for documentation, etc.,
> > > which
> > > makes it a nightmare if you try to do what they all want. Hopefully,
> in
> > > Bahrain, there isn't that problem.
> > >
> > > With the release of VistA-Office pending, I expect there will be an
> > > explosion
> > > of interfaces being made and when that happens, we hope that the
> > > solutions will be donated to the open source community and posted for
> use
> > > on the web site that is soon to come for VistA support.
> > >
> > > On Wednesday 29 June 2005 05:23 am, William D. Lauesen wrote:
> > > > Any suggestions on good practice management systems (preferably open
> > >
> > > source
> > >
> > > > or else inexpensive and full-featured) that do registration,
> scheduling
> > >
> > > and
> > >
> > > > billing, interfacing to Vista?  We're a small hospital with busy
> > > > clinics that are interested to know the best options.  This sounds
> like
> > > > a need
> > >
> > > that
> > >
> > > > many have faced and many more will need.
> > > >
> > > > William D. Lauesen
> > > > American Mission Hospital
> > > > Bahrain
> > > >
> > > >
> > > >
> > > > ----- Original Message -----
> > > > From: "Mike Ginsburg" <mik...@ao...>
> > > > To: <wor...@li...>
> > > > Sent: 28 June 2005 10:38 PM
> > > > Subject: RE: [worldvista-adoption] EMR installation for 1000
> physicians
> > > >
> > > > > Vista-Office will accept HL7 scheduling transactions. In general,
> the
> > > > > plan was to make it easier to interface to practice management
> > > > > systems which typically do registration, scheduling and billing.
> This
> > > > > also
> > >
> > > gives
> > >
> > > > > VistA "vendors" the opportunity to market value added software
> that
> > >
> > > will
> > >
> > > > > perform these functions.
> > > > >
> > > > > Mike
> > > > >
> > > > > -----Original Message-----
> > > > > From: wor...@li...
> > > > > [mailto:wor...@li...] On Behalf
> Of
> > > > > Fred Trotter
> > > > > Sent: Tuesday, June 28, 2005 3:30 PM
> > > > > To: wor...@li...
> > > > > Subject: Re: [worldvista-adoption] EMR installation for 1000
> > >
> > > physicians
> > >
> > > > > On Tue, 2005-06-28 at 21:55 +0530, Jain Suvienay wrote:
> > > > > > Hi,
> > > > > > We are formulating an HMO which will be a not for profit
> operation.
> > >
> > > The
> > >
> > > > > > system will work wherein 1000 physicians will manage appx
> 100,000
> > > > > > patients. We need a low cost or free CPR/EHR software which can
> be
> > >
> > > used
> > >
> > > > > > for our operation to maintain the health records of the patients
> > >
> > > which
> > >
> > > > > > will be available to all the physicians over the net.
> > > > > > Will the OpenVista be suitable for our purposes? We do not
> require
> > > > > > billing/accounting feature but require strong CPR/EMR features
> as
> > >
> > > well
> > >
> > > > > > as prescriptions.
> > > > > > How does VistA compare with other open source like OpenEMR.net?
> > > > >
> > > > > I cannot speak to what VistA can or cannot do, but as the project
> > > > > manager to ClearHealth (which I hope will be a successor to
> OpenEMR)
> > > > > I can speak to what other Free and Open Source options are
> available.
> > > > >
> > > > > The most mature projects for what you are talking about are
> > >
> > > ClearHealth
> > >
> > > > > and TORCH. TORCH has an Object DB which makes its EHR very
> powerful.
> > > > > ClearHealth has the most careful Relational Model.
> > > > >
> > > > > Given that you do not care about billing/ar I would say the main
> > >
> > > benifit
> > >
> > > > > of another project might be the scheduling system. I am not sure
> how
> > > > > well the Web functionality available in VistA translates into a
> web
> > > > > based scheduling system. Does anyone know how well a HTML based
> > > > > scheduling interface will work with VistaOffice?
> > > > >
> > > > > Thanks,
> > > > > Fred Trotter
> > > > > http://www.fredtrotter.com
> > > > > http://www.uversainc.com
> > > > > http://www.op-en.org
> > > > >
> > > > >
> > > > >
> > > > >
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> > > > >
> > > > >
> > > > >
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> > > >
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> > >
> > > --
> > > Nancy Anthracite
> > >
> > >
> > > -------------------------------------------------------
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> > > _______________________________________________
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> > > wor...@li...
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> >
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> 
> --
> Nancy Anthracite
> 
> 
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