Finally got around to find some time to install OpenEMR on CentOS here at our Speech and OT clinic in Raleigh, NC. I have been looking at other systems; however, varying ranges of price and functionality leave you completely stumped these days as to what is worth it and what is not.
I got most of everything setup from reading the docs and when I generate my X12 it looks good, so does my CMS 02/12. However, for the X12, and through configuring everything, I could not locate a field to input the BILLING PROVIDER TAXONOMY, something very important in NCTRACKS as it requires this for billing.
I currently utilize Availity and I can “scrub” the claims there and Availity will actually input the missing Taxonomy but I feel like OpenEMR CAN do it, I just don’t know how and I am reaching out for some help.
Finally, not sure if it matters, but we’re running CentOS on a ESXi host with 8GB of RAM and 180GB of local HDD space for the test environment. Once this gets working we’ll replace our old system and put OpenEMR on dual C220 M3 servers with ESXi 5.5 using OpenFiler for an iSCSI target and 24GB of RAM.
Finally got around to find some time to install OpenEMR on CentOS here at our Speech and OT clinic in Raleigh, NC. I have been looking at other systems; however, varying ranges of price and functionality leave you completely stumped these days as to what is worth it and what is not.
I got most of everything setup from reading the docs and when I generate my X12 it looks good, so does my CMS 02/12. However, for the X12, and through configuring everything, I could not locate a field to input the BILLING PROVIDER TAXONOMY, something very important in NCTRACKS as it requires this for billing.
I currently utilize Availity and I can “scrub” the claims there and Availity will actually input the missing Taxonomy but I feel like OpenEMR CAN do it, I just don’t know how and I am reaching out for some help.
Finally, not sure if it matters, but we’re running CentOS on a ESXi host with 8GB of RAM and 180GB of local HDD space for the test environment. Once this gets working we’ll replace our old system and put OpenEMR on dual C220 M3 servers with ESXi 5.5 using OpenFiler for an iSCSI target and 24GB of RAM.
Todd - That is the RENDERING PROVIDER not the BILLING PROVIDER - two different things. The BILLING PROVIDER will the GROUP and exists in a different section of the 837P
Todd - That is the RENDERING PROVIDER not the BILLING PROVIDER - two different things. The BILLING PROVIDER will the GROUP and exists in a different section of the 837P
Do you know what Loop and Section in the 837p it belongs, easy to look at
the code then …
Tony
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Has nothing to do with supervisor, the Rendering Provider is a person and the PAY TO/Billing Provider is the entity/group, which are two different Taxonomies.
Thanks, I was looking at that line and thought, maybe? But I am FAR from a coder so I dismissed it and kept looking around.
Let me alter that and see what happens. I will be posting a lot here to try and get this working for our clinic and for other providers who do what we do. To be specific, I’ll be working on trying to streamline the SFS (Sliding Fee Scale) for families who’re less than 100% on the SFS for the NC Infant Toddler Program when they have a private insurance company as primary and Infant Toddler Program as secondary. There are some weird rules to implement but with open code I bet, with the help from you guys, I could get this working and promote the use of this and, given all goes well, I can probably redirect some of that $$$ I was going to spend on other EMR solutions to the funds here and/or provide some testing beds for you guys to access with “scrubbed data”.
Thanks a ton, I’ll try to work on this later today.
Dude, Availity was the saving grace for me because our current system only does CMS 1500 print image; thus, no ability to add the correct information in there. Availity for me is a nominal price for the extremely high level of functionality I get. I pay $125 for the entire office, but they allowed us to continue to keep getting payments when others here in NC were going out of business due to lack of payment.
In fact, I have extensive experience dealing with NCTRACKS so I’ve been able to navigate the waters and get paid on claims others give up on, persistence and refusal to accept just any ole answer is key to it all…that and a solid understanding of billing.
I keep daily backups of our VMs and the CentOS box it is on has a script which SCPs the files to an offsite location. I’ll be testing later today and see.
I am not so good with picking up on things on the Internet, but what did you mean by: “OpenEMR will be the consolation prize.”
I wouldn’t say this is a project just for serving low income families, it has GREAT potential. I am sure people thought Linux was the same thing at one time, now look at it! Once I pass my CCIE R/S exams I’ll have more time to work on my outdated coding skills and start contributing to the code base to make this suitable for a niche of providers who need it. Quite honestly, out of frustration from dealing with several closed source vendors and their rigid practices and use of extremely expensive SQL servers (Oracle and MSSQL) I had already envisioned creatnig my own that was: 1. Web Based, 2. Could work on MySQL, PostgreSQL, MSSQL…whatever and 3. Platform independent; however, I remembered this project and I am already liking what I see.
Any practice that deals predominately with Medicaid gets our condolences, but OpenEMR will be a great source of comfort while mucking about with Medicaid.
This Project serves us all very well irrespective of the socio-economic status of our patients whether in the U.S. or abroad.
Once your practice has 837P submission under your belt, the cost should be less. For Office Ally, if the percent of claims to governmental/non-participating insurers is less than 50%, there is no charge. If greater than 50% it’s $19.95 per month for e-claims.
I’ll look into; however, they would have to match the service and features I get with Availity. Like I always say, you can buy almost anything from anywhere; however, I go where the service is best to support the business. We barely notice $125/mth, I hardly even recognize it each month when I do the finances.
Medicaid in NC isn’t terrible, it is just the support from the CSC (Computer Science Corp) that absolutely SUCKS! No one, I do mean absolutely NO ONE, has any understanding of what they’re doing when you call in the first time. You have about a 35% chance your ticket will be escalated to someone who still had a brain stem connected too. The NC Medicaid program is solid, the new payer, NCTRACKS (CSC), needs to be investigated.
I can’t wait to get this all situated, I am rather excited about OpenEMR and, if all goes well, I’ll be promoting its use to other clinics
We’ve had the pleasure of dealing with CSC for nearly 29 years.
We usually calm down after we remind ourselves that it’s their raison d’être to pay as little as possible, making it as difficult as possible while taking the longest time possible.
