mdsupport wrote on Tuesday, March 26, 2013:
We are looking for ideas to handle hospital rounds. In these cases notes are in hospital emr and office emr is used mainly for billing.
Have anyone come up with ways to simplify the encounter + billing steps?
fsgl wrote on Sunday, April 28, 2013:
In the old days, when we had practice management software sans EHR’s, we would simply bill for the hospital care. Practices using OpenEMR would want a copy of the hospital record incorporated into the office records because physicians are generally type A personalities.
It would be more efficient if both EHR’s are integrated; but even if they are not, it should be possible for the office staff to download the hospital note, put it into Documents-> Medical Record for that particular patient, generate an encounter and bill for it. All the physician has to do, upon returning to the office, is to tell the staff the names of the patients seen in the hospital that day. One question that comes to mind is the security of the download.
A second method of incorporating the hospital record, after downloading it, would involve a LBV form patterned after the Ophthalmic Form, Illustration. It is a NationNote form, wherein the staff can copy and paste the hospital note. The advantage of this method is that the hospital note is integrated into the other SOAP notes or whatever the practice uses. Instead of Illustration, Hospital Note would be a more appropriate title. The ophthalmology lbv.sql file should be in the Wiki, so you won’t need to handcraft it.
Of course, if the practice is not interested in the inclusion of the hospital note, then it is like the way we did it in the old days.
Is there a simpler way to generate an encounter and to bill aside from the usual process for patients seen in the office? I may have misunderstood your question. Perhaps you meant parenthetically for in-patient care.