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Evaluating EMR Vendors for CAH and RHC Integrations: Key Considerations

This comprehensive guide explores the critical factors in assessing EMR vendors' capacity to serve Critical Access Hospitals (CAH) and Rural Health Clinics (RHC). Key features include the ability to seamlessly integrate lab testing, facilitate electronic billing processes (UB04 and HCFA 5010 837 formats), and support clinician workflows. We delve into the requirements from various job roles, including CFOs, IT, and clinical staff, emphasizing the importance of customizable, consolidated electronic health records (EHR) that improve productivity and patient care.

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Evaluating EMR Vendors for CAH and RHC Integrations: Key Considerations

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  1. Interfaced or integrated? • Determining an EMR Vendors ability to accommodate the CAH/RHC environment: • Can integrate in such a fashion that the Clinician can order a “CAH Lab test” from the RHC receive the results back to the RHC, as well as generate the Hospital Encounter in which the Lab Test will be billed electronically on “UB04 or Institutional” format? • Is the system capable of allowing the RHC to bill the draw fee as a venipuncture on a HCFA 5010 837-Professional format, and auto populate the hospital encounter in which the Lab test would be billed on a UB04 5010 837-Institutional format? NMHITA

  2. Separate vendors Separate DB/Interfaced RHC ENCOUNTER CLINICIAN RHC EMR ORDER CAH LAB CAH EMR BILLING PM ENCOUNTER LIS RESULTS NMHITA

  3. ALL-IN-ONE CONSOLIDATED HEALTH RECORD RHC ENCOUNTER BILLING CLINICIAN PM ENCOUNTER ENTERPRISE EMR LIS RESULTS NMHITA

  4. EMR Vendor Evaluations by Job Role • CFO/CEO • Total Project Budget, Concern of any Clinic productivity loss, Patient Service Eligibility • IT • Integrated, Timely Implement to receive HealthShare Grant, Web Based or In-House Server, MU Progress Reporting. • Clinician • Customizable, Consolidated EHR • Clinic RN • Integrated with Patient Schedule, Quick Documentation of Complaint, Vitals, Allergies, Current Medications. Follow up reminder on Ref. LAB Results. • IP/ER/NH RN • System Displays Patients Current Medications, Allergies, Immunizations captured from the last Clinic Outpatient Visit. Bedside Medication Administration. • Nursing Home MDS Coder NMHITA

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