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We are having issues with our billing system creating multiple ticket for labs that are drawn in our clinic. When the provider sees the patient in the office, they will order future orders (service order) for labs that need to be drawn. These service orders are completed once the patient comes back into the clinic for their lab appointment. Once the service order is completed, the system is creating a ticket for each lab test(order), creating multiple tickets in the system. Athena has recommended that we switch our workflow to order "Test" orders instead of a service orders if the provider wants to place future orders. When the patient comes in for the lab appointment, then someone has to create the service to match the date of the lab appointment. This is going to cause a worklfow challenge for us since our patient's can sometime have up to 5 or more labs ordered.
So we are asking anyone that has their own inhouse lab department that draws the patient how they handle test vs service order? Who places the service order in the system so that it can be billed correctly?
Posted : October 16, 2020 9:13 am
We have an inhouse lab, but we do not have a process for future orders, so this specific scenario doesn't apply to us. I think the advice is on the right track though. I would add Tests as future orders, and build an encounter form for the actual lab date to read open orders, loop through them and add service orders with the same details. If you have a service category and test category with the same name, and essentially the same orders, it should be pretty straight forward to do. The only manual part would be closing the test orders.
What we actually do is utilize Liaison/OpenText Emr-Link for lab orders and billing. The clinic support staff add the orders and when the lab results them, it kicks off a billing message back to CPS (the MIK interface). Its a different approach with its own challenges, but it gets the job done. Hope that helps a little.
Posted : October 18, 2020 11:48 pm
