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Running Eligiblity

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Last Post by mbellis 11 years ago

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mvalenzuela

(@mvalenzuela)

Posts: 19

Eminent Member

Topic starter

Hello,

I am looking for ideas/information on how to run eligibility on a schedule where information is minimized and my staff does not have to scroll through all the information received that is not pertinent to our practice? This seems to be taking the staff a long time to do this.

Thank you! Wink

Posted : October 25, 2013 3:36 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

What kind of eligibility? If you are talking prescription eligibility, you can have it run every night for the patients scheduled the next day. Add on patients would be run at the start of a chart update. The settings for this are in your eRX console.

Posted : October 31, 2013 2:12 am

mvalenzuela

(@mvalenzuela)

Posts: 19

Eminent Member

Topic starter

Thank you for the suggestions.. I didnt know that you could do it in the eRx Console.. I was talking about insurance eligibility, this seems to take along time for our front office to run eligibility. I have heard running it in mass is not a good idea and this is how we run it.. but then still have to go through and view every patient. Any suggestions?

Posted : October 31, 2013 2:19 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

I just talked to our business office supervisor, they do not use Centricity for this process. They too do it manually through a variety of sources. Zirmed is developing a product that will do this in real time, but it is not available yet, and that is what they are leaning towards, but to be determined....

Sorry, wasn't much help there!

Posted : October 31, 2013 2:27 am

mvalenzuela

(@mvalenzuela)

Posts: 19

Eminent Member

Topic starter

Thank you for the informaiton. I do have a quick question regarding your presciption eligibility? Do you have this set up to run automatically every night? If so where are the settings for this?

Thank you for your help.

Posted : October 31, 2013 3:10 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

We run ours every night between 12:45 am and 7 am. If you log onto the esm console, click on settings, there is a button that says time to run formulary process. you can set it there. Then go to the administration module in CPS, click on system, click on link logic then task options. Find your ePrescribing and under it should have eRx eligibility. Set your same time and options and you are all set.

At least that is how ours is and has always been, we are on CPS 11 now.

Posted : October 31, 2013 4:01 am

mvalenzuela

(@mvalenzuela)

Posts: 19

Eminent Member

Topic starter

Thank you very much for your help. I am learning so much since I took over the position of systems manager a couple of months ago but I have seen that in doing this eRx eligibility it has saved our back office time in entering prescriptions on new patients as they were doing this manually.

Posted : October 31, 2013 4:55 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

Glad I could help somewhere!

Posted : October 31, 2013 9:15 pm

mvalenzuela

(@mvalenzuela)

Posts: 19

Eminent Member

Topic starter

I set everything up. I do have ust one other question. Where do I see if these patients failed to run for whatever reason?

Posted : November 1, 2013 2:39 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

It will send a flag to the erx administrator. In our case, it flags me. This would be set up in the esm console under the settings tab.

Posted : November 3, 2013 9:09 pm

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