| |
                      |
|
REQUIREMENT DESCRIPTION |
DATE
COMPLETED
|
|
DSL OR
CABLE Internet ACCESS Line with Static IP address |
/ / 20____ |
|
Modem
Line next to computer that would submit electronic claims |
/ / 20____ |
|
ProxyMed
forms filled and sent out for electronic claims |
/ / 20____ |
|
Practice
staff to clean unneeded procedure codes and fee schedules |
/ / 20____ |
|
Practice
staff to clean unneeded diagnosis codes |
/ / 20____ |
|
Practice
staff to clean unneeded insurance companies |
/ / 20____ |
|
Practice
staff to clean unneeded referring physicians |
/ / 20____ |
|
Print-outs of the following: |
/ / 20____ |
|
-
Patient letters with any explanations on the back
-
Patient forms used by your practice
-
All
reports your practice requires
-
List
of pull down menus
-
Lost
of facilities
-
Explanations on how on some of the pull down menus are
used in your current system. Example: patient status,
patient type. how are they used in your practice?
-
Recalls – print out and an explanation on how you enter
them into the system and the criteria used to select them
-
Any
other report or list you consider important.
*** ANY LIST OR REPORT NOT
PROVIDED TO US PRIOR TO DATA CONVERSION WILL NOT BE WORKED
ON AND MAY OR MAY NOT HAVE AN EXTRA CHARGE.
|
|
PRE-PRINTED ROUTING SLIPS OR SUPERBILLS forms with diagnosis
codes and procedure codes with a 2-inch blank space on top
of the form to allow the system to print the patient
demographics and insurance information on it.
|
/ / 20____ |
| |
TRAINING
|
|
4 SESSIONS OF TRAINING WITHIN A MONTH BEFORE THE GOING LIVE
DATE.
** EACH SESSION OF 4 HRS OR MORE.
|
|
SESSION
ONE DATE: _____________ FROM: _______ AM/PM TO:
_______ AM/PM
SESSION
TWO DATE: _____________ FROM: _______ AM/PM TO:
_______ AM/PM
SESSION
THREE DATE: _____________ FROM: _______ AM/PM TO:
_______ AM/PM
SESSION
FOUR DATE: _____________ FROM: _______ AM/PM TO:
_______ AM/PM
GOING
LIVE DATE: _____________
-
DURING
TRAINING SESSIONS THERE MUST BE NO ANSWERING PHONES AND NO
PATIENTS
-
ALL
EMPLOYEES MUST ASSIST THE TRAINING SESSIONS
-
EACH
TRAINING EMPLOYEE MUST HAVE A COMPUTER TO WORK ON
-
ON THE
DAY OF GOING LIVE – THE DAY MUST BE SCHEDULED LIGHT WITH
ONLY HALF THE PATIENTS OF A NORMAL DAY LOAD. THIS WILL
ALLOW THE STAFF TO GET FAMILIAR WITH THE NEW SYSTEM WITH
PATIENTS IN AND OUT.
-
TRAINING TO BE COMPLETED WITHIN A MONTH BEFORE THE GOING
LIVE DATE
-
EXAM
BY EACH TRAINED EMPLOYEE MUST BE COMPLETED AT THE END OF
THE FOURTH TRAINING SESSION – THE GOING LIVE DATE MAY BE
DELAYED IF EXAM RESULTS ARE NOT SATISFACTORY
INITIALS : _____________
TODAY'S DATE: ______________
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