Clinical_Documentation_UG - Allscripts Homecare Clinical...

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www.allscripts.com Copyright © 2011 Allscripts Healthcare Solutions, Inc. Clinical Documentation User’s Guide Allscripts Homecare
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This document is the confidential property of Allscripts Healthcare Solutions, Inc. It is furnished under an agreement with Allscripts Healthcare Solutions, Inc. and may only be used in accordance with the terms of that agreement. The use of this document is restricted to customers of Allscripts Healthcare Solutions, Inc. and their employees. The user of this document agrees to protect the Allscripts Healthcare Solutions, Inc. proprietary rights as expressed herein. The user further agrees not to permit access to this document by any person for any purpose other than as an aid in the use of the associated system. In no case will this document be examined for the purpose of copying any portion of the system described herein or to design another system to accomplish similar results. This document or portions of it may not be copied without written permission from Allscripts Healthcare Solutions, Inc. The information in this document is subject to change without notice. The names and associated patient data used in this documentation are fictional and do not represent any real person living or otherwise. Any similarities to actual people are coincidental. CPT copyright 2009 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. CPT is a registered trademark of the American Medical Association. International Statistical Classification of Diseases and Related Health Problems (ICD) is copyright 2009 World Health Organization (WHO). Microsoft® Excel and Microsoft® Word are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. Copyright © 2011 Allscripts Healthcare Solutions, Inc.
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Table of Contents Clinical Documentation User’s Guide 3 About This Guide ........................................................................................................ 26 Chapter 1 Admissions and Discharges ............................................................ 27 Admissions and Discharges Workflows ......................................................... 28 Referral Workflow ..................................................................................................... 28 Admission Workflow ................................................................................................. 28 Discharge Workflow .................................................................................................. 29 Readmission Workflow .............................................................................................. 30 Patient Basic ............................................................................................................ 31 What is Patient Basic Information? ............................................................................ 31 Patient Basic Window ................................................................................................ 31 Open an Existing Patient ............................................................................................ 34 Enter or Edit a Patient’s Basic Demographic Information ............................................ 34 Enter a Patient’s Address and Phone Number ............................................................ 34 Edit a Patient’s Address and Phone Number ............................................................... 35 Make a Patient’s Address and Phone Number Active or Inactive ................................. 35 New Patient Window ................................................................................................. 36 Add a New Patient ..................................................................................................... 38 Pre Admissions Patients ..................................................................................... 39 Pre Admissions ......................................................................................................... 39 Pre Admit a Patient ................................................................................................... 39 Pre Admissions Authorizations .................................................................................. 40 Enter Insurance Authorization Information for Pre Admissions Patient ....................... 40 View or Print Pre Admissions Orders .......................................................................... 40 Orders Management Window .................................................................................... 41 Generate Pre Admissions Orders ............................................................................... 43 Sign Pre
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