OrderSmart. April 21, Passport Health Communications, Inc. All Rights Reserved

Table of Contents 1.0 General Information... 7 1.1 Product Overview... 7 1.2 Authorized Use Permission... 8 2.0 Workflow... 9 3.0 User Role and Work Flow... 11 3.1 User Role:... 11 3.1.1 Physician Office Admin... 11 3.1.2Physician Office Operator... 11 3.1.3 Physician... 12 3.2 Order Flow... 12 4.0 Office Setup and Worksheets... 16 4.1 Office Setup at user level... 16 4.1.1 Physician... 16 4.1.2 Physician Office admin... 16 4.1.3 Physician Office Operator... 17 4.0 Worksheets... 17 4.2.1 Physician Office Admin and Physician office operator... 17 4.2.2Physician:... 18 5.0 Access to the system... 20 5.1 Introduction... 20 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page2

5.2 Access to the System... 20 5.3 Login to OrderSmart... 21 5.4 Home Page... 23 6.0 Add patient tab... 25 6.1 Add patient... 25 6.2 Place Order... 28 6.3 Place Order page... 29 6.3.1 Ordering Physician... 30 6.3.2 Physician Office:... 30 6.3.3 Facility Selection... 30 6.3.4 Priority... 31 6.3.5 Diagnosis codes:... 31 6.3.6 Procedure codes... 33 6.3.7 Attachments:... 34 6.3.8 Scheduling Details:... 35 6.3.9 Authorization Details... 36 6.3.10 Additional Details... 38 6.3.11 Medical Necessity Check... 39 6.3.12 Place Order:... 42 6.3.13 Print Requisition... Error! Bookmark not defined. 7.0 Search Patient... 46 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page3

8.0 Today s Patients... 49 8.1 TODAY S PATIENTS TAB... 49 8.1.1 Today s Patients:... 49 8.1.2 Edit patient details... 49 8.2 Place order... 50 8.3 Show Orders... 50 8.3.1 Actions:... 51 9.0 Orders Tab... 57 9.1 Workqueue View... 58 9.1.1 New Workqueue View... 58 9.1.2 Create Workqueue... 59 9.1.3 Workqueue filters... 59 9.1.4 Workqueue Management: Date Filters... 62 9.1.5 Workqueue filters: Facility, Primary Insurance, and Patient Last Name Controls... 64 9.1.6 Workqueue filters: Order Source... 67 9.1.7 Workqueue filter: Order Status... 67 9.1.8 Workqueue filter: Account Status... 69 9.1.9 Workqueue filter: Alerts... 70 9.1.10 Actions... 71 9.1.11 Configure columns... 72 9.1.12 Delete Workqueue... 73 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page4

1.0 General Information 1.1 Product Overview OrderSmart OrderSmart is the part of Experian Health ecare NEXT Orders Suite. OrderSmart is an easy-to use web based application which helps the physician office users to send and receive electronic orders, directly to hospitals and ancillary facilities, clinics and labs. Hospitals and clinics use OrderSmart to connect to other health care operations to track the entire patient orders and categorize them on the basis of priority, order status and schedule details. Through OrderSmart the communication is secured between the physician office and facility in a much easy yet effective fashion with the help of alerts that display critical information and patient guidelines through attachments As an office of Experian Health ecare NEXT, prior to the order schedules, OrderSmart helps the users to: - Schedule order for new patient or an existing patient. - View and manage Patient schedules on the basis of priority, Order Status and schedule details. - Manage patient details and issues in a timely fashion without calling the hospitals for scheduling details. - Allow physician offices to schedule orders, and send the orders to hospitals and other health care facilities electronically. - Maintain two way communications between clinics, hospitals and ancillary facilities. - Automatically routes orders and displays critical EMR data at the point of ordering. - Displays alerts critical information and patient specific guidelines. - Identifies and collects appropriate financial papers such as waiver forms, History and Physical Examination. - Electronically creates and identifies preauthorization and referral fax forms. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page7

1.2 Authorized Use Permission Usage of this software is limited to its owner via the terms of its development. OrderSmart is wholly owned by Passport Health Communications, and may not be used or referenced without their express consent. 2.0 Workflow 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page8

3.0 User Role and Work Flow 3.1 User Role: 3.1.1 Physician Office Admin The Physician office admin can perform various actions like 1. The physician office admin can send and receive orders from hospitals and their ancillary facilities. 2. As an admin the user can perform various actions like - Create Worksheets - Edit physician details and Physician office operator details. 3. At order level the user can - Add patient - Edit patient information - Place order to physician or the facility. - Search orders on the basis of their schedule details, ordering physician and sending facility and date and time of the order. - Create Work queues - Cancel Order. - Duplicate an Order. - View Order History. - Communicate with facility about patient s orders. - Can have the count of the sign-pending orders, draft orders and alerts{ communication alerts from the facility} 3.1.2Physician Office Operator The Physician Office operator can perform all the actions like physician office admin except Add New Users and worksheets 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page11

3.1.3 Physician 1. The physician can send and receive orders from clinics, hospitals and their ancillary facilities. 2. As an ordering physician the user can perform various actions like - Authorize signatures on the sign-pending orders. - Search orders on the basis of their schedule details, order status, order details{date and time of the order} and sending facility - Modify patient orders {if not signed by the patient} by changing the order details. 3. At functional level the user can create his own worksheets 4. At order level the physician can perform the same action like the physician office admin and Operator. 3.2 Order Flow 1. Create Patient: The user add the patient to the system by furnishing the patient personal information, contact information and Insurance Information. Once the patient is added to the system, the user can create an order for the patient. 2. Order Creation: The physician office admin creates an Order by providing the necessary information like - Ordering Physician-Mandatory - Associated Facility - Mandatory - Priority - Mandatory - Reason for exam - Order Instructions - Diagnosis codes - Procedure codes 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page12

- Schedule information, Authorization detail Depends on the facility configuration discussed in the latter portion of the guide. - Patient Signature - Depends on the facility configuration discussed in the latter portion of the guide. - Medical Necessity Check With all the above mentioned data, the user places the order or saves the order as Draft. 3. Draft Order - After the patient is added to the system, the user can create an order on the patient s name. If the user doesn t have complete information to place an order, the user can save the order as Draft. - The order which is saved as draft is called as a Draft order. - The draft order can be transformed into either Signed order or Sign-pending order depending on the user to which the order is placed 4. Place Order The placing of an order can be done in two ways i. Send to Physician: - The physician office admin creates an order and sends it the physician for his signature. {Only if the user does not have the signing authority}. - If the patient signature is not file, the physician can modify the order by changing the diagnosis codes or procedure codes. Once the order details changes the medical necessity results will be erased. - The physician cannot modify the order, if the patient signature is on file. - The physician signs the order and sends the order to the facility. - If the order is created at the physician office level, without the physician signature on the file the order cannot be placed. ii. Send to Facility: - If the physician office admin has the signing authority, the user can attach the physician signature to the file and send the order to the facility. In this scenario the user can send a copy of the order to the physician for his reference. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page13

- Once the order is sent to facility, if required, the facility can change the order details like diagnosis codes, procedure codes and medical necessity results. - The facility gets the all the verifications like a. Address verification b. Eligibility verification c. Authorization verification d. Patient s payment estimates. Once the facility has all the necessary information the facility will schedule the order. iii. In both the above mentioned scenarios the physician office user cannot modify the order once the order is sent to either the physician or the facility. 5. Order Status: i. Unsigned-Placed: - The order that is sent to physician for signature is Sign pending order / Unsigned Draft order. - The order that is placed directly to the facility without physician signature on file also comes under the order status Unsigned- Placed ii. Signed- Placed - Once the physician receives the order and verifies it and signs the order, the order status changes to Signed Placed. - The order that is placed directly to the facility with physician signature on file also comes under the order status Signed- Placed iii. Draft Order: - The Order which is saved as draft comes under the order status Draft order 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page14

4.0 Office Setup and Worksheets 4.1 Office Setup at user level The office setup constitutes of the Physician and office users who are associated with the office. - From the office setup page the user can verify the details about the office. - Only authorized users can edit the details of the office 4.1.1 Physician - The physician has the signing authority. - The physician can delegate the signing authority to his office users by accepting the terms and conditions about the delegation. - The physician can access the terms upon the initial login and access the delegation terms from his profile page. 4.1.2 Physician Office admin - The physician office admin is the authorized user for whom the Office Setup tab is enabled. - The user is authorized to edit the office details and update office worksheet to the edit office details page. - As an office admin the user is entitled to edit the following physician information i. Physician contact information ii. Change Physician user name iii. Change Physician password iv. Update physician signature to the physician details page. v. Enable/ Disable Physician - As an office admin the user is entitled to edit the following staff information i. Staff first name and Last name ii. Staff contact information iii. Change password iv. Change staff user name 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page16

v. Enable/ Disable staff 4.1.3 Physician Office Operator - The physician office operator is also an authorized user for whom the Office Setup tab is enabled. - The user is authorized to edit the office details and update office worksheet to the edit office details page. - As an office operator the user is can only view the physicians and the staff who are associated with the office. 4.0 Worksheets Please note: Creating worksheets is not mandatory as the user can search and locate either the diagnosis codes and procedure codes through auto suggest. Worksheet is a popup designed to help the users to organize procedure codes and diagnosis based on the ordering physician under one roof. - Worksheets help the users to locate codes in much more easy fashion. - The users can create tabs on the basis of specialties and categorize codes under the relevant tab. - The user can mark the frequently used codes as favorites for easy identification. - Only authorized users can create worksheets. 4.2.1 Physician Office Admin and Physician office operator 1. Physician office admin can create worksheet at office level. 2. Physician office admin can copy and create new worksheets for physician/physician office using facility level worksheet 3. Depending on the ordering physician selectes, particular physician / physician office and facility level worksheets are available for procedure selection in place order screen. 4. Default worksheet: The selection is based on default worksheet configuration for the ordering physician and if nothing is configured as default worksheet at physician office level 1st worksheet in the list will show up in the worksheet. 5. Physician office users can edit worksheets of physician/ physician office level only. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page17

4.2.2Physician: 1. Physician can create worksheet at physician level. 2. Physician users can edit worksheets of physician level only 3. The worksheets that are created by the physician can be accessed by physician office users and facility users 4. Physician user can select and view procedures in facility level worksheets. 5. Physician can copy and create new worksheets for physician office using facility level worksheet. 6. Default worksheet: The selection is based on default worksheet configuration for the ordering physician and if nothing is configured as default worksheet at physician office level 1st worksheet in the list will show up in the worksheet. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page18

5.0 Access to the system 5.1 Introduction The module explains all the main features and services offered by the Surgical Orders. The system is designed and developed to serve the user in the best possible way. All the capabilities are neatly structured and presented in a user-friendly manner. 5.2 Access to the System To access the system: https://ordersmart.passporthealth.com 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page20

5.3 Login to OrderSmart Steps to follow: 1. Provide User name and Password 2. Click on the login button 3. If the user name or passwords are incorrect a warning message will show up stating Invalid username or password. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page21

4. Click on the reset button and enter the correct user name and password and click on the login button. * PLEASE NOTE: PATIENT DATA USED THROUGH OUT THIS DOCUMENT IS NOT REAL DATA * List of tabs in the application TABS Today s Patients Add Patient Orders/Schedules Add patient Alerts Show Order The presentation details about 1. Add Patient: To add a new patient and place an order for the patient. 2. Today s Patients: Lists the patients whose orders are placed or details are redacted. 3. Search Patient: To search an existing patient through patient details like First name, SSN, Telephone number etc 4. Orders: To organize all the patient orders by order status, schedule details and order source and priority 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page22

5.4 Home Page The first screen that appears after the user login will be the Electronic orders/facility orders -workqueue which the user marked as default work queue in the user preferences tab. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page23

Steps to Add Patient: Click on the <Add Patient> Tab on the Home page Add Patient Details A. Demographics Tab: Lists the patient s details like Name, Contact Information and Insurance details. i. At the minimum, enter the mandatory fields. ii. Insurance: If the user selects - Relation to Patient: {Guarantor details} Self {Default option} If this option is selected then <Last name>, <First name> and <DOB> will get disabled. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page26

- Relation to patient: If any other option is selected, then the user may have to provide <Last name>, <First name> and <DOB>. - Primary Insurance: Details of the patient s like insurance provider name, Group number, contact information. - Secondary Insurance: Details of the patient s secondary insurance {not mandatory}. B. Employer Tab: Lists the patient s work information.can provide if the user has the information {Not mandatory}. C. Guarantor Tab: Lists the patient s guarantor details same as the details furnished in the relation to patient field and other details include - Guarantor s personal information like name, age, ssn, work details and insurance details. D. After the necessary details are offered, click on the <save> button and the <Place order >button will show up 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page27

6.2 Place Order Steps to navigate from Demographics/Employer/Guarantor tab to Place order page. A. After the patient details are furnished, click on the <Save> Button. B. Once the <Save> button is clicked, <Place order> button shows up. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page28

C. Click on the <place order> button and the page navigates to <place order page> D. After the patient details are furnished, click on the <Save> Button. E. Once the <Save> button is clicked, <Place order> button shows up. F. Click on the <place order> button and the page navigates to <place order page> 6.3 Place Order page 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page29

6.3.1 Ordering Physician Steps to select Physician: i. Type the physician name in the autosuggest box. ii. Select the physician from the search results 6.3.2 Physician Office: Steps to select Physician office - The physician office shows up by default 6.3.3 Facility Selection 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page30

i. When the user logs in as <Physician Office Admin> user, by default the facility name will be displayed if the office is associated with single office. ii. If the office is associated with more than one facility, a drop down shows up for the selection. 6.3.4 Priority iii. iv. Steps to Select Priority: Click on the <Priority> dropdown. Select the appropriate priority. 6.3.5 Diagnosis codes: 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page31

There are 2 ways to select the diagnosis codes 1. Worksheet Pop up: i. Click on the icon next to diagnosis codes. Worksheet window will open. ii. The worksheet popup lists all the worksheets that belong to the selected physician, selected physician office and the facility. iii. Select the appropriate worksheet and click on the check box next to diagnosis codes. iv. The user can search the code within the worksheet. v. The user can also select from the favourites tab of the worksheet. vi. The user can click on the procedures tab to select the procedures or close the window by clicking on the <Done> button at the bottom of the worksheet. 2. ICD-9 and ICD-10 a. By default the ICD-9 will be selected. ICD 10 support is configurable at user level. i. User can select what type of codes are being entered.icd9 or ICD10 ii. ICD10 effective date can be configurable iii. In Place Order screen if order entry date is before ICD10, ICD9 selection is default otherwise ICD10 iv. In MNC tab if Date Of Service is before ICD10 then ICD9 is default otherwise ICD10 v. No change in the functionality when ICD 09 is selected b. If ICD10 option is selected i. All description and ICD10 code searches will return only ICD10 codes ii. If valid specific ICD9 code is selected, system will look up equivalent icd10 codes 1. if there is exactly one ICD10 match the system automatically adds that code set 2. If there are multiple options a popup screen with selections (Scenario based view) will show up. iii. After user selects one of the scenarios and clicks 'OK' add the codes to selection. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page32

iv. This functionality will reflect in place order screen, Mednec Tab, Global MNC. 3. Autosuggest: {Look up by icd code/description} A. The user can search the diagnosis either by entering the icd code or the description. v. From the search results, can select the appropriate code and the code gets added to the place order page 6.3.6 Procedure codes There are 2 ways to select the procedure codes 1. Worksheet Pop up: i. Click on the icon next to procedure codes. Worksheet window will open. ii. The worksheet popup lists all the worksheets that belong to the selected physician, selected physician office and the facility. iii. Select the appropriate worksheet and click on the check box next to diagnosis codes. iv. The user can search the code within the worksheet. v. The user can also select from the favourites tab of the worksheet. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page33

vi. The user can click on the procedures tab to select the procedures or close the window by clicking on the <Done> button at the bottom of the worksheet. 2. ICD-9 and ICD-10 {SAME AS ABOVE} 3. Autosuggest: {Look up by cpt code/description} a. The user can search the diagnosis either by entering the cpt code or the description. b. From the search results, can select the appropriate code and the code gets added to the place order page. 6.3.7 Attachments: {Only accepts PDF file} Steps to attach a document to the order i. Click on the Attachments link. ii. If the user has a specific document {PDF FORMAT} saved on the system, can browse the file and select it. iii. Select document type: Select the document type from the list. iv. When the user hits ok an alert shows up asking the user to save the order as draft. Click on <Save order as draft> button to save the order as draft. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page34

v. Repeat steps I, ii, iii and iv. vi. The system show a <Done> message when the document is attached. 6.3.8 Scheduling Details: vii. This group of check boxes allows the user to select the details depending on their current schedule status. viii. If the schedule details are configured as <Hide> the option won t show on the place order page. ix. If the scheduled details are configured as < Optional> The can furnish the details if they have or can skip the option. x. If the Scheduled details are configured as <Required> It is compulsory to supply details to place order. In other case an alert shows up asking the user to provide necessary details. 1. Scheduled: Steps to add Scheduled Details: i. Select the radio button next to scheduled. ii. The option to select <Date of Service and Time> will open up. iii. Click on the calendar icon and the calendar pop up will be displayed. iv. All the previous days and facility s non-working days will be greyed out. v. Depending on the facility s configuration about the minimum days to get the authorization. vi. Select the time from the drop down. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page35

2. To be scheduled: Steps to add To be Scheduled Details : i. Click on the radio button besides To be scheduled option. ii. Select the appropriate option from the pop up whether the facility should call the patient or the patient will call the facility. iii. Anticipated date of service: Click on the calendar to select the date of service. iv. Note: To supply any further information about the order. 3. None: xi. If the schedule details are not required select the option <none> 6.3.9 Authorization Details - If the Authorization details are configured as <Hide> the option won t show on the place order page. - If the Authorization details are configured as < Optional> the user can furnish the details if they have or can skip the option. - If the Authorization details are configured as <Required> it is compulsory to supply details to place order. In other case an alert shows up asking the user to provide necessary details. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page36

Steps to add Authorization details: NOTE: i. Click on the Authorization dropdown. ii. The user needs to select the appropriate option from the dropdown. - If the minimum required days to get authorization is set to 2 and the user selects <scheduled option >with service date as today/tomorrow and <authorization details> as facility should get authorization an alert shows up{ Facility requires 2 business day to get authorization from payers. Please select "Date of service" later than 2 business days.} asking the user to change the date of service for the scheduled detail 1. Available: - If the user has the all the information like Authorization number, Visits Authorized and Effective date they can be entered here. - If the user wants to provide additional details they can be entered in the <Note> field. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page37

2. Request Submitted: - If the request is already submitted the details can be furnished here. - Along with the Confirmation Number. - If the user wants to provide additional details they can be entered in the <Note> field. 3. Physician will Obtained: - If the physician will collect the information, select the option <physician will obtain>. 4. Facility will get the authorization: - Select the option if the facility needs to get the authorization. 5. Authorization not required: - Select the option if the authorization is not required for the order 6.3.10 Additional Details 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page38

- - To attach any further information about the order, the details can be typed here. 6.3.11 Medical Necessity Check Steps to run medical necessity check: i. Click on the link on the place order page. ii. The medical necessity check window opens up with the selected procedures. iii. To select the rule on which the medical necessity needs to be checked, click on the dropdown button and select the relevant Medical necessity rule. iv. Check: Once the rule is selected, click on the <check> button. v. The results will be displayed, whether the procedure is pass or fail. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page39

- Click on <Ok> to save the results a. If the procedure has a frequency question, select the <YES/NO> from the dropdown b. If the procedure did not exceed the particular time period the procedure will pass the medical necessity check. c. If the procedure exceeds the time limit, the procedure fails 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page40

i. Has the patient accepted responsibility for payment? : Select any of the option by clicking on the radio button. ii. ABN Finalized: If the patient accepts the responsibility, click on the option <ABN Finalized> iii. SIGNED ON PAPER: If the patient signature is captured on a paper, click on the check box next to <Signed on paper> iv. View ABN: To view the ABN form click on the <View ABN> button. v. Print ABN: Click on the <Print Abn> to print the form. vi. OK: Click <Ok> button to finalize all the options. vii. Cancel: To cancel the whole process, click on the <Cancel> button 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page41

6.3.12 Place Order: A. Place Order: Click on the <Send to physician> button to place the order. If the physician has delegated the signing authority, the user can send the order directly to the facility. If the physician has not delegated the signing authority to the user, the user should send the order to the physician B. A pop up opens up Do you want to print requisition form?. Click on <Yes> to print the form and <No > to cancel the process. C. Save as Draft: To save the order, click on the <save as draft> button. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page42

Steps to print requisition 1. Once the order is placed, a pop up opens with option Do you want to print requisition 2. Click on the <Yes> Option 3. Click on the open in new window? On the Order Requisition form pop op. 4. Requisition form opens up in a new window. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page44

7.0 Search Patient Steps to Search patient i. From the hope page type the patient name/dob/mrn/ssn in the Search Box. ii. The page navigates to search results page. iii. Edit Patients details: Row click anywhere on the order. Update necessary patient s details and click on the <save> button. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page46

The page will show Patient details updated message but will remain in the same window with other options <Place order> and <Back to patients>. Place Order: Click on the <Place Order> button and the page navigates to PLACE ORDER PAGE from where the user can place order for the patient by selecting the necessary information.{ place order -discussed in detail in the earlier part of the user guide.ref#6.3} iv. Back to patients: Click on back to patients to return to the patient search results page a. - Click the <Place Order> icon to place a new order for the patient. b. - Click on the <Show Patient s Orders> icon to view the history of the patients orders..{ Show patients orders will be discussed in detail in the later part of the user guide} 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page47

8.0 Today s Patients 8.1 TODAY S PATIENTS TAB 8.1.1 Today s Patients: A. Click on Today s Patient s tab from the home page. B. Today s patients: If patient details are updated or a new order is ordered for the patient, those patients will be shown under today s patient list 8.1.2 Edit patient details A. Row click anywhere on the patient details. B. The page navigates to update patient details page. C. Update necessary patient details and click on the <save> button. D. Place Order: To place a new order for the patient. The page navigates to Place Order page..{ place order -discussed in detail in the earlier part of the user guide.ref#4.3} E. Back to Patients: to return to today s patients, click on <back to patients> button. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page49

8.2 Place order - Click the <Place Order> icon to place a new order for the patient. 8.3 Show Orders -Click on the <Show Patient s Orders> icon to view the history of the patients orders 1. In Show Orders page, the users can Place New Order, Recreate Order, and Delete Draft, Back to Patients. 2. The Show Orders Lists all the Orders including Draft Orders that are placed on the patients name either from Physician Office logins or Facility Logins 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page50

3. The Place Order page gives the User the options like <save as Draft>, Place Order, Back to Patients. 4. If the User is going through Today s Patients > Show Orders > Once the Order is placed the page will be redirected to Patients Orders 5. If the Order is created from Physician Office logins the status will be Signed-Draft/Unsigned-Draft and if the Order is created from Facility Login the Status will be Singed-Placed/Unsigned Placed. 8.3.1 Actions: i. Cancel Order : i. Click on the <Cancel> icon to cancel the patient s order. An alert message shows up for confirmation. ii. Click on <OK> to cancel the order. ii. Order History 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page51

- To view the complete history of the order, click on the <Order History> icon iii. Duplicate Order : To mark an order as duplicate, follow the steps shown below i. Once the order is marked as Duplicate, the order cannot fit in the workqueue filters. ii. The user can find the order through search criteria to change the status of the order. iv. Recreate Order 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page52

Steps To recreate order: i. Click on the <recreate this order> icon under the actions column ii. Click <ok> button in the pop up. iii. The page navigates to the place order page. iv. Can continue with the same order details or can edit them. v. Click on the <place order> to place a new order for the patient. vi. Click on the <Back to patients> button to return to the show orders page. vii. Click on the <save as draft> button to save the order draft. viii. The draft order can be viewed from search patient> show orders. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page53

v. Alerts Steps to send an Alert i. Click on the <alert> icon under the actions column ii. In the <order alerts> type the message in the place holder. iii. Click on the <Send Alert> to send the alert to the clinic. iv. Once the alert is sent the alert status can be viewed under <New> and<all> v. Click on the <close> button to close the window 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page54

vi. Delete order Delete option is available only for the <Draft Orders> Steps to delete the order: i. Click on the <Delete option > under the actions column ii. Click on <Yes> option to delete the order. iii. Once the order is deleted, it goes off from the order s list. iv. Click on the <No> option to cancel the process. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page55

9.0 Orders Tab Click on the orders tab on the menu bar. The Actions that can be carried out from the <Orders> tab are 1. Categorize the Orders on the basis of their Order status, Ordering Physician, Facility, Orders date. 2. Row click on the order and view the order details depending on the order status. 3. Can perform various actions like Cancel Order View Order History Recreate Order Duplicate order Send notifications to the facility. The user can view the order depending on the order status. 1. Order status Signed-placed and Draft order can be view the order details {Row click option is available} 2. The user can perform various other actions as mentioned above {Refer to 8.3} 3. The user can print the requisition form for the signed-placed orders. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page57

4. Draft order: The order can be transformed to either sign-pending or signed-placed order. 9.1 Workqueue View 1. Create customized workqueues using workqueue search criteria. 2. Can create workqueue from the existing workqueue. 3. Configure columns for the customized workqueue. 4. Context Menu Mark Order as NPR : Mark Order as Duplicate Mark Order as Cancel Schedule Info Order Alerts 5. Mark the workqueue as Private 9.1.1 New Workqueue View 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page58

Steps to go to new workqueue view 1. From the orders tab, click on the WorkQueue View link 2. The page navigates to the workqueue page. 3. Click on the expand Workqueue Search Criteria, the search criteria shows up. 4. Only authorized users can create workqueues. Creating Work queue: Only authorized users, (admin users), can create and assign workqueues to specific users or user groups 9.1.2 Create Workqueue xii. Steps to create workqueue: To create workqueue, the user needs to select create workqueue option from the dropdown. 9.1.3 Workqueue filters 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page59

Steps to add workqueue filters i. The Workqueue Management window contains 14 different categories that users can employ to create workqueues for the Orders Tab,. ii. When managing an existing workqueue, the user can modify the workqueue and save the workqueue. iii. The Workqueue dropdown allows you to designate the creation of a new workqueue or select an exisiting workqueue to manage iv. To add the filters to the workqueue, the user need to select the filters, furnish the search criteria and click on the apply button to add the filter. v. To remove the filters from the workqueue, the can click on the remove icon next to the workqueue filter on the right side of the panel. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page61

9.1.4 Workqueue Management: Date Filters There are six date selections that all work the same way on the different dates that are available for an order 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page62

Steps to create workqueue management: i. Admission Date ii. Order Date- this is the date the origional patient record is received by PPH via the interface iii. Inprocess date this is the date an open order is moved to an Inprocess queue iv. Registration Date v. Service Date 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page63

vi. Complete Date this is the date an open or inprocess order is moved to a Completed queue. vii. Each selection has a dropdown from which The user select either a sliding date range or The user input a custom or hardcoded date range. - Custom - 1st of last month - Today - Sunday of this week - Yesterday - Sunday of last week - This Week - Monday of this week - Last Week - Monday of last week - 1 st of this month - Between viii. Click on the apply button to add the filter and remove icon to remove the filter. 9.1.5 Workqueue filters: Facility, Primary Insurance, and Patient Last Name Controls 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page64

Steps to create workqueue with Facility, primary insurance and patient last name: i. Facility The facility name will be displayed. - If the Physician office is associated with more than one facility, the list populates in the dropdown - The check boxes allows the user to select multiple options at the same time. - This selection includes In and Not in radio buttons - The user can check all of the items or uncheck all items by selecting either In or Not in radio buttons - This selection the Not in check box, which means the workqueue will contain the inverse of what is selected in the dropdown - Click on the apply button to add the filter and remove icon to remove the filter. ii. Ordering Physician: - The user can type text into the Filter text box to display a subset of items in the dropdown. - The user can check all of the items or uncheck all items by clicking the Add checked Add all or close. - This filter includes the Not in check box, which means the workqueue will contain the inverse of what is selected in the dropdown - To remove all the selected physicians click on the remove all option iii. Insurance - Any/Primary Insurance/ Secondary Insurance The check boxes allows the user to select multiple options that appear on the workqueue - Custom radio button: This radio button selection allows you to limit the Electronic/Non Electronic/Custom insurances that appear on the workqueue - Click on the apply button to add the filter and remove icon to remove the filter. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page66

9.1.6 Workqueue filters: Order Source Steps to create Order source filter Order Source This filter lists the following controls: Electronic, Fax, Patient, Facility i. The check boxes allow the user to select multiple options at the same time. ii. This selection includes In and Not in radio buttons iii. The user can check all of the items or uncheck all items by selecting either In or Not in radio buttons iv. This selection has the Not in check box, which means the workqueue will contain the inverse of what is selected in the dropdown. v. Click on the apply button to add the filter and remove icon to remove the filter. 9.1.7 Workqueue filter: Order Status 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page67

Steps to create Order status filter: i. The check boxes allows the user to select multiple options at the same time. ii. This selection includes In and Not in radio buttons iii. The user can check all of the items or uncheck all items by selecting either In or Not in radio buttons iv. This selection has the not in check box, which means the workqueue will contain the inverse of what is selected in the dropdown. v. Click on the apply button to add the filter and remove icon to remove the filter. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page68

9.1.8 Workqueue filter: Account Status Steps to create Account status filter: i. This selection control will list the following account statuses: Scheduled, Unscheduled, Inprocess Scheduled, Inprocess Unscheduled, and Completed ii. The check boxes allows the user to select multiple options at the same time. iii. This selection includes In and Not in radio buttons iv. The user can check all of the items or uncheck all items by selecting either In or Not in radio buttons v. This selection the Not in check box, which means the workqueue will contain the inverse of what is selected in the dropdown 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page69

vi. Click on the apply button to add the filter and remove icon to remove the filter. 9.1.9 Workqueue filter: Alerts Alerts Alerts are two way communications between the physician office user and hospitals and its ancillary facilities. Through alerts the physician office admin should be able to 1. Request and provide additional information to the facility 2. Be notified of requests for such additional information (notification alerts on home page) 3. Be notified that the additional information requested has been provided and is now available. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page70

4. Acknowledge the received alerts from the hospitals and its ancillary facilities 6. Exchange Order specific notes between physician/offices and facilities. Steps to create Alerts filter: i. The check box allows the user to select whether to add filter or not. ii. Click on the apply button to add the filter and remove icon to remove the filter. 9.1.10 Actions Steps to carry out actions i. Go: Select the search criteria and click on the Go button to retrieve the resuts. ii. Reset: To reset the current search criteria iii. Save Workqueue When modifications were made to the existing workqueue. iv. Save New Workqueue To save a new workqueue. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page71

9.1.11 Configure columns Steps to configure columns to the Workqueue: i. From the workqueue search criteria, click on the configure column button. ii. The page navigates to the workqueue management page. iii. Under workqueue columns 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page72

- To add columns to the workqueue select the required column names and click on arrow and click on Save Button. - To remove the columns from the list select the required columns names and click on arrow and click on Save Button. - By selecting these arrows the user can arrange the workqueue columns - iv. Sort Columns : Select the primary sort column and the secondary sort column names from the dropdown 9.1.12 Delete Workqueue Steps to Delete Workqueue: i. Select the workqueue from the dropdown. ii. Click on the configure column button iii. In the workqueue management page,click on the delete option iv. An alert shows up to confirm deletion v. Click on yes to delete the worksheet and no to cancel the process. 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page73

Steps To add view and acknowledge alerts i. Click on the alert count on the home page ii. The page navigates to the workqueue where the user can view the order details.{the user cannot save any workqueue from this page} iii. Click on the alert icon, to view or acknowledged alert, send a new alert to the facility users iv. To send a new alert: Click on the place holder Send a message to facility, type the alert and click on the <send alert>button. v. To view the alert, click on the <ALL> tab 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page76

vi. vii. viii. If there are any new alerts from the facility, they can be acknowledged by clicking on the <New> tab. Once the alert is acknowledged, the row colour of the order changes {as it doesn t fit the workqueue criteria} and upon refresh the order goes off the workqueue. The count of the alert icon changes upon page refresh 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page77

11.0 Sign-Pending Orders Orders that need Physician s signature come under the Sign-Pending Status. The count specifies the number of orders physician need to sign. The physician office admin can view the order by clicking on the Order. Though the user can view the order, he cannot edit it. The user is entitled to perform various other actions like 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page79

Steps to view Sign-Pending Orders i. Click on the Sign-pending link on the menu bar. ii. View the order: Row click on the order to view the order details. iii. The order details cannot be modified. iv. The user can perform the following action {All the below mentioned steps are explained in detail in earlier part of the guide. Refer 8.3} Mark the order as duplicate. Mark the order as cancel. Recreate the order. Delete the order. View and Acknowledge View Order History 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page80

12.0 Draft Orders Steps to view Draft Orders i. Click on the Draft orders link on the menu bar. ii. View the order: Row click on the order to view the order details. iii. The order details can be modified. iv. The Order can be sent to Physician or to the facility. v. The user can perform the following action {All the below mentioned steps are explained in detail in earlier part of the guide. Refer 8.3} 2014 Passport Health Communications, Inc. All Rights Reserved April 2014, Page82