Orders Tab

Orders

The Patient file Certify > Orders tab allows for entry of 485 and 485 Addendum (Change Order) for each certification period. For Clinical users, it allows for viewing of the diagnosis codes posted from Clinical to the Billing Module that will be used on claims.

Go to PATIENT>ADMIT/MAINTAIN, Certify tab. Select the applicable cert record on the top half of the window to enter or view order records associated with that cert period on the Orders tab below.

To Add Orders on the Certify tab:

Click on "+' to add the record.

Order-Date: This date will default to the Certification From-Date.

Document Type: This will default to 485. Use "485" for plan of treatments. Document types are set up in File>File Maintenance>Category.

Doctor-Name: Enter the Order physician. Will default to the first active doctor in the Patient>Assign tab but can be changed if needed.

Held: Marking the order as "Held" can prevent a claim from being generated for the patient if the option to "Include Held Orders" is not selected when generating electronic claims. A list of held orders can be printed under Clinical>Order Status.

Printed: This box is auto-checked when the Order is marked Order Sent via the Physician Order Tracking Report in Clinical. A list of un-printed orders can be produced under Clinical>Order Status.

Signed: This box is auto-checked when the Order is marked Order Returned via the Physician Order Tracking Report in Clinical. A list of un-signed orders can be produced under Clinical>Order Status.

: Click on this icon to data enter the order.

Plan of Treatment/Addendum entry: Enter text in Boxes 10 - 22. The other boxes will pre-fill with data that has been entered in the corresponding areas in the application. Information entered in the Authorize tab will pull to Box 21 if set to do so under Clinical>Order Printing, More Options tab. Press the Meds button to import patient meds from the Med tab or if not using FDB, enter Box 10 Meds manually.

Clone: This option is used to copy information from the patient's previous order.

Edit: Click this button to bring up the box in its own window for edit

Find: Click this button to bring up the Order text search (maintained in File>File Maintenance>System Text).

Diags: Click this button when editing a printed order to update the order's diags with those listed under the Patient>Diagnosis tab.

Meds: Click this button to update the order's box 10 meds with the medications listed in the Patients>Meds tab (if using FDB).

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