CDI Premium Ophthalmology Practice

 Tired of receiving $ 0.69 payment checks from Plans ?

Unable to forecast income and expenses accurately ?

Do you know Medicare will reimburse in 14 days if you bill them electronically versus 28 days if you don’t ?

Is your staff tied up writing results of exams ?

Filling forms ?

Researching ICD-9 and CPT- 4 codes ?

Let our system help you control your cash flow and your billing and collection processes…

Let our system automatically capture results of diagnostic instruments…

Let our system memorize ICD-9 and CPT – 4 codes…

Let our system print forms and electronically invoice Plans…

Free yourself and your staff for more productive work !

The most efficient, easy to use and comprehensive Medical Records System available in Puerto Rico.

CDI’s Medical Records System is not just another medical billing system, but a fully featured medical records system designed to provide:

* Enhanced patient care through the ability to efficiently maintain, With minimum effort, computerized personal and demographic data on patients, their medical history, examination data, medical plans and invoicing data, etc.

* Improvement in the flow of patients through the different stages in their visit to the office by automating most of the data management functions in the process, thereby saving time for the MD and his/her staff, time that can be used to see more patients per day.

* Better control over the office appointments schedule with a perpetual appointments calendar, an excellent tool to distribute appointments evenly throughout the week and to use valuable MD time in the most efficient manner.  It also provides means to follow-up patients that missed their appointments, to print appointment reminders a few days prior to the date, and more !

* Improved cash flow and collections control with the efficient management of the invoicing processes – electronic billing to Medicare and SSS, conventional billing to all other plans and private patients, plan/carrier payments posted and reconciled individually, over-the–counter sales and collections, daily balancing of sales and collections,  accounts receivables ageing and other accounting reports.

* Flexible customization of individual MD practice, defined and maintained by each MD to fit his/her particular requirements: standard models for progress-notes, symptoms and diagnoses, prescriptions and patient instructions, service and billing codes, etc.

* Complete on – line help at all times, no need to remember codes!

* Full compatibility with and validation against ICD – 9 symptoms and diagnoses, CPT – 4 service and procedures.  Printing of HCFA –1500 form and most other plans active in Puerto Rico.

* Powerfull database search and analysis tools.

* Designed and programmed for true multiuser environment in Unix, DOS, Novel Network, VMS, AS400, etc., using state – of – the – art 4^th- generation language and relational database PROGRESS .

Modules Description

Medical  Appointments Module

This module is designed to help the MD avoid the five – patients – today – fifty – patients – tomorrow situation.  It provides easy to use tools to help distribute appointments evenly, according to available time and resources.

The process, designed both for the Reception Desk and for the MD desk, works like a flip – page calendar: by entering the date you get the whole day of appointments in your screen showing time of the appointment, name of patient, record number, patient telephone and service to be provided.  With the touch of a key you flip the page and get next day details on your screen.  Addition of appointments is an easy question and answer process controlled by the system.  Or, the MD can select next appointment date with a single keystroke!

Maintenance of the appointments calendar is as easy as entering the new date for a change of dates.  The system will allocate the first available slot according to user – defined parameters, e.g, five services/appointments per hour.  Or, the operator can negotiate a more suitable hour for the patient or for the office practice.  Holidays and vacations are entered in advance to prevent the system and the operator from using those dates.

The system will automatically print appointment reminders in post cards 10 days (user defined parameter) prior to the appointment date.  It will also print, daily and automatically, post cards for patients that missed their appointments that day, and it also prints other types of follow-ups, as requested.

  Examination Room Module

This module is designed to host the patient through each step in his/her visit to the office.

Reception Desk – records are updated with patient’s data, medical plans, medical history, etc.  Patient signs a computer – printed form with all data, certifying correct information was provided, for MD’s legal protection purposes.

Pre-Exam Room – data is caputred on exams and tests:  vision acuity, refraction, tonometry, lensometer, etc.  If the equipment used for the exams provides computer output capabilities (Nidek, Humphrey and others), they can be connected to the computer, making the process fully automatic.

MD Exam Room -  here the MD will select diagnoses from his pre-defined tables, combine them as necessary, select and update a progress note, tentatively assign next appointment date and select applicable services  or procedures.  The system will provide and validate appropriate ICD – 9/ CPT – 4 codes, according to pre-defined tables for MD’s particular practice.

Exit Module

This event – driven module usually takes place at the Reception Desk, where the system enforces an ordered exit process.

Formalization of next appointment date – The system will not continue the exit process until this step is completed.  No patient shall leave the office without a new appointment, at least for next year follow – up.

Printing of visit documentation – This includes an appointment card, the progress notes, prescriptions for glasses, for medicines, patient instructions, MD referral documentation.  All these documents can be printed and re-printed from computer’s data, as needed or  required.

Invoicing – Invoice details are first displayed on the screen, complete with billing, plan – approved and deductible amounts.  The user must then update amount actually paid by patient and any other amount, as applicable.  If payment does not fully cover the deductible, an invoice will be printed for patient. If plan accepts electronic billing (Medicare and SSS at the moment), the system advises that patient must sign signature – on – file register.  Forms for other plans can also be printed and even a receipt for the patient can be printed optionally.

Transactions are automatically generated and posted to accounts receivable as applicable, for the patient’s primary plan, complementary plan and also for the patient, if needed.  All transactions are printed and balanced at the end of the day on the Invoice and Collections Register.

File Maintenance Module

This module provides the capability to maintain all files in the system: patients database, medical plans files, customers files, other reference and auxiliary files.

The module is also used by the MD to define his/her practice standards:  progress notes, diagnostics, services and procedures, prescriptions and patient instructions, etc.

Reports and Queries

This module provides reports and inquiries on the patient database, billing and collection data receivables due, etc.  It also provides for the re – print of prescriptions and progress notes, upon request.

The Search and Analysis sub-module is of  particular importance, as it provides a powerful means for searches through the database.  This is an extremely important tool in medical practice nowadays, as the MD is not only ethically bound to follow up patients  at  risk, but may also be legally liable for NOT  doing so.

For instance, the MD can recall the lady from Orocovis with diabetes and very high intraocular pressure.  The MD knows she was due for a follow up visit but has not seen her lately.  The MD can not recall any other information about the lady.  This situation is quite common in modern medical practice, where it is impossible to remember all details about thousands of patients.  With CDI Medical Records System you can request a search like:

All females from Orocovis, age over 60, with intraocular pressure over 20, and with a medical history of diabetes. 

Other search examples:

Intraocular lens brand “X”with serial number starting “XYZ” has been recalled from the factory.  You certainly want to know which patients, if any,  were implanted those lenses.  Search: patients with service procedure = “Cataract operation”, lens = “X”,  s/n begins “XYZ”.

For statistical analysis: how many patients with original complaint of  “Eye Pain”were eventually diagnosed  “Glaucoma”.

Practice analysis: how many patients were referred to Dr. Rivera during last  year.  How many times MD prescribed “Xyztin” during last six months.