Patterson EagleSoft 15.00 software User’s Guide
EagleSoft 15.00 is a software designed for dental practice management and clinical operations. It offers a variety of features including patient management, appointment scheduling, billing, and reporting. EagleSoft 15.00 is designed to help dentists improve efficiency and productivity in their practices.
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Patterson EagleSoft 15.00 User’s Guide Volume XV 2008 Patterson Dental Supply, Inc. All rights reserved. Microsoft is a registered trademark, and Windows XP are trademarks of Microsoft Corporation. All other trademarks, which appear in these pages, are the property of their respective owners. Adobe and Reader are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States and/or other countries. Subject to the terms of our Agreement, Adobe is distributed through a non-exclusive, non-transferable, worldwide, royalty-free license to reproduce and distribute the software. #1, 1410 – 28th Street N.E. Calgary, Alberta T2A 7W6 Main (403)539-4777 Fax (403)539-4779 Technical Support 866-449-7282 Web Site Address: www.EagleSoft.net ii • Contents Patterson EagleSoft 15.00 Contents Initial Setup – Unit 1 1 Patterson EagleSoft 15.00 2 Welcome to Patterson EagleSoft! .......................................................................................... 2 About EagleSoft ................................................................................................................... 2 Things to Remember ............................................................................................... 2 Logging On 3 Starting EagleSoft ................................................................................................................. 3 EagleSoft Log On/Off ........................................................................................................... 4 Logging On to EagleSoft......................................................................................... 4 The Compliance Checker ........................................................................................ 4 Logging Off and Exiting in EagleSoft Integrated Mode ........................................... 5 Exiting EagleSoft Practice Management or Clinical .............................................................. 5 Security Administration 6 Security Administration ........................................................................................................ 6 Security Profiles ..................................................................................................... 7 Security Zones ........................................................................................................ 7 Setting Up Security Profiles .................................................................................... 7 Assigning Security Profiles ..................................................................................... 8 Using EagleSoft 15.00 10 The Virtual Screen.............................................................................................................. 10 Viewing the Virtual Screens in Alternate Modes ................................................... 10 Terminology....................................................................................................................... 12 F5 Key ................................................................................................................. 12 Hyperlink ............................................................................................................. 12 Sort and Search by First Name .............................................................................. 12 Patient List from Activities ................................................................................... 13 Last Patient Button ............................................................................................... 13 Active/Inactive Status ........................................................................................... 13 Show Inactives ..................................................................................................... 13 Reports ................................................................................................................. 13 Notes .................................................................................................................... 14 EagleSoft Virtual Screen Toolbar ........................................................................................ 14 Toolbar Buttons .................................................................................................... 15 Show Text ............................................................................................................ 18 Reset .................................................................................................................... 18 Menu Tour ......................................................................................................................... 19 Overview .............................................................................................................. 19 Quick Start Basics 20 Learning the Basics ............................................................................................................ 20 Enter a New Patient .............................................................................................. 20 Patterson EagleSoft 15.00 Contents • iii Make an Appointment........................................................................................... 21 Walkout Processing .............................................................................................. 23 Entering Payments ................................................................................................ 24 Adding or Editing a New Insurance Company ....................................................... 25 Itrans .................................................................................................................................. 26 Adding or Editing a New Employer....................................................................... 26 Setting Up Your Software – Unit 2 29 Setting Up Practice Information 30 Setting Up Practice Information .......................................................................................... 30 Practice Information Options................................................................................. 31 Setting Up Practice Preferences 32 Practice Management Preferences ....................................................................................... 32 General ................................................................................................................. 32 Patient .................................................................................................................. 34 Insurance .............................................................................................................. 35 Accounting ........................................................................................................... 36 Statements ............................................................................................................ 38 Spell Checking ..................................................................................................... 41 Employer .............................................................................................................. 42 OnSchedule .......................................................................................................... 44 Printing ................................................................................................................ 46 eBusiness.............................................................................................................. 47 Alerts ................................................................................................................... 49 Perio ..................................................................................................................... 49 Chart .................................................................................................................... 51 Quick Pick ............................................................................................................ 54 Images .................................................................................................................. 54 X-ray .................................................................................................................... 56 Interfaces .............................................................................................................. 63 SmartDoc ............................................................................................................. 64 IntelliCare............................................................................................................. 65 EagleSoft Printer Administration ........................................................................................ 66 Setting Up Providers 67 Providers/Staff Setup .......................................................................................................... 67 Provider/Staff Setup Options ................................................................................. 68 Provider/Staff Notes Setup.................................................................................................. 68 Provider/Staff Hours Setup ................................................................................................. 69 Setting Provider Colour......................................................................................... 69 Provider/Staff Prompts Setup .............................................................................................. 69 Provider/Staff Productivity ................................................................................................. 69 Provider/Staff History Review ............................................................................................ 70 Provider/Staff Identification Setup ...................................................................................... 70 Provider Daily Goals Setup................................................................................................. 71 Provider/Staff Password Setup ............................................................................................ 71 Provider/Staff Password ..................................................................................................... 72 Deleting/Inactivate Provider ............................................................................................... 72 Setting up Patients, Responsible Parties and Policyholders iv • Contents 76 Patterson EagleSoft 15.00 Overview ........................................................................................................................... 76 New Patient Setup .............................................................................................................. 76 Patient Setup Window Buttons .............................................................................. 78 Patient Preferences................................................................................................ 79 Reviewing Patient History..................................................................................... 81 Patient Alerts ........................................................................................................ 81 Patient Notes ........................................................................................................ 82 Patient Prompts..................................................................................................... 82 Sending a Letter to a Patient .................................................................................. 82 Viewing Patient Missing Teeth ............................................................................. 83 Setting Up Patient Referrals .................................................................................. 83 Rx History ............................................................................................................ 84 Medical History .................................................................................................... 84 Medical History Features ...................................................................................... 85 Inactivate Patients .............................................................................................................. 86 Delete Patients ...................................................................................................... 86 Setting Up Employers and Insurance Companies 87 Overview ........................................................................................................................... 87 Insurance Company Setup .................................................................................................. 88 Adding or Editing a New Insurance Company ....................................................... 88 Changes to Insurance Information ......................................................................... 89 Employers/Coverage List Setup .......................................................................................... 89 Adding or Editing a New Employer....................................................................... 90 Employers/Coverage List Options ......................................................................... 90 Service Codes 94 Overview ........................................................................................................................... 94 Printing a Service Code Master Report................................................................................ 94 Quick Entry for Service Code Fees ..................................................................................... 94 Adding a New Service Code ............................................................................................... 95 Standard Fees by Provider ................................................................................................ 100 Create a Standard Fee List................................................................................... 100 Attach Standard Fee Lists to a Provider ............................................................... 102 Setting Up Fee Schedules ................................................................................................. 103 Setting Up New Fee Schedules............................................................................ 103 Automatically Setting Up All Service Codes for a Fee Schedule .......................... 104 Setting Up Fee Schedules By Individually Setting Up Service Codes Option ....... 105 Setting Up Fee Schedules By Utilizing an Existing Fee Schedule......................... 106 Setting Up Coverage Books .............................................................................................. 106 Creating or Updating Employer/Insurance Coverage Books ................................. 106 Exploding Codes 108 Overview ......................................................................................................................... 108 Adding an Exploding Code ............................................................................................... 108 Editing an Exploding Code ............................................................................................... 109 Deleting an Exploding Code ............................................................................................. 109 Printing Exploding Codes Reports .................................................................................... 109 General Setup 111 Overview ......................................................................................................................... 111 General Setup Overview ................................................................................................... 111 Messages.......................................................................................................................... 112 Patterson EagleSoft 15.00 Contents • v Postal Code List ............................................................................................................... 112 Customizable Prompts ...................................................................................................... 112 Provider Labels ................................................................................................................ 113 Staff Positions .................................................................................................................. 113 Payment Types ................................................................................................................. 113 Service Types ................................................................................................................... 114 Adjustment Types ............................................................................................................ 115 Account Types ................................................................................................................. 115 Recall Types .................................................................................................................... 116 Recall Status .................................................................................................................... 117 Time Sheet Work Types ................................................................................................... 117 Adding New Work Types ................................................................................... 117 Editing Work Types ............................................................................................ 118 Printing Work Types ........................................................................................... 118 Patient Alerts .................................................................................................................... 119 Account Alerts ................................................................................................................. 119 Discounts ......................................................................................................................... 120 Task Categories ................................................................................................................ 120 Clinical Setup 121 Chart Setup ...................................................................................................................... 121 Conditions .......................................................................................................... 121 Draw Types ........................................................................................................ 123 Quick Picks and Button Groups........................................................................... 123 How to Set Up a Button Group: Services ............................................................ 124 Custom Colour Setup........................................................................................................ 125 Smart Code Setup ............................................................................................................. 125 AutoNotes ........................................................................................................................ 126 Clinical Exam Types ........................................................................................................ 127 Annotations ...................................................................................................................... 129 Image Templates .............................................................................................................. 129 Default Source .................................................................................................... 130 Modes ................................................................................................................ 131 Custom Setup ..................................................................................................... 131 DenOptix Scan Types ....................................................................................................... 132 DenOptix Scan Type Setup ................................................................................. 132 Custom Image Enhancements ........................................................................................... 133 Image Source Enhancements ............................................................................................ 134 Example Groups ............................................................................................................... 135 Document Groups ............................................................................................................ 136 Application Interfaces....................................................................................................... 136 Adding an Interface ............................................................................................ 136 Fast CheckIn 137 Patient Check-in Terminal ................................................................................................ 137 Fast CheckIn Custom Documents ........................................................................ 139 Using Fast CheckIn .......................................................................................................... 140 IntelliCare 142 Intelligent Reminders ....................................................................................................... 142 IntelliCare Preferences ........................................................................................ 142 Creating IntelliCare Reminders ........................................................................... 143 Account .............................................................................................................. 143 Notification ........................................................................................................ 145 vi • Contents Patterson EagleSoft 15.00 Appointment ....................................................................................................... 146 Documentation ................................................................................................... 147 Imaging .............................................................................................................. 149 Patient Birthday .................................................................................................. 150 Patient Exam ...................................................................................................... 151 Patient Info ......................................................................................................... 152 Service ............................................................................................................... 153 The IntelliCare Reminder Window ...................................................................... 154 IntelliCare Notifications ...................................................................................... 155 IntelliCare Indicators .......................................................................................... 155 IntelliCare Report ............................................................................................... 155 AutoDialer 157 Make Calls Using AutoDialer ........................................................................................... 157 Using AutoDialer ............................................................................................................. 157 Making a Call ..................................................................................................... 157 Use the AutoDialer ........................................................................................................... 158 OnSchedule 159 Getting Started With OnSchedule ..................................................................................... 159 Setting Up OnSchedule..................................................................................................... 159 OnSchedule Options ........................................................................................... 160 Establishing Provider Hours ................................................................................ 162 Custom Hours per Provider ................................................................................. 162 Customize Your Hours Using Custom Hours .................................................................... 164 Understanding Custom Hour Frequencies ............................................................ 165 Setting Up Chairs ............................................................................................................. 168 Using Appointment Types................................................................................... 168 Changing Appointment Types ............................................................................. 170 Design Templates To Manage Your Day ............................................................. 170 To set up a template: ........................................................................................... 171 Office Chairs ...................................................................................................... 172 How to Set Up Chair Hours................................................................................. 172 Assigning Providers and Goals to Chairs ............................................................. 173 Scheduled vs. Goal ............................................................................................. 173 Holiday Setup ..................................................................................................... 173 Customize OnSchedule Using Views .................................................................. 174 Using OnSchedule ............................................................................................................ 175 A Tour of OnSchedule ...................................................................................................... 175 The OnSchedule Navigation Toolbar ................................................................... 176 OnSchedule Toolbar ........................................................................................... 176 Using the Right-Click Menu ............................................................................... 178 Customizing OnSchedule Options..................................................................................... 179 Display/Print Setup ............................................................................................. 179 Appointment Display Information ....................................................................... 180 Using Indicators to Track Patient Needs .............................................................. 180 Day At A Glance Button Setup ........................................................................... 181 Week At A Glance Button Setup ......................................................................... 182 Saving Your Scheduler Preferences ..................................................................... 182 Creating Alert Indicators ..................................................................................... 182 Moving or Hiding Chairs in OnSchedule........................................................................... 182 Month At A Glance............................................................................................. 183 Viewing the Legend ......................................................................................................... 184 Scheduling Appointments ................................................................................................. 185 Patterson EagleSoft 15.00 Contents • vii Managing and Viewing Existing Appointments................................................................. 187 Editing the Appointment ..................................................................................... 187 Set Next Arrival Indicator ................................................................................... 187 Mark Appointments As Walked Out.................................................................... 189 Confirm/Unconfirm Appointments ...................................................................... 189 View Patient Photo ............................................................................................. 189 Review Prescription History................................................................................ 189 Using the Current Time Indicator ........................................................................ 190 Moving/Copying Appointments ........................................................................................ 190 Select and Drag Appointments ............................................................................ 190 How to Use the Appointment Queue ................................................................................. 190 Move/Copy Appointments .................................................................................. 190 Scheduling Family Appointments........................................................................ 191 Creating Unscheduled Appointments................................................................... 191 Blocking Unavailable Appointment Times ........................................................................ 192 Day-At-A-Glance – Go to a Different Day ........................................................................ 192 Deleting Appointments ..................................................................................................... 193 Searching and Locating Appointment Times ..................................................................... 194 Locating Scheduled Appointments for Patients ................................................................. 194 Quick Fill List .................................................................................................................. 195 Using the Quick Fill List Window ....................................................................... 196 Deleting an Entry from the Quick Fill List ........................................................... 197 Quick Fill Note ................................................................................................... 197 Scheduling A Patient from the Quick Fill List ..................................................... 197 Printing the Daily Schedule .............................................................................................. 198 Viewing a Week at a Time................................................................................................ 199 Viewing Appointment Information within EagleSoft ......................................................... 199 EagleSoft Today 201 EagleSoft Today ............................................................................................................... 201 Task Manager 203 Introduction ...................................................................................................................... 203 Using the Task List........................................................................................................... 203 Accessing the Task List ...................................................................................... 203 Preferences ......................................................................................................... 203 View Options...................................................................................................... 204 Task List Ledger ................................................................................................. 204 Toolbar ............................................................................................................... 205 Creating/Editing a Task .................................................................................................... 206 New Task Window ............................................................................................. 206 Creating a Task with Task Manager Wizard ...................................................................... 207 Frequency........................................................................................................... 207 Setup .................................................................................................................. 207 Task Manager Report ....................................................................................................... 209 Filtering the Report ............................................................................................. 209 Printing and Previewing the Report ..................................................................... 209 Time Clock 210 Overview ......................................................................................................................... 210 Setting up the Time Clock ................................................................................................ 210 Setting Up Preferences ........................................................................................ 210 Using the Time Clock ....................................................................................................... 212 Entering Notes .................................................................................................... 212 viii • Contents Patterson EagleSoft 15.00 Time Sheet ......................................................................................................... 212 Time Sheet Report .............................................................................................. 213 Account Management – Unit 3 215 Walkout Processing 216 Introduction to Walkouts .................................................................................................. 216 Where Can I Process a Walkout ........................................................................................ 217 How To Create a Walkout Statement ................................................................................ 217 CAESY Printables ............................................................................................................ 221 CAESY Printables Preferences............................................................................ 221 CAESY Printables Setup..................................................................................... 221 CAESY Printables Walkout ................................................................................ 222 How To Process a Walkout ............................................................................................... 222 Generating an Insurance Claim from the Walkout ............................................................. 224 Frequently Asked Questions about Walkouts .................................................................... 226 Account Activities 228 Introduction to Account .................................................................................................... 228 How to Access the Account Window ................................................................................ 228 Viewing Patients on the Account ...................................................................................... 229 Using Account Options ....................................................................................... 230 Using Integrated Options within the Account Window ........................................ 230 Ledger Options ................................................................................................... 232 Frequently Asked Questions about Account ...................................................................... 236 Reviewing Account Ledger .............................................................................................. 238 Printing Account History .................................................................................... 238 Patient Information ........................................................................................................... 239 Walkout Statement from the Account Window.................................................................. 239 Recording Payments from the Account ............................................................................. 239 Accepting Payments and Payment Plan Payments ............................................... 239 Accepting an Insurance Payment ......................................................................... 240 Writing Off an Account .................................................................................................... 240 Writing Off an Account ...................................................................................... 240 Reactivating an Account that has Been Written Off ............................................. 241 Using Account Notes ........................................................................................................ 241 Recording Returned Cheques ............................................................................................ 242 Account Adjustments ....................................................................................................... 243 Entering a Credit Adjustment .............................................................................. 243 Entering a Debit Adjustment ............................................................................... 245 Tracking Failed and Cancelled Appointments ...................................................... 246 Print Today’s Receipts...................................................................................................... 247 Modifying Past Transactions............................................................................................. 247 Completed Services ............................................................................................ 248 Deleting Past Transactions ................................................................................................ 248 Deleting and Re-Entering Payments .................................................................................. 250 Account Payments .............................................................................................. 250 Insurance Payments ............................................................................................ 250 Filtering the Account History............................................................................................ 250 Account Type ................................................................................................................... 251 Setting Up Account Preferences........................................................................................ 252 Setting the Account Preferences .......................................................................... 252 Offsetting Debits and Credits for an Account .................................................................... 253 Preferences ......................................................................................................... 253 Patterson EagleSoft 15.00 Contents • ix Adjusting the Account ........................................................................................ 253 Report ................................................................................................................ 254 Setting Up Account Alerts ................................................................................................ 254 Assigning Account Alerts ................................................................................... 254 Removing Account Alerts ................................................................................... 255 Specifying Where to Display Alerts .................................................................... 255 Receive Account Payments 256 Account Payments ............................................................................................................ 256 Receive Insurance Payments 258 Receiving an Insurance Payment....................................................................................... 258 Closing an Insurance Claim – Final Payment ...................................................... 259 Final Payment on a Primary Insurance Claim with Secondary InsuranceError! Bookmark not defined. Distributing Insurance Payment Amounts to Individual Items .............................. 261 Receiving a Bulk Insurance Payment ................................................................................ 261 Payment Plan 264 Introduction to Payment Plans .......................................................................................... 264 Setting Up a Payment Plan .................................................................................. 264 Printing Payment Plan Information ................................................................................... 266 Printing a Report of Pending Payment Plans ........................................................ 266 End-of-Day Update Late Payment Plans .............................................................. 267 Receiving a Payment Plan Payment .................................................................................. 267 Distributing Payments/Credit Adjustments to Multiple Providers ...................................... 268 Credit Adjustment Impact ................................................................................... 269 Multiple Payments on an Account..................................................................................... 270 The Preference.................................................................................................... 270 Charting and Planning – Unit 4 272 Charting Treatment 273 Overview ......................................................................................................................... 273 Quick Tour through the Chart Window ............................................................................. 274 Chart Window .................................................................................................... 274 Insurance ............................................................................................................ 275 Ledger ................................................................................................................ 275 Images ................................................................................................................ 275 Zoom .................................................................................................................. 275 Selecting Teeth ................................................................................................... 275 Quick Picks ........................................................................................................ 275 Status ................................................................................................................. 276 Integration Menu Buttons.................................................................................... 276 Toolbar ............................................................................................................... 276 Primary and Permanent Dentition ..................................................................................... 277 Right-Click Menu in Chart .................................................................................. 277 Individual Tooth Images and History ................................................................................ 278 Draw Types, Status Hatches and Surfaces ......................................................................... 278 Customizable Colours and Draw Types ............................................................... 278 Custom Draw Types ........................................................................................... 279 Services and Conditions.................................................................................................... 282 Enter Condition .................................................................................................. 282 x • Contents Patterson EagleSoft 15.00 Enter Service ...................................................................................................... 283 Edit Services or Conditions ................................................................................. 284 Applying Surfaces ............................................................................................................ 286 Summary Surfaces .............................................................................................. 286 Detailed Surfaces ................................................................................................ 286 An Example of Using Detailed Surfaces .............................................................. 287 Detailed Surface information............................................................................... 288 Ledger .............................................................................................................................. 289 Right-Click Menu Options .................................................................................. 289 Lower Toolbar Options ....................................................................................... 290 Right Toolbar Options ........................................................................................ 293 Quick Picks ...................................................................................................................... 293 Treatment Plan 295 Treatment Planner ............................................................................................................ 295 Accessing the Treatment Plan ............................................................................. 295 An Introduction to the Treatment Plan Window ................................................................ 296 Patient Information ............................................................................................. 296 View Items By Plan ............................................................................................ 296 View All Items ................................................................................................... 299 Show Items Scheduled For Today ....................................................................... 301 Fast Delete from Treatment Plan ......................................................................... 301 Creating a New Treatment Plan ........................................................................................ 302 Processing the Treatment Plan .......................................................................................... 303 Informed Consent ............................................................................................................. 305 EagleSoft/CAESY Power Presentation .............................................................................. 306 Modifying Existing Treatment Plans ................................................................................. 310 Modifying a Different Plan ................................................................................. 310 Modifying the Description/Notes of the Plan ....................................................... 311 Modifying the Status of the Plan ......................................................................... 311 Modifying the Status of a Service Item in a Plan.................................................. 311 Modifying the Service Item Date Planned, Tooth, Surface ................................... 311 Saving Your Modifications ................................................................................. 311 Charting Perio 312 Introduction ...................................................................................................................... 312 Accessing the Perio Exam ................................................................................................ 313 Perio Exam Findings ........................................................................................................ 313 Using the Perio Exam ......................................................................................... 313 Individual Tooth – Images, History and Missing Status ....................................... 316 Toolbar Options .................................................................................................. 317 Clear All ............................................................................................................. 317 New Exam .......................................................................................................... 317 Back/Forward ..................................................................................................... 317 Notes .................................................................................................................. 318 Practice Management Integration ........................................................................ 318 Clinical Integration ............................................................................................. 318 Patient Photo ...................................................................................................... 318 Perio Comparison ............................................................................................................. 318 Comparison Window Functions .......................................................................... 319 Perio Graph ...................................................................................................................... 319 Display ............................................................................................................... 320 Zoom .................................................................................................................. 320 Print ................................................................................................................... 320 Patterson EagleSoft 15.00 Contents • xi Comparison Graph ........................................................................................................... 321 Show .................................................................................................................. 321 Zoom .................................................................................................................. 322 Print ................................................................................................................... 322 PSR 323 Overview ......................................................................................................................... 323 Accessing the PSR Exam .................................................................................................. 324 PSR Exam ........................................................................................................................ 324 Adding a New PSR Exam ................................................................................... 324 Viewing or Editing PSR Exams........................................................................... 325 PSR Comparison .............................................................................................................. 325 Print ................................................................................................................... 326 Show .................................................................................................................. 326 Clinical Exam 327 Overview ......................................................................................................................... 327 Accessing Clinical Exam .................................................................................................. 328 Clinical Exam Setup ......................................................................................................... 328 Clinical Exam Types ........................................................................................... 328 Security .............................................................................................................. 329 Introduction to the Clinical Exam Window ....................................................................... 330 Exam Date .......................................................................................................... 330 Exam Type ......................................................................................................... 330 Status ................................................................................................................. 330 Tabs ................................................................................................................... 330 Edit Patient ......................................................................................................... 331 History ............................................................................................................... 331 Imaging Features ................................................................................................ 337 Other Fields ........................................................................................................ 341 Dental Care......................................................................................................... 343 Emotional Motivators/Concerns .......................................................................... 343 Printing A Clinical Exam Report ...................................................................................... 346 Patient Notes and Note History 348 Overview ......................................................................................................................... 348 Accessing Note History .................................................................................................... 348 Integrated Notes History and Patient Notes ....................................................................... 348 Display Note on Account Statement .................................................................... 348 Tooth Selector .................................................................................................... 349 Colour ................................................................................................................ 349 Save As .............................................................................................................. 349 AutoNote ............................................................................................................ 349 Find .................................................................................................................... 349 Save ................................................................................................................... 349 Note Ledger Toolbar ........................................................................................... 349 Viewing or Editing the Contents of a Note .......................................................... 350 Deleting a Note ................................................................................................... 350 Tracking Notes ................................................................................................... 350 Tracking Post Procedure Notes ........................................................................... 350 Printing a Listing of the Notes ............................................................................. 350 Text Notes........................................................................................................................ 351 Creating a New Text Note ................................................................................... 351 Scribble Pad Notes ........................................................................................................... 351 xii • Contents Patterson EagleSoft 15.00 Creating a New Scribble Pad Note ...................................................................... 351 Imaging – Unit 5 352 Advanced Imaging 353 Introduction ...................................................................................................................... 353 Accessing Advanced Imaging ........................................................................................... 353 Opening Advanced Imaging for the First Time.................................................................. 354 Toolbar ............................................................................................................... 354 Exam Bar ........................................................................................................... 355 Right-Click Menu on an Exam ............................................................................ 356 Exam View ......................................................................................................... 357 Image View ........................................................................................................ 359 Image Information View ..................................................................................... 359 Viewing Open Images ......................................................................................... 361 Acquiring New Images ..................................................................................................... 362 Sensor ................................................................................................................ 362 DenOptix ............................................................................................................ 362 EagleSoft Scanner Interface ................................................................................ 363 Scan New Images ............................................................................................... 363 Video Capture..................................................................................................... 364 Live Video Exam ................................................................................................ 365 ScanX................................................................................................................. 365 Panoramic........................................................................................................... 365 Other Exam ........................................................................................................ 366 File ..................................................................................................................... 366 Clipboard............................................................................................................ 366 Drag and Drop Images ........................................................................................ 366 Patterson 3D Viewer ........................................................................................... 367 Image Recycle Bin ........................................................................................................... 369 Using Advanced Imaging – Functionality ......................................................................... 370 File Menu ........................................................................................................... 370 Print Custom Image Templates ........................................................................... 375 Edit Menu........................................................................................................... 376 View Menu ......................................................................................................... 378 Image Menu ....................................................................................................... 379 Effects Menu ...................................................................................................... 380 Tools Menu ........................................................................................................ 386 Activities Menu .................................................................................................. 390 Image Document Window ................................................................................................ 391 Image Document Viewing................................................................................... 393 Cosmetic Imaging 394 Introduction ...................................................................................................................... 394 Accessing Cosmetic Imaging ............................................................................................ 394 Using Cosmetic Imaging .................................................................................................. 395 Brushes .............................................................................................................. 395 Selection ............................................................................................................. 395 Try In ................................................................................................................. 396 Basic Operations ................................................................................................. 396 Levels ................................................................................................................. 397 Lorin Library ...................................................................................................... 397 Patterson EagleSoft 15.00 Contents • xiii Continuing Care – Unit 6 398 Rx Writer 399 Introduction to the Rx Writer ............................................................................................ 399 Setting Up the Rx Writer .................................................................................................. 399 Rx Drugs ............................................................................................................ 400 Pharmacies ......................................................................................................... 400 Templates ........................................................................................................... 402 Setting Up Rx Writer Preferences ..................................................................................... 403 Person Preferences .............................................................................................. 403 Accessing the Rx Writer ................................................................................................... 404 Creating Prescriptions....................................................................................................... 405 Prescriptions Window ......................................................................................... 405 Printing Prescriptions and Reports .................................................................................... 407 Printing Prescriptions .......................................................................................... 407 Printing Prescription Reports............................................................................... 407 Lab Case Tracking 408 Introduction to Lab Case Tracking .................................................................................... 408 Lab Case Tracking – Setup ............................................................................................... 408 Laboratories........................................................................................................ 408 Creating Lab Case Types .................................................................................... 409 Laboratory Cases .............................................................................................................. 410 Add Images to Lab Cases ................................................................................................. 412 Lab Case Tracking – Printing............................................................................................ 413 Lab Case Reports ................................................................................................ 413 Lab Cases ........................................................................................................... 413 Using Lab Cases with Walkouts........................................................................................ 414 Using Lab Cases with Appointments................................................................................. 415 Post Procedure Notes 416 Introduction To Post Procedure Notes ............................................................................... 416 Turning Notes into Post Procedure Notes ............................................................ 416 Linking Post Procedure Notes to Service Codes................................................... 416 Managing Post Procedure Notes .......................................................................... 417 eReferrals 418 Introduction to eReferrals ................................................................................................. 418 Setting Up Referral Recipients .......................................................................................... 419 Using the eReferral Wizard............................................................................................... 421 Using the eReferral Manager ............................................................................................ 423 Recalls 425 Introduction to Recalls ...................................................................................................... 425 Using Recall Wizard......................................................................................................... 426 Accessing Recall Wizard .................................................................................... 426 Previous Recalls and Printing .............................................................................. 426 Setting Up the Recall Wizard .............................................................................. 427 Printing and Exporting Options ........................................................................... 428 Method ............................................................................................................... 429 E-mailing Recalls ............................................................................................... 429 xiv • Contents Patterson EagleSoft 15.00 Print Options ...................................................................................................... 429 Messages ............................................................................................................ 429 Sort By ............................................................................................................... 430 Previews and Reports .......................................................................................... 430 Recall Tracking ................................................................................................................ 431 Recall Status ....................................................................................................... 432 Recall Types and Service Codes .......................................................................... 433 Daily Procedures – Unit 7 434 Processing Claims and Pre-Authorizations 435 Overview ......................................................................................................................... 435 An Introduction to the Claims Window ............................................................................. 436 Accessing the Claims Window ............................................................................ 436 Find Name .......................................................................................................... 436 Print Envelopes/Labels ....................................................................................... 436 Show What ......................................................................................................... 436 View .................................................................................................................. 437 Ledger ................................................................................................................ 437 Claim Actions .................................................................................................................. 438 Processing Claims............................................................................................... 438 Viewing or Editing Claims .................................................................................. 438 Closing a Claim .................................................................................................. 438 Entering Claim Notes .......................................................................................... 440 Making Payments ............................................................................................... 440 Change Insurance ............................................................................................... 441 Change Answers............................................................................................................... 442 Viewing Reconciliations ................................................................................................... 443 Printing and Reprinting Insurance Claims ......................................................................... 443 Aging Accounts 444 Overview ......................................................................................................................... 444 Aging Balances with Category Aging ............................................................................... 444 To Age Accounts with Category Aging ............................................................... 445 Aging Balances With True Date Aging ............................................................................. 445 Processing Statements 447 Overview ......................................................................................................................... 447 Statement Preferences....................................................................................................... 447 How to Process Statements ............................................................................................... 448 The Statement Queue .......................................................................................... 451 eBusiness 453 Introduction ...................................................................................................................... 453 How Do I Create an eClaim? ............................................................................................ 453 Creating Electronic Claims ................................................................................. 453 Creating Pre-Authorizations ................................................................................ 454 Creating Pre-Authorizations for Orthodontic Patients .......................................... 454 Preferences ....................................................................................................................... 455 Setting Up Preferences ........................................................................................ 455 Clients Submitting with eClaims ....................................................................................... 457 Patterson EagleSoft 15.00 Contents • xv Online Center 461 Introduction ...................................................................................................................... 461 Online Menu .................................................................................................................... 461 Remote Support From Patterson Technology Center ............................................ 461 Live Help ........................................................................................................... 461 FAQ ................................................................................................................... 461 End-of-Day/End-of-Month 463 Overview ......................................................................................................................... 463 Processing End-of-Day ..................................................................................................... 463 End-of-Day Reports.......................................................................................................... 464 Printing Daily Reports from the Reports Menu .................................................... 464 Deposit Slip/Secondary Deposit Slip ................................................................... 465 Processing End-of-Month ................................................................................................. 465 Process End-of-Day ............................................................................................ 465 Print Statements .................................................................................................. 465 Perform Monthly Backup .................................................................................... 466 Age Accounts ..................................................................................................... 466 Processing End-of-Month ................................................................................................. 466 Processing End-of-Year .................................................................................................... 467 Before Processing End-of-Year ........................................................................... 467 When Processing End-of-Year with End-of-Month .............................................. 467 When Processing End-of-Year Separately ........................................................... 468 Provider Productivity........................................................................................................ 468 Reviewing Provider Productivity ...................................................................................... 468 Adjustments, Production and Collections .......................................................................... 469 Practice Administration Tools – Unit 8 471 Patient Summary 472 Overview ......................................................................................................................... 472 Viewing Patient Summary................................................................................... 472 Using the Right-Click Menu ............................................................................... 473 Printing Patient Summary ................................................................................... 474 SmartDoc 475 SmartDoc Overview ......................................................................................................... 475 SmartDoc Preferences ......................................................................................... 475 Import EagleSoft Documents............................................................................... 476 Accessing SmartDoc ........................................................................................................ 476 Merge Creation from SmartDoc ........................................................................................ 478 SmartDoc Word Merge ....................................................................................... 478 Batch Merge ....................................................................................................... 478 Merge Images into SmartDoc .............................................................................. 479 Image Merge in SmartDoc .................................................................................. 480 Send Image to SmartDoc..................................................................................... 483 EOY Reports For SmartDoc ................................................................................ 483 Custom Print to SmartDoc ................................................................................................ 483 Reports 484 Overview ......................................................................................................................... 484 xvi • Contents Patterson EagleSoft 15.00 Generating and Printing Reports ....................................................................................... 484 Report Filters ................................................................................................................... 486 Patient Filter ....................................................................................................... 486 Patients by Insurance Report Filter ...................................................................... 487 Patients by Employer Report Filter ...................................................................... 487 Accounts Filter ................................................................................................... 488 Provider Filter..................................................................................................... 489 Quick Reports .................................................................................................................. 489 Available Reports ............................................................................................................. 491 All Reports ......................................................................................................... 491 Financial............................................................................................................. 491 Insurance ............................................................................................................ 493 Patient ................................................................................................................ 494 Providers ............................................................................................................ 496 Scheduler............................................................................................................ 497 Services .............................................................................................................. 498 Tx/Rx/Lab .......................................................................................................... 499 Other Reports ..................................................................................................... 499 Clinical ............................................................................................................... 500 My Favorites ...................................................................................................... 501 Practice Management 502 SnapShot .......................................................................................................................... 502 Viewing SnapShot .............................................................................................. 502 Revenue Opportunities ..................................................................................................... 504 Viewing Revenue Opportunities .......................................................................... 504 The Money Finder ............................................................................................................ 506 Viewing The Money Finder ................................................................................ 506 Trends .............................................................................................................................. 508 Accessing Trends................................................................................................ 508 Updating Trends ................................................................................................. 509 Indicator Fields ................................................................................................... 510 Printing Trends Information ................................................................................ 510 Indicator Field List ............................................................................................. 511 Route Sheets 516 Overview ......................................................................................................................... 516 Information on the Patient Route Sheet ............................................................... 516 Generating Route Sheets for Patients with Appointments..................................... 517 Generating Route Sheets for Individual Patients .................................................. 517 Setting Up a Fee Sheet for Your Route Sheets ..................................................... 518 InContact 519 Overview ......................................................................................................................... 519 Accessing InContact ......................................................................................................... 519 Adding Patients to InContact ............................................................................................ 520 Manually from InContact .................................................................................... 520 Recalls................................................................................................................ 521 The Money Finder .............................................................................................. 521 Post Op Calls ...................................................................................................... 522 Reports ............................................................................................................... 522 Working with Patients in InContact .................................................................................. 522 Sort .................................................................................................................... 523 Status ................................................................................................................. 523 Patterson EagleSoft 15.00 Contents • xvii Right-click Menu ................................................................................................ 523 InContact Data ................................................................................................................. 523 Patient Information ............................................................................................. 524 Account Information ........................................................................................... 524 InContact Type Summary ................................................................................... 524 InTouch 525 Overview ......................................................................................................................... 525 Accessing InTouch – Letters .............................................................................. 525 Creating A New Letter...................................................................................................... 526 Customizing a Letter ........................................................................................................ 526 Inserting Data Fields into Your Letter for Merge ................................................. 526 Merging Data into the Merge Fields .................................................................... 527 Customizing Your Letters ................................................................................... 527 Saving, Sending and Printing Letters ................................................................................ 528 Save a Letter ....................................................................................................... 528 Printing and Sending a Letter .............................................................................. 529 System Maintenance and Backups – Unit 9 531 Utilities 532 Overview ......................................................................................................................... 532 System Inquiry ................................................................................................................. 532 Using System Inquiry ......................................................................................... 532 Patient Transfers............................................................................................................... 533 Transferring a Patient to a Different Responsible Party ........................................ 533 Setting up Patients as Their Own Responsible Parties .......................................... 534 Making a Responsible Party Only a Patient ......................................................... 534 Patient Transfer With History.............................................................................. 534 Walkout Statement Utility ................................................................................................ 535 Reprinting Walkout Statements and Payment Receipts ........................................ 535 Viewing Estimation on Walkouts ........................................................................ 535 Re-creating the Claims ........................................................................................ 536 Change Service Fees......................................................................................................... 537 Changing Individual Fees.................................................................................... 537 Changing Fees for Multiple Services ................................................................... 537 Purge Options................................................................................................................... 538 Mass Delete Appointments ................................................................................. 539 Mass Delete Unscheduled Appointments .......................................................................... 539 Delete Treatment Plan Items ............................................................................... 539 Delete Pre-Authorizations ................................................................................... 540 Mass Delete Time Sheets .................................................................................... 540 Remove Duplicate Insurance Companies ............................................................. 540 Delete Electronic Submissions Log ..................................................................... 541 Delete From Task List......................................................................................... 541 Mass Updates ................................................................................................................... 541 Global Employer Preferences .............................................................................. 542 Mass Patient Transfer ......................................................................................... 543 Mass Appointment Transfer ................................................................................ 543 Update Patient Signature On File ........................................................................ 544 Mass Update Area Codes .................................................................................... 544 Trojan Services Utilities ...................................................................................... 544 Reset Insurance Balances .................................................................................... 545 Change Insurance Benefits .................................................................................. 545 xviii • Contents Patterson EagleSoft 15.00 Mark Appointments As Walked Out.................................................................... 546 CDT Utility ........................................................................................................ 546 Inactive Provider Wizard .................................................................................... 546 Assign Dentist on Hygiene Appointments ........................................................... 551 Data Archiving Wizard ....................................................................................... 551 Data Restoration Wizard ................................................................................................... 553 Database Validation.......................................................................................................... 554 Database Navigator .......................................................................................................... 554 Remove All Users ............................................................................................................ 554 Recover OnSchedule Audit Trails ..................................................................................... 554 User Summary.................................................................................................................. 555 System Activity Log ......................................................................................................... 555 Communication ................................................................................................................ 556 eClaims and eStatement Logs.............................................................................. 556 Reinitialize Controls ........................................................................................... 556 View e-Claims File ............................................................................................. 556 Auto Backup .................................................................................................................... 556 Messenger ........................................................................................................................ 557 Introduction ........................................................................................................ 557 Using Messenger ................................................................................................ 557 Using EagleSoft Messenger’s Sound ................................................................... 558 Using EagleSoft Messenger from Other Locations ............................................... 559 Assign eClaim Payer IDs .................................................................................................. 559 Infoport ............................................................................................................................ 559 Saving Indicators to File ..................................................................................... 559 Install the Write Note ....................................................................................................... 560 Patient Education.............................................................................................................. 560 Calculator ......................................................................................................................... 560 Fast CheckIn Preferences/Activities .................................................................................. 561 Image Recycling Bin ........................................................................................................ 563 View Messenger Log ........................................................................................................ 563 Master Password .............................................................................................................. 564 Print Screen ...................................................................................................................... 566 Database Options.............................................................................................................. 566 Making Backups 568 Backups ........................................................................................................................... 568 Making Backups ................................................................................................. 568 When to Make Backups ...................................................................................... 569 More Tips on Your Backups ............................................................................... 569 Troubleshooting – Unit 10 571 How to Use the Index ....................................................................................................... 571 Shortcut Keys and Navigational Hints ............................................................................... 571 Function Keys..................................................................................................... 572 Navigation .......................................................................................................... 572 Additional........................................................................................................... 573 Additional EagleSoft Modules .......................................................................................... 574 Dual Databases ................................................................................................... 574 The Write Note................................................................................................................. 574 eService ........................................................................................................................... 574 EagleSoft Direct.................................................................................................. 575 Live Help ......................................................................................................................... 575 EagleSoft Remote ............................................................................................................. 576 Patterson EagleSoft 15.00 Contents • xix Appendix 578 Draw Type Legend ........................................................................................................... 578 Index xx • Contents 581 Patterson EagleSoft 15.00 Initial Setup – Unit 1 This unit contains the following chapters: Patterson EagleSoft 15.00 Logging On Security Administration Using Patterson EagleSoft 15.00 Menu Tour Quick Start Basics Patterson EagleSoft 15.00 Initial Setup – Unit 1 • 1 Patterson EagleSoft 15.00 Welcome to Patterson EagleSoft! Welcome to Patterson EagleSoft, the Windows-based dental practice management system. With EagleSoft, your office and operatory are more efficient, more productive and more profitable. EagleSoft has developed a system that takes control of your practice management and leaves you with more time to concentrate on your patients and profits. About EagleSoft With EagleSoft, data is automatically updated throughout the system once it is entered; there is no need for constant keying of the same information. Reports are available on most topics and are accessible from several different areas. Employers, insurance companies, service codes and fee schedules can be linked for simple insurance processing. The flexibility of the design enables you to customize EagleSoft to the ultimate benefit of your office. The information within the User’s Guide is also available in the online Help. Things to Remember When using this guide, remember: 2 • Patterson EagleSoft 15.00 • When pointing you to certain areas of the software, the guide is written as if you are viewing the Integrated Mode window. For example, if you are going to set up patients, you need to access the Lists menu, then Practice Management Lists and then choose the Person option. If you are viewing the Practice Management Front Office window, there is one less step involved. For example, to set up a patient, you would go to the Lists menu and select Person • Both Practice Management (Practice Management software) and Clinical (Operatory software) instructions are available in the same guide. This enables you to learn the software more quickly and easily Patterson EagleSoft 15.00 Logging On Starting EagleSoft The first step in getting started each day is to log on to the system. The logon process identifies the user and the date that is associated with each transaction. It is recommended that you log off and log back on each time you wish to change users or change the current date. After installing EagleSoft, select the Windows Start button in the lower left-hand corner of your Windows desktop. With your mouse, scroll to the Programs selection. From Programs, go to EagleSoft. You have the option of using EagleSoft or the Assistant. EagleSoft is the option you’ll choose to use your “live” database of patients in the “live” application of EagleSoft. Assistant is the option to choose if you want to train a new staff person or if you wish to learn a new area of EagleSoft but not on your “live” database (so any changes you make do not affect your actual database). The Assistant has all of the same features of EagleSoft but with sample/test data using American service codes and American tooth numbering system. Learn all that you can! If you are using Multi-User EagleSoft, you must first choose Start EagleSoft Server to start the database engine, then choose EagleSoft from this or any EagleSoft workstation. To use EagleSoft or the Assistant, you may: 1. From the Programs menu, select the EagleSoft or Assistant icon. -or- 2. Patterson EagleSoft 15.00 Double-click the EagleSoft or Assistant icon (if you have set up a shortcut on your Windows desktop). Logging On • 3 EagleSoft Log On/Off Before you log on, you may want to read the chapter concerning security options and features. Before utilizing the many features of EagleSoft, you need to log on to the system by selecting your name from the list of users, entering your password (if one has been set up) and confirming the date. Logging on to the system with the correct name enables EagleSoft to record your User Name/ID with each patient transaction. Logging On to EagleSoft 1. From the Logon window, choose the user’s name in the User field. 2. Enter a Password. A password is only required if the security administrator has set up passwords for the staff members. 3. Verify the Date. If the date is incorrect, you should verify that the system date on your computer is correct. 4. Select Logon. The EagleSoft Integrated Mode desktop is displayed. Viewing Users Logged On There are two ways to view who is logged on to EagleSoft: 1. From the Utilities menu, select User Summary. The user(s) are displayed in this window, including the logon time. Select Exit to leave this window. -or2. Simply check the bottom of the virtual screen. The user’s initials are displayed next to the day, month, date and year. The Compliance Checker The Compliance Checker informs the user when a machine is out of compliance with EagleSoft’s hardware requirements. The Compliance Checker is a diagnostic tool designed to identify potential performance issues before they become problems. The Compliance Checker appears when the EagleSoft program is started on a machine where components do not conform to EagleSoft’s specifications. Your options on the Compliance Checker are to Print Report, E-mail Report, Save Report or Ignore. Selecting Ignore simply closes the window. 4 • Logging On Patterson EagleSoft 15.00 Select in the number box and enter a suitable number in the Remind Me Again In _ Day(s) section. The Compliance Checker appears again after the number of designated days has been exceeded. Use the FAQ link on the Compliance Checker to review articles on each incident listed on the Compliance Checker. From here, you can access articles pertaining to the issues stated in the Compliance Checker. Logging Off and Exiting in EagleSoft Integrated Mode Logging Off Use the logoff function when logging off and quitting EagleSoft Integrated Mode. You also need to log off to allow other persons in the office to log on under their name. To log off EagleSoft Integrated Mode: 1. From the File menu, choose Logoff. The Logon window appears. Select Exit to exit EagleSoft. Exiting To exit EagleSoft Integrated Mode: 1. From the Integrated Mode window, select the Exit icon (an exit button in the bottom right of the Integrated Mode window). -or- 2. Select Exit on the toolbar. Exiting EagleSoft Practice Management or Clinical Logging Off Use the logoff function when logging off and quitting EagleSoft Practice Management or Clinical. You also need to log off to allow another person in the office to log on under the user’s name. To log off EagleSoft Practice Management or Clinical: From the File menu, choose Logoff. The Logon window appears. Select the Exit button to exit the program. Exiting To exit EagleSoft Practice Management or Clinical: From the Practice Management Front Office or Clinical Operatory window, select the Exit icon. -orSelect Exit on the toolbar. Select FileExit. Patterson EagleSoft 15.00 Logging On • 5 Security Administration Security Administration Security is one of the most important features when it comes to ensuring that your data remains protected and accurate. This chapter explains how to utilize the security options in EagleSoft to specify access levels for staff members. Before you set up user profiles for your staff, you need to choose a person or persons to have Security Access rights. This person is usually a dentist or owner of the practice and maintains the passwords and access levels of each person who uses EagleSoft. To use the Assign Provider Security item initially after installing EagleSoft Version 15.00, the current Security Administrator will need to login as usual. The Security Administrator will then need to edit a provider/staff profile to assign administration rights. In the selected profile, select the Security button. 6 • Security Administration Patterson EagleSoft 15.00 1. Select Provider from the Show Security Zone dropdown list. 2. Scroll the list to locate the Assign Provider Security item. 3. Double-click to enable. Enabled items will have a green “x” next to them. Administrative User To give a staff member full administrative rights over the entire system, select the Administrator profile. In the Security screen, select Administrator from the Security Profile dropdown list. Security Profiles can be deleted. The Assign Provider Security item is selected by default. You will need to log out and log back in before these changes can take effect. Security Profiles A Security Profile is a set of security access items that can be applied to specific users, positions or as defaults for new employees. Profiles can be centrally managed so a change to the profile changes the access for all users assigned to the profile. Security Zones Security Zones are areas of focus and functionality designed to group protocols into easy to locate groups. Security items may be assigned to multiple security zones. The items should display in any logical zone based on its application. Setting Up Security Profiles The purpose of Security Profiles is they predetermine the security needs of each staff position. Establish basic security profiles for staff positions and change them as needed. Profiles allow you to quickly apply security items Patterson EagleSoft 15.00 Security Administration • 7 to new staff. Four default profiles are provided: Administrator, Basic User, Clinical User and Practice Management User. Under Lists | Security Profile, select New to create a new profile. Name – Enter the desired name for the Security Profile. Reset to Security Profile – Use the dropdown menu to select an existing profile from which to start. Show Security Zone – Use the dropdown menu to select a Security Zone. Allow All – Select this option to allow all available options for the selected Zone. Block All – Select this option to block all available options for the selected Zone. Double-click a list item to manually select to allow or block the individual item. The text box located at the bottom of the window briefly explains the selected security item. Assigning Security Profiles To access the new Security access, go to Lists | Provider/Staff. In the Provider/Staff list, select and Edit the desired staff member. You must have Administration rights to assign security profiles. 8 • Security Administration Select the Security button to Edit/View Provider Security window. Creating Passwords 1. In the New Password field, enter the desired password for the selected provider. 2. In the Confirm Password field, reenter the password from the New Password field. Patterson EagleSoft 15.00 3. In the next section, establish the security questions and answers needed to retrieve this provider’s password when lost, forgotten or not established. In the Security Settings section, use the dropdown arrow to change a Security Profile. Current Security Profile – Use the dropdown menu to select a Security Profile. Show Security Zone – Use the dropdown menu to select a Security Zone. Allow All – Select this option to allow all available options for the selected Zone. Block All – Select this option to block all available options for the selected Zone. Double-click a list item to manually select to allow or block the individual item. The text box located at the bottom of the window briefly explains the selected security item. Patterson EagleSoft 15.00 Security Administration • 9 Using EagleSoft 15.00 The Virtual Screen Select File on the menu bar. The Virtual Screen allows you to move easily between Practice Management and Clinical Functions. If there is a check mark by Show Virtual Screen, the Virtual Screen window is enabled. To disable it, simply select the option from the dropdown menu, removing the check mark beside it. One of the unique features of EagleSoft is the virtual screen. The purpose of this interface is to provide quick access to the most frequently used areas of Practice Management and Clinical from one window. To view the Practice Management Front Office window, select the Window menu and choose Practice Management Mode. Keep reading to find out more information about the different modes. Viewing the Virtual Screens in Alternate Modes When you first log on to EagleSoft, the virtual screen is displayed in Integrated Mode by default. This window gives you access to several modules in Clinical and Practice Management. The Toolbar and Menu Bar are also available from this window. The following is a picture of the virtual screen in the Integrated Mode: 10 • Using EagleSoft 15.00 Patterson EagleSoft 15.00 If you prefer using the Practice Management Front Office, the ESToday or the Clinical Operatory windows, these options are available from the Windows menu. From the Windows menu, you can choose Practice Management, Clinical, the Integrated Mode or ESToday. This same Window menu is available from each module’s main window. If you are in Practice Management mode, you can easily flip back to the Integrated Mode by selecting on Window and choosing Integrated Mode. The virtual screen in Practice Management mode: The virtual screen in Clinical mode: Patterson EagleSoft 15.00 Using EagleSoft 15.00 • 11 The Virtual screen in ESToday mode: To display the labels as shown in the previous images, press the F2 key. Remove the labels by pressing the F2 key a second time. To quickly access one of the areas shown previously, simply select the picture that represents the area in which you desire to work. For example, select the printer to the left side of the desk to access your reports. To resize the virtual screen, right-click on the EagleSoft Title Bar and choose Minimize. Terminology F5 Key The F5 key enables you to quickly open the ID of the last patient, responsible party or policyholder who was accessed. When you are prompted to key in the ID, press the F5 key or select the button to the left of the name, policyholder or responsible party name. There are Last Policy Holder and Last Responsible Party buttons available when the Person List window is accessed from areas requiring a policyholder or responsible party. Hyperlink A hyperlink is a link from one location to another location or file, typically activated by selecting on a highlighted word or icon at a particular location on the screen. Sort and Search by First Name From the Person List window, choose the option to sort by First Name. The Person List is re-sorted with first names first. Enter in the first name for the patient, such as John or Tammy. Press the Tab key, and the patients with that first name appear in the top part of the list. 12 • Using EagleSoft 15.00 Patterson EagleSoft 15.00 Patient List from Activities From any of the Activities windows (Walkout Processing, Receive Payments and so on), enter the last name of the person you want to access. Then, enter a comma followed by the person’s first name or an abbreviated form of the first name. This pulls up a window with a list of possible person names based on the name entered. Select a name and select OK. Last Patient Button Select the Last Patient button to perform the same function as the F5 key. Select Last Patient, and the last patient accessed in the system is automatically selected. Active/Inactive Status Specifying an Active status means the patients are currently being used by the system. Inactive means that the patient may have been active in the system in the past and may appear in history and records, but they are not currently being used by the system. For example, if a patient no longer comes into the office, it might be tempting to simply delete him from the system. Because of the importance of maintaining clinical history, EagleSoft allows you to mark the patient as Inactive. If the patient is specified as Inactive, the patient remains in the system to be included in patient and provider history and reports but does not appear in the active patients list; therefore, the patient does not receive letters or postcards. The areas of the software where you can select Active/Inactive: Providers Referral Sources Exploding Codes Payment Types Service Codes Patients Insurance Companies Employer Show Inactives Select the Show Inactive checkbox to display inactive providers, patients, service codes and so on. Reports Reports are available from all quick boxes and many other windows. In addition, you can use the Report button on selected windows to view or print a report. Using Reports Patterson EagleSoft 15.00 1. From the menu bar, choose Reports or select the Reports Toolbar item. A listing of specific reports is displayed under the appropriate Report tab. 2. Select the desired tab and Report to preview and print. Choose OK to generate the report. If more information, such as a range of dates, is Using EagleSoft 15.00 • 13 required, you are prompted to enter that information. The Report Preview window is displayed. The following functions are also available from the right-click menu in the Report Preview window. 3. Select Zoom to view the report at different magnifications. 4. Select Filter to select a group of items to appear in the report. 5. Select Sort to change the order of items in the report. 6. Select Rulers to remove the ruler lines from the window. 7. Select SmartDoc to launch the SmartDoc application. 8. Choose the |< button to view the first page of the report. 9. Choose the > button to view the next page of the report. 10. Choose the < button to view the prior page of the report. 11. Choose the >| button to view the last page of the report. 12. Choose Print to access more print options and to print the report. 13. Choose Printer to set the printer the report prints on. 14. From the right-click menu only, choose SaveData As to save the report information as a Text file (*.txt), Microsoft Excel file (*.xls) or a Comma Delimited file (*.csv). 15. Choose Cancel to end the preview and return to the Reports quick box. Notes Notes are available on most windows that allow information entry. You can use notes for almost any purpose. For example, you might want to write notes about patients’ interests or hobbies. When notes exist for a topic, the Note button displays lines on the notepad. When notes do not exist for a topic, the notepad is blank. This is another of the customizable features of EagleSoft. Using Notes 1. From the Edit Person window, choose Notes. The Notes window is displayed. 2. Type any notes. An example of a person note is: “John enjoys playing golf.” 3. Choose OK to save the note and return to the Edit Person window. EagleSoft Virtual Screen Toolbar Other frequently accessed options of EagleSoft have been provided on the Integrated Mode toolbar. When you switch modes, a different toolbar is available from each window. The toolbar provides a quick and easy way to access various options in each module. You can customize the toolbar with items your office uses the most. Instead of selecting the option from a menu, you may select an item on the toolbar for quick access. 14 • Using EagleSoft 15.00 Patterson EagleSoft 15.00 To customize your toolbar: 1. Anywhere on the Toolbar, right-click and select Customize. 2. Under Available Toolbar Options, highlight the icon and select Add. 3. If you want to replace current buttons with different features, select another item from the Available Toolbar Options and select Add. If you are not happy with your customization, select the Reset button to change the toolbar button back to its original appearance. Toolbar Buttons Choose: To: Practice Management Functions Open the Person list. Open the Account window. Open the Account Payment window. Open the Insurance Payment window. Open the Walkout Statement window. Open the Treatment Plan window. Open the InContact window. Print, reprint, view and/or close insurance claims. Print or view reports. Open OnSchedule. View Practice Management result totals. Open the Bulk Payment window. Open Clinical, EagleSoft’s operatory software (only if installed). Open the Lab Tracking window. View a patient’s summary information. Patterson EagleSoft 15.00 Using EagleSoft 15.00 • 15 View and process payment plans. Open the Rx Writer. Open the Task List. Open the Trends practice management feature. Open the Statements Wizard. Open the Age Accounts module. Open the Process EOD module. Open the Process EOM module. Open the Route Sheets module. Open the Recall Wizard. Open the Revenue Opportunities module. Open the Messenger feature. Open the Web Sync function. Open the SmartDoc function. Open the Post Procedure Notes function. Open the Money Finder feature. Launch the eMagine program. Open the Family Appointments scheduler. Open the Track Arrival window Deselect the current Patient Open the ESToday Mode. Open the Integrated Mode. 16 • Using EagleSoft 15.00 Patterson EagleSoft 15.00 Clinical Functions Open the Chart window. Open the Clinical Exam window. Open a DenOptix Template. Open eReferral Manager. Open the eReferral Wizard. Open the Medical History. Open the Notes History. Open the Perio window. Open the PSR window. Open the new ScanX template. Open a Scanner template. Open a Sensor template. Open the Time Clock window. Open the Trends module. Open Video Images window. Open the Advanced Imaging window to view images. Open the Advanced Imaging window to acquire a 3D image. Open the Advanced Imaging window to acquire a Ceph image. Exit EagleSoft. Logoff EagleSoft. Patterson EagleSoft 15.00 Using EagleSoft 15.00 • 17 Customize Select the Customize option on the menu. The following window appears. Adding and Removing To add new buttons to the toolbar, select Available toolbar buttons in the left column. Select Add to transfer the button to the right column. When you select Close, the new button appears on the toolbar. Moving Up and Down To move the buttons to different locations on the toolbar, select a button and select the Move Up or Move Down button. Drag and Drop The Drag and Drop feature enables you to select a button, drag it and move it to a different location. Example for the Toolbar (Advanced Imaging Toolbar) Press and hold the Shift key. Select the Spot Colour button. Drag the button by holding down the shift key and then the left-select mouse button. Move the feature to another location on the toolbar and press the Shift key and the left-select mouse button to drop the button. Show Text Select this option to show the text on each toolbar button. Reset Select this option to set the toolbar back to its original default state. 18 • Using EagleSoft 15.00 Patterson EagleSoft 15.00 Menu Tour Overview EagleSoft, like most Windows software applications, begins with a main menu. The EagleSoft Main menu options are File, Activities, Lists, Reports, Online, Utilities, Window and Help. The File, Activities, Lists and Reports menus are subdivided into Practice Management and Clinical menus. Use Menu To: Option: Patterson EagleSoft 15.00 File Configure system preferences for Practice Management or Clinical, show or hide the virtual screen for any mode, set up printers in the printer administration, log off EagleSoft, or exit. Activities Use various features from Practice Management or Clinical. From the Practice Management Activities menu, you can access the Account window, generate a walkout statement, receive payments, process insurance claims and more. From the Clinical Activities menu, you can create record charting, record perio depths and more. Lists Create or modify lists of information necessary for your office or operatory. The Practice Management and Clinical lists include: Patients, Providers, Referral Sources, Insurance Companies, Employers, Image Templates, Fee Schedules, Clinical Exam Types, Insurance Coverage Books, Service Codes, Exploding Codes, Letters, Practice Information, Scheduler and General Setup information. Reports Generate and print reports and graphs for Practice Management or Clinical. Online Access the Online Center, eClaims, eStatements, eMagine and World Wide Web Links. Utilities Access system summary information, transfer a patient to a different account, reprint walkout statements or generate new claims for patients, change service fees, delete appointments, purge various data and mass updates, validate the integrity of your data, navigate through your database, view a listing of users on the system, view an activity log and access the calculator. Window Change the mode you are currently viewing. You can switch to Practice Management Mode, Clinical Mode, Integrated Mode or ESToday and cascade, tile or display windows that are currently open. Help Access the EagleSoft Online User’s Guide, EagleSoft Highlights, Frequently Asked Questions, Patient Education information and System Information. Using EagleSoft 15.00 • 19 Quick Start Basics Learning the Basics This section is provided as a primer of basic everyday functions that can be used as a quick reference source or a training guide for new staff. More indepth information pertaining to EagleSoft functions is available throughout the rest of this User’s Guide. Enter a New Patient In EagleSoft, only a minimum amount of information is necessary to enter a patient into the system. You can always go back later to add or modify the patient’s information. Here is a list of the minimum information needed: 20 • Quick Start Basics • Patient ID (if Auto Numbering is used, you do not need to enter this information.) • First and last name • Responsible party designation Patterson EagleSoft 15.00 Using Quick Setup 1. From the Lists menu, you can choose Person or choose Person from the toolbar. The Person List quick box is displayed. 2. Choose New. The New Person window is displayed. 3. Type the Patient ID. If Auto Numbering is used, an ID is assigned once the patient information is saved. 4. Type the patient’s first and last name. Neither field can remain blank. 5. Specify the patient’s Responsible Party and Policy Holder status. 6. If the patient is a Patient Only, type the responsible party’s ID. The responsible party’s name is displayed. 7. Type or select the patient’s address, including city, province and postal code. 8. Type the patient’s telephone number with area code. 9. Choose OK to save and return to the Patient List quick box. Make an Appointment To schedule or modify an appointment: 1. Highlight the appointment slot where the new appointment begins. Select Schedule or double-click in the open appointment slot. You can also right-click in the appointment slot and choose the Schedule Appointment command. 2. Choose a patient name from the Select Patient window by highlighting the patient name and selecting Use. If the patient has an existing treatment plan, you are prompted to utilize the service codes from the treatment plan. If the patient has any alerts, they appear here as well. The New Appointment window is displayed. Patterson EagleSoft 15.00 Quick Start Basics • 21 3. Choose the Appt Type from the dropdown list. Appointment types can be set up through Lists | OnSchedule | Appointment Types. 4. Choose the Primary Provider scheduled for this appointment from the dropdown list box. The patient’s preferred provider is chosen by default. 5. Choose the Secondary Provider, if applicable. 6. Enter the duration of the appointment by keying in the number of Time Units. Notice that the Provider Time/Provider ID listing on the right side reflects the number of time units for the appointment. 7. Enter the Amount of revenue that this appointment is expected to generate for the office. This is automatically entered if you have an amount set up for the appointment type or if you have already entered any services for this appointment. 8. Note: This field is optional in scheduling appointments. You can enter a two-character free-form Prefix for the appointment. This abbreviation appears next to the appointment detail displayed on the main OnSchedule window. Some offices have utilized this to represent tray setups (for example, T1 for Tray #1), insurance information, user who scheduled the appointment or Appointment Types. 9. Select Service to add services to the appointment. The Service Codes List window appears. Select a service code and select Use. If a service is already attached to the appointment, edit it by selecting the service and selecting Edit. 10. When any services are added to the appointment, the Display Abbreviation for the service is displayed. 11. Select Edit, Delete or Add to Tx plan. 12. Indicate the time units that the provider is expected to be working with the patient by selecting on the appropriate units in the Provider Time listing. 13. Select OK to save the appointment. Optional Features That Can Be Accessed from the Appointment 14. Type any free-form Notes for the appointment. If there is room for them in the appointment display, these notes appear in the OnSchedule display and printouts. 15. Select Print Card to print a patient appointment card from EagleSoft. 16. Select Patient to view patient information through the Edit Person window. From this window, you can edit and save information to the patient’s file. 17. If Imaging is installed, and this patient has a photo, a patient photo button is available. Select this button to view the patient’s photo. 18. Select Lab Case to create a lab case that is attached to this appointment. 19. Select Fast Walkout to process a walkout with any existing services attached to this appointment. You are prompted to save the appointment before continuing. 22 • Quick Start Basics Patterson EagleSoft 15.00 20. Select Family Appts to view the scheduled appointments for other family members. 21. Select the Appt Queue to save this appointment to the Appointment Queue instead of scheduling. Note: Eligibility is not available in Canada. Walkout Processing 1. Important Things to Remember when Using this Option: The Production goes to the Provider on the service. The Collections and Insurance* go to the selected Provider for Walkout. *Note: Provider on Insurance can be different depending on your preferences From the Activities menu, choose Practice Management Activities and then Walkout Statement. The Walkout Statement window is displayed (see the following image). 2. Type the partial or full last name of the patient and press the Tab key. You can also select Patient to get the Patient List box. When selected, the account and insurance information is displayed. 3. To change the provider for walkout, select the Provider for Walkout dropdown list box. If the patient’s preferred provider is not the provider on this walkout, you need to select a new provider. 4. If the patient has services attached to a scheduled appointment, you are prompted to add those items first. Select Yes to use these services and skip to step 7. If you select No, you are then prompted to add any treatment plan items marked Post to Walkout. If the Provider for Walkout is not set up to receive Collections or Insurance in the Edit Provider window, the provider does not receive the collections or insurance. For more information on Provider options, see the Accounting Preferences section. Patterson EagleSoft 15.00 Quick Start Basics • 23 5. When you have selected the treatment plan items, select OK to return to the Walkout Statement window. 6. Under Options, select the checkbox Use Date of Service From Planned Procedure or Use Fee From Treatment Plan (If applicable). 7. The provider automatically appears. (Note: This provider is based on how the service code is set up for the Normally Performed By field under the service code and the preferred dentist and preferred hygienist fields in the patient setup.) 8. If desired, change the provider by selecting the Provider box. A dropdown list box appears. Choose a new provider from those listed. 9. If you are receiving a message stating that the tooth/surface/quadrant is not allowed, edit the service code and modify the Affected Area box to match your requirement for this service. For this change to take effect, you need to cancel the current walkout and start over. 10. To delete a service code from the Walkout Statement window, highlight the service and select Delete. 11. Choose Process to process the walkout statement. The Walkout Statement Processing window is displayed. Entering Payments 24 • Quick Start Basics 1. Under Activities| Receive Payment, type the full or partial last name of the patient and press the Tab key, or enter the ID of the patient in the ID field and then press the Tab key. (If more than one patient exists in your database with the same last name, choose the correct name, and select OK.) The account balance information is displayed. 2. In the Date field, you can modify the date of the payment, if necessary. Otherwise, press the Tab key. Patterson EagleSoft 15.00 3. Select the Payment Type from the dropdown list provided. 4. Type the answer to the Number/Payment Prompt (if a prompt is set up for the payment type). This field usually refers to the check number or credit card number. 5. Enter the Amount of the payment and press the Tab key. This amount is applied to the patients who have balances in the oldest aging categories. 6. In the Distribution section, the preferred dentist is listed in the Provider field. If you wish to assign the payment to a different provider, select the Add button. 7. Select the Print Payment Receipt checkbox to print a receipt for the patient. 8. Select OK to save and enter the next payment. Adding or Editing a New Insurance Company 1. From the Lists menu, choose Insurance Companies. If you are in Practice Management mode, choose Insurance Companies from the Lists menu. The Insurance Companies List is displayed. 2. Choose New or Edit. The New or Edit Insurance Company window is displayed. Enter the information for the insurance company. • Patterson EagleSoft 15.00 Name – The name of the insurance company. This is the name that appears in the Insurance Company list box. Quick Start Basics • 25 • Address, City, Province, Postal Code – The address where claims are mailed. • Contact – The name of a contact at the insurance company. • Phones/Fax – The phone and fax numbers of the insurance company. • Active – Select or deselect the active checkbox to indicate the status of the insurance company. • Carrier ID – Id assigned to the insurance company by CDANet. • Network – Assign the network that this insurance company uses. • CDANet version - Use either 2 or 4. Itrans Additional Options • Notes – Any notes that pertain to this insurance company. • Employer – This section displays those employers linked to this insurance company. It does not display data until you have set up this insurance company and returned to this window by choosing Edit from the Insurance Companies List quick box. • Associate Companies – This section displays those insurance companies with the same payment group name as this insurance company. • Label/Env – Select Label/Env to print mailing labels for this insurance company. • Letter – Select Letter to print a letter directed to the insurance company. • SmartDoc – Select the SmartDoc button to launch the application. • CDANet – Click here to see the features of CDANet that are offered by this insurance company. Place a checkmark in the box beside the features to be used. Adding or Editing a New Employer 26 • Quick Start Basics 1. From the Lists menu, choose Employers/Coverage list. The Employers/Coverage List is displayed. 2. Choose New or Edit. The New or Edit Employer window is displayed. 3. Enter the basic information for the employer. Patterson EagleSoft 15.00 4. Enter the Group Name and Group Number for this employer. 5. Enter the Deductible, Maximum amount of coverage and the Beginning Month for the insurance company. 6. Enter the Insurance Company or select the word Ins. Company to select an existing insurance company or to set up a new one. 7. Select the Ins. Form. This is the insurance form that is used by default for all patients with this employer. 8. If the employees use fees that differ from your standard fees, select the Fee Schedule, or select Fee Schedule to select an existing fee schedule or to enter a new fee schedule. 9. Select a Coverage Book from the coverage book dropdown list box. Instead of having to set up several coverage books for several companies, you can create one coverage book to be used by multiple companies or select the word Coverage Book to enter a new one. 10. Select an Adjustment Type from the dropdown list. 11. Review and update the Percent covered for each service type and indicate whether this classification should be applied against the deductible. 12. Choose Notes, Prompts, Productivity, Coverage Book or Preferences to add more information to the employer/insurance coverage. 13. Choose OK to save and return to the Employers/Coverage Patterson EagleSoft 15.00 Quick Start Basics • 27 This page has been left blank intentionally. 28 • Quick Start Basics Patterson EagleSoft 15.00 Setting Up Your Software – Unit 2 The Setting up Your Software unit contains the following chapters: Setting up Practice Information Setting up Practice Preferences Setting up Providers Setting up Patients, Responsible Parties and Policyholders Setting up Employers and Insurance Companies Service Codes Exploding Codes General Setup Clinical Setup Fast CheckIn IntelliCare Autodialer OnSchedule EagleSoft Today Task Manager Time Clock Patterson EagleSoft 15.00 Setting Up Your Software – Unit 2 • 29 Setting Up Practice Information Setting Up Practice Information The Practice Information window is used to input basic information such as name, address and many other functions. Like the items in the General Setup section, the Practice Information is only modified occasionally after setup. Select the SmartDoc button to open SmartDoc for the practice. 1. Choose Practice Information from the Practice Management Lists menu. The Practice Information window is displayed. 2. Enter your practice’s general information. The names, addresses and phone and fax numbers appear on walkouts, statements and payment receipts. 3. Enter the Secondary Bank Account number. The secondary bank account number is used on the Secondary Deposit report. Note: Enter the Primary Bank Account number in Provider | Edit | Identification. If your practice has more than one bank account number, enter each number for each provider. If you have only one bank account number, enter the same bank account number for each provider. 30 • Setting Up Practice Information Patterson EagleSoft 15.00 4. Select the date for Last Modified Notice of Privacy Practice. 5. Select the SmartDoc button to launch the SmartDoc application. 6. Choose OK to save the information and return to the virtual screen. Practice Information Options Option Patterson EagleSoft 15.00 Function Messages Specify which of your system messages (for example, walkout statement message, 30 days overdue message and so on) to use on Walkouts, Recalls and Statements. To set up your system messages, go to Lists | General Setup | Messages or click the underlined message name on the Messages tab. Notes Enter notes that pertain to the practice. An example would be days for staff meetings, procedures for the office, how to check out a patient and so on. Preferences Choose the preferred dentist and hygienist and set the default recall frequency. Setting Up Practice Information • 31 Setting Up Practice Preferences Practice Management Preferences EagleSoft’s Practice Management program is customizable to fit the needs of your practice. Many of the settings you can customize are in the Practice Management Preferences menu accessed from File | Preferences. Asterisks were added to each preference that applies only to the workstation and not the entire network. General There are several preferences to review under the General tab. Delete Completed Tx Plan Items in Walkout – When completing a walkout, if any treatment plan items are used, they are deleted from that patient’s treatment plan. If you do not want this option enabled, make sure there is not a check mark next to it Note: If you do not choose to delete completed treatment plan items, the remaining deductible and/or remaining benefits may appear inaccurately in the Treatment Plan window. Disable Confirmation Messages (“Are you sure?”) – This preference allows you to specify whether or not to display the confirmation 32 • Setting Up Practice Preferences Patterson EagleSoft 15.00 messages, that is, “Are you sure?” or “Are you ready?” pop-up windows. This preference is machine-specific Service Code List Default Sort – Select the default order in which the Service Code List will appear AutoDialer – Number to Dial Out – Enter the number necessary to obtain an outside line when autodialing. Clinical Exam Preferences – Select the drop arrow to select the Default Exam Type. Select the checkbox to Insert Comments into Note History Insert Comments into Note History – Select the checkbox to add Comments into a Patient’s Note History. Use Quick Walkout Process – This preference allows you to disable the Walkout Processing Screen and the Insurance Question Screen. This preference is machine specific Disable New Balance Prompt on New Patient – This preferences allows you to disable the new balance prompt for new patients. Update NRA/NPA dates at End of Day – Appointment information is stored in each patient’s record and in OnSchedule. The Next Regular Appointment (NRA) and Next Preventive Appointment (NPA) dates are retrieved from the appointment information in the patient record. If this preference is checked, EagleSoft deletes the NRA/NPA information in the patient record for any dates that are prior to the date at the time you process EOD Note: It does not delete the actual appointment in OnSchedule. Display task list at the time of login – Select this box, and the task list displays each time someone logs on. This is helpful in serving as a reminder for daily, weekly or monthly tasks Show Vertical Line On Recall Postcards – In accordance with postal regulations, you have the option to display vertical dividing lines on recall postcards. This preference is selected by default Show Right Click Pointer – By default, this checkbox is selected. Deselect this checkbox if you do not want the right-mouse click icon to appear Use Multiple Recalls – Select this option to allow multiple recalls to be processed. Auto-mark only “post to walkout” services in Walkout – Select this option to automatically select the Post to Walkout items from the Chart or Treatment Plan on the Walkout. Use SmartCodes in Walkout & Treatment Plan – Select this option to apply smartcodes to service codes in walkout and treatment planning. Audio, Image, Indicators and Scribble File Location – Select the Network button to browse to the server across a network. Select the correct server location and folder on the network tree and select OK. Select the Local button to browse to the correct folder on your local machine. Do not use the Local setting if you are operating in a multi-user network environment. Select Yes to continue. Select No to return to the General Preferences. Select Allow Edit to manually change the path information without browsing. The Computer and Share fields become enabled to allow for editing. Select the field and enter the new information. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 33 Patient Use Auto Patient Numbering – Check this option to instruct Practice Management to automatically assign a patient ID number to all new patients beginning with the patient ID you specify. If you choose not to use this feature, you need to manually assign unique IDs to each patient during patient setup Search For Duplicate Names in Patient Setup – If you choose this option, the computer searches your patient database every time you create a new patient to make sure there are no existing patients with the same name Note: This feature can affect performance in EagleSoft. Search Patient List on Each Letter – This preference allows you to narrow your search as you type the name Show Social Insurance Number on Patient List – This preference allows you to specify whether or not to display patient Social Insurance numbers in the patient list box Show Social Insurance Number Show Recent People – Number to Display – This preference allows you to designate the number of Recent People that will be displayed in the Patient List when the Recent People checkbox is selected Disable New Balance Prompt on New Patient – When checked, this disables the system from prompting you for an account balance when setting up a new patient Enable Notice of Privacy Practices Message – This option allows the message to track Privacy Practices dates that appear in the Person screen 34 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Enable Authorization Message – This option allows the message to track Authorization dates that appear in the Person screen Enable Consent Message – This option allows the message to track Consent dates that appear in the Person screen Create Alerts Based on Medical History – This option allows the creation of a patient alert based on the information contained in the Medical History form Use Last Saved Med Hx Exam Data When Starting New Exam – This option allows you to use the previous Medical History information to create a new Medical History form for the same patient Insurance There are insurance preferences you can set from the Insurance tab. Default Insurance Form – Set the default to be used every time you create a new employer. This option does not mean that you are not able to choose a different form when submitting a claim. Changing this option does not change existing employers See the Utilities chapter in the System Maintenance and Backups unit for instructions on using the Mass Update module to change existing employer forms. There are multiple options in the dropdown box: None, CDA Standard Dental, CDANet, ITrans Print Default Ins. Form for E-Claims – Set the default to be used when opting to print electronic claims instead of sending electronically. Changing this option does not change existing employers Create Account Note For Creating, Closing, and Resubmitting Claims – Use this preference if you would like a note to be added in the Patterson EagleSoft 15.00 Setting Up Practice Preferences • 35 account history every time you submit, close or resubmit a claim for a patient Show Estimated Insurance On Walkout Statements – This feature enables the patient to leave the office with an idea of what is paid by the patient’s insurance company. Enable it by clicking on the box so that a check mark appears. If there is already one there, the feature is already enabled. Note: If this box is unchecked, the estimated insurance for each individual line item is not shown, but the total estimated amount is. When closing claims, assign services to current balance at next aging – Select this checkbox if you want the services to go to current balance by default. When true date aging is processed, the patient’s aging balance for this service remains current and ages according to the insurance payment date When closing claims, apply unpaid amounts to remaining benefits – This option allows you to automatically apply any unpaid amount from a claim to the remaining benefits Create Account Note for Real-Time Transactions – This option is not currently available in Canada. When making insurance payments, default final payment as checked – The option selects the Final Payment checkbox when using the Insurance Payment screen Accounting The Accounting tab offers several preferences for you to set up. Sales Tax Rate – If your office applies sales tax, this is where you set the rate. The current rate can be changed by manually entering the correct 36 • Setting Up Practice Preferences Patterson EagleSoft 15.00 number or by clicking on the up and down arrows until you reach the correct rate Note: If the sales tax rate is greater than 0%, the sales tax is figured on those services marked to “apply sales tax.” Billing Charge Impacts Production – Choose this option if you would like your billing charges included in all production totals. If you are not using billing charges, this option does not affect your reporting. If not selected, any finance charges are reported in the adjustment totals. Finance Charge Impacts Production – Choose this option if you would like your finance charges included in all production totals. If not selected, any finance charges are reported in the adjustment totals Create Account Note For Letters – This option generates a note in the account history when you send a letter to a patient Create Account Note for Recalls – This option is not currently available in Canada. Preferred Provider On Walkout – Select this option to set collections for services on the Walkout to the Preferred Provider Provider on Insurance Only – Select this option to denote a specific provider on insurance claims. This option will not affect collections The following appears. In account, display warning to adjust offsetting debits and credits– Select this option to have a warning displayed in the account window if there are offsetting debits and credits At EOD adjust accts seen today with offsetting debits and credits – This automatically adjusts accounts with offsetting debits and credits when you run EOD At EOD, Export Indicators To File – Select this checkbox to enable a Save Daily Indicators to a File option in the End-of-Day Processing window. If you use QuickBooks, Quicken or other spreadsheet programs, this option exports your Deposit report and other office totals to a file that can be opened up later in a spreadsheet program Create Account Note For Deleted Appointments – Select this option to create an account note when deleting appointments. Apply Appointment Cancellation Fee – Select this option to create and apply a cancellation fee. The Adjustment Type and Default Cancellation Fee fields appear. Use the dropdown list to select the Adjustment Type desired or select the hyperlink to open the Adjustment Fee list. Enter a monetary amount in the Default Cancellation Fee field. Default Acct Filter – Select this button to define default filter settings for the Account screen. Ledger Colours – Select this button to assign colours for the different types of ledger entries such as Account Payments and Services. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 37 Default Account Payment Type – Select the default payment type for all your account payments Default Insurance Payment Type – Select the default payment type for all your insurance payments Provider Payment Distribution Default – There are two options: Distribute Amount To Preferred Dentist or Prompt To Distribute Payments. If your office has only one provider, you can save time by choosing to distribute payments to the preferred dentist. If you have multiple providers and you want to increase your control of the allocation of collections, choose the latter option Walkout Patient Credit Distribution Default – There are two options: Distribute To Account Automatically or Prompt To Distribute. The first option automatically distributes payments to the oldest balance first. The second option prompts you to distribute the amounts Note: If you forget to select the prompt preference, you can still choose it in the walkout or payment windows. Statements The following is a short description of each option available from the Statements tab. Show Estimated Insurance on Statements – Select the checkbox to enable patients to see the estimated insurance amount. If this box is not checked, the balance due includes any outstanding estimated insurance Create Account Note for Statements – Create an account note in a patient’s account history to track statements. Click on the box next to this option if you would like to utilize it Add Statement Message To Account Note – To track the statement messages (for example, Your Account is Now 90 days Overdue), select this option to add statement messages to your account notes. Each time a statement is processed, a statement message is added to the account note Include Credit Card Payment Options – Select this option to include your credit card payment options on your statements. This is only available on enhanced statement forms 38 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Include Offsetting Debit and Credit Adjustment on Statements – Select this option to display any automatic adjustment to offset debits and credits on statements Return Address on Statements – Click on the radio button next to the option you prefer: Preferred Dentist or Practice. The return address on your billing statement is normally that of the practice. If you would like the address or name of the preferred dentist to appear, check Preferred Dentist. If doing so, make sure that his/her address is set up in the Edit Provider window Wizard Button – Each time you process statements, you are walked through several windows of different questions and prompts to customize how you want your statements to look; this is the Statement Wizard. By clicking the Wizard button, you will step through the same Statement Wizard windows you see each time you process statements, but instead of processing your statements, this allows you to set up your default answers/settings for the Statement Wizard. This enables quicker processing of statements in the future Below are instructions for setting up your Statement Wizard preferences. Wizard Preferences As stated before, the Wizard preferences windows are the same as the Statement Wizard windows. This section walks you through setting up the preferences for the Statement Wizard. Click Wizard. Select the default account range for Statement Wizard. 1. Individual Account • All Accounts • Accounts A - L • Accounts M – Z • Range of Accounts The Statement Preferences window appears. 2. Choose the types of accounts you want to receive statements: • Patterson EagleSoft 15.00 Accounts that have not had a statement in the last ___(enter number of days in the field) days Setting Up Practice Preferences • 39 • Accounts with balance greater than or equal to _____ (blank field) – Enter a default account balance for the Statement Wizard • Accounts with 100% estimated insurance – Select this checkbox if all of the patient’s balance is in estimated insurance • Accounts with estimated insurance – Select this checkbox to generate statements with estimated insurance • Accounts with outstanding claims – Select this checkbox to generate statements for accounts with outstanding claims. For more information on account range or types of accounts, go to the Statements chapter in the Daily Procedures unit. 3. Click Next when you are finished. 4. Customize the appearance of your statements, the amount and the order in which they are printed. For new conversions, we recommend that you use the I Will Choose A Date option for your first batch of Statements. • Include Item Detail – Select this checkbox if you want to include information about the services, billing and so on • Include All Items Since – If you choose the Account Last Statement option, the default statements are generated only for those accounts with activity since they received their last statement. If you would like to change the date, select the I Will Choose a Date option • Due Date – This is the payment due date that appears on the statements • Sort Transactions – Select how you want the transactions to be sorted on the statement. If you select By Patient, the transactions appear in order of patients on the account. If you select By Date, the services appear in date order Note: This can only be changed in the Statement Wizard. 5. Select the default message you would like to appear on the bottom of the statement. • Select the blue underlined words to access a message list box. You can also press the F2 key to open the Message list window. Default, 30 days, 60 days, 90 days and all other messages – Select the default message to appear on the bottom of the statements. Only two messages appear at once on the bottom of the statement The Default message goes to all patients with a current balance. For information on creating or editing these messages, go to the Messages section in the General Setup chapter located in the Setting up Your Software unit. 6. Click Next to continue. 7. Using the dropdown menu, select how you want the statements processed. 8. Choose a default billing option to apply to your statements. • 40 • Setting Up Practice Preferences I want to apply a billing charge – Select this option if you want a default billing charge for your statements. You are Patterson EagleSoft 15.00 then given the option to enter more detail, such as the amount to charge and to what accounts • I want to apply a finance charge – Choose this default if you want a finance charge applied to your statements. You can also enter the same type of information noted under the billing charge option For a detailed walkthrough on setting up billing and finance charges, go to the Statements chapter in the Daily Procedures unit. 9. Select two final default options for the Statement Wizard. • I want to print an audit trail for these statements – Select this option to have a default audit trail for each batch of statements 10. Click Finish to save your Statement Wizard preferences 11. Click OK to complete Statement preferences. Spell Checking The Spell Checking Tab allows you to use Spell Checking in Account Notes and InTouch. Use Spell Checking – Check the option at the top to Use Spell Checking. Under Spell Checking Options, select from the following features: Check Spelling While Typing – Select the option to Check Spelling While Typing and click coloured square to select an Underline Colour. The Underline colour will appear as a wavy line beneath the unrecognized word. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 41 Check When Finished Typing – Select the option to Check When Finished Typing to launch the Spell Check Error window when OK or Cancel are selected. Edit Dictionary – Select the Edit Dictionary button to remove words from your Spell Checker. In the Dictionary, simply highlight and delete the word you wish to remove. Click the save button or select File | Save to save your changes. Select any of the following options at the bottom to customize your Spell Checker: Ignore All Caps, Ignore Internet Addresses, Suggest Corrections, Ignore Case, Ignore Words with Numbers. Employer The Employer tab offers many default settings that help you use Practice Management more efficiently for the setup of new employers. Identify Policy Holder By This option specifies the identification number for the policy holder. Identify Billing Dentist By Click on the dropdown list box and select one of the following: Social Insurance Number – to indicate how the doctor is identified on the claim form. Other ID, Other ID 2, Other ID 3, and so on – Some insurance companies may require an identification number other than the Social Insurance number. The Other ID field is used for this purpose. To enter this alternative ID #, go to Lists | Practice Management Lists | Provider/Staff. Edit the billing dentist and click on Identification. Enter identification numbers in any of the Other ID fields under the Billing Entity section. 42 • Setting Up Practice Preferences Patterson EagleSoft 15.00 CDA Office Number – Select this option to identify the billing dentist by CDA Office number. CDA Provider Number – Select this option to identify the billing dentist by CDA provider number. Calculation Method Estimate Insurance – Estimates each service entered during the walkout based on the service type set up for the service code used and the percentage set for that service type. The patient’s deductible and remaining benefits are taken into consideration. Note: If an amount is entered in the Coverage Book in the Employer window, this amount overwrites the Service Type percentage estimated. Ins. Company Responsible for All – The total amount of the walkout entered for the patient is all insurance portion, unless the patient runs out of benefits. At that point, the rest of the amount would be patient portion. Patient Responsible for All – An insurance claim is generated without estimated insurance. The total amount of services goes to patient portion. The Signature on File is also removed from the insurance form and the insurance payment is sent to the patient. Secondary Calculation Method Amount Not Paid By Primary – Estimation of secondary insurance is calculated as a percentage of what the primary insurance did not pay. Example: Service = $100, which is covered at 80%. Primary then covers $80, leaving $20. The secondary then figures 80% of $20, which is $16, leaving $4 for the patient portion. Submitted Amount – Estimation of secondary insurance is calculated as a percentage of the total submitted. Example: Service = $100, which is covered at 80%. Primary then covers $80, leaving $20. The secondary then figures 80% of $100, which is again $80. But the total insurance portion cannot be more than the total amount of the service that is $100. So, the total amount estimated by secondary can only be $20. Select from the available checkboxes: Authorizes Payment To Office – Mark this option if you wish for the insurance cheque to be sent to your office. Note: However, if you have marked Patient Responsible For All, the cheque is sent to the patient, not to your office. Lifetime Maximum Applies – Mark this option if the majority of your employers have a lifetime maximum of benefits. This is just a default preference and can be changed when setting up the employers. Lifetime Deductible Applies – Mark this option if the majority of your employers have a lifetime deductible. This is just a default preference and can be changed when setting up the employers. Do Not Track Claims – Mark this option if your practice does not submit insurance claims but wishes to provide the completed forms to file for your patients. An insurance form will print during the Walkout Processing but the claim will be closed in the system. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 43 Bill Standard Fee on Insurance Claim – This feature allows the office to bill the standard fee on an insurance claim regardless of any other fee Adjustment Type – Select a default Adjustment Type from the available options. Select the hyperlink to open the Adjustment Type window. OnSchedule This window allows you to set options that apply to OnSchedule. Track Appointments To begin with, you must decide whether you would like to use Scheduler or Free Form Entry. Free Form Entry enables you to enter the appointment date and time in the Edit Person window. Choosing Scheduler indicates you want to use OnSchedule for your scheduling needs. Font Size In the OnSchedule Preferences, use the radio buttons to select the font size for your OnSchedule appointments. Select from the following options: Smallest, Small, Medium, Large and Largest. These font sizes only affect the OnSchedule area. Appointment Card In Preferences | OnSchedule, use the dropdown list to designate your desired Appointment Card template. Enter an Appointment card message in the Appt. Card Msg box. Use the Preview button to view the templates. 44 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Appointment Cards can be printed from the Walkout Processing screen under Next Preventive Appointment. Use the Design dropdown list to select from the available design options. Select the OK button to save the selected options. Select the Cancel button to close the window without saving. Select the Print Sheet button to launch the print preview window. Select the Print button to print the sheet of cards. Select the SmartDoc button to send this file to SmartDoc. Select the Cancel button to close the window without printing. Update Appointment(s) as Completed from Walkout – If you select this checkbox, the walked out service items are updated on the walkout appointment block by changing it to a grey colour. Use Secondary Provider on Appointment – If you select this checkbox, you will have the option to add a secondary provider to appointments. Always Use The Provider on the Appointment When the Provider on the Appointment Does Not Match the Provider on the Treatment Plan Services – Select this option to determine the proper provider when the appointment and the treatment plan do not match. Auto-hide the Appointment Queue – Select this option to hide the Appointment Queue while using OnSchedule. Refresh Options – Select the amount of time for refreshing OnSchedule from the dropdown menu. OnSchedule Time Units After Time Units are selected, many steps must be taken to change them. Each unit in OnSchedule represents a unit of time. The time is displayed on the ledger(s) of OnSchedule. By default, the units are set to 10 minutes. From this window, you can select the length of time for each unit – 10 or 15 minutes per unit. Moved Appt Prompt When Exiting OnSchedule Select one of the following options: • Patterson EagleSoft 15.00 Prompt on Exiting OnSchedule • No Prompt on Exit/Send Appointment Back to Original Time Slot • No Prompt on Exit/Send Appointment to Quick Fill List Setting Up Practice Preferences • 45 Printing The Printing tab offers some of the options associated with printing within Practice Management. Other options can be found under the Printer Administration menu. Default Zoom % – Specify the zoom percentage you want the Print Preview window to default to upon opening Credit Card Receipt Copies – Specify the number of receipts to be printed during the walkout process. Use Letterhead – Choose this option if your office would like to use its own letterhead Print Receipt at Time of Payment – This option enables you to automatically print a receipt for patients when they make a payment on their balance. Uncheck this option if you would like the default not to print automatically Print Insurance Claim at Time of Walkout – If you would like Practice Management to default to printing the insurance claim when processing a walkout, then make sure that this option is checked. If you do not use it, it defaults to print the claim later. Changes can be made during the walkout process if you would prefer not to use the default Print Statement at Time of Walkout – This option is similar to the Print Insurance Claim option. If you would like a walkout statement to be automatically printed at the time of walkout, place a check mark in the box. This can always be changed in the Walkout Processing window Print Alerts On Detailed Recall Report – Many offices find it useful to have patient alerts on their recall reports. If you do, then you can enable this option. Uncheck this option to speed up the generating of this report Print Return Address On Envelopes – Select this option to print return addresses on envelopes printed through Practice Management 46 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Print Associated CAESY Presentations During Walkout – Select this option to print CAESY documents that have been associated with the services being walked out. End-of-Day Reports to Print – Practice Management offers to print several different reports during the End-of-Day process, but you may find that all of these reports are not necessary. To remove a report from the print list, uncheck the box next to the report. If you would like to add a report to the list, click on the box next to the report name so that a check mark appears in it Use Perforated Rx Forms – Use this option when printing prescriptions on perforated forms. Chart Label Preferences • Show Patient ID • Show Patient Name • Show Patient Address • Show Patient Home Phone • Show Patient Work Phone • Show Patient Birthday eBusiness Change your eBusiness settings from one preference window. Changing the Service To change from eStatements to eClaims, click on the dropdown box. Select the Service and Provider. This section explains how to set up each eBusiness feature for your system. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 47 eClaims If you are a new user, please call the EagleSoft eBusiness Department at 1-800-294-8504visit www.cda-adc.ca for information on enrollment.registration.Choose eClaims from the Provider drop-down list box. Formatted: Bullets and Numbering •Login – enter your login here •Password – enter the EAGLE password here •Number to Call – select the eClaim number to dial. Use the primary default number that appears •Number used to Dial Out – if you use a number to dial out, enter that number here •Print Reports after Submission – select the reports you want printed after your submission of claims. It is recommended that you mark all of the reports IDs – Click this button to view the Authorized eClaim IDs window. This window lists all registered providers and their IDs. If you are a current user and have registered IDs, these IDs are installed automatically. 48 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Alerts Now you can choose where you want your alerts to appear. This feature enables the user to add or remove patient, account or prescription alerts from several windows in Practice Management: Payment Plan, Treatment Plan, Account and others. To access the alert preferences, go to File | Preferences and click on the Alerts tab. Select the places you want alerts to appear in the software. Click OK to save when finished. Perio Enter or change settings for the Perio window, including colours, auto advance settings, user defined paths and so on. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 49 Process Set up the Perio module to automatically move from site to site and tooth to tooth as you are charting. To indicate the order or path in which you would like the charting to be completed, click the appropriate selection under Process. Choose from one of the four standard paths or create your own. To create a customized path in which the system moves as you chart, click User Defined Path Setup. This calls up a screen that represents each tooth and each site. Here you enter the path description and the appropriate number, 1-192, for each individual site. For example, enter the number 1 for the first site you wish to chart, enter 2 for the second, 3 for the third, and so on until you have numbered each and every site. This cannot be saved until all sites have been numbered and description has been entered. Click Save when this is complete. The new custom path is added to the user defined dropdown list where it may be selected. Simply click the radio button for user defined and select the correct custom path from the dropdown list. Auto Advance To the right, in the Auto Advance section, indicate which types of items activate the Auto Advance feature when charted. What you select here depends on what method you chart your Perios. Most offices choose one item to activate the Auto Advance so that you can chart all items for each site before moving. In that case, you would want to enable Auto Advance on the item you typically chart last for each site (for example, pocket depth or gingival margin). Simply click the correct radio button to set your selection. Other Choose preferences for the alert depth, patient alerts and how you want to indicate certain teeth in the Chart or Perio windows. Use previous Perio data when starting a new exam Use the scores from the last completed Perio exam for this patient as a starting point for each new exam. Print Perio Chart in Colour If you have a colour printer, select this option to print the Perio chart in colour. Show Patient Alerts If you want patient alerts to appear when opening the Perio window, select this checkbox. Alert Depth Specify your setting for Alert Depth. The most commonly used Alert Depth (and the default setting) is 4. Indicate Teeth With: Now you can have certain conditions or services appear on the affected teeth in the Perio window. To set certain conditions and services to appear on the affected teeth in Perio, select an Indicator from the dropdown list 50 • Setting Up Practice Preferences Patterson EagleSoft 15.00 box. This list is populated with groupings of draw types used in the Chart window. For information on the preferences for Indicating Teeth, see the Charting Perio chapter in the Operatory Record unit. Auto Advance should skip indicated teeth that are marked as missing Select this checkbox to enable the Auto Advance feature to skip indicated teeth marked as missing in the Perio window. Colour Next, choose the colours to be used for certain items within the charts and graphs. By using this colour-coding, your charts and graphs can easily call attention to areas of concern. This can also help you clearly communicate with your patients and help them understand their periodontal condition. Editing a Colour To edit the colour setting for a particular item, click the correct button in the Colour section to access a dropdown colour template. Choosing a Colour To choose a colour, click the box that displays that colour. If you wish to create your own colours, click Define Custom Colours, add the new colour and select it from the custom colours section. Click OK. This displays the selected colour beside the appropriate button. Using Bleeding, Suppuration or Both will colour the small dots that represent each site in the Perio window. Alert Depth colours call attention to sites that exceed healthy levels and are cause for concern. This colouration occurs in the Perio and Perio Graph windows. The GM Graphic and MGJ Graphic colours designate the colours used to “draw” the Gingival Margin and Mucogingival Junction levels on the Perio Graph. Both colours can be displayed at the same time, so be sure to use two differentiated colours. Chart Choose your default settings, views, colours and so on, for the Chart window. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 51 Show These Chart Items by Default From the following list, select the items you want to display in Chart by default. • Existing • Defective • Condition • Condition NLP • Proposed • Watch • Referred • Walkout • Rejected Show These Perio Items By Default From the following list, select the items you want to display in the chart by default. • 52 • Setting Up Practice Preferences Pocket Depth • MGJ (Mucogingival Junction) • GM • Bleeding/Suppuration Patterson EagleSoft 15.00 Use Quick Charting When charting, you may use services that can be charted without adding extra information. If this is the case, quick charting is an efficient tool to use. Select this checkbox to chart services automatically, if all necessary conditions are met. Print Ledger with Chart Select this checkbox to print the Chart ledger when printing patient charts. Show patient alerts when opening Select this checkbox to enable patient alerts to display when opening the chart. Select entire tooth on root codes by default Select this checkbox to select the entire tooth when using root codes. Use Permanent Dentition for Default Select this checkbox to view the permanent dentition for all patients by default in the Chart. This option pertains to new charts only. This option will not affect existing charts. Default Surface View Select the default surface view when charting services. If you select a Summary view, the Summary view appears each time you chart a service. If you select a Detailed view, the Detailed view appears each time you chart a service. Colours Select your hatch colours and preview them. Solid Fill If you use the Solid Fill method, the tooth appears in the solid colour designated in this area. Hatch If you use the Hatch method, the service code colour appears in the background and the selected default hatch method appears as an overlay. For statuses of Referred, Walkout, Rejected and Proposed, you have the option of making the hatch transparent. To choose this option, click on the desired status from the dropdown list box in the Chart Preferences window and choose Use Transparent. Use Transparent on Planned Select this option to use transparent colours on Planned services. Use Service Colour on Completed Select this option to use the associated service colour on Completed services. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 53 Use Colours on Ledger Select this option to display the Chart ledger text using the associated status colour. Hatch Width Select and preview the hatch width. Preview Status Change the preview status of hatches. Summary Surfaces Select the Detailed Surface again to change to a hatch pattern in the same colour as the associated Summary Surface. When set to hatch, the detail surface will not draw on the tooth but it will still belong to that summary surface. Quick Pick Assign quick pick for services and conditions that are used when charting. 1. Click the number to the left of service or condition code. 2. Select a service code or condition from the list. 3. The service code or Display Abbreviation appears next to the number. 4. Use the Defaults button to return the Quick Pick items to their original state. Images Set up image preferences, defaults and more for various areas in Clinical. 54 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Show These Items When Printing Images – Select patient items to print with images. Patient ID Full Name Address Phone Number Social Insurance Number Carrier ID Practice Name Practice Address Practice Phone Number Include Logo on Printout – Select this checkbox to include the Patterson EagleSoft logo on Image prints. Default Template – Use the dropdown list to select a default template. Automatically save new exams after acquire finishes – Select this checkbox to save each image as they are taken. Auto Save will not save images that were acquired using Auto Take. Open one Image document for each template – Select this option to open one image document window for each template. This will allow you to toggle from image to image from a template series without opening multiple Image Document windows. Reassign Teeth to Template Default When Swapping Images – Select this option to retain the relations between assigned information and the image when swapping. Automatically save Clinical Exam record when saving new image exams – To refrain from completing a new Clinical Exam each time new images are acquired, deselect this checkbox. Save custom image print-outs as images – Select this checkbox to save custom image printouts as images. The Advanced Imaging tool enables you to customize and annotate images for a printout. Choose this option to save these print-outs and possibly increase case acceptance. Save custom image printouts to SmartDoc – Select this checkbox to save custom image reports as SmartDoc documents. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 55 When displaying images – Select how you want the image to appear. This preference is associated with Image History, because the changes made are stored with the image no matter which preference is selected. • If you want images to appear as they did when you last saved them, select Show images as they were most recently saved. • If you want the original to appear when you view images, select Show images in their original, unmodified form.* *Warning: If you modify the image when using the original view option, all previously saved enhancements are lost. E-Mail Options Quality – If you send image attachments via e-mail and your recipients are receiving poor-quality images, try increasing the percentage. The default is 75; just click the up arrow to increase this amount. -orIf you have a slow Internet connection, you may want to send smaller attachments that can be transmitted more quickly. If this is the case, lower the percentage. Select the checkbox Create note when image is e-mailed to save a note in the patient’s Account. Note: High-quality images result in larger attachments, which could slow down the e-mail process. X-ray Enter default settings for your X-ray devices. General Defaults Choose a default Device, Sensor, Sensor Template, Scanner Template, Video Template and/or Pano Template. What you choose from these 56 • Setting Up Practice Preferences Patterson EagleSoft 15.00 dropdown list boxes is used in the Advanced Imaging window | New Exams. Use Exposure Advisor – Enables you to receive advice on whether you need to adjust the exposure of an image. Use Retake Comparison – If you retake an image, you have the option of choosing between saving the new image or reverting to the original. Use scanner default interface – When using a scanner, this option allows you to use a scanner interface window provided by EagleSoft or use the scan window loader from your scanner’s software. Use Auto Take – This option only works with the Schick USB sensor. If you select this checkbox, the Schick sensor is activated once the template is selected. Once the image has been acquired, the template moves forward to the next position. Use Auto Acquire – If this checkbox is selected, you no longer have to click Acquire each time you want to acquire an image. All template selections are activated and the acquired images will populate within the template as they are acquired. Template Defaults Click the drop arrow next to your device and select a default template. Sensor Information View the equipment information details attached to your Schick sensors. To view the Sensor Information window, go to File | Preferences | X-ray. To view Sensor Information, plug your Schick Phoenix Sensor or Schick Pluswire Sensor into the Schick CDR2000 Remote or Remote HS and select the Sensor Information button. The Sensor Information window displays the following: • Sensor Serial Number • Sensor Size • Calibration File Date The Sensor Information window provides equipment details that may be necessary when troubleshooting issues. Device Properties Click a device button to set up preferences for that particular X-ray device. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 57 ScanX Defaults Temp Image Path – Contact the Patterson Canada Technology Centre prior to making adjustments to these settings. Default Intraoral Resolution – Contact the Patterson Canada Technology Centre prior to making adjustments to these settings. Default Extraoral Resolution – Contact the Patterson Canada Technology Centre prior to making adjustments to these settings. Select the checkbox Save Image Enhancement Settings after each scan to save enhancements. Resolution Settings – This area controls the image quality for each of the scan resolutions in the drop down box by adjusting the Image Enhancements. Contact the Patterson Canada Technology Centre prior to making adjustments to these settings: Image Enhancement Settings, Linear Optimization, Square Root Optimization and None. Enter the Limit High and Limit Low selections. Contact the Patterson Canada Technology Center prior to making adjustments to the following settings: MaxX, MaxY, Pentaspd, ResX, ResY, Threshold, PMT HV, Laser. Scanner Defaults Select the scanner source and click OK. Video Defaults Capture Card – Use the dropdown list to select the video capture card. Default Device – Use the dropdown list to select the Windows Device Manager or USB camera. Choose the SWDMD option if you are using a USB camera in order for the Default Device field to appear. Image Quality – Use the slider to set the image quality between Min and Max. Select the checkbox No Compression to eliminate the compression factor. DenOptix Defaults Which DenOptix System Do You Have? – Select the type of system you are using, either Combo or Ceph. 58 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Carousel – Select either IntraOral, Panoramic or Cephalometric. Scan Type – Select the DenOptix scan type from the dropdown list box. To create these scan types, go to Lists | DenOptix Scan Types. Extraoral Plate – If you are using a cephalometric carousel, choose a plate for that carousel. Schick Defaults In the Schick Properties, select the appropriate options from the available listing. Use the default settings shown here for optimal performance with Patterson EagleSoft. In the X-ray tab, select the Hardware Type using the dropdown list. Select the Calibration tab. Load the calibration files from the Schick calibration disc (s). Select the Change Path button to browse to a new Calibration File Path. Insert the Schick calibration disc(s). For more information on calibrating your Schick sensor, contact the Patterson Canada Technology Centre at 866-449-7282 Select the Install New Calibration File button to install the .cor files. Browse to the location of the calibration files. Select the Scan for Calibration Files button to locate any .cor files on your computer. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 59 Planmeca Pan Defaults ProMax Mode – Select the radio button to choose Panoramic Mode or Cephalometric Mode. Resolution – Contact the Patterson Technology Centre prior to making adjustments to these settings. Panoramic Settings – Contact the Patterson Technology Centre prior to making adjustments to these settings. Cephalometric Settings – Contact the Patterson Technology Centre prior to making adjustments to these settings. Select the Copy Calib. button to copy the calibration files. Select the Defaults button to reset options to their original settings. Planmeca Sensor Defaults Sensor Settings – Select the checkbox Use Auto-Levels for Black percentage, White percentage and Gamma. Select the Copy Calib. button to copy the calibration files. Select the Dixi3 Config button to configure your Dixi3 sensor. Select the Defaults button to reset options to their original settings. Digora Optime Defaults 60 • Setting Up Practice Preferences Patterson EagleSoft 15.00 In the Scanner tab, select from the following options: Show Image Preview and Dental Chart – Select this checkbox to preview images while scanning. Resolution – Select the radio button for Super or High. Image Processing – Select the checkbox Noise Filtering to automatically remove incidental specks caused by low light levels from the image. Retrieve Last Image – Select the checkbox Must be activated every time an image needs to be retrieved to return to the previous image. In the Settings tab, select from the following options: Under Scanner Connection, select from the following options: Patterson EagleSoft 15.00 Setting Up Practice Preferences • 61 Direct Connection – Select this radio button if the Optime scanner is directly connected to this computer. Enter the Scanner Serial Number and select the Computer network connection from the dropdown list. IP based – Select this radio button if the scanner is being accessed over a network. Select the checkbox Enable changing IP address. Enter the IP address and select Send to Scanner. Multi-Connect – Select the checkbox Use Multi-Connect to allow multiple computers on the network to access the scanner. Enter the Workstation identifier. Enter a value for the Scanner Autorelease timeout, seconds. Schick Panoramic Defaults In the Schick Properties, select from the available options. The default settings are configured by your Panoramic unit’s unique calibration file. These settings should not be reset without the assistance of the Patterson Canada Technology Centre 866-449-7282 In the Acquisition tab, select the Scan Direction using the dropdown list. In the Calibration tab, review the default values. Select OK to save. Sigma Sensor Defaults In the General Electric Properties, select the Density level and Offset setting. Orthopantomograph Defaults 62 • Setting Up Practice Preferences Patterson EagleSoft 15.00 In the General Electric Properties, select the Density level and Offset setting. Progeny Defaults In the Progeny Properties, select the appropriate settings. See the Patterson Digital Integration Instructions for more information on calibration settings. Interfaces Enter command lines or names for applications that are interfaced with Clinical. Other Application – Enter the path to a startup file for any other application on your computer that you might like to start up from within Clinical. You can start the other application from Utilities | Other Application. Product Name – Enter the name of the Patient Education program you use. This is used as a description only. Command Line – Enter the path to the startup file of the Patient Education program you use. If you’re using Trophy, Tigerview, Schick, VixWin or Digora software alongside Imaging, specify the following: Radiography Interface – From the dropdown list box, select the product you are using. Command Line – Enter the command line of the product you are using. Image Directory – If you are using VixWin, enter the image directory. Note: The integrated products appear as a menu item from Activities | Imaging. For example, if you are using Schick, you are able to select it from the Activities | Imaging menu. Patterson EagleSoft 15.00 Setting Up Practice Preferences • 63 SmartDoc Set your SmartDoc preferences for creating, importing and editing electronic patient documents. Allow creation of the following types Select the checkbox for one or more of the following files to be available in SmartDoc. PDF (Always Allowed) – This is the extension referring to Adobe Acrobat files. JPG (Always Allowed) – This is the extension referring to joint photographic experts group files. DOC – This is the extension referring to Microsoft Word files. XLS – This is the extension referring to Microsoft Excel files. HTML – This is the extension referring to hypertext markup language. SmartDoc Preferences Set Document info on Import – Select this option to set document information when the document has been imported. Default new documents to private – Select this option to restrict access to imported access to the source user only. Select the dropdown arrow to select the quality of JPG files. Create automatically from the following processes Select the checkbox for one or more of the following files to be imported into SmartDoc. Statements – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Letters – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. 64 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Recall Letters – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. EOD Reports – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. EOM Reports – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. EOY Reports – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Walkout Statement – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Medical History – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Select the checkbox to Ask for Signature to use in conjunction with Patient Signature. Pymt Plan Contract – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Select the checkbox to Ask for Signature to use in conjunction with Patient Signature. Treatment Plan Print – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Informed Consent – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. Quick Reports – Select the checkbox. Use the dropdown arrow to select the type and group to be associated with this option. IntelliCare Select from the following checkboxes to determine where you wish to view the IntelliCare Notifications. Use the Check All and Clear All buttons to select or deselect all available options. Patterson EagleSoft 15.00 Scheduling an Appointment Opening Patient Record Opening Account Opening Treatment Plan Opening SmartDoc Opening Clinical Exam Setting Up Practice Preferences • 65 Opening Walkout Opening Perio Exam Opening Note History Opening Advanced Imaging Receiving Account Payments Opening Chart Receiving Insurance Payment Opening PSR Exam EagleSoft Printer Administration Printer Administration is used to designate the defaults for the various printing needs (for example, printer to use, the number of copies and so on). Follow these steps to edit your EagleSoft printer administration: 1. From the File menu, choose Printer Administration. Then choose Practice Management or Clinical. Practice Management Clinical 2. Select the default printer that you wish to be used when you begin the selected type of print job. 3. Make any desired changes by clicking Printer Setup or Alignment. 4. When all necessary changes are made, click OK to save your changes and return to the virtual screen. 5. If you wish to set up the defaults for additional print job types, repeat the preceding steps. A new printer called EagleSoft SmartDoc on LPT1 will appear in your printer administration dropdown list. This printer is not to be used as an option. It is part of the SmartDoc installation. 66 • Setting Up Practice Preferences Patterson EagleSoft 15.00 Setting Up Providers Providers/Staff Setup After you have entered the names and security passwords of the providers/staff, you need to enter the rest of the information required by EagleSoft for each dentist, hygienist, dental assistant and any additional staff members. After entering this information into EagleSoft, you are able to edit Providers/Staff at any time from the Providers/Staff window. Patterson EagleSoft 15.00 1. From the Lists menu, choose Providers/Staff. The Providers/Staff quick box is displayed. From the Practice Management or Clinical modes, select Providers/Staff from the Lists menu. 2. Choose New to input a provider/staff member. The New Provider/Staff window is displayed. 3. Type an ID. The ID can include letters or numbers up to three characters. Many offices use the provider/staff member’s initials as the ID. Once the ID is saved, it cannot be changed. 4. Type the necessary provider/staff member information. Setting Up Providers • 67 Reminder: Any provider set up to be a hygienist must have a dentist chosen as the provider on insurance; otherwise, any insurance claims are rejected. 5. Select the Provider/Staff member’s Position. Select the underlined word Position to use, create or edit a position from the Staff Position List window. 6. Select the Collections Go To person. Any collections received for services rendered by this staff member are applied to the provider who is selected for the Collections Go To prompt. 7. Select the Provider on Insurance. This is the person whose name is printed on the insurance form as the provider responsible for submitting the services for coverage. This should always be set to a dentist. 8. Enter the provider’s or staff member’s e-mail address. 9. Specify whether this person is a Staff Member or Provider of Services. Only those marked Provider of Services are utilized on the walkout statement and treatment plan. 10. Select OK to save and return to the provider/staff list. Provider/Staff Setup Options Choose: To: Notes Enter notes about a provider. Hours Enter the provider’s office hours and colour used to identify him/her in OnSchedule. Documents Launch SmartDoc. Prompts Answer the provider prompts. Productivity View the provider’s productivity. History View and print a report of the provider’s history. Identification Enter identification about the provider, such as license, billing numbers and billing entity. Note: You must provide a response in the Bank Acct field. If no bank account number applies, please type NO ACCOUNT. Chairs Enter the provider’s daily goals for particular chairs. Security Enter the provider’s password and set system access levels. Password Enter the provider’s time clock password and set up a provider password. Provider/Staff Notes Setup 68 • Setting Up Providers 1. From the New or Edit Provider/Staff window, choose Notes. The Provider/Staff Notes window is displayed. 2. Type any provider/staff notes. 3. Choose OK to save the notes and return to the New Provider/Staff window. Patterson EagleSoft 15.00 Provider/Staff Hours Setup This is only to be used if you wish to schedule appointments for this provider using OnSchedule. 1. From the New or Edit Provider/Staff window, choose Hours. The Provider Hours window is displayed. 2. Select Open if the practice is open on that day. Press the Tab key to move the cursor to the Open field and type the time the provider/staff begins that day. 3. Use the Tab key to move to the Close field and type the time the provider/staff ends that day. 4. Select Take Lunch if the provider/staff member is unavailable during lunch and type the lunch beginning and ending times. 5. Continue steps 2-4 for the rest of the week. 6. Select OK to save and return to the Provider/Staff window. Setting Provider Colour Below are the steps for selecting the colour used for the current provider or hygienist. 1. Select Change Colour. 2. Select the colour from the colour palette that you would like to use or create a new colour. 3. Select OK when you have selected a colour. 4. Select OK to save the current settings. Provider/Staff Prompts Setup 1. From the New or Edit Provider/Staff window, choose Prompts. The Provider/Staff Prompts window is displayed. 2. Type the answers to the prompts, if applicable. 3. Choose OK to save the prompt answers and return to the Provider/Staff window Provider/Staff Productivity Patterson EagleSoft 15.00 1. From the Edit Provider/Staff window, choose Productivity. The Provider Productivity window is displayed. 2. Review the provider productivity for this month and this year. Totals for “This Month” reset after every EOM process. Totals for “This Year” reset after End-of-Year process. 3. Choose OK to return to the Provider/Staff window. Setting Up Providers • 69 Provider/Staff History Review 1. From the New or Edit Provider/Staff window, choose History. The Provider History window is displayed. 2. Review the provider’s history. 3. Choose Report to preview the Provider History report. Select Print to print a report of the provider’s history. 4. Choose OK to return to the Provider/Staff window. Provider/Staff Identification Setup 1. From the New or Edit Provider/Staff window, choose Identification. The Provider Identification window is displayed. 2. Key in the appropriate information for this provider. Much of the information is necessary for insurance processing. You must provide a response in the Bank Account Number field. If no bank account number applies, please type NO ACCOUNT. If you enter information in the Billing Entity field, you must enter the Billing Entity License #. The Billing Entity is the individual or company to whom the insurance cheque is made out. The additional fields are used to identify the provider by an ID other than Social Insurance Number (SIN) and CDA Provider Number or CDA Office Number. To specify which of the IDs represents the dentist or the billing dentist, change the preference option for that employer. 70 • Setting Up Providers a. To do this, select Edit from the Employer List. b. Select Preferences. c. To change the billing dentist’s ID, select the Identify Billing Dentist By dropdown list box and choose an ID. Patterson EagleSoft 15.00 d. 3. Select OK to save the changes. Choose OK to return to the Provider/Staff window. Customize Provider Labels Under Customizable Label ID, identification numbers/names can be edited to better represent the type of ID that will be associated with this field. 1. To customize the ID labels for providers, open the Lists menu. Choose Add to assign this provider to a chair. 2. Select General Setup | Provider Labels. Press Delete to remove the provider from the highlighted chair. 3. In the Provider Label List, select Edit to enter a different name for an existing entry. Select Close to close this window. Provider Daily Goals Setup 1. From the New or Edit Provider/Staff window, choose Chairs. The Provider Goals/Chairs window is displayed. 2. Choose Add to assign this provider to a chair. 3. Type the goal amount for each day and each chair. These goal amounts are very beneficial in determining the success of your appointment scheduling. 4. Press Delete to remove the provider from the highlighted chair. 5. Choose OK to save and return to the Provider/Staff window. For more information on setting customizable daily goals, see the section on Customizable Goals. Provider/Staff Password Setup Patterson EagleSoft 15.00 1. From the New or Edit Provider/Staff window, choose Security. The Provider/Staff Password window is displayed. 2. Type the new password in the New Password field. 3. Type the same password in the Confirm New Password field. 4. Choose OK to save the password and return to the Provider/Staff window. Setting Up Providers • 71 For more information on setting up passwords at logon, go to the Logging On chapter in the Getting Started unit. Provider/Staff Password 1. From the New or Edit Provider/Staff window, choose Password (with the clock icon). The Timesheet Password window is displayed. 2. Enter a new password in the New Password field. 3. Type the same password in the Confirm New Password field. 4. Select OK to save the password and return to the Provider/Staff window. For more information on using the Time Clock feature, go to the Time Clock chapter in this unit. Deleting/Inactivate Provider Deselecting the Active checkbox in the Provider screen will also launch the Inactive Provider Wizard. Always ensure that you have a good backup of your data prior to inactivating a Provider. Use the inactivate provider wizard to complete all the steps for inactivating a provider in your practice. To use the Inactivate Provider Wizard, select Utilities | Mass Updates | Inactivate Provider Wizard. Select the Back button at any time to return to the previous screen. Select the Cancel button at any time to cancel the Wizard. Select the Provider to be inactivated from the dropdown menu. Select Next. Select the replacement provider for Preferred Dentist from the dropdown menu. Select Next. 72 • Setting Up Providers Patterson EagleSoft 15.00 Select the replacement Preferred Hygienist from the dropdown menu. Select Next. Select the replacement provider for Collections Go To from the dropdown menu. Select Next. Select the replacement provider for Provider on Insurance from the dropdown menu. Select Next. Select the replacement provider for appointment transfer from the dropdown menu. Select Next. Patterson EagleSoft 15.00 Setting Up Providers • 73 Select Next to begin the closing all open claims for the departing provider. Select, mark and close all open claims for the departing provider. Close the Claims window to proceed. Select from the following: Transfer patient balances to one provider, Transfer patient balances to multiple providers. Select Next. Note: Selecting multiple providers will require manual transfer. The following message will appear in the Inactive Provider Wizard. Select the replacement provider from the dropdown menu to which patient balances will be transferred. Select Next. 74 • Setting Up Providers Patterson EagleSoft 15.00 Select the replacement provider from the dropdown menu to which treatment plans will be transferred. Select Next. Review the information pertaining to the transfer of data. Select Back to return to a previous screen. Select Finish. Select Yes. This message will not appear when using the preference Disable “Are you Sure Messages”. Select OK. Patterson EagleSoft 15.00 Setting Up Providers • 75 Setting up Patients, Responsible Parties and Policyholders Overview Now that you have all of the General Setup, Practice and Provider/Staff information set up, you are ready to set up Patients, Responsible Parties and Policyholders into the system. If you recently converted your data to EagleSoft from another dental software system, you do not need to set up all of your old patients; you can simply select them from the Person List. However, you do need to set up all new patients and their relevant information as they arrive in the office. Because of the time involved in setting up new patients, we recommend entering them in the following order: • As they are encountered by the practice (daily appointments) • As time permits (monthly patients) • Patients that come into the office annually (yearly patients) New Patient Setup 76 • Setting up Patients, Responsible Parties and Policyholders Patterson EagleSoft 15.00 Keyboard Shortcut for EagleSoft: 1. From the Lists menu, choose Person. -or- Ctrl + P accesses the Patient List window in the Practice Management Mode. Select Person on the toolbar. -orSelect Person from the Lists menu. 2. To add a new patient, choose New. The New Person window is displayed. 3. Enter the ID. The ID can include numbers or letters up to five characters. If you have chosen auto numbering, the ID is automatically entered for you after you save the information. Once the ID is saved, it cannot be changed without deleting the patient. 4. Enter the name of the patient and type or select the salutation. The salutation is used on letters generated in EagleSoft. 5. Enter the patient’s preferred name and middle initial. 6. Mark the box Has Primary Insurance, if applicable. 7. Enter the Policyholder ID (or press F2 to select or create a policyholder). 8. Specify the Relationship to the insured and the Employer providing insurance. Press F2 to select an existing employer or to create a new one. 9. Verify the Rem. Benefits (Remaining Benefits) and Rem. Deduct (Remaining Deductible), if applicable. 10. If the patient has secondary insurance, choose Has Secondary Insurance. You are asked if you would like to assign the person as the secondary policyholder. If someone other than this patient is not a responsible party, then type the responsible party’s ID (press the F2 key to choose or create a responsible party). The responsible party’s name is displayed. 11. Type or select the patient’s other biographical information, such as the Social Insurance number and birth date. 12. Enter a Chart ID record for additional sorting and filtering options. 13. Enter the patient’s driver’s license number. 14. Enter the patient’s e-mail address to send recall reminders or courtesy letters via e-mail. Select the Receives Email checkbox. 15. Select the checkbox to receive Text Messages. 16. Type or select the Recall Note, Next Recall date and Next Prev Appt (Patient: next preventive appointment) date. 17. Recall Note is used to identify specific patients. For example, if you type the word CROWN, you can later generate a report in Money Finder of all patients with the CROWN recall note. 18. Next Prev Appointment date is the manually entered date for the next preventive appointment (if you are not using OnSchedule) or the next Patterson EagleSoft 15.00 Setting up Patients, Responsible Parties and Policyholders • 77 preventive appointment date with an appointment type marked to update the next preventive appointment (for OnSchedule users). 19. Next Regular Appointment date is the manually entered date for the next regular appointment (if you are not using OnSchedule) or the next regular appointment date with an appointment type marked to update the next regular appointment (for OnSchedule users). 20. Mark the box Has Primary Insurance, if applicable. 21. Enter the Policyholder ID (or press F2 to select or create a policyholder). 22. Specify the Relations to the insured and the Employer providing insurance. Press F2 to select an existing employer or to create a new one. 23. Verify the Rem. Benefits (Remaining Benefits) and Rem. Deduct (Remaining Deductible), if applicable. 24. If the patient has secondary insurance, choose Has Secondary Insurance. You are asked if you would like to assign the person as the secondary policyholder. If someone other than this person is the secondary policyholder, choose No; otherwise, choose Yes. 25. Type or select the Recall Note, Next Recall date. Next Recall date is the date the patient is due for his/her next prophy appointment. 26. View the patient’s next scheduled appointments. 27. Select the checkbox, under Patient Privacy, to save the date of Notice of Privacy Policy, Privacy Authorization and Consent. 28. View a list of family members attached to this patient. Right-click to schedule an appointment, schedule a family appointment or switch patients. 29. To add a patient photo, select the New Patient Photo button and browse to the photo location. Select the patient photo file and select OK. Note: This step is for offices that do not use EagleSoft’s Clinical module. 30. Choose OK to save and return to the Person List window. Patient Setup Window Buttons Choose: To: Registration Print patient registration forms. Preferences Set up patient insurance, appointment and recall preferences; link discount and fee schedule information; indicate preferred dentist, hygienist, cleaning time and Ortho. History View the patient’s service history. Alerts Set up patient alerts. Notes Write patient notes. 78 • Setting up Patients, Responsible Parties and Policyholders Patterson EagleSoft 15.00 Prompts Answer patient prompts. Letter Print a letter to a patient. Missing Tth Record the patient’s missing teeth. Referrals Set up patient referrals. Label/Env Print chart labels, mailing labels and envelopes. Rx History Select here to view Rx history for this patient. Medical History Select here to view the patient’s medical history. Account View the Patient’s Account. SmartDoc Select here to launch the SmartDoc application. Patient Preferences 1. From the New or Edit Patient window, select Preferences. The Patient Preferences window is displayed. Choose or select the appropriate information in the Insurance Preferences section. Employment Status – Choose from the available status types using the dropdown list box provided. Student Status – Choose from the available status types using the dropdown list box provided. Name of School/School City – If applicable, enter the appropriate information. Under Insurance Preferences, enter the name and address of the patient’s school. This information can be merged into Patient Letters in InTouch and SmartDoc. Prim Depend Code/Sec Depend Code – Use this area to record the additional information. Prim Card Sequence/Sec Card Sequence – Use this area to record card sequence information for patients. Authorize Release – This option gives you the ability to specify that the patient has or has not agreed to release necessary information for purposes of processing an insurance claim. Signature On File – This option indicates that the policyholder’s signature for release is on file and prints on the claim for purposes of processing the claim. If you are not receiving payments from several insurance companies, this checkbox is probably not selected. To find out how to update all signatures on file, go to the Utilities chapter in the System Maintenance and Backup unit. Patterson EagleSoft 15.00 Setting up Patients, Responsible Parties and Policyholders • 79 2. Choose or select the appropriate information in the Appointment Preferences section. Time Preference – Choose from No Preference, Prefers AM or Prefers PM. On Short Notice – Can be used to identify patients you have marked to be on short notice using The Money Finder. For more information about The Money Finder, refer to The Money Finder chapter in the Practice Management unit. Failed/Cancelled Appts – Indicates the number of times this patient has failed or cancelled an appointment, which is marked as “failed” or “cancelled” at the time the appointment is deleted. Pre-Med Necessary – Select this checkbox if pre-medication is required. You can then select a prescription template from the Prescription Template dropdown list box. If this option is selected, a message box appears reminding the user of this patient’s pre-med status. 3. Choose or select the appropriate information in the Financial Preferences section. Discount – If this patient receives a discount, choose from system discounts you have already created, or create a new discount by pressing the F2 key and choosing New or by going to Lists | General Setup | Discounts. Fee Schedule – Choose a fee schedule if the patient is using fees that differ from your standard fees. Choose None if this patient uses your standard fees. Pref. Dentist – Choose this patient’s preferred dentist from the dropdown list box. Pharmacy – Choose a preferred pharmacy for this patient from the dropdown list box. If you select a pharmacy, this pharmacy and its phone number (if entered) appear when creating a prescription for this patient. Active – This specifies if the patient is considered to be “active” in the practice. If the patient has moved or is deceased, mark the patient “inactive” by unchecking the box next to Active. Inactive patients still appear “grayed out” in the Person List window, so you can easily identify that they are inactive. 4. Choose or select the appropriate information in the Recall Preferences section. Cleaning Time – The time units required for a prophy on this patient. Pref. Hyg. – Choose this patient’s preferred hygienist from the dropdown list. Recall Frequency – Enter a number in this field to indicate how often this patient is required to come in for re-care visits. 80 • Setting up Patients, Responsible Parties and Policyholders Patterson EagleSoft 15.00 Receive Recalls – When the box is checked, the patient receives Recalls. When unchecked, he/she does not. 5. View or modify the appropriate information in the Productivity Information section. YTD Charges – The total amount of services for this patient since you last processed EOY in EagleSoft. YTD Collections – The total amount of collections for this patient since you last processed EOY in EagleSoft. YTD Visits – The number of walkouts processed for this patient since you last processed EOY in EagleSoft. Date Entered – Automatically updated with the date the patient is created in the system. You can manually enter this date for existing patients in your system. First Visit Date – The date of the first walkout processed for this patient. Last Visit Date – The date of the last walkout processed for this patient. Orthodontic Patient – Select the checkbox to denote patient as orthodontic. Enter the months of treatment, date treatment plan started and billing frequency. Preferred CAESY Presentation Language – Select from the available options for CAESY presentations. 6. Choose OK to save the preferences information and return to the New or Edit Patient window. Reviewing Patient History 1. From the New or Edit Patient window, select History. The Patient History window is displayed. 2. Review the patient history. 3. Choose Report to print a report of the patient’s history. 4. Choose OK to save and return to the New or Edit Patient window. Patient Alerts Patterson EagleSoft 15.00 1. From the New or Edit Patient window, choose Alerts. The Patient Alerts window is displayed. 2. Choose an available alert. 3. Choose Add. The alert is displayed in the Alerts For This Patient field. 4. Choose Remove to remove any patient alerts. 5. Choose OK to save the alerts and return to the New or Edit Patient window. Setting up Patients, Responsible Parties and Policyholders • 81 6. To create a new Patient Alert, go to ListsGeneral Setup Patient Alerts. In the Patient Alerts List, select New and type in the description of the alert you are creating. Checkmark the box to Warn User When Encountered and select OK. The new alert will now appear in the Patient Alerts window and can be added to any patient. Patient Notes 1. From the New or Edit Patient window, choose Notes. The Patient Notes window is displayed. 2. Type any patient notes. 3. Choose OK to save the notes and return to the New or Edit Patient window. Patient Prompts 1. From the New or Edit Patient window, choose Prompts. The Patient Prompts window is displayed. 2. Type the answers to the patient prompts. 3. Choose OK to save the prompt answers and return to the New or Edit Patient window. Sending a Letter to a Patient The letter that you choose can be edited in this window by selecting in the text window and utilizing the keyboard functions. 1. From the New or Edit Patient window, choose Letter. The InTouch Letter Generator window is displayed. 2. Choose the provider that the letter is from. 3. Choose the letter that you want to send. The body of the letter appears. 4. Choose Using Letterhead on Paper if you are using pre-printed letterhead. If this is not selected, the practice name, address and phone number prints on the letter. 5. The InTouch letter generator functions like any other word processor. Edit the letter to meet your preferences, change the font, font size, orientation of the text on the paper and so forth. 6. Select Preview to see an example of the printed letter. 7. Select Setup to select the designated printer. 8. Choose Process to print the letter and return to the New or Edit Patient window. 82 • Setting up Patients, Responsible Parties and Policyholders Patterson EagleSoft 15.00 Viewing Patient Missing Teeth 1. From the New or Edit Patient window, choose Missing Tth. The Missing Teeth for Patient window is displayed. 2. Select the teeth that are missing. 3. Choose OK to save and return to the New or Edit Patient window. Setting Up Patient Referrals Patterson EagleSoft 15.00 1. From the New or Edit Patient window, choose Referrals. The Patient Referral window is displayed. 2. Select the appropriate choice: • Not Referred • Patient • Provider Setting up Patients, Responsible Parties and Policyholders • 83 • Referral Source 3. Enter or select the Referred By source. 4. Review the Has Referred list. 5. Choose Letter if you want to send a letter to the referral source. The InTouch window is displayed. Choose the provider that the letter is from and the letter that you want to send. The body of the letter appears. Select Using Letterhead on Paper if you are using preprinted letterhead. 6. Select the Label/Env button to print an envelope or label. Print Chart Label – Prints to dot matrix or Dymo printer – patient name, address, patient ID and telephone number. Print Chart Laser Label – Prints to laser printer – same information. Prints on a sheet of labels containing 10 labels down and three across (standard Avery 5160 label sheet). Print Envelope – Prints a standard letter-size envelope to a laser printer with patient name and address and the practice return address in the upper left. Print Mailing Label – Prints to dot matrix or Dymo printer – patient name and address only. Print Laser Mailing Label – Prints to laser printer – patient name and address only. Prints 10 down and three across (standard Avery 5160 label sheet). Note: Select the Print Return Address on Envelope preference in File | Preferences | Printing to have the return address appear on the envelope. 7. Decide if you would like to print out a single label for this patient or an entire page and select the radio button next to your choice. 8. If you want to print a single label, enter the row number of the blank label. 9. Select OK when you are ready to print. 10. Choose OK to save and return to the New or Edit Patient window. Rx History From the New or Edit Patient window, select Rx History to view all current and expired prescriptions for the current patient. From the Prescriptions window, you can edit, create and refill prescriptions for the patient. For more information on the Rx Writer, see the Rx Writer chapter in the Continuing Care unit. Medical History From the New or Edit Patient window, select Medical History to view, edit or print the current patient’s Medical History exam. From this window, you can add comments, alerts, allergy information and much more. 84 • Setting up Patients, Responsible Parties and Policyholders Patterson EagleSoft 15.00 Like most dental offices, your practice probably hands out medical history forms to all new patients. These forms are useful for finding out a patient’s medications, physicians, allergic reactions to specific drugs or anything else that would be relevant to a dental visit. EagleSoft’s medical history form has an on-screen, printable form that stores all this information. Medical History Features Choose the appropriate checkboxes and alerts to update the form online. When you select a checkbox or radio button, and the text next to it appears red, that condition is added to the patient’s alerts. For example, if the patient you select is allergic to Penicillin and has had Angina/Chest Pain, the alerts display both Penicillin and Angina/Chest Pain in the Alerts message box. Functions in the Medical History Exam window: • Select No For All – This option allows you to mark all of the answers as “No”. When selected, the button toggles to Remove All Answers. • New Med Hx – This allows you to open a new blank Medical History form • Comments – This allows you to enter additional comments connected to this patient’s medical history • View Previous – This enables you to view the previous Medical History forms on file for this patient • View Form – This enables you to view all images the user has marked as Medical Histories • Print Y/N Form – This allows you to print the Yes/No form • Print Form – Select this button to print a blank medical form for the patient to fill out When the patient has filled the form out and signed it, the form can then be scanned into the system and attached to the patient’s medical history. This is available only if Imaging is installed. The form information can also be keyed in manually. Be sure to select Save before exiting Patterson EagleSoft 15.00 • Print Answers – Select this button to print the Medical History exam currently being viewed. When a form is completed, you can then print the Medical History report. This report includes the questions and answers available on the Medical History report. From here, the SmartDoc options are available. See the section on SmartDoc for more information • Save – Be sure to select Save after completing a Medical History window for a patient. If the Medical History form is saved, the information is available later to view or print • Cancel – Select this button to close the Medical History form without saving Setting up Patients, Responsible Parties and Policyholders • 85 Available from the Patient Route Sheets Window • Patient Route Sheets – If you want to print the Medical History exam with a patient’s route sheet, select the Medical History checkbox in the Patient Route Sheet window SmartDoc The SmartDoc button is disabled until the Patient has been saved. See the SmartDoc section for more information on this feature. Inactivate Patients To inactivate a patient, select Lists | Person. Select the Patient and choose Edit. In the Edit Person screen, select the Preferences button. Under Financial Preferences, deselect the Active checkbox. Select the checkbox Show Inactives on the Person List. An inactivated patient will appear on the Person List in pale gray. Delete Patients Right-click on a Patient’s name on the Patient list and select Delete. The following image appears. The Delete Patient window lists any and all reasons that a patient cannot be deleted. If you are unable to delete the selected patient, you will have the option to inactivate them. When attempting to delete a patient, the Delete Patient window appears immediately. Select Yes to inactivate the patient and return to the Person List. Select No to return to the Person List without any changes made. 86 • Setting up Patients, Responsible Parties and Policyholders Patterson EagleSoft 15.00 Setting Up Employers and Insurance Companies Overview There are many different pieces of information to consider when setting up your EagleSoft system to accurately estimate insurance. The different areas of information include insurance companies, employers, fee schedules, coverage books, policyholders and patients. This section explains each of these different areas to help you better understand how they are related. In your community, you have several employers who offer insurance to their employees. In EagleSoft, these are entered as employers. The companies who guarantee these insurance plans are called insurance companies. Each employee who receives the benefits of these plans is considered a policyholder. Each policyholder may have insurance for multiple patients, usually family members. Patterson EagleSoft 15.00 Setting Up Employers and Insurance Companies • 87 This chapter gives information on the following: • Adding and editing insurance companies • Adding and editing employers • Setting up employer preferences • Creating fee schedules • Creating coverage books Insurance Company Setup An insurance company is the company that offers insurance plans to employers. The Insurance Companies’ quick box lists all of the insurance companies for your patients. You can add new companies, edit existing companies, delete companies or print a report of existing companies. Adding or Editing a New Insurance Company 1. From the Lists menu, choose Insurance Companies. If you are in Practice Management mode, choose Insurance Companies from the Lists menu. The Insurance Companies List is displayed. 2. Choose New or Edit. The New or Edit Insurance Company window is displayed. 3. Enter the information for the insurance company. Name – The name of the insurance company. This is the name that appears in the Insurance Company list box. Address, City, Province, Postal Code– The address where claims are mailed. Contact – The name of a contact at the insurance company. Phones/Fax – The phone and fax numbers of the insurance company. Active – Select or deselect the active checkbox to indicate the status of the insurance company. 88 • Setting Up Employers and Insurance Companies Patterson EagleSoft 15.00 Pymnt Grp (Payment Group) – This is the payment group the insurance company belongs to if you are receiving bulk payments. Since you probably receive insurance payments from more than one insurance company under the same payment group, you need to assign the same payment group name to all insurance companies that fall under this group. Carrier ID – Enter the carrier ID here. Network – select the hyperlink to select the Network. CDAnet Version – Enter the CDAnet version. Claim Age Limit – Enter the claim age limit. The claim age limit is the age at which the patient is responsible for their own care. For more information on payment groups, see the Receiving Payments chapter in the Account Management unit. Notes – Any notes that pertain to this insurance company. Employer – This section displays those employers linked to this insurance company. It does not display data until you have set up this insurance company and returned to this window by choosing Edit from the Insurance Companies List quick box. Associate Companies – This section displays those insurance companies with the same payment group name as this insurance company. Label/Env – Select Label/Env to print mailing labels for this insurance company. Letter – Select Letter to print a letter directed to the insurance company. SmartDoc – Select the SmartDoc button to launch the application. 4. Choose OK to save and return to the Insurance Companies List quick box. Changes to Insurance Information When an Insurance or Employer information is modified, a warning appears informing you that changes apply to all patients attached to this Employer or Insurance Company. A note will appear in the System Activity Log denoting changes to Insurance Company or Employer information. Employers/Coverage List Setup Now that the insurance companies have been entered into the EagleSoft database, you need to set up the Employers who offer dental insurance to their employees. You can set up and maintain detailed information within Lists | Employers /Coverage List in EagleSoft. The list displays the employer name, the name of the associated insurance company and the group number for the employer with the insurance company. The Employers/Coverage List setup records the deductible, yearly maximums, group number and the necessary information for accurately estimating how much the insurance company is expected to pay. Patterson EagleSoft 15.00 Setting Up Employers and Insurance Companies • 89 Note: Several employers may share the same insurance company. If an employer has multiple insurance companies, you can create the employer again, but add a 2 or B to the end of the name to differentiate it from the first employer. The Employers/Coverage List quick box lists the employers and their associated insurance coverage. From this list, you can do the following: • Add New employers and link them to an insurance company • Edit employers or their coverage • Delete an employer • Print a Report of all employers Adding or Editing a New Employer From the Lists menu, choose Employers/Coverage list. The Employers/Coverage List is displayed. Choose New or Edit. The New or Edit Employer window is displayed. Enter the basic information for the employer. Enter the Group Name and Group Number for this employer. Enter the Deductible, Maximum amount of coverage and the Beg. Ins. Month for the insurance company. Enter the Insurance Company or select the word Ins. Company to select an existing insurance company or to set up a new one. Select the Ins. Form. This is the insurance form that is used by default for all patients with this employer. If the employees use fees that differ from your standard fees, select the Fee Schedule or select Fee Schedule to select an existing fee schedule or to enter a new fee schedule. Select a Coverage Book from the coverage book dropdown list box. Instead of having to set up several coverage books for several companies, you can create one coverage book to be used by multiple companies or select the word Coverage Book to enter a new one. Select a default Adjustment Type from the dropdown list box. Review and update the Percent covered for each service type and indicate whether this classification should be applied against the deductible. Choose Notes, Prompts, Productivity, Coverage Book or Preferences to add more information to the employer/insurance coverage. Choose OK to save and return to the Employers/Coverage List. Employers/Coverage List Options Use: Notes 90 • Setting Up Employers and Insurance Companies To: Enter notes about the employer or insurance coverage. Patterson EagleSoft 15.00 Prompts Answer questions about the employer or insurance coverage. Productivity Review the productivity of the insurance coverage for that employer. Coverage Book Record the insurance coverage book entries. Preferences Choose insurance company preferences such as calculation method and identification type. Print Summary Generate a report detailing the current employer/insurance coverage information. Writing Employers/Coverage Notes 1. From the New or Edit Employer window, choose Notes. The Employers/Coverage Notes window is displayed. 2. Type any notes that apply to this employer. 3. Choose OK to save and return to the New Employer window. Using Employers/Coverage Prompts 1. From the New or Edit Employer window, choose Prompts. The Employers/Insurance Coverage Prompts window is displayed. 2. Type the answers to any employer prompts that are set up. For more information on Prompts setup, see the Prompts section of the General Setup chapter in this unit. 3. Choose OK to save and return to the New Employer window. Reviewing Employers/Coverage Productivity Patterson EagleSoft 15.00 1. From the New or Edit Employer window, choose Productivity. The Employers/Insurance Coverage Productivity window is displayed. 2. Review the productivity information. 3. Choose OK to save and return to the Edit Employer window. Setting Up Employers and Insurance Companies • 91 Indicating Employer Preferences 1. From the New or Edit Employer window, choose Preferences. The Employer Preferences window is displayed. 2. Choose the preferred identification type for Identify Billing Dentist By: CDA Office Number, Social Insurance Number, or CDA Provider Number – Any of these three choices identify the dentist on the insurance claim form. 3. Choose the preferred Calculation Method: Estimate Insurance – Estimates each service entered during the walkout based on the service type selected for the service code and the percentage set for that service type. The patient’s deductible and remaining benefits are taken into consideration. Note: If an amount is updated in the coverage book, this amount overwrites the estimated percentage. Ins. Company Responsible for All – The total amount of the patient’s walkout is designated to the insurance portion, unless the patient runs out of benefits. In that case, the remainder of the amount is designated to the patient portion. Patient Responsible for All – No estimation of insurance takes place, but an insurance claim is generated. The total amount of services goes to the patient portion. Also, Signature on File is removed from the insurance form and the insurance payment is sent to the patient. 4. Choose the preferred secondary calculation method in the Secondary Calculation Method box. Amount Not Paid By Primary Example: Service = $100, covered at 80% Primary then covers $80, leaving $20. Secondary then figures 80% of $20, which is $16. 92 • Setting Up Employers and Insurance Companies Patterson EagleSoft 15.00 This leaves $4 for the patient to pay. Submitted Amount Example: Service = $100, covered at 80% Primary then covers $80, leaving $20. Secondary then figures 80% of $100, which is again $80. But, the total insurance portion cannot be more than the total amount of the service, which is $100, so the total amount estimated by secondary insurance can only be $20. Patterson EagleSoft 15.00 5. Division/Section Number – Enter the division and/or section number pertaining to this employer. 6. Check Authorizes Payment To Office if you wish for the insurance check to be sent to your office. 7. Check Lifetime Maximum Applies if the patient has a lifetime maximum of benefits. 8. Check Lifetime Deductible Applies if the patient has a lifetime deductible. 9. Check Do Not Track Claims if your practice does not submit insurance claims but still wishes to provide completed claim forms to patients. Setting Up Employers and Insurance Companies • 93 Service Codes Overview The next step is to set up the service codes and their corresponding fees and preferences. You need to enter all service fees and your own service codes, if desired. We encourage you to review the list of CDA codes and services prior to setting up fees and service codes. This enables you to indicate your current fees and codes to be entered into EagleSoft. We recommend reviewing the current service codes in your system. To do this, print a Service Code Master report. Printing a Service Code Master Report 1. From the Reports menu, choose Services. The services-related reports are displayed. 2. Choose Service Code Master from the Reports list. 3. Choose OK to preview the Service Code Master report. 4. Choose Print to print the Service Code Master report. 5. Choose Cancel to return to the Reports menu. 6. Choose Cancel once more to return to the Main menu. Quick Entry for Service Code Fees To quickly and easily key in your service code fees, first print the Service Code Master report and write down your office fees next to the appropriate codes. Then, use this report and the following steps to quickly enter your fees into EagleSoft. 1. 94 • Service Codes To initially set up your service fees, choose Change Service Fees from the Utilities menu. Patterson EagleSoft 15.00 2. Disregard the Service Type, Markup Services By and Round Fees to The Nearest fields. 3. To input your fees, simply type them in the New Fee column. 4. Choose OK to save. Note: A progress meter is displayed on your window as the service fees are being updated. The Apply button is for use when marking up service fees. You do not need to select it when entering the initial fees. Adding a New Service Code 1. From the Lists menu, choose Service Codes. The Service Codes List quick box is displayed. 2. Choose New to input a new service code. The New Service Code window is displayed. If you are making modifications to a code, highlight the code you want to modify in the Services list, choose Edit, and the Edit Service Code window appears. 3. Enter or modify the service code number. The code can be the same as your CDA code or a different code may be used. The service code also appears in the CDA Code field. It also appears in the account history of the patient. Note: The service code cannot be changed once it is entered and saved in your system Patterson EagleSoft 15.00 Service Codes • 95 4. Type an CDA Code, or, if the CDA code is to remain the same as your service code, press the Tab key to move to the next field. The CDA appears on the insurance claim form. 5. Type a Display Abbr. This is displayed with appointment information in OnSchedule. If you have Clinical installed, the Display Abbreviation is displayed on the Quick Picks. 6. Type a Description for the service code. 7. Select the correct Service Type (or category) for this service code from the dropdown list. 8. Type the Master Standard Fee. The Master Standard Fee is the fee your office uses for that particular service. 9. Type the applicable Lab Fees into the Lab Fee fields. 10. Enter Time Units by scrolling up or down or manually entering the number. 11. Select the appropriate Affected Area for this service code. 12. Set the default Preferences so that they correspond with your office’s preferences. Taxable Service – Use this option to apply taxes to services. The sales tax rate is entered in the Accounting Preferences window. If a sales tax rate is entered and the service code is marked as a taxable service, a tax amount is automatically figured for each walkout that contains this service. Submit On Insurance – Marking this option ensures that the service code is always submitted to insurance. If you do not want to submit this service code on insurance, deselect this option. An example of a code not submitted is a toothbrush code. Apply Discount – Use this option to mark a service to receive a 96 • Service Codes Patterson EagleSoft 15.00 discount. If the patient is set up to receive a discount and the service that is processed is marked to receive a discount, a discount applies. Active – Shows service is currently being used by the system. Allow Use as Lab Code – Select this option to use this service code as a Lab Code. Updates Patient Recall – Use this option to update the next recall date for each patient. If the service code is marked to update patient recall and the patient is walked out with this service, the patient’s next recall date is updated based on his individual recall frequency. Use the dropdown list to select the Recall Type. Updates Patient’s Last Bitewings – Use this option to update the bitewing date based on this service code. Updates Patient’s Last Full Mouth Series – Use this option to update the full mouth series X-ray exam based on this service code. Updates Patient’s Last Panoramic – Use this option to update the panoramic X-ray exam based on this service code. Allow Free Form Description – Enabling this option allows you to change the description of the service code from the Walkout and Treatment Plan windows. Generates PostOp Call – Use this option to include the service on the PostOp Call report that is printed through EOD processing or through the Report menu. Generates Lab Case – Select this checkbox to enable a service to generate a lab case when walked out. 13. To set the Normally Performed By setting for this code, choose either Dentist or Hygienist by selecting on the radio button next to your choice. The patient’s preferred dentist or hygienist then defaults in as the provider on their walkout statements and treatment plans according to this setting for the code being used. Patterson EagleSoft 15.00 Service Codes • 97 Additional options: Notes, Productivity, History, Fee Schedule, Chart Setup and Post Procedure information. 14. To enter notes for the service code, select Notes. The Service Code Notes window is displayed. Type any notes you have for this code, and select OK to save the note(s) you have entered and to return to the Service Code window. 15. To review Productivity for the service code, select Productivity. The Service Code Productivity window displays the service’s productivity (units and revenue) for this month and this year. To close the window and return to the main Service Code window, select OK. 16. Select History to review a listing of patients who have received this service. You can modify the range of dates in the Show History From and To fields. Select Refresh to refresh the listing after modifying the date range. Select Report to print a report of the listing. When you are finished reviewing the history for this code, select OK. 17. To add this service code to a fee schedule, select Fee Schedule. Choose Add to include the service code in a fee schedule not listed. Choose Delete to remove the service code from a fee schedule. When you are finished making any modifications, select OK to save your changes and return to the main Service Code window. Please refer to the section on Fee Schedules for more information. 18. Choose OK to save and return to the Service Code List quick box. 19. The following buttons are available below the Fee Schedule button: Chart Setup and Post Proc. 20. Select Chart Setup to set up this area. • Draw Type – Select a draw type for this service. To set up colours and hatch types for the Draw Types, go to the Chart window in Clinical Preferences • Colour – Select a colour for this service • Button Group – Select a Button Group for this service. Button Groups provide a quick way for you to assign services to teeth in the Chart window Button groups are assigned under the File | Preferences | Quick Picks section of Clinical 98 • Service Codes Patterson EagleSoft 15.00 • Action Code – Select an action code for this service. This feature enables you to track disorders and diseases more easily from the Restorative window in Clinical Exam • Smart Code Setup – Select a type of smart code setup For more information on Smart Codes, see the General Setup chapter in this unit 21. Select Post Proc. (Post Procedure) to assign an AutoNote as a post procedure note for this service code. Post procedure notes are notes automatically entered into the patient’s history when the service code is walked out. 22. Select CAESY to assign CAESY video presentations to the selected service code. This button will appear only to CAESY users. 23. To attach CAESY Printables to a service code, select List | Services. Select the desired service code and select Edit. In the Edit Service Code window, select the Printables button. In the CAESY Printables Assignment window, select the checkbox pertaining to the desired CAESY Printable form(s). Select OK. Select the Preview button to view a PDF file of the selected CAESY presentation. 24. Select Standard Fee to view the fee information for this Service Code. Patterson EagleSoft 15.00 Service Codes • 99 Standard Fees by Provider This feature was designed to allow the Practice to establish standard fee amounts that can be attached to each provider and function outside of Master Standard Fees. Create a Standard Fee List In the Lists menu, select Standard Fee List. Select the New button to create a new Standard Fee list. Select the Edit button to edit an existing Standard Fee List. Use a name that will help you remember what the specific purpose of these fees is such as the name of the provider or an insurance carrier. Similar to creating Master Standard Fees, enter a name and create your Standard Fee List. Select OK to save. 100 • Service Codes Patterson EagleSoft 15.00 Master Standard Fees Your original Standard Fees are referred to as the Master Standard Fees. When using the utility Change Service Fees, be sure to select the Master Standard Fee to update the core office fees. You can use the utility to update other Standard Fees as well. Standard Fees and Services Codes When creating or updating Service Codes, select the Standard Fee button to review or edit your Standard Fees pertaining to this code. To access the Service Code list, select Lists | Service Codes. Select the desired Service Code and select Edit. Select the Standard Fee button. The Standard Fees for the selected Service Code are displayed. Patterson EagleSoft 15.00 Service Codes • 101 Select the Fee field to change the Standard Fee amount. Select OK to save. Standard Fee Reports A new report has been added to help you manage your Standard Fees. Service Codes by Standard Fee – This report displays a list of all Standard Fees and their associated Service Codes and Fees. Attach Standard Fee Lists to a Provider Under Lists, select Provider/Staff. Highlight the desired Provider and select Edit. In the Standard Fee field, use the dropdown list to select an existing Standard Fee List or select the hyperlink Standard Fees to create a new one. Select OK to save. 102 • Service Codes Patterson EagleSoft 15.00 The following message appears. Obtain Exclusive Use and select Yes to apply the new Standard Fees to the Provider. Select No to close without saving. Standard Fees and Planned Services To update the fee charged on your planned services to the newly attached Standard Fees, select the Standard Fee list from the Lists menu. Select the Standard Fee schedule and select Edit. Select the checkboxes Update Treatment Plan Fees and Update OnSchedule Fees. Enter a Markup Services percentage of 0%. Select the Apply % button. Select OK to save. Setting Up Fee Schedules Fee schedules are used when you want to charge fees that differ from your standard fees. They can be set up for both employers and for patients. Fee schedules linked with patients override fee schedules linked with that patient’s employer during the processing of walkout statements. Fee schedules may or may not cover all of the services in your office. For example, if you want to create a family fee schedule, you might want to include only commonly used services offered at a discount price, such as child and adult prophylaxis, fluoride treatments and X-rays. Services not appearing in the fee schedule are charged at the standard fee rate. Setting Up New Fee Schedules You have several options available to help you create fee schedules: Patterson EagleSoft 15.00 Service Codes • 103 Use: To: Automatically Setting Up All Service Codes Generate the fee schedule using a set percentage of the service code standard fees. Individually Setting Up Service Codes Change the prices of services one at a time. Utilizing an Existing Fee Schedule Copy a current fee schedule and give it a unique name. Then add, delete or modify fees as necessary. Automatically Setting Up All Service Codes for a Fee Schedule This option automatically adds all service codes to your fee schedule. The service codes are based on the fee multiplier. 1. From the Lists menu, choose Fee Schedule List. If you are in Practice Management Mode, select Lists and choose Fee Schedule List. 2. Choose New to create a new fee schedule. 3. Select the Automatically Setting Up All Service Codes option. 4. Enter the Choose Fee Multiplier. Choose OK. The New Fee Schedule window is displayed. 5. Type the name of the fee schedule. 6. Add or delete fees as necessary. 7. Choose OK to save and return to the Fee Schedules list. Update OnSchedule Fees checkbox To update Fee Schedules, go to Lists | Fee Schedules and edit the desired Fee Schedule. Select the checkbox to update the fees on all scheduled appointments attached to the selected Fee Schedule. • If Patient Preferences and the employer both have a Fee Schedule attached, the fee schedule attached to Patient Preferences will be the overriding fee schedule • If a service were attached to an appointment, the corresponding service in treatment plan items would also be 104 • Service Codes Patterson EagleSoft 15.00 • • • updated regardless if update treatment plan items was checked since schedule items are always in treatment plan Any outstanding pre-authorizations associated with any of the fee changes will be closed Updating OnSchedule fees will also update the scheduled amount on appointments and goals from Day at a Glance and Month at a Glance You will receive a pop-up noting that it will not update any fees except those that come from this fee schedule and that scheduled amounts will be updated Update Treatment Plan Fees checkbox Select the checkbox to update all Treatment Plan items that are attached to the selected Fee Schedule. • If Patient Preferences and the employer both have a Fee Schedule attached, the fee schedule attached to Patient Preferences will be the overriding fee schedule • Any outstanding pre-authorizations associated with any of the fee changes will be closed • Using this option will cause the insurance on treatment plan items affected by this change to be recalculated when viewing treatment plans • If a patient has a Treatment Plan item scheduled and update OnSchedule is not checked, any scheduled services from treatment plan items will not be updated Exclusive Use is required. Setting Up Fee Schedules By Individually Setting Up Service Codes Option Choose this option if you have some employers with only a few services on a fee schedule. This option enables you to add services one at a time. Patterson EagleSoft 15.00 1. Go to Lists and choose Fee Schedules. The Fee Schedules List is displayed. 2. Choose New to create a new fee schedule. 3. Choose Individually Setting Up Service Codes. 4. Choose OK. 5. Type the Fee Schedule name. 6. Choose Add. Enter the service code or press the F2 Key and select the service code from the service code list. 7. Type the fee for this service code. 8. Continue steps 5-7 until you have completed your fee schedule. 9. Choose OK to save and return to the Fee Schedules List. Service Codes • 105 Setting Up Fee Schedules By Utilizing an Existing Fee Schedule There are times when you create a fee schedule that is similar to a fee schedule for another insurance company. This feature enables you to use pre-existing fee schedules for a new fee schedule, and then certain fees can be modified, as you like. 1. From the Lists menu, choose Fee Schedules. The Fee Schedules list is displayed. 2. Choose New to create a new fee schedule. 3. Specify Utilizing an Existing Fee Schedule. 4. Select the existing fee schedule to modify. 5. Choose OK. The New Fee Schedule window is displayed. 6. Type the name of the new fee schedule. 7. Add or delete fees as necessary. 8. Choose OK to save and return to the Fee Schedules list. Setting Up Coverage Books After an insurance claim is submitted and returned to the office, you receive a cheque, an Explanation of Benefits (EOB) or both. Sometimes in the explanations and the cheque, you receive a payment amount different from the estimated amount. The insurance company paid less than the usual amount and explained it by saying that they paid 70% (instead of the usual 80%) and not more than $50.00 on that service. A coverage book lists all of the exceptions for a particular insurance coverage. When a claim is returned with explanations of an exception or you receive information from an insurance company, you can record these exceptions in the coverage book for that insurance coverage. Including these exceptions in the coverage book helps your office more accurately estimate insurance payments in the future. Creating or Updating Employer/Insurance Coverage Books There are several different ways of creating coverage books. You can create a brand new coverage book or you can use an existing coverage book to create a new one. 1. There are two ways to create new coverage books. From the Coverage Book List window, select New. -orFrom an existing coverage book, select Save As New. If you have selected a current coverage book and selected the Save As New button, the Edit Coverage Book window appears. 106 • Service Codes Patterson EagleSoft 15.00 2. Choose Add to add a service to the coverage book. If you have selected a current coverage book, you may need to update the service items or their coverage. If this is the case, continue reading. If not, select OK to save the coverage book. 3. Enter the service code or press the F2 key and select the service code from the list. The service information is displayed, including the standard fee. 4. Enter the UCR if the insurance company has specified a maximum allowable amount for the service. 5. Under the Coverage column heading, select the down arrow and select Dollar Amount, Percentage or Ignore. Dollar Amount – The specific amount to be covered. Enter the amount that you know the insurance is paying on this service in the Covered field. Percentage – The specific percentage amount to be covered for the service. Enter the percentage that insurance covers in the Covered field. The percentage is figured on the UCR amount, if entered, not the standard fee. Ignore – Use the preference for Deductible from the Edit Employer window. Patterson EagleSoft 15.00 6. Enter a dollar amount or percentage in the Covered column. 7. In the Ded. Applies column, choose the appropriate setting from the dropdown menu. 8. Continue to add and delete services, as necessary. 9. Choose OK to save the coverage book. Service Codes • 107 Exploding Codes Overview An exploding code is a code that represents a group of service codes that are commonly used together. This feature is designed to save you time while entering services on the walkout statement. The exploding codes are given their own unique service code and description (for example, ID: EXAM, Description: Routine Exam). When an exploding code is used within a walkout statement, all of the services grouped within that exploding code are listed as individual transactions. The Exploding Codes List quick box shows a list of all the practice’s exploding codes listed by the code and description. From here, you can add a new exploding code, edit or delete an existing exploding code and print a report of all the exploding codes. Adding an Exploding Code 108 • Exploding Codes 1. Go to Lists | Exploding Codes. The Exploding Codes List quick box is displayed. 2. Choose New. The New Exploding Code window is displayed. Patterson EagleSoft 15.00 3. Enter the exploding code and the Description of the exploding code. Once the Exploding Code is saved, you can modify the description or the services within the Exploding Code window, but the actual code cannot be modified. 4. Specify the Status as Active. 5. Enter a Display Abbr that appears on an appointment block in OnSchedule. If Clinical is installed, this Display Abbreviation is also displayed on a Quick Pick button in the Chart window. 6. To assign the exploding code to a Button Group, select from the Button Group dropdown list box. The exploding code then appears on a quick pick button in Clinical’s Chart window. 7. Choose Add to add service codes to the exploding code group. 8. Enter the service code and press the Tab key to add a code or search (F2 key) the Service Codes list for a service. 9. To add more codes, continue with Step 7 above. Continue adding services until completed. 10. To delete a service code from the group, highlight the line of the code and select Delete. Choose OK to save the exploding code and return to the Exploding Codes list. Editing an Exploding Code 1. From the Lists menu, choose Exploding Codes. The Exploding Codes List quick box is displayed. 2. Choose the exploding code you want to edit and then choose Edit. The Edit Exploding Code window is displayed. 3. Add or Delete service codes in the group, as necessary. 4. Choose OK to save any changes and return to the Exploding Codes list. Choose Cancel to exit without saving your changes. Deleting an Exploding Code 1. From the Lists menu, choose Exploding Codes. The Exploding Codes List quick box is displayed. 2. Choose the exploding code you want to delete. 3. Choose Delete. A warning message is displayed. Choose Yes to delete. 4. Choose Close to return to the Main menu. Printing Exploding Codes Reports 1. Patterson EagleSoft 15.00 From the Lists menu, choose Exploding Codes. The Exploding Codes List quick box is displayed. Exploding Codes • 109 110 • Exploding Codes 2. Choose Report. The Exploding Code Report Preview window is displayed. 3. Choose Print to print the report. 4. Choose Cancel to return to the Exploding Codes List quick box. Patterson EagleSoft 15.00 General Setup Overview Like the Practice Information and Preference sections, the General Setup items must be entered before you can begin using EagleSoft in your office or operatory. You can come back to General Setup at any time to make modifications to the settings. General Setup Overview The General Setup windows, called quick boxes, are all quite similar. They have information lists in the center with Use, New, Edit, Delete, Report and Close buttons at the bottom. To access any of the General Setup quick boxes, do the following. 1. From Lists | General Setup, choose a topic. The quick box for that topic is displayed. 2. Choose the button for the particular function you want to perform. Here is a quick reference of the buttons and their functions. Button: Function: Patterson EagleSoft 15.00 Use Utilizes the highlighted discount, alert, message and more in the window from which this was called. This is only enabled if the F2 key or hyperlink is used. New Opens a window to create a new discount, alert, message and so on. Edit Opens a window to edit any discount, alert, message and so on. Delete Deletes any discount, alert, message and so on. Report Prints a report for the selected topic. Close Returns to the Main menu. General Setup • 111 Messages Messages are notes that appear at the bottom of walkout statements, treatment plans or monthly statements. They are used as greetings, reminders or general information. There are a few messages already included in your EagleSoft system. The Messages List window displays the description of the messages currently in your system and a Yes in the Recall Message column if they are used on recalls. Simply enter a description of the message, enter the message and select the checkbox if you want the message to be included in your recall message choices. You are able to link these messages to statements through Lists | Practice Information | Messages. Printing the Messages Master Report If you want to view the messages in the database, select Report to print a Messages Master report. Postal Code List The Postal Code List enables you to add or edit any Postal codes in your database. Postal codes link automatically to the city, province and area code that are entered with them. Once this information is entered, any time that a Postal code or city is entered, the rest of the information is automatically displayed, saving you time and keystrokes. If you have cities that use more than one Postal code, it is recommended that you do not save the Postal code to the list. Likewise, if more than one city uses the same Postal code, do not save these cities to the Postal code list. Customizable Prompts The Customizable Prompts option is another feature that enables you to customize EagleSoft for your office. Customizable prompts are general prompts or questions to include in each patient, provider or employer record for your own office information and record keeping. 112 • General Setup Patterson EagleSoft 15.00 To enter a prompt for that particular area, select the Prompt button. The following are examples of prompts: • Pager phone number • Emergency contact number • Credit card number Provider Labels In the Provider Label List, select the provider ID and select Use to print labels. Select Edit to enter a different name for an existing entry. Select Close to end this session without printing. Staff Positions Some staff positions are already set up in the EagleSoft database. You can print a Staff Positions Master report to see which ones they are. You can add or edit most staff positions, but the system does not allow the dentist and hygienist to be edited or deleted. These must be included in the Staff Positions list. Payment Types Patterson EagleSoft 15.00 General Setup • 113 Payment Types are simply the types of payments that your practice accepts. Examples are cash, cheque or credit card. Some of the payment types included in the EagleSoft database may be added to or edited. The Cash and Cheque payment type options, however, cannot be edited or deleted. Any new payment types must be included in the Payment Types list. Description – A brief description of the payment type. Payment Prompt – Often entered as Number (see preceding image) to be used to record check or credit card numbers. Currency Type – Select the currency type from the dropdown list. Primary or Secondary Deposit – The payment type must be marked for inclusion on the primary or secondary deposit report. Note: Payment type of credit card should be marked to be included on the Secondary Deposit. This enables you to distinguish between cash/cheque and credit card payments more easily. Active – If marked as Active, the payment type appears as an option when the payments are being accepted. If not marked as Active, the payment type does not appear as an option. Service Types A list of standard CDA service types is included in the EagleSoft database. These service types are groups of all the services performed by your office. This feature is important for insurance calculations; estimated insurance is based on the percentage for the service type of the service code being used. Description – The description of the service type. Default Percentage – The default coverage percentage for that service type. If you modify this percentage and select OK, the percentage for each employer for this service type is set to the new default percentage. Note: If you find that insurance is not estimating correctly for a particular service: 114 • General Setup 1. Make sure you have assigned the correct service type to the service. 2. Make sure you have assigned the correct percentage to the service type of the service. Patterson EagleSoft 15.00 Deductible Applies – Select this checkbox if you would like to apply a deductible to this service type for all current or new employers. 3. If you choose Yes, the deductible is applied to all current and any new employers. 4. If you choose No, the deductible is only applied as the default for any new employers. To remove the Deductible Applies for employers you do not want to receive the deductible for that service type, deselect the checkboxes. Note to Trojan Subscribers: If you subscribe to Trojan Services, you also have buttons on the window above to specify the correct Trojan Service Type for each of the service types you have set up in EagleSoft. Refer to your Trojan Integration documentation for more details. Adjustment Types This feature enables you to create custom descriptions about adjustments that are made to patient accounts. You may add, edit, delete and report your adjustment types through this feature. If you want to track amounts being written off during the insurance payment or you need to give a refund, you need to set up adjustment types (for example, Delta Dental Adjustment) to track. For detailed information about Production, Collection and Adjustment settings, see the Reviewing Provider Productivity chapter in the Daily Procedures unit. Account Types All existing records will be classified as Standard. To add or edit an Account Type, select the hyperlink Account Type or go to Lists General Setup | Account Type. The following window appears. Select the Use button to apply the selected Account Type. Select the New button to create a new Account Type. Select the Edit button to edit the selected Account Type. Select the Report button to view the Account Type Patterson EagleSoft 15.00 General Setup • 115 report. Select the Close button to close the window without applying an Account Type. The following is an example of the New Account Type window. The Accounts Receivable by Responsible Party and Delinquent Accounts Report can be filtered by Account Type. Recall Types To create Recall Types, select Lists | General Setup | Recall Types. Select the New button to enter a new Recall Type. Select the Edit button to edit an existing Recall Type. Select the Delete button to delete the selected Recall Type. Select the Report button to preview the Recall Types report. Select the Close button to exit the window. Creating New Recall Types In the Recall Types window, select the New button to add a Recall Type. In the New Recall Type screen, enter the Description, set the Frequency and select the Provider. Select the checkbox Plus 1 Day to add one additional day onto your frequency amount. Select the checkbox Use this type by default when entering a new patient to set the current Recall Type as the default recall type for all new patients. Select OK to save your new Recall Type. Select Cancel to exit the screen without saving. 116 • General Setup Patterson EagleSoft 15.00 Recall Status To create Recall Statuses, select Lists | General Setup | Recall Statuses. Select the New button to create a new Recall Status. Select the Edit button to edit the selected Recall Status. Select the Delete button to delete the selected Recall Status. Select the Report button to preview the Recall Statuses report. Select the Close button to exit the window. Creating New Recall Statuses To create new Recall Statuses, select the New button. In the New Recall Status window, enter the Abbreviation and Description of the status. Select OK to save. Select Cancel to exit without saving. Time Sheet Work Types Work types are used in conjunction with the Time Clock program. The work types are representative of various names for types of time-off. There are four default work types included in the EagleSoft database: Regular, Holiday, Vacation and Sick. The Work Types window enables you to create or edit work types. The work types are attached to time sheet hours. Adding New Work Types 1. From Lists | General Setup and then Timesheet Work Types. The following Work Types window appears. Patterson EagleSoft 15.00 General Setup • 117 From the Work Types window, the four default work types are displayed. 2. Select New. The following window appears. 3. Enter the name of your new work type and the default “clock in and out” time (for example, Paid Time Off: 8:00 a.m. – 5:00 p.m.; Training: 1:00 p.m. – 4:00 p.m. and so on). 4. Select OK to save the new work type. Editing Work Types 1. To edit a work type, select a work type and select Edit. 2. Edit the name of your new work type (for example, vacation, training and so on). 3. When you have finished editing the work type, select OK to save and close the window. Printing Work Types 118 • General Setup 1. To print a report of work types, select Report. 2. View and sort the report according to your needs. 3. Select Print to print the report or Close to exit the Report Preview window. Patterson EagleSoft 15.00 Patient Alerts Patient Alerts are pop-up messages linked to patients that help to identify and classify your patient list. Alerts can be simple reminders that your practice may tag to a group of patients, or they may be as critical as alerting you to a patient’s medical condition. A list of patient alerts has been added to your EagleSoft system. You may add or edit patient alerts as needed. Mark significant patient alerts to appear on the window each time a particular patient is encountered within the system. These are used to call the staff’s attention to an important medical problem. Set these alerts to Warn User When Encountered. (See the following image.) Other patient alerts, such as “Takes good care of his teeth,” do not require the same level of warning. See the chapter on Patient Setup to learn how to link patient alerts to patients. Note: You can set system-wide preferences to determine the areas in EagleSoft where the patient alerts appear. To do this, go to File | Preferences and select the Alerts tab. Account Alerts Like patient alerts, account alerts are pop-up messages linked to accounts that identify and categorize the accounts. Alerts can be useful in recordkeeping and reporting. A list of account alerts has been added to your EagleSoft system, but you may add to or edit this list as you like. Significant account alerts should be marked to appear on the window each time a particular patient is encountered within the system. These are used to call the staff’s attention to an important account requirement, such as “Cash Only” (see the following image). These alerts should be set to Warn User When Encountered. Other account alerts do not require the same level of warning, such as Patient is Employer You may assign these alerts to accounts via the Alerts button in the Account window. Patterson EagleSoft 15.00 General Setup • 119 Note: You can set system-wide preferences to determine the areas in EagleSoft where alerts appear. To do this, go to File | Preferences and choose the Alerts tab. Discounts You can set up patient Discounts within your system to be given to patients. Examples of some common discounts are “Senior Citizens - 5%,” “Family Discount-5%,” or “Employee Discount-10%.” To add a new discount, simply enter the Description and the Discount Percentage. Task Categories From the Task Categories window, you can create, edit and delete task categories for Task Manager. To create a task category: 120 • General Setup 1. Select New. 2. Enter a description of the task category. 3. Select Set Colour to select a colour for the new task category. 4. When you are finished selecting your colour or mix of colours, select OK. 5. Select OK to save the new category. Patterson EagleSoft 15.00 Clinical Setup Chart Setup The Chart module enables you to enter services and conditions, create treatment plans, view tooth history and many more options from one window. All of this information is conveniently stored in the patient’s history. Before charting any services, however, you need to set up some basic information. This section walks you through setting up conditions, quick picks, Draw Types and button groups. Conditions You can enter specific conditions you want to chart, such as abscess, impaction, open contact. Clinical includes the most common conditions and you may add or edit conditions as needed. Adding a New Condition Patterson EagleSoft 15.00 1. Go to the Lists and choose Conditions. The Conditions List quick box is displayed (see the following image). 2. Select New or Edit. The Add New Condition or Edit Condition window is displayed. Clinical Setup • 121 3. In the Description field, enter a name/description for the new condition. 4. In the Display Abbr (Abbreviation) field, select how you want this condition to appear on the Chart quick picks. For example, if you type Abscs to represent the word Abscess, it will appear as Abscs on the Button Group. 5. In the Draw Type field, choose the draw type for this condition from the dropdown list box. The draw type is how the condition will be displayed in Chart. 6. Choose a Colour from the colour dropdown list box. 7. In the Action Code field, choose the action code for this condition from the dropdown list box. This will enable easier tracking of diseases and disorders. The action code selected for this condition determines what is updated in the Clinical Exam | Restor window. For example: An Impaction code assigned to an Impacted Mesial condition will update the Impaction box in the Clinical Exam | Restor window. In the preceding example, each time the Impacted Mesial condition is applied to a tooth, the Impaction code box is updated. 8. Assign the condition an option from the Button Group dropdown list. There are two Button Groups for conditions. For an Abscess condition, as noted above, you can add more condition-related quick picks to this button group. 9. Select the Affected Area: Tooth, Surface or Root. 10. Select OK to save your new condition. To cancel without saving, select Cancel. Editing an Existing Condition 1. 122 • Clinical Setup From the Conditions List quick box, highlight the condition you want to modify and select Edit. 2. Make any necessary changes to the information entered previously. 3. Select OK to save your changes. Select Cancel if you do not wish to save your changes. Patterson EagleSoft 15.00 Deleting an Existing Condition From the Conditions List quick box, highlight the condition you want to delete, then select Delete. Draw Types The Draw Types illustrate how a service or condition looks on a tooth. To view the Draw Types, see the Legend in the Appendix of this guide or, in the software, go to Chart and select Legend. For more information, see the Chart chapter in the Operatory Record unit. Quick Picks and Button Groups Quick picks provide an easy and quick way to apply service codes or conditions to teeth or areas of the mouth via the Chart window. Quick pick buttons (for example, Amalg for Amalgam) are what you see in the window. The first service you set up in Preferences | Quick Picks is the service that appears on the quick pick button. After creating the initial quick picks, you need to create a button group. A button group is a group of services you have attached to a quick pick button. The following instructions explain in detail how to create quick picks and button groups for services and conditions. Create a Quick Pick for a Service or Condition 1. Select File | Preferences. 2. Choose the Quick Picks tab. A list of numbers is displayed next to a service code or the word Unassigned. These are quick picks. When you assign a service code, abbreviation or CDA code to the button group, this is how the quick pick appears in the Chart window 3. Patterson EagleSoft 15.00 Select a Quick Pick number. Clinical Setup • 123 4. Select a service code from the Service Code list. 5. Select Use if you want to select this service code. If you want to give the button group an abbreviation, follow these instructions: 1. From the Integrated Mode, go to Lists and choose Service Codes. From Clinical Mode, go to Lists | Services. From Practice Management Mode, go to Lists and choose Service Codes. 2. Choose a service and select Edit. 3. Select in the Display Abbreviation. What you type there is displayed on the Quick Pick in Chart. This abbreviation also displays in OnSchedule as the service abbreviation in Notes. 4. Type in the abbreviation you want for the button group. 5. Select OK to exit. You have just created a quick pick. To add more services to the button group, keep reading. A dropdown menu is attached to the quick picks. Now you can add services to each button, which makes charting services easier and quicker. How to Set Up a Button Group: Services 1. From a Service Codes List box, choose a service you want to appear in this button group, such as Amalgam, Sealant and so on. 2. Select Edit. 3. Choose Chart Setup button. 4. To assign this service to a button group, select an abbreviation or service in the Button Group dropdown list box. The button group is listed with the service code first and the abbreviation or name second. 5. Choose the Button Group. 6. Select OK. How it Works: 1. Follow the instructions for setting up multiple quick picks. 2. Go to the Chart window. 3. Find a quick pick, like AMALG. 4. Select the down arrow next to the word. A button group comes up with the service you just added. You can add as many services as you want. Create Quick Pick for Conditions 1. Go to File | Preferences. 2. Choose the Quick Picks tabs. There are two available conditions picks. Select one of the hyperlinks to assign a condition. The Conditions List window appears. 124 • Clinical Setup Patterson EagleSoft 15.00 3. Choose a Condition from the list and select Edit. 4. If there is not one, type in a Display Abbreviation. 5. Select OK and then select Use for that condition. Example of How to Use Quick Pick Conditions: Create a Condition Button Group for Abscess. 1. Pick the Abscess condition. Select Edit. 2. Type in Abscs for the Display Abbreviation. 3. Go to the Chart window. Abscs appears on a quick pick condition. You have just created a Button Group for an Abscess condition. Note: A maximum of five letters appears on a quick pick button. Custom Colour Setup Colours are used for services and conditions in Chart, chairs in OnSchedule, AutoNotes and other places in Clinical. Editing any of these colours, or even creating new ones, is only a few selects away. 1. From the Lists menu, go to Clinical Lists and choose Custom Colours. The Colours List window appears. Select Edit to change a colour. Select New to create a new colour. Activities menu. Smart Code Setup The Smart Codes are easy ways to chart multiple services and different surfaces of a tooth. Eliminating the hassle of selecting a tooth and entering the service code for each surface, EagleSoft offers a convenient way of attaching multiple services to one service. From the Lists menu, choose a service code. 1. Select Edit, and the Edit Service Code window appears. 2. Select Chart Setup. The following window appears. Patterson EagleSoft 15.00 Clinical Setup • 125 3. Under Smart Code Setup, select the radio button Use this Code Once for a Range of Teeth or Use this Code Once per Tooth. Depending on the service, surface, quadrant, and/or tooth checkboxes are available to enter services. The services you enter here are linked under the main service code. For example, if you have a one-surface amalgam, it is a good idea to enter the second surface amalgam service code into the 2 Surface box. The same goes for three-surface amalgams, four-surface amalgams and so on. 4. When you have entered your selected services, select OK. The process for setting up Smart Codes for root canals and teeth is the same except you have different boxes to choose from. AutoNotes AutoNotes is a feature that allows you to save text notes as AutoNotes to later be easily entered into a patient’s file. AutoNotes are often used as Post Procedure notes tied to service codes. Adding an AutoNote 1. From the Lists menu, choose AutoNotes. The AutoNotes List window is displayed. 126 • Clinical Setup 2. Select New. 3. In the Description field, type a name/description. Patterson EagleSoft 15.00 4. In the Note Text field, type the text of your new AutoNote. If necessary, press Ctrl + Enter to create a new line in the text note. 5. Select Colour to select a colour for the text. When you select Colour, a colour palette will appear. Select the colour you want to use for the AutoNote text. The subject will appear in the same colour, too. 6. Select OK to save your new AutoNote. The new AutoNote will appear in the AutoNotes List. To cancel without saving, select Cancel. Editing an Existing AutoNote 1. From the AutoNotes List window, highlight the AutoNote you want to modify and select Edit. The Edit AutoNote window is displayed. 2. Make any necessary modifications to the Description or Note Text fields. 3. Select OK to save your changes. To cancel without saving your changes, select Cancel. Deleting an Existing AutoNote From the AutoNotes List window, highlight the AutoNote you want to delete and select Delete. Clinical Exam Types The Clinical Exam consists of a variety of sub-exams comprised of questions and data fields used to enter clinical data for the current patient. When entering information into a Clinical Exam, at times you will want to answer questions for some sub-exams and not for others. At other times, you will want to answer questions for all sub-exams. The Clinical Exam Types enable you to customize the Clinical Exam for only those sub-exams you need for the current patient. For example, a Clinical Exam Type may be Complete Exam with each subexam marked. Another Clinical Exam Type might be IntraOral, but only the IntraOral sub-exam is checked. Adding a Clinical Exam Type 1. Patterson EagleSoft 15.00 From the Lists menu, choose Clinical Exam Types. The Clinical Exam Types List window appears (see the following image). Clinical Setup • 127 2. Select New. The New Exam Type window appears. 3. In the Description field, type a name/description for the exam type. 4. In the Include Sub-Exams group, select the checkbox next to each sub-exam to include when the new exam type is chosen in Clinical Exam. 5. Along with the many clinical questions included with each sub-exam, you can add up to 15 customized questions per exam type. For more information on adding or editing custom questions, see the upcoming section on Adding a Custom Question to an Exam Type. 6. To save your new exam type, select OK. To cancel without saving, select Cancel. Editing an Existing Clinical Exam Type 1. From the Clinical Exam Types quick box, highlight the type you wish to edit, select Edit. The Edit Exam Type window is displayed. 2. Make all necessary changes. 3. Select OK to save your changes. Select Cancel to exit without saving. Deleting an Existing Clinical Exam Type From the Clinical Exam Types quick box, highlight the type you wish to delete, and select Delete. Note: You cannot delete a Clinical Exam Type that is related to a patient’s history record from a previous Clinical Exam. Adding a Custom Question to an Exam Type 1. From the New Exam Type window, select Add. The Exam Question window appears. 2. In the Question field, type your custom question. 3. Select OK to save your new custom question. To cancel without saving the new custom question, select Cancel. Editing a Custom Question Use caution when modifying a question that already has answers saved in patient records. The answers will be removed if the question is altered. 128 • Clinical Setup Patterson EagleSoft 15.00 1. From the New Exam Type window, highlight the custom question you want to modify and select Edit. The Exam Question window appears. 2. In the Question field, make your change to the custom question. 3. Select OK to save your change to the custom question. To cancel without saving your change, select Cancel. Deleting a Custom Question From the New or Edit Exam Type window, highlight the custom question you want to delete, and select Delete. Annotations Annotations are comments you create to identify areas of concern on a patient video image. They are used to “point” to the area of concern. While viewing the image, the annotation can be displayed or hidden from view. Follow these steps to enter or edit annotations: 1. From Lists menu, choose Annotations. The Image Annotation Type List window is displayed. 2. To enter a new annotation, select New. If you wish to edit an existing Annotation, select the desired record and choose Edit. 3. A box appears where you may enter or edit the condition. 4. Enter the description. 5. When all necessary changes have been made, select OK to save your changes and return to the Annotations quick box. For more information on using annotations, see the Annotation section in the Advanced Imaging chapter located within the Imaging unit. Image Templates Image templates can be used when acquiring images from any source in the Advanced Imaging window. For example, when you create an image template for a scanner, a shortcut for the scanner template appears in the Exam Bar area. The Image Template window makes acquiring images from virtually any source easy and efficient. Patterson EagleSoft 15.00 Clinical Setup • 129 1. Go to Lists and choose Image Templates. The Image Template List window is displayed. A few preset image templates have already been entered for your convenience. 2. Select New or Edit. The New or Edit Image Template window is displayed. The following is an example of the New Image Template window in Standard Mode. If you select New, the Standard Mode is active. If you select Edit, the Custom Mode is active. 3. To switch to Custom Mode, select the Custom Setup button in the top-right corner of the window. If you are viewing Custom Mode, select the Standard Setup button in the top-right corner of the window. Default Source From both modes, the Image Template window enables you to select a default source for each position in the template. This feature also enables you to choose multiple sources within an image template. The Default Source on the position plays an important role in using Auto Acquire during image acquisition. Single Default Source 1. To choose one default source for the entire image template, assign some positions for your template. 2. Select the Default Source dropdown list box and choose a source. 3. Modify any other Image Template features and select OK to save and exit. Multiple Default Sources 130 • Clinical Setup 1. To assign multiple default sources, press and hold the Ctrl key. 2. Select individual positions. Patterson EagleSoft 15.00 3. Select Image Info button, and the Image Information window appears. 4. Select the Source dropdown list box and choose a different source. Modes There are two modes for creating image templates – Custom and Standard. Standard is best for quickly creating image templates. Custom is best for editing and customizing existing templates to meet operatory needs. Custom Setup 1. On the displayed grid, select the squares that will be used by your new template in the order in which they will be used (filled). If you do not enter them in the order they will be used, you can modify their order by highlighting the square you wish to change, and selecting either the << or >> button. The template sequence number for the selected square is displayed in the Sequence field to the right of the window. Your image template may begin to look something like the following image. Use the Clear and Clear All buttons to clear your current template. If necessary, modify the Image Orientation of the selected square by selecting the radio buttons. 2. 3. Patterson EagleSoft 15.00 You have two checkboxes for flipping the image. These are: Flip This Image – Flips the image vertically upon acquisition. Mirror This Image – Flips the image horizontally upon acquisition. To choose one default source for the entire image template, select the Default Source dropdown list box and choose a source. 4. To assign multiple default sources, press and hold the Ctrl key. 5. Select individual positions. 6. Select Image Info and the Image Information window appears. Clinical Setup • 131 7. Select the Source dropdown list box and choose a different source. Select OK to save and exit the Image Information window. 8. Select from one of the Update Properties checkboxes to update the Summ (Summary) window in the Clinical Exam. • 9. Patient’s Last Bitewings • Patient’s Last Full Mouth • Patient’s Last Panoramic Choose the Add to New Exam Bar checkbox if you want to add this image template to the New Exam Bar in Advanced Imaging. 10. To save your new image template, select OK. To save the image template under a different name than the one entered in the Description field, select Save As. Select Cancel to exit without saving. Standard Setup 1. If not already viewing the Standard Setup mode, select the Standard Setup button. 2. To assign positions to the image template, enter numbers in the grid located in the top right of the window. As you assign numbers to the positions, the image template is created. For example, to add three right maxillary positions, enter a three in the corresponding box. 3. Select the Horizontal Bitewings checkbox if applicable for the template. 4. Select Vertical Anterior checkbox if applicable for the template. 5. Choose a default source from the Default Source dropdown list box. 6. Repeat steps 3-10 under Custom Setup mode. For more information on Auto Acquire, see the X-ray section in the Setting up Operatory Preferences chapter in this unit. Or, see the Acquiring New Images section in the Advanced Imaging chapter located within the Imaging unit. DenOptix Scan Types The DenOptix machine currently operates with three different carousels: IntraOral, Cephalometric and Panoramic. Each carousel has a unique layout and many areas to place “plates.” Based upon how you prefer to acquire images using your DenOptix machine, you need to set up DenOptix Scan Types to instruct Clinical where the film should be placed on the plates of each carousel. DenOptix Scan Type Setup 1. 132 • Clinical Setup From the Lists menu, choose DenOptix Scan Types. The DenOptix Scan Types window will be displayed. 2. Select New. 3. Enter a description for your new image template in the Description field. Patterson EagleSoft 15.00 4. Choose the carousel type you are using from the Carousel Type dropdown list box. 5. Next, you need to assign plate locations for template film. To do this, you must first choose a template from the Template dropdown list box. Once you have selected a template, it will be displayed in the template display window. 6. To assign the first film to a plate, highlight the plate on the DenOptix carousel mount where the film should be assigned, and select Assign. You can also double-click on the plate. If you wish to assign this film template to a Patient Group, follow these instructions: • Select Next • Change the patient to the next group (Group 2) from the Patient (Group) dropdown list box • Choose the Template These steps must be done for multiple patients in one DenOptix Scan Type. Assigning a Patient Group to an image template is helpful later when assigning acquired X-ray images to a patient. Continue this process for each plate on your carousel by selecting Next and repeating steps 4 through 6. Custom Image Enhancements The Custom Image Enhancements feature enables you to apply your own customized X-ray image adjustments. You can apply these enhancements from the Advanced Imaging module. 1. Patterson EagleSoft 15.00 To set up Custom Image Enhancements, go to Lists | Custom Image Enhancements. Clinical Setup • 133 2. To edit an existing enhancement, select an enhancement and select Edit. 3. Select New to create a new image enhancement. The New Custom Image Enhancement window appears. 4. When you are finished, select OK to save the new image enhancement. For more information on applying image enhancements, see the Effects sub-section in the Advanced Imaging chapter located within the Imaging unit. Image Source Enhancements The Image Source Enhancements window enables you to create advanced imaging enhancements that automatically apply to any images acquired from specified sources. For example, you can increase brightness, decrease contrast and sharpen the edges on all images acquired from DenOptix. 1. From Lists, choose Image Source Enhancements. The Image Source Enhancements window appears. 2. Select New to create an image source enhancement. To edit an image source enhancement, select an enhancement and select Edit. The following window appears. 134 • Clinical Setup Patterson EagleSoft 15.00 3. Select an image source from the Image Source dropdown list box. 4. Select enhancements to automatically apply to any image acquired before it appears on-screen from the selected source. This enhancement is not added to the history of the image. 5. Select OK to save and close. Example Groups The Example Groups option enables you to store sample images for client representation. These images allow you to show patients other patients’ photos who had the same procedures performed. These images are stored in the Example Image Group and can be viewed from the Advanced Imaging module. 1. To create an Example Image group, go to Lists | Example Image Groups. 2. Select New to create a new example image group. Select Edit to rename an existing example images group. 3. To view the example images, go to Advanced Imaging and select the Exam by Type button in the Exam Bar window. Select the plus next to Example Images. The Example Images Groups appear below the Example Images. Patterson EagleSoft 15.00 4. To see the photos, select a folder. Double-click on the name of the folder to view all images in the Exam View window. The picture appears on the right in the Exam View window. 5. To change the Example Group, select the Example dropdown list box in the Image Information window or select the blue underlined word Example. Clinical Setup • 135 Document Groups From this window, you can create document groups for your images. The document groups are classifications for different types of images: Full Smile, Insurance Documents, Lower Arch, Medical Histories and so on. You can assign any type of document to a Document Group. The most recent image acquired and saved into any of the four default image groups – Patient Photo (the last patient photo acquired appears any time a patient’s photo is viewed), Full Smile, Upper Arch and Lower Arch – appears on the front window of the Clinical Exam. The Document Groups are also available from the Advanced Imaging window. Select the Exams by Type button in the Exam Bar window. Then, select the plus sign next to Images by Document Group. Select a folder and choose a document to view. You can also double-click on the name of the folder to view all images within the Exam View window. If you need to change the group assigned, view the Image Information window and select a different Document Group from the Document Group dropdown list boxes. Application Interfaces The Application Interface Manager enables you to set up and modify programs that can integrate with Clinical, such as CEREC and others. These programs are available from the Application Interface Manager submenu off the Clinical Activities menu. Adding an Interface Go to Clinical Lists and select Application Interfaces. Select New to set up an interface with a program. Enter a name, location and other relevant information pertaining to the interface, including the parameters. Select the Add to Application Interface Manager menu checkbox to make this interface available from the Clinical Activities menu. 136 • Clinical Setup Patterson EagleSoft 15.00 Fast CheckIn Patient Check-in Terminal Fast CheckIn requires a 1024 x 768 screen resolution. This kiosk-styled check-in center is designed to permit patients to enter registration information directly into the system unassisted. Included in the registration information will be Patient Demographics, Medical History, PIPEDA forms and the ability to view CAESY videos. This module can also be installed onto a computer that does not have EagleSoft installed. Provide your Fast CheckIn users with a detailed set of instructions to cut down on questions and mistakes. Under Utilities, select Fast CheckIn. From here, select Preferences. In the Fast CheckIn Preferences, select the checkboxes associated with the items that you wish the registering patient to access. Patterson EagleSoft 15.00 Fast CheckIn • 137 Patient Demographics Medical History Require Signature on Medical History PIPEDA Notice of Privacy Practices PIPEDA Authorization PIPEDA Consent Custom Documents Prompt patient to view CAESY presentations attached to today’s services. Enter the number of minutes after which you would like Fast CheckIn to cancel the current session. The PIPEDA Authorization and Consent forms have been predefined within Patterson EagleSoft. To customize the message to the patient, select the Edit button following the PIPEDA item. Select the following checkboxes if applicable: Use last saved Medical History exam data when starting application and Generate account note based on viewed pages. Use last saved Medical History exam data when starting application will default the medical history section of the Fast CheckIn to the answers provided in this patient’s last medical history exam. These answers may come from either a Fast CheckIn session or a medical history form within EagleSoft. Note: The Medical History answers that appear are from the patient’s last saved Medical History. Generate account note based on viewed pages will create a general note in this patient’s note history window that contains a description of the Fast CheckIn screens that were displayed and answered by the patient. Enter a password for the Fast CheckIn station. Select OK. When a computer is operating in kiosk mode, it will not exit the Fast CheckIn operations without this password. To stop the kiosk mode operations, select Ctrl + Shift + P on the keyboard of the kiosk machine. You will receive a prompt for the password to exit kiosk mode. Under Utilities, select Fast CheckIn | Activity. 138 • Fast CheckIn Patterson EagleSoft 15.00 Fast CheckIn Custom Documents Fast CheckIn now allows for custom documents and signatures. Please review the following information on how to set up your Fast CheckIn. Fast CheckIn Preferences Custom Documents – Select the checkbox to include the listed documents in the Fast CheckIn Wizard. If this option is deselected, all the buttons and list box associated with this option will be disabled. Disabling this option will NOT delete any existing custom documents. New – Select this button to open Custom Document Setup window and add a new custom document to the list. Edit – Select this button to edit the selected custom document Remove – Select this button to permanently delete the currently selected custom document as well as any images attached to this document. Up – Select this button to move the selected document up in the list. Down – Select this button to move the select document down in the list. Custom Document Setup If no radio button has been selected, it will give the user the option to continue without selecting a custom document. If the user continues, then the custom document will default to a textual document with a blank document. Document Title – Enter a title for the document. This field is required. Narrative – Enter a narrative for the document. The narrative should explain to the patient what the document contains and/or instructions to complete the document. Text Document – Select this option to enable/disable the Edit button. This will also clear any other selected radio buttons in the group. Edit Button – This button will open up an RTF editor so the user can write a custom textual document. Scanned Document – Select this option to enable the Scan button. This will also clear any other selected radio buttons in the group. Patterson EagleSoft 15.00 Fast CheckIn • 139 Scan Button – This will open the scanner interface allowing you to scan one image or document to be used in the Custom Document. Imported image – Select this option to enable the Import button. This will also clear any other selected radio buttons in the group. Import Button – This button will open a window so you can import a custom image to be used in the Custom Document. Preview Button – This will bring up a dialog so you can preview the document. Requires Signature – Check this box to require the patient to sign the document before continuing the Fast CheckIn wizard. This will save a copy of the custom document to the Patient’s SmartDoc. Enable Drawing on this document – Check this box to enable the patient to draw on a document, to mark checkboxes, for example. This option is only available for scanned or imported documents. This will save a copy of this custom document to the Patient’s SmartDoc. Always Show Document – Check this box to always show the document every time the patient visits the Fast CheckIn. If this option is deselected, the patient will only see this screen if they have not been to Fast CheckIn since the last time this Custom Document was updated. Pen Colour – This is the colour to be used when drawing on a document. Document Group Link – This link will open up the Document Image group window to allow the user to add, select or modify document groups. If they select a Document Group from this window, it will automatically update the Document Group dropdown menu. Document Group Dropdown Menu – This will allow the use to select which document group the custom item will be saved to when it is created in SmartDoc. Using Fast CheckIn Use your signature pad, Tablet PC or mouse to sign documents. See the Capture A Signature section for more details. To send a patient’s information to the Fast CheckIn station, select the Fast CheckIn button in Edit | Patient or right-click on a patient’s name in any window and select Fast CheckIn. After the front desk has sent the patient to the Fast CheckIn terminal, select the Begin button to begin verifying information. Patient Information Verify and update your personal information. Medical History Answer the provided questions for your Medical History information pertaining to Doctor’s care, allergies and illness. PIPEDA Information Read and sign the provided PIPEDA consent and privacy forms. 140 • Fast CheckIn Patterson EagleSoft 15.00 CAESY Presentations Select from the available CAESY video presentations pertaining to today’s treatment to view. This option is only available to offices using CAESY. Patterson EagleSoft 15.00 Fast CheckIn • 141 IntelliCare Intelligent Reminders IntelliCare allows you to create reminders about patient care that are designed to notify you while the patient is still in the office. Increase recare efficiency by using IntelliCare Reminders. This feature is designed to let the office set up automated reminders pertaining to patients matching user-defined criteria. There is no limit on the number of IntelliCare reminders to set up and have operational at any time. IntelliCare reminders are designed to allow the Patterson EagleSoft system to compare the current state of a patient record with recurring care guidelines defined by your office. IntelliCare Examples An office requires that patients have a panoramic image every 18 months. Using this new feature, an IntelliCare reminder will inform the office when they are helping a patient who has not had a panoramic image in the past 18 months. The reminder will continue to notify them until the image has been acquired and saved. It is like an instant recall. IntelliCare Preferences Think of IntelliCare as a personal assistant who helps you track all of the little things that often fall through the cracks in a busy practice. 142 • IntelliCare Patterson EagleSoft 15.00 Set up your IntelliCare Preferences under File | Preferences. Select the IntelliCare tab. Select the checkboxes associated with the areas of the software that you would like the IntelliCare Reminders to appear. Select OK. Creating IntelliCare Reminders After determining your Preferences, select Lists | IntelliCare to begin creating reminders. Select the New button and choose from the following options: Account To create an Account Reminder, select the Account button and enter a name in the Description field. Select from the following checkboxes: Consider Days Since Last Personal Payment – Select this option to enter a number of days since the last personal payment. Consider Days Since Last Statement – Select this option to enter a number of days since the patient’s last statement was sent. Consider Age of Account Balance – Select this option to include only accounts with a balance that is greater than or equal to the selected number of days outstanding. Ignore Patients Who Receive Discounts – Select this option to ignore patients who have discounts set up in the Patient list. Ignore Accounts Marked to Not Receive Statements – Select this option to ignore accounts that have the checkbox selected do not receive statements in the Patient list. These options are available to help you streamline your reminder to consider the mitigating factors of a patient’s account. Patterson EagleSoft 15.00 IntelliCare • 143 Create an Account Reminder to remind you of Past Due balances. Under Personal Criteria, select the checkbox All Account Types or select the desired Account Types from the display. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to include patients from the reminder based on their current account balance. Consider Benefits Remaining – Use this option to select a range remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. IntelliCare Actions Under Action, select from the available options to define the action to be taken when you select the Go button during this reminder. This is designed to help you define the action within the system that will meet the recare requirements for the selected patient. When the reminder window is displayed for a patient, you can simply double-click or use the Go button for each item to help you fulfill the care requirements for this patient. 144 • IntelliCare Patterson EagleSoft 15.00 Create Task – Select this option to create a task. Edit Patient Record – Select this option to edit the patient information. E-Mail Patient – Select this option to create an e-mail for the patient. Open Account – Select this option to launch the patient’s Account screen. Open Clinical Exam – Select this option to launch the Clinical Exam screen for the current patient. Open Imaging – Select this option to launch Advanced Imaging for the current patient. Open Medical History – Select this option to open Medical History for this patient. Open Operatory Notes – Select this option to open Note History for this patient. Open Perio – Select this option to launch Perio for this patient. Open PSR – Select this option to launch PSR for this patient. Open SmartDoc – Select this option to launch SmartDoc for this patient. Open Treatment Plan – Select this option to launch Treatment Plan for this patient. Schedule Appointment – Select this option to launch the Appointment Find for this patient. Send Patient to InContact – Select this option to send this patient to InContact. Take No Action – Select this option when there is no action that you wish to take with this item. This option is the default. Notification New notification options are available for your IntelliCare reminders. Select from the available options to further control how and where you receive IntelliCare reminders. Patterson EagleSoft 15.00 IntelliCare • 145 To set IntelliCare indicators, go to Lists | IntelliCare | New or Edit. In the IntelliCare Setup screen, select from the available options. Select the Check All button to select all notification options. Select Clear All to deselect all of the notification options. Appointment The Appointment IntelliCare is designed to help ensure that patients are being scheduled for all that you are offering. For instance, an IntelliCare reminder can be used to ensure each patient has their next prophy appointment scheduled before they leave your office today. The system will remind your staff that the patient does not have his/her next appointment scheduled. Create an Appointment Reminder to notify you of patients who are overdue for recare. To create an Appointment Reminder, select the Appointment button and enter a name in the Description field. Begin answering the questions provided. Use the dropdown list box to select the Appointment Type, if applicable. Select one of the following radio buttons to determine when recare has been met for this Reminder: Scheduled, Walked Out, Completed. Under Personal Criteria, select the specifics of the reminder. Select the checkbox All Account Types to apply the reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. 146 • IntelliCare Patterson EagleSoft 15.00 Select from the following Warn within parameters: Due Every __ Months/Weeks – Select the number of months/weeks within which you wish to see the IntelliCare reminder. Select the checkbox Add One Day to add one additional day to your criteria or One Time Check for criteria that need only be met one time. Begin Warning __ Calendar Weeks Prior to Due Date – Select the number of weeks prior to the due date selected above that you wish to begin receiving the IntelliCare reminder. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefit Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. Under Action, select the dropdown list box to select an action. For more information on Actions, see IntelliCare Actions. Documentation The Documentation IntelliCare is designed to help ensure that all proper and pertinent documents are being updated for patients. For instance, an IntelliCare reminder can be created to have Medical History forms reviewed by patients every six months. The system will remind your staff that the patient has not reviewed his/her Medical History form in the past six months. Create a Documentation Reminder to remind you that patients need to sign PIPEDA forms. Patterson EagleSoft 15.00 To create a Documentation reminder, select the Documentation button and enter a name in the Description field. IntelliCare • 147 Select the radio button for SmartDoc acquired with the following assignments or Other Patient Documentation. Select the Document Group if applicable. Select the desired checkboxes Signed, Update PIPEDA Priv. Prac., Update PIPEDA Auth and Update PIPEDA Consent. Under Personal Criteria, select the specifics of the reminder. Select the checkbox All Account Types to apply the Reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. Select from the available Warn Within parameters: Due Every __ Months – Select the number of months within which you wish to see the IntelliCare reminder. Select the checkbox Add One Day to add one additional day to your criteria or One Time Check to display the reminder one time only. Begin Warning __ Calendar Weeks Prior to Due Date – Select the number of weeks prior to the due date selected above that you wish to begin receiving the IntelliCare reminder. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefit Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. 148 • IntelliCare Patterson EagleSoft 15.00 Enter a message into the Popup Message box, if so desired. See IntelliCare Actions for more information on selecting Actions. Imaging To create an Imaging reminder, select the Imaging button and enter a name in the Description field. Select from the following radio buttons: Patient is required to have the following image template acquired – Select this option and then select an Image Template from the dropdown list using the Image Template hyperlink. Patient is required to have an image acquired into the following image group – Select this option and then select a Document Group from the dropdown list using the Document Group hyperlink. Patient is required to have an image template acquired which updates the following fields – Select this option and then select from the following checkboxes: Patient Last Bitewings, Patient Last Panoramic, Patient Last Full Mouth Series. Create an Imaging Reminder to notify you that the patient in the chair is overdue for a panoramic X-ray. Use the associated dropdown list boxes and checkboxes to select your desired criteria. Select the checkbox All Account Types to apply the reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. Select from the available Warn within parameters: Due Every __ Months – Select the number of months within which you wish to see the IntelliCare reminder. Select the checkbox Add One Day to add one additional day to your criteria or One Time Check to display the reminder one time only. Patterson EagleSoft 15.00 IntelliCare • 149 Begin Warning __ Calendar Weeks Prior to Due Date – Select the number of weeks prior to the due date selected above that you wish to begin receiving the IntelliCare reminder. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefits Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. See IntelliCare Actions for more information on selecting Actions. Patient Birthday To create a Patient Birthday reminder, select the Patient Birthday button and enter a Description in the field. Select the checkbox All Account Types to apply the Reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. Create a Birthday Reminder to remind you of upcoming patient birthdays. Select from the available Warn within parameters: Begin Warning __ Calendar Weeks Prior to Due Date – Select the number of weeks prior to the due date selected above that you wish to begin receiving the IntelliCare reminder. Select the appropriate criteria from the following checkboxes: 150 • IntelliCare Patterson EagleSoft 15.00 Include Only Patients who are marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefits Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. See IntelliCare Actions for more information on selecting Actions. Patient Exam Select the Patient Exam button and enter a descriptor in the Description field. Select the radio button Patient required to have a Clinical Exam including the following exams and then select the appropriate checkboxes. Under Exam must be, select either Saved (Any Status) or Completed. Select the radio button Patient is required to have other exam and then select between Perio Exam or PSR Exam. Select the checkbox All Account Types to apply the Reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. Select from the available Warn Within parameters: Patterson EagleSoft 15.00 IntelliCare • 151 Due Every __ Months – Select the number of months within which you wish to see the IntelliCare reminder. Select the checkbox Add One Day to add one additional day to your criteria or One Time Check to display the reminder one time only. Begin Warning __ Calendar Weeks Prior to Due Date – Select the number of weeks prior to the due date selected above that you wish to begin receiving the IntelliCare reminder. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefit Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. See IntelliCare Actions for more information on selecting Actions Patient Info The Patient Info IntelliCare is designed to help ensure that patients’ records are being kept up-to-date. For instance, an IntelliCare reminder can be used to ensure each patient has a Next Preventive Appointment date entered in the Patient screen. The system will remind your staff that the patient does not have their Next Preventive Appointment date. Select the Patient Info button and enter a descriptor in the Description field. 152 • IntelliCare Patterson EagleSoft 15.00 Select from the available checkboxes the items you wish to be notified about when missing from a Patient’s records. Select the checkbox All Account Types to apply the reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefit Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. See IntelliCare Actions for more information on selecting Actions. Service Use the radio buttons to select one of the following service statuses: Completed, Scheduled, or Planned. Use the Add button to add Services to this Reminder. Use the Remove button to delete an added Service. Select the checkbox All Account Types to apply the Reminder to all existing Account Types. Otherwise, select the desired Account Types from the list. Select from the available Warn within parameters: Patterson EagleSoft 15.00 IntelliCare • 153 Due Every __ Months – Select the number of months within which you wish to see the IntelliCare reminder. Select the checkbox Add One Day to add one additional day to your criteria or One Time Check to display the reminder one time only. Begin Warning __ Calendar Weeks Prior to Due Date – Select the number of weeks prior to the due date selected above that you wish to begin receiving the IntelliCare reminder. Select the appropriate criteria from the following checkboxes: Include Only Patients marked as ‘Ortho Patient’ – Use this option to create reminders specific to your orthodontic patients. Consider Patient Age – Use this option to select an age range of the patients for whom you wish to create a reminder. Consider Account Balance – Use this option to exclude patients from the reminder based on their current account balance. Consider Benefits Remaining – Use this option to select a range for remaining benefits for which you wish to create a reminder. Consider Remaining Deductible – Use this option to select a range for remaining deductible for which you wish to create a reminder. Enter a message into the Popup Message box, if so desired. See IntelliCare Actions for more information on selecting Actions. The IntelliCare Reminder Window Select OK to close the window. Double-click on the reminder to take action on that item. 154 • IntelliCare Patterson EagleSoft 15.00 IntelliCare Notifications New notification options are available for your IntelliCare reminders. Select from the available options to further control how and where you receive IntelliCare reminders. To set IntelliCare indicators, go to Lists | IntelliCare | New or Edit. In the IntelliCare Setup screen, select from the available options. Select the Check All button to select all notification options. Select Clear All to deselect all of the notification options. IntelliCare Indicators The new IntelliCare area allows you to create customized indicators for Alerts and IntelliCare reminders. The following is an example of the IntelliCare area on the Clinical screen. Double-click on an icon to take the assigned action such as opening the Advanced Imaging screen or scheduling an appointment. To create an IntelliCare reminder: 1. Select List | IntelliCare. Select New or Edit. 2. In the Indicator Setup, select the Browse button to locate an image to be used in the IntelliCare Bin. For more information on adding IntelliCare icons to appointments, see the Appointment Display section of this document. The image selected will be converted to 32 x 32 pixels. 3. Select the checkboxes to use this indicator on Appointments and Use Indicator on the Clinical Virtual Screen to display the selected indicator image in the IntelliCare bin and on scheduled appointments when applicable. Images may be resized to accommodate the indicator area. IntelliCare Report A new report has been added to the Reports menu called IntelliCare Report. This report shows the patients that fall under the selected Patterson EagleSoft 15.00 IntelliCare • 155 IntelliCare item. Select the desired IntelliCare item from the IntelliCare report filter. 156 • IntelliCare Patterson EagleSoft 15.00 AutoDialer Make Calls Using AutoDialer Please contact your Patterson Hardware technician for additional assistance in setting up your AutoDialer feature. AutoDialer is a quick, easy-to-use method for making phone calls from EagleSoft. With a right-click, select a phone number and start dialing in seconds. Then, just pick up the phone or handset to talk. ***Important*** Before using AutoDialer, make sure your phone line is plugged into your modem. The AutoDialer uses your modem to dial numbers through your phone. Unless you have your phone line connected to the modem, AutoDialer will not work. Using AutoDialer Making a Call 1. To make a call using AutoDialer, right-click next to a phone number field. A small menu appears with the word Call. 2. Select Call. A window appears with a dropdown list box for you to select the correct phone number format. From the dropdown list, choose a number with the correct prefix. If you normally dial a 9 when calling external numbers, be sure to select the number prefixed by a 9. 3. Select a phone number. 4. Select Dial. While the number is being dialed, the AutoDialer box remains to display the number being called (see the following image). Patterson EagleSoft 15.00 AutoDialer • 157 5. To cancel the call, select Hang Up. 6. To talk to the person you are calling, just pick up your phone or handset. Use the AutoDialer Right-click next to a phone number in any of the following windows to use AutoDialer: Person List 158 • AutoDialer Edit Person Pharmacies List Edit Pharmacy Insurance Company List Edit Insurance Company Edit Referrals Insurance Claim – View Claim Laboratories List Edit Lab Edit Provider OnSchedule – Rightclick Menu Account Window OnSchedule – Edit Appointment Edit Employer InContact Patterson EagleSoft 15.00 OnSchedule Getting Started With OnSchedule OnSchedule is a flexible appointment management tool that enables you and your office to create an efficient, productive and profitable work schedule. By scheduling for multiple providers in multiple operatories, you are able to quickly identify the opportunities that exist within your appointment book. With the OnSchedule module, your office will be able to efficiently manage its time. Please use this guide to help you get started with OnSchedule and to help you put these new and advanced automated techniques into place in your office. There are three areas in OnSchedule that are referred to often in this chapter. Titlebar – This is the blue bar across the top of the OnSchedule window that displays date, year and Scheduled versus Goal amounts. Toolbar – This area displays the Day and Week at a Glance buttons, Quick Fill List button, Appointment Search button, Print button, Move Forward or Backward buttons and more. Most of these functions are also available from the right-click menu in the OnSchedule window. Rightclick anywhere on the toolbar to customize it for your personal use. OnSchedule Window – This is the area of OnSchedule that displays all your appointments, provider chairs and time columns. Setting Up OnSchedule Before you begin scheduling appointments, you must first specify some preferences for using OnSchedule in your office. To utilize OnSchedule to its fullest, please take the time to set up the following. Patterson EagleSoft 15.00 OnSchedule • 159 OnSchedule Options To set up your preferences for OnSchedule, select File | Preferences | OnSchedule. This window allows you to set options that apply to OnSchedule. Track Appointments To begin with, you must decide whether you would like to use Scheduler or Free Form Entry. Free Form Entry enables you to enter the appointment date and time in the Edit Person window. Choosing Scheduler indicates you want to use OnSchedule for your scheduling needs. Font Size In the OnSchedule Preferences, use the radio buttons to select the font size for your OnSchedule appointments. Select from the following options: Smallest, Small, Medium, Large and Largest. These font sizes only affect the OnSchedule area. Appointment Card In Preferences | OnSchedule, use the dropdown list to designate your desired Appointment Card template. Enter an Appointment card message in the Appt. Card Msg box. Use the Preview button to view the templates. 160 • OnSchedule Patterson EagleSoft 15.00 Appointment Cards can be printed from the Walkout Processing screen under Next Preventive Appointment. Use the Design dropdown list to select from the available design options. Select the OK button to save the selected options. Select the Cancel button to close the window without saving. Select the Print Sheet button to launch the print preview window. Select the Print button to print the sheet of cards. Select the SmartDoc button to send this file to SmartDoc. Select the Cancel button to close the window without printing. Update Appointment(s) as Completed from Walkout If you select this checkbox, the appointment information on the walkout appointment block will change to a gray colour. Use Secondary Provider on Appointment If you select this checkbox, the Secondary Provider information will appear on appointments. Always Use The Provider on the Appointment When the Provider on the Appointment Does Not Match the Provider on the Treatment Plan Services Select this option to determine the proper provider when the Provider on the appointment and the Provider on the treatment plan do not match. Auto-hide the Appointment Queue Select this option to hide the Appointment Queue while using OnSchedule. Refresh Option Select the amount of time between refreshing OnSchedule from the dropdown menu. Block colour To choose a colour for appointment blocks, select the coloured rectangle. Select a colour from the colour list by selecting the coloured display box. Patterson EagleSoft 15.00 OnSchedule • 161 OnSchedule Time Units After Time Units are selected, many steps must be taken to change them. Time Units are not easily changed. Each unit in OnSchedule represents a unit of time. The time is displayed on the ledger(s) of OnSchedule. By default, the units are set to 10 minutes. From this window, you can select the length of time for each unit – 10 or 15 minutes per unit. Moved Appt Prompt When Exiting OnSchedule Select from the following options: • Prompt on Exiting OnSchedule • No Prompt on Exit/Send Appointment Back to Original Time Slot • No Prompt on Exit/Send Appointment to Quick Fill List Establishing Provider Hours Now that your preferences are established, we need to set up hours for each provider. To set up provider hours: 1. From the Lists menu, select Providers/Staff. 2. From the Providers/Staff List box, highlight the Provider you assign hours to and select Edit. 3. From the Edit Provider/Staff window, select Hours. The Provider Hours window is displayed. 4. The colour used in OnSchedule to identify this provider is shown in the Provider Colour on Schedule box. 5. To change the colour for the provider, select Change Colour. The Colours window opens. Select the new colour of your choice, then select OK. The new colour appears in the Provider Colour on Schedule box. Note: We recommend avoiding the use of darker colours for the providers. 6. Modify the Start, Close and Lunch times for the provider. If the provider does not work on a day the practice is open, deselect Open checkbox. 7. If the provider is unavailable for lunch times, select the checkbox Take Lunch. 8. Complete the steps above for each of the days the provider is/is not available. Custom Hours per Provider This feature is designed to allow you to customize provider hours by individual calendar dates instead of the current day of the week format. 162 • OnSchedule Patterson EagleSoft 15.00 Under the List menu, select Provider/Staff. Highlight the desired provider and select Edit. In the Edit Provider/Staff window, select Hours. Select the small calendar icon located at the bottom of the window. Click and drag to select multiple consecutive days. Select the days you wish to edit. Double-click on a day to open the Custom Provider Hours screen or select the Set Hours button. Use the Clear Selection button to deselect all choices. Select a day heading to select an entire column of days. Select the Y button to switch from a monthly to yearly calendar. Select the << button to go to the previous year. Select the < button to go the previous month. Select the * button to go the current month. Select the > button to go to the next month. Select the >> button to go to the next year. Patterson EagleSoft 15.00 OnSchedule • 163 In the Custom Provider Hours window, enter the new starting, ending and lunch hours for this provider on the selected days. Select the checkbox Provider is out of office to close the day for this provider. Select OK to save. Customized Goals Modify your goals when you modify your Provider hours. Specify a new goal when creating Custom Provider Hours. The Scheduled vs. Goal settings will override the goal amount with any custom goals for each provider. Goals Use default chair goals – Select this option to use the regular goal amount for that date’s day of the week. Calculate goals based on hours – Select this option to calculate the goal amount based on the custom hours entered. Set new goals (all chairs) – Select this option to enter a new goal that will override the default provider chair goals for that day (or days) for all chairs. Month At a Glance will also reflect any custom goals entered. The Prod number reflects services that have been walked out on a particular day. The %Prod reflects the actual production for the day divided by the Goal. All goal-related reports would be affected by Provider Goals except the Provider Goals Report. Customize Your Hours Using Custom Hours Custom Hours allows you to change your office hours on certain days under special circumstances. Establish Custom Hours for extended summer hours, off-site conferences, or any situation that doesn’t require the regular chair hours to be modified. This feature is designed to close, open or modify a chair’s hours more easily, including lunch hours, on a recurring basis without impacting default chair hours. 164 • OnSchedule Patterson EagleSoft 15.00 To begin creating your own Custom Hours, select Lists | OnSchedule | Custom Hours. In the Custom Hours List, select the New button. Custom Hours are designed to allow you to set up new open chair hours for specific chairs, days or time periods. For example, use Custom Hours to close an hour earlier during the summer months. Enter the Description for your Custom Hours. Use something that will be easily associated with your reason for creating the new time frame. Understanding Custom Hour Frequencies Below is a list of the frequencies for Custom Hours. Patterson EagleSoft 15.00 • Daily – These hours are scheduled every day until it is completed. This is overridden by all the other custom hours when those frequencies occur on the same dates. • Yearly – This occurs once a year (for example, an annual occurrence, such as a holiday or birthday). It overrides any office hours set up at the same time it is scheduled. • Monthly – This occurs once a month (for example, a monthly occurrence of 8-2 practice hours, which only happens the first Monday of each month). This frequency also overrides any other office hours at that time. • Weekly – This is scheduled once a week, every week (for example, there is an office meeting 2-5 each Wednesday; your hours are set up for 2-5 each Wednesday). This occurrence overrides any daily hours. • One or More Days– This overrides any office hours set up on that day, week or month. OnSchedule • 165 Select Next to continue. In the following window, further customize your hours based on the frequency. In the Setup Daily details, select the number of days, weekdays or every day to be affected by the Custom Hours you are setting up. Every __ day(s) – Select this and enter the number of days you want these hours to occur. Every weekday – Select this option if you want the hours to occur every weekday only. Every day – Select this option if you want these hours to occur daily. For the Range of Recurrence, select a Starting on date by selecting the arrow button. Use the calendar to select your date. Choose from the following: Starting on – Select the date you want the custom hours to begin. Ending on – Select the date you want the custom hours to end. 166 • OnSchedule Patterson EagleSoft 15.00 No Ending Date – Select this box to not have an ending date. This nullifies the Ending on date. Stop after__ occurrences – Select this box and enter a number if you want to choose how many times these hours occur. Choose the Practice Hours to Schedule. Select the Closed checkbox to close the previously selected dates entirely. Use the Open Hours section to select new hours to be used on the previously selected dates. Use the Take Lunch checkbox to determine the starting and ending time of lunch hours. Select the Override holidays checkbox to override any previous holidays that have been established. Select Use Chair Lunches to apply the lunch period assigned to the chair hours. Select the Chair to which this Custom Hour will be assigned. The selected Chair(s) will display in the Assign Chairs box. Select the All Chairs checkbox to select all chairs displayed for the practice. You can select multiple chairs using the Ctrl key. Select OK to complete your Custom Hours. Custom Hours Using the One or More Days Option When using the option One or More Days, the following screen appears. Patterson EagleSoft 15.00 OnSchedule • 167 Select the radio button Enter or choose a single date to schedule and enter a date or use the drop-arrow to select a date. Select the radio button Click the calendar button to select one or multiple days to schedule to select days using the calendar. The following calendar appears. Use your mouse to select the days you wish to schedule. Use the navigation arrows to change the month and year. Follow the remaining prompts to schedule Custom Hour. Setting Up Chairs Using Appointment Types An appointment type is a description of the types of appointments you wish to manage. A few examples of appointment types set up by many dental offices are: New Patient, Prophy, Emergency and High Productivity. When you begin to set up templates, appointment types are utilized to indicate the type of appointment you prefer to have scheduled in a specific chair during a specific time of the day. 168 • OnSchedule Patterson EagleSoft 15.00 To set up new appointment types: 1. From the Lists menu, choose OnSchedule. 2. From the OnSchedule sub-menu, choose Appointment Types. The Appointment Types list box is displayed (see the following image). 3. Select New to add a new appointment type. To edit an existing appointment type, highlight the description and select Edit. To delete an appointment type, highlight the description and select Delete. Appointment Types can only be deleted if they have never been used. EagleSoft default Appointment Types cannot be deleted. Patterson EagleSoft 15.00 4. Enter a Description for the new appointment type. 5. Enter an amount in the Usual Amount field. This amount is used for Scheduled versus Goal tracking. 6. Choose an Appt Colour. To access the available colours, simply select the coloured rectangle next to Appt Colour. You can also select Set OnSchedule • 169 Colour. Then, from the Colours window, select the new colour you wish to use and select OK. 7. Specify whether appointments that reference this appointment type are Performed By a dentist or hygienist. 8. Check the box next to Update Next Reg Appt if you want this type to update the patient’s next regular appointment date. Select the checkbox next to Update Next Prev Appt if you want this type to update the patient’s next preventive appointment date. 9. Check the box next to Use Patient Cleaning Time Units if appointments with this type should reference the cleaning units specified in Edit Person | Preferences for this patient. 10. Number of Units is only visible if you are not using Patient Cleaning Time Units. If it is visible, enter the default number of units for appointments that utilize this type. 11. In Dr/Asst Time, check the box next to each unit that is utilized by the dentist. For example, if you have four 10-minute units and the doctor is only involved during the middle 20 minutes, check the boxes next to 2 and 3. 12. Select OK to save your new appointment type. Changing Appointment Types Automatically update patients’ next Preventive and next Regular appointment dates when editing Appointment Types. In the Appointment Types, select the desired Appointment Type. Next, select the Update Next Preventive or Update Next Regular appointment radio button. Select OK to save the Appointment Type. At this time, the previous message appears. Select Yes to update patients’ Next Preventive and Next Regular appointment dates to match future scheduled appointments. Select No to save changes made to the appointment type without updating dates. Note: Exclusive Use is required. Design Templates To Manage Your Day Templates are used in OnSchedule to provide a framework for your staff to use when scheduling appointments. By assigning the appointment types set up earlier to various time slots throughout the day, your staff is able to easily schedule the “types” of appointments you want at the times and days you prefer. 170 • OnSchedule Patterson EagleSoft 15.00 To set up a template: 1. From the Lists menu, choose OnSchedule. 2. From the OnSchedule sub-menu, choose Template Designer. The Template Designs List box appears. 3. To create a new template, select New. The Template Designer window appears (see the following image). To edit an existing template, highlight the description and select Edit, or to delete a template, highlight the description and select Delete. Patterson EagleSoft 15.00 4. Enter a Description for the new template. 5. Select the first available time slot for the day and select Add Type. You can also right-click any time slot and choose Add Type. The Appointment Type Design window is displayed (see the following image). 6. From the Appt. Type dropdown list box, choose the Appointment Type you would like to have normally scheduled when this template is utilized. 7. Then, specify the number of Time Units you would like this Appointment Type to cover in your template. In other words, a type is added at 8:00 a.m. and you enter six units; the appointment type is assigned from 8:00 a.m. to 9:00 a.m. (assuming you are using 10minute units). 8. Select OK to assign the Appointment Type to the template for the specified time units. 9. Continue assigning appointment types to your template until each time slot has an Appointment Type (with the exception of lunch, and so on), and select OK to save your new template. OnSchedule • 171 Office Chairs Chairs used in OnSchedule serve as the columns for scheduling your patients while the time units serve as the rows. This grid serves as an effective tool for easily scheduling your patients. The hours attached to Chairs display in OnSchedule the availability of each chair. Chair hours and Provider hours do not need to match since multiple providers can be attached to the same chair. To set up Office Chairs: 1. From the Lists menu, choose OnSchedule. 2. From the OnSchedule sub-menu, choose Office Chairs. The Office Chairs List window is displayed. 3. Select New to add a new Office Chair. The New Office Chair window is displayed. To edit an existing Office Chair, highlight the chair name and select Edit. To delete an Office Chair, highlight the chair name and select Delete. 4. Enter a Chair Name for the new Office Chair. 5. Then, based on the templates set up earlier, choose a template from the dropdown list box for each day. 6. When you have chosen a template for each day for your new Office Chair, select OK to save the new chair. For information on Hours, read further. 7. Continue this process for all chairs you use in your practice. How to Set Up Chair Hours 1. Choose Lists | OnSchedule and choose Office Chairs. 2. Edit a chair. 3. Select Hours. 4. Change the hours you want. If you want to apply the new hours to all chairs, select the Apply to all Chair Hours checkbox. 172 • OnSchedule Patterson EagleSoft 15.00 Assigning Providers and Goals to Chairs Now that Office Chairs have been set up, you need to specify which chairs in which the provider can be scheduled. You also can assign goal amounts to each of the provider’s chairs. Enter a monetary objective that you wish to attain by scheduling appointments. To specify Provider Goals/Chairs: 1. From the Lists menu, choose Providers/Staff. The Providers/Staff List box is displayed. 2. Highlight the provider you wish to set up chairs/goals for and select Edit. 3. From the Edit Provider window, select Chairs. The Provider Goals/Chairs window appears (see the following image). 4. Select Add to choose an office chair to assign to the provider. 5. Choose the Chair Name from the dropdown list of office chairs. 6. Enter a goal amount for each day of the week that the provider is scheduled. Note: The total goal amount for all providers for a specific day makes up the goal amount in OnSchedule’s Scheduled versus Goal amounts. 7. Repeat the preceding steps for all chairs for which the provider can be scheduled. To delete a chair from the list, highlight the row for the chair name and select Delete. 8. Select OK when you are finished adding office chairs for the provider. Scheduled vs. Goal If services exist on an appointment, scheduled amounts will now be separated based upon the providers performing the services. The primary and secondary provider will each get credit for any of the services he/she is attached to on the appointment. If no services exist on an appointment, the primary provider will get the entire scheduled amount. Holiday Setup To set up your office holidays: Patterson EagleSoft 15.00 1. From the Lists menu, choose OnSchedule. 2. From the OnSchedule sub-menu, choose Holidays. OnSchedule • 173 The Holidays window is displayed. 3. From the Holiday Preferences group, check the box next to each of the holidays your office observes. 4. Check the box next to Utilize Date-Sensitive Holidays if applicable. Example: If the holiday is on a Saturday, then use Friday. 5. If your practice observes additional holidays not listed, choose Add from the Additional Holidays section. If you do not need to add additional holidays, skip to step 6 below. The cursor drops to the Name of Holiday and Date field. Type the Name of Holiday and Date of your holiday. An example of an additional holiday is “Presidents’ Day, 02/20/06.” Delete a holiday by highlighting the holiday from the list and selecting Delete. 6. Choose OK to save and return to the Practice Information window. Customize OnSchedule Using Views Multiple OnSchedule Views allow everyone in the office to customize his/her setup options, chair locations, colours and more. Create your own customizable view using all the chair and setup options available. Use the settings options to customize your OnSchedule View. To create a new view, select the OnSchedule Views button and choose Save As. The following will appear. Enter a name for your OnSchedule View. Select the checkbox Overwrite Current View to rename an existing view instead of creating an additional view. 174 • OnSchedule Patterson EagleSoft 15.00 In OnSchedule, select Save As to save a new view with a different name. To delete the current view, select the OnSchedule View button and choose Delete Current View. Toggling Between Views To select a different view, choose the OnSchedule Views button and select the view you wish to use. You can also right-click and select Schedule Views. Note: An OnSchedule View is automatically created using your current setup. The view will have the same name as your computer. Use the Overwrite Current View checkbox to rename this view without creating a new view. Using OnSchedule There are several methods of accessing OnSchedule. OnSchedule is accessible from the toolbar, menu, Walkout Processing window, Account window, InContact window and the Treatment Plan Processing window. There are multiple ways to access OnSchedule. Select from the following: Select the OnSchedule icon on the Integrated Mode window From the Practice Management Front Office window, select either OnSchedule icon Select Schedule on the EagleSoft toolbar From the Activities menu, choose OnSchedule; then choose Day at a Glance or Week at a Glance From the Walkout Processing window, select Schedule From the Account window, right-click on the patient’s name and choose Schedule From the InContact window, select the Day at a Glance button. From the Treatment Plan window, right-click on the patient’s name and choose Schedule Patient A Tour of OnSchedule OnSchedule consists of a large grid showing your office hours to the left (the hours can appear to the right, if that option is selected) and your Office Chairs (operatories) across the top. Any appointments that exist are displayed in the appropriate sections within the grid. It also displays any times allocated for lunch or any times that may have been “blocked” out for staff meetings and so on. Following is a listing of the buttons located at the top of the window (from left to right) and their functions. Patterson EagleSoft 15.00 OnSchedule • 175 The OnSchedule Navigation Toolbar In addition to the OnSchedule toolbar, the Practice Management and Clinical toolbars are available. These allow you to navigate between modules in the same manner. For more information on customizing toolbars, see the Getting Started section. OnSchedule Toolbar The OnSchedule toolbar is a customizable toolbar that lists virtually all of the functions available in the OnSchedule window. The toolbar gives you quick access to various scheduling functions and areas, such as appointment confirmation, appointment searches, Quick Fill List and more. When you first enter OnSchedule, the default toolbar appears. To customize the toolbar, move your mouse over the toolbar and right-click. A customize menu appears. Customize Choose Customize to add, remove or move options from the toolbar. This window displays current toolbar options on the right and available toolbar options on the left. Highlight the icon and select the Add button. To remove a toolbar option, select an item on the right and select Remove. For example, if you do not think you will use the Call Work feature, highlight it in the right column and select Remove. The Call Work button is moved to the left column. If you want to add a button to the toolbar, select the item in the left column and select Add. To rearrange the order of the buttons, you can use the Move Up or Move Down buttons. Just highlight a button in the right column and select the Move Up or Move Down button. Select Reset to change the toolbar back to the default. Use Button: To: Day at a Glance Week at a Glance Month at a Glance 176 • OnSchedule Show appointments for the day selected. Show appointments for a selected week. Show production vs. goal totals for the month selected. Patterson EagleSoft 15.00 Appt/Provider Colours Schedule/Edit Confirm Appointment Call this patient at home Create Block Delete Move Appt/Block Paste Appointment/Block Arrival Tracking GoTo Find/Appointment Search Locate Appointment Family Appointment OnSchedule Views Appointment Queue Quick Fill Task Manager Print Setup Help Patterson EagleSoft 15.00 Toggle between showing the appointment colours or the provider colours. Schedule a new appointment or edit an existing one. Select an appointment and select this button to confirm it. Select the button next to it to unconfirm the appointment. Select an appointment and select this button to call the patient with that appointment. This is useful in reminding the patient of the appointment or to take any pre-medication. Indicate that the time is unavailable for scheduling appointments. Remove the selected appointment or block. Copy the selected block from the appointment book. Paste the block or appointment that is currently on the clipboard into the selected time slot. Open the Arrival Tracking window. Change to a different date in OnSchedule. Search for an available appointment time based on the criteria you specify. Locate and print scheduled appointments for a particular patient. Open the Family Appointment window to create unscheduled appointments for family members. Save and toggle between OnSchedule Views. Use this button to open the Appointment Queue. View patients who have failed or cancelled appointments. View, add or delete tasks. Print the schedule for a particular date or WPipedaG (Week at a Glance). Select this button to access OnSchedule setup. Open the EagleSoft online help program. OnSchedule • 177 Open the Messenger window. Messenger Route Sheets Use Button: Open the Patient Route Sheet window. To: Go up to seven days back in time. Go one day back in time. Go to the current day. Go to the next day. Go up to seven days forward in time. Display the Scheduled versus Goal amounts by provider for the day. Using the Right-Click Menu The right-mouse button is used in many Windows applications to give the user additional tools for ease of use. Many of the buttons that are at the top of OnSchedule are also available by selecting on the right mouse button. Throughout the rest of this chapter, commands that are available with the right-mouse button are pointed out to you. The following options are available from the Right-click menu. Right selecting on an appointment will only enable the patient specific options. Schedule Appointment – Select this option to schedule an appointment. Schedule Family – Select this option to create Unscheduled appointments for entire family groups. Appointment Services – If you right-click on an appointment block, the following appointment service options are available: Prescription History, Call Patient At Home and Call Patient At Work. Schedule Services – This menu gives you options for finding appointments and locating appointments for specific patients. Quick Fill List – Select this option to access the Quick Fill List window. Practice Management – This sub-menu gives you the option of accessing the Accounting, Lab Tracking, Prescription Writer, Task Manager, Walkout, Messenger and Patient Route Sheets windows for the patient in the selected appointment. Clinical – Choose this sub-menu to access Chart, Clinical Exam, Perio Exam, PSR Exam, Advanced Imaging, Note History and eReferral for the patient in the selected appointment. SmartDoc – Choose this sub-menu to access the SmartDoc module. OnSchedule Views – Toggle between the available OnSchedule Views. 178 • OnSchedule Patterson EagleSoft 15.00 Current Settings – From this sub-menu, access the Legend, Setup and About OnSchedule windows. Print – To print the OnSchedule window, choose the Print option. Help – The Help option opens the Online User’s Guide. Close OnSchedule – Select this option to close the OnSchedule window. Customizing OnSchedule Options Before scheduling your first appointment, there are a few areas you can customize for use of OnSchedule on a daily basis. Most of these areas are found in the OnSchedule Scheduler Setup window. To access the Scheduler Setup window, right-mouse select in any appointment slot and choose Current Settings and then Setup. You can also select Setup on the toolbar. Onschedule Performance Improvement Options Note: Deselect these options to improve performance in OnSchedule Apply Performance Options to All Views This option applies all selected performance options to all views. Display Scheduled vs. Goal Information This displays the Scheduled vs. Goal Information at the top of OnSchedule, above the appointment detail. Load Templates Automatically When Changing Days This displays the colour-coded templates with each day’s appointments when you go from day to day. Show Double/Triple book Information This displays the selected colours next to the appointment time to indicate if the same provider is booked for the same time slot in more than one chair. Display/Print Setup Number of Chairs to Show on Screen and Printed Schedule Select the up and down arrows to increase or decrease the number of chairs to show/print. For more information on configuring your window to show more chairs and so on, see the section later in this chapter. Show Appt Detail Popup Select this option to allow appointment detail to display on appointment popup. Show Pat. Photo in Detail Popup Select this option to allow the patient photo to display on appointment popup. Patterson EagleSoft 15.00 OnSchedule • 179 Show Time Display on Right of Schedule By default, the time automatically appears on the left. Select this checkbox if you want times displayed on both sides of OnSchedule. Select OK to see if you like the appearance of the schedule. Show Service Information on Appointment Notes Select this checkbox if you wish the service code information to appear with appointment notes. For more information about Service Code setup, see the Service Codes chapter located in the Setting up Your Software unit. OnSchedule Background Colour Select Set Colour to change the Scheduler’s background colour. Symbols To Identify Provider and Assistant Specify the symbol you want to have displayed in OnSchedule to indicate Provider Time or Assistant Time during the appointment slot. Closed Time Indicator Select the Closed Time Colour using the arrow. Select the checkbox Solid Fill to use solid colour blocks instead of the standard slash mark indicators. Appointment Display Information Customize the display information on appointments in the Appointment Display Information area. Use the Insert button to add display fields from the drop down list into the appointment layout. The display field will be inserted at the current cursor location in the layout. Add text directly the layout as well as display data by typing in the Appointment Display Layout box. The Appointment Display information is limited to 1,024 characters, including the merge fields. Use the arrow buttons to expand the viewing area. Using Indicators to Track Patient Needs Track Patient Arrival This feature helps you keep the entire office updated on a patient’s appointment status. A small indicator appears on the appointment block. The indicator appears as a small red, green or yellow circle, depending upon the status of the appointment. 180 • OnSchedule Patterson EagleSoft 15.00 Follow these instructions for setting up and modifying the arrival notice. 1. Select the Track Patient Arrival checkbox. This enables you to change the patient’s status on the appointment block. There are four indicators: Mark As Late (red), Mark As Arrived (yellow), Mark As in Chair (Green) and Mark As Completed/Unmarked (blank). 2. Select OK on the Scheduler Preferences. Add new icons to your appointments for a more indepth at-a-glance summary of your appointment. New Icons Indicator Account Alert Confirmation PIPEDA IntelliCare Notes Patient Alerts (custom) Prescription Sooner If Possible Icon Custom Custom Double-Click Action Opens the Alerts window Opens the Confirmation submenu Opens the Edit patient window Opens the action item of IntelliCare alert Opens the Patient Note History Opens the Alerts window Opens the Alerts Window Opens the S.I.P. submenu To setup new appointment icons: 1. Right-click on any open space and select Current Settings | Setup. 2. In the Setup, select from the available icons in the Available box. 3. Select the Add button to add them to your current icons. Use the up and down arrows to position icons. Day At A Glance Button Setup Use this option to customize the movement “arrow” buttons for use when viewing OnSchedule’s Day At A Glance. To customize each button: Patterson EagleSoft 15.00 1. Select the button you wish to modify. 2. Enter a number of days, months or years. 3. From the dropdown list provided, choose whether this button references days, months, or years forward/backward. 4. Continue this process for each button you wish to modify. OnSchedule • 181 Week At A Glance Button Setup Use this option to customize the movement “arrow” buttons for use when viewing OnSchedule’s Week At A Glance. To customize each button: 1. Select the button you wish to modify. 2. Enter a number of days, months, or years. 3. From the dropdown list provided, choose whether this button references days, months or years forward/backward. 4. Continue this process for each button you wish to modify. Saving Your Scheduler Preferences When you have customized each of the above areas for your practice, select the OK button to save your changes and return to OnSchedule. Creating Alert Indicators Create icons for Alerts by going to Lists | General Setup | Patient Alerts. These icons can display on Appointments and in the IntelliCare area in Clinical. Edit an existing Alert or create a new one from the Patient Alerts window. Under Indicator Setup, select the browse button to locate an image to display. Moving or Hiding Chairs in OnSchedule Hide or Move Chair to customize your OnSchedule View. See only what you want to see. To Move a chair from its current position in the appointment book: 1. Right-click on the name of the chair. 2. Select Move Chair and then select the new position. To Hide a chair: 1. 182 • OnSchedule Right-click on the name of the chair. Patterson EagleSoft 15.00 2. Select Hide Chair. The chair is no longer visible on your window. To Show the chair again: 1. Right-click on the name of any chair. 2. Select Show Chair and choose the chair you want to “show” again. Month At A Glance In Month At A Glance mode, each day shows a summary of appointments, scheduled production, production goal and goal percentage. The Monthly Totals area displays a summary of the scheduled production, monthly goal, percentage of goal, new patients, total appointments and production totals. The Selected Range Totals area displays the same information for the range of days selected. To select a succession of days, press the Shift key and select the first and last day in the date range. To select a nonconsecutive series of days, press the Ctrl key and select each day in the series. In the Monthly Totals and Selected Range Totals area, an asterisk precedes production totals. The asterisk denotes that Production amounts shown may not match Accounts Receivable reports. The amounts displayed on the Month At A Glance view are based on date range as opposed to transaction range. Select the Setup icon to open the Month At A Glance Setup. Different text colours associated with goal percentages provide unmistakable visual indicators of success. Under Display Setup, select the percentage of Scheduled Production for which you wish to use a different coloured text. Use the drop arrows to Patterson EagleSoft 15.00 OnSchedule • 183 select the colours for Goal Percentage, Selected Day, Closed Day, Active Month and Surrounding Month. Under Month At Glance Setup, select the amount of time (days, weeks, years) assigned to the quick navigation buttons. The arrows indicate forward and backward from the selected day. Under Print Setup, select the checkbox Print Preview to display a preview prior to printing. Select the radio button for Portrait or Landscape. Note: This print setup will affect your OnSchedule print setup. Select OK to save and apply your settings. Select Cancel to close without saving. In Month At A Glance mode, double-click on the listed Goal to view a breakdown of the Scheduled vs. Goals totals. The following is an example of the Scheduled vs. Goal window. Scheduled vs.Goal On the toolbar, use the right-click menu feature, Customize, to add the Month At A Glance icon to your OnSchedule tool bar. Double-click on the Appointments hyperlink to open the selected day in OnSchedule Day At A Glance. Viewing the Legend The Legend provides you with the description of the appointment types you have set up in your system and their corresponding colours. To view the Legend, right-click in OnSchedule, choose Settings and then Legend. The type of legend that appears depends on if you are viewing appointment or provider colours in OnSchedule. If the provider colours are being displayed, the Provider Legend is displayed. If you are displaying appointments by appointment type colour, the Appointment Types Colours are displayed (see the following image). 184 • OnSchedule Patterson EagleSoft 15.00 Select Close to close both Legend windows and return to OnSchedule. Scheduling Appointments To schedule or modify an appointment: Highlight the appointment slot where the new appointment begins. Select the Schedule button or double-click your mouse in the open appointment slot. You can also right-click in the appointment slot and choose the Schedule Appointment command. -orIf you would like to schedule a patient who is located in the Quick Fill List, select Quick Fill. -orIf you would like to schedule a patient who is located in the Appointment Queue, open the Appointment Queue. Choose a patient name from the Select Patient window by highlighting the patient name and selecting Use. If the patient has an existing treatment plan, you are prompted to utilize the service codes from the treatment plan. If the patient has any alerts, they appear here as well. Patterson EagleSoft 15.00 OnSchedule • 185 The New Appointment window is displayed. Choose the Appt Type from the dropdown list. Appointment types can be set up through Lists | OnSchedule | Appointment Types. Choose the Primary Provider scheduled for this appointment from the dropdown list box. The patient’s preferred provider is chosen by default. Choose the Secondary Provider, if applicable. Enter the duration of the appointment by keying in the number of Time Units. Notice that the Provider Time/Provider ID listing on the right side reflects the number of time units for the appointment. Enter the Amount of revenue that this appointment is expected to generate for the office. This is automatically entered if you have an amount set up for the appointment type, or if you have already entered any services for this appointment. You can enter a two-character free-form Prefix for the appointment. This abbreviation appears next to the appointment detail displayed on the main OnSchedule window. Some offices have utilized this to represent tray setups (for example, T1 for Tray #1), insurance information, user who scheduled the appointment or Appointment Types. Note: This field is optional in scheduling appointments. Type any free-form Notes for the appointment. If there is room for them in the appointment display, these notes appear in the OnSchedule display and printouts. Select Service to add services to the appointment. The Service Codes List window appears. Select a service code and select Use. If a service is already attached to the appointment, edit it by selecting the service and selecting Edit. When you add or edit a service, a Service window appears. In this window, you can enter or edit the tooth number and service fee. 186 • OnSchedule Patterson EagleSoft 15.00 When any services are added to the appointment, the Display Abbreviation for the service is displayed. For information on setting up the Display Abbreviation, go to the Service Code chapter in the Setting up Your Software unit. Indicate the time units that the provider is expected to be working with the patient by selecting on the appropriate units in the Provider Time listing. Select Print Card to print a patient appointment card from EagleSoft. Select Patient to view patient information through the Edit Person window. From this window, you can edit and save information to the patient’s file. Select this button to view the patient’s photo. Select Lab Case to create a lab case that is attached to this appointment. Select Fast Walkout to process a walkout with any existing services attached to this appointment. You are prompted to save the appointment before continuing. Select Family Appts to view the scheduled appointments for other family members. Select the Appt Queue to save this appointment to the Appointment Queue instead of scheduling. Select OK to save the appointment. Select Cancel to return to the main OnSchedule window without saving changes. Managing and Viewing Existing Appointments OnSchedule gives you several options for modifying and viewing appointment blocks. From the OnSchedule window, you can confirm an appointment, change the arrival indicator status, view the prescription history and more. Editing the Appointment 1. Highlight the appointment in the main OnSchedule window. 2. Right-click and choose Edit or double-click on the existing appointment slot. The Edit Appointment window appears. 3. Modify any information that needs to be changed. 4. Select OK to save the changes. Set Next Arrival Indicator 1. Make sure the arrival indicator preference is selected in the OnSchedule Preferences window. 2. Change the Next Arrival Indicator. There are two ways to change the indicators: • Patterson EagleSoft 15.00 Right-click on the appointment and select Next Arrival Indicator. Each time you select this menu option, the next indicator appears. OnSchedule • 187 For example, if the indicator is yellow (Mark as Arrived), the next indicator is green (Mark as in Chair) • 3. Double-click on the Patient Arrival indicator in the top left corner of the appointment block. A menu appears. Select the indicator from that menu From the Indicator menu, select the status of the patient. If you select Mark As in Chair, the indicator appears green on the appointment block. Note: The indicators are not visible on the printed schedule or from the Week-At-A-Glance view. Track Arrival Button Customize the toolbar to add the new Track Arrival button. Note: Setting the Indicator to a previous level will reset the associated time. For example, moving from In Chair to Arrived will reset the Arrived time. Using the existing Arrival Indicators, select Arrived, In Chair or Late. Use the Track Arrival button to open a window displaying the status of today’s patients currently marked as Late, Arrived or In Chair. Note: Ctrl + H will temporarily hide patient names. The Patient Arrival Tracking window refreshes every minute, and patients are colour-coded and sorted according to their status and appointment times. A dash in a column indicates the patient has not reached that status. A zero in a column indicates the patient has bypassed a status. Select the Report button to create the Patient Arrival Tracking Report. This report is also available from the Reports menu. This report offers current statistics for the patients currently marked as Late, Arrived or In Chair as well as Walked out. An average for each status is calculated at the bottom of the report. The Total Visit column is not calculated until the patient is walked out. Select the Print button to print the Patient Arrival Tracking report. 188 • OnSchedule Patterson EagleSoft 15.00 Select the Filter button to customize this report. Mark Appointments As Walked Out When you process a walkout with services attached to an appointment, the appointment block is changed to gray to indicate the services have been walked out. To manually change the appointment block status, right-click on the appointment block and choose Mark as Walked Out. Confirm/Unconfirm Appointments Multiple Confirmation Statuses help keep your Appointment tracking easy. Use the right-click menu to select from one of the following options: Confirmed Unconfirmed Left Message Sent E-mail No Answer Phone Busy Waiting for Callback Other To view the Appointment’s Confirmation Status, double-click to select the appointment or view the right select menu. The current Confirmation Status will appear with a check mark beside it. To confirm an appointment, right-click on an appointment block and select from the available Confirmation Status. To remove the confirmation status, right-click on an appointment block and choose Unconfirm. View Patient Photo If the Patient Photo indicator preference is selected in the Scheduler Preferences window, a small icon appears on the appointment block. This icon indicates there is a patient photo available for this patient. There are two ways to view a patient’s photo: • Double-click on the patient photo icon. The Patient Photo appears • Right-click on the appointment block and select View Patient Photo. The patient’s photo appears Review Prescription History To view a patient’s prescription history, right-click on the Appointment Block and select Practice Management, then Prescription History. From the Prescription window, you can create, edit and print the prescriptions. Patterson EagleSoft 15.00 OnSchedule • 189 Using the Current Time Indicator The Current Time Indicator does not display in the MonthAt-A-Glance mode. The Current Time Indicator in OnSchedule allows you to note the time at a glance. The gradient brown line appears in OnSchedule on the appropriate time block. The current time has been added to the OnSchedule tool tip. Rest your cursor on any open slot in OnSchedule and the tool tip will appear. The current time is determined by your computer time. Moving/Copying Appointments Moving appointments within OnSchedule is very much like the cut, copy and paste feature found in most Windows applications. Select and Drag Appointments Use this feature in the Week at a Glance window to move appointments within the same week. If you want to move an appointment from one time slot to another within the same day, simply select the appointment that you want to move and, while holding down the left mouse button, drag the appointment to the correct time slot. Release the left-mouse button and the appointment is moved. How to Use the Appointment Queue Maintain greater control over your schedule with the Appointment Queue. Use the Appointment Queue to move and copy appointments, schedule Family Appointments and queue Unscheduled appointments. Move/Copy Appointments Select the Appointment Queue button to view appointments in the queue. To move an appointment, select the appointment and right-click. In the menu, select Move Appointment/Block. 190 • OnSchedule Patterson EagleSoft 15.00 The following is an example of the Appointment Queue. Once the appointment is in the Appointment Queue, simply select and drag the appointment to the desired location. To copy an appointment, select the appointment and right-click. In the menu, select Copy Appointment/Block. Once the appointment is in the Appointment Queue, simply select and drag the appointment to the desired location or right-click and select Paste. Scheduling Family Appointments Now, you can schedule family appointments as easily as scheduling a single appointment. Create Family Appointments from several areas of the software including edit patient, account screen and all quick access buttons. Right-click on any vacant appointment slot and select Schedule Family or select the Family Appointments button. From the Schedule Family Appointments window, select Mark for any patients to be scheduled. Select Mark All to select all patients in the family. Select the Provider, Appointment Type and Units from the dropdown list. Select OK to queue or save. This will create a Family Folder in the Appointment Queue under Family Appointments. To deselect a family member, highlight the patient and select Clear. Select Clear All to deselect all patients. Select Cancel to exit without creating. Select the Appointment Queue icon to open the Appointment Queue. In the Edit Appointment window, double-click on a Family Appointment to open that appointment. To schedule a family appointment, select the appointment and drag it to the desired location. Creating Unscheduled Appointments Unscheduled Appointments allow you to capture all appointment information without committing to a specific time, chair and date. Create Unscheduled Appointments for a series of treatments, fulfillment of a Patterson EagleSoft 15.00 OnSchedule • 191 treatment plan and more. Right-click on the appointment in the Queue and select from the following menu. Use the right-click menu to View Appointment, Remove Appointment, Move to Quick Fill List, Move to Unscheduled and Go To Next Recall Date. Select Use to schedule the selected Unscheduled Appointment. Blocking Unavailable Appointment Times To block out chairs during times when the provider(s) may be unavailable: 1. Highlight the slot on the appointment grid that you wish to block from scheduling appointments. 2. Select Block or right-click on the appointment, and choose Schedule Services |Create Block. The Block Appointment window is displayed. 3. Enter the length of the duration for the block. Do so by keying in the ending time in the To field, or enter the number of Time Units that the block lasts. To delete a block, select a block and select Delete. 4. Select the checkbox next to Block all Chairs if you would like this block applied to all chairs. 5. Enter any notes for the block in the Description field. 6. Select OK to apply the appointment block. The blocked time is displayed in a charcoal gray colour (or the colour designated in OnSchedule Preferences) to indicate that this time is not available for appointments, or select Cancel to return to OnSchedule without saving the block. Move or copy a block the same way that you would an appointment. Day-At-A-Glance – Go to a Different Day To change the current day being displayed in OnSchedule: 1. From the main OnSchedule window, select Go To or right-click on the OnSchedule window and choose Schedule Services | Go To Date. The Date Selection window is displayed. 2. Change the date of the OnSchedule window by either selecting on the month dropdown box and year arrows or by selecting on the preset buttons. 3. Select OK to view the schedule for the new day. The date that appears in the title bar is changed to reflect the date selected and the schedule for that day is displayed. Or, select Cancel to exit the date selection window without changing the date 192 • OnSchedule Patterson EagleSoft 15.00 4. Remember: The date is changed by using the movement arrows at the top of the OnSchedule window. Setup for these buttons was described earlier in this chapter. Deleting Appointments To delete an appointment from the current day, follow these instructions. 1. Select the appointment that you wish to delete. 2. Select Delete or right-click on the OnSchedule Appointment window and select Delete. 3. Appointment summary information is displayed (name, date, provider). Choose from one of the following three options: Mark the appointment status as Failed if the patient simply did not show up. -orMark the appointment as Cancelled if the patient called in with advance notice. -orMark the appointment as Neither if the appointment was not considered failed or cancelled. 4. Uncheck Add this appointment to quick fill list if you do not wish to keep this appointment on file for future reference. 5. Select the checkbox Apply Appointment Cancellation Fee to add a fee to the patient’s account. For instructions on using the Quick Fill List, see the Quick Fill List section. 6. Patterson EagleSoft 15.00 Select OK to delete the appointment, or select Cancel to exit without deleting the appointment. OnSchedule • 193 Searching and Locating Appointment Times To search for an available appointment: 1. From the OnSchedule window, select Find Appointment or rightclick and choose Schedule Services, and Find Appointment. The Appointment Search window is displayed. 2. Highlight the chairs you want to include in Find Appointment by selecting on each one. To highlight multiple chairs, hold down the Shift key while selecting the extra chairs. 3. The Appt Type field defaults to (Any Type). Change the appointment type if you utilize templates. To choose an appointment type, select the type of your choice from the dropdown list box. 4. The Provider field defaults to (Any Provider). If the patient prefers to see a specific provider, choose the provider from the dropdown list box. Note: Secondary providers will not be available when using the search. 5. Enter the number of Time Units required for the appointment. 6. Enter the Date Range that you would like to search. The From prompt is the date from which the search begins. You can enter the range of dates manually or you can use the buttons to the right to change the date ranges. 7. Enter the Preferred Time for the appointment search. 8. Check the box next to each Day Of Week that you wish to search. You should “check” the days of the week that the patient can normally make appointments. 9. Select Begin Search to begin searching for open appointments. The system begins searching for available appointment slots that match the criteria you specified or select Cancel to return to the main OnSchedule window. 10. When the search is complete, the Appointment Search Results window is displayed with all available appointment slots. If you see an appointment slot that works, highlight the desired appointment slot and select Use to schedule a patient for the slot. Enter the necessary appointment details. Additionally, you can: 11. Select Go To Day to see the day and time that is currently selected. 12. Select More to continue searching for available time blocks. 13. Select Cancel to return to the Appointment Search window. Note: The search only identifies the first 25 open appointment slots. If you would like to continue the search, select More. Locating Scheduled Appointments for Patients To locate all scheduled appointments for a patient and the patient’s family: 194 • OnSchedule Patterson EagleSoft 15.00 1. From the OnSchedule main window, select the Locate An Appointment button, or right-click and choose Schedule Services and Locate Appointment. The Patient List window is displayed. 2. From the Patient List window, choose a patient and select Use. The system searches for any scheduled appointments for the patient and other patients within the same account. When the search is complete, the Appointments For<<ID Number>> window appears. 3. Review the future scheduled appointments. Check Show Past Appointments to view previous dates for this patient. 4. To delete an appointment date, highlight the date and select the Delete button. 5. To print the appointment dates as a report, select the Print button. 6. If necessary, you can go to the date of the scheduled appointment by highlighting the appointment and selecting Goto. You can also doubleclick on the appointment. You can also Delete any future appointments if desired. 7. When you are finished reviewing scheduled appointments, select Close. Quick Fill List In the event that an appointment has been missed (failed) or cancelled, it is sometimes important to save the details of these appointments. The Quick Fill List enables you to store the details of missed (failed) or cancelled appointments for possible later use. The Quick Fill List also enables you to add notes to the appointments, print reports and send them to InContact. Patterson EagleSoft 15.00 OnSchedule • 195 Using the Quick Fill List Window The Quick Fill List window not only gives you options for managing your appointments, it also displays important information relating to each appointment. Why the Appointment is in the Quick Fill List Any time an appointment is deleted, you have the option of sending this patient to the Quick Fill List. When sending the appointment to the Quick Fill List, you can also select the reason for sending – Failed, Cancelled or Neither. The top of the Quick Fill List window lists these three status types and updates each one automatically. For example, if the Failed radio button is selected when deleting an appointment, the Failed amount is updated. Appointments can also be added directly to the Quick Fill list or by designating an appointment as Sooner if Possible. Quick Fill List Ledger The ledger displays the appointments added to the Quick Fill List. The ledger is sorted by the following criteria: date, provider, patient name, appointment type, time unit and amount. Select the column heading to change the sort order of the ledger. If you enter a note for an appointment, a pencil icon appears in the far left column (see the preceding image). Quick Fill List Toolbar The toolbar provides functions for managing your appointments. Use – Select this button to schedule the highlighted appointment. New Quick Fill Patient – Select this button to add a patient directly to the Quick Fill List. View – Select this button to view the selected appointment. Note – Select this button to enter notes for this appointment. You can view these appointments by selecting Note or by printing the Quick Fill List report. 196 • OnSchedule Patterson EagleSoft 15.00 You can also add notes to the appointment when sending them to the Quick Fill List. Delete – Select this button to delete a selected appointment from the Quick Fill List. Add to InContact – Select this button to add a selected patient to InContact. Report – Select this button to print the Quick Fill List appointments. Close – Select this button to close the Quick Fill List window. Deleting an Entry from the Quick Fill List 1. From the OnSchedule main window, select the Quick Fill button, or right-click on the OnSchedule window and choose Quick Fill. The Quick Fill List window is displayed. 2. Highlight the patient and appointment information and select Delete to remove the entry from the Quick Fill List. 3. Select Close to return to the main OnSchedule window. You can also do a Find for the patient and even add the Quick Fill List to InContact. For more information on InContact, see the InContact chapter in the Practice Administration Tools unit. Quick Fill Note Add the Quick Fill Note to the Account. A checkbox to the Quick Fill Note has been added. When checked, the note is added to the Account. This also applies when adding Quick Fill notes while deleting appointments. The Quick Fill Note is added when deleting an appointment or adding an appointment to the Appointment Queue. Scheduling A Patient from the Quick Fill List From the OnSchedule window, choose a time slot. Select Quick Fill or right-click on the appointment slot and choose Quick Fill. Patterson EagleSoft 15.00 OnSchedule • 197 Review the list of patient appointments in the Quick Fill list. Highlight the appointment you would like to schedule and select Use. The Edit Appointment window is displayed. Confirm the appointment information and select OK to save the new appointment. Printing the Daily Schedule To print the schedule for the day: 1. From the OnSchedule window, go to the day that you would like to print. 2. Either select Print or right-click on the OnSchedule window and choose Print. After you have done this, a window similar to the following appears. Printed Page Properties Before printing the schedule, select from the following criteria: • Start/End Time – Select the time range you would like to appear on your printed daily schedule. This enables you to customize the schedule according to your office hours • Print Orientation – This enables you to print the schedule in a portrait (vertical on the paper) or a landscape (horizontal on the paper) format • Bold Font – Select this checkbox to print the Schedule in a bold font • Show Times on the right – Select this checkbox if you want to have times appear on both sides of the printed schedule. If you deselect the checkbox, times only appear on the left • Print in colour – Select this checkbox if you want to print the schedule in colour Note: You must have a colour printer to print the schedule in colour. Other Print Options Printing a list of appointments 1. 198 • OnSchedule From the Reports menu in EagleSoft, choose All Reports. Patterson EagleSoft 15.00 2. Choose Appointments from the listing of available reports, and select OK. 3. On the Primary Report Filter window for this report, enter the desired criteria (if necessary) and select Report Preview. 4. From the Preview Report window, select Print to print the report. Printing an individual schedule for each operatory 1. From the Reports menu in EagleSoft, choose All Reports. 2. Choose Today’s Appointments from the listing of available reports and select OK. 3. From the Preview Report window, select Print to print the report. Viewing a Week at a Time To view the appointment schedule a week at a time, do the following: 1. Go to Activities | OnSchedule | Day at a Glance and then choose Week At A Glance. If you are already in OnSchedule, select the WAAG button. 2. The Week At A Glance window is displayed. 3. Select the appropriate arrows to move to the correct week. You can also use the Goto button. 4. View the appointment details for the week. All scheduled appointments are indicated with the colour that denotes the Provider or Appointment Type for that particular appointment. All blocked appointments are indicated with a B. All lunch times are indicated with an L. All open appointments are coloured in white space. 5. Select an available appointment slot by selecting it. Then, right-click Edit/Schedule to schedule an appointment or edit an existing appointment during that time. (You can also double-click on the appointment slot.) Viewing Appointment Information within EagleSoft There are many other areas within EagleSoft where you can view, print or access information from OnSchedule. Please review the following information to see where the appointment information can be viewed within other areas of EagleSoft. To: Area: Walkout Search and schedule the existing patient for Processing Window an appointment. Treatment Plan Search and schedule the existing patient for Processing Window an appointment. Patterson EagleSoft 15.00 Recalls Print reports, appointment reminder cards and so on. Patient Summary View upcoming appointment information for the entire family. OnSchedule • 199 200 • OnSchedule Edit Patient View next appointment date and time. Reports Print the following reports: Appointments Report, Daily Provider Goals, Office Chairs Master, Patients on Short Notice, Scheduled vs. Goal Report, Scheduled vs. Goal by Provider and Today’s Appointments. Account Window Schedule appointment for selected patient. Clinical The following Clinical modules have integration buttons available from each window: Chart, Clinical Exam, PSR Exam, Perio Exam and Notes History. Patterson EagleSoft 15.00 EagleSoft Today EagleSoft Today EagleSoft Today can be used as an interactive route sheet. EagleSoft Today uses all the same icons and indicators as OnSchedule. The colour blocks on the right indicate the Appointment Type colour. Double and Triple book colours appear as arrows next to the appointment time. Overdue Tasks appear in red. EagleSoft Today is like a digital day planner for your desktop. This module will allow you to view daily Appointments, Tasks and Post-Op calls from a centralized location. Access detailed information associated with these areas of the software. View items by Chair or Provider. To access this new virtual screen, select Window | ESToday. In the Appointment bar, use the dropdown arrow to select the desired date. Double-click appointments, tasks and post-op calls to open the live information for editing. Patterson EagleSoft 15.00 EagleSoft Today • 201 Customizing EagleSoft Today To customize your EagleSoft Today, select the hyperlink at the bottom View: All Appointments by <<selected setting>>. In the Customize EagleSoft Today window, use the drop down arrows to select Provider, View and Refresh settings. In the Indicators area, select from the following checkbox options: Patient Arrival Status, Double and Triple Book, Patient Pre-med, Lab Cases, Patient Alerts, Patient Photo, Appointment Type and Patient Names. In the Display/Task/Call Options area, select from the following checkbox options: Show Post-Op Calls, Show Tasks, Include Private Tasks, Include Completed Tasks, Appointment Detail Popup and Show Photo in Detail Popup. Select OK to save and apply your options. Select Cancel to close the window without saving. Right-click Menus Use the right-click menu on a selected Appointment to Edit, Delete, Find Appointments, Locate Appointments, Call Patient @ Work, Call Patient @ Home, Email Patient, Set Next Arrival Indicator, Mark As Walked Out, Refresh and Print Today’s Appointments. Use the left-select menu on the confirmation status to toggle between Confirmed, Unconfirmed, Sent Email, Left Message, No Answer, Phone Busy, Waiting for Callback and Other. Use the right-click menu on a selected Task to Add Task or View Task List. Use the right-click menu on a selected Post-Op call to Call Patient @ Work, Call Patient @ Home. 202 • EagleSoft Today Patterson EagleSoft 15.00 Task Manager Introduction Task Manager is a way to schedule reminders/tasks for personal and office use. The Task Manager enables you to set up recurring tasks daily, weekly, monthly, periodically or annually. The shortcut keys and toolbars give you access to the task list from any window in EagleSoft. A preference enables the Task List to start up each time you log into EagleSoft. Using the Task List Accessing the Task List There are three ways to access the Task List. • From Activities, choose Task List -or- • Use the F11 keyboard shortcut -or- • From the right-click menu in the OnSchedule window Preferences Before using the Task Manager, it is a good idea to set up the Task Manager preferences. Patterson EagleSoft 15.00 1. If you want the Task List to appear at the time of logon, go to File | Preferences | General. 2. Select the Display Task List at time of login checkbox. 3. Select OK to save and exit the preferences. Now, each time a user logs on to EagleSoft, the Task List is displayed. This is useful for meeting reminders, prescriptions and lab cases. Task Manager • 203 View Options These features allow you different ways to view the Task List. You can filter the appearance of the Task List according to provider, task status and many other options. Each view is customized for the user logged into EagleSoft. For example, when George Young logs in to EagleSoft and pulls up the Task List, he views only those tasks assigned to him. Select the Cancel button to stop generating the Task List. For Select a provider to view tasks for that provider. Show Future Tasks Select this checkbox to view future tasks. Future tasks are tasks that have not started yet. Sort By Select any of the Sort By options to view the tasks in that order of that column. Status Assigned To Priority Category Due Date Patient Task List Ledger The Task List ledger displays the current, viewable tasks. By selecting the column header, you can rearrange the order of the tasks. The Sort By function mentioned above has the same function. Status Select this checkbox to mark the status as completed. The next time you log on to Task Manager, the task is gone. Priority Displays the priority of the task. Subject The subject or title of the task. Due On When the task is due or to be done by. Assigned To If the task is assigned to a specific provider, the provider shows up here. A private setting is given if the task is for a certain provider. Category If there is a task category for the task, it appears here. 204 • Task Manager Patterson EagleSoft 15.00 For information on categories, see the Task Category section in the General Setup chapter located in this unit. Patient If a task is assigned to a specific patient, the patient’s name is displayed here. Toolbar New Select New to create a new task. Read further for information on creating a new task. Edit Select Edit to modify a current task. See the Creating/Editing a Task section that follows for more information. Delete To delete a task, select it from the Task List and select Delete. If the task is set to occur every day, it appears the next day. If, however, you delete the last occurrence of a recurring task, you are prompted with a message box. You must receive this prompt for a Task to be deleted. Select Yes if you wish to proceed. Report Select Report to get a listing of all tasks. The Task Manager Report Filter window appears. For more information on task reports and filtering, go to the section later in this section. Select Close to leave the Task List. Patterson EagleSoft 15.00 Task Manager • 205 Creating/Editing a Task 1. To add a task to the list, you need to first open the Task List window. 2. Select New to add a task. 3. To use the Task Manager Wizard, select Set Freq. The Task Manager Wizard walks you through setting up the time, frequency and other settings for the task. New Task Window 1. To create a task, select New. 2. The New or Edit Task window appears. 3. Enter a subject for this task in this box. Enter a subject that appropriately describes the task. 4. If you are going to select a due date (a date for the task to be completed), type it in here. Select the None box to not use this option. If you use Set Freq. to set up a task frequency, this overrides the Due Date. This takes you to the Task Manager Wizard. For information on using the Task Manager Wizard, see the next section. 206 • Task Manager 5. Select a patient if you want to attach this task to a patient. The task could remind you to call a patient about a bill or reschedule a cancelled appointment. 6. If task categories have been created, select from the Category dropdown list box. Using task categories is especially helpful if you later want to print out a list of your tasks according to their category. 7. Select the provider to whom you are assigning this task. Select the Private checkbox if you want only this provider to see the task. 8. Select a Priority radio button for the task. High priority items are listed at the top of the list, medium is next and low priority is at the bottom. 9. Select a status from the dropdown list box: Not Started – The task has not been started. In Progress – The task is currently being worked on. Completed – The task is completed and no longer appears on the task list. Patterson EagleSoft 15.00 Waiting on Someone Else – This cannot be started until someone else joins the task. 10. Select OK when you are finished in this window. Creating a Task with Task Manager Wizard If you want to set up a frequency or time range for a task, select Set Freq. This takes you to the Task Manager Wizard. The first window enables you to select the frequency of the task. Frequency • Daily – This task happens daily • Weekly – This task happens weekly • Monthly – This task happens monthly • Yearly – This task happens yearly • Once – This task happens only once Setup 1. Select an option and select Next to set up details for the frequency. The daily option is selected in the following window. 2. Select the recurrence you would like for this scheduled entry. The recurrence dictates how often or the frequency of the task. Patterson EagleSoft 15.00 Task Manager • 207 In the above example, you have the following three options: 3. • Every __ day(s) – Enter how often you want the task to occur (for example, every 5 days) • Every weekday – Select this option if you want the frequency to appear on Monday-Friday • Every day – Select this frequency if you want the task to occur every day of the week Select Next when you are finished selecting details. The following window appears next, unless the Once Frequency is selected. 208 • Task Manager 4. Select the Starting on and Ending on dates for the range of recurrence. The dates can be typed manually or you can select the down arrows and choose the date from the dropdown month/day selection. 5. If the No Ending Date checkbox is selected, the Ending on date is blanked out. 6. If you want to select how many times this task should occur, select Stop after __ occurrences checkbox and enter a number. If you enter 4, the task occurs only four times and then stops. 7. Select Finish when you are ready to process this task. A summary is displayed after you have finished setting up the frequency. 8. Select OK to save the task. Patterson EagleSoft 15.00 Task Manager Report Filtering the Report You can view and print out the tasks from two different locations. • From Reports | All, select Task Manager -or- • Select Report in Task List From the Task Manager Report Filter window, select preferences for your report. Sort By Sort the order of tasks in your report. Filter By Select a checkbox and choose from a dropdown list box. You can also combine the filters. Due Date Select this option to pull report criteria using the due date. Patient Select this checkbox if you want to use criteria for a specific patient. When you have filtered the report according to your criteria, select OK. Select Print to print the report. You are then able to select a different printer, a range of pages and the number of copies. Select Cancel to exit the Report Preview window. Printing and Previewing the Report The Task Categories report gives you a list and a total of the categories in the system. To access this report, go to Reports | All Reports | Task Categories. For more information on task reports, go to the Other Reports section in the Reports and Graphs chapter located in the Practice Administration unit. Patterson EagleSoft 15.00 Task Manager • 209 Time Clock Overview Time Clock offers a unique way of tracking and managing employee hours. Time Clock enables an employee of the office to “clock in” when coming in to work and “clock out” when leaving. The Employee Time Sheets show total hours worked for a selected time period. These features better enable your office to manage your employees’ hours without all the extra paperwork and time. Setting up the Time Clock By default, each provider is marked to use the Time Clock feature, so Time Clock is ready to use immediately. However, if you want to set up security and other options, read the Setting up Preferences section that follows. Setting Up Preferences Before using the Time Clock, you may want to verify that the following areas of information related to the Time Clock are set up. • Provider Information • Time Clock Passwords • Work Types Provider Use of Time Clock Before starting the general setup, verify that each provider is set up on Time Clock. To do this, go to the Provider window and make sure the Use Time Clock checkbox is selected at the bottom of the Provider/Staff window. Time Sheet Security The Time Sheet password feature enables you to edit or view time sheets for each provider and staff member. A staff member with Administrative security rights needs to set up those who should have access to this feature. To provide access to this feature, the Administrator must log on and edit the employee. From the Edit Provider/Staff window, select Password. From the Password window, select the Time Sheet Mgmt checkbox. 210 • Time Clock Patterson EagleSoft 15.00 Setting up the Time Clock Password The Time Clock feature enables you to set up password access for each provider and staff member when clocking in or out. To set up the Time Clock password in the Integrated Mode, go to Lists | Provider/Staff and select the current provider. From the Provider/Staff window, select the Password button with the Time Clock icon. From this window, enter a password in the New Time Clock Password box and then enter the same word in the confirmation field. Set up the additional question and answer section designed to help your office retrieve forgotten passwords. Setting Up Work Types Work types are classifications for work hours. When clocking in and out, a work type is associated with the hours worked. For example, if an employee is going to be gone on a weeklong vacation, this employee may want to set up a time sheet for this period and use the Vacation work type. There are four work types included in the database: Vacation, Holiday, Regular and Sick. To use these work types or add more, follow the instructions below: Adding New Work Types 1. 2. To add new work types, go to Lists | General Setup and select Time Sheet Work Types. From this window, select New to create new work types. The New Work Type window appears. 3. Enter a Work Type name in the Work Type field box (for example, conference, business meeting and so on). 4. Enter a default time in and time out. This appears next to the Work Type name in the Employee Time Sheet to indicate the hours for this work type. 5. Select OK to save and return to the Work Types list. Editing Work Types Note: The work types installed with EagleSoft – Vacation, Holiday, Regular and Sick – cannot be deleted or edited. 1. To edit a work type, select a work type and select Edit. The Edit Work Type window appears. Patterson EagleSoft 15.00 Time Clock • 211 2. Select in the Work Type field to change the description. If it is a system work type, you are unable to change the description. 3. Select in the Time In and Time Out fields to change the times. 4. Select OK to save and return to the Work Types list. Using the Time Clock 1. When an employee of the office logs into EagleSoft, select the Time Clock icon on the desktop to clock in. -orFrom the Activities menu, choose Time Clock and then Time Clock from the Time Clock menu. The Time Clock window appears. 2. When the Time Clock window appears, select the User dropdown list box and choose a provider name. Then, select Clock In. If a password is set up for the staff member or provider logging in, enter the password before clocking in or out. 3. When you are clocking out for the day, open the Time Clock window. Select the provider’s name and select Clock Out. Entering Notes 4. Select Notes to enter more information for the time sheet. If an employee calls in sick, you can enter a note explaining the reason the person is out. Time Sheet 5. 212 • Time Clock Select Time Sheet to access the Time Sheet window. Patterson EagleSoft 15.00 If the current user has security access, you can create and edit time sheets. The Time Sheet provides a way for an employee and/or the staff administrator to manage hours for the office staff. If you want to change the date range, select the arrows next to the From and To dates. To view different employers, select the Employee dropdown list box and select. Select the Show Inactive checkbox to view all time sheets. When you select edit or new, a timesheet record window appears. From this window, select an employee, work type, the dates, and the time in and out. Select OK to save the time sheet. Time Sheet Report 6. Patterson EagleSoft 15.00 Select Report to preview and print a time sheet for the current provider. You can also select Notes in the Employee Time Sheets to enter notes for the time sheet. Another way to access the Time Sheet report is to go to Reports | Providers | Employee Time Sheets. Time Clock • 213 This page has been left blank intentionally. 214 • Time Clock Patterson EagleSoft 15.00 Account Management – Unit 3 The Account Management unit contains the following: How to Process a Walkout A Breakdown of the Account Screen How to Receive Account Payments How to Receive Insurance Payments How to Set Up a Payment Plan Patterson EagleSoft 15.00 Account Management – Unit 3 • 215 Walkout Processing Introduction to Walkouts The walkout statement is the invoice of services rendered for each patient. The walkout statement records all services rendered; generates insurance claims for the patient, updates the treatment plan and prints a receipt or walkout statement for the patient. This chapter includes information on the following: 216 • Walkout Processing • Accessing the Walkout Statement window • Creating and processing a walkout statement • Generating an insurance claim Patterson EagleSoft 15.00 Where Can I Process a Walkout 1. From the Activities menu, choose Practice Management Activities and then Walkout Statement. 2. From the Account window, select Walkout below the ledger. 3. From the Integrated Mode window, select the Walkout icon. 4. From the Practice Management Front Office window, select the Walkout icon. 5. Select Walkout on the toolbar. Walkouts can also be accessed from Account, Treatment Planning and Chart. How To Create a Walkout Statement From the Activities menu, choose Practice Management Activities and then Walkout Statement. The Walkout Statement window is displayed (see the following image). Type the partial or full last name of the patient and press the Tab key. You can also select Patient to get the Patient List box. When selected, the account and insurance information is displayed. To change the provider for walkout, select the Provider for Walkout dropdown list box. If services on this walkout were performed by a dentist other than the patients Preferred Dentist, you may need to change the Provider on Walkout. Patterson EagleSoft 15.00 Walkout Processing • 217 Important Things to Remember when Using this Option: The Production goes to the Provider on the service The Collections and Insurance* go to the selected Provider for Walkout. *Note: Provider on Insurance can be different depending on your preferences If the Provider for Walkout is not set up to receive Collections or Insurance in the Edit Provider window, the provider does not receive the collections or insurance If this patient has treatment plan items marked Post to Walkout, the Planned Procedures window appears, and the items are marked to pull directly into the walkout by default. Select OK to pull the marked items into the walkout. If the treatment plan items are marked Proposed, you are first prompted about the treatment plan items. Select Yes if you want to use any of the treatment plan items. A list of those items is displayed. Highlight the items you want to pull from the treatment plan into the walkout and select Mark. When all items are marked, select OK to proceed to the Walkout Statement window. When you have selected the treatment plan items, select OK to return to the Walkout Statement window. If applicable Under Options, select the checkbox Use Date of Service From Planned Procedure or Use Fee From Treatment Plan. The provider automatically appears. (Note: This provider is based on how the service code is set up for the Normally Performed By field under the service code and the preferred dentist and preferred hygienist fields in the patient setup.) If you want, change the provider by selecting the Provider box. A dropdown list box appears. Choose a new provider from those listed. Select the Quick Walkout checkbox to bypass the payment option screen. Select the checkbox Show Preview of CAESY Printables to preview those associated items prior to printing. After verifying that you have selected the correct provider for the service, you may need to enter specific information for that service regarding 218 • Walkout Processing Patterson EagleSoft 15.00 tooth/quadrant/ root/surface. If you are receiving a message stating that the tooth/quadrant/root is not allowed, edit the service code and modify the Affected Area box to match your requirement for this service. For this change to take effect, you need to cancel the current walkout and start over. To delete a service code from the Walkout Statement window, highlight the service and select Delete. The More Information Button To view more details about the service code, choose More Information. Modify the information, if applicable. Use the More Information button to view details about the service, modify service dates, aging dates, tooth number, fees and insurance estimation amounts. You can also apply discounts and taxes. For example, if you had a service that didn’t get walked out on the date of service; use More Information to enter the correct date of service when walking out the service. The following options are available from the Item Detail window: • Service Date – Enter or edit the date of service for this item. • Aging Date – Edit this to change the True Date Aging date. By default, this date is based on the service date. • Tooth – Modify the tooth number if needed. • Fee – Enter a fee or modify the current one. • Lab Fee – Enter a fee or modify the current one. • Lab Codes – Enter or modify the current lab code • Proc Type Codes – Enter or modify the current proc type codes. • Apply Discount – Select this checkbox if you want a discount to be applied to this service. • Submit on Insurance – Select or deselect this checkbox based on whether or not this service needs to be submitted to insurance. The Show Estimation Button To view how insurance estimates a service in the walkout, highlight the service and select Show Estimation. Patterson EagleSoft 15.00 Walkout Processing • 219 If insurance appears to not be estimating correctly, check the following areas: • Edit Person Window – The patient must have remaining benefits and must have met deductible. • Employer Percentages – Edit the policyholder’s employer via List | Practice Management Lists | Employers/Coverage List. Under Service Types for this employer, percentages for the service types must exist for insurance to estimate. • Employer Calculation Method – Edit the policyholder’s employer via List | Employers/Coverage List. Choose Preferences. The calculation method must be set to “Estimate Insurance.” • Employer Coverage Book – Edit the policyholder’s employer via List | Coverage Book List. Choose Coverage Book. If the service exists within the Coverage Book, this is taken into consideration. • If the fee for the service appears to be wrong, check the following areas: • Lists | Service Codes – Edit the service code and confirm that the Standard Fee for this service is correct. Also, verify the service type to make sure the correct percentage is pulled from the Edit Employer window. Verify that the service code has been marked to submit on insurance. • Edit Person | Preferences – Under Financial Preferences, Fee Schedule should be set to (None) unless you are utilizing a fee schedule that differs from your standard fees. • Edit Employer – Edit the policyholder’s employer via List | Employers/Coverage List. The Fee Schedule for the Employer should be set to (standard fees) unless you are utilizing a fee schedule that differs from your standard fees. Choose Process to process the walkout statement. The Walkout Statement Processing window is displayed. 220 • Walkout Processing Patterson EagleSoft 15.00 CAESY Printables CAESY Printable PDFs are now included as part of EagleSoft. Provide patient education take-home materials by attaching CAESY printable files to specific service codes. CAESY Printable PDFs can be printed in English only. CAESY Printables Preferences In the Printing Preference tab, select the Print Associated CAESY Presentations During Walkout checkbox. Select OK to save your changes. This will allow you to automatically print any associated CAESY information with the patient’s walkout. CAESY Printables Setup Patterson EagleSoft 15.00 Walkout Processing • 221 To attach CAESY Printables to a service code, select List | Services. Select the desired service code and select Edit. In the Edit Service Code window, select the Printables button. In the CAESY Printables Assignment window, select the checkbox pertaining to the desired CAESY Printable form(s). Select OK. Select the Preview button to view a PDF file of the selected CAESY presentation. CAESY Printables Walkout During the Walkout Process, select the checkbox Show Preview of CAESY Printables to preview those associated items prior to printing. How To Process a Walkout After the services are entered into the walkout statement, the next step is to process this walkout. Processing the walkout potentially leads to generating an insurance claim (the final stage in processing a walkout), accepting 222 • Walkout Processing Patterson EagleSoft 15.00 payment on the account, setting up recall information or generating a receipt for the patient. It is possible to process the walkout statement with or without payment from the patient. If the patient does not have insurance, the walkout statement should be processed with a payment, unless the patient prefers to receive a statement in the mail. 1. To begin processing the walkout choose Process. The Walkout Statement Processing window is displayed. Note: If you are using the preference for Quick Walkout, this screen will not appear. 2. To see the individual balances of the patients in the account, while in the Walkout Statement Processing screen, select View. Using Payment Types 3. Choose the Payment Type from the dropdown list. If the Payment Type also has a corresponding prompt (for example, cheque number), provide the appropriate amount. 4. Type the Amount of the payment and press the Tab key. 5. If the Provider Distribution (Prov. Dist) box is checked, you are prompted to distribute payment among providers (see the following image). 6. If the Patient Distribution (Pat. Dist) box is checked, you are prompted to distribute the payment to other patient balances on the account. Using Adjustment Type 7. Choose an Adjustment Type from the dropdown menu, if there is an adjustment applied to the patient’s account (for example, a Delta Dental write-off). 8. Enter a description of the adjustment, if applicable. 9. Enter the Credit Adjustment amount or the manually figured discount of the walkout, if you wish to decrease the patient balance. How to Print a Walkout Statement 10. Check the Print Walkout Statement box to print a receipt. The default for this option can be found under File | Preferences | Printing and choose Print Statement At Time of Walkout. 11. Choose the Walkout Statement Message from the dropdown list, or press the F2 key to create a new message. Patterson EagleSoft 15.00 Walkout Processing • 223 12. Select Lab Case to view, edit, create or assign a lab case for this walkout statement. 13. Select Account Pref to view or modify account preferences. From this window, select preferences for receiving statements, finance charges, and so on. You can also enter a statement message that appears on each statement and/or a one-time monthly note for statements that appear below the statement message. The monthly note for statements can also be entered in the Account window for the patient. 14. Select Setup to adjust the Walkout or Insurance printer settings, if necessary. 15. Select Schedule to schedule an appointment for this patient. If you want to view OnSchedule in different views (Day at a Glance or Week at a Glance), select the down arrow and choose one of the options. Determining a New Recall Date 16. In the Recall Frequency field, enter a new recall frequency, if preferred. 17. The New Recall Date is automatically updated when using the Adult or Child Prophy service codes based on the Recall Frequency of the patient (Edit Person | Preferences). For more information on recalls, see the Recall Wizard section in the Continuing Care unit. If this New Recall Date is not updating correctly, check the following areas: Service Code List – Edit the adult and/or child prophy service codes and confirm that the Updates Patient Recall preference is marked. Edit Person | Preferences – Confirm that the patient is marked to Receive Recalls and that the recall frequency is set for this patient. 18. Select the Update Today’s Appointment as Completed checkbox, if you want to update the appointment block in OnSchedule. When the services for that appointment are walked out, the appointment block’s colour is changed. 19. When you are ready to process this walkout, select OK to save your settings and process. 20. If you selected to print the Walkout Statement, the statement prints with a list of the services, balance due, estimated insurance, and so on. The bottom of the statement lists the next appointments for other family members. Generating an Insurance Claim from the Walkout If you are using the preference Use Quick Walkout, this window will not appear If the patient has insurance, the next step in completing the walkout statement is to generate an insurance claim. Simply answer the pertinent insurance claim questions and determine how you wish to submit your claims. The system automatically generates a claim for the patient’s 224 • Walkout Processing Patterson EagleSoft 15.00 primary insurance. After the primary insurance is paid and marked Final and a balance remains, EagleSoft generates a claim for the secondary insurance (if applicable). There are several options for printing and submitting insurance claims. Insurance claims may be printed immediately and given to the patient to submit by hand. They may also be saved and printed at a designated time during the day or week as a batch of claims. You can also submit insurance claims electronically. There are four options available on the Insurance Questions window in the Print Claim section: • Print Now – The claim is printed immediately, and the status is changed to Open • Print Later – The claim is saved until you are ready to print the saved batch of claims and mail them to the insurance companies. To view these claims, go to the Process Insurance Claims window. From the View section, select the Unsubmitted checkbox • Submit Electronically – The claim is generated in electronic format and is electronically submitted through the Process Insurance Claims window. To view these claims, go to the Process Insurance Claims window and select Unsubmitted Elec (Electronic) in the View section • Submit Manually – The claim status is automatically changed to open and waiting for an insurance payment. You or a staff member is responsible for submitting the claim to the insurance company Enter insurance information like Remarks for Unusual Service Choose the Insurance Form you wish to use. You will need to answer the insurance questions as if you were completing the form by hand. If a question does not apply, simply leave it blank. Choose Missing Tth (teeth) to update the patient’s chart of missing teeth. Patterson EagleSoft 15.00 Walkout Processing • 225 Select the AutoNote button to attach an AutoNote to the claim in the Remarks for Unusual Services area. Use an existing AutoNote or create a new one for the situation. Choose OK to generate and print (if applicable) the claim. Once the claim is generated, the insurance questions can be changed at a later time in the Process Insurance Claims window. However, if changes are made, the claim needs to be resubmitted. When using electronic claims, there are a limited number of characters available for Remarks for Unusual Services. Frequently Asked Questions about Walkouts How can I “back date” a Walkout? Back-dated services will appear on the current day’s EOD with the assigned date. Use the More Information button. Select the More Information button and use the dropdown arrow to select a new date under Service Date. My insurance isn’t estimating correctly. How can I see how the estimation is being calculated? To view how insurance estimated a service in the walkout, highlight the service and select Show Estimation. If insurance appears to not be estimating correctly, check the following areas: • Edit Person Window – The patient must have remaining benefits and must have met deductible • Employer Percentages – Edit the policyholder’s employer via List | Practice Management Lists | Employers/Coverage List. Under Service Types for this Employer, percentages for the service types must exist for insurance to estimate • Employer Calculation Method – Edit the policyholder’s employer via List | Employers/Coverage List. Choose Preferences. The calculation method must be set to Estimate Insurance • Employer Coverage Book – Edit the policyholder’s employer via List | Coverage Book List. Choose Coverage Book. If the service exists within the Coverage Book, this is taken into consideration If the fee for the service appears to be wrong, check the following areas: 226 • Walkout Processing Patterson EagleSoft 15.00 Patterson EagleSoft 15.00 • Lists | Service Codes – Edit the service code and confirm that the Standard Fee for this service is correct. Also, verify the service type to make sure the correct percentage is pulled from the Edit Employer window • Edit Person | Preferences – Under Financial Preferences, Fee Schedule should be set to (None) unless you are utilizing a fee schedule that differs from your standard fees • Edit Employer – Edit the policyholder’s employer via List | Employers/Coverage List. The Fee Schedule for the Employer should be set to (standard fees) unless you are utilizing a fee schedule that differs from your standard fees Walkout Processing • 227 Account Activities Introduction to Account The Account window can be utilized to access the Edit Person window, review account history, print account history reports, post transactions via the walkout statement, accept payment on the account, record adjustments or returned checks, and much more. Essentially, the Account window offers a central place to perform most of your daily accounting procedures. The following information is in this chapter: • Viewing patients on the account • Using the integrated features from the right-click menus • Reviewing the account ledger • Writing off an account • Entering account notes • Entering account adjustments • Editing and deleting past transactions How to Access the Account Window 1. From the Activities menu, choose Practice Management Activities | Account. 2. From the Integrated Mode or Practice Management Front Office window, press Ctrl + A. 3. Choose Account from the Toolbar. Select the Account icon from the Integrated Mode window. 4. Select the Account icon from the Practice Management Front Office window. The Account window is displayed. 228 • Account Activities Patterson EagleSoft 15.00 When the window appears, type the full or partial last name of the patient. You can also type or search (F2 key) the Patient ID. The patient and responsible party names are displayed, as well as account information. Account Window Options Use: To: Report Print or view the account history Preferences Set account preferences Note Write notes about the account Alerts Set account alerts Edit Patient Access Edit Patient window Adj Add transactions to account history, such as credit adjustments, debit adjustments, returned cheques, write-offs and billing and finance charges Edit Modify account payments, services and notes Delete Delete an account transaction Filter Determine the items included in the account history display Walkout Create a walkout statement for this patient Ins Payment Make an insurance payment for this patient Acct Payment Make an account payment for this patient Today’s Receipt Print a list of the current day’s receipts for the entire account Viewing Patients on the Account The Account window displays a list of all patients on that specific account. When accessing any of the account activities buttons listed above, it uses whichever patient is highlighted within the Patients area. Patterson EagleSoft 15.00 Account Activities • 229 Using Account Options 1. In the Patient box, highlight the patient for whom you wish to enter information or a transaction. 2. Right-click, and a list of options is displayed. 3. Choose the option you wish to utilize. 4. Follow the procedures for the option you have chosen. Using Integrated Options within the Account Window This menu enables you to access virtually every area of EagleSoft. It also enables you to perform functions within the Account window. To access this menu, right-click next to the patient name in the gray area. Call Dial the patient’s work or home phone number using Auto-dialer. Treatment Plan Access the Treatment Plan window. Insurance Info Access insurance information for the patient selected in the patient box. View Claims For Patient View existing claims for the highlighted patient on the current account. 230 • Account Activities Patterson EagleSoft 15.00 View Claims For Account View claims for the current account. View Rx Information View prescription information for the selected patient. Send To Select this option to send letters or e-mails. View History View a printable history of the current account. Print/Queue Statement Print a statement for the account or send a Statement to the Statement Queue. Reprint Last Statement Reprint the last statement for the account. SmartDoc Access SmartDoc for the current patient. Schedule Patient Open OnSchedule and create an appointment for the current patient. Schedule Family Open the Family Schedule feature in OnSchedule for the current family. Clinical If Clinical is installed, this enables full access to all installed modules. If it is not installed, this option does not appear. View Referral Information View referral information on this account. View/Reprint Walkouts For Account View and/or reprint walkout statements for this account. The Walkout Statement Utilities window is accessed once this is selected. Patient Summary View patient summary for the selected patient. Note History View the Note History for the selected patient. Patterson EagleSoft 15.00 Account Activities • 231 Patient Route Sheets Open the Patient Route Sheets window. Patient Signatures View the digital signatures for the selected patient. Fast CheckIn Send the selected patient to a Fast Check-In terminal. Ledger Options This menu can be accessed by right-clicking in the ledger. Depending on the transaction you select, a different right-click menu option appears each time. View Distribution View patient and provider distribution on an account or insurance payment. View Claim View the claim and notes or change insurance answers with this option when selecting on a service. Adj Select this option to debit, credit, write off and apply a billing or finance charge to the account. Available by selecting anywhere in the ledger. Edit Edit a completed service or account payment. Delete Delete a service, account or insurance payment. Filter Filter the current view of the ledger so you can view different types of information, including transactions from other accounts. 232 • Account Activities Patterson EagleSoft 15.00 View Walkout View the printable walkout statement for the selected service. View Rx History Select a prescription and view the prescription history for the selected patient. View Eligibility View patient insurance eligibility. Expand Ledger Expand the Account ledger. Add to Outstanding Claim To add an item to an outstanding claim, select the service in the Account ledger. Right-click and select Add to Outstanding Claim. The Add to Outstanding Claim window appears. The Provider on Insurance on the service and the Provider on Insurance on the existing claim must match. The Invalid Claim Selection warning will appear if they do not. Select OK to return to the Add to Outstanding Claim window. Select the existing claim from the list. Select the checkbox Update Annual Deductible for Patient if applicable. Select the View Claim button to preview the specifics of the selected claim. Select OK. The Recreate Claim window appears. Patterson EagleSoft 15.00 Account Activities • 233 The Provider on Insurance dropdown list will only appear when using the preference for Provider On Insurance in the Accounting tab. Select the appropriate Estimation Options. Select OK to recreate the claim. Select the appropriate Print Claim option. Select the desired Insurance Form. Review the defaulted information under Questions. Select OK to finish. Multiple Providers can not be selected on Insurance claims. Select the appropriate Estimation Options. Select OK to recreate the claim. The Insurance Questions window appears. Select the appropriate Print Claim option. Select the desired Insurance Form. Review the defaulted information under Questions. Select OK to finish. Recreate Claim To create a new claim from previously walked out services, select the desired services in Account. 234 • Account Activities Patterson EagleSoft 15.00 Multiple services can be selected, provided they are not tied to an existing claim. Right-click and select Create New Claim. The Recreate Claim window appears. Select the appropriate Estimation Option. Review the displayed information. Select OK to create the claim. The following window will appear. Patterson EagleSoft 15.00 Account Activities • 235 Select the appropriate Print Claim option. Select the desired Insurance Form. Review the defaulted information under Questions. Select OK to finish. View Related Claim Items When this option is selected, the account window ledger will be filtered by the claim of the highlighted transaction. All claim items will be displayed including payments, services and notes. View Related Walkout Items When this option is selected, the account window ledger is filtered by the walkout of the highlighted transaction. All walkout items are displayed including payments, services and adjustments. Frequently Asked Questions about Account Is there any way to expand/retract the ledger? In Account, use the right-click menu to expand and retract the ledger. Can I change the Aging Date on a Service in Account? In the Account window, select the payment or service that you wish to edit. 236 • Account Activities 1. Select Edit. 2. If you are modifying a completed service, enter the new date of service, the provider, and/or tooth or surface numbers. Patterson EagleSoft 15.00 3. If needed, enter a new date in the Aging Date box if you want to change the date of insurance. The True Date Aging is based on the date entered in this box. By default, this date is the same as the service date. How do I enter a payment from a Payment Plan? An Account Payment cannot be transferred to a Payment Plan. If you have made an Account Payment by mistake, you will need to delete the payment and re-enter a Payment Plan payment. To receive payments on payment plans: 1. There are several ways to receive a payment plan payment. From the Activities menu, choose Practice Management Activities and then Account Payment. From the Account window, choose Acct Payment. 2. Type the full or partial name of the patient for whom you have created the payment plan. Note: The payment plan payment must be posted to the patient that the Payment Plan has been set up for. 3. From the Receive Payment On option, choose Payment Plan. The payment plan details are displayed at the bottom of the window. 4. Select the Payment Type. 5. Type the answer to the payment prompt (if a prompt is set up for the Payment Type). For example, when entering a cheque payment, you are able to enter the check number. 6. Enter the Amount of the payment and press the Tab key. 7. If your system preference is set to Prompt To Distribute Payments, the Provider Distribution window appears. 8. Select the checkbox next to Print Payment Receipt to print a payment receipt. 9. If the payment is an overpayment, choose to apply the overpayment to the principal or the account balance. 10. Select OK to process the payment plan payment. 11. Choose Cancel to cancel the payment plan payment. How can I offset Debits and Credits? If you have accounts with offsetting debits and credits and no time to fix them, EagleSoft does the work for you. Every time you enter the account window or run End of Day/Month, Practice Management can tell you if there are offsetting debits and/or credits. There are two places to correct offsetting debits and credits. These preferences are available from the Accounting tab in File | Preferences. The preferences are: Patterson EagleSoft 15.00 • In account screen display warning to adjust offsetting debits and credits • At EOD adjust accts seen today with offsetting debits and credits Account Activities • 237 Reviewing Account Ledger The Account Ledger section shows all transactions that have been posted to any member in the selected account. The most recent transactions are listed at the top. See the Account Preferences section for information on changing Account Ledger colours. • All debit transactions (transactions that increase the patient’s balance) and notes are displayed in black (for example, patient services are in black) • All transactions with outstanding insurance claims appear in blue • All credit transactions (transactions that decrease the patient’s balance) are displayed in red (for example, patient’s payment appears in red) • Deleted transactions, notes and adjustments are in green. A deletion adjustment refers to the offsetting adjustment that is created by deleting an original transaction. For example: • Deleting a $100 service, which is a debit amount, creates a $100 Delete Adjustment, which is a credit amount. • Deleting a $50 payment, which is a credit amount, creates a $50 Delete Adjustment, which is a debit amount to offset the original transaction. A running balance is kept and displayed. Here is a listing of the various types of Debit Transactions: Completed service Debit adjustment Billing charge Finance charge Returned check Here is a listing of the various types of Credit Transactions: Account payments Insurance payments Payment plan payments Credit adjustment Write off the account In addition to debit and credit transactions, the account history also displays the following types of account notes: Account note Modified transactions Deleted transactions Submitted insurance notes Payment plans Letters, recalls and statements Printing Account History This information can be filtered for Patient Items Only. 238 • Account Activities To print the account history for an account, do one of the following: From the Account window, select Report and enter the appropriate range of dates for the account history. Select OK. Patterson EagleSoft 15.00 From the Report menu, select All Reports. Choose the patient and the Account History report from the listing of all available reports. Identify the range of dates and print the report from the Report Preview window. Patient Information Patient information is displayed in the Edit Person window and can be accessed from the Account window by performing the following steps: 1. From the Account window, right-click on the desired patient and choose Edit Patient. The Edit Person window is displayed. 2. Select Edit Patient. 3. Edit the patient information as usual. Walkout Statement from the Account Window The walkout statement can be accessed from the Account window by performing the following steps: 1. From the Account window, choose Walkout. The Walkout Statement window is displayed. You can also right-click in the patient window. 2. Process the Walkout Statement as usual. Recording Payments from the Account To process account payments received by mail or to record payments, use the Account Payment window. To record an insurance payment, open the Insurance Payment window. Accepting Payments and Payment Plan Payments 1. From the Account window, choose Acct Payment. The Account Payment window is displayed. You can also access this by rightclicking in the Patient window in the Account window. 2. If the patient has a payment plan, select the Payment Plan radio button. For more information on making Payment Plan payments, see the Payment Plan chapter in this unit. 3. Type in the Payment Information. Reminder: Payments are assigned to the oldest patient balance first, unless specified otherwise. 4. Patterson EagleSoft 15.00 Choose OK to record the payment and return to the Account window. Account Activities • 239 Accepting an Insurance Payment 1. From the Account window, select Ins Payment. The Insurance Payment window is displayed. You can also right-click in the Patient window. 2. Enter the Payment Information. Reminder: The Collections Go To for the provider who performed the service or the Provider on Walkout receives the collection from this payment. 3. Select OK to record the payment and return to the Account window. Writing Off an Account Occasionally accounts must be written off. If an account is sent to collections and you do not expect to collect payment or do business with that account any longer, it is wise to write off the account. Write Off Account adjusts the balances for each patient in the account to zero. It also reduces the amount of your Accounts Receivable and marks all patients on the account as Inactive. The account is marked as Written Off Account for future reference. Also, an alert appears if you try to access the account at any time after it has been written off. The alert reads, This account has been written off. Do you wish to activate this account? Print the Accounts Written Off report to view a list of accounts that have been written off. Writing Off an Account 240 • Account Activities 1. From the Account window, select Adj. Select the radio button next to Write-Off Account. 2. Type any Write-Off notes. 3. Select the radio button next to the option that you would like to use under the Impacts section. For a detailed explanation of these settings, see the Account Adjustments section later in this chapter. Patterson EagleSoft 15.00 4. Choose OK to process the write-off and return to the Account window. Reactivating an Account that has Been Written Off When trying to access an account that has been written off, you receive the following Alert (see the following image) window. If you wish to reactivate the account, choose Yes. Otherwise, choose No. Receiving Payments on a Written Off Account If you do receive a payment for an account that has been written off, you must reinstate their prior balance by making a debit adjustment for the amount of the balance. Using Account Notes The account notes option allows you to record free-form information that you would want to appear in the account history. For example, “Mrs. Smith called today to contest a portion of her statement. She indicated that we should wait for insurance payment first.” Unlike the other notes options throughout EagleSoft, this notes option allows you to record a new note each time you enter this window. Each note is placed permanently in account history with the appropriate date. To add a note to the patient’s statement, select the checkbox Display note on account statement. Entering Patient Notes 1. Patterson EagleSoft 15.00 From the Account window, choose Notes. The Notes History window is initialized. You can also access it by right-clicking in the Patient window. Account Activities • 241 2. Type any notes. Choose from any of the Patient Note options: Edit Delete Colourize Filter Save As Insert Autonote Assign Teeth Print Find 3. Choose OK to save the note and return to the Account window. Spell Checking Patient Notes When using the Spell Checking preference in Practice Management, you have the ability to spell check your Patient Notes. When using the Spell Checking option to Check Spelling While Typing in Patient Notes, you will notice a wavy line appears under any unrecognized word. You may right-click the unrecognized word and choose Add to include the word in your Spell Check dictionary. When using the Spell Checking option to Check When Done Typing, selecting the OK or Cancel button launches the Spelling Error window. In the Spelling Error window, choose from the following options: • Select the Change button to retype the unrecognized word. Select the Change To box and retype the word • To use one of the Spell Checker’s suggested words, highlight the word and select the Change button • Select Change All to apply the suggested or corrected word to all occurrences of the unrecognized word • Select Ignore to skip the word • Select Ignore All to skip all occurrences of this word • Select the Add button to add a word to the Spell Checker’s lexicon • Select Cancel to close the window Recording Returned Cheques Unfortunately, there are times when you must record a returned cheque from a patient. By recording returned cheques through this option, you can track all of your returned cheques through account history and reports. 242 • Account Activities Patterson EagleSoft 15.00 1. From the Account window, choose Adj. Select the radio button next to Returned Cheque. 2. Type the cheque number, check amount and service charge. 3. Type any returned cheque notes. 4. Select the Provider charging the returned cheque amount (if different than the preferred dentist). 5. Before you apply this adjustment, decide how you would like to have this impact and select the radio button next to the correct option. 6. Select OK to record the returned cheque and return to the Account window. Account Adjustments Adjustments on accounts occasionally need to be made to set up initial account balances, correct an office mistake, or at the insistence of a patient. Entering a Credit Adjustment Patterson EagleSoft 15.00 Account Activities • 243 1. Select Adj, then select the radio button next to Credit Adjustment. 2. Enter a note in the Note field. 3. Select the Adj. (adjustment) Type from the pull-down menu or press the F2 key to access the Adjustment Types list. It is important to create specific adjustment types (for example, Delta Dental write-off) because you are able to generate reports for these specific adjustment types at the end of the year. 4. Enter the amount of the adjustment in the Amount field and press the Tab key. 5. Adjust the distribution as necessary, and then select OK to exit from the Distribution window. If your preference is set to Prompt to Distribute Payments, the payment amount defaults to pay the provider with the oldest balance first. Use one of the following distribution options: Equally To Providers – Distributes the payment amount in equal portions to each eligible provider. Oldest Tot. Bal. First – Distributes the payment amount to the oldest total balance due. Oldest Non-Ins. Bal. First – Distributes the payment amount to the oldest non-insurance balance due. Percentage of Balance – Distributes the payment amount to all eligible providers in proportion to what is owed them. If the default distribution is not what you want, you must zero the adjustment amount for the provider and press the Tab key. Then, select the provider that should receive the distribution, enter the amount and press the Tab key. If your preference has been set to Distribute Amount To Preferred Dentist, choose the provider you wish to receive the adjustment from the providers listed. Distribution for Patients At the bottom of the transaction window, each patient and his/her balance are listed. The credit adjustment is automatically defaulted to the patient with the oldest balance first. If this is not the patient 244 • Account Activities Patterson EagleSoft 15.00 you wish to receive the credit adjustment, you must zero the amount for the patient that the adjustment defaulted to and press the Tab key. Then, select the patient who should receive the distribution, enter the amount and press the Tab key. 6. Choose the area that is impacted by this adjustment: Adjustment, Production or Collection. For a detailed explanation of these settings, see the chapter on Reviewing Provider Productivity located in the Daily Procedures unit. 7. Choose OK to process the adjustment and return to the Account window. Entering a Debit Adjustment Patterson EagleSoft 15.00 1. From the Account window, select the name of the patient to whom you would like this adjustment to apply. 2. Select Adj, then select the radio button next to Debit Adjustment. 3. Type an adjustment note, if necessary. 4. Select the Adj. Type from the pull-down menu. You can also press the F2 key to access the Adjustment Types list. In most cases, it is important to create specific adjustment types so that you are able to generate reports for these specific adjustment types at the end of the year. 5. Enter the amount of the adjustment in the Current, Thirty, Sixty or Ninety-Day field. 6. Select the provider who is charging the adjustment amount. 7. Choose which area is impacted by this adjustment: Adjustments, Production or Collections. 8. Choose OK to process the adjustment and return to the Account window. Account Activities • 245 Tracking Failed and Cancelled Appointments To help your office better track failed and cancelled appointments, we are offering a couple of different options. Use the Accounting Preferences to determine the cancellation charge or simply create an account note. Cancellation Charge To create a service charge for failed/cancelled appointments, open the Accounting Preferences. Under the File menu, select Preferences | Accounting. Select the checkbox Apply Appointment Cancellation Fee. The Adjustment Type and Default Cancellation Fee fields appear. Use the dropdown list to select the Adjustment Type desired or select the hyperlink to open the Adjustment Type list. Enter a monetary amount in the Default Cancellation Fee field. When cancelling an appointment, the following window appears: 246 • Account Activities Patterson EagleSoft 15.00 Select the Adjustment Type. Use the dropdown list to change the Adjustment Type from the selected Preference default. Select a radio button under Impacts to change the impact from the defaulted selection. Account Note for Cancelled/Failed Appointments To create an Account note to denote failed/cancelled appointments, select the Accounting tab under File | Preferences. Select the checkbox Create Account Note For Deleted Appointments. Print Today’s Receipts In the Account window, select the Today’s Receipts button at the bottom of the screen to preview or print a report of receipts for that Account and current date. Modifying Past Transactions The Edit option allows you to edit account payments and completed services. Account Payments On an account payment, you can change the date of payment, the payment type and the check number, if applicable. Patterson EagleSoft 15.00 Account Activities • 247 Completed Services After modifying a completed service, you will need to recreate the associated claim. Use Walkout Statement Utilities to re-create a claim. You can also re-create a claim during the Change fee process. This feature allows offices to change service amounts on completed service from account screen. The Insurance total will not be recalculated until the claim has been closed and re-created. Reprints of Walkout Statements will reflect the change in service. Tax and discounts will be refigured based on the new fee amount. Double-click on a completed service in the Account screen to modify. In the Fee field, enter the new amount. Select OK to save. Note: Fees, Provider and Estimated Insurance cannot be changed at the same time. In the Account, a new ledger entry will appear as Modification. Deleting Past Transactions When deleting a service attached to an open claim, you will need to confirm if the claim should be closed or if it should remain “open.” You must rebuild the claim if you would like to submit or resubmit it. 1. Select the payment or service that you would like to delete. 2. Select Delete. 3. You are prompted to confirm the deletion of the selected item. Select Yes to delete the item or select No to return to the Account window. Note: When using the preference Disable Confirmation Messages, this step may not apply. 4. If there is a claim associated with the service you are deleting, the claim is closed, even if there are other services on the claim. If you wish to continue, select Yes. The Closing Primary Insurance Claim window appears. 248 • Account Activities Patterson EagleSoft 15.00 5. From the Closing Primary Insurance Claim window, select how you want to close the claim and select OK. Re-creating Claims Associated with a Deleted Service There are times when incorrect services may have been entered on a walkout. If this is the case, you can delete services from the Account window and re-create the claim. 1. From the Ledger window, select a service. 2. Select Delete. If there is a claim associated with the service, the following window appears. If you select Yes, you are given several options in the next window. Note: When using the preference Disable Confirmation Messages, this step may not apply. Patterson EagleSoft 15.00 3. To re-create the claim for the other services, select the Recreate Claim checkbox. Select OK, and the Recreate Claim window appears next. 4. The Estimate Insurance Based on Current Benefits option is selected by default. This re-estimates the service for the current benefits, not the benefits at the time the claim was originally generated. Select Do Not Estimate Insurance if you do not want to estimate any insurance on this service. Account Activities • 249 Deleting and Re-Entering Payments Account Payments 1. From the Ledger window, select a payment. 2. Select Delete. 3. Select OK. 4. You must reenter the payment(s) through the Account Payment window. Insurance Payments 1. From the Ledger window, select an insurance payment. 2. Select Delete. If the claim is still open, you are prompted to close the open claim. 3. Select Yes to apply the unpaid portion back to the patient’s remaining benefits. If you choose No, the patient’s account is debited for that amount. Filtering the Account History The Filter option limits the amount and type of information displayed in the Account History window, providing you with specific information about the account. For example, if you wish to view only payments and walkout statements from a patient’s history, you would choose this option to filter this information. 250 • Account Activities 1. From the Account window, choose Filter. The Filter window is displayed. 2. Choose from the dropdown menu which Providers you want to show. 3. Specify to View All Account Items or View Patient Items Only. If you choose to view the Patient Items only option and are showing entire payments as one entry, the running balance is disabled in the Account window. 4. Select the checkbox Display full name to show the provider’s entire name. Deselect this option to display the provider ID. Patterson EagleSoft 15.00 5. If you are viewing patient items only, you can choose the Include Transactions from other accounts checkbox to view transactions from other accounts. All transactions for that patient are displayed regardless of their current responsible party. You are able to print out this history from the Account window. 6. Specify Display Ledger Entries Classifying As: Services, Account Payments,PM Notes, Returned Checks, Insurance Payments, Clinical Notes, Charges, Deleted Transactions, Payment Plan Payments, Adjustments, Prescriptions, Modifications. 7. Select Check All to display all items in the Account Ledger. To deselect all items, select Clear All. 8. Choose OK to return to the Account window. Note: See the Section on Preferences for more information about setting up filter options. Account Type Default Account Type – Use the dropdown arrow to select the Account Type default setting. To add or edit an Account Type, select the hyperlink Account Type or go to Lists | General Setup | Account Type. Select the Use button to apply the selected Account Type. Select the New button to create a new Account Type. Select the Edit button to edit the selected Account Type. Select the Report button to view the Account Type report. Select the Close button to close the window without applying an Account Type. The following is an example of the New Account Type window: The Accounts Receivable by Responsible Party and Delinquent Accounts Report can be filtered by Account Type. To designate an Account Type, select the Preference button on the specific Patient’s Account. Patterson EagleSoft 15.00 Account Activities • 251 Use the dropdown list to select the Account Type desired from the available options. Setting Up Account Preferences Account preferences define if the account receives a statement, billing charge and/or a finance charge. You can also add additional statement messages from the Account Preferences window. Account preferences can be different for each account. EagleSoft enables you to select different account preferences for each account. Setting the Account Preferences 1. From the Account window, choose Preferences. The Account Preferences window is displayed. 2. Select the checkboxes for the account preferences you choose. The options are explained below. • 252 • Account Activities Receive Statements – Choose to send the account a statement. It is important to send statements to most accounts so that you can keep your accounts receivable low Patterson EagleSoft 15.00 To see which accounts are not marked to receive a statement, print the Accounts Marked Not To Receive A Statement report • Receive Finance Charge – Choose to apply a finance charge to the account. This applies especially to overdue accounts • Receive Billing Charge – Choose to apply a charge to the patient’s account for billing. This is also used for overdue accounts 3. Use the dropdown list to select the Account Type. 4. Enter the message that you would like to appear on this account’s statements. 5. • Message for Statements – Enter a message specific for this account’s statement. This message continues to appear on all statements for this account until it is removed. • Monthly Note for Statements – Enter a one-time message that appears below the regular statement message on the next statement. Add or edit this note anytime up until the statement is processed. Choose OK to save your preferences and return to the Account window. Offsetting Debits and Credits for an Account If you have accounts with offsetting debits and credits and no time to fix them, EagleSoft does the work for you. Every time you enter the account window or run End of Day/Month, Practice Management can tell you if there are offsetting debits and/or credits. There are two places to correct offsetting debits and credits. Preferences These preferences are available from the Accounting tab in File | Preferences. The preferences are: • In account screen display warning to adjust offsetting debits and credits • At EOD adjust accts seen today with offsetting debits and credits Adjusting the Account Account Window If the Account window preference is selected, the following message box appears when you enter an account with offsetting debits and credits. Patterson EagleSoft 15.00 Account Activities • 253 Select Yes to make the account adjustments. End-of-Day Processing The second option allows the End of Day process to adjust offsetting debits and credits. If you have not checked this preference, you get the chance during the EOD process. Report If you want to print out a list of your offsetting debits and credits, there is now an Accounts With Offsetting Debits and Credits Report under Financial in the Reports menu. Setting Up Account Alerts Account alerts are system messages linked to accounts that help you identify and categorize the accounts. Alerts are useful with recordkeeping and reporting. Some account alerts should be marked to “Warn User When Encountered” or appear on the window each time a particular account is encountered. These alerts are used to call your attention to an important account problem, such as “Turned Over to Collection” or “Cash Only.” Other account alerts do not require the same level of warning/attention, such as “Always pays account in full.” These alerts can be used as classifications for report purposes. A list of account alerts has already been included in the EagleSoft database. You may add or edit account alerts as necessary. Assigning Account Alerts 254 • Account Activities 1. From the Account window, choose Alerts. The Account Alerts window is displayed. 2. Highlight the alert you wish to add to this account. 3. Select Add. The alert is displayed in the Alerts For This Account field. 4. Select OK to save your changes and return to the Account window. 5. To create a new Account Alert, go to ListsGeneral SetupAccount Alerts. In the Account Alerts List, select New and type in the description of the alert you are creating. Check mark the box to Warn User When Encountered and select OK. The new alert will now appear in the Account Alerts window and can be added to any account. Patterson EagleSoft 15.00 Removing Account Alerts 1. From the Account window, choose Alerts. The Account Alerts window is displayed. 2. Highlight the alert to remove from the Alerts For This Account field (right box). 3. Select Remove to remove the selected alert. 4. Select OK to save your changes and return to the Account window. Specifying Where to Display Alerts Patterson EagleSoft 15.00 1. From the File | Preferences menu, choose the Alerts tab. 2. Under the Display Alerts In section, check the boxes of the areas within EagleSoft where you wish for alerts to be displayed. 3. When you are finished, select OK to save your changes. Account Activities • 255 Receive Account Payments Account Payments Under Activities | Receive Payment, type the full or partial last name of the patient and press the Tab key, or enter the ID of the patient in the ID field and then press the Tab key. (If more than one patient exists in your database with the same last name, choose the correct name and select OK.) The account balance information is displayed. This example assumes that payment plans do not exist for this account. As a result, Patient Account is the default choice for the Receive Payment On option. The payment is applied to the patient with the oldest balance (within the account) first. In the Date field, you can modify the date of the payment, if necessary. Otherwise, press the Tab key. Select the Payment Type from the dropdown list provided. 256 • Receive Account Payments Patterson EagleSoft 15.00 Type the answer to the Number/Payment Prompt (if a prompt is set up for the payment type). This field usually refers to the check number or credit card number. Enter the Amount of the payment and press the Tab key. This amount is applied to the patients who have balances in the oldest aging categories. Changing the patient distribution Select the patient from the list of patients within the account shown at the bottom of the preceding window and enter the payment amount in the Payment field and press the Tab key. Amounts distributed to patients must match the total amount of the payment. If your system preference is set to automatically Distribute Amount To Preferred Dentist, the preferred dentist is listed in the Provider field. If you wish to assign the payment to a different provider, simply choose the appropriate name from the dropdown list. Select the Print Payment Receipt checkbox to print a receipt for the patient. Select OK to save and enter the next payment. Select Cancel to return to the EagleSoft Main menu. Select Setup to modify the default printer settings. Patterson EagleSoft 15.00 Receive Account Payments • 257 Receive Insurance Payments Receiving an Insurance Payment If the claim is closed prior to receiving the insurance payment, you need to reopen the claim in order to apply the insurance payment. To do this, go to Utilities | Walkout Statement Utilities. Here are the steps for receiving payments on insurance claims: 1. From the Activities menu, choose Practice Management Activities, and then Receive Insurance Payment. Choose Ins Payment on the toolbar or Ins Payment from the Account window. The Receive Insurance Payment window is displayed. 2. Type the full or partial last name of the patient and press the Tab key. The account, patient, insurance and contract balances are displayed. 3. If the patient has multiple outstanding claims, choose a claim to post a payment to. . Select View Claim to review the services on the selected claim. 4. In the Date field, you can modify the date of the payment, if necessary. Otherwise, press the Tab key. 5. Select the Payment Type from the dropdown list provided. 6. Type the answer to the Number/Payment Prompt (if a prompt is set up for the Payment Type). This field usually refers to the check number or credit card number. 7. Enter the Amount of the payment and press the Tab key. Note: Unlike account payments, insurance payments are distributed to the provider designated in the Collections Go To section in the Edit Provider window for the service assigned to this patient. 8. If this is the final payment, check the box next to Final Payment. 9. Distribute the amounts paid on each insurance claim item. 10. Select Coverage Book to add services to the employer’s coverage book based on the EOB for services paid on this claim. Add services to the Coverage Book when the amount insurance pays for a particular service overrides the service type percentages set up for that employer. When a claim is returned with explanations of an exception, you need to record these exceptions in the coverage book for that 258 • Receive Insurance Payments Patterson EagleSoft 15.00 employer. Entering exceptions into the coverage book helps your office accurately estimate insurance payments for the employer in the future. If the Service Code Is Not Already in the Coverage Book The following window appears. • Select Yes to add the service code to the coverage book • Select Yes to All to add all service codes from the claim to the coverage book • Select No if you do not want to add the service code to the Coverage Book When you add services to the coverage book, the covered amount defaults to the estimated insurance amount for that service item. You can modify the covered amount as you wish. If The Service Code Is Already In the Coverage Book If the service code already exists in the coverage book, you are not prompted to add it to the coverage book. 1. Select View Claim to view claim information on the current claim. 2. Select Note to create an Account Note to be associated with the insurance claim. 3. Check the Print Payment Receipt prompt to print. 4. Choose OK to process the insurance payment. 5. Choose Cancel to cancel processing of this insurance payment. 6. Select Setup to change the settings of the default printer. Closing an Insurance Claim – Final Payment After marking an insurance payment as Final Payment you have the option of assigning any unpaid amounts back to the patient’s account, creating an adjustment and/or updating the patient deductible. A Preference has been added to the Insurance Preferences tab that will allow you to default the Final Payment checkbox. Under File, select Preferences | Insurance. When entering an insurance payment, the Final Payment checkbox will be selected by default. You will need to deselect this checkbox if you are expecting additional insurance payments. Patterson EagleSoft 15.00 Receive Insurance Payments • 259 After processing the payment, the following window appears. The Closing Primary Insurance Claim window is displayed. If the amount paid on the claim was less than what was estimated, you have the option of applying the difference back to the account balance. Choose the Apply the amount unpaid back to the account radio button to increase the patient’s balance by the amount unpaid by insurance. Select the Credit the account radio button to apply an adjustment to the account. Additional fields appear visible and enabled. Use Credit the account for situations such as Delta Dental write-offs, and so on. Select an Adjustment Type from the Adjustment Type dropdown list box. These adjustment types can be set up in Lists | Practice Management Lists | General Setup | Adjustment Types. Select the Recreate Claim checkbox to re-create the insurance claim for this walkout. This takes you to a re-create claim window. Choose the Apply Unpaid Amount Back to Remaining Benefits checkbox to increase the Remaining Benefits of the patient. Note: You may want to leave this unchecked if the claim was submitted in one year and the payment is not received until the following year. Select the Assign services to current balance at next aging checkbox, if you want the services to go to current balance. When True Date Aging is processed, the patient’s aging balance for this service remains current and ages according to the insurance payment date. If the patient deductible differs from what appears on the EOB, select the checkbox to Update Annual Deductible For Patient and key in the appropriate amount. Select OK to save your responses. 260 • Receive Insurance Payments Patterson EagleSoft 15.00 Distributing Insurance Payment Amounts to Individual Items When recording insurance payments, you can also distribute the payment amount to the individual line items on the claim as they are reported to you on the EOB. These amounts can be evaluated later through the View Claim window. Here are the steps to distribute the payment amount to individual line items when receiving payment on insurance claims: 1. From the Receive Insurance Payments window, select Distribute. The Record Claim Amounts window appears (see the following window). 2. Key in the new payment amount in the New Pmt field. This is the amount paid to each service item on the claim. The total of the amounts in the New Pmt fields must equal the Total Amount To Apply, and Total Undistributed must equal $0.00 to process. 3. Select OK to process the payment and return to the Receive Insurance Payment window. Receiving a Bulk Insurance Payment Use the Bulk Insurance Payment feature to distribute a single payment from an insurance company to multiple accounts. This makes entering insurance check payments much easier and more efficient. This action results in only one check entry on the deposit slip while allowing you to distribute payments to specific patients. To receive a bulk insurance payment: Patterson EagleSoft 15.00 1. From the Activities menu, choose Practice Management Activities and then Bulk Insurance Payment. 2. You must choose the Show open claims for insurance company or Show open claims for payment group radio button. Receive Insurance Payments • 261 Show open claims for insurance company – This displays all open claims for this particular insurance company. Show open claims for payment group – This displays all open claims for the insurance companies associated with the Payment Group you specify. For more information on Payment Groups, see the section on Employer setup. 3. Enter the first few letters of the insurance company and press the Tab key. Choose the correct insurance company from the list. Any outstanding claims associated with the selected insurance company are retrieved and displayed at the bottom of the Bulk Payments window. -orIf you have chosen to Show open claims for payment group, enter the name of the payment group and press the Tab key. Any outstanding claims associated with the insurance companies within this payment group are retrieved and displayed at the bottom of the Bulk Payments window. 4. Modify the Date of the payment, if necessary. 5. Select the Payment Type. 6. Enter the Check Number and press the Tab key. 7. Enter the Amount of the check and press the Tab key. The New Pmt (New Payment) fields for all outstanding claims are enabled, and the Undistributed amount is displayed in the lower left of the Outstanding Claims section. 262 • Receive Insurance Payments 8. Enter the payment information in the New Pmt field as it applies to each claim. Remember to mark the claim to be closed by selecting the Final checkbox, if this is the final payment for the claim. Select the column headings to sort the order of the payments. 9. To distribute amounts to individual services within a claim, highlight the claim, then select Distribute in the upper right of the Bulk Payments window. You can also access the Distribute feature by selecting the right-mouse button on a claim. Patterson EagleSoft 15.00 The Undistributed Amount displayed decreases as you enter amounts for each claim. This amount must equal $0.00 before you can process the payment. The payment amounts can also be added to that Employer’s Coverage Book by simply selecting on the Coverage Book. 10. To view detailed information about any of the claims displayed, select View Claim or right-click on the claim and choose View Claim. 11. Select OK when you are ready to apply the payment. 12. You receive the Closing Primary Insurance Claim window for any claims you mark as Final. Patterson EagleSoft 15.00 Receive Insurance Payments • 263 Payment Plan Introduction to Payment Plans Use the Payment Plan option to set up and maintain financial arrangements for patients who require a great deal of dental work. This option can be set up to have patients pre-pay for services or to have patients pay for past services over a period of time. If desired, interest can be charged to the patient for this service as well. If a balance exists other than a contract balance, a statement is generated for that amount. Setting Up a Payment Plan 264 • Payment Plan 1. From the Activities menu, choose Practice Management Activities and then Payment Plan. The Payment Plan window is displayed (see the preceding image). 2. Type the full or partial last name of the patient and press the Tab key, or press the F2 key and choose the patient from the Patient List. You can also enter the Patient ID in the Patient ID field and press Tab.The account information is displayed. If a payment plan already exists for this patient, the details of that payment plan are displayed. Patterson EagleSoft 15.00 3. Make your selection for Payment Plan Based On: Past Services refers to services previously processed in the walkout, thus creating an account balance. Future Services refers to services that have not been processed in the walkout but will be when the next walkout is processed, after setting up the payment plan. 4. Enter the Annual Interest Rate if you wish to apply interest. 5. Enter the Loan Amount or the total amount remaining on the payment plan. The loan amount should be the amount of the loan minus any down payment For example, if the total amount of the payment plan is $1,000, and the patient pays a down payment of $200, the loan amount entered is $800. 6. Enter the amount that the patient has agreed to pay into the Payment Amount field. The Number Of Payments field is automatically calculated based on the loan amount and payment frequency. Also, the amortization schedule is displayed at the bottom of the window. 7. Change the Payment Frequency, if applicable. The default is a monthly payment. 8. The Number Of Payments field is automatically updated. If you wish to modify the number of payments, make the change and press the Tab key. The payment amount and the amortization schedule are recalculated if a change is made. 9. Choose Print to: Print an Amortization Schedule – This prints the date the payment is due, the payment amount and the balance after each payment is made. Print Truth-in-Lending Contract – This prints the financial arrangements made in the payment plan and provides a section for the patient’s signature to indicate his/her agreement to pay the loan amount. There is also a place on the contract for the witness’ signature. This is where to enter a Down Payment, if applicable. See the section on Printing Payment Plan Information later in this chapter for more information. Print a Coupon Book – This prints a coupon book to be used by the patient to mail in payments. Print a Laser Coupon Book – This enables you to print a coupon book to a laser printer. 10. Patterson EagleSoft 15.00 Choose Delete to remove the payment plan from the system and to apply the unpaid amount to the patient’s balance. 11. Choose OK to save the payment plan. 12. Choose Cancel to exit the Payment Plan window and return to the EagleSoft Integrated Mode window. Payment Plan • 265 Printing Payment Plan Information 1. From the Activities menu, choose Practice Management Activities and then Payment Plan. The Payment Plan window is displayed. 2. Select a patient by using the F2 option or typing in part of the last name and hitting Tab. The account information is displayed. If a payment plan already exists for this patient, the details of that payment plan are displayed. 3. Select Print. The Print Payment Plan Information window is displayed. 4. Check the items that you wish to print. The options include Amortization Schedule, Truth-In-Lending Contract, Coupon Book and Laser Coupon Book. For information on these options, go to step 9 in the preceding section. 5. If you choose to print the Truth-In-Lending Contract, you are prompted to enter the Down Payment amount. This figure only appears on this printout. Select the Use Estimated Insurance checkbox. When opting to print Payment Plan information, select the Print button. The amount entered in this field will print on the Truth-In-Lending Contract. Printing a Report of Pending Payment Plans 266 • Payment Plan 1. Select Reports, or select the Printer icon in the Integrated Mode window. 2. Select the All tab and find the Outstanding Payment Plans report. Double-click on the name of the report or single-select the name and select OK. Patterson EagleSoft 15.00 3. Enter the number of days overdue and select a sort option. Select the Preview Report button. A preview of the report appears. 4. Select Print when you are ready to print the report. End-of-Day Update Late Payment Plans When processing End-of-Day (EOD), if you wish to apply overdue payment plan amounts to the current balance, simply check the box next to Update Late Payment Plans and key in the number of days that a payment can be late before it becomes overdue. Receiving a Payment Plan Payment To receive payments on payment plans: 1. There are several ways to receive a payment plan payment. From the Activities menu, choose Practice Management Activities and then Account Payment. From the Account window, choose Acct Payment. 2. Type the full or partial name of the patient for whom you have created the payment plan. Note: The payment plan payment must be posted to the patient whom the Payment Plan has been set up for. 3. From the Receive Payment On option, choose Payment Plan. The payment plan details are displayed at the bottom of the window. 4. Change the Date of the payment, if necessary. 5. Select the Payment Type. 6. Type the answer to the payment prompt (if a prompt is set up for the Payment Type). For example, when entering a cheque payment, you are able to enter the check number. 7. Enter the Amount of the payment and press the Tab key. 8. If your system preference is set to Prompt To Distribute Payments, the Provider Distribution window appears. If your system preference is set to automatically Distribute Amount To Preferred Dentist, the preferred dentist is listed in the Provider field. If you wish to assign the payment to a different provider, simply choose the appropriate name from the dropdown list. 9. 10. Select the checkbox next to Print Payment Receipt to print a payment receipt. If the payment is an overpayment, choose to apply the overpayment to the principal or the account balance. In most cases, you want to apply to the principal amount of the Payment Plan. This decreases the amount of the Payment Plan by the amount of the overpayment. Patterson EagleSoft 15.00 11. Select OK to process the payment plan payment. 12. Choose Cancel to cancel the payment plan payment. Payment Plan • 267 Distributing Payments/Credit Adjustments to Multiple Providers If your preference is established to prompt you for provider distribution or you choose to distribute when making account payments or credit adjustments, the Payment/Credit Distribution window is displayed. If you have chosen to automatically distribute the payment amount to the preferred dentist, you still have the ability to distribute the amount to multiple providers in the following areas: Walkout Processing Window – Select the Distribute checkbox Credit Adjustment Window – Select Distribute Receive Payments Window – Select Distribute To utilize the Payment/Credit Distribution window, follow these instructions: Review the payment/credit distribution assigned by default. The amounts are automatically distributed to the providers with the oldest outstanding balances on the account. Equally to Providers To distribute the payment/credit adjustment equally to all providers, select Equally to Providers. For example, if there are two providers listed and the payment amount is $100, the payment distribution is $50 to each provider. Oldest Total Balance First To distribute the payment/credit adjustment to the provider with the oldest balance on the account, select Oldest Tot. Bal. First. This adds the payment/adjustment to the oldest balance on the account. Note: This is the system default for payment distribution. Oldest Non-Insurance Balance First To distribute the payment/credit adjustment to the provider with the oldest noninsurance balance on the account, select Oldest Non-Ins. Bal. First. This adds the payment/adjustment to the oldest non-insurance balance on the account. Percent of Balance To distribute the payment/credit adjustment based on a percentage of the outstanding balance for the providers, select Percent of Balance. For example, assume that there are two providers listed. The first provider, Provider A, has an outstanding balance of $75, and the second provider, Provider B, has an outstanding balance of $25. If a $50 payment is made using this method, $37.50 is assigned to Provider A, because this provider holds 75 percent of the outstanding balance on the account. Overriding Default Distribution Manually To manually override the default distribution (oldest balance first), simply key in the desired amounts in the Amount field and press the Tab key. If the provider you wish to distribute the amounts to is not listed, select Add and 268 • Payment Plan Patterson EagleSoft 15.00 choose the provider. You can only delete those providers you have manually added to the list. Note: For changes you have made in the Amount field to be recognized by the system, you must press the Tab key within the field after making the change. Example: After entering $0 in an amount field that previously read $50, press Tab to recalculate the Total Unassigned amount. The Total Amount to Distribute field at the top of the Payment/Credit Distribution window displays the total amount of the payment or credit adjustment. The amounts you distribute manually to providers in the provider's list of this window must match the Total Amount to Distribute field. The Total Unassigned amount field must show $0 before OK is enabled and you can process the distribution. Processing the Distribution When you are ready to proceed, select OK to process the distribution as you have specified. Credit Adjustment Impact Assign credit adjustments to impact production totals for providers who do not have collections marked as Go To Self. Distribute Adjustment If adjustment is set to impact adjustments or collections, the dropdown list boxes for either preference will still only have providers that have collections go to. Selecting to impact Production will enable the Provider dropdown list. All providers will be available from this list. Select the desired Provider. Selecting the Distribute button will launch the Distribution screen. Note: If the credit adjustment impacts production, you will not be allowed to distribute to multiple providers. The button will be disabled. Patterson EagleSoft 15.00 Payment Plan • 269 Prompt to Distribute When using the preference Prompt to Distribute, selecting the OK button or selecting the Distribute button will launch the Distribution screen. Select Add to use the dropdown list to distribute to multiple Providers. Note: If the credit adjustment impacts production, you will not be allowed to distribute to multiple providers. The button will be disabled. Adjustments in Walkout Payment When using the Preference Set to Distribute to Account Automatically and an adjustment type set to impact production, the Provider dropdown list will display all active Providers. Note: If the adjustment impacts production, you will not be allowed to distribute to multiple providers. The button will be disabled. If the Adjustment is set to impact Adjustments or Collections, the dropdown list for either preference will only have providers that have had collections assigned to them. Adjustment on Closing Claim Note: If the credit adjustment impacts production, you will not be allowed to distribute to multiple providers. The button will be disabled. Multiple Payments on an Account EagleSoft has the ability to change credit distribution for patients. You can select an option to have distribution prompts when you finish a walkout. This prompt enables you to manually distribute credits to different patients on an account. The Preference From File | Preferences, select the Accounting tab: The Walkout Patient Credit Distribution Default is defaulted in two ways: • Distribute To Account Automatically • Prompt To Distribute The Distribute To Account Automatically option defers the payment to the oldest balance first without a prompt window. This is the default setting. If you choose the Prompt To Distribute option, you receive a payment or credit prompt during the walkout process. 270 • Payment Plan Patterson EagleSoft 15.00 The following window is an example. Instead of the account payment distribution and the walkout process being separate, they are fully integrated. The result: quick and easy walkout processing that is easier for you and your patients. Patterson EagleSoft 15.00 Payment Plan • 271 Charting and Planning – Unit 4 The Charting and Planning unit contains the following chapters: Charting Treatment Treatment Plan Charting Perio PSR Clinical Exam Patient Notes and Note History 272 • Charting and Planning – Unit 4 Patterson EagleSoft 15.00 Charting Treatment Overview Chart is where you chart conditions and treatments that are proposed, existing, completed or accepted. Anything charted here is added to the patient’s history. You can also create and print treatment plans for proposed treatments. This chapter explains the following: Patterson EagleSoft 15.00 • Primary and permanent dentition • How to create, edit and use quick pick buttons • Services and conditions • Draw types, colours and hatches • Chart ledger • Treatment Plan window • How to perform quick walkouts Charting Treatment • 273 Quick Tour through the Chart Window This section is a summary of features in the main Chart window. You can access the Chart window by doing one of the following: Go to Activities | Clinical Activities and then click on Chart. -orClick the Chart icon in the Integrated Mode window. -orClick the Chart icon in the Clinical Operatory window. -orClick Chart in the Restorative window in Clinical Exam. -orChoose Chart from the Integration Menu button. The following is an example of the Chart in 1024 x 768 resolution. Chart Window The main Chart window features a layout of anatomically correct teeth, with mandibular on the bottom and maxillary on the top. This is to enable easier, more accurate charting while enhancing the presentation of patient cases. The draw types, colours and hatches assist in creating an accurate patient chart, thereby improving treatment. The Chart window also enables mixed dentition in the same window. With just a right-click of the mouse, you can chart primary or permanent teeth. 274 • Charting Treatment Patterson EagleSoft 15.00 Insurance The Insurance button allows you to view a summary of the current patient’s insurance information. Select the View Claim button to view the claim associated with this patient’s services. Ledger The Chart window defaults to show the entire Chart display (see the preceding image), but you can view the patient Chart ledger while charting teeth as well. Use the Ctrl or Shift key to select multiple Chart ledger items. Right-click and apply an option to all selected items. To show the Chart ledger, click Ledger. To hide the Chart ledger, click Ledger. Images View images for selected teeth from the right of the Chart window. To display the images, click Images and highlight a tooth that has images. To remove the images, click Images. Zoom The Zoom button allows you to view an enlarged version of a specific tooth in the chart. Click to select a specific tooth or place your cursor over a tooth to view it in the zoom area. Click the Zoom button again to return to the normal view. Selecting Teeth Before you can do any charting, you need to select a tooth or teeth. There are several options for selecting teeth to chart. • Click on a tooth or teeth • Click Select All to select all the teeth • Click Clear All to clear selection • Click All Upper to select all upper teeth • Click All Lower to select all lower teeth • Click UL or UR to select the upper-left or upper-right teeth quadrant • Click LL or LR to select the lower-left or lower-right teeth quadrant Quick Picks The quick pick buttons allow quick and convenient charting. You can set up multiple services or conditions using the quick pick buttons. Patterson EagleSoft 15.00 Charting Treatment • 275 Status To chart items of different statuses, choose the status dropdown list box on the bottom of the window. There are six status types from which to choose: Accepted – Has been accepted (by patient or by insurance). Existing – Treatment performed previously (by another clinic). Proposed – Proposed treatment. Referred – Treatment has been referred to a different clinician. Rejected – Has been rejected (by patient or by insurance). Walkout – Service is posted to walkout. Integration Menu Buttons There are integration menu buttons within Chart and throughout Clinical that enable access to different sections of EagleSoft. Notes Click on this button to create notes, scribble notes or view note history. Practice Management/OnSchedule Click on this button to access Practice Management, OnSchedule and other Practice Management modules. Clinical Click this button to access other Clinical modules. Toolbar Legend Displays printable list of all draw types. Print Print the patient’s chart. 276 • Charting Treatment Patterson EagleSoft 15.00 Show What Filter appearance of the Chart window (see the following image). Coverage Book Click Coverage Book to access the coverage book. Tx (Treatment) Plan Click Treatment Plan to access the treatment plan. Keep reading to get detailed information on such Chart features as quick picks, draw types, services and conditions. Delete Click Delete to remove the selected entry. Edit Click Edit to edit the selected entry. Primary and Permanent Dentition In Chart, you can view two types of dentition separately or simultaneously. Right-Click Menu in Chart You can view primary and permanent teeth in the same Chart window. Both are just a click away. Apply Mixed Dentition on the Chart with All Primary Dentition 1. Right-click in the area where a permanent tooth would exist. 2. Select Permanent from the right-click menu. The permanent tooth appears. Patterson EagleSoft 15.00 Charting Treatment • 277 Apply Mixed Dentition on the Chart with All Permanent Dentition 1. Right-click on a permanent tooth. 2. Choose Primary from the menu. The tooth is now Primary dentition. The Hidden option is available for the following teeth: 18-16, 26-28, 36-38, 46-48 3. Right-click on the tooth and select Hidden. For more information on processing walkouts, see the Walkout Processing chapter in the Account Management unit. Individual Tooth Images and History From this window, you can easily view and filter the tooth history. If you have Imaging installed, you can also view, edit and delete images for any given tooth. To access these items, simply right-click on the corresponding “tooth” and select Image or History. When you have finished reviewing individual tooth history or images, you are automatically returned to the Chart window. Images To view, edit or print images, choose Image. The Advanced Imaging window opens, displaying all the images attached to the selected tooth. From the Advanced Imaging window, you can view, edit or print any of the existing image(s). History The History option enables you to view the history for a selected tooth, including information on images, notes, conditions and more. The History window also has a filter feature to customize your view. 1. From the Chart window, right-click on a tooth. 2. Select History from the menu. 3. Click Show to filter the display. If desired, deselect a checkbox to filter your Tooth History view. 4. Click OK to save the settings and return to the History for Tooth window. Draw Types, Status Hatches and Surfaces Customizable Colours and Draw Types Draw types are among the most useful and convenient features in Chart. Most of the services have default draw types and colours. A gold crown is gold; a silver filling is silver. To change the colour or draw type, modify it through the Edit Service Code or Condition window. 278 • Charting Treatment Patterson EagleSoft 15.00 Multiple Colours for the Same Service Chart enables you to create several services with a draw type and colour on each one. You can set up two services with the same draw type and assign two different colours for each one. Changing the Draw Type or Colour 1. Go to Lists | Practice Management Lists | Service Codes. -orFrom Clinical mode, choose Lists and then Services. 2. Select a Service Code and click Edit. 3. Click Chart Setup. There are two dropdown list boxes related to setting up the draw type and colour for Chart. 4. • Draw Type • Colour Click a dropdown list box and choose either a different Draw Type or Colour. There is another colour on top of the draw type to show the status. This is discussed in the following: Status Types and Changing the Status Hatch Colours sections. Custom Draw Types Create Custom Draw types in Clinical. From the Lists menu, select Draw Types. To locate an existing custom Draw Type, select the type, impacts area or type a key word into the Find field and select the tab key. To create a new custom Draw Type, select the new button. Patterson EagleSoft 15.00 Charting Treatment • 279 In the description field, type the name of your custom Draw Type. In the Draw Type Options area, select the Affected Area from the dropdown menu. Each Affected Area allows for different options to appear below. Select from the following checkbox options: Use for all teeth, Flip teeth 21-31 and F-O, and Allow conditions. In the lower right corner, select the tooth affected unless using the option Use for all Teeth. In the Drawing Tools section, select from the following options: Select the Draw button to draw on the object. Select the Erase button to erase enhancements. Select the Line button to make lines. Select the Fill Colour button to fill the entire area with colour. Select the Circle button to make a circular outline. Select the Opaque Circle button to make a solid fill circle. Select the Square button to make a square outline. Select the Opaque Square button to make a solid fill square. Select the Arrow button to align left. Select the Arrow button to align right. Select the Arrow button to align up. Select the Arrow button to align down. Select the Zoom button to enlarge an area. Select the Position button to relocate an enhancement. Select the Brush Size slider to adjust the brush width. Select the Undo button to remove the last enhancement. Select the Clear button to restore the image to a blank state. Select the Default button to restore the image to its original state. When you have completed your new custom Draw Type, select the Save button. Save individual show settings on the Chart. 280 • Charting Treatment Patterson EagleSoft 15.00 Status Types For Teeth Status types appear on the teeth in the Chart window to denote the status of the service or condition. If the service is Proposed, a status type can be used to indicate the Proposed status. There are two methods of charting status types in Chart: Solid and Hatch. The Solid method colours in the entire affected area of the service or condition in a solid block. The Hatch method displays an overlay of vertical or hatched lines to indicate the service or condition. To customize the settings for the colours and appearance of the status types, go to File | Preferences and choose Chart. These are the types of statuses used in the Chart window: • Existing – This status type is for an existing service (performed by another clinic). • Completed – This status type is for any completed service (performed by your clinic) on the tooth. • Condition – This status type is for any problem areas, such as cracks, abrasions, decay and so on, that may need to be watched. • Defective – This status type indicates the service on the tooth is defective. • Proposed – This indicates the service is proposed, which means it is marked as posted to walkout, planned, or accepted in the Treatment Plan window. • Watch – This status type indicates that the marked tooth should be watched for any precursors to deterioration. A Watched tooth is signified with a solid block background behind the indicated tooth. Changing the Default Status Colours To change the existing, defective, condition or proposed status hatch colours: 1. Click File | Preferences. 2. Select the Chart tab. 3. Click the Existing, Defective, Condition, Completed, Watch or Proposed colour button or select the dropdown list box. 4. Select the colour you want or click Custom. 5. Select Custom to create or modify your own colour. For more information on status types, see the Clinical Operatory Preferences chapter in the Setting up Your Preferences unit. Patterson EagleSoft 15.00 Charting Treatment • 281 Services and Conditions The Chart window provides several methods to enter conditions and services. This section provides summarized information on entering conditions/services. Enter Condition To enter a condition, select the tooth and click the Condition button or Condition quick pick. Condition Select a condition from the dropdown list box if you want to change the condition. Provider Select a provider from the dropdown list box. This is the provider charting the condition. Date Select a date for the condition. No Longer Present Use this feature to denote that a condition is no longer present. Select the No Longer Present checkbox when editing a condition from Chart. The existing draw type will be affected by this change based on your preferences. Root Information If applicable, select a root surface for the tooth. Tooth Enter a tooth for the condition. If you have already selected a tooth, the box is filled in with the tooth number. 282 • Charting Treatment Patterson EagleSoft 15.00 Surface View Select a surface view: Summary or Detail. Enter Service When charting, you will often need to enter information for a service. The Enter Service window enables you to enter the pertinent information. There are two ways to access this window: Select the tooth and click a Quick Pick button -orClick Service. Status Select the status for this service. Service Displays the service code and name. Fee Modify the fee for service, if necessary. Provider Select the provider who performed this service. Date Choose the date for this service. Work Is Defective When the service is marked as existing, select this option to indicate defective work. Patterson EagleSoft 15.00 Charting Treatment • 283 Tooth If applicable, enter the tooth number. If you select the tooth first, this field is filled. Root If applicable, enter the root. Root options vary by tooth number. Tooth Information If you are entering multiple tooth codes, you need to select the teeth you are using by clicking on the specified teeth, quadrants or areas of the mouth. Treatment Plan Information Enter a phase number. Click the Response dropdown list box to choose the status of the service. Remarks For Unusual Services If a service is completed , you can enter information in this box. This information will correspond with the insurance form. Surface Information Before you apply draw types where surface is the affected area, you need to select a surface. The surface is the area of tooth where the service will be performed. Sometimes a service covers several surfaces on one tooth. The Chart window enables you to post these services efficiently and easily. For more information on applying surfaces, see the section later in this chapter. Edit Services or Conditions There are three ways to edit services and conditions in the Chart window. The three ways are: • Right-click on the tooth • Right-click on the service or condition in the Chart ledger • Edit button on the Chart ledger Right-Click on Tooth One of the easiest ways to edit services and conditions is to use the right-click menu. Instead of having to tediously search the chart ledger for the tooth number, you can find and edit the tooth on the Chart display within seconds. All the ledger information will be stored on the right-click menu: date, service code, name and status. Using the Edit Service/Condition Window 284 • Charting Treatment 1. Select the tooth. 2. Right-click on the tooth and select Edit. 3. Select the service or condition from the Edit menu. 4. Click OK when you are finished to save changes. Patterson EagleSoft 15.00 Using the Right-Click Menu to Edit the Service or Condition The right-click menu gives you the ability to post an item to walkout, delete the item or change its dentition. Image – This option displays the image attached to this tooth. History – Select the History option to display a window of the service information attached to this tooth. Post To Walkout – If the service item has not been walked out, you will be able to post the item to walkout. Just right-click on the tooth and select Post To Walkout. The service items available for posting will appear on the menu. Once the service has been posted to walkout, it is automatically pulled into the Walkout Processing window. Delete – To delete services on a tooth, right-click on the tooth and select Delete from the menu. A list of services appears. Bring To Top – Select Bring To Top to move a charted service to the forefront. Permanent/Primary/Hidden (Dentition) – Select a Permanent, Primary or Hidden option from the menu. A check mark appears next to your selection. Add Watch – Choose add watch to add a watch to a specific tooth. When you select Add Watch from the Chart right-click menu, the Watch Tooth window appears (see the following image). From this window, you can select the provider, date entered and summary or detailed surfaces. Click OK to save the watch. The Watched Tooth is indicated with a shaded background. Right-click on the same tooth if you wish to view or remove the watch. Right-Click in the Chart Ledger If you are used to using the ledger style, editing and viewing services/conditions from the Chart ledger may be easier. Patterson EagleSoft 15.00 1. Select the service or condition in the ledger. 2. Right-click on the service or condition and select Edit. 3. When you are finished editing the item, click OK to save the changes. Charting Treatment • 285 Edit Button on the Chart Ledger Clicking Edit works the same as right-clicking in the ledger. Just select the service or condition and click Edit. Applying Surfaces Summary Surfaces The Summary Surfaces are most commonly used when charting. When you select a tooth and choose a service, Summary Surfaces appear as the default. Buccal/Facial Class V Buccal/Facial Mesial Occlusal/Incisal Distal Lingual Lingual Class V How to use the Summary Surfaces: 1. Select a tooth by clicking on it. The tooth will be highlighted in blue. 2. Click on a Quick Pick or the Service button to select a service. 3. From the Enter Service window, enter all pertinent information about this service. Go to the Surface Information at the bottom of the window. 4. If these buttons are unavailable, you need to select a service that has an affected area of surface. Try a Resin or an Amalgam. 5. Click the surfaces of the tooth that are affected. You can also type in the abbreviation for the surfaces covered in the Summary text box. For example, enter MOD and each correlating box appears in yellow. If only a few letters are entered for a Surface Code, the AutoCorrect feature fills in the rest of the code. In some cases, it even unscrambles codes. For example, select tooth 22 and enter DOBL in the Summary text box, press the Tab key, and the code is automatically changed to DIFL. Both of these features can be used when entering detailed surfaces. 6. Click OK to continue. 7. The selected surfaces are now shaded. Detailed Surfaces Detailed Class for Tooth Numbers: 14, 15, 24, 25, 34, 35, 44, 45 286 • Charting Treatment Buccal V Buccal Line Angle Cusp Mesial Mesial Pit Patterson EagleSoft 15.00 Distal Pit Distal Lingual Lingual V Detailed Class for Tooth Numbers or Letters: 13, 12, 11, 21, 22, 23, 33, 32, 31, 41, 42, 43 53, 52, 51, 61, 62, 63, 73, 72, 71, 81, 82, 83 Facial V Line Angle Facial Mesial Mid-Facial Central Incisal Mesial Incisal Distal Incisal Lingual Mid-Lingual Lingual V Distal Detailed Class for Tooth Numbers or Letters: 18, 17, 27, 28, 38, 37, 47, 48 55, 54, 64, 65, 75, 74, 84, 85 Buccal V Line Angle Buccal Pit Cusp Groove Mesial Pit Mesial Distal Pit Central Pit Lingual Pit Distal Lingual V Detailed Class for Tooth Numbers: 16, 26 Line Angle Cusp Buccal V Mesial Pit Buccal Pit Groove Mesial Central Pit Distal Pit Distal Lingual Pit Lingual V Detailed Class for Tooth Numbers: 36, 46 Line Angle Cusp Buccal V Mesial Pit Buccal Pit Groove Mesial Distal Central Pit Distal Pit Lingual Pit Lingual V An Example of Using Detailed Surfaces Patterson EagleSoft 15.00 1. Go to the Chart window. 2. Select tooth 16. 3. Select an Amalgam for the service. Select Existing for the status. 4. Choose the following surfaces: Mesial, Occlusal/Incisal, Distal. 5. Click Detailed Surfaces. Charting Treatment • 287 6. Select the following buttons: Mesial, Central Pit and Distal. 7. Click OK. Detailed Surface information The purpose of this feature is to accurately depict treatment in the Chart, Treatment Plan and Walkout. For each summary surface, there is a corresponding set of detail surfaces that defines what exactly is drawn on the chart. For each summary surface, you will be able to define one or more detail surfaces to be associated with the selected summary surface. Detailed surfaces can only be a member of one summary surface. For example, if the surface you have selected to be part of the Mesial summary (previously Lingual) is no longer part of the Lingual summary surface but only a member of the Mesial summary surface, it will now chart when you select a Mesial summary surface, but will not chart when you select a Lingual summary surface. To define the Detailed Surface information: 1. Go to File | Preferences | Chart. 2. In Chart Preferences, select the Summary Surface Setup button. 3. Highlight the Summary Surface and select any detailed surface to add. This will add the Summary Surface colour to the Detailed Surface selected. Select the Detailed Surface again to change to a hatch pattern in the same colour as the associated Summary Surface. When set to hatch, the detail surface will not draw on the tooth but it will still belong to that summary surface. 288 • Charting Treatment Patterson EagleSoft 15.00 Select A Tooth Group – Choose the tooth anatomy that you wish to edit Select A Summary Surface – Choose the summary surface you wish to edit. Select The Corresponding Detailed Surfaces – Select the detailed surfaces you wish to see when charting the selected summary surface. Tooth Preview – Displays a preview of and example tooth for this group and will show the surfaces of the currently selected summary surface. The currently selected Summary Surface will be highlighted by a white box, similar to the control when editing a Draw type. The summary surfaces will not be multi-select; only one summary code will be highlighted at one time. The tooth preview will update as different surfaces are selected. The corresponding detail surfaces will be drawn on the tooth. Ledger The ledger displays all items entered in Chart. It displays the following columns: Date, Provider, Phase, Code, Description, Tooth, Surface, Status, Amount, Appointment and Show. Right-Click Menu Options The following options are available from the right-click menu in the Chart ledger: Edit Edit a service or condition. Use the Ctrl or Shift keys to select multiple items to be edited simultaneously. Patterson EagleSoft 15.00 Charting Treatment • 289 Delete Delete services and conditions from the ledger. Post to Walkout Post services to walkout. Once a service has been posted to walkout, it will automatically be pulled into the Walkout Processing window in Chart. If Practice Management is used for processing the walkout, the service is listed in the Planned Services window. Show What Open the Show What menu. Don’t Show On Chart/Show on Chart Don’t Show on Chart hides charted services or conditions without deleting them. Show on Chart displays a previously hidden service or condition. Bring To Top Select Bring To Top to move a charted service to the forefront. Add To Unscheduled Select this option to add a selected ledger item to an Unscheduled appointment. Edit Unscheduled Select this option to edit an existing Unscheduled appointment that is tied to the selected ledger item. Remove From Appointment Select this option to remove the selected ledger item from the associated appointment. View Associated CAESY Presentations Select this option to view any CAESY videos that might be associated with the selected service. Lower Toolbar Options The toolbar at the bottom of the ledger gives different functionality within the ledger and the rest of the Chart window. Legend Click Legend to view the names and pictures of all the draw types. The Chart Draw Type Legend window appears. 290 • Charting Treatment Patterson EagleSoft 15.00 For more information, see the Appendix in the back of this guide for a listing of the draw types. Print Click Print to print a detailed chart with patient information, including the ledger. Show What The Show What function allows you to customize the appearance of the Chart window. It allows you to view services according to status, services charted through a specific time period and even according to phases. If you want proposed items to print in the tooth chart, you must select Proposed in the Show What window. From/To Select a date range for what appears on the Chart window. Providers View treatments according to the provider who performed them. Non-Tx Plan Items Select types of non-treatment plan items to view. Patterson EagleSoft 15.00 Charting Treatment • 291 Tx Plan Items Select a treatment plan to view from this dropdown list box. You can also view Chart items according to the status of the treatment. To view only proposed treatments, select the Proposed checkbox. Phases Enter a range of phases for treatment plans to appear in Chart. Include Perio Items Select the Perio chart items to appear as a “read-only” overlay in Chart. Currently Charting Change the status of what is currently being charted. This is especially useful if quick charting is enabled. Using Quick Charting Select this option to chart services much faster. Note: This works if you have met all other required criteria (surfaces, tooth information and so on). Treatment Plan Phase Number Select the treatment plans you want to appear on the Chart ledger. If you want only phase 1 treatments to appear, enter one in this field. Override Custom Select this button to restore the default charting display settings. Coverage Book Click the Coverage Book button to access the Coverage Book attached to this patient’s employer. Tx Plan Click Tx Plan to access the Treatment Planner window. Delete 292 • Charting Treatment Patterson EagleSoft 15.00 Click Delete to remove items from the ledger. Edit Click Edit to edit service phases, surfaces and so on. Status Click the Status dropdown list box to chart services of the same status. Integration Menus Choose different EagleSoft modules from the Integration menus. Save Click Save to save the treatment. Cancel Click Cancel to close the Chart without saving. Right Toolbar Options Ledger Click Ledger to view service/conditions for the patient. Images If you have Imaging installed, click Images to view images assigned to a selected tooth. The images appear in the left column of the Chart window. Zoom The Zoom feature magnifies the view of a selected tooth in Chart. Click Zoom and a gray panel will open up on the right of the screen. Move your mouse pointer over the tooth to have a closer look at a particular draw type. 1. Click Zoom. 2. Move your mouse pointer over a tooth. 3. Click Zoom when finished viewing a tooth or teeth. Quick Picks A quick pick is an easy way to assign conditions or services to teeth in the EagleSoft Chart window. It also cuts down on time you would normally spend scrolling through windows and dropdown boxes to set up codes and multiple conditions. With the quick-pick setup, you can set up your services and conditions once and forget about them. Patterson EagleSoft 15.00 Charting Treatment • 293 Note: You must set up services for the quick-pick buttons in File | Preferences | Quick Picks and also have some services applied to the button groups. For more information, see the Services and Conditions chapter in the Setting up Your Software unit. Follow these instructions for using quick-picks: 1. Select a tooth and click a quick-pick button, or select from the dropdown menu on the quick-pick button. For a Service 2. Enter information regarding the service or condition. For a Service 3. For a Condition For a Condition Click OK when you are finished, and the service or condition is applied to the tooth. Note: You can apply services or conditions without first selecting a tooth. Just click Quick Pick or menu item and in the Enter Service or Condition window, then select the tooth in the Tooth Information section. 294 • Charting Treatment Patterson EagleSoft 15.00 Treatment Plan Treatment Planner Access Images, Presentation, CAESY and Informed Consent areas of the Treatment Plan without processing the Treatment Plan. After adding new items to a plan, the plan will prompt to automatically save. Select Yes to save and continue. Select No to return to the Treatment Plan window. Use the Treatment Plan (sometimes referred to as the Tx Plan) window to record proposed treatments for patients and to record the status of the proposed treatments. Pre-treatment proposals or estimates can be generated to assist you in presenting the financial impact of the proposed treatments. Pre-authorization forms for insurance companies can be printed or submitted electronically to determine the expected amount of insurance coverage. Once the charting is complete, you can create one or more treatment plans for the patient. Accessing the Treatment Plan Click Tx Plan on the toolbar menu. Patterson EagleSoft 15.00 Treatment Plan • 295 An Introduction to the Treatment Plan Window When the Treatment Plan window for a specific patient is opened, a variety of options and information will be available to you. This section was written to give you a brief overview of the functionality and information so you will have a better understanding when that information is referenced later in this chapter. Patient Information Patient, Resp. Party This is the patient you are creating the treatment plan for and that patient’s responsible party Primary Ins. and Secondary Ins. The primary and secondary insurance company and group number for the patient Pat. Due Now/Estimated Ins. The patient’s balance and any estimated insurance on that account View Items By Plan Choose this option to display treatment plans or services by plan. This is also the display option you will use to create a new treatment plan or preauthorization. Plan Information/Settings from View Items By Plan Description – The description (name) of the treatment plan. Status – This is the status of the current treatment plan. It defaults to Proposed. Date Created – The date the plan is created. Last Updated – The date of the last modification to the plan. Primary/Secondary Ded. (deductible) Before – The remaining deductible before the treatment plan is created. Deductible After – The remaining deductible if the items are completed. Benefits Before – The insurance benefits before the treatment plan was created. Benefits After – The insurance benefits if the items are completed. Functionality Available from View Items By Plan Images (Only available if Imaging is installed) – Click here to view and attach images to the treatment plan. An Explorer-style list opens with all image exams and images for this patient. Each image is previewed on the right with the name and date. Attached images appear as thumbnails at the bottom of the window. 1. 296 • Treatment Plan Before attaching images, save the treatment plan. Patterson EagleSoft 15.00 2. Select the images you want to attach to this treatment plan. To select the image, click in the checkbox next to the image name. Checked images appear as thumbnails at the bottom of the window. 3. Enter any comments or descriptions in the Comments box. 4. To remove a selected image, uncheck the box. 5. Click OK when finished. Presentation – Click here to view and/or print a detailed treatment plan presentation. This presentation lists treatment plan items and any images and/or comments made in the Treatment Plan Image Selector window. Create Appointment – Click here to create an appointment in OnSchedule using the services from the Treatment Plan. New Plan – Use to create new treatment plan, even multiple plans. Edit Plan – Use to modify the description or notes for this plan. Delete Plan – Use to permanently delete the current treatment plan and all service items within the plan. Toolbar Options Add – Use to add a new service item to the current treatment plan. More Info – Use to view and/or modify information about the highlighted service. Click the More Info button to open the Item Detail window for the service. From the Treatment Plan (Item Detail) window, you can make modifications to the following: Phase, Date Planned, Tooth, Surface, Status, Fee, Submit On Insurance, Estimated Primary and Estimated Secondary. Click the checkbox next to Insurance Amount(s) Approved to indicate that the service has been approved by insurance. Remove – Use to remove the highlighted service from the current treatment plan. If you want to remove a service, you’ll be prompted to choose one of the following: • Remove From All Plans – Click this button to remove the highlighted service from all treatment plans for this patient. If the same service code is used in more than one plan, it removes that line item from all plans • Remove From Current Plan Only – Click this button to remove the highlighted service from the plan you are creating or modifying • Do Not Remove – Click this button to cancel the remove process and keep the service in the treatment plan Recalc Ins – Recalculate estimated insurance for the selected service item. This is used in a multi-user environment where multiple workstations are accessing the same patient information. This option does not change your service fees. Show Estimation – Use to view the process by which the insurance totals were estimated. Treatment Plan Items Window Functionality/Information Patterson EagleSoft 15.00 Treatment Plan • 297 Service – The service code for the service. Prov – The provider of the service (defaults to the preferred provider of the patient). # – The phase number of the service. Date Plan – The date the service was added to the treatment plan. This may reflect when the service is planned, or when it is scheduled for a walkout. Description – The description of the service. Tooth – If applicable, the tooth number necessary for the service. Surface – If applicable, the surface/quadrant for the service. Status – The status of the service for the treatment plan. Standard – The standard fee for the services. This option is based on preferences. See the section on General Preferences for more information. Adjust – The adjusted total between the standard fee and the fee charged. This option is based on preferences. See the section on General Preferences for more information. Fee – The fee charged for the service. This fee defaults to the standard fee unless the patient utilizes a fee schedule. Est Ins – The estimated insurance amount for the service. Discount – The amount of discount applied to the service. Appt – The appointment name of an unscheduled appointment or the date of a scheduled appointment. – Select this button to move down one Arrow Move Down button position in the Treatment Plan list. If service reaches the lowest position, the button will become disabled. Arrow Move Up button - Select this button to move up one position in the Treatment Plan list. If service reaches the highest position, the button will become disabled. Insurance Estimation will be recalculated each time an item is moved. Changes made to existing services will be saved. Right-Click Menu Functionality in the Services Window See the OnSchedule section for more information on Unscheduled Appointments. Right-click on any of the services to receive the following options: Remove From Appointment – This removes the service from a scheduled appointment. Remove Item From This Plan – This removes the highlighted service from this treatment plan. 298 • Treatment Plan Patterson EagleSoft 15.00 Edit Unscheduled Appointment – This opens an existing unscheduled appointment. Add to Unscheduled Appointment – This allows you to add the service to an existing unscheduled appointment or create a new one. More Information – Used to view and/or modify information about the highlighted service. Click More Information to open the Treatment Plan (Item Detail) window for the service (see the following image). From the Treatment Plan (Item Detail) window, you can make modifications to the following: Phase #, Date Planned, Tooth, Surface, Status, Fee, Submit On Insurance, Estimated Primary and Estimated Secondary. You can also check the box next to Insurance Amount(s) Approved to indicate that the service has been approved by insurance. Mark Item As Approved – Used to indicate that the service has been approved by insurance. An approved item is in red and is indicated with an * next to the Estimated Insurance amount for the service. Note: This option is only available if the patient has insurance. View All Items Use this option to display all service items from all treatment plans. There are also some new options in this window. Patterson EagleSoft 15.00 Treatment Plan • 299 Plan Information/Settings from View All Items Primary Ins – Name of the primary insurance company and group number. Secondary Ins – Name of the secondary insurance company and group number. Pat Due Now – What the patient owes. Estimated Ins – The amount the insurance should cover. Functionality in the View All Items Window Toolbar Options Add – Add more services to the treatment plan. More Info – View or edit information concerning each of the following: • Date Plan – The date the services are planned or scheduled to be walked out • # – The phase number for the plan item • Tth – The tooth number for the plan item • Fee – The fee for the item • Status – The status of this item Delete – Delete items from a treatment plan. Recalc Fees – If the price or fee schedule has changed since the treatment plan was saved, click Recalc Fees to update the plan items. Show What – Select the items you want to appear according to phase or status. View Items – Select a service and click view items to see the plan the item is on. Quick Process – Select this option to process plans without viewing all screens. Right-Click Menu Functionality in the Item Window 300 • Treatment Plan Patterson EagleSoft 15.00 You can also right-click on an item and select Add Item to <<Plan Name>> from the menu. Remove From Appointment – Select this option to remove the item from an existing scheduled appointment. Delete Item From All Plans – Select this option to delete the item from all treatment plans. More Information – Same function as More Info on the toolbar. Add to Unscheduled Appointment – Select this option to add the selected item to an unscheduled appointment. Edit Unscheduled Appointment – Select this option to open an existing or new unscheduled appointment. Remove Item From <Plan Name> – Remove item from the current plan. Add Item To <Plan Name (s)> – Add the item to any of the plans listed on the right-click menu. Show Items Scheduled For Today Select the checkbox to view only the treatment plan items that are scheduled for the current date. Fast Delete from Treatment Plan Quickly delete items from Treatment Plans without processing. In the treatment plan, select the item for deletion. Right-click on the desired entry and select Delete Item from This Plan. The following message appears. Select from the available options: Delete From All Plans – Select this option to delete the selected item from all available plans pertaining to the current patient. Delete From Current Plan Only – Select this option to delete the selected item from the current plan. Do Not Delete – Select this option to return to the Treatment Plan without deleting the selected item. The Treatment Plan is automatically saved and the user can cancel at this point or select process for more options. Patterson EagleSoft 15.00 Treatment Plan • 301 Creating a New Treatment Plan 1. In the Treatment Plan window, type the full or partial last name of the patient in the Patient field and press the Tab key. You can also tab to the ID field, enter the patient ID, and press the Tab key. You can also press the F2 key and choose the patient from the Person List window. If treatment plans do not exist, the following message window appears. If a treatment plan already exists for this patient, the services are displayed. 2. Click Yes to begin creating a new treatment plan for this patient. The following window appears. This note only appears on the Treatment Plan Presentation. 3. Enter a Description (name) for the new treatment plan. You can also enter any notes about the new plan. When the description and notes have been entered, click OK. Treatment Plan Window The ID of the patient’s preferred provider will appear in the Provider field. The Date Plan defaults to the current date. 1. Enter the service code in the Service field and press the Tab key. You can also press the F2 key from the Service field to choose the service code from the Service Codes List. 2. If applicable for the service code, enter the Tooth (tooth) and Surface (surface/quadrant) information. If applicable, press the F2 key for a multiple tooth service code. 3. Enter the Status of the service item for this plan. Choose from the following status types: 302 • Treatment Plan • Completed – Items that are posted from the treatment plan to the walkout and have been processed. In other words, these are walked out services. • Proposed – Services you are proposing for treatment to the patient. Note: This is the default status. • Accepted – Select when you have received confirmation from the patient’s insurance company, or the patient has accepted the Patterson EagleSoft 15.00 service. To find out the dollar amount, go to the More Info window. • Rejected – Services that are not accepted for treatment by the patient and/or the patient’s insurance company. • Post To Walkout – If items exist with this status type, the next time you open the Walkout Statement window for this patient, these services are added to the walkout. • Referred – Services that are referred to a specialist. 4. Modify the fee of the service, if necessary. 5. Select a service in the treatment plan and click on Show Estimation to view how the insurance was estimated. Note: This applies to the View Items by Plan option. 6. Click Process to save the service items in the treatment plan and to print a treatment plan estimate and/or submit a pre-authorization. The Treatment Plan Processing window is displayed. 7. Click Cancel to exit the Treatment Plan window without saving the treatment plan and return to the virtual screen. For more information on processing, see the following section. Processing the Treatment Plan After the services have been entered for the treatment plan, the next step is to generate an estimate for the patient and/or a pre-authorization form for the insurance company. Patterson EagleSoft 15.00 1. From the Treatment Plan window, click Process. The Treatment Plan Processing window is displayed (see the following image). It includes the patient’s recall and appointment information. 2. Check the box next to Print Treatment Plan Estimate to print a proposal. Choose the plan(s) you want to process by highlighting the plan(s) in the Plan Name box. You can highlight multiple plans. 3. Choose a method by selecting one of following Method radio buttons: Treatment Plan • 303 All Items – This prints all items within the plan. New Items – This prints only those items added in this transaction. By Date – This prints items with Date Plan dates that match the date range criteria you specify. By Phase # – This prints items with a Phase # that matches the phase number entered. 4. Select the checkbox Group By Appointment to group items by appointment date/name. 5. Check the box next to Suppress Item Detail if you do not want service item detail to print on the pre-estimate. This only prints the subtotals for selected phases. 6. Select the checkbox Show Tx Plan Disclaimer to display the disclaimer on the printed treatment plan. 7. Select the checkbox Show Tx Plan Signature Message to display the signature message on the printed treatment plan. 8. You can choose a Message to print on the pre-estimate. To choose a message, click the down arrow of the dropdown list box and highlight the message of your choice. You can also press the F2 key to create a new message. 9. Under Print/Submit Pre-Authorization, click the plan name to highlight the plan(s) that you want to print a pre-authorization for. The plan name must be highlighted for the pre-authorization to print. If the patient has both primary and secondary insurance, choose which employer to use for the pre-authorization under To Submit. 10. Choose one of the methods listed under the preceding item 3. 11. Click OK to save and continue with the processing. 12. If Print/Submit Pre-Authorization Insurance Form is selected, the Pre-authorization for <<Plan Description>> for Patient <<Patient Name>> window will be displayed. Answer the insurance claim questions appropriately and click OK to print or submit the form. Orthodontic Patients If the patient is marked as an Orthodontic patient, the option to Submit Statement of Actual Services is available. 304 • Treatment Plan Patterson EagleSoft 15.00 Under Print/Submit Pre-Authorization, select the checkbox Submit as Statement of Actual Services. Proceed with the process as described above. Informed Consent CAESY products are only available to CAESY users. For more information on CAESY, contact your local Patterson Representative. In the Treatment Plan, you have the option of using the Informed Consent report. Select the hyperlink next to Informed Consent to view the current form or to acquire a new Patterson EagleSoft Informed Consent form. Under Presentations Viewed, select the View Videos button. Select the appropriate CAESY videos to include with the Treatment Plan. In the Planned Services area, the planned services from the selected treatment plan appear with all the pertinent information including Status. In the Plan Notes area, any notes that you have attached to the selected treatment plan will appear. Attached images display in the Assigned Images area. In the original treatment plan, select the Images button to attach images to a treatment plan. Select the Autonote button to add a narrative to your Informed Consent. Use your compatible electronic signature pad to capture the Patient and Witness signatures. Select the Accept Signature button to add the current signature to the Consent. Select the Clear Signature button to remove the current signature. Patterson EagleSoft 15.00 Treatment Plan • 305 Select the Create Consent button to finalize your Informed Consent form. The Patient Informed Consent Agreement appears. See the SmartDoc section for more information on auto-generating Informed Consent Agreements directly into SmartDoc. The Patient Informed Consent Agreement displays the treatment plan information, any attached narratives and a list of attached videos and any captured signatures. Print a copy of this form for your patient. Use the SmartDoc Preference to auto-generate the Informed Consent reports and Signature capture in SmartDoc upon generation. EagleSoft/CAESY Power Presentation The following option is available for offices using CAESY Edge and ShowCase 5.0. Selecting the Patient Education monitor on the Clinical Graphic Interface launches the EagleSoft/CAESY Power Presentation. 306 • Treatment Plan Patterson EagleSoft directly integrates with CAESY presentations from within the software. Create presentations that include patient information, images, treatment plan information and CAESY videos. Use the treatment plan to create patient education presentations within EagleSoft. To default a Patterson EagleSoft presentation with CAESY for a specific service code, assign the proper CAESY Patient Education videos to your Service Codes. Service Codes are found in the Lists menu. Patterson EagleSoft 15.00 Assign CAESY presentations to specific service codes. Select the CAESY button. The following window appears: Service Codes are not considered part of a Treatment Plan until the plan has been processed. When adding new Service Codes, you must first process the plan prior to selecting the CAESY button if they are to show in the Power Presentation Select the plus sign next to the folder of interest. Select the desired presentation and drag it to the right field. Double-click on any presentation to preview it in the Preview Presentation area. Use the available controls to adjust the presentation volume and play. Select the radio button for Default Language. Select the Clear button to remove an added presentation. Select the Clear All button to remove all added presentations. Select the Cancel button to close the window without adding presentations. When you have added all the desired presentations to a Service Code, select the OK button. Select OK to close the Service Code window. Patterson EagleSoft 15.00 Treatment Plan • 307 Create Treatment Plan Presentations with CAESY Patient Education. In an existing Treatment Plan, select the CAESY button. Select Launch CAESY Presentation window. The following is an example of Patient Information: Your checkbox selections in this section become the default selections for future presentations. Patient Information is selected by default. Select the checkboxes of the areas you wish to add to your finished presentation. If the checkbox is unavailable, the area is non-applicable to the selected patient. Select the Autonote button to add an existing Autonote. In the Presentation Summary menu, select Treatment Plan to view all plans for the selected patient. The following is an example of the Treatment Plan option: 308 • Treatment Plan Patterson EagleSoft 15.00 The current Treatment Plan is included by default. Select the Remove Plan button to remove the plan displayed. Multiple Treatment Plans can be added. In the Presentation Summary menu, include any of the plans listed under Images. The following is an example of the Images option: Highlighting items in the Presentation Summary displays their information on the right. Highlighting a video presentation displays the video preview. Select the dropdown arrow to select an existing Image Exam. Select the Add Exam button. Use the Remove Exam button to remove an added exam. Select Other Exams from the dropdown list to add individual images. Multiple exams can be added. The following is an example of the Other Exam option: Patterson EagleSoft 15.00 Treatment Plan • 309 Select the checkbox of the desired image and select OK. Select Cancel to close the window without selecting an image. Multiple images can be added. The following is an example of the Presentation option: Videos that have been attached to service codes from the selected Treatment Plan will be included by default. In the Presentation Summary menu, select any of the videos listed under Presentation. To remove a presentation video from the Power Presentation, select the video and drag to the left. To preview a video, double-click on the video. Select the radio button under Default Language. Select the Clear button to remove an added presentation. Select the Clear All button to remove all added presentations. Select the Cancel button to close the window without adding presentations. When you have added all the desired presentations, select the OK button. Multiple videos can be added. To include additional videos, select the plus sign next to the folder of interest. Select the desired presentation and drag it to the right field. Double-click on any presentation to preview it in the Preview Presentation area. Use the available controls to adjust the presentation volume and play. Select the radio button for Default Language. Select the Create Presentation button to launch the Power Presentation. Modifying Existing Treatment Plans Pull up a treatment plan for a patient and select View Items By Plan. Modifying a Different Plan 310 • Treatment Plan 1. From the Description field, click the dropdown list box. The descriptions of other existing treatment plans for the patient will be displayed. 2. Click on the description of the plan you wish to modify, and the details for that plan will be displayed. Patterson EagleSoft 15.00 Modifying the Description/Notes of the Plan 1. Click Edit Plan. The Edit Treatment Plan window appears. 2. Make necessary modifications to the description or notes for the plan. 3. Click OK to save your changes. Modifying the Status of the Plan 1. From the Plan Status Field, click the dropdown list box. Status types are listed. 2. Choose from the following status types: Accepted – Use when you have received confirmation from the patient’s insurance company or the patient has accepted the service. Completed – Processed items posted from a treatment plan to the walkout. Post To Walkout – These items are ready to be walked out. Proposed – Treatments proposed to the patient and/or the patient’s insurance company. Referred – Services referred out. Rejected – Any service rejected by a patient or insurance company. Modifying the Status of a Service Item in a Plan 1. From the service item status field, click the dropdown list box. The available Status Types are displayed in the list. 2. Choose a Status Type (see the Status Type list under the preceding item 2). Modifying the Service Item Date Planned, Tooth, Surface 1. Highlight the service item you wish to modify. 2. Click More Info. 3. Make any necessary modifications, and click OK. -or- 4. Highlight the service item you wish to modify. 5. Make modifications directly in the line item to any field except Service Code, Description and Estimated Insurance. Saving Your Modifications When you have made all necessary modifications to the treatment plan(s), process the plans. Refer to the Processing the Treatment Plan section earlier in this chapter for details. Patterson EagleSoft 15.00 Treatment Plan • 311 Charting Perio Introduction According to the CDA, over 75 percent of adults have some form of periodontal disease. One of the leading reasons patients file lawsuits against their dentists is lack of periodontal diagnosis. These two facts alone make it obvious that proper periodontal diagnosis, charting and treatment are essential in any dental practice. When performing a comprehensive periodontal exam, you’ll find using Clinical Perio so easy that the findings can actually be entered faster than pocket depth measurements and other information can be taken. Pocket depth and gingival margin measurements, furcation, mobility and mucogingival junction grades, plus areas with bleeding and/or suppuration, can all be charted. Clinical attachment levels are calculated automatically. For an effective case presentation and patient education, a comparison of various Perio charts, or a graphical representation of the Perio chart or Comparison, can be viewed or printed. All are colour-coded to easily note areas of concern. The Perio Graph is used to show the patient’s current condition. The Perio Comparison window and graph make it easy to monitor any changes in the patient’s periodontal condition. Here the colour coding indicates where changes have occurred. The following information will be covered in this chapter: • 312 • Charting Perio Accessing the Perio Exam window • Charting Perio exams • Comparing Perio exams • Setting up preferences for Perio exams Patterson EagleSoft 15.00 Accessing the Perio Exam • From the Clinical Activities menu, choose Perio -or- • Click the Perio icon in the Clinical Operatory window -or- • Click the Perio icon in the Integrated Mode window From the Clinical Exam | Perio window, click Perio -or- • From the Clinical Exam window, select Perio from the Integration Menu button Perio Exam Findings Using the Perio Exam From the Perio tab, enter Perio exam findings for your patients. A numbered box represents each tooth. The six small circles or dots positioned around each box represent the measurement sites. Teeth 18 through 28 are displayed at the top of the screen and 38 through 48 appear at the bottom. An X represents any tooth charted as missing or extracted. Missing teeth are based on completed services in the patient’s history. The buttons in the center of the window allow you to record your findings or manually move to a specific tooth or site when necessary. The Patterson EagleSoft 15.00 Charting Perio • 313 abbreviations to the left of the screen indicate where each type of measurement or grade is displayed. Following are the available findings: FINDINGS 314 • Charting Perio USE BUTTON DISPLAY Mobility Grade MOB MOB Pocket Depth Measurement PD PD Gingival Margin Measurement GM GM Clinical Attachment Level Automatically CAL Mucogingival Junction MGJ Furcation Grade FG FG Bleeding Bleeding Colours Site Dot Bleeding All Bleeding all pockets Colours Site Dot Suppuration Suppuration Colours Site Dot Suppuration All Suppuration all pockets Colours Site Dot Bleeding and Suppuration Bleeding and Suppuration Colours Site Dot Calculated MGJ Patterson EagleSoft 15.00 You can indicate which items use the Auto Advance function and the order in which you would like the charting to be completed in the Perio Preferences window. Position of Tooth Position is indicated by a red rectangle that surrounds the “tooth” and the related measurements or grades. Site on Tooth A blue box surrounds the site dot to show the exact position. Movement • Complete your Perio chart efficiently by settting up your system to automatically move from site to site For information on setting up Auto Advance, see the Perio section in File | Preferences | Perio To enter a number higher than ten, select the # key and the number ten. • To move manually to a specific tooth, use your mouse to click on the correct “tooth,” or click the forward or back buttons • Click on a site on any tooth to jump to that site. You can also use the middle-left number pad to move to a site once the tooth is selected Record Findings To record findings for each tooth and/or site, click the button for the finding you wish to record (for example, MOB, PD, GM, FG, MGJ) and click the correct number, 1-10, for the measurement or grade. Only the numbers that are applicable will be enabled for each choice. When appropriate, the plus (+) and minus (-) buttons are enabled. For example, when you have selected MOB (for mobility), you are not able to select any number greater than 4; however, you can use the + sign. You can indicate both the alert depth and charting colours in the Perio Preferences window. The selection recorded for the appropriate tooth and/or site will display. If the pocket depth meets or exceeds the alert depth, the display will indicate this by showing the pocket depth measurement in the specified alert colour. For more information about setting up Perio preferences, please refer to the Setting up Operatory Preferences chapter in the Setting up Your Preferences unit. If bleeding and/or suppuration are present, simply click the correct button(s) to show the colouration indicating the condition(s). Note: Remember, the position will move to the next site each time you chart an item flagged for Auto-Advance. Lock Charting mouths with bleeding and suppuration is time-consuming. However, the Lock button for Bleeding and Suppuration can speed up the charting process. Once you have clicked Lock, select Bleeding or Suppuration, and every pocket you select is marked accordingly until the lock is removed. Patterson EagleSoft 15.00 Charting Perio • 315 Individual Tooth – Images, History and Missing Status From this window, you can easily view and filter the tooth history. If Imaging is installed, you can view, edit, and delete images for any given tooth number. You can also mark teeth missing. To access these items, simply right-click on the corresponding “tooth” and select Image or History. When you have finished reviewing individual tooth history or images, you are automatically returned to the Perio chart. Images To view, edit, or print images, choose Image. This displays the images that have been stored for that particular tooth. From the image display, you have the ability to view the image or to edit the existing image(s) using the Advanced Imaging module. History The History option enables you to view the history for a selected tooth, including information on images, notes, conditions and more. The History window also has a filter feature to customize your view. 1. From the Perio window, right-click on a tooth. 2. Select History from the menu. The following window appears: 316 • Charting Perio 3. Click Show to filter the display. If desired, deselect a checkbox to filter your Tooth History view. 4. Click OK to save the settings and return to the History for Tooth window. Patterson EagleSoft 15.00 Missing Right-click on a tooth in Perio to mark it missing. To remove the missing status, right-click on the tooth and select the Restore Tooth option. Toolbar Options Save The Save button saves the current Perio exam and any changes made to the exam. Close Click this to close the Perio Exam window. Print Preview Click Print Preview to view and print the Perio chart. If you are using a colour printer, the printout displays the same colour-coding displayed on your screen. Edit Previous Perio Exams If you wish to view or edit Perio exams saved previously, click Edit Previous to display a quick box where you may choose the correct chart. As indicated by this list, Perio exams are stored by date. Click Use to view or edit a previous exam or click Delete to remove the highlighted Perio exam from the patient’s records. Clear All Click Clear All to erase all entries from the current Perio exam. New Exam If an existing exam has been selected and you are ready to complete a new Perio exam, simply click New Exam. This is not necessary when Perio is first opened, as you will already be on a New Exam window. Back/Forward Click Back or Forward to move from site to site. Patterson EagleSoft 15.00 Charting Perio • 317 Notes Click Notes to create, edit or delete text, audio or scribble notes. You can also access the current patient’s note history by clicking Notes. Practice Management Integration Use the Practice Management Integration button to access Practice Management, OnSchedule, Treatment Plan and other Practice Management modules. Clinical Integration This button enables you to access different modules within Clinical. Patient Photo If you have the patient’s photo stored in the database, click on this button to pull it up on-screen. Perio Comparison As described previously, the Perio Comparison tab allows you to select up to three saved Perio charts and compare them one to another to evaluate any changes in the patient’s periodontal condition. This defaults to compare the pocket depths for the three most recent exams. Whatever is compared is displayed at the top of the window (for example, pocket depth, gingival margin, furcation, mobility, clinical attachment level or mucogingival junction grades). The dates are displayed for each exam included in the comparison, along with the measurements or grades for each tooth or site. The scores are colour coded for easy comparison as follows: 318 • Charting Perio Patterson EagleSoft 15.00 • Black – These are the scores entered first • Red – Indicates the periodontal condition has worsened • Green – Indicates the periodontal condition has improved The summary at the bottom of the window shows the number of teeth or sites that show a specific condition – such as bleeding, suppuration, furcation or mobility – as well as a breakdown of the number of sites within the indicated ranges for pocket depths and clinical attachment levels. Comparison Window Functions Print The Print button prints this Perio Comparison. If you have a colour printer, the printout shows the same colour-coding to easily alert your patient to areas of special concern. Show If you wish to select a different group of exams or compare a different measurement or grade, click Show to display a window where you may select the exams or items you wish to use for comparison. In the center, you can choose what you wish to compare in the selected exams. Simply click on the desired item. To choose a specific date, review the dates listed under available exams. Highlight the correct date and click Add. This displays the date under the Exams for Comparison window. To remove one of the exams from the comparison list, simply highlight it in the right-hand column and click Remove. Select from the following radio buttons: Pocket, Gingival, Furcation and MGJ. Choose the option to compare specific aspects of the exams available. Once all the exams you wish to compare and/or the items you wish to compare have been selected, click OK. Then you are taken to the Perio Comparison window, which displays the findings for the selected charts in date order. Perio Graph The Perio Graph window gives a graphical representation of the selected chart. This window was designed with the patient in mind. The more natural representation of the teeth makes it easy for your patients to see and Patterson EagleSoft 15.00 Charting Perio • 319 understand what you are explaining. Therefore, this window is the best option for periodontal case presentation and education. This window displays a graph for the same Perio exam shown under the Perio tab. If you wish to view a previously saved exam, select that exam by selecting the Edit Previous option under the Perio tab. Display To choose the display of the Gingival Margin levels, the Mucogingival Junction grades and Pocket Depths, simply click the appropriate button in the lower left of the window to turn the item off or on. The pocket depths appear as small bars at each site. If the depth meets or exceeds the alert depth, the display indicates this by showing the portion that exceeds the alert depth in red. The Gingival Margin levels and Mucogingival Junction grades are represented by a line graph in the designated colours. Zoom If you wish to view a single quadrant in a zoom mode, simply click your mouse anywhere within that quadrant. To return to the full mouth view, click anywhere within the quadrant again. Print The Print button enables you to print this Perio graph. The printout shows the same colour-coding to easily alert your patient to areas of special concern. 320 • Charting Perio Patterson EagleSoft 15.00 Comparison Graph The Comparison Graph tab gives you a graphical representation comparing existing Perio exams. The graph was designed with the patient in mind, giving a more natural representation of the teeth. The default comparison compares the three most recent exams. The legend at the bottom of the screen indicates the colour that represents the Perio exam date. To choose to compare the Gingival Margin levels, the Mucogingival Junction grades, or the Pocket Depths, simply click the appropriate button on the lower left of the screen to select what you wish to view. Show To select a different group of exams to compare, click Show. You can view up to three exams at one time. To choose the exam dates, review the dates listed under Available. Highlight the correct date and click Add. This displays that date in the Exams for Comparison window. To remove an exam from the comparison list, simply highlight it in the right-hand column and click Remove. Patterson EagleSoft 15.00 Charting Perio • 321 Once the exams you wish to compare have been chosen, click OK to return to the Comparison Graph window. This displays the findings for the selected charts. Zoom If you wish to view a single quadrant in a zoom mode, simply click your mouse anywhere within that quadrant. To return to the full mouth view, click anywhere within that quadrant again. Print The Print button enables you to print this Comparison Graph. The printout shows the same colour-coding. 322 • Charting Perio Patterson EagleSoft 15.00 PSR Overview PSR stands for Periodontal Screening and Recording. This type of periodontal exam allows you to record an overall score or rating for each sextant within the mouth in lieu of a complete periodontal exam and detailed charting. This screening is a quick and simple way to evaluate and track a patient’s periodontal health, as well as determine the need for a more comprehensive exam. Since the CDA estimates that over 75% of all adults show some form of periodontal disease, and the fact that litigation due to lack of periodontal diagnosis is not uncommon, you can see how this type of examination can be very valuable. A PSR chart can be completed on a routine basis even when a complete periodontal exam is not required. To easily monitor any changes in the patient’s periodontal condition, various PSR charts can be compared. This comparison is colour coded to easily note where changes have occurred. The comparison can be viewed on the computer screen or printed out. This type of graphical information can be a powerful tool when it comes to educating your patients and conducting effective case presentation. This chapter will give information on the following: • Patterson EagleSoft 15.00 Creating and editing PSR charts • Comparing PSR charts • Printing and displaying PSR charts PSR • 323 Accessing the PSR Exam • From the Clinical Activities menu, choose PSR -or- • Click the PSR icon on the Clinical Operatory window -or- • Click the PSR icon on the Integrated Mode window -or- • From the Clinical Exam | Perio window, click PSR -or- • Choose PSR by clicking the Integration Menu button PSR Exam Adding a New PSR Exam By default, the Exam tab is selected when the New PSR Exam window is displayed. The Exam tab is where PSR exam findings are entered. Each sextant can be scored on a scale of 0-4. As described on the window, each score indicates the overall periodontal condition of that range of teeth (0 being the healthiest, 4 being the least healthy). This scoring should take into account probing depths, mobility, gingival recession, mucogingival problems and furcation invasions. You can also add an asterisk to indicate other abnormalities. These scores are entered in the Sextant Scores boxes in the upper left-hand corner of the window. As you can see in the preceding image, there are 324 • PSR Patterson EagleSoft 15.00 three boxes for the upper arch and three for the lower arch. As you enter these scores, press the Tab key to move to the next box (sextant). In addition, the arrow buttons underneath these boxes will allow you to move from one to another or simply click in the box in which you wish to enter a score. Note: PSR charts are stored by date. The Clear All button erases all entries. Viewing or Editing PSR Exams If you wish to view or edit PSR charts that have been saved previously, click Edit Previous to display a quick box where you may choose the correct chart. From that window, click Use to view or edit, or click Delete to remove that chart from the patient’s records. PSR Comparison As described previously, the Comparison tab enables you to select various saved PSR exams and compare them. This feature makes it easy to evaluate any changes in the patient’s periodontal condition. Select the exams you wish to use for the comparison. Review the dates listed under Available Exams. To choose an exam, highlight the correct date and click Add. This displays that date under the Exams for Comparison window. To remove one of the exams from the comparison list, simply highlight it in the right-hand column and click Remove. Once you have selected all the exams you wish to compare, click OK to go to the Perio Comparison window that displays the scores for the selected charts in date order. As noted on the window, the scores are colour-coded for easy comparison. Black – The first scores entered. Red – Indicates the periodontal condition has worsened. Green – Indicates the periodontal condition has improved. Patterson EagleSoft 15.00 PSR • 325 Print You can print this comparison by clicking Print. Show If you wish to select a different group of exams to compare, click Show. Again this displays the selection box. 326 • PSR Patterson EagleSoft 15.00 Clinical Exam Overview Clinical Exam provides a complete exam between you and your patient. To state it simply, Clinical Exam provides the ability to link every area of your Clinical Exam into one centralized window! This chapter will give you information on the following: Patterson EagleSoft 15.00 • How to access past Perio, PSR, Restorative, Intraoral and Radiography exams • Creating new Perio, PSR, Restorative, Intraoral or Radiography exams with just the click of a button • Automatically calculating a sum total of the conditions charted in Perio and Restorative exams • How to review and edit notes specific to an exam or date of treatment • Customizing an exam by creating or editing exam types • How to add or remove sub-exams by right-clicking on the selected tab • Printing a Clinical Exam Master report or a questionnaire specific to any of the sub-exams • Recording information in regard to: • TMJ • Occlusion • Cosmetics • Head and neck history • Habits • General hygiene • Cancer • Dental history Clinical Exam • 327 Accessing Clinical Exam From the Clinical Activities menu, choose Clinical Exam -orClick the Clinical Exam icon in the Integrated Mode window -orClick the patient folder image on the Clinical Operatory window Clinical Exam Setup There are several areas within Clinical that need to be set up before you begin utilizing Clinical Exam effectively. Clinical Exam Types Clinical Exam Types are used in Clinical Exam to determine which subexam tabs will be enabled. One preset Clinical Exam Type has already been entered, but you can add, edit or delete exam types as you prefer. From the Lists menu, choose Clinical Exam Types. The Clinical Exam Types quick box is displayed (see the following image). Creating a New Clinical Exam Type From the Clinical Exam Types quick box, click New. The New Exam Type window is displayed. 328 • Clinical Exam Patterson EagleSoft 15.00 For more information on creating a new Clinical Exam Type, see the General Setup chapter in the Setting up Preferences unit. Security All staff members using Clinical Exam need their own security settings to allow access to this feature. 1. From the Clinical Logon window, the Security Administrator should log on as Security Administrator and enter the master password. 2. When the Providers/Staff List window is displayed, highlight the staff member you will be giving access to and click Edit. The Edit Provider/Staff window is displayed. 3. From the Edit Provider/Staff window, click Password. The Provider Password window is displayed. 4. Click Op Security (Operatory Security). The Operatory Access Options window is displayed. On the lower part of this window are three options for Clinical Exam Access. • View Existing Clinical Exams • Edit Existing Clinical Exams • Edit Completed Clinical Exams Select the checkbox next to each option as it would apply for this staff member. Note: Incomplete, Continued or Referred Exams are considered to be “Existing” Clinical Exams. 5. Patterson EagleSoft 15.00 When you have set access levels for this staff member, click OK to save your changes. Continue to click OK to save settings and close each of the open security windows. Click the Cancel button to exit without saving the new security access settings. Clinical Exam • 329 Introduction to the Clinical Exam Window Exam Date The patient’s information can be viewed from the most recent exam or from a previous exam by selecting a date from the Exam Date dropdown list box. This allows you to confirm past treatments performed, analyze those treatments and compare them to current or proposed treatments in a convenient layout. By clicking on a date of treatment, you can toggle back and forth between exams and review past and recent procedures performed. If images are on the exam, an (i) appears before the date of the exam. Exam Type After the exam types are created, choose the exam you want to perform by selecting the exam type in the Exam Type dropdown box in the Clinical Exam window. When you select an exam type, only the necessary tabs are activated to complete the exam. Using predefined exam types assures that you are performing only necessary work for a patient and not forgetting any necessary work during the patient’s visit. Once you save a Clinical Exam (by clicking OK) after selecting an exam type, you cannot modify the exam type for that exam. Add/Remove Tabs from Current Exam Type To inactivate a tab from the current exam, right-mouse click on the tab and choose Remove From Current Exam. To activate a tab not in the current exam, right-click on the tab and choose Add To Current Exam. Status Four statuses for an exam are provided to maintain accuracy and security regarding a patient’s record. By giving an exam a status, each user can quickly determine the patient’s condition. Status Description Incomplete Work is not yet finished; it will be completed at a later time. Complete Work is finished. Continued Work performed over the course of several appointments. Referred Patient sent to a specialist; awaiting outcome. Tabs If you have already saved an exam for the day, only the tab(s) related to that exam will be enabled within Clinical Exam. For example, if you save a Chart exam for the patient, then go to Clinical Exam, only the Restor 330 • Clinical Exam Patterson EagleSoft 15.00 (Restorative) tab will be enabled. More tabs can be added by following the instructions in the previous Exam Type section. Summ (Summary) The Summary window shows the patient’s standard images (only if Imaging is installed) and gives you an overview of the most recent exams for the patient. The patient photo, full smile, and most recent upper and lower arch photos will display. For information on adding these photos to the Summary tab, see the Image menu subsection in the Advanced Imaging chapter located within the Imaging unit. The patient’s ID, name, phone numbers and last visit date are centered in the middle of the window. The most recent dates of the following exams are given: Perio (Soft Tissue) Radiography Cancer Restorative Cosmetic Dental History TMJ Head and Neck Full Mouth Series Occlusion Habits Bitewing Intraoral General Panoramic Edit Patient The Edit Patient button links the Patient Summary tab to the Edit Patient window. Easily view or modify the patient’s information directly from this window with one click from Clinical. History The History button opens the Patient History window for the current patient. The History window (see the following image) provides a detailed history of everything that has been entered in EagleSoft. For more information, simply double-click an item to call up the related chart, Patterson EagleSoft 15.00 Clinical Exam • 331 images, or notes option. Then, close that option to return directly to the History window. This enables you to easily review any of the items entered in EagleSoft without having to go from option to option. Show What The Show What button in the History window enables you to filter the history to display only the History Types you prefer (see the following image). From the Patient History Filter, choose a specific date range by clicking on the Consider Date Created box and entering the beginning and ending dates for the filter. Additional notes can also be entered from this window to add to the printout. Print Click Print to print this patient’s history. Perio (Periodontal) The Perio window summarizes the information from the patient’s Perio exam performed on the date given in the Exam Date box. 332 • Clinical Exam Patterson EagleSoft 15.00 The top section of the Perio window, Summary Info, provides a summary of the number of teeth and the number of sites charted for the following: • Bleeding • Suppuration • Furcation • Mobility • Pocket Depths greater than the Alert Depth • Clinical Attachment Levels – These are divided into four levels: <0, 1-3, 4-5, and 6+ These fields are based on charting in the Perio module. Click Calculate to update the numbers in the fields. Beneath the Summary Information, record ratings for Consistency, Hygiene, Inflammation, Margins, Plaque and Exudate. The ratings for each of these conditions include: Condition Ratings Consistency Firm, Boggy, Fibrous Hygiene Good, Fair, Poor Inflammation Light, Moderate, Severe, None Margins Thin, Swollen, Receded, Irregular, Normal Plaque N/A, None, Light, Moderate, Severe Exudate Blood, Suppuration, Both Next, the Attached Gingiva section allows input for the colour and texture of attached gingiva, and the Papillae section allows input for the shape, colour and texture of papillae. The ratings for each of these conditions are as follows: Attached Gingiva Ratings Colour Pink, Red, Magenta Texture Stippled, Glossy, Granular, Boggy, Smooth Papillae Ratings Shape Pointed, Blunted, Flat, Inverted Colour Pink, Red, Magenta Texture Firm, Boggy, Fibrous Beneath this, the Periodontal Diagnosis section indicates the level of gingivitis for the patient. The levels include the following: Patterson EagleSoft 15.00 N/A Normal Type I Type II Clinical Exam • 333 Type III Type IV Type V Early Onset Periodontitis Systemic Associated Acute Necrotizing Ulcerative Gingivitis A Comments section provides an area for entering and/or editing additional comments/notes specific to this exam. These notes are viewable from the Note History window as well. One-Click Access To easily view, create or edit the Perio or PSR exams related to these totals, click the appropriate button on the right side of the window. With only one click, you’ll go directly to the Perio or PSR exam. Calculate Click Calculate to calculate the conditions under Summary Information automatically for an exam. If corrections are made while in the Perio window, click Calculate upon returning to the Perio Summary tab to reflect the new totals. You can also calculate the totals manually by clicking the appropriate box and editing the number. Restor (Restorative) The Restorative window summarizes the information from the patient’s Restorative exam performed on the date given in the Exam Date box. The Caries section provides a summary of the Number of Caries, Number of Dentinal Caries and Number of Recurring Caries for the patient. The Restorations & Fractures section displays the Number of Restorations with Poor Marginal Integrity, Number of Fractured Restorations and Number of Fractured Teeth. General teeth conditions follow the Restorations and Fractures section, showing totals for: 334 • Clinical Exam Erosion Tori Malposition Extrusion Impaction Open Contacts Patterson EagleSoft 15.00 Lesions Wear Facets Non-Func Teeth Next, the number of primary teeth lost prematurely section divides the total into two segments: the number of teeth lost in over a year and the number of teeth lost in less than or equal to one year. The Roots section displays the number Amputated and the total Number of Root Canals for the patient. Again, at the very bottom, a Comments section provides an area for entering and/or editing notes specific to this exam. Chart This button takes you directly to the Chart window. Tx Plan Create or modify treatment plans from here as well by clicking on the Treatment Plan on the top right of the window. Calculate Click Calculate to calculate values for the fields on the Restorative tab based on the action code of the patient’s conditions, services and existing services. After entering or editing items on the chart, calculate the totals for the conditions charted automatically by clicking Calculate on the right of the window or enter the totals manually by clicking on the desired box and editing the number. For more information on attaching Action Codes to conditions and services, go to the Services and Conditions chapters, Setting up Your Preferences unit. TMJ The TMJ (Temporal Mandibular Joint) window provides an area to record information pertaining to a patient’s TMJ condition. The top section is reserved for input describing the Pain, Popping, Crepitus and Deviation on Opening for the joint. Patterson EagleSoft 15.00 Clinical Exam • 335 The ratings for each of these conditions are as follows: 1. From each section, select a rating from the dropdown list box. Condition Ratings Pain Left side, Right side, Both, None Popping Left side (Open, Closed, or Both), Right side (Open, Closed, or Both), or Both (Open or Close) Crepitus Left side (Open, Closed, or Both), Right side (Open, Closed, or Both), or Both (Open or Closed) Deviation on Opening Left side, Right side, Both, None 2. Select a Rating from the dropdown list box. 3. Click Save to keep the settings. The Maximum Opening Unassisted is how far a patient can open his/her mouth. This is recorded in millimeters. The next three sections provide fields for answers regarding Musculature, History of Trauma and Myofacial Pain. If the patient answers Yes to History of Trauma or Myofacial Pain, a Comments section is provided to elaborate on those conditions. The Diagnosis for Treatment explains whether the condition is treatable and whether the treatment will be performed by the dentist or by a specialist. Select an option from the dropdown list box. A Comments section provides an area for entering and/or editing notes specific to this exam. Occl (Occlusion) The Occlusion window provides an area to record information pertaining to a patient’s maxillary and mandibular teeth contact. The top section is used to record Dental Classification and Skeletal Classification, ranking each as Class 1, Class 2 or Class 3. 336 • Clinical Exam Patterson EagleSoft 15.00 The next section is used to record the Left and Right Cuspid and Molar Relations. Select one of the following from either dropdown list box: Mesial Step, Distal Step or End On. In the next section, measurements can be saved for the patient’s Overbite, Overjet, Division and Maximum Opening Unassisted in millimeters. Next, record ratings for Slide, Midline, Crossbite, Profile and Guidance. The ratings for each of these conditions include: Condition Rating Slide None, Right or Left and in millimeters Midline Even, Right or Left and in millimeters Crossbite None, Anterior or Posterior Profile Maxillary Prognathic, Mandibular Prognathic, Class 1, Class 2 or Class 3 Guidance Canine Guidance, Group Function or Bilateral A Comments section at the bottom of the window provides an area for entering and/or editing comments specific to this exam. Images Imaging Features This Clinical Exam tab is available only if Imaging is installed. Acquiring Images Acquire new images into current exams or create entirely new exams all within the same window. If an image in an exam needs to be updated, just select the image and click Acquire. If you need to create a new exam, it’s as easy as clicking New and then acquiring each image. New Exams Patterson EagleSoft 15.00 1. Click New. 2. Select a new template from the Template dropdown list box, or you can keep the default template. Clinical Exam • 337 3. Click Acquire to begin acquiring images. 4. When finished, click Save to save the exam. Updating Current Exams 1. Select a sensor image. 2. Click Acquire. You can also right-click and select Acquire from the right-click menu. 3. Click Yes to acquire the image over the exam. 4. Click Save to save the exam. Printing Images To print the current exam, click Print at the top right of the Radio window. You can then select the printer, number of pages and the number of copies from the Windows Print Setup box. The image printout displays date/time, practice information, patient information and the name of the exam. Transferring Images The Transfer button enables you to move exam images from one patient to another. This function is useful in the event that an exam is incorrectly attached to a patient. If, for example, an exam has been saved in the wrong patient’s records, you can easily transfer the exam to the correct patient with just a few clicks. 1. Select an exam. 2. Click Transfer. The Person List appears. 3. When you have selected a patient, click Use. The following window appears. 4. Click Yes to transfer the image exam. Note: This warning may not appear when using the preference ‘Disable Confirmation Messages’. 5. The exam is transferred to the selected patient. Edit Images The Edit Images button enables you to edit images from the Advanced Imaging module. If you need to sharpen, annotate or attach information to any of the images, just click Edit Images and the selected image is pulled into the Advanced Imaging window. 338 • Clinical Exam 1. Select an image. 2. Click Edit Image to open the selected image in Advanced Imaging. 3. When finished editing the image, either save the image or close Advanced Imaging to return to the window. Patterson EagleSoft 15.00 For information on using Advanced Imaging, see the Advanced Imaging chapter in the Imaging unit. Right-Click Menu The right-click menu in the Images window incorporates all of the Advanced Imaging features. This enables you to view, modify and enter additional information to the exam and/or an image. For more information on the following right-click menu features, see the Imaging chapter in the Imaging unit. Right-Click Menu from Templates View Full Screen – Select this option to view the image in full window mode. This is helpful if displaying the image to a patient for case presentation. Open Image – Select this option to open the image in the Image Document window. For more information on Image Document window, see the Advanced Imaging chapter located in the Imaging unit. Original View – Select this option to return the image to its original view. This is the default for viewing images in exams. If it’s not already selected, choose this option to view the image as it was scanned into the exam. To view image as last modified, deselect the Original View option. Delete – Choose this option to delete the selected image. Mirror – Choose this option to flip the image horizontally. Flip – Choose this option to flip the image vertically. Rotate 90, 180, 270 – Right-click on the image and rotate the image 90, 180 or 270 degrees. Exam Information – Select one of the following to update the following Most Recent dates on the Summary window: • Updates Patient Last Bitewing • Updates Patient Last Full Mouth Series • Updates Patient Last Panoramic Image Information – Choose this option to view image information, featuring the description, dates, tooth numbers and much more. Image History – Select this option to view and apply past image modifications. E-mail – This feature enables you to send images via e-mail. In the e-mail, you can include AutoNotes and your own notes. Copy to Clipboard – Choose this option to copy the image into the clipboard. Then paste it into an image in Advanced Imaging. Patterson EagleSoft 15.00 Clinical Exam • 339 Right-Click Menu for Exams View Full Screen – Select this option to view the image in full window mode. This is helpful if displaying the image to a patient for case presentation. Open Image – Select this option to open the image in the Image Document window. Original View – Select this option to return to the view of origin. For more information on Image Document window, see the Advanced Imaging chapter located in the Imaging unit. Acquire From – Choose this option to acquire new images into the exam. Delete – Select this option to delete the selected image. Mirror – Select this option to turn the image on its vertical axis. Flip – Select this option to turn the image on its horizontal axis. Rotate 90 – Select this option to turn the image 90 degrees. Rotate 180 – Select this option to turn the image 180 degrees. Rotate 270 – Select this option to turn the image 270 degrees. Exam Information – Select this option to update the following: Patient’s Last Bitewings, Patient’s Last Full Mouth Series, Patient’s Last Panoramic. Image Information – Choose this option to view image information, featuring the description, dates, tooth numbers and much more. Image History – Select this option to view and apply past image modifications. This feature gives you the chance to review past image modifications and even apply some of them to the current image. E-mail – This feature enables you to send images via e-mail. In the e-mail, you can include AutoNotes and your own notes. Copy to Clipboard – Choose this option to copy the image into the clipboard. Then paste it into an image in Advanced Imaging. 340 • Clinical Exam Patterson EagleSoft 15.00 Other Fields On the lower half of the window, record the Horizontal Bone Loss, Vertical Bone Loss, Calculus and Unfavorable Crown Root Ratio in free-form entry boxes. Rate the degree of Calculus as: Supragingival Light Supragingival Moderate Supragingival Heavy Subgingival Light Subgingival Moderate Subgingival Heavy None At the very bottom, a Comments section provides an area for entering and/or editing notes specific to this exam. Cosm (Cosmetics) The Cosmetics window provides an area to record information pertaining to the patient’s maxillary and mandibular conditions. This tab divides the mouth into four areas for recording conditions: Maxillary Anterior, Maxillary Posterior, Mandibular Anterior and Mandibular Posterior. For each area of the mouth, the conditions and ratings are as follows: Condition Rating Abnormal Morphology Yes, No, N/A Anterior Malalignment Yes, No, N/A Anterior Diastema Yes, No, N/A Anterior Discolouration Yes, No, N/A At the very bottom, a Comments section provides an area for entering and/or editing notes specific to this exam. Patterson EagleSoft 15.00 Clinical Exam • 341 Head The Head window provides an area to record the patient’s head and neck conditions. Record a score of Normal, Abnormal or N/A for the following conditions: Facial Tissue Retro Molar Upper Lips Tuberosity (Maxillary) Lower Lips Gingivae Floor of Mouth Lingual Tonsils Hard Palate Vestibular Depth Soft Palate Buccal Mucosa Tongue (Lateral) Edentulous Ridge Tongue (Anterior) Oropharynx Tongue (Dorsal) Salivary Ducts The Comments section at the bottom provides an area for entering and/or editing notes specific to this exam. Habits 342 • Clinical Exam Patterson EagleSoft 15.00 The Habits window provides an area to record the patient’s habits. Record a status of N/A, None, Potential, Manifested or Historical for each of the following habits: Grind Teeth Cigar/Cigarette Bite Cheek Pipe Toothpick/Stimulator Chewing Gum Tongue Thrust Bite Nails Candy Mouth Breather Smokeless Tobacco Soft Drinks Bulimia/Anorexia Thumb/Finger Other If a status of Potential, Manifested or Historical is recorded in the habit Other, a line is provided to enter a description for that habit. At the very bottom, a Comments section provides an area for entering and/or editing notes specific to this exam. General The General window provides an area to record miscellaneous patient information and serves as a quick reference regarding the patient’s overall condition/pain. Dental Care Under the Dental Care section at the top of the window, use free-form entry to record the frequency with which the patient brushes and flosses, the brand of toothpaste and mouthwash the patient uses, and any other information you want to enter specific to the patient. Emotional Motivators/Concerns Emotional Motivators and Emotional Concerns can also be recorded using free-form entry for the patient. Patterson EagleSoft 15.00 Clinical Exam • 343 Use this window as a quick reference for the patient’s status. Enter information for the following fields: Oral Cancer, TMJ, Blood Pressure and Pulse. The last section of the window summarizes the patient’s pain for Dental and Mucosal in the Maxillary Anterior, Maxillary Posterior, Mandibular Anterior and Mandibular Posterior areas of the mouth. Each type of pain should be recorded for each area of the mouth using the following ratings: Low Acute Pain Low Chronic Pain High Chronic Pain None High Acute Pain At the very bottom, a Comments section provides an area for entering and/or editing notes specific to this exam. Cancer The Cancer window provides an area to record information regarding a patient’s cancer condition. The window splits this into the following four phases: Developmental Deep Systemic Surface Under each phase, select Yes, No or N/A for Pathology Present or Biopsy Indicated. For each section, choose an Affected Area option from the Affected Area dropdown list box. Check the appropriate radio button for the Tooth Related Pathology Present section. A Comments section provides an area for entering and/or editing notes specific to this exam. 344 • Clinical Exam Patterson EagleSoft 15.00 History The History window provides an area to record past conditions pertaining to a patient. The window divides History into two sections: sensitivity (top) and general history (bottom). Select Present, Past, Never or N/A for the following questions: Are your teeth sensitive to: Have you ever had: Hot or Cold Orthodontic Treatment Biting/Chewing A Bite Plate or Guard Sweets Periodontic Treatment Oral Surgery Serious Injury to Mouth or Head A Comments section at the bottom of the page provides an area for entering and/or editing notes specific to this exam. Other The Other window provides an area to enter answers to any customized questions you set up for this Clinical Exam Type. You can have up to 15 questions per exam type. For more information about setting up customized questions, refer to the section earlier in this chapter. Patterson EagleSoft 15.00 Clinical Exam • 345 Notes The Notes window provides an area to view and edit all Text, Audio and Scribble notes entered into Clinical for a particular patient for the selected Exam Date. From this window, view or edit existing notes only; new notes cannot be added from this area. To add a note to the patient’s record, click Note at the bottom left of the window and choose a new Text, Audio, or Scribble Note. To edit existing notes, double-click on the desired note to open the appropriate edit window. Sort the notes by Type of Note, Date or Note Content by simply clicking the desired column heading. Printing A Clinical Exam Report While in Clinical Exam, click Print on the lower right of the Clinical Exam window. You’ll have the choice to print a report or print a questionnaire for the Clinical Exam. The What To Print dropdown list box (see the preceding image) offers the following reports: 346 • Clinical Exam Clinical Exams Master Incomplete Clinical Exams Report Clinical Exam Detail (Current Exam) Periodontal Exam Questions Restorative Exam Questions TMJ Exam Questions Occlusion Exam Questions Cosmetic Exam Questions Head and Neck Exam Questions Habits Exam Questions General Exam Questions Cancer Exam Questions Patient History Questions All Exam Questions Patterson EagleSoft 15.00 The Clinical Exams Master report is a comprehensive report listing every patient reviewed in Clinical Exam. The Incomplete Clinical Exams report lists only patients with an Incomplete status. The Clinical Exam Detail report lists only the details of the patient currently in the Clinical Exam. The reports for Exam Questions are printable questionnaires for the patient to fill out. If you choose to print any of the questionnaires pertaining to the exam questions, you have the option to also print the new patient information at the top of the questionnaire. To print the new patient information, select the checkbox next to Include New Patient Information At Top Of Questions. Once you have selected the report you will print, click OK to print. A Report Preview window appears to allow you to review the report before actually printing it. Patterson EagleSoft 15.00 Clinical Exam • 347 Patient Notes and Note History Overview Use the Patient Notes feature to record and view text, audio or scribble pad notes. Text and audio notes can be used to summarize a conversation with a patient or to review an exam. The Scribble Pad notes help explain a procedure or condition by “sketching” out the process to give the patient a better understanding. Accessing Note History From the Integrated Mode window, click the Note History icon. Integrated Notes History and Patient Notes Record and manage notes easier in the Notes History window. Click the scribble, text or audio note button, and the top part of the window displays that note function. For example, if you click Scribble Note, the top part of the window turns into a Scribble Note pad with different widths or colours to choose from for the marker. Click Save and the note is added to the Note History ledger. The following features are available in the Note History window at all times. Display Note on Account Statement Select the checkbox to Display Note on Account Statement to include the current entry on the selected patient’s account statement. 348 • Patient Notes and Note History Patterson EagleSoft 15.00 Tooth Selector The Tooth Selector function is available from the Note History window. Now you can easily assign notes to specific teeth and/or areas of a patient’s mouth. Colour Click Colour to modify the colour of the current note. Save As Click Save As to save the current note as an AutoNote. AutoNote Click AutoNote to access a list of your AutoNotes. Find Use the find feature in the Note History window to find notes based on the text in the note. Just enter a word into the Find field box that’s found in the body of the note and click the word Find. Save Click this button to save the current note. Note Ledger Toolbar The Note Ledger toolbar enables you to modify existing notes. Filter: Click Filter to filter the notes ledger according to type, status, format and more. Filtering the Note History Display 1. Click Filter. The Note History Filter window is displayed. You can filter by choosing from the following criteria: Note Formats Audio, Scribble, Text Note Types Chart, Perio, General, PSR, Image, Radio Note Status Verified, Unverified, Deleted Consider Date Created Specify the date range you prefer 2. You can also filter the display by clicking on any of the column headings of the Note History display. Edit: Click Edit and the note appears in the top part of the Note History window. Patterson EagleSoft 15.00 Patient Notes and Note History • 349 Viewing or Editing the Contents of a Note 1. Highlight the note from the listing in the Note History window. 2. Click Edit. 3. Click Save when finished editing note. Deleting a Note 1. Highlight the note from the listing in the Note History window. 2. Click Delete. 3. The note appears with strike-through marks. Print: Click Print to print the note history for this patient. Tracking Notes Tracking notes in EagleSoft provides an easy way to view and print any changes made to the notes after an EOD is processed. After an EOD is processed, text, scribble and audio notes are tracked within the Note History. 1. When a note is deleted, it is given an inactive status while tracking who deleted it and when it was deleted. 2. When a note is deleted, the current note is inactivated, and the newly edited note will be saved as a copy. 3. A strike-through denotes inactivity. Tracking Post Procedure Notes A post procedure note can continually be edited until it is verified. Any time an End-of-Day is processed after the creation of a note, and the note has been verified, it is tracked in the same way a scribble or text note is tracked. Printing a Listing of the Notes 350 • Patient Notes and Note History 1. Click Print. The Print Preview window is displayed. 2. Then, click Print to print the report. Click Cancel to exit the Print Preview window without printing. Patterson EagleSoft 15.00 Text Notes Create text notes from any of the clinical modules in Clinical, such as Perio Exam, PSR Exam, and so on. They can also be created from the Note History window, which is described in this chapter. Creating a New Text Note 1. From any area in Clinical or the Account Screen, click Notes and choose New Text Note. The New Text Note window is displayed. 2. Type your patient note into the open note field. 3. To save the new text note as an AutoNote, click Save As. 4. When you are ready to save your new note, click Save. Click Cancel to exit without saving the new text note. Scribble Pad Notes With scribble pad notes, use the pen and tablet or your mouse to draw a picture that appears on the window. Use this to help describe a condition or procedure to a patient. A drawing can even be saved for future reference. Creating a New Scribble Pad Note 1. From any area in Clinical, click the Notes button/icon and choose New Scribble Note. The Scribble Pad window is displayed. 2. Enter a description for the scribble note in the Description field. A default description may have already been provided, depending on the area within Clinical you are creating a new scribble note from. 3. To begin drawing, simply hold down your left-mouse button while dragging the cursor over your drawing board. 4. To change line sizes, simply click on the line thickness of your choice from those displayed in the toolbar to the right of your drawing board. 5. To clear contents of the current drawing, click Clear. 6. To choose a different colour to draw with, click Colour. This accesses a template where you can choose from various colours. Simply click the box that shows the colour you would like to use. If you wish to create your own colours, click Define Custom Colours, add the new colour and select it from the Custom Colours section. Click OK. To save a drawing, confirm your description at the bottom of the window and click Save. To close the window without saving, click Cancel. Patterson EagleSoft 15.00 Patient Notes and Note History • 351 Imaging – Unit 5 The Imaging unit contains the following chapters: Advanced Imaging Cosmetic Imaging 352 • Imaging – Unit 5 Patterson EagleSoft 15.00 Advanced Imaging Introduction EagleSoft’s imaging interface enables the user to acquire, edit and save any type of image, all from one window. Create a template in a few easy steps without ever having to leave the exam. The Imaging unit guides you through how to use Imaging. The section is broken down into areas based on a typical order of using Advanced Imaging. • Accessing Advanced Imaging • Opening Advanced Imaging for the First Time • Acquiring New Images • Using Advanced Imaging – Functionality • Image Document Window Accessing Advanced Imaging Open the Advanced Imaging window from several places in EagleSoft. • From the Integrated Mode window, click on the Advanced Imaging icon -or- • Go to Activities | Imaging, and select any of the options on the submenu -or- • From the Clinical Operatory window, click on the icon that represents that module • From any of the Integration menus in Clinical, click on any of the imaging options -or- Patterson EagleSoft 15.00 Advanced Imaging • 353 Opening Advanced Imaging for the First Time This section provides information on the basic elements of the Advanced Imaging window, including the toolbar, icons and so on. When you first open Advanced Imaging, you will notice that the window is split into three areas: Toolbar, Exam Bar and Exam View. The toolbar is along the top part of the window and displays various functions for acquiring, editing and viewing images. On the far left of the window is the Exam Bar. This window displays three exam bars: Exams By Date, New Exams and Exams By Type. Each area displays shortcut icons to exams or images. When you click on the shortcut icon, the image appears to the right in Exam View. Toolbar The Advanced Imaging window enables many customization features for the toolbar. You can customize the layout of the toolbars, add or remove buttons and more. Usability Modes There are two different toolbar modes: Standard and Advanced. The Standard mode offers basic toolbar buttons with text descriptions on each button. The Advanced Mode offers all available toolbar buttons without the text. Standard – By default, the standard mode appears when you first open Advanced Imaging. If you need to change to the Standard Mode, go to View | Usability Modes and choose Standard. Advanced – Choose this option to view all the advanced imaging buttons. To view these toolbar buttons, go to View | Usability Modes and choose Advanced. Customizing the Toolbar Area Customize the toolbar by adding or removing toolbars, buttons or text. 354 • Advanced Imaging Patterson EagleSoft 15.00 Toolbar Options To add a particular toolbar to the toolbar areas, go to Views | Toolbars and choose one of the following: File, View, Effects, Tools or Standard. All these toolbar functions are available from the Advanced Imaging window menus. Advanced Toolbar Options Right-click on the toolbar to add or remove buttons or text. For more information on customizing the Advanced Imaging toolbar, see the Advanced Toolbar section in the Using EagleSoft chapter. Exam Bar The Exam Bar is divided into three sections: Exams by Date, Exams by Type and New Exams. From this area, the icons represent the source of the template or exam. You can also right-click on an icon and choose to remove, rename or modify the exams or templates. Right-click in the gray area of the Exam Bar window to switch to small or large icons. New Exams If you are not already viewing the new exams area, click the New Exams button, and the exam and template shortcuts are displayed. A small icon displayed on each shortcut denotes the type of template. For example, a wand represents a video template; a sensor represents a sensor template and so on. Using the New Exams Area To use the icons, click on a template. You now have two options for acquiring images. Click Acquire on the Advanced Imaging toolbar, or right-click on a template, choose Acquire From and select a source. Depending on your installation, you have different image sources available from this menu; however, the following sources appear at all times: Patterson EagleSoft 15.00 • Default Source – Select this to acquire an image from your predetermined default source • Sensor – Choose this option to acquire an image from a sensor • Scanner – Choose this option to acquire an image from a flatbed scanner or another TWAIN-compliant device • Video Capture – Choose this option to acquire an image from an intraoral camera • DenOptix – Select multiple images, right-click, and choose this option to acquire a DenOptix image. From the DenOptix Acquisition window, assign corresponding carousel positions to the template positions selected Advanced Imaging • 355 • Other Exam – Select this to acquire an image from a previous exam • File – Select this option to import an image file from a location outside of EagleSoft • Clipboard – Select this option to paste an image you have copied into the clipboard Exams by Date The Exams by Date area stores shortcuts to the exams. Just click the Exams by Date bar on the left and exam icons appear. To view a recent exam, click on the exam icon and it appears in the window to the right. Using the Exams by Date Area To use the Exams by Date area, click on an icon and the images in the selected exam appear in the Exam View. Right-click on an exam to rename or delete the exam. Right-click to resize the icon. Exams by Type This area contains all of your saved exams. The Exams by Type area is divided into subsections according to types of images. Click the plus (+) next to IntraOral Image icon to view IntraOral Image exams. The dates are listed next to each exam. Example: 1. To view an image, click on the plus (+) next to the Radiography Images icon. This expands Radiography Images category. 2. Click on the plus (+) next to Full Mouth Series. This expands the exam to display the images. Double-click on an exam to view all of the images in that exam. 3. Click on the Full Mouth Series icon and the image appears in the Exam Window. Single-Click Preview While the Image View option is available in the Exam View window, you can preview exams while browsing in the Exams by Date area of the Exam Bar window. Click once to preview the image. Right-Click Menu on an Exam Right-click on an exam and the following options are available: Rename – Rename the exam. 356 • Advanced Imaging Patterson EagleSoft 15.00 Transfer Exam – Transfer the exam to another patient. Delete Exam – Delete the exam. Updates Patient Last Bitewings, Updates Patient Last Full Mouth Series, Updates Patient Last Panoramic – Select one of these options to update the patient’s last bitewings, full mouth series or last panoramic exam in the Clinical Exam area. Exam View The default Exam View window displays images from any exam or document selected in the Exam Bar. From the Exam View, there are various functions available, such as the Image Document window or the right-click menu. Image Document Window Double-click on any image in the Exam View window to open the image in the Image Document window. For more information on using the Image Document window, see the Image Document section later in this chapter. Using the Right-Click Menu in Advanced Imaging The right-click menu in the Exam View has various advanced imaging functions. Right-click on any image and the following functions are available: Patterson EagleSoft 15.00 • View Fullscreen – Choose this to view images using the entire screen. Click anywhere on the screen to return to normal view • Original View – Choose this to toggle between the last enhanced image and the original image • Acquire From – Choose this option to acquire over an image. From this menu, you can select different methods of acquisition • Mirror – Choose this option to rotate the image on the vertical axis • Flip – Choose this option to rotate the image on the horizontal axis Advanced Imaging • 357 358 • Advanced Imaging • Rotate 90, 180, 270 – Choose this to rotate the image according to the selected degrees • Exam Information – This updates the last exam date of the patient’s last bitewing, panoramic or full mouth series. This information appears on the Summary window in the Clinical Exam module • Image Information – Choose the Image Information window to view more information about the selected image, including the tooth selector, document group and example group Description – Enter or edit a description of the image Exam Group – Displays the Exam Group that the image belongs to, the source of the image and the location Document Group – Choose a Document Group to which you wish to assign the image. The Document Groups are classifications of types of images, such as Medical Histories, Lower Arch, Patient Identification, and so on. The Full Smile, Upper Arch, Lower Arch and Patient Photo groups update the images on the Summary screen of the Clinical Exam Example Group – The Example Group images are samplings of various images, such as amalgams, perio, before and after and so on. Example Groups can be accessed under Exams By Type Tooth Selector Area – Assign the selected image to specific teeth, quadrants or areas of the mouth Image Detail – The Image Detail portion of the window displays technical information about the image. Click Details to view only the top portion of the window Image History – Select this option to view or apply past image modifications to the selected image. Click a previous modification to view the image at that point. Click Undo to delete the selected modification. Click Go Back to return the image to the selected state Patterson EagleSoft 15.00 • E-mail – Select this option to e-mail the image to a referral, hygienist and others • Copy to Clipboard – Choose this option to copy the selected image to the clipboard. You can then use the Paste button in the image’s window, if one is provided, or press Ctrl + V to paste the image • Send to SmartDoc – Choose this option to move the selected image to SmartDoc Image View To use the Image View option, go to the View menu and choose Image View. Double-click on the image in the Image View and it is opened in the Image Document window. The Image View window appears as follows: The Image View window gives you minimal editing functions, such as brightness and contrast adjustment, colourize and more. These features are the blue underlined hyperlinks to the right of the image. These functions are also available from the menu and toolbar. For more information on these functions and their use, see the Advanced Imaging window – Functionality chapter. Enter a name for the selected image in the text box. You can also assign the image to specific teeth, quadrants or areas of the mouth. Image Information View To use the Image Information View window, go to the View menu and choose Image Info View. To view information about an image in the Patterson EagleSoft 15.00 Advanced Imaging • 359 exam, click on an image and the information appears in the bottom of the screen. The Exam View window appears as follows. Image Desc (Image Description) This displays the image description for the selected image. Click in the field to enter or edit the text. Source This displays the source from which the image was acquired (for example, Schick Sensor, Scanner, IntraOral Camera and so on). Document Group This displays the Document Group to which an image has been assigned. Click the dropdown list box or the hyperlink to change the Document Group assignment. Acq By (Acquired By) This displays who acquired the image by EagleSoft. Imported images will display the date the image was imported. Acq On (Acquired On) This displays the date when the image was acquired. Example This displays the Example Group to which an image has been assigned. To change the assignment, click the dropdown list box or the hyperlink and select a different group. 360 • Advanced Imaging Patterson EagleSoft 15.00 Tooth Selector The Tooth Selector enables you to assign the selected image to a tooth, quadrant or an area of the mouth. The Tooth Selector box is also available from other places throughout EagleSoft. Viewing Open Images EagleSoft gives you four new options for viewing open images in Advanced Imaging. Select a patient and click into Advanced Imaging to use these options. To use the new Viewing Open Images options, you must uncheck the Clinical preference Open one image document for each template. This preference is located under FilePreferences Images. Browse Images: Clicking FileBrowse Images enables you to open a menu of all images for this patient from all available exams. Now you can see all your patient's images displayed by name in a single menu. Open As Document: Clicking FileOpen As Document allows you to open a selected image directly into the Document View window. Open Cascaded: Clicking FileOpen Cascaded displays your open images stacked one on top of the other in Document View. Only exams in templates can be compared. Comparison and/or Tiling Vertically – Tile vertically will work similar to tiling horizontally except that it will add new rows before adding new columns as the number of windows increases. Once the number of tiled image windows causes the window height to shrink to 350 pixels, a new column of windows will be added. In Advanced Imaging: Patterson EagleSoft 15.00 1. Select the desired exams. 2. Next, right-click the exam folder in the Exams by Date bar or the Exams By Type bar. 3. Select Compare Exam. Advanced Imaging • 361 To Tile Vertically: 1. Select multiple images. 2. Select File | Tile Vertically. The number of images selected will determine the number of tiles. Acquiring New Images Acquiring images from the Advanced Imaging window is easy and efficient. Select an exam type from the Exam Bar and acquire an image from the selected exam type’s imaging source. Sensor 1. Click New Exams in the Exam Bar window. 2. Choose a Sensor Exam Image Template shortcut. The Sensor Exam shortcuts are indicated by small Sensor icons on each shortcut. 3. Click Acquire to acquire images into the exam, or right-click on the template position and choose Acquire From | Sensor or Default Source. If you are using Schick Sensor USB, you only need to have the Auto Take checkbox selected in Clinical preferences. DenOptix 362 • Advanced Imaging 1. Click New Exams in the Exam Bar window. 2. Choose a DenOptix Image Template shortcut. The DenOptix Exam shortcuts are indicated by small DenOptix Exam icons on each shortcut. 3. Click Acquire to acquire images into the exam, or select template positions, press the Ctrl key and right-click on a template position. Then, choose Acquire From | DenOptix or Default Source. Patterson EagleSoft 15.00 4. From the Acquire from DenOptix window, select a position in the template and choose a carousel position. The carousel row and column numbers appear in each template position window. When you have filled the template, click Scan to acquire the images. EagleSoft Scanner Interface 1. Click New Exams in the Exam Bar window. 2. Choose a Scanner Exam Image Template shortcut. The Scanner shortcuts are indicated by small Scanner icons on each shortcut. 3. Click Acquire to acquire images, such as medical history forms, into the exam or right-click on the template position and choose Acquire From | Scanner or Default Source. 4. Under Source area, select the Twain-compliant scanner that you would like to use for this scan. 5. Select the Type from the dropdown list. Note: not all scanners will support all formats. 6. Select the Resolution dpi (dots per inch) from the dropdown list. Note: The higher the resolution, the more disk space that will be required for storing this image. 7. Select the Reduction percentage from the dropdown list. This option is a multiplier of the resolution option. For example, if the image resolution is set to 50 dpi and the reduction is set to 50%, the resulting image will have a resolution of 25 dpi. 8. The Picture option is enabled when using a device that stores multiple images simultaneously, such as a digital camera. The dropdown list will include a list of all the available images on the device. 9. Select the Use Backlight option to use the scanner’s backlight attachment. Note: This option is not available on all devices. Scan New Images Patterson EagleSoft 15.00 1. Select the Get Preview button to see the initial scan preview. Use the Auto Preview option to automatically preview scanner images. 2. Select the X-ray Mount button if the images on the scanner are contained within a standard X-ray mount. This option enables the scanner to locate and select each image and scan them all as individual images. Advanced Imaging • 363 3. Select the Scan button to capture the images. 4. Select the Cancel button to close the interface without saving the scanned images. 5. Select the Get Images button to save the images into Advanced Imaging. 6. To delete scanned images in the Scanner window, right-click on a scanned image and select Delete. Click and drag on a scanned image to reposition. 7. Edit a selected image by dragging any side of the image. Video Capture 1. Click New Exams in the Exam Bar window. 2. Choose a Video Capture shortcut. The Video Capture shortcuts are indicated by small Video Capture icons on each shortcut. 3. Click Acquire to acquire images into the exam, or right-click on the template position and choose Acquire From | Video Capture or Default Source. 4. From the Video Exam window, click Freeze to capture an image. Click Unfreeze to search for another image. To open the image in a template within Advanced Imaging, click Save. The image appears in the Advanced Imaging window. 5. In the Video Exam window, select the Setup button to review the options. Consult your hardware provider for more information about your video capture card capabilities. 6. Under Image Size, select the size of the image. Select the checkbox, Output Enabled. 7. Select the checkbox Flip Image to automatically turn the image on the horizontal axis. 8. Select the checkbox Mirror Image to automatically turn the image on the vertical axis. 9. Select the checkbox Do Not Preview to disable the preview function. 10. Under Input, select from Composite, Aux and S-Video. 11. Under Output, select from the available selections. 12. Use the slider to control the Brightness, Contrast, Hue, Saturation, Sharpness, Gamma, White Balance and Gain. 13. Select the Auto checkboxes to automatically enable these settings. 14. Select the Backlight Compensation checkbox to adjust backlight for use. 15. Select the checkbox Colour Enable to transform black and white, grayscale and colour on certain cards. 16. Select OK to finish. 17. Select Cancel to close the window without saving your changes. 18. Select the Default button to reset the defaulted values. 364 • Advanced Imaging Patterson EagleSoft 15.00 The average video size is about ten MB per minute of video. The average video length is five minutes. Live Video Exam This feature allows you to record live streaming video in Advanced Imaging and save them as movies. To acquire Live Video: 1. Select the camera icon on the Clinical interface or select the Acquire button on the Advanced Imaging toolbar. 2. In Advanced Imaging, a movie icon in the Thumbnail View will indicate that the image is a movie file. 3. In the Image View, a player will be available from which the movie file can be viewed. Select Freeze to capture a still image and discard the recording. Import and export video files into Advanced Imaging as easily as you can import still images. Note: Video will be exported in the format in which it was originally saved. This cannot be changed. ScanX 1. Click New Exams in the Exam Bar window. 2. Choose the Exam Image Template shortcut. 3. Click Acquire to acquire images into the exam, or right-click on the template position and choose Acquire From | ScanX or Default Source. Panoramic Patterson EagleSoft 15.00 1. Click New Exams in the Exam Bar window. 2. Choose a Panoramic Exam Image Template shortcut. 3. Click Acquire to acquire images into the exam or right-click on the template position and choose Acquire From | Panoramic or Default Source. Advanced Imaging • 365 Other Exam 1. Click New Exams in the Exam Bar window. 2. Choose the Exam Image Template shortcut. 3. Click Acquire to acquire images into the exam or right-click on the template position and choose Acquire From | Other Exam or Default Source. (See the section Drag and Drop for more information) File 1. Click New Exams in the Exam Bar window. 2. Choose the Exam Image Template shortcut. 3. Click Acquire to acquire images into the exam or right-click on the template position and choose Acquire From | File or Default Source. 4. Browse to the file that contains the image. The images are saved in a compression format of the original file type. For example, a .jpg image will be saved in EagleSoft as a .jpg compression. Clipboard 1. Click New Exams in the Exam Bar window. 2. Choose the Exam Image Template shortcut. 3. Click Acquire to acquire images into the exam or right-click on the template position and choose Acquire From | Clipboard or Default Source. 4. The item that you have copied onto the clipboard will be imported. Drag and Drop Images In Advanced Imaging, a new exam can be created or an existing exam can be edited by dragging and dropping images. Now, rearrange an imported exam or combine a DenOptix Full Mouth Series or ScanX exam with a click of the mouse. To create a new exam from existing images: 366 • Advanced Imaging 1. In Advanced Imaging |View Images, click New Exam and select an exam template. 2. Click Exams by Type. Click the plus sign next to the exam from which you wish to drag the images. 3. To drag an image, click with the left-mouse button and do not release. Move your cursor to the desired location and release the left-mouse button to drop the image. 4. From the Exam Tree, on the list of named images associated with the exam you have opened, left-click the name of the image and drag it to the location on the blank template where you would like the image to appear. Release the left-mouse button to drop the image in a new position. A curved green arrow will appear when moving images from an existing template to a new template. Patterson EagleSoft 15.00 5. The image will no longer be associated with the original exam once it appears in the template. 6. Exam will autosave. To rearrange images within an existing exam: 1. Left-click the image you wish to move and drag it to the new location. 2. Release the left-mouse button to drop the image into the new location on the template. 3. The existing image will relocate to the vacant frame on the template. A red and blue double-headed arrow will appear when dragging images within the same template. 4. Exam will autosave. To accommodate the latest in technology, EagleSoft has created a threedimensional image viewer for use with 3D imaging devices. Patterson 3D Viewer To accommodate the latest in technology, EagleSoft has created a threedimensional image viewer for use with 3D imaging devices. Sagittal View Coronal View Window Width Window Center Coronal – Front to back Axial View Sagittal – Left to right 3D or MIP View Threshold Transparency Axial – Top to bottom Viewer Options OK – Select this option to save and close the Patterson 3D Viewer. Save As Exam – Select this option to save the current images as an exam. Print – Select this option to print the current images. Window Center – Use the slider to adjust the brightness of the Coronal, Sagittal, Axial and MIP views. This option does not affect the 3D rendering. Patterson EagleSoft 15.00 Advanced Imaging • 367 Window Width – Use the slider to adjust the contrast of the Coronal, Sagittal, Axial and MIP views. This option does not affect the 3D rendering. Slice Thickness – Use the slider to adjust the thickness or number of slices viewed in the Coronal, Sagittal and Axial views. The Bilinear option is the same as selecting only one slice, but it used bilinear interpolation to provide a higher quality image. Interpolation means replacing variables and literal characters with the appropriate values. Bilinear interpolation is an extension of linear interpolation between two variables. Orientation – Select this option to toggle the orientation lines in the Coronal, Sagittal and Axial views. Hide Slices – Select this option to hide the Coronal, Sagittal and Axial views and resize the 3D or MIP view to fill the window. Reset Views – Select this option to reset the orientation, window center, window width, transparency, and threshold values to the defaults. Show MIP/ 3D Render – Select this option to toggle between Three Dimensional and MIP views. Maximum Intensity Projection (MIP) as a computer visualization method for 3D data that projects in the visualization plane rendered from the viewpoint to the plane of projection. Animations are usually rendered of several MIP frames creating the illusion of rotation. Sagittal plane – Select this option to toggle the Sagittal plane in the 3D view. The Sagittal plane divides the image into left and right. Coronal plane – Select this option to toggle the Coronal plane in the 3D view. The Coronal plane divides the image into back to front. Axial plane – Select this option to toggle the Axial plane in the 3D view. The Axial plane divides the image into top to bottom portions 3D boundaries – Select this option to toggle the yellow box in the 3D view. Perspective – Select this option to toggle between perspective and orthogonal rendering. Perspective defaults to Orthogonal. Orthogonal means perpendicular or ‘at right angles’. The following is an example of Perspective rendering. Transparency – Use the slider to adjust the transparency of pixels in the 3D rendering. Threshold – Use the slider to adjust the threshold of the 3D rendering. The threshold determines which pixel values display in the image. Pixel values below the threshold are invisible. 368 • Advanced Imaging Patterson EagleSoft 15.00 Image Recycle Bin The Image Recycle Bin requires security level access. The Image Recycle Bin allows you to remove images without deleting them, so they do not appear in the patient’s file. When opting to delete an image from an image file, the following warning will appear. Select Yes to continue. To access the Image Recycle Bin, select Utilities | Image Recycle Bin. Warning: Purged images cannot be recovered or restored. To restore an image to the original exam, highlight the image and select Restore. To permanently delete an image from the Recycle Bin, highlight the image and select Purge. Note: Save to File will not save the actual image files. Save to File creates a .txt file listing the image names. To save the list of images in the recycle bin to a text file, select Save to File. Select the location for storing the file and select OK. Files saved outside of EagleSoft will not be backed up with the rest of your database. Use the Select All button to select all the images in the bin. Use the Clear All button to deselect any selected images in the bin. To select multiple images without selecting all images, depress the Ctrl key while you select. Use the Print button to print a report of all images in the Recycle Bin. Select the Close button to close the bin. Patterson EagleSoft 15.00 Advanced Imaging • 369 Using Advanced Imaging – Functionality The Advanced Imaging and Image Document windows include many image editing and managing functions. The standard and advanced toolbar buttons are displayed under the name of the function. If available, the hyperlink in the Image View window is listed as well. An asterisk (*) denotes the feature is only available from the Advanced Imaging window. File Menu New Click New from the File menu and choose from the following: IntraOral Images X-ray Sensor Images Scanned Images DenOptix Images Panoramic Images ScanX Images When you select an option from this menu, the Exam Bar loads the New Exam and the image template appears in the Exam View window. Open As Document Choose Open As Document to open a selected image directly into the Document View window. Open Cascaded Choose Open Cascaded to open images stacked one on top of the other in Document View. Open Tiled Vertically Choose Open Tiled to open images arranged side by side. Open Tiled Horizontally Choose Open Tiled to open images arranged stacked. Browse Images Choose Browse Images to open a menu of all images for this patient from all available exams. Now you can see all your patient’s images displayed by name in a single menu. Save Choose Save to keep the current image and any modifications you’ve made to the image. Delete* Choose Delete to remove an image. Import* Choose Import to introduce an image into the Advanced Imaging module. You can import the following file types: .PSD, .CAL, .PNG, .EOP, .CGM, 370 • Advanced Imaging Patterson EagleSoft 15.00 .EPS, .IMG, .ICA, .JPG, .PCD, .CMP, .MAC, .PCT, .MSP, .RAS, .TIF, .TGA, .BMP, .WMF, .FAX, .WPG and .PCX. Schick Images: Import * If you are using Schick CDR Version 2.6 Software, you can import Schick images into the Advanced Imaging module. From the File menu, select Import Schick Images. Select Single Image or Complete Exam. If you select Single Image, you will be able to import only one image at a time. If you choose Complete Exam, you will be able to import a patient’s entire exam into Advanced Imaging. Single Image 1. Select the Single Image radio button. 2. Click Import. 3. Select the folder that contains your exams and double-click or click Open. The folders are labeled after the last and first names of the patient to whom the exam belongs. For example, John Smith’s folder is labeled Smithjoh.001. An Explorer-style window similar to the following appears. 4. Select the image you want to view in Advanced Imaging. 5. After you have imported an image, you can then select, clear, delete or reset the import window. The Import Schick Images window appears. 6. Click Save to view the image in the Advanced Imaging window. Complete Exam Patterson EagleSoft 15.00 1. Click the Complete Exam radio button. 2. Click Import. 3. Select the folder that contains your exams. The exams are probably in the X-rays folder. 4. Select the exam folder and click OK. 5. Repeat steps 5-6, described previously. Advanced Imaging • 371 Export When exporting X-rays, use the 8 Bit option when prompted. When exporting video/camera images, use the 24 Bit option when prompted. Choose Export to export your image to a directory on your machine, saved as any of the following file types: .PSD, .JPG, .PCT, .TIF, .TGA, .BMP, .WMF or .PCX. Export All Choose Export All to export all selected images to a directory on your machine, saved as any of the following file types: .PSD, .JPG, .PCT, .TIF, .TGA, .BMP, .WMF or .PCX Your e-mail provider drives all e-mail features. E-mail Choose E-mail to electronically send the selected image to a patient, a specialist and/or an employee in the office. E-mail All* Choose E-mail All to e-mail all images opened within the Exam View window. Print Choose Print to print the selected image(s). Print All* Choose Print All to print all open images. Print 1:1 (actual size) This option will print the selected image in actual size centered on the page with patient and practice information as selected in Preferences. Depending on the size of the image, some clipping may occur. Print Custom* Customize your print layout with the Print Custom option. This feature enables you to improve case presentation, reorganize printed templates and improve referrals to other doctors. To use this feature, select the exam you want to print and the images from the exam. Multiple images can be selected using the Ctrl key. Customize Print Layout 1. 2. Choose any images you want to use in the Print Custom window. Choose Print Custom from the File menu. The Print Custom window appears. The exam images are on the left of the window. 372 • Advanced Imaging Patterson EagleSoft 15.00 Review the section on Printer Administration for more information on default printers. For example, you can use Import to put your office logo on all Custom Reports. 3. In the Print Custom window, click the Print Setup button. Choose the printer and orientation you will be using to print your custom report. Note: failure to choose a printer and orientation prior to attempting to print could result in the loss of your custom report. 4. Choose a print template. In the Print Custom toolbar, click the Template button and choose a template to use for your print layout. 5. Select an image and click Add Image to move an image to the blank sheet. You can also select an area in the template and double-click on the image to move it to the layout. Click Import to add an image from another location on your hard drive. 6. Once the images are on the layout page, you can place them anywhere on the page. Click on the image and drag the image to any location on the page. Resize images using the corner handles. 7. To add text, practice information, patient information or AutoNotes, click Text. Drag the cursor across to open the Text Properties window. The Text Properties window appears. The Patient and Practice address information is populated based on preferences selected in the Image Preferences tab. 8. From the Text Properties window, enter in patient information, practice information, AutoNotes and Referral Info. You can change the text colour, the font type, the size and the alignment of the text. Click OK to insert the text. When using the Spell Checking preference to Check Spelling While Typing in Text Notes, you will notice a wavy line appears under any Patterson EagleSoft 15.00 Advanced Imaging • 373 unrecognized word. You may right-click on the unrecognized word and choose Add to include the word in your Spell Check dictionary. When using the Spell Checking option to Check When Done Typing, clicking the Process or Cancel button will launch the Spelling Error window. In the Spelling Error window, choose from the following options: 9. • Click the Change button to retype the unrecognized word. Click into the Misspelled Word box and retype the word • To use one of the Spell Checker’s suggested words, highlight the word and click the Change button • Click Change All to apply the suggested or corrected word to all occurrences of the unrecognized word • Click Ignore to skip the word • Click Ignore All to skip all occurrences of this word • Click the Add button to add a word to the Spell Checker’s lexicon • Click Cancel to close the window The remaining buttons on the top toolbar enable you to draw lines, add time stamps, rotate images and more. 10. Use the right toolbar for size and alignment adjustments. Select all of your images by holding down the Ctrl key and clicking on each image with the mouse pointer. When you’ve selected the images, click any of the following to adjust the images: This aligns the left edges of the images. This aligns the right edges of the images. This aligns the top edges of the images. This aligns the bottom edges of the images. This centers the images vertically. This centers the images horizontally. This spaces the images equidistant from each other running horizontally. This spaces the images equidistant from each other running vertically. 374 • Advanced Imaging Patterson EagleSoft 15.00 If there are images of different widths, this changes all of them to the same width of the last image selected. If there are images of different heights, this changes all of them to the same height of the last image selected. This changes all the images to the same size of the last image selected. The image orientation buttons can be found on the right-hand menu of button options. These options allow you to flip, mirror and rotate images. This button allows you to scale the existing images to fit within the new template resolution. Print Custom Image Templates Create, edit and use an unlimited number of customizable templates for Custom Image Printing. Using the blank layout, arrange your images as desired and select Template | Save As to create a new template. In Custom Print, select the Template button to view the Custom Print Template List. Select the Use button to use the selected template. Select the New button to reset the current template. Select the Edit button to make changes to the current template. Select Delete to delete the current template. Select the Close button to close the window. In the Image Preferences tab, use the drop arrow to select a default template for Custom Image Printing. Patterson EagleSoft 15.00 Advanced Imaging • 375 Using Print Custom Layout To save your print layout for later use, make sure you have the Save custom image printouts as images preference checked on the Image tab in Clinical Preferences. If this is selected, each custom image layout is saved. 1. To view or use the custom image layout, open the Advanced Imaging window. 2. From the Exam Bar, click on the Recent Exams or Saved Exams buttons. A Custom Image Printout icon is available in either folder. Click the icon to display the image in the Exam View. Close The Close option is only available from the Image Document window. Edit Menu Undo Choose Undo to undo your last manipulation of an image. Image History Choose Image History to view, revert or apply the previous changes made to the image. Copy Choose Copy to duplicate the selected image or the selected part of an image to the clipboard. Paste As New Image Choose Paste As New Image to paste the selected image, or the selected part of an image, into an exam as a new image. Image Preferences Choose Image Preferences to specify your Advanced Imaging preferences for Label Tools, Text Tools and Measurements. Label Tools 1. 376 • Advanced Imaging Select a Label Tool from the dropdown list box. The Label Tools are used to select or point out areas of an image. Patterson EagleSoft 15.00 2. Adjust the Pen Size, Colour Scheme, Pen Colour or Fill Colour. 3. Click OK to save these changes. Text Tools From this tab, modify the annotation or text/date tools. Annotation 1. Click the dropdown list box and choose Annotation. The words Sample Text appear in the preview box. 2. Along the bottom of the preview window are four buttons that change the colour and frame of the text on your screen. 3. Adjust the Pen Size, Colour Scheme, Pen Colour or Fill Colour. 4. Click OK to save these changes. Text/Date 1. Click the dropdown list box and choose Text/Date. 2. Along the bottom of the preview window are four buttons that change the alignment and colour of the text on your screen. 3. Adjust the Colour Scheme, Text Colour and Fill Colour Size. 4. Click the Date Format window and change the format of how the date appears with the Text/Date stamp. 5. Click OK to save these changes. Measurements This enables you to modify the appearance of measurements in the Advanced Imaging window. 1. Patterson EagleSoft 15.00 Select the Show Main Measurement checkbox to display the measurement for the entire distance. Advanced Imaging • 377 2. Select the Show Intermittent Measurements checkbox to display the measurements in between points. 3. Select the Show Angles checkbox to display the angle degrees. 4. Choose colours for the specific area from the colour dropdown list boxes. 5. Click the Font button to change the Measurement tool fonts. Label Properties Choose Label Properties to modify the properties of a label you assigned to an image (for example, Date and Time Stamp). View Menu 1:1 View Choose 1:1 View to view the image in its original size. Fit To Window Choose Fit To Window to stretch the image to fit the size of a window that has been resized. Full Screen Choose Full Screen to view the selected image in its original size with many of the elements of the window, such as toolbars, removed so you can focus on the image. Original View Choose Original View to view the image as it was originally acquired. Show Annotations Choose Show Annotations to view any annotations attached to the selected image. Show Measurements Choose Show Measurements to view any measurements related to the selected image. Show Labels Choose Show Labels to view any labels related to the selected image. 378 • Advanced Imaging Patterson EagleSoft 15.00 Measurement Detail Choose Measurement Detail to view any measurements taken for the selected image. Image View* Choose Image View to view the image in a separate window with image editing capability. Image Info View Choose Image Info View to view image information for the selected image in the Exam View window. Usability Mode Choose Usability Mode to modify the mode in which you use Advanced Imaging. Choose Standard for a basic toolbar with general tools or Advanced for the full toolbar with all available imaging tools. Toolbars Choose Toolbars to modify the toolbars displayed on your window. Image Menu Acquire Choose Acquire to obtain an image from the selected source of that exam. Click Retake to acquire a new image over an existing one. Crop Use the Region Selector to choose a portion of the image. Choose Crop to resize the selected portion of the image. Mirror Choose Mirror to turn the selected image horizontally. Flip Choose Flip to turn the selected image vertically. Rotate Choose a Rotate button to turn the selected image 90, 180, or 270 degrees. Click Custom to rotate the image to your own customized specifications. Swap Choose Swap to exchange images within an open template. To use swap images, select an image in the Exam View and press the Ctrl key. Select the images you want to exchange and click Swap. Patterson EagleSoft 15.00 Advanced Imaging • 379 Information Choose Information to view or modify Image Information, including: Description – Specify a description of the image. Exam Group – View the exam group for the image, if applicable. Date Acquired – View the date the image was acquired. Acquired By – View the provider/staff member who acquired the image. Acquired From – View the image acquisition source. Image Type – View the Image Type. Tooth Info – Specify a tooth number or range of teeth for the selected image. This is helpful when viewing images “By Tooth Number” in the Open Images dialogue, in Chart or within the Perio Exam window. Image File Information – View specifications for the selected image, such as Format, Dimensions, Image Size, Resolution and File Size. Exam Information This area updates the patient’s last bitewing, panoramic or full mouth series. Effects Menu Clarify Clarify is an adaptive contrast enhancement tool designed to brighten, sharpen, normalize and contrast an image for maximum clarity. Clarify Setup Use Clarify Setup to establish the parameters for the Clarify feature. To access Clarify Setup, select Effects | Clarify Setup in Advanced Imaging. Choose from the following options: 380 • Advanced Imaging Patterson EagleSoft 15.00 • Clarify Type – Select Clarify 1 or Clarify 2. Clarify 1 is the current Clarify settings. Clarify 2 runs much more quickly, but is just as effective. Selecting a different Clarify Type will automatically reset the Intensity, Gain, Radius and Adjust Histogram values to their defaults • Defaults – Select this button to reset the settings to the default values for Clarify 1 • Apply Clarify – Select this option to apply the current Clarify settings to the original image. The resulting image will be displayed on the right • Intensity – Use the arrows or slide the bar to determine the Intensity setting. This is available for Clarify 1 and 2 • Gain – Use the arrows or slide the bar to determine the Gain setting. This is available for Clarify 1 only • Radius – Use the arrows or slide the bar to determine the Radius setting. This is available for Clarify 1 and 2 • Adjust Histogram – Select the checkbox to apply a histogram adjustment after applying Clarify. This checkbox is selected by default when using Clarify 1 • Pan – Select to manually move the view of the preview boxes • Zoom – Select to zoom in or out on either the original or the resulting image • Zoom To Fit – Select to fit both the original and resulting image into the preview boxes • 100% – Select to zoom in or out on either the original or the resulting image • OK – Select to save the Clarify settings and apply them to the currently selected image. Changing these settings will affect any image to which Clarify has been applied Enlighten Choose Enlighten to adjust overexposure or underexposure of the image. Brightness/Contrast Choose Bright/Cont to adjust the brightness and contrast levels on the selected image. When the hyperlink is clicked, the mouse pointer changes into an L-shaped cursor. To change the contrast in the image, left-click on the mouse and move the pointer left or right, or adjust both simultaneously by moving the cursor in a diagonal direction. Release the left-click when finished. A sub-menu of options is available from the Brightness/Contrast menu. Patterson EagleSoft 15.00 Advanced Imaging • 381 Increase Brightness Choose this option to increase the intensity in the selected image. Decrease Brightness Choose this option to decrease the intensity in the selected image. Increase Contrast Choose this option to increase the distinction within the image. Decrease Contrast Choose this option to decrease the distinction within the image. Custom Choose this option to customize the brightness and contrast of the image. Select this option and an L-shaped cursor appears. Hold down the leftmouse button and drag the cursor up or down to increase or decrease the brightness. Drag the cursor left or right to increase or decrease the amount of contrast. Normalize Readjusts the contrast balancing the darkest/lightest areas. Equalize Readjusts the contrast to spread uniformly throughout the image. Dynamic Range Darken/Dynamic Range Lighten Both Dynamic Range functions perform dynamic range compression (a non-linear brightness/contrast adjustment) on the selected image. Histogram Adjustment Choose Histogram to adjust the image properties. 382 • Advanced Imaging Patterson EagleSoft 15.00 Click and slide the black arrows or select the specific box and enter a new value to adjust the Maximum, Minimum, Low, Gamma and High settings. Select the Open button to select a Custom Histogram Adjustment. Select the Save button to save the current settings as a Custom Histogram Adjustment. The following appears: Enter a name for the Histogram Adjustment Description and select OK. Select the Reset button to return to the original settings for this image. Select the OK button to save the settings for this image. Select the Cancel button to close this window without saving. Smooth Choose Smooth to make edges appear less distinct in the selected image. Sharpen Choose Sharpen to make edges appear more distinct in the selected image. Noise Reduction Choose Noise Reduction to clear up any video static in the selected image. Custom Filter Choose Custom Filter to adjust the image properties. Please contact Patterson EagleSoft Support for assistance prior to using this feature. Patterson EagleSoft 15.00 Advanced Imaging • 383 From the Effect menu in Advanced Imaging, select Custom Filter. Enter a name for the Filter. • Pan – Select the button to reposition the image • Zoom – Select the button to magnify a specific area • Arrow – Select the button to resize the image • 100% – Select the button to return the image to its original size Click into the boxes to assign a value to the Filter Matrix. Enter a value for the Division Factor and Bias. Select OK to apply these adjustments to this image. Select Cancel to close the window without accepting the changes. Select Save to save these settings as a Custom Filter. Select Delete to delete a Custom Filter option. Colourize Click Colourize to toggle colourization on and off. Invert Choose Invert to reverse the existing colours of the image to their opposite colour, creating a “negative” of the selected image. Hue/Lightness/Saturation Choose Hue/Lightness/Saturation to modify these elements of the selected image. Extract Colour Choose Ext. Red, Ext. Blue or Ext. Green to remove red, blue or green from the selected image. Emboss Choose Emboss to add a textured look to your image. 384 • Advanced Imaging Patterson EagleSoft 15.00 Emboss 3D Choose Emboss 3D to add a textured, three-dimensional look to your image. Edge Enhancement Choose Edge Enhancement to create a darkened, flattened image with highlighted edges. Laplace Edge Enhancement Choose Laplace Edge Enhancement to create a texturized, flattened image with highly defined edges. Highlight Use the Highlight feature to demonstrate the spreading of a condition on Xray images. This feature enables the user to enhance gray areas in an X-ray image with the colour of their choice. By highlighting a region and adjusting the tolerance, this enhancement can be an effective tool for case presentation. 1. Choose Highlight from the Effects menu. When moved over the image, the mouse cursor appears as a dropper. 2. Click in an area of the image and choose a colour from the Colour palette window. The colour appears in the image. 3. Patterson EagleSoft 15.00 Click in another area of the image and choose a different colour from the colour palette window. That colour also appears in the image. Advanced Imaging • 385 4. When both colours are applied, right-click and drag the pointer in the left or right direction to increase or diminish highlighted areas. This shows where the affected area will spread next. 5. To reset the image, right-click on the image in the Exam View and choose Original View or just click on another image. 6. To stop using the Highlight, select the Arrow option from the toolbar, menu or the hyperlink in the Image View window. Custom Image Effects Choose from previously created enhancements. To create image enhancements for Advanced Imaging, follow these instructions. 1. To create image enhancements, go to Lists | Clinical Lists | Custom Image Enhancements. 2. Click New to create a new image enhancement. 3. Type the description of your enhancement. 4. Select enhancements and, if available, a degree of modification for each one. 5. Click OK to save this enhancement. Using Custom Image Effects 1. From the Exam Window, select an image. 2. To apply the Custom Image Enhancements, go to the Effects menu and choose Custom Image Effects. 3. Choose an image enhancement. 4. The image enhancement is applied to the image. Tools Menu EagleEye EagleEye is a diagnostic tool that enables you to view areas of the image in high contrast, colourized or inverted ways. Instead of applying broad changes to an entire image, EagleEye gives you the ability to choose specific areas of the image. There are six different EagleEye effects available from the EagleEye submenu: Spot Enlighten, Spot Colourize, Spot Fire, Spot Ice, Spot Invert and Spot Zoom. You can also customize the spot size and the zoom level (magnification of the selected area of the image). 386 • Advanced Imaging Patterson EagleSoft 15.00 When you click the EagleEye hyperlink in the Image View window, you can right-click and access the EagleEye submenu. 1. To use the EagleEye on an image in the Image View window, click the EagleEye hyperlink. 2. Move the mouse pointer over the image. A spot appears with an icon that symbolizes the type of spot enhancement, such as the following: a candle represents Spot Enlighten, a small flame represents the Spot Fire and so on. 3. Hold down the left-mouse button and move the mouse cursor around the image to use the spot enhancement. The following is an example of the Spot Fire in use. 4. To change the type of enhancement, choose the EagleEye submenu or right-click on the image. 5. To increase the size of the enhancement, choose the EagleEye submenu or right-click on the image. From the menu, select one of these spot sizes: Small, Medium, Large or Extra Large. The size difference is applied when the enhancement is used. 6. If you are using the Spot Zoom enhancement, choose the EagleEye submenu or right-click on the image to change the degree of magnification. From the menu, you have three Zoom Level options: Low, Normal and High. Selector/Arrow Choose Selector to utilize the selector tool. Region Selector Choose the Region Selector to select regions of the image. Zoom Choose Zoom, then left-click anywhere on the image to zoom in on that image. To zoom out, right-click on the image. Pan After clicking the Zoom option, choose Pan, then simply click and drag the pan tool on your image to move it in the direction you desire. Patterson EagleSoft 15.00 Advanced Imaging • 387 Text Choose Text to add text to the selected image. Click and drag the Text cursor to open the Text Properties window. The following options are available from the Text Properties window: Alignment These buttons enable you to align the text with the left margin, center the text or align the text with the right margin. Font Click this button to change the font type, style and size. Text Enter the text you want to appear on your image. View how the text will appear in the Preview window. Colour Scheme – Choose Colour to change the colour of the text and the background of the text. Choose Watermark to modify the watermark levels. Choose Invert to invert the fill and text colours. Spell Checking – If you have the preference checked to use both options in Spell Checker, the following are available in the Spelling Error window: • Click the Change button to retype the unrecognized word. Click into the Misspelled Word box and retype the word • To use one of the Spell Checker’s suggested words, highlight the word and click the Change button • Click Change All to apply the suggested or corrected word to all occurrences of the unrecognized word • Click Ignore to skip the word • Click Ignore All to skip all occurrences of the word • Click the Add To Dictionary button to add a word to the Spell Checker’s lexicon • Click Cancel to close the window Line Choose Line to draw a line on the selected image. 388 • Advanced Imaging Patterson EagleSoft 15.00 Circle Choose Circle to draw a circle on the selected image. Square Choose Square to draw a square on the selected image. Pencil Choose Pencil to draw on the selected image. This feature is helpful if you want to pinpoint certain sections of the image for a specialist or patient. Arrow Choose Arrow to place arrows on the selected image. Double-click on the image to modify the Arrow Label settings or use the buttons on the bottom left of the Advanced Imaging window. Date/Time Stamp Choose Date/Time Stamp to place a stamp of the current date and time on the selected image. Double-click on the image to modify the Date/Time Stamp settings or use the buttons in the bottom left of the Advanced Imaging window. Relative Density Choose Relative Density to learn the relative density of any area on the selected image. Simply click on the location and the amount is displayed. Annotations Choose Annotations to add comments to the selected image. Click on the image and the Image Annotation Type List window appears. Choose an annotation to add to the image. Measure Choose Measure to take measurements of any area on your image. With your Measure cursor, move to the point where you want to begin taking the measurement and left-click. Drag the line to the points you want to measure, then when finished, double-click. The Measurement Information window (see the following image) is displayed. Images acquired using Schick sensors are ‘precalibrated’ and can be measured immediately after acquisition. Non-Schick images will require a measurement standard such as a Tooth File. Enter a Description for the measurement. Patterson EagleSoft 15.00 Advanced Imaging • 389 Modify the units used for the measurement: Inches, Millimeters or Centimeters. If you are using the Measurement tool and the measurement tool has not been calibrated, the Calibrate Measurement window appears. Calibrate Measurements Choose Calibrate Measurements to enter your own precise measurement to be used by the Advanced Imaging module. With your measurement cursor, move to the point where you want to begin taking the measurement and left-click. Drag the line to the point you want to measure and left-click again. The Calibrate Measurements window (see the following image) is displayed. The Reported Distance is displayed. Enter the Actual Distance from your own measurements. The measurement(s) you enter in the Actual Distance field(s) is used in calculating any future measurements on this same image. Activities Menu Change Patient Choose Change Patient to select a different patient from the Person List without closing Advanced Imaging. Patient Photo Choose Patient Photo to view the current patient’s photo, if available. To assign a patient photo to a patient, see Image Information under the Image Menu section earlier in this chapter. Patient Alerts Choose Alerts to view any alerts for the current patient, if applicable. Clinical Exam Choose Clinical Exam to access the patient’s clinical exam. Chart Choose Chart to access the patient’s chart. Perio Choose Perio to access the patient’s Perio exam. 390 • Advanced Imaging Patterson EagleSoft 15.00 PSR Choose PSR to access the patient’s PSR exam. Medical History Choose Medical History to access the patient’s medical history. Practice Management Choose Practice Management to switch to the EagleSoft Practice Management application. Notes Choose Notes to create a new text, audio or scribble note or to view Note History for the current patient. OnSchedule Choose OnSchedule to start OnSchedule, Practice Management’s scheduling tool, or to access areas of OnSchedule such as Day-at-a-Glance or Week-at-a-Glance. Task List Choose Task List to create, edit and view scheduled tasks. SmartDoc Choose SmartDoc to launch the SmartDoc feature. Messenger Choose Messenger to open the Messenger window. Image Document Window Anywhere an image is available in EagleSoft, you can double-click on the image and open it in the Image Document window. This window gives you all the Advanced Imaging tools, and you can also change the image or example group settings. A thumbnail, a smaller version of an image, is available to the left of the larger image. If you open an image within a template, the template map (a collection of all the images within that template) is also available to the left of the image. Thumbnail Map The Thumbnail Map displays a smaller version of the image. When you zoom in on a part of the actual image, a green box appears on the thumbnail in the location you are viewing. Patterson EagleSoft 15.00 Advanced Imaging • 391 You can also use the green box in the thumbnail to navigate to different areas of the larger image. To do this, move the mouse pointer over the green box. The mouse pointer turns into a hand (see the following image). Hold down the left-mouse button and drag the green box to different areas of the image. Customizable Toolbar The customizable toolbar is available from the Image Document window. Template Map When you view an image attached to a template, the other images are loaded into a template map located in the bottom left of the Image Document window. This feature enables you to browse all the images in the template from the Image Document window. To browse images in the template, click on different thumbnail images on the Template Map to view different images. 392 • Advanced Imaging Patterson EagleSoft 15.00 Image Document Viewing Use the View menu to maximize your viewing area. In the Image Document, select View. Deselect the Thumbnail view and/or Image Detail View. This will increase the size of the viewing area for the image. Patterson EagleSoft 15.00 Advanced Imaging • 393 Cosmetic Imaging Introduction EagleSoft provides a cosmetic imaging tool to enhance and modify images. These features give you the best imaging tools offered in most expensive cosmetic programs. Applying cosmetic enhancements to your images with the Cosmetic Imaging tool saves you money and time. Accessing Cosmetic Imaging To access the Cosmetic Imaging tool, make sure you are viewing a recent or saved video exam. When you are ready, select an image and click the underlined word Cosmetic. -orClick Cosmetic Imaging on the toolbar. -orChoose Cosmetic Imaging from the Window menu in Advanced Imaging. The Cosmetic Imaging window appears. 394 • Cosmetic Imaging Patterson EagleSoft 15.00 On the left, there are various cosmetic tools divided into five sections according to the type of adjustment or enhancement. Using Cosmetic Imaging Brushes The Size slider applies to each of these functions. Move the Size slider up to decrease the size of the paintbrush. Move the Size slider down to increase the size of the paintbrush. Smudge: This brush acts as if the user is smudging a selected portion of the image. Whitener: This brush demonstrates the outcome of bleaching or whitening teeth. Adjust the levels of whitening with the Whitener slider in the Levels section of the window. Eraser: Use this brush to restore an area of the image to its original state Defocus: Use this brush to sharpen or smooth areas of the image. When you are finished adjusting the Defocus level, hold down the left-click mouse button and drag the mouse cursor over an area of the image Adjust the Defocus slider to change the Defocus level. Move the slider above center to smooth the image. Move the slider below center to sharpen the image. Paint: Use this to paint freely anywhere on the image. Click the underlined word. Set Colour: Use to change the paint colour. Right-click on the image to change the paint colour Magnify: Use this brush to zoom in on specific areas of the image Match Colour: Click in a specific area of the image, and the paintbrush matches the colour of that area Circle: Click the circle to make circular-shaped impressions Diamond: Click the diamond to create diamond-shaped impressions Square: Click the square to create square-shaped impressions Selection Use Select Area to outline a specific tooth or to highlight a selection of teeth. For these functions, use the Transparency slider to increase or decrease the density of the selected area of the image. Copy Area: This enables you to create a copy of the selected area and move, rotate or resize the copied area. Select Area: Click this option to enable you to select an area of the image. Select the area by clicking and dragging the mouse from point to point. You can also click points on the image to select an area of the image. Double-click when finished selecting the area. To deselect a point you have selected, right-click and move the mouse backward to the last click. To continue deselecting, continue right-clicking around the selected area. Flip Area: This vertically flips the selected area. Patterson EagleSoft 15.00 Cosmetic Imaging • 395 Add to Lib: Click this to add the selected area to the Example Groups folder. You can also assign descriptions and groups to the new images. Mirror Area: This flips the selected area horizontally. Match Colour: Click this to change the colour of the selected area to match the adjacent colours in the image. Use Select Teeth and the Whitening slider to whiten all teeth at the same time. Select Teeth: Click this link to modify only the teeth on an image. After you’ve clicked the link, use the mouse to draw a box around the patient’s mouth. Release the left-mouse button. You can also click points on the image to select an area of the image. Double-click when finished selecting the area. The teeth are automatically highlighted in blue. Edit Selection: When the Select Teeth option is being used, right-click in the selected area to remove portions of the selected area. Left-click to add area. You can also adjust the Focus slider to increase or decrease the selected area. Try In Clipboard: This enables the user to fill the selected area with an image from the clipboard. When you click this option, you can then paste in whatever is currently in the clipboard. Import File: This enables you to import an image from your hard drive into the selected area. When you click the option, a Windows Explorer box appears. You can then browse through your folders and choose an image. Lorin Library users can access those images using the Library link. Library: Click this feature to add images from the Library to the selected area of the current image. Use the mouse cursor to select an area of the image. Click Library and a Select Image(s) window appears. Choose the image you want to insert by selecting the checkbox and click OK. Add to Lib: This feature enables you to add the current image or selected area of an image into the Library. Use the orientation boxes and the Level sliders to adjust the inserted image. Basic Operations EagleSoft recommends saving your work often when using the Cosmetic module. Close: This closes the Cosmetic Imaging window. Save: Click save to save the cosmetically enhanced image. Print: Click print to print the cosmetically enhanced image. Zoom: Click zoom to magnify the entire image. Use the left-mouse button to zoom in and the right mouse button to zoom out. Delete: This deletes a floating image that was inserted or imported into the original image. Note: Once the imported or inserted image is no longer a floating selection, Reload must be used to remove it. Reload will restore the image to its original state. Comparison: This feature enables you to open a before, during and after view of the images called the Cosmetic Comparison Simulator. In this window, the original image is compared to the cosmetically enhanced image The Simulator shows you the original and enhanced image, as well as the steps used to enhance the image. Use the slide level to adjust the speed of the simulation. 396 • Cosmetic Imaging Patterson EagleSoft 15.00 Click Stop to stop the simulation. Click Close to end the simulation. Click the Print button to open the Cosmetic Comparison in Custom Report Printing. Use any of the Custom Print features to further enhance your cosmetic image. Click Print to print this report. Print: Click to print the image. Reload: Click to reload the image to its original state. Undo: This cancels the last action performed. Undo will not remove a floating selection. Levels Defocus: Move the defocus slider up to increase the smoothness of the image, or move the slider down to sharpen the image. Using it with the Select Teeth option increases or decreases the selected area. Whiten: Slide this bar to change the level of whitening on the selected teeth. Transparency: This increases or decreases the density of a floating image. Size: This enables you to increase or decrease the size of any of the brushes. Lorin Library EagleSoft offers the ability to interface fully with the Lorin Library of images to further enhance your cosmetic imaging experience. The Lorin Library is an integrated product that can be purchased separately. After loading the Lorin Library compact disc, select the Library hyperlink in Cosmetic Imaging. You must have an area selected in Cosmetic Imaging prior to clicking into Library In the Select Images window, the Lorin Smile images will be listed in numerical order. Clicking on the name of any Lorin Smile image will display a preview in this window. Patterson EagleSoft 15.00 1. Check the box next to the image you want to Try In. 2. Click OK. Cosmetic Imaging • 397 Continuing Care – Unit 6 The Continuing Care unit contains the following chapters: Rx Writer Lab Case Tracking Post Procedure Notes eReferrals Recalls 398 • Continuing Care – Unit 6 Patterson EagleSoft 15.00 Rx Writer Introduction to the Rx Writer EagleSoft’s Rx Writer is a fully automated prescription writer that enables you to create, process, and print prescriptions for your patients. Rx Writer gives you the ability to set up local pharmacies, prescriptions, premedication alerts and much more. Rx Writer and OnSchedule enable you to schedule a patient and prescribe pre-meds all from the same window. This chapter contains information on the following: • Setting up the Rx Writer • Setting up laboratories and drugs • Using the Rx Writer • Using OnSchedule and the Rx Writer Setting Up the Rx Writer Before setting up the patient preferences, it is a good idea to set up the Rx drugs, templates and pharmacies. This enables you to create prescriptions more quickly and with greater efficiency. Setting up prescription templates, Patterson EagleSoft 15.00 Rx Writer • 399 drugs and pharmacies means you can save time when creating a prescription for patients who may be waiting. Rx Drugs 1. To set up the drugs for your system, go to Lists | Practice Management Lists | Rx Writer | Rx Drugs. The following Rx Drugs list box appears. 2. From the Rx Drugs window, you can view the drug name, dispense and refills. Click New to add a new drug. Click Edit to modify an existing drug. Click Delete to delete an Rx drug. To print a report of Rx Drugs, click Report. The New or Edit Rx Drug window appears if you clicked New or Edit. 3. Enter the drug name in the Drug box – Darvacet, Amoxicillin, Tylenol #3 and so on. Select the # of Refills radio button and enter an amount to allow only a certain number of refills. Select the As Needed radio button if the drug is to be refilled only on an as-needed basis. 4. Click OK when finished editing or creating an Rx drug. Pharmacies Creating pharmacies can speed up the prescription process. The pharmacy information includes the address, phone number, contact name and any comments. If a patient has a preferred pharmacy, the patient’s pharmacy’s name and phone number appears in the Rx Writer, however you may choose a different pharmacy other than the preferred. You can call in the prescription or give instructions to the pharmacist as well. 400 • Rx Writer Patterson EagleSoft 15.00 1. Go to Lists | Practice Management Lists, choose Rx Writer and select Pharmacies. The Pharmacy List window appears. 2. From the Pharmacy List window, you can create, edit or delete pharmacies. To edit, select a pharmacy and click Edit. To delete, select a pharmacy and click Delete. To create a pharmacy, click New. The New or Edit Pharmacy window appears. 3. Enter name, address, the contact name, phone/fax number and comments relevant to the pharmacy. 4. Click OK to save and exit. Setting Up a Preferred Pharmacy for a Patient After creating pharmacies, you may want to set up preferred pharmacies for patients. Patterson EagleSoft 15.00 1. To set a patient up with a pharmacy, go to Lists | Practice Management Lists | Person and edit a person. 2. Click on Preferences in the Edit Person window. 3. Select a pharmacy from the Pharmacy dropdown list box. 4. Click OK when finished setting up preferred pharmacies. This patient’s preferred pharmacy is saved. When you enter a prescription for the patient, the pharmacy name and phone number appear. Rx Writer • 401 Templates Templates enable you to create prescriptions for your patients in a timely manner. When templates are set up, creating a prescription is as easy as selecting the template from the Template dropdown list box and clicking OK. Follow the instructions below for creating a prescription template: 1. From the Lists | Practice Management Lists | Rx Writer menu, select Template. 2. From the Prescription Templates window, you can view a list of current templates. The templates are displayed as Description, Drug Name, Refill and Dispensed. To edit a template, select a template and click Edit. To delete a template, select a template and click Delete. Click New to create a template. The New or Edit Rx Template window appears. 3. 402 • Rx Writer Enter the following template information as needed: • Description – Enter a description for the Rx template • Drug – Select an Rx drug from the dropdown list box. Once a drug is selected, the drug information is pulled in • Dispense/Refills – Enter or select the amount of refills and refill information Patterson EagleSoft 15.00 4. • Rx Instructions – Enter information pertaining to this prescription. This information is printed on the form to be given to the pharmacy • Patient Instructions – Enter instructions for the patient. This information appears below the perforated line on the prescription label. This information alerts the patient to any possible side effects, times to take the medicine and so on • Provider – Select a provider from the dropdown list box. This displays the provider writing the prescription for the patient • Add Alert – Select this checkbox to generate an alert for this prescription as long as it’s active Click OK to save and exit. Setting Up Rx Writer Preferences Once you are finished setting up the pharmacies, drugs and templates, you can then set up the preferences for the Rx Writer. Although the preferences are not required, they are helpful when creating and processing prescriptions for your patients. Person Preferences Setting up person preferences for the Rx Writer saves time when creating prescriptions for each patient. These preferences also remind you of phone numbers and pre-meds. To set up the Rx preferences, go to the Patient Preferences window. 1. To access the Patient Preferences window, go to the Lists menu and select Person. 2. From the Person List, select a person and click Edit. 3. From the Edit Person window, click the Preferences window. In the Patient Preferences window, you are able to add the preferences for the current patient in the Appointment Preferences section. Appointment Preferences – Using Rx Writer with OnSchedule If you select the Pre-med necessary checkbox, a pre-med message box (see the following image) appears when this patient is scheduled for an appointment. This message box gives you three options: Patterson EagleSoft 15.00 Rx Writer • 403 • Prescribe Now – Click this button to prescribe or create a prescription for the selected patient at the time you are scheduling the appointment • Assign A Task – Click this button if you want to assign a task as a reminder to prescribe pre-meds for the selected patient • Don’t Prescribe – Click this button if you do not want to prescribe an Rx for the selected patient at this time If the patient is set up for pre-medication in the patient’s preferences, a premedication indicator appears on the appointment block. Financial Preferences In the Edit Person window, select a pharmacy from the Pharmacy dropdown list box. When you create a prescription for a patient, that patient’s pharmacy phone number and address appear by default. Printing Preferences Perforated Rx Forms Printing prescriptions through EagleSoft is an efficient way of providing prescriptions for a patient before he/she leaves the office. EagleSoft enables printing prescriptions on perforated Rx forms as well as plain paper. Follow the instructions below for setting up the Rx forms: 1. To print prescription forms with a perforated edge, go to File | Preferences | Practice Management Preferences and select the Printing tab. 2. Choose the Use Perforated Rx Forms for Prescriptions checkbox. 3. Click OK to save this preference. Accessing the Rx Writer The Rx Writer is accessible from several places in EagleSoft. From the Integrated Mode window, go to the Activities | Practice Management Activities menu and choose Rx Writer. -orFrom the Integrated Mode window, click on the Prescription Writer icon. -orIf available, click Rx Writer on the toolbar in any mode. -orFrom the OnSchedule window, right-click on an appointment, choose Practice Management and select Prescription History. 404 • Rx Writer Patterson EagleSoft 15.00 Creating Prescriptions Now that the template, pharmacy and drug information are set up, you can create a prescription. Prescriptions Window 1. Go to Activities | Practice Management Activities and select Rx Writer. The Prescriptions window lists all current prescriptions with sorting options. 2. From the Prescriptions window, there are various ways of managing and viewing prescriptions. To sort the prescriptions differently, click one of the column headings. The following options are available: Find – Depending on the sort method, enter the Rx ID number (far left column), press the Tab key then press the Enter key. Show expired prescriptions – Select this checkbox to view expired prescriptions from the Prescriptions list. Refill – Select the prescription to be refilled and click the Refill button. The Prescriptions window appears. Enter the refill amount in the # of Refills box and click OK. The original prescription remains and a new prescription appears with the date of the refill. New – Click New to create a prescription. To continue creating a prescription, skip to #3. Edit – Select a prescription and click Edit to modify a prescription. Delete – Select a prescription and click Delete. A deleted prescription is marked through. Report – Click this button to preview/print a report of prescriptions. For more information, see the section later on printing prescription lists. Close – Click Close to exit the Prescriptions window. Patterson EagleSoft 15.00 Rx Writer • 405 3. Click New to create a new prescription. The New Prescription window appears. 4. If you are creating a new prescription, select a patient. If the patient has a preferred pharmacy, the name and phone number appear. If not, select the dropdown list to choose any pharmacy in your database. 5. From the Rx Template dropdown list box, select a template (if desired). If the template has not been set up in the Template window, click the underlined word Rx Template. From this window, you can create, edit and view templates. 6. If the template does not include a drug, select a drug from the Drug dropdown list box if applicable. Enter the dispense amount and refill information if needed. 7. If applicable, enter any Rx Instructions for the pharmacy. 8. Use the default pharmacy or choose any pharmacy in your database. 9. If needed, enter instructions for the patient in the Patient Instructions box. 10. Select a provider from the Provider dropdown list box. This is the provider who assigned the prescription. 11. Enter or select a Valid Until date. This date indicates how long the prescription appears in the Prescriptions window as an active prescription. 12. Select the Add Alert checkbox if you want this prescription to appear along with the alerts. 13. Before saving the prescription and closing, there are three other options: • Click Print to print the prescription form • Click Setup to view the printer setup • Click Rx History to view this patient’s Rx history 14. Click OK to save and exit. An operatory and/or account note is generated when a prescription is created. 406 • Rx Writer Patterson EagleSoft 15.00 Printing Prescriptions and Reports Printing Prescriptions The final and most important step in processing prescriptions is printing the prescription for the patient and the pharmacy. Patterson Office Supplies has provided a form that is used when printing out the prescription. This form is split into three sections: the prescription form for the pharmacy, a duplicate of the prescription for the patient’s file, and, in the bottom portion, a patient prescription report that includes information and/or instructions per the medication. 1. To print the prescription form, select the prescription from the Prescriptions window. 2. Click Edit. 3. To select a different printer for the Rx Writer, click Setup. 4. To print the prescription, click Print. The form is printed automatically. 5. When the prescription has been printed, the following message appears: Your prescription has been printed. 6. Click OK to save and close the Prescriptions window. Printing Prescription Reports The prescription report prints the Rx ID patient name, drug name, Rx date, expiration date, refills, dispense, Rx instructions, patient instructions, provider and allowable generic option. The prescription report is available from the following areas: Edit Person window, Prescriptions List window, the Tx/Rx/Lab tab in the Reports menu and as an EOD report. Once you have selected to print a report, you have different options for the prescription report. Patterson EagleSoft 15.00 1. To print a Prescription History report for an individual, choose the Individual Patient radio button. You then have the option of selecting a patient. 2. To print a report for all patients, select the All patients radio button. If needed, select a certain provider or choose All Providers for the reports. 3. If you want to include expired prescriptions, select the Show expired prescriptions checkbox. To include “striked” prescriptions (prescriptions that have been modified), select the Show striked prescriptions checkbox. 4. Click Report Preview to view how the report looks. Rx Writer • 407 Lab Case Tracking Introduction to Lab Case Tracking The Lab Case Tracking feature is an easy way to manage lab work being done for your patients. This feature monitors all lab work, the labs they were sent to, the date sent, the date expected for return and more. Service codes can be set up to generate lab cases when walked out. If you walk out a patient who needs lab work, you can schedule the patient and create a lab case all from OnSchedule in a few quick steps. Lab Case Tracking gives you more ways to manage time-consuming office work while meeting your patients’ needs. The following information is in this chapter: • Setting up lab case tracking preferences • Creating laboratories • Creating lab cases • Using lab cases with walkouts • Using lab cases with appointments Lab Case Tracking – Setup Before using lab case tracking, you need to create laboratories and lab case types. The laboratories store contact information for you to use when creating lab cases. The lab case type can also be used when creating lab cases. Lab case types help monitor types of lab cases being sent, the amount and the frequency. Laboratories 1. From Lists | Practice Management Lists | Lab Tracking, click on Laboratories. The Laboratory List window appears. 408 • Lab Case Tracking Patterson EagleSoft 15.00 2. Click New or Edit to create or edit a laboratory. To edit a laboratory, select the laboratory and click Edit. To delete a laboratory, select the laboratory and click Delete. To print a report of laboratories, click Report. To exit the Laboratory window, click Close. 3. Enter address and contact information for the laboratory. Click OK when finished. Continue to add as many laboratories as you need for your practice. Creating Lab Case Types Creating lab case type descriptions for lab cases gives you the chance to view, edit and print your lab cases for future reference. If, for example, you want to track the amount of crowns sent off in the past month, print a detailed report of crowns according to the lab case types. To use the lab cases, you first need to set up the lab case types. Patterson EagleSoft 15.00 1. From Lists | Practice Management Lists | Lab Tracking, click on Lab Case Types. 2. Click New to create a new lab case type. Lab Case Tracking • 409 The following window appears. 3. Enter a description for the lab case type. 4. Click OK when finished. Continue to add as many lab case types as needed. Laboratory Cases To create a laboratory case, you need to access the Laboratory Cases window. 1. From the Activities | Practice Management Activities menu, click on Lab Tracking. Laboratory Cases Window The Laboratory Cases window appears. Select the column heading Patient Name to sort the list by Patient Name. By default, this window lists all current and returned lab cases. Lab Cases are colour coded for quick reference. The Lab Case colours are as follows: • Red – Lab case is overdue or past the due date entered in the Laboratory Cases window. • Green – Lab case is marked as returned. • Blue – Lab case is marked as closed. • Black – Lab case is pending return or lacking return date information. The following options are available from the Laboratory Cases window: 410 • Lab Case Tracking • Find – Type in the due date of the lab case and hit Enter. The lab case is selected. • Include Closed Cases – Select this checkbox to view closed lab cases. Patterson EagleSoft 15.00 • Include Returned Cases – Select this checkbox to view returned lab cases. • New – Click New to create a lab case. • Edit – Click Edit to edit a lab case. • Delete – Click Delete to delete a lab case. • Report – Click Report to print a report of lab cases. • Close – Click Close to close the Laboratory Case window. Creating or Editing a Lab Case 2. Click New to create a lab case. Click Edit to modify an existing lab case. A new Lab Case Information window appears. 3. Select a patient and the provider who entered the lab case. 4. Select a laboratory from the laboratory dropdown list box. If you haven’t created a lab yet, click the underlined word Laboratory to access the Laboratory List window. If there is a contact at the laboratory (a person at the lab you talk to most often), enter that name in the Contact field. Patterson EagleSoft 15.00 5. Select a lab case type from the Lab Case Type dropdown list box. Click the underlined words Lab Case Type if you need to create or edit a lab case type. 6. Enter a date in the Date Opened box. This is the date the lab case was created. 7. When the lab case is returned, enter the date in the Date Returned box. 8. Enter the date the lab case is to be returned in the Date Due box. 9. When the lab case is returned, enter the lab’s invoice number in the Invoice Number box. 10. If applicable, enter the shade name/number attached to the lab case. 11. When the lab case is returned, enter the fee charged by the lab for the lab work in the Fee box. Lab Case Tracking • 411 12. Enter a Description for the lab case. This box is used to enter detailed information about the lab work. The Description field has been expanded to allow for up to 32,000 characters. Auto Notes can now be used to fill in the Description field. 13. Select the Add to Task List checkbox, if you want to assign this lab case as a task. This lab case appears in the Task List with the subject name Lab Case, the category, the date it is due on, the provider the case is assigned to and the patient. 14. Select the Close This Lab Case checkbox to close the lab case. The lab case may be reviewed by the user at any time. Note: This option does not delete the lab case. 15. Select the teeth appropriate to this lab case. 16. Click OK when you have finished creating the lab. The Laboratory Cases window appears with the new lab you just created. 17. To print/preview the lab case, click Print. Add Images to Lab Cases An Images button has been added to the Lab Case Information screen located directly under the Cancel button. Selecting the Images button on an existing Lab Case will open the Lab Case Image Selector. When selecting the Image button on a new Lab Case, the following message will appear. Select No to return to the New Lab Case Information screen. Select Yes to save the lab case and open the Lab Case Image Selector. 412 • Lab Case Tracking Patterson EagleSoft 15.00 Lab Case Image Selector The Lab Case Image Selector works similarly to the Treatment Plan Image Selector. All Images for the selected patient will display on the left side of the screen. 1. Select an image to display at the right. 2. Select the checkbox associated with the image to add the image to the Selected Images section at the bottom of the screen. 3. Enter a comment in the Comments section if desired. 4. Select Cancel to return to the Lab Case Information screen without saving any changes made. 5. Select OK to attach the image and return to the Lab Case Information screen. Lab Case Tracking – Printing There are two different print options for lab case tracking: printing lab case reports and printing lab cases. Both of these options assist in managing lab case tracking. Lab Case Reports 1. To print a lab case report from the Lab Case Tracking window, click Report. 2. Click Print to print the report. 3. Click Cancel to exit from the Report Preview window. Lab Cases Patterson EagleSoft 15.00 1. To print a specific lab case, select a lab case from the Lab Case Tracking window. 2. Click Edit. 3. Click Print to preview/print a lab case. Lab Case Tracking • 413 4. Click Print to print the Lab Case Detail. Using Lab Cases with Walkouts When processing walkouts with services set to generate lab cases, you can assign lab cases when the walkout is finished. There are two places you can view, edit or create lab cases when processing walkouts. When Processing the Walkout 1. After the services are entered, click Process. The second Walkout Processing window is displayed. 2. Click Lab Cases to view or edit lab cases for the patient. The Laboratory Cases window is displayed showing any lab cases for the current patient. 3. Select a lab case and click Edit to edit a lab case. If creating a new lab case, click New. To print a report of this patient’s lab cases, click Report. Click Close to return to the Walkout Processing window. When Finished Processing the Walkout If any service items in the walkout have been set to generate a lab case, a Lab Case window appears. 1. 414 • Lab Case Tracking To enable a service to generate a lab case, choose a service code. Patterson EagleSoft 15.00 2. From the Edit Service Code window, click the Generates Lab Case checkbox. 3. When processing a walkout using a service set to generate a lab case, a Lab Case window appears. Enter the lab case information. 4. When finished entering the lab case information, click OK to save and close the window. Using Lab Cases with Appointments You can add laboratory cases to appointments in OnSchedule. 1. When finished scheduling or editing an appointment (appointment must first be saved), click Lab Case. The following Lab Cases window appears. Patterson EagleSoft 15.00 2. Select the checkbox for the lab case you want to add to this appointment and then click Apply to add the lab case to that appointment. You can also create, edit, or delete any of the lab cases from this window. 3. When the lab case has been attached to the appointment, a lab case icon appears. This icon resembles a beaker of pink liquid, and it appears in the top-left corner of the appointment block. 4. The colour of the lab case icon is based on the status of the lab case. If the beaker liquid appears red and full, the lab case has been returned or closed. If the lab case is outstanding, the beaker liquid appears pink and half-full. Lab Case Tracking • 415 Post Procedure Notes Introduction To Post Procedure Notes Post Procedure Notes is a feature that generates system notes based on services. For example, if you perform a single tooth extraction and a post procedure note is attached to the service that describes the procedure, this note is automatically generated and appears in the Post Procedure Notes window. From this window, you can view, edit, print and verify the note. Post Procedure Notes are based in two areas: Service Codes and Notes. Turning Notes into Post Procedure Notes Only AutoNotes are available for Post Procedure Notes. To make a note into a Post Procedure Note, you must first save the note as an AutoNote. 1. From the Notes History window, click Text Note in the bottom left of the window. 2. Enter a text note and click Save As. 3. Enter a description for the AutoNote. 4. Click OK to save the AutoNote. This note is now available from the Post Procedure Notes section of the Edit Service Code window. Linking Post Procedure Notes to Service Codes When service codes are linked with a Post Procedure Note and processed through a walkout, they generate the unconfirmed Post Procedure Note listing for your providers. Review this list at your convenience to confirm the note or add any additional comments to it. 1. 416 • Post Procedure Notes From the Edit Service Code window, click Post Proc. The Post Procedure Notes Setup window appears. Patterson EagleSoft 15.00 2. To add a Post Procedure Note that is added to the Unconfirmed list each time a walkout linked to a Post Procedure Note is processed, click Add. A new line is added under the Description field. 3. Click the down arrow on the AutoNote dropdown list box. 4. From the AutoNote list box, click on the AutoNote of your choice, or press the F2 key, and click New to create a new AutoNote. Managing Post Procedure Notes To verify any outstanding unverified note go to the Activities menu, choose Clinical Activities, and select Post Procedure Notes. The Post Procedure Notes window is displayed (see the following image). All unverified notes are displayed. • Filter – Click Filter to filter the listing of unconfirmed notes • Delete – Click Delete to delete the highlighted note(s) • Edit – Click Edit to edit the highlighted note, as necessary • Print – Click Print to print a report of all unconfirmed notes Verified/Unverified Icons Unverified Notes are indicated by a crossed-out circle around a check mark. Verified Notes are indicated by the Notes icon. Verifying a Note Click the check mark on the note. -orFrom the Edit Note window, click the Verify checkbox and click OK. Click OK to save your changes to the Post Procedure Notes window. All remaining unverified notes remain in this listing until verified. Note: Unverified notes can also be verified from the Notes tab of Clinical Exam for the selected patient. Patterson EagleSoft 15.00 Post Procedure Notes • 417 eReferrals Introduction to eReferrals Staying in touch and sharing information with other practices and offices is important for your business. Referrals improve not only the effectiveness of these relationss but also improve your doctor/patient relationss. This translates into returning patients and profits. EagleSoft’s eReferral Wizard enables you to increase your relationss and profits with just a few mouse clicks. A doctor can now send a patient’s historical information to specialists by printing the information and mailing it.. The eReferral Wizard walks you through selecting images, exams, patient information, treatment plans and so onAlong with treatment plans, treatment plan images, radiography and video capture exams; the following items are available to attach to the eReferral: • Missing teeth • Patient demographic information • Patient photo • Patient completed services • Patient medical alerts • Current prescription information • Patient conditions • Watch tooth information The following information is included in this chapter: 418 • eReferrals • Setting up referral recipients • eReferral Wizard • eReferral Manager Patterson EagleSoft 15.00 Setting Up Referral Recipients Referral Recipients are specialists your office sends patients to on a regular basis. If you notice a patient may need perio treatment, you will want to send the patient and relevant information to a periodontist. This feature enables you to manage, create and edit referral recipients. You can also send letters and print productivity reports from the same window. 1. Go to Lists and select Referral Recipients. -orGo to Lists | Referrals and choose Recipients. The Referral Recipients List window is displayed. 2. Click New to create a new referral recipient. To edit an existing referral recipient, select the referral recipient and click Edit. To delete a referral recipient, select the referral recipient and click Delete. To print a report of referral recipients, click Report. When you have clicked the New or Edit button, the New or Edit Referral Recipient window appears. Patterson EagleSoft 15.00 eReferrals • 419 3. Enter the practice name, doctor’s name, salutation, address information, phone/fax numbers and e-mail address. *Note: An e-mail address must be entered here in order to send referrals via e-mail. Entering Recipient Information The following information also needs to be entered: e-mail – If you plan on sending e-mails, enter the e-mail address of the specialist. Web – If the specialist has a Web page, enter the Web page address in the Web box. Birth Date – If applicable, enter the recipient’s birth date. Status – Deselect the Active checkbox to deactivate this recipient. Specialty – Select a specialty from the Specialty dropdown list box. Type – Select the type of referral. Select the Recipient radio button to designate a referral recipient. Notes – Enter any notes related to this specialist. 4. When finished adding the referral recipient, click OK. To exit the Referral Recipient window without saving the information click Cancel. If you want to print and send a letter to a referral recipient, click Letter. If you want to view or print the referral recipient’s productivity, click Productivity. 420 • eReferrals Patterson EagleSoft 15.00 Using the eReferral Wizard After setting up a referral recipient or recipients, you may proceed with creating eReferrals. To access the eReferral Wizard, go to the Activities menu and select eReferral Wizard. 1. If you haven’t already, select a patient and select Use. The following Patient Information window appears. 2. From the Patient Information window, select additional information you would like to include with the eReferral: Missing Teeth – Displays any missing teeth Patient Demographic Information – Displays names, addresses, phone numbers, and so on Patient Photo – Displays patient Patient Completed Services – photo Displays completed services for the patient Patient Medical Alerts – Current Prescription Information Displays any active medical alerts – Displays prescription information for the patient for this patient, such as current prescriptions, pre-med information Patient Conditions – Displays any existing conditions for the patient Patterson EagleSoft 15.00 Watch Tooth Information – Displays watch tooth information 3. After selecting additional information to include on the eReferral, select a date the patient is expected to return from the dropdown list box. 4. Next, select the specialist to whom you wish to send the eReferral. 5. Choose the method you wish to use when sending your eReferral. • Selected Specialist as a Letter – This option enables you to print the eReferral and send it as a letter • Selected Specialist Electronically – This option is grayed out and not yet available in Canada. • My printer as a report – Select this option to print the eReferral as a report • My database for later use – Select this option to store the information in the eReferral Manager eReferrals • 421 6. After selecting the Patient Information, select Treatment Plan from the side bar. 7. From this window, select the treatment plan you want to include in the eReferral. The services appear in the Services box. The images appear in the Treatment Plan Images box, and any treatment plan notes are in the Plan Notes area. Right-click on an image to use advanced imaging functions. Select Template Exam from the side bar. The Template Exam Information window appears. 8. If applicable, select a Template exam from the Template Exam To Include a dropdown list box. Note: A Template Exam is any exam that was acquired within a chosen template. Any images from the selected exam appear below the dropdown list box. Right-click on an image to access advanced imaging functions. 9. If applicable, select a Thumbnail exam from the Thumbnail Exam To Include dropdown list box. Note: A Thumbnail Exam is any image series that was acquired without selecting a template prior to acquisition. Any images from the selected exam appear below the dropdown list box. As with the other image windows, you can also right-click and access advanced imaging functions. Select Thumbnail Exam from the side bar. 422 • eReferrals Patterson EagleSoft 15.00 The Thumbnail Exam Information window appears. 10. Select Create eReferral to continue. Select Yes to continue. Using the eReferral Manager The eReferral Manager stores all eReferrals sent out to specialists. If you need to check the date a referral was sent or is to be returned, this window stores all the pertinent information. If you have an e-mail program, you can also send e-mails to specialists from this window with just a few mouse clicks. To access the eReferral Manager, go to Activities | Clinical Activities and select eReferral Manager. The eReferral Manager window appears. Following is a list of the functions available from the eReferral Manager: • Patterson EagleSoft 15.00 Print – This enables you to print the referral. Just select the specialist’s name and click Print eReferrals • 423 • Print Letter – Click this button to print the letter sent to the specialist, if a letter was sent instead of an electronic submission • E-mail Specialist – This function allows you to e-mail the specific specialist by using your e-mail program • View Online –Not yet available in Canada • Close eReferral – Click this button to close the selected eReferral • View Comments – Click this button to view any comments added to this eReferral • Delete – Click this button to delete this eReferral • Status Legend – The status legend defines the colours used in the eReferral Manager 424 • eReferrals Open – The eReferral appears in black Saved – The eReferral appears in green Closed – The eReferral appears in red Patterson EagleSoft 15.00 Recalls Introduction to Recalls Recalls are commonly used to remind patients of their dental checkups or upcoming appointments. If used properly, they can prevent patients from missing their next appointment and, in the process, fill all of your chairs. The Recall Wizard not only allows you to keep track of patient recalls and appointments, it also walks you, step by step, through creating accurate reports, postcards and letters. The Recall Wizard gives you several filtering options that allow you to customize your report or postcards for your office. Some of the major features are listed below: Patterson EagleSoft 15.00 • Recalls filtered by Preferred Dentist/Hygienist • Recalls selected according to different patient criteria • The “and/or” option has been added to increase customization • Printing and exporting options • Message options Recalls • 425 Using Recall Wizard Accessing Recall Wizard From Activities menu, choose Recall Wizard. -orFrom the Integrated Mode window, click on the Recall Wizard icon. -orFrom the Practice Management Front Office window, click on the Recall Wizard icon. Previous Recalls and Printing The first window of the Recall Wizard summarizes the previously processed recalls. 1. 426 • Recalls Click Next to continue or click View Last Batch Detail to see a detailed listing of all Recalls (see the following image) processed the previous time. If you do not want to view the last batch, go to step 3. Patterson EagleSoft 15.00 2. Click OK to continue. 3. Select No if the last batch did not print completely and correctly. Choose a patient to start this recall batch. If your last batch was processed completely and correctly, click the Yes radio button and then Next to continue. Setting Up the Recall Wizard The Recall Wizard enables you to generate recalls efficiently and quickly. The Recall Wizard walks you through configuring the wizard so that the recalls you get are the recalls you want. Now time and money are saved and gained. The next window displays the different ways to select and filter your Recalls. Select Your Criteria from the Following Recall Type Select a specific recall type. See section Recall Tracking for more information on Recall Types. Patients with Scheduled Preventive Appt This option enables you to pull up all those patients with scheduled preventive appointments. If they are scheduled for a service set to update a preventive appointment, they are selected by this criterion. And/Or Option The And/Or option enables you to combine different criteria: Patterson EagleSoft 15.00 Recalls • 427 • Patients with Scheduled Preventive Appointments • Patients with Scheduled Regular Appointments • Patients Due for Future Cleanings but no Scheduled Preventive Appointment • Patients Past Due for Cleanings with No Scheduled Preventive Appt • Patients Not Seen Since Specified Date Patients with Scheduled Reg. Appt. If you check this box, all patients with Regular Appointments are pulled into your report. Patients Due for Future Cleanings but No Scheduled Preventive Appt. Select this checkbox to pull in patients who are due for a cleaning, but are not scheduled for preventive appointments. Patients Past Due for Cleanings with No Scheduled Preventive Appt. Select this option if you wish to pull up patients who have not come in for their preventive appointment or who are past due on their last recall. Patients Not Seen Since Specified Date If you want to choose a date range for patients who have not been in for a long time, this is a good report for you. Just check the box and create the date range. You can also combine this report with any of the preceding options. Skip Patients Marked Not to Receive Recalls Check this box to filter out patients who are not marked to receive recalls. When you are finished selecting your options, click Next to continue on to Print/Export options. Printing and Exporting Options The printing and exporting options allow you further customization of your recall data. 1. 428 • Recalls When you are finished selecting filter criteria for the Recalls, click Next. Patterson EagleSoft 15.00 Method Methods of Gathering Recalls: 2. Select the method you want to use for outputting your recalls. • Print to paper • Send to InContact E-mailing Recalls 3. Click the Send e-mails to patients with e-mail addresses checkbox to send this batch of recalls to patients set up to receive e-mail correspondence. When the recalls are processed, a window notifies you that patients with e-mail addresses are being e-mailed their recalls first. Patients without e-mail addresses are printed on the selected form for recalls. This feature only works with MAPI client e-mail packages, such as Microsoft Outlook and Outlook Express. Consult your hardware technician if you are unsure about your e-mail package. When finished processing, a window appears asking if you want to print a report for patients who received recalls via e-mail. 4. Click Yes to print the report. Print Options 5. Select a print option from the following: • You can select two forms of postcards: laser or regular postcards The laser postcards are printed on laser printers, such as Hewlett Packard LaserJet Printers, and so on. Regular postcards are those printed on dot matrix printers • Choose a Letter pulled from the letters in Lists | Practice Management Lists | General Setup | Letters • Print a Summary or Detailed Report that gives information on all the patients, including their recall dates • Option of creating Regular or Laser Labels • Option to print Envelopes See the Patterson EagleSoft Hardware Requirements available at www.eaglesoft.net for more information on supported printers. Messages Press the F2 key to go to the Messages list and click New to create a message. Patterson EagleSoft 15.00 6. When printing postcards or sending e-mail recalls, add a message to the postcard. Click on the dropdown list box or the hyperlink to select a message. Recalls • 429 Sort By Options: Next Preventive Appt Sort By Next Recall Date 7. Next Regular Appt Date Click on the dropdown list box to choose a Sort By option. This feature modifies the recall order and how the recalls are printed on postcards. Patient Date Then choose the printer you want from the Printer dropdown list box. Responsible Party Name Postal Code You can select the default Recall printer in File | Preferences | Printer Administration. This box displays all printers you have set up in the system. The printer usually defaults to the report printer set up in Printer Administration. Previews and Reports These options enable quicker and more efficient ways of printing your recalls. Save time and paper by previewing Recalls. Select Preview Recalls before you print to verify Recalls and to deselect the patients whom you do not want to receive a recall. The following Recalls to Process preview window appears. Deselect the checkbox next to a recall if that patient does not want to receive a recall. The next box, Print Recall Report with Recalls, allows you to print a report of all the recalls that printed out. Note: This option is only available if detailed or summary report is not selected. 430 • Recalls Patterson EagleSoft 15.00 Recall Tracking Create customized recall types to better manage your patient’s care. Under Preferences | General, select the checkbox Use Multiple Recalls. Select OK to save your changes. To create Recall Types, select Lists | General Setup | Recall Types. Select the New button to enter a new Recall Type. Select the Edit button to edit an existing Recall Type. Select the Delete button to delete the selected Recall Type. Select the Report button to preview the Recall Types report. Select the Close button to exit the window. Creating New Recall Types In the Recall Types window, select the New button to add a Recall Type. In the New Recall Type screen, enter the Description, set the Frequency and select the Provider. Select the checkbox Plus 1 Day to add one additional day onto your frequency amount. Select the checkbox Use this type by default when entering a new patient to set the current Recall Patterson EagleSoft 15.00 Recalls • 431 Type as the default recall type for all new patients. Select OK to save your new Recall Type. Select Cancel to exit the screen without saving. Recall Status To create Recall Statuses, select Lists | General Setup | Recall Statuses. Select the New button to create a new Recall Status. Select the Edit button to edit the selected Recall Status. Select the Delete button to delete the selected Recall Status. Select the Report button to preview the Recall Statuses report. Select the Close button to exit the window. Creating New Recall Statuses To create new Recall Statuses, select the New button. In the New Recall Status window, enter the Abbreviation and Description of the status. Select OK to save. Select Cancel to exit without saving. Assigning Recalls – Edit Person In Edit Person, select the hyperlink Recall Date. In the Recall for <Patient Name> screen, select the New button to add a Recall Type from the Recall Type list. Select the Use button to use the highlighted Recall Type as the Patient’s next recall. Select the checkbox Default to designate the selected Recall Type as the default. Assigning Recalls – Walkout In the Walkout Processing screen, select the hyperlink Current Recall Date. In the Recall for <Patient Name> screen, select the New button to add a Recall Type from the Recall Type list. Select the Use button to use the highlighted Recall Type as the Patient’s next recall. 432 • Recalls Patterson EagleSoft 15.00 Default Recall Type When using a Recall Type other than the Patient’s default Recall Type, the following message will appear: ‘<Default Recall Type’s Name>’ is currently marked as this patient’s default recall. By selecting ‘<Selected Recall Type’s Name>’, you will be making this recall the default instead. Do you wish to continue? Select Yes to continue. Select No to exit without using the newly selected Recall Type. Recall Tracking To effectively track the Recall Type assigned to a patient, select the Recall Date hyperlink in the Edit Person screen. To select the Recall Type, use the dropdown arrow or select the Recall Type hyperlink. Use the predetermined time or enter the Frequency amount for the selected recall. Use the Due Date determined by the Frequency amount or select the arrow to choose a new date. Select the Recalc button to recalculate the Frequency based on the date entered or the last date used. Select the Last Date amount or use the default date based on service code. Use the hyperlink or the dropdown list to select the Status. Use the predetermined Provider or select a new one using the dropdown list. Select the checkbox Use this recall by default when displaying the recall date for this patient (Overrides the default recall type set in the Recall Types list.) to make the selected Recall Type the patient’s primary Recall Type. Assigning specific Recall Types to different service codes allows you to update multiple recalls during the walkout. Patterson EagleSoft 15.00 Recall Types and Service Codes Selecting the checkbox Updates Patient Recall on a Service Code allows you to assign a Recall Type. Use the dropdown list to select the Recall Type that you wish to associate with this particular service code. Recalls • 433 Daily Procedures – Unit 7 The Daily Procedures unit contains the following chapters: Processing Claims and Pre-Authorizations Aging Accounts Processing Statements eBusiness Online Center EagleSoft EveryWare End-of-Day/End-of-Month and Year 434 • Daily Procedures – Unit 7 Patterson EagleSoft 15.00 Processing Claims and PreAuthorizations Overview The Process Insurance Claims window in EagleSoft offers more ways to work from one centralized place. There are new ways to edit, view and print claims. You can also make payments, re-create claims and change insurance answers all in this window. The following information is in this chapter: Patterson EagleSoft 15.00 • Batch printing insurance claims and pre-authorizations • Making payments on claims • Closing/re-creating claims • Adding notes about a claim or pre-authorization • Closing unpaid claims and pre-authorizations • Changing insurance/employer information • Changing insurance answers Processing Claims and Pre-Authorizations • 435 An Introduction to the Claims Window Accessing the Claims Window To access the Process Insurance Claims window: From the Activities menu, choose Process Insurance Claim. -orSelect Claims from the toolbar or press CTRL + I. -orFrom the Account window, right-click in the top and select View Claims for Account or View Claims for Patient. From the Integrated Mode window, click on the Insurance icon. From the Practice Management Front Office window, select the Insurance icon. Find Name Use the Find Name box to find a particular patient with insurance information by typing the last name of the patient and pressing the Tab key. Print Envelopes/Labels If checked, this feature prints your choice of mailing labels or envelopes for each claim that is printed. If multiple claims exist for the same insurance company, it prints an envelope or label for each of those claims. Show What Check one of the following to change ledger view according to claim type. • Show Claims and Pre-Auths • Show Claims • Show Pre-Authorizations 436 • Processing Claims and Pre-Authorizations Patterson EagleSoft 15.00 View Click one of the following checkboxes to change the ledger view according to claims status. Unsubmitted – Unprinted paper claims Unsubmitted Elec – Claims waiting to be submitted electronically Open – Waiting for a payment on the claim Ledger Claim Information Patient Name – The patient for whom the claim has been generated. Date Created – The date the walkout was processed. Date Submitted – The date the claim was submitted or printed. Days Outstanding – The number of days since the claim was printed or submitted. Form Name – The form used to print the claim or submit the claim electronically. Status – The status of the claim: open, to be printed, to be sent electronic, secondary open or to be printed or to be sent electronic. Amount Submitted – Amount of claim. Has Secondary – An “S” will appear in this column if the patient has secondary insurance. Attachments – If any attachments were sent with the claim. Marking Claims Mark a claim by highlighting the claim, then clicking Mark, or by doubleclicking on the individual claim. This places an arrow next to the claim you have marked. To unmark the individual claim, highlight the claim and click Clear. Auto-Mark Select any amount of claims, right-click, and change the form or mark them for submission. To use this function, click on a claim, hold down the Shift key and click another claim to select a group of claims. To mark the claims for submission, right-click and choose Mark. You can also use the Ctrl key and mouse to select multiple nonsequential claims. Mark All or Clear All Mark all of the claims by pressing the Mark All button. Use the Clear All button to unmark all marked claims. Again, when claims are marked to be printed, an arrow will appear next to each claim. Changing Forms From the right-click menu, you can select a new form for the highlighted claim(s) or use the drop down arrow. Patterson EagleSoft 15.00 Processing Claims and Pre-Authorizations • 437 Claim Actions Processing Claims Submitting and printing claims is often time-consuming, stressful and inefficient for the entire office. The Claims Processing window in EagleSoft not only speeds up the process, but it gives you several options when submitting the claims: entering notes, changing insurance answers and many others. Select a claim or claims. When you have marked a claim, click Process. The claim should then be processed, and the status will change. Viewing or Editing Claims From the View options, choose the category for the claim(s) you want to view details for. Highlight (or select) the claim to be reviewed. Click View Claim to display the highlighted claim. The services are displayed as they are entered during the walkout . Click Notes to enter notes pertaining to the current claim. These notes will appear in the Account window. To add a note, click Add. After viewing or adding notes, click the Close button. Select the checkbox to add the note to the patient’s account statement. Click Chg (Change) Answers to change insurance answers. For more information on this option, refer to the Change Answers section later in this chapter. Closing a Claim There are several reasons you might want to close an insurance claim. • Claim not closed upon final payment • Changing the provider 438 • Processing Claims and Pre-Authorizations Patterson EagleSoft 15.00 • Modifying insurance using the Change Insurance button Deleting incorrect service(s) for a walkout Use the following instructions to close an insurance claim: From the View options, check the box next to the appropriate setting for the claim(s) you want to close. You may need to check the box next to all options in order to locate the claim you are looking for. Select the claim, mark it, and click Close Claim. Claims can be closed one at a time. Click OK to begin the process of closing claims. Verify that you are ready to close the claim(s) by choosing Yes to continue on the Ready to Close Claim message. Choose No if you are not ready to close the claim. The Closing Primary Insurance Claim window for the claim you have marked to be closed appears. In some cases, there is an amount unpaid by insurance. If there is, determine how you would like to handle any remaining balance on the insurance claim. In most cases, you will apply the difference between the estimated and the paid amount back to the patient so that the account will receive a statement for that amount. Or, you may decide that a credit adjustment is necessary for the patient. Click Apply the amount unpaid back to the account to increase the patient balance by the amount unpaid by insurance. Click Credit the account to apply an adjustment to the account. Additional fields will become visible and enabled on the Closing Primary Insurance Claim window (see the preceding image). Use Credit the account for situations such as administration fees. Click Re-create Claim if you want to re-create the claim. Click Apply Unpaid Amount Back To Remaining Benefits to increase the Remaining Benefits of the patient. Note: You may want to leave this unchecked if the claim was submitted in one year and the payment is not received until the next year. If the patient’s deductible differs from what appears on the EOB, check the box to Update Annual Deductible for Patient and key in the appropriate amount. Select the Assign services to current balance at next aging checkbox, if you want the services to go to the current balance. When True Date Aging Patterson EagleSoft 15.00 Processing Claims and Pre-Authorizations • 439 is processed, the patient’s aging balance for this service will remain current and age according to the insurance payment date not the date of service. Click OK to save your choices for closing the claim. Viewing or Modifying Closed Claims From the Account window, right-click on the account name and choose Insurance Info. The Patient Insurance Information window is displayed. From this window, you can view the status of the claims. To view and/or modify the claim, select the claim and click View Claim. Select any claim and click View Claim. From the View Individual Insurance Claim window, you can add notes or change insurance answers. Entering Claim Notes To add notes to the claim, click Claim Notes. You can add the notes in the following Insurance Claim History window or view current notes. Click Add to create a note. Enter the text you want attached to this claim. The text you enter here will be attached to this claim along with the claim activity. Click Close when you are finished. When the claim appears in the patient’s account ledger, the note will appear below the claim item along with any claim activity. Making Payments In EagleSoft, you can enter insurance payments from the Process Insurance Claims window. This enables you to enter all insurance payments received in one day from one window. Select the claim and click Make Payment. 440 • Processing Claims and Pre-Authorizations Patterson EagleSoft 15.00 The Receive Insurance Payments window appears. If the Receive Insurance Payments window does not come up, make sure you have selected an open claim. Enter the relevant payment information and click OK when you are finished. You are returned to the Process Insurance Claims window. Change Insurance It is now possible to change the employer or insurance companies, while in the Process Insurance Claims window. From the Process Insurance Claims window, click Change Ins (insurance). The following window appears. To change the employer/insurance for this claim, click in the Change To box and use your F2 button to select another employer. The Change Whom section enables you to change how the claim affects certain criteria. To Change Insurance, click in the Change To box and use your F2 button to select another employer. Once you have selected the employer and insurance company, select a Change Whom option. Change Whom Options Change The Employer/Company On This Claim Only If you want to change the employer/insurance company only on this claim, select this option. Patterson EagleSoft 15.00 Processing Claims and Pre-Authorizations • 441 Change The Employer/Company For This Claim and All Patients With This Policy Holder This changes the employer/insurance company for this claim and all future claims associated with the policyholder, including all other patients with the same policy. To view the patients with this policy, click View Patients. This window will give you information on the patient’s ID, name, Social Security number, birth date and primary employer. Click OK when you are finished. You will be returned to the Process Insurance Claims window. Change Answers In EagleSoft, you are able to change answers on walkouts after they are processed. You can enter or change this information in the Process Insurance Claims window. Select the claim and click Chg Answers (change answers) to change information on the insurance form. The Modify Claim Answers window appears. Simply add, edit or delete any answers. Select the AutoNote button to include any pre-recorded narratives to your claim. Click OK when you are finished. Your information is saved to the claim. This claim will then need to be closed and re-created if you wish to resend the claim. 442 • Processing Claims and Pre-Authorizations Patterson EagleSoft 15.00 Viewing Reconciliations Click Reconciliations to view CDAnet information. Select the Summary button to view a summary of reconciliations. Printing and Reprinting Insurance Claims From the Process Insurance Claims window, you can print a single claim, a selected number of claims or all unprinted claims. Up until the claim has been closed, you can reprint the claim(s) from the same window. Note: All unprinted insurance claims and pre-authorizations will be displayed by default. Patterson EagleSoft 15.00 1. Use Find Name to find a particular patient with insurance information by typing the last name of the patient and pressing the Tab key. 2. Mark the claim or claims to be printed. 3. If necessary, change the Primary Form Name. To do this, click the form name of the claim. This accesses the dropdown list box of form choices. Make your new selection by clicking the name of the form you like. 4. Choose View Claim to review details about the selected (highlighted) claim. 5. Click Setup to direct the printing of claims to a different printer, if applicable. 6. Choose Process to print the claims you have marked. 7. Choose Cancel to exit the printing of the insurance claims. Processing Claims and Pre-Authorizations • 443 Aging Accounts Overview The Age Accounts function is helpful in keeping track of the length of time that an account is overdue. EagleSoft provides four separate categories of the account balance: Current, 30 Days Overdue, 60 Days Overdue and 90 Days Overdue. Amounts in these categories determine whether or not an account should receive a finance charge on the billing statement, a phone call to induce quick payment on the account or perhaps a phone call to the collection agency. Practice Management provides two different methods of aging: Category Aging and True Date Aging. Aging Balances with Category Aging When using Category Aging, all balances are moved to the next category upon aging. For example: The Current Balance is placed into the 30 days overdue category, with the exception of Estimated Insurance amounts All balances in the 30 days overdue category are transferred to the 60 days overdue category All balances in the 60 days overdue category are transferred to the 90 days overdue category Before starting this process, we recommend that you make a backup of your data and print the Accounts Receivable by Responsible Party report. It is also recommended that this procedure be performed once every month. Most offices have found it beneficial to perform it in sequence with their End-of-Month procedure. Here is a reminder list: 444 • Aging Accounts • Make a backup of the system • Print the Accounts Receivable by Responsible Party report • Process statements • Perform Category Aging Patterson EagleSoft 15.00 To Age Accounts with Category Aging 1. Go to Activities and choose Age Accounts. The Age Accounts window is displayed. The number of days since the last account aging was performed, the date and the user who performed the last aging will be displayed. 2. Choose Category Aging as the method to age the accounts. Click OK to begin the process of aging the accounts. All the accounts with outstanding balances will be aged to the appropriate categories. This process will go fairly quickly. When aging is finished, click Cancel to exit the window and return to the virtual screen. Aging Balances With True Date Aging When using True Date Aging, the process looks at the transaction date of outstanding services and determines the aging category that it belongs in. If the transaction is 0 to 29 days old, it remains in the Current column. If the transaction is 30 to 59 days old, it is added to the 30 Day column. The same process follows for accounts older than 60 days. Note: Account aging can take an extended period of time to complete. The time varies based on the size of your database, the number of outstanding transactions and the speed of your computer. If you are aging accounts during your EOD process, expect the time to complete the EOD to increase. To Age Accounts With True Date Aging Go to Activities and choose Age Accounts. The Age Accounts window is displayed. The number of days since the last account aging was performed, the date and the user who performed the last aging is displayed. Choose True Date Aging as the method to age the accounts. Click OK to begin the process of aging the accounts. All of the accounts with outstanding balances are aged to the appropriate categories. Click Cancel to exit the window and return to the virtual screen window. Patterson EagleSoft 15.00 Aging Accounts • 445 Processing Statements Overview The Statement Wizard is utilized to generate billing statements for all accounts that have outstanding account balances. Statements for all accounts, individual accounts or for a section of the accounts may be generated. There are several options to choose from while processing statements: • Customized messages for accounts with 30, 60, and 90 day balances • Applying finance charges and/or billing charges • Excluding accounts with a small balance • Including or excluding the details of the transactions Note: If you utilize True Date Aging, you should age accounts before processing statements. If you utilize Category Aging, you should age accounts after processing statements. The following information is included in this chapter: • Setting up statement preferences • Processing statement preferences • Adding messages to the statements • Viewing the Account window while processing statements Statement Preferences Statement Preferences can be set up in File | Preferences | Statements. Specify your choice for the default setting for: • Patterson EagleSoft 15.00 Show Estimated Insurance on Statements • Create Account Note for Statements • Add Statement Message to Account Note • Include Credit Card Payment Option Processing Statements • 447 • Include Offsetting Debit and Credit Adjustments on Statements • Return Address on Statements • Wizard Preferences It is recommended that you set up your preferences before processing statements for the first time. For more information about Preferences, go to the Statement Preferences section in the Preferences chapter located in the Setting up Your Software unit. How to Process Statements 1. Go to Activities and choose Statement Wizard. The first Statement Wizard window displays a summary of information from the last batch of statements processed. 2. To review a detailed summary for the last batch of statements that were processed, click View Last Batch Detail. 3. Click Next when you are ready to continue. 4. If the last batch of statements processed correctly, make sure that the Yes button is marked and click Next. If the last batch did not process correctly, click the No radio button, and enter the Responsible Party or ID of the last statement that was processed successfully. When the information needed to “restart printing with” is entered, click the Next button. 448 • Processing Statements Patterson EagleSoft 15.00 5. Use: To: All Accounts Print statements for all accounts with balance due. Accounts A - L Print statements for accounts with last names beginning with the letter A through the letter L. Accounts M - Z Print statements for accounts with last names beginning with the letter M through the letter Z. Range of Accounts Print statements for accounts that fall in the range that you specify. This will be based on the beginning letter of the last name of the responsible party. Individual Account Print statement for specified account. Accounts that have not had a statement in the last _ days. Enter a number in the days box to print statements that meet this criterion. 6. 7. Patterson EagleSoft 15.00 Make your selection for the account(s) to Create Statements For Enter the criteria you wish to use from the following to specify What Accounts Should Receive Statements. • Accounts with balance greater than or equal to: $__ (blank) – Enter the least amount an account can have in order for a statement to process • Accounts with 100% estimated insurance – Select this checkbox if you want to print statements for accounts that have their entire balance in estimated insurance. If the estimated insurance is expected to cover all of the balance, but the office has not received payment, this feature enables you to send a statement to the patient, even though the patient’s portion is zero • Accounts with estimated insurance – Uncheck this box if you would prefer to not generate statements for accounts with outstanding estimated insurance • Accounts with outstanding claims – Uncheck this box if you prefer not to generate statements for any account that has an outstanding claim, even if insurance was not estimated Specify your choices for How do I want the statements to look? Processing Statements • 449 • Include Item Detail – If this box is checked, the statement contains detailed information about the services that were rendered and payments received • Include All Items Since – Choosing Account Last Statement includes all new activity on the account since the last statement was processed for the account. If you would like to choose the date range for activities, click on the radio button next to I Will Choose A Date, and enter the date you would like statement detail to start from • Due Date – This is the date to appear on the statement by which you will require payment • Sort Transactions – This is how the transactions for each account will be sorted on the statement. Choose either By Patient or By Date • What Message do you want to print at the Bottom of the Statement? – Choose a message from each of the dropdown boxes, or press the F2 key to create a new message. If you have set up a Message for Statements in the Account | Preferences window, it will override any of these messages See the Account Activities chapter in the Account Management unit for information about Messages for Statements. 8. Click Next when you are ready to continue. 9. Check the box next to I want to apply a billing charge if you charge your patients a fee for sending a statement. If you do not want to apply a billing charge, skip to step 14. 10. Enter the amount to apply as a billing charge. To increase or decrease the number a dollar at a time, click on the up and down arrows next to the entry box. 450 • Processing Statements Patterson EagleSoft 15.00 11. Click on the dropdown box to choose the number of days that an account has to be overdue in order to be charged a billing fee. 12. Select the checkbox I want to apply a finance charge checkbox to apply an additional charge to overdue accounts. If you do not want to apply a finance charge, skip to step 18. 13. Enter the Finance Rate Percentage that you would like to apply. 14. Click on the dropdown box to choose the number of days that an account has to be overdue in order to be charged a finance charge. 15. Enter a minimum finance charge amount. 16. Click Cancel to exit from the Statement Wizard without processing or printing statements. 17. Click Back to go back to previous Statement Wizard choices. 18. Click Finish to continue. The Statement Queue appears. The Statement Queue From the Statement Queue, choose from the following functions: Patterson EagleSoft 15.00 • Print to Paper – Select the radio button to print your statements to paper. Use the dropdown list to select the format and printer. • Enhanced Statement (Plain Paper) – Select this option to use plain paper to print our enhanced statement layout without a border • Classic Statement (Plain Paper) – Select this option to use plain paper to print our original statement layout • Pre-Printed Classic Statement – Select this option to use preprinted forms in the original statement layout • Pre-Printed Enhanced Statement – Select this option to use the enhanced statement forms that contain borders • Pre-Printed Enhanced Statement w/Border – Select this option to use pre-printed forms in the enhanced layout • Mark All – Marks all statements for processing (default choice). • Clear All – Unmarks all statements for processing. Processing Statements • 451 • Note – Enter personalized notes on individual statements. This message overrides any message entered in the following areas: • Message for Statements textbox from Preferences in the Accounting window • The messages selected in the Statement Wizard • View Acct (account) – Click View Acct to view the account information in the Account window. You are able to view the entire ledger for each patient, but the functions are unavailable. Use the Unapply Chgs button to remove previously applied finance charges from statements in the Queue. Use the Remove button to remove a statement from the list. Select the Remove All button to clear the entire list. Select the Hide Detail button to display the basic information about each statement in the queue. Select the Expand Detail button to display the full detail on each statement in the queue. Select the Audit Trail button to print a report of everything currently in the Queue. Click OK when you are ready to process statements. Click Cancel to cancel statement processing. At the top, select the Filter tab. From here, you can filter the Statement Queue by Provider, Processed, Not Processed and Last Batch Only. Note: Amount due now does not reflect current billing or finance charges that may be applied. 452 • Processing Statements Patterson EagleSoft 15.00 eBusiness Introduction eBusiness is the term used when discussing the combination of business, Internet, and current communication technologies. EagleSoft has three forms of eBusiness: Electronic Claims, Electronic Statements and Online Center. (Clinical must be installed). These technologies will allow you to expedite and track your statements and insurance claims efficiently and economically. Using EagleSoft eBusiness solutions reduces the hours spent printing statements or claims while eliminating the extra days waiting for payments by insurance carriers. By submitting your statements and claims electronically, you have taken another great leap in the automation of your office. This chapter will give you information on setting up and using three of these features. Following is an outline of what is included in EagleSoft’s eBusiness features: • Setting up and using eClaims • Setting up and using eStatements • Using Online Center and the Online Update Center. How Do I Create an eClaim? Creating an eClaim is not much different from creating a regular insurance claim. Anytime you walk out a patient or create a pre-authorization, you will be prompted to create an insurance claim. But instead of using one of the paper forms, you will be submitting electronically. Creating Electronic Claims There are four areas in EagleSoft where insurance claims are generated. Those areas are: Patterson EagleSoft 15.00 • The Walkout Statement window • Walkout Statement Utilities eBusiness • 453 • Receive Insurance Payments window (creates secondary claims) • Process Insurance Claims window All primary and secondary insurance claims are created during the walkout process. All claims are prepared for batch electronic submission. This means that an entire group of claims is sent at once instead of sending a claim with each walkout entry. To prepare the insurance claim for electronic submission, do the following: 1. After you have finished entering services in the Walkout Statement window, click Process. 2. Enter any payment, adjustment or recall information in the Walkout Processing window and click OK. 3. The Insurance Questions window is displayed if the current patient has insurance. 4. If you wish to prepare this claim for electronic submission, choose Submit Electronically for the Print Claim status. Respond to any questions in the insurance questions section. 5. Click OK to prepare the claim for electronic submission. This claim will be added to the Insurance Claim batch as Unsubmitted. Creating Pre-Authorizations Pre-authorizations are created in the Treatment Plan window. From the Treatment Plan window, click Process. From the Treatment Plan Processing window, highlight the plan you wish to create the pre-authorization for, specify any other necessary settings and click OK. The Insurance Questions window is displayed. If you wish to prepare this pre-authorization for electronic submission, choose Submit Electronically for the Print Claim status. Respond to any questions in the insurance questions section. Click OK to prepare the pre-authorization for electronic submission. This claim will be added to the Insurance Claim batch as Unsubmitted. Creating Pre-Authorizations for Orthodontic Patients See the section on Patient Preferences for more information on Orthodontic settings. 454 • eBusiness Pre-authorizations are created in the Treatment Plan window. To submit an orthodontic claim for a previously designated ortho patient, enter the scheduled treatment into a treatment plan. Process a PreAuthorization of orthodontic services and select the Submit as Statement of Actual Services checkbox. Patterson EagleSoft 15.00 Preferences Setting Up Preferences To set up electronic submission for all new employers, follow these instructions: 1. From the File menu, choose Preferences. 2. Click the Insurance tab. In the Default Insurance Form field, choose CDAnet from the dropdown list box. In the Print Default Ins Form for eClaims, choose CDA Standard Dental from the dropdown list box. Click OK to save your changes. By setting the default insurance form to CDAnet, when a new employer is set up, CDAnet is automatically assigned as the means for submitting insurance claims. However, you can overwrite this default for individual employers as necessary. To change the current insurance form for all employers, go to Utilities | Mass Updates | Global Employer Preferences. Select the Default Insurance Form checkbox and choose another insurance form from the Form dropdown list box. Changing the Default Insurance Form for an Employer These instructions show how to change an employer’s default insurance form from paper claims to electronic submission. If you need to change the default insurance form for several employers, you need to perform a mass update of all employer preferences. Go to Lists and choose Employer/Coverage List. Patterson EagleSoft 15.00 eBusiness • 455 Highlight the employer and click the Edit button. The Edit Employer window is displayed (see the following image). 1. In the Ins. Form field, choose CDAnet from the dropdown list box. 2. Select the Default insurance form to be used when opting to print your electronic claim. 3. Click OK to save your changes. By changing the default insurance form to CDAnet, claims prepared for this employer will be set up to be submitted electronically. Provider Identification As with all insurance claims, it is important to make sure that the correct unique number, office number, and so on, are set up for the provider. Before submitting electronic claims, it is a good idea to review this information. To do this, follow these instructions: 456 • eBusiness 1. Go to Lists | Practice Management Lists and choose Provider/Staff. 2. Highlight the provider and click Edit. The Edit Provider window is displayed. 3. From the Edit Provider window, click Identification. The Provider Identification window is displayed (see the following image). Patterson EagleSoft 15.00 Verify the identification number and make changes as necessary. The most important information to verify is the Billing, Unique,CDA Provider and CDA Office numbers. Enter any of the relevant Other IDs. Click OK to save any changes, or click Cancel to exit without saving any changes. Click OK again from the Edit Provider window to save your changes. Clients Submitting with eClaims eClaims Preferences Setup Before submitting electronic claims or pre-authorizations, electronic claims preferences need to be set up properly. • From the File menu, choose Preferences. • Click the eBusiness tab. • Choose Electronic Claims from the Service dropdown list box and select CDAnet from the Provider dropdown list box. • Check the box next to CDAnet Claims. • CCD Path: browse to the CCD file. • Modem: use the drop down arrow to select the modem in this computer that will be sending claims. Any computer that will be sending claims needs to have a modem. Save – Click Save when you are finished setting up the eClaims preferences. Editing Insurance Companies for CDANet Before submitting electronic claims to CDAnet, each insurance company registered with CDAnet must have the carrier ID, network, CDAnet version and claim age limit entered. Go to Lists | Practice Management Lists and choose Insurance Companies. Then, select the insurance company you want to edit. Patterson EagleSoft 15.00 eBusiness • 457 Submitting Electronic Claims/PreAuthorizations using CDAnet 1. To submit claims, go PROCESS INSURANCE CLAIMS. 2. Click on the Unsubmitted Elec checkbox 3. Mark the claims you wish to submit. 4. Click Process. The following window is displayed. Preverifications Your software now performs a series of tests to ensure that your claim has the necessary information. The software checks for the following types of errors: • 458 • eBusiness No CDAnet provider or office number Patterson EagleSoft 15.00 • No insurance company • Incomplete or no patient address lines • No birthdate for primary or secondary policy holders If the claim has incomplete information, a report can be printed or viewed. The incomplete claims will not be submitted until the information is updated. If a connection is not established the first time, EagleSoft continues to dial the number up to three times. When the connection is established, a status message appears in the upper middle of the window to inform you of transmission progress. Claims Status Pre-authorizations are listed in green on the claims window. Preauthorizations can be submitted; however, the status of the claim is not updated. As claims are electronically submitted, their status will change. Use the following to determine the status of a claim: Status Unsubmitted – Claims will appear in this view when Print Later is selected from the Insurance Questions screen during the walkout or when Patterson EagleSoft 15.00 eBusiness • 459 selecting Print/Submit Secondary Claim Later when prompted to submit the secondary claim. Unsubmitted Electronic – Claims will appear in this view when Electronic Submit is selected from the Insurance Questions screen during the walkout In Process – Claims will appear in this view if the batch is waiting to be adjudicated. Open – Claims will appear in this view when Print Now or Submit Manually is selected from the Insurance Questions screen during the walkout or when the claim has been successfully submitted to the insurance company Receiving Claim Information Normally, when you submit claims, EagleSoft checks for any reports regarding previously submitted claims and downloads the reports, if available.In Process Insurance Claims, click on the Reconcilliation button. Choose the Network and Carrier you wish to check as well as the provider with the correct billing provider/office # and the date to reconcile. Summary will print a summary of the activity from these choices. Payments will print a list of payments and Cancel takes you out of this screen. Reprinting Reports If you need to reprint reports, EagleSoft stores the last five reports downloads. To access these reports, click on the Past Reports button in the Process Insurance Claims window and select the correct date from the list. 460 • eBusiness Patterson EagleSoft 15.00 Online Center Introduction The Online Center can be viewed but not available for use in Canada. Features from Patterson Technology Center, World Wide Web Links, and eMagine can be accessed. You must have Microsoft Internet Explorer 5.0 or higher to use this function. If you have Internet access, you can access the Web site links. Online Menu Use the Online menu on the EagleSoft toolbar to access additional support tools. Remote Support From Patterson Technology Center Select this option under the direction of a Patterson Support Specialist to allow the specialist to access your computer remotely. Live Help Select the Live Help option to send a message directly to a Patterson Support Specialist for assistance. A real-time chat session will begin, allowing the specialist and your office to communicate directly online. FAQ Click the FAQ icon to access EagleSoft’s Technical Support Department page. Receive quick 24-hour software assistance by using the Frequently Asked Questions, the Solution Database or Personal Assistance (e-mail). Click on Search the Solution Database by entering keywords or phrases that are related to your concern. If you have any more questions, or you prefer the personal touch, click on Ask Us under Personal Assistance. Patterson EagleSoft 15.00 Online Center • 461 Your query will be e-mailed to EagleSoft Technical Support and responded to within 24 business hours. 462 • Online Center Patterson EagleSoft 15.00 End-of-Day/End-of-Month Overview The End-of-Day (EOD) option is used to group together all of the transactions since the last time an End-Of-Day was processed and generate reports based on that time period. Regardless of when EOD is processed, it will only process those transactions that have taken place since you last processed EOD. Processing End-of-Day From the Activities menu, choose Practice Management Activities and then Process End-Of-Day. The Process End-of-Day window is displayed. Review the default Description, the current date. If you would like to modify it, type a new Description. The number of Transactions Since Last End-of-Day and the date End-ofDay was Last Processed On is displayed. When processing EOD while transactions are still being entered or modified in EagleSoft, you need to choose a final transaction to include on the current EOD. To do this, click the Choose the last transaction to include dropdown list box and select the final transaction to include on the EOD. If any of the following tasks are being performed, you are unable to process EOD unless you have exclusive use (all others need to be logged off EagleSoft): • Aging all accounts using True Date aging • Adjust accounts with offsetting debits and credits • Update late payment plans If none of these tasks are being performed, select a transaction and continue processing EOD. Select the Age all accounts using the True Date Aging checkbox if you would like to age all accounts using this method. True Date aging ages accounts by service date and can be done daily. Patterson EagleSoft 15.00 End-of-Day/End-of-Month • 463 Note: Using this method may significantly increase the length of time required to process the EOD. Select the Save Indicators to File checkbox to use Infoport to export your indicators to a spreadsheet program. The At EOD, Export Indicators to File checkbox on the Accounting Preferences tab must be selected for this option to be available. Select Adj. accts. seen today with offsetting debits & credits if you want the end-of-day process to adjust the accounts. Check Update Late Payment Plans if you wish to apply overdue payment plan accounts to the current balance. Also, key in the number of days overdue. Select the reports you’d like to print for this day. The reports that may be printed when processing the End-of-Day are: Deposit Slip Post Op Calls Audit Trail Secondary Deposit Slip Collections Reconciliation Deposit w/ Itemized Cash Production Reconciliation Provider Productivity Adjustment Reconciliation Day Sheet Deleted Transactions Scheduler Audit Trail Appts Without Walkouts Prescriptions Practice Audit Trail Analysis For more information on printing EOD reports, see End-of-Day Reports. Click Setup to direct the reports to a different printer than the current default. Click OK to process the EOD. You are then prompted to make sure that you want to proceed. If you do, click Yes. If you do not want to proceed, click No. If you choose No, click Cancel to exit this option and return to the EagleSoft Main menu. Once all of the no productivity reports have been printed, EagleSoft prompts you to review these reports. If you want to continue with EOD processing, click Yes. If you do not want to proceed with EOD processing, click No. If you choose No, your day has not been processed completely, even though some of the reports have printed. You need to start the End-of-Day process again before entering new transactions into your system. Otherwise, new transactions are entered for the current day. End-of-Day Reports Printing Daily Reports from the Reports Menu In addition to printing the reports through the End-of-Day process, you may use the Reports menu for the following situations: 464 • End-of-Day/End-of-Month Patterson EagleSoft 15.00 • • • Print a daily report for a previous EOD (Other Range of EODs). This may be used to reprint a day’s report(s) if they printed incorrectly Reprint reports from the previous day if they did not print successfully Print the day’s activity prior to processing the EOD (Today) From the Reports menu, select the appropriate End-of-Day report. For example, select the Daily Audit Trail report from the Financial Report Grouping. For the most recent processed day’s totals, choose the Other Range of End Of Days report. This automatically uses the last End-of-Day you processed for its totals. Click Preview Report to generate the report on window. Click Print to print the report. Deposit Slip/Secondary Deposit Slip Because most banks do not need to see your credit card deposits, and so on, EagleSoft offers the Secondary Deposit report. This report is specifically designed to display the Payment Types set up in EagleSoft to be included on this report. These payment types, however, are excluded from the main Deposit Slip report. Note: If you want payment types to be on the Secondary Deposit Slip report, you must select the Include on Secondary Deposit checkbox. For more information on setting payment types up, see the section on Payment Types in the General Setup chapter located in the Setting up Your Software unit. If you have multiple providers, and you want all provider payments to be shown on one deposit report, make sure all providers have the same Bank Account Number in Lists | Practice Management Lists | Providers/Staff | Identification. Processing End-of-Month Process End-of-Day You must first process the EOD for the current day before processing EOM. First time users: One End-of-Month must be processed without selecting the end transaction. After the first time, you will be allowed to select the transaction from the dropdown list on which you wish to end the month. Print Statements We recommend you print/process statements before processing EOM. Even though statements can be processed at any time, most clients find printing statements before running EOM to be more efficient overall. Patterson EagleSoft 15.00 End-of-Day/End-of-Month • 465 Statements can be processed at any time. They do not necessarily need to be printed before processing EOM. Perform Monthly Backup Using the same procedures you use to make your daily backup, we recommend you make a separate monthly backup. When the backup is complete, it should be kept in a safe, dry location outside your practice, such as a safe deposit box. For more information on making backups, see the Making Backups chapter located in the System Maintenance and Backups unit. Age Accounts EagleSoft provides you with two different methods to age accounts: Category Aging and True Date Aging. For more information about aging accounts, see the Aging Accounts chapter. Processing End-of-Month Go to Activities and choose Process End-of-Month. The Process End-ofMonth window is displayed. Review the default Description, the current month and year. If the description does not reflect the month being processed or if you would like to modify it, type a new description. Choose the EOD to be included. Select the End-of-Day to be the ending point for the End-of-Month that you are processing. The number of Transactions Since Last EOM and the Last EOM information will be displayed. The Reset Insurance Balances option is used to reset the remaining benefits and remaining deductible for all patients with insurance plans that renew in a particular month. For example, if you wish to reset the maximum benefits or remaining deductible for all insurance plans with an anniversary date of January 1, key in 1 and 1 in the With an Anniversary Month Between fields. This would apply when processing End-of-Month for December. Check Run End-of-Year with EOM if you wish to reset yearly totals. For more information about processing EOY, see the following Processing End-of-Year section. Check the box next to the reports you want to print. The reports to choose from are: Accounts Receivable Referral Production Coverage Productivity Day Sheet Provider Productivity Check the box next to the End-of-Month Clean Up tasks you want to perform. The tasks are: 466 • End-of-Day/End-of-Month Patterson EagleSoft 15.00 • Delete Past Appointments • Delete OnSchedule Audit Trail Files • Delete Electronic Submission History The next window that appears asks if you want to search for appointments for deletion. 1. Select the Appointment Search for Deletion options and click OK. 2. Select an audit trail and click Preview to view the report, or click Delete to delete the report. Click Close to continue with the EOM processing. 3. Enter a date and click OK to delete the electronic submissions on or before the date. A progress meter appears displaying the percentage of the process completed. Processing End-of-Year There are two methods of processing EOY: during the End-of-Month process from the End-of-Month window or from the End-of-Year window. If you are processing an end-of-month for the last month of your fiscal year, you can choose the option of processing the end-of-year as well. If processing EOY right after EOM is not convenient for you, choose the EOY option. Before Processing End-of-Year Before you process EOY, it is very important that you: • Perform your monthly backup • Perform your yearly backup For more information on making backups, see the Making Backups chapter in the System Maintenance and Backups unit. When Processing End-of-Year with End-ofMonth Check the box next to Run End-of-Year with EOM. The Transactions Since Last End-of-Year is displayed. Also, the Last EOY information (date, time and user) is displayed. When you are ready to proceed, click OK to process the EOM and EOY. Patterson EagleSoft 15.00 End-of-Day/End-of-Month • 467 Select the EOY reports you want to print and click OK. A progress meter appears displaying the percentage of the process completed. Note: Once this process has taken place, it cannot be reversed without restoring a backup prior to processing End-of-Month/End-of-Year. Choose Cancel to exit the window and return to the Front Office window. When Processing End-of-Year Separately Go to Activities | Practice Management Activities and choose Process End-of-Year. The Process End-of-Year window displays the number of transactions since the EOY and the date and time for the EOY. If applicable, click the Reset Insurance Balances for Insurance Plans checkbox and enter the anniversary months to reset the insurance plan balances. Choose the EOY reports you want to print. Click OK to process EOY. Provider Productivity All month-to-date (MTD) accumulators are reset during the process of EOM. All year-to-date (YTD) accumulators are reset during EOY processing To help you track the performance of your office and the trends that are taking place in your office, EagleSoft calculates several monthly and yearly totals. These productivity totals are calculated for each month and are reset at the time that the end-of-month is processed. Reviewing Provider Productivity Monitoring provider productivity is a very important component of any practice management system. For offices with multiple doctors, provider productivity is a critical component. This section shows you where to review these totals, and provides a more detailed definition as to what the totals actually reflect. 468 • End-of-Day/End-of-Month Patterson EagleSoft 15.00 The following are areas within EagleSoft where provider productivity can be reviewed: The Provider Productivity report reveals patients seen as well as adjustment, production, and collection for the time period indicated. The Month-to-Date and Year-To-Date totals are also reflected on this report. Print this report during the Process End-of-Day or through the Reports menu The Practice Management features SnapShot and Trends give productivity, goals and other information for the entire practice The Productivity button in the Edit Provider window reveals the same information as the monthly and yearly provider totals as well as the Accounts Receivable report for the current provider Adjustments, Production and Collections The following transactions can be marked to impact Adjustments, Production and Collections: Debit Adjustment Credit Adjustment Returned Check Write-off Account Billing Charge Finance Charge According to what they are marked to impact, the preceding transactions will be included in the total of one of the following columns: Adjustments, Production and Collections. The Day Sheet and Provider Productivity reports reflect these totals. Adjustments – A transaction that is figured into the adjustments totals on the Provider Productivity report. The Adjustments Reconciliation reports reflect all transactions that calculate the adjustment totals. Production – A transaction that is figured into the production totals on the Provider Productivity report. The Production Reconciliation reports reflect all transactions that calculate the production total, including adjustments marked to impact production. • If the adjustment is a debit transaction marked to impact production, the amount is added to the production totals • If the adjustment is a credit transaction marked to impact production, the amount is subtracted from the production totals Collections – A transaction that is figured into the collection totals on the Provider Productivity report. The Collection Reconciliation reports reflect all transactions that calculate the collections totals, including adjustments marked to impact collections. Patterson EagleSoft 15.00 • If the adjustment is a debit transaction marked to impact collections, the amount will be subtracted from the collections totals • If the adjustment is a credit transaction marked to impact collections, the amount will be added to the collections totals End-of-Day/End-of-Month • 469 This page has been left blank intentionally. 470 • End-of-Day/End-of-Month Patterson EagleSoft 15.00 Practice Administration Tools – Unit 8 The Practice Administration Tools unit contains the following chapters: Patient Summary SmartDoc Reports Practice Management – SnapShot, Revenue Opportunities, The Money Finder, Trends Route Sheets InContact InTouch Patterson EagleSoft 15.00 Practice Administration Tools – Unit 8 • 471 Patient Summary Overview Use the Patient Summary to review patient demographic information, account balance, primary and secondary insurance, last payment information, recall and appointment information for all patients within the account. Viewing Patient Summary Go to Activities and choose Patient Summary. The Patient Summary window is displayed. Enter the full or partial last name of the patient and press the Tab key. Or, in the ID field, enter the ID of the patient and press the Tab key. You can also press the F2 key and select the patient from the Person List. Review the information displayed for the selected patient. You can view biographical information for a different patient in the account by highlighting the patient in the Patient List in the Patient Summary window. Select Patient to access the Edit Patient window for the current patient. Select Insur. Info to view a summary of the selected patient’s insurance information. Choose OK to return to the main menu or Cancel to display information for another patient/account. 472 • Patient Summary Patterson EagleSoft 15.00 Using the Right-Click Menu The Patient Summary window offers several options by right-clicking on the patient name. This functionality is available in all of the main windows, such as Insurance Payment, Walkout Statement, Treatment Plan and so on. The following is a list of the right-click functions: Choose: To: Call Choose to call the patient’s work or home phone numbers. Treatment Plan View and edit any treatment plan items that are set up for this patient. Insurance Info View the patient’s insurance information, as well as any outstanding claims. View Claims For Patient View insurance claims for the selected patient. View Claims For Account View claims for this patient’s account. View Rx Information View prescription information for the selected patient. Send To Send a letter through InTouch or an e-mail through your e-mail program. View History View patient history. Print Queue Statement Activate the Statement Wizard to print an individual statement for the current patient. Reprint Last Statement Reprint the last statement that was sent to the current patient. SmartDoc Open SmartDoc. Schedule Patient Schedule this patient. Schedule Family Open the Family Schedule window. Clinical Open the selected Clinical module (if Clinical is installed). View Referral Information Display the Patient Referral Information window. View/Reprint Walkouts For Account View or reprint walkouts for this account through the Walkout Statement Utilities. Patient Summary View or print a report of the patient history. Note History Edit, view or record patient notes. Patient Route Sheets Print a route sheet for this patient. Patient Signatures View/edit the list of patient signatures. Ck Eligibility Check patient elegibility through CDAnet. Fast CheckIn Sends patient to Fast CheckIn. View the chapter pertaining to the feature that you are interested in to find more information. Patterson EagleSoft 15.00 Patient Summary • 473 Printing Patient Summary The Patient Summary window gives you the option of printing the patient’s information. Select Print. The Report Preview window appears. From the Report Preview window, select Print when you are ready to print the information. Select Cancel to exit. 474 • Patient Summary Patterson EagleSoft 15.00 SmartDoc SmartDoc Overview SmartDoc allows you to save reports, medical histories, letters and more without printing and filing. Documents created or imported into SmartDoc have the same inherent capabilities of the proprietary software from which they originated. SmartDoc was designed to coordinate with MS Office 2000 and higher. Earlier versions of Office will perform with limitations. Use of Open Office is prohibited. SmartDoc Preferences SmartDoc is accessible from person, provider, insurance, practice info, lab tracking, referral sources, toolbars and right-click menus throughout the program. Add, create and save documents in SmartDoc. To set your SmartDoc preferences, go to File | Preferences. In the SmartDoc Preferences, select the checkboxes for the types of files you wish to use. Note: PDF and JPG Patterson EagleSoft 15.00 SmartDoc • 475 are always allowed. Select the checkbox to Set Document Info on Import or Default imported documents to Private to instruct SmartDoc on how to handle your incoming documents. Select the dropdown arrow to set your JPG quality. In the next section, select the EagleSoft reports that you want to always create in the SmartDoc. Select the dropdown arrows to select what file type you prefer for each document. Import EagleSoft Documents From the SmartDoc Preferences, select the checkbox associated with the EagleSoft document desired. Use the dropdown menu to select from the following formats: PDF and JPG. Select the group from the dropdown menu. Select the checkbox Ask for signature to embed a signature within the document using the Patient Signature feature. A signature window appears for new signature capture. To create a new Document Group, select Lists | Document Groups. Select the New button to create a new Document Group. Select the Edit button to edit an existing group. Select the Delete button to delete a group. Select the Report button to view a report of Document Groups. Select the Close button to exit the Document Groups window. Access SmartDoc from a number of locations within Patterson EagleSoft including: Insurance, Practice Information, Provider/Staff and more using the SmartDoc button. Accessing SmartDoc To open the SmartDoc, select Activities | SmartDoc. The Patient List appears. Select the appropriate patient. To create a new document, select File | New Document. The following window appears. From the New Document window, select the document type you wish to use. Select the Private checkbox to restrict viewing of the selected 476 • SmartDoc Patterson EagleSoft 15.00 document to include only the user who created it. Select OK. Select Cancel to close the window without selecting a document type. To view a single existing document that was created outside of EagleSoft, select File | Open. Browse to the folder containing your files. To import multiple existing documents that were created outside of EagleSoft, select File | Import. Browse to the computer on your network containing the documents. Select the document from the proper folder. Using SmartDoc To access saved documents in the SmartDoc, select the document from the Recent Documents menu. From here, documents can be edited or deleted. Each document must be saved before opening or creating a new document. Documents saved as .PDF or .jpg are considered ‘read-only’ items and cannot be edited. To use the Signature tool on a SmartDoc document, select File | Signature or select the Signature button on the toolbar. Signed documents exist as ‘read-only’ files until the signature is removed from the document. To remove the signature, select the Unsign button. Signed documents cannot be deleted. Obtain a new patient signature and select Use. Select Cancel to close the window. Select Clear Tablet to erase the signature. Select the F1 key to read more about the Signature Pad functions. In the Documents menu, select the New Letters option to open the InTouch letter templates including VTY letters. Double-select to select a letter template to be used in SmartDoc. The letter options will be merged at this time. Select the Documents By Group option to view the Document Groups. Select the plus sign next to the Document Group folder to display the documents contained within. Double-select to select a document from within a Document Group. Patterson EagleSoft 15.00 SmartDoc • 477 Documents created or imported into the SmartDoc have the same capabilities of the proprietary software from which they originated. Use the Document Information checkboxes to designate your PIPEDA documents. Select from the following options: Notice of Privacy Practice, Consent and Privacy Authorization. Merge Creation from SmartDoc SmartDoc Word Merge Using Microsoft Word, create letters and templates using the InTouch merge field. Open a Word document in SmartDoc and select the Letter Merge field. Select the Insert button to add the merge field to the document. Select the Merge button or select File | Merge Data to populate the merge fields. Use this to create new letters or export the document to create a template for office use that can be imported back into SmartDoc. Batch Merge Note: When using SmartDoc in batch merge mode, documents will not display and the options to Export, eMail, Document Information, Sign/Unsign, Transfer, and so on will be disabled. Use the merge capabilities by creating a new Word document or using an existing letter from InTouch. Use the Letter Merge to add more merge columns to the current document. In batch mode, the Merge button will be disabled but the merge will occur when the document is printed or saved. Select the New or Edit icon from the toolbar (shown above). This allows you to create a new letter or edit an existing letter. Select the checkbox Format On Insert. The Choose a <<>> Format window displays allowing the user to choose a format from the dropdown list or enter a format. The data type of the merge column determines the format types available. 478 • SmartDoc Patterson EagleSoft 15.00 Create Batch Merge Files In InContact, Recalls and Money Finder, create a batch from the Print On list. Create a Patient batch using the following reports: Delinquent Accounts, Ortho Patient Master, Ortho Patient By Billing Period, Patient Master, Patient PIPEDA Information and Production by Patient. Create an Insurance batch from the Insurance Company Master report. The following image is an example of the SmartDoc Batch option when printing the Insurance Company Master Report. Create an Other Referral batch from the Patients Currently Referred Out report. Printing a Batch When printing or saving, a progress window will display showing the current patient name and the total number of files to be printed or saved. Select Cancel to stop processing a batch and return to SmartDoc. Merge Images into SmartDoc Image Merge is accessible from the SmartDoc toolbar or you can select Insert Patient Image from the File menu. This new option will be available from the SmartDoc toolbar in the following areas: Patient, Provider, Insurance Company, Lab, Referrals, and Practice. These options are only available when using a Word, Excel, or PowerPoint document. Patterson EagleSoft 15.00 SmartDoc • 479 Example Images are available from this window as well as patient specific images. To insert a Patient Image, select the checkbox associated with the desired image. Highlighting a selection will allow you to preview the image to the right. The selected images will be displayed as thumbnails at the bottom of the screen. Select OK to complete the process. To resize the image, select and drag the image using the resizing handles at the corners of the image. When using this feature in the Provider, Insurance Company, Lab, Referrals, or Practice SmartDoc areas, you will first be prompted to select a patient from the patient list. Selecting Use on the Patient list will prompt the SmartDoc Image Selector window for the chosen patient to display. You may then import these images into Insurance Company, Referral, Provider, Lab, or Practice documents. Image Merge in SmartDoc In SmartDoc, a new merge field will be added to each merge type dropdown called Patient Image. When this field is inserted, a new placeholder will be added to the document. This placeholder(s) will be embedded into MS Word for images to be placed. When this item is chosen, the Format On Insert checkbox will be disabled. Placeholders cannot be formatted. 480 • SmartDoc Patterson EagleSoft 15.00 Creating a SmartDoc letter with images To create a SmartDoc letter, first create or open a Word document or existing letter. To add images to this letter template, select Patient Image from the merge type dropdown and select Insert. Resize and rearrange the placeholders, if desired. (Note: In order to create a SmartDoc letter template in which the placeholders and merged images will always maintain an absolute position on the page, it is recommended to create a table to insert the images into. Tables can be created by using Word’s insert menu.) Saving a SmartDoc letter with images To save a SmartDoc letter template: 1. Choose Save As Letter from the menu or toolbar. 2. The Save As SmartDoc Letter window will open allowing the user to choose a name for a new letter or overwrite an existing SmartDoc letter. 3. Select OK to save the letter. Once saved, the letter will appear in the Letters pane in SmartDoc; a Word icon designates the SmartDoc letter templates. To add images, select Patient Image from the merge columns list and select Insert. SmartDoc letter templates allow you to create a non-patient specific letter that can be used for all patients. Insert image placeholders into SmartDoc letters without attaching them to specific images. This allows you to use the same templates for multiple purposes. Using a SmartDoc letter to merge images Select the desired SmartDoc letter template from the Letters pane. Delete any undesired image placeholders. Choose to Merge Data using the menu option or toolbar button; the image selection window opens. Patterson EagleSoft 15.00 SmartDoc • 481 In the Image Selection window, choose a number of images less than or equal to the number of placeholders. You can merge multiple times, if desired, to fill all placeholders. Placeholders are filled in order according to their assigned numbers. Images are filled in the order that they are selected in the image selection window. To remove a merged image: 1. Highlight the desired image. 2. Select Remove Merged Image from the menu or toolbar. 3. Select Save to prompt the merge of any empty placeholders. 4. Select Print to print the empty placeholders. Merging images To merge: 1. Select Merge. The image selection window opens. 2. Select the number of images equal to the number of placeholders. If you choose to merge fewer images than available placeholders, only those images will be merged. 3. Select Merge again to insert additional images into the remaining placeholders. 4. Select Print or Save will also prompt to merge any empty placeholders. 5. Select Cancel to end without merging images. Placeholders They are a beige coloured box displaying text pertaining to the image name. Select or delete the placeholder prior to merging images. Patient images will be resized to fit into the placeholder but maintain the same aspect ratio. If the user selects one or more placeholders and selects the Insert Patient Image toolbar button, the entire selection will be replaced. Letters List SmartDoc letters are visible in the Letters List. However, electing to edit a SmartDoc letter from InTouch will display the following message: 482 • SmartDoc Patterson EagleSoft 15.00 SmartDoc letters can be deleted from the Letters List. Send Image to SmartDoc In Advanced Imaging, right-click the desired image. Select Send to SmartDoc from the menu. The selected image is removed from the image exam and a new image file is created in SmartDoc. EOY Reports For SmartDoc End-of-Year reports are automatically added to the SmartDoc record for the practice. This option can be turned off in the SmartDoc section of the Preferences window. EagleSoft will also be automatically saving Adobe .PDF copies of your selected End-of-Year reports. These will be saved in EagleSoft shared files. These files will be overwritten each time that the End-of-Year is processed. Custom Print to SmartDoc Under File | Preferences | Images, select the checkbox Save custom image printouts to SmartDoc. This allows you to generate a SmartDoc image file for the selected patient. Patterson EagleSoft 15.00 SmartDoc • 483 Reports Overview There are over 130 different reports available through EagleSoft. To make searching easier, each report has been located in one or more report groupings including Financial, Insurance, Patients, Providers, Scheduler, Services, Tx/Rx/Lab, Referrals, Quick Reports, and My Favorites. You may choose to either view a listing of all reports or only those reports belonging to a particular group. Generating and Printing Reports From the EagleSoft menu, choose All Reports, or choose Reports from the toolbar. Choose a specific report category or choose All Reports to view a listing of all reports available. Using the tabs, choose a report category from the Report Listing. The available reports for that report category are displayed. Select the report to generate and select OK. 484 • Reports Patterson EagleSoft 15.00 Some reports display a primary report filter before the report preview (see the following image). Specify the following criteria: providers, patients and date ranges. After specifying the filter criteria (if applicable), the Report Preview window is displayed (see the following image). Select the Zoom Control percentage you prefer. Choose Filter to filter only selected information into a report. Right-click the Report Preview window to access functions more quickly. From the right-click menu you can filter, toggle the rulers, skip to various pages in the report, print the report and save the report data as a text (txt), an excel (xls) or a comma delimited (csv) file. Choose Sort to change the order in which the items on the report appear. To change the Sort options, drag the field from Source Data to the Columns section on the right. You are able to drag and drop only columns that are available for that particular report. Patterson EagleSoft 15.00 Reports • 485 Choose Rulers to toggle the rulers on and off. Use the arrows to change the page you are previewing. |< Previews the first page of the report. < Previews the previous page. > Previews the next page. >| Previews the last page of the report. Choose Print to print the report. Depending on the report, you may be presented with a Print Options window that allows you to specify how the data is printed (for example, Labels, Report). Choose Cancel to exit the window and return to the Front Office window. Report Filters Many reports can be filtered to print only certain information to better provide you with the specific information you need. The filter enables you to determine the amount and type of information contained in a report. For example, to print a report of all active patients who live in Calgary and have dental insurance, use the filter feature to select that information. Patient Filter From the Report Preview window, choose Filter. The Patient Filter window is displayed. 486 • Reports Patterson EagleSoft 15.00 From the Search By Person field, select ID or Name and type the range. From the Types Of People field, select the City, People Marked As, Status, Sex, Marital Status, Orthodontic Status and Insurance Status. From the Other Ranges field, type the Age Range, Birthday Range, Date Entered, First and Last Visit Dates, Next Prev. and Reg. Appts, Next Recall Date, Cancelled or Failed Appts, MTD and YTD Sales and Patient Balance. Choose Print Filter to print this window displaying your filter choices. This can be used to save filter choices for future criteria searches. Choose OK to save and return to the Report Preview window to print the report. Patients by Insurance Report Filter Locate this new report under Reports | Patients. In the Patients by Insurance Company report, select the Ins Company hyperlink. Select a specific insurance company by which to filter the report. Patients by Employer Report Filter Locate this new report under Reports | Patients. In the Patients by Employer report, select the Employer hyperlink. Select a specific employer by which to filter the report. Patterson EagleSoft 15.00 Reports • 487 Accounts Filter From the Report Preview window, select Filter. The Accounts Filter window is displayed (see the previous image). From the Range of Account Balances section, enter an account balance range for the accounts you want to print in this report. From the Last Personal Payment Date section, enter a date range, if applicable. If needed, select the Include Accounts With No Payments checkbox. This includes those accounts that have made no payments. From the Last Personal Payment Amount section, enter a payment amount range. Select the checkbox for Ortho Patients Only or Exclude Ortho Patients. Select the Account Type from the available list. Use the Shift key to select multiple consecutive types. Use the Ctrl key to select multiple nonconsecutive types. From the Has Portion of Account Balance In section, select Current, Thirty Day, Sixty Day or Ninety Day. Select Print Filter to print the filter window as it appears. Select Print to print the report. 488 • Reports Patterson EagleSoft 15.00 Provider Filter From the Primary Report Filter, select the Dates from the dropdown list. If using a range of dates, select them in the Range fields Select the Provider(s). Use the Shift key to select multiple consecutive types. Use the Ctrl key to select multiple nonconsecutive types. Select Preview Report. Quick Reports Create customized groupings of reports using Quick Reports. Quick Reports allow you to create a batch or queue of the reports that you use most often. Create Quick Report batches for additional accounting reports, patient based reports, referral report groups and more. Depending on the report selected, you may need to establish the filter parameters prior to adding to Quick Report. Patterson EagleSoft 15.00 In the Reports listing, right-click the desired report. To create a new Quick Report, select Add this report to a new Quick Report. The New Quick Report window appears. Reports • 489 Enter a Description and select OK. Filters and sorts cannot be saved for those reports that filter only from the preview window. You will need to select Preview and manually sort or filter each time. Select the Quick Reports tab. All Quick Reports that you have created will be listed by the description name. To add a report to an existing Quick Report, right-click the report and select Add this report to an existing Quick Report. Select the Quick Report to which you wish to add the selected report. Select the Preview checkbox to preview the selected report prior to printing. Using Reports With Other Date Ranges When creating a Quick Report batch using reports using an other range of dates such as Other Range of End of Days or Other Range of End of Months, you will need to establish that criteria when you add the report and when you choose to print or preview. For example, selecting Procedures by Provider will launch the Primary Report Filter asking for additional information. Select the desired Range and Provider. When processing your Quick Report batch, the Primary Report Filter will display with the criteria that you previously selected. The report name will appear in the blue header bar. 490 • Reports Patterson EagleSoft 15.00 Use the predetermined Range or select a new one at the time of processing your Quick Report batch. Any filter attached to a saved Quick Report batch may be edited at anytime by selecting the Edit Report button from the Quick Reports tab. The Edit Quick Report window displays all reports that have been added to that Quick Report. Highlight the desired report and select Edit Filter. Reports may also be removed from this window by highlighting the desired report and selecting Remove. Available Reports All Reports Provides an alphabetical listing of all reports available in EagleSoft. Financial Report Name Displays Accounts Receivable By Provider- A/R information by Provider, Current, Detailed and Summary Total Due, Estimated Insurance and Due Now. Now you can choose an All Providers option for this report. Account Balances by Provider Accounts Receivable By Responsible Party Patterson EagleSoft 15.00 Displays the patient, provider, account and provider balances. A/R information on Responsible Parties by Patient ID and Name, Current, 30 Day, 60 Day, 90 Day, Total and Estimated Insurance Balances. Accounts with Offsetting Debits and Credits Displays responsible parties and lists all patients who have offsetting debits and credits in their account. Accounts Written Off All accounts that have been written off with the amounts and the date of writeoff. Adjustments By Type Lists adjustment to accounts, grouped by type. Date, Responsible Parties, Description, Debits and Credits are provided. Reports • 491 492 • Reports Adjustment Reconciliation Shows a detailed listing of all transactions that impacted the adjustment totals. Audit Trail All daily transactions with date, patient, provider, walkout number, type and description of service, debits and credits. Collections Exceptions Shows all collections received by a provider other than the preferred dentist of the patient. Collections Reconciliation Shows a detailed listing of all transactions that impacted the collection totals. Daily Fee Exceptions Shows all fees charged that differ from the standard fee for a specific day, including date and description of service, patient name and ID, fee charged and standard fee. Daily Production/Collection Summary Shows Production, Collection, and Adjustments by day. The current day’s totals are not calculated until after the EOD has been processed. Day Sheet All daily transaction totals divided into credits and debits and their impact on A/R. Deleted Transactions Shows deleted transactions within a range of dates. Delinquent Accounts All delinquent accounts that meet the specified criteria. Deposit Report Shows a listing of all payments, with those payment types marked to be included on the Primary Deposit report. Deposit Report with Itemized Cash A deposit report showing itemized cash, checks and other payments for a selected range of dates. Detailed Referral Productivity Shows referral sources and the production for which they are responsible. Applies to referred patients who had their first visit during your specified range of dates. Finance Charge Report All accounts that have accrued a finance charge. Outstanding Balances By Preferred Dentist Shows the subtotal of balances for all accounts associated with that preferred dentist. Outstanding Payment Plans All outstanding payment plans. Filter this report by days overdue. Payment Reconciliation Shows a detailed listing of all payment transactions. Patterson EagleSoft 15.00 Performance Summary All daily transaction totals divided into credit and debits and their impact on A/R per provider. Practice Audit Trail Shows all activity for the specified date range. Practice Audit Trail Analysis View all transactions (minus notes), then summary of current, Month-To-Date, Year-To-Date, and previous months totals for the categories listed on the existing Day Sheet. Production Exceptions All services performed by the selected provider(s) during the specified date range on patients who do not have that provider listed as their preferred provider. Production Reconciliation Shows all transactions during the selected range of dates that had an impact on production. Referral Productivity – Detailed Displays patients and their production that have been referred to this practice by each referral source. Referral Productivity – Summary This report shows referral productivity by source for the selected range. Referral Productivity – Yearly Summary This report shows referral productivity by source for the annual total. Returned Checks Report All returned checks by account. Secondary Deposit Report A deposit slip for all payment types marked to not be included on the main deposit report. Trends Practice Management Displays saved Trends report. Insurance Report Name Patterson EagleSoft 15.00 Displays Coverage Production Insurance coverage production (claims submitted and received) by employer and insurance company per month. Electronic Claims Submission Summary Report Displays submission information for eClaims. Employer Coverage Book Report Shows the coverage book items for the specified employer. Employer Master – Detailed Shows detailed information about each employer. Employer Master – Summary Shows the insurance company name, group number, contact and phone number for each employer. Reports • 493 Employers By Insurance Company Lists all employers and their insurance companies. Insurance Companies Master Lists insurance companies in the system, their address, local contact and phone numbers. Insurance Company History Service code history by insurance company, including the patient, provider, service codes and fees. Insurance Company Productivity Shows productivity totals for claims submitted and received for each insurance company. Outstanding Claims By Insurance Lists all outstanding insurance claims for Company each insurance company. The primary report filter enables you to choose a specific insurance company or all insurance companies. Outstanding Claims by Aging Category Outstanding Pre-Authorizations By Insurance Payment Groups – Detailed Report Report outstanding insurance claims by 029, 30-59, 60-89 or over 90 days. Shows basic information on all open preauthorizations in the system, grouped by insurance company. List of insurance companies associated with the claim office. Sorted by claim office. Patient Report Name Displays Account History By Patient Lists account history for a specific patient within a specified date range. Account History Report Displays account history based on the range of dates that you provide. Account History Report – Mailable Account history report specifically designed for most long billing envelopes: the return address is printed so that it’s visible through the envelope windows. The mailable feature is also available for account payment receipts. 494 • Reports Account Summary Displays information from the following fields: Account Name, Last Statement Information, Last Account Payment Information, and Last Insurance Payment Information for all accounts. Accounts Marked Not To Receive A Statement Shows all accounts that are marked not to receive a statement. Contact List Shows a general listing of all patients on the Contact Manager. Detailed Contact List Shows a detailed listing of all patients on the Contact Manager. Patterson EagleSoft 15.00 Medical History Answers Displays current medical history information for the selected patient. Medical History Exam Blank medical history form. Print this for patients to fill out. New Persons Lists patients entered into the system since the last end-of-month processing. Orthodontic Patients Master A master list of all orthodontic patients. Orthodontic Patients by Insurance Shows the next billing date and insurance Billing Period billing frequency for all orthodontic patients who have insurance billing frequency chosen in patient preferences. Patterson EagleSoft 15.00 Patient Analysis Report Shows various breakdowns of patient information. Patient Chart Labels Chart labels for all patients (dot matrix printer). Patient Chart Laser Labels Chart labels for all patients (laser labels). Patient Fee Schedules Lists fee schedules with service activity for individual patients. Patient History Patient’s service history with the provider and service codes. Patient Registration Form Displays a blank Patient Registration form. Patient Reg. Form with Pt. Info. Displays the completed Patient Registration form for the selected patient. Patient Signatures Displays all signatures acquired from a selected patient Patient Labels Mailing labels for all patients. Patient Laser Labels Mailing laser labels for all patients. Patient Master Lists all patients with ID, address, and responsible party information. Patient Notes Audit Trail Complete audit of all patient notes. Patient Notes Master Displays all Patient notes for a selected patient during a selected date range. Patients By Account Alert Patients linked to each account alert. Patients By Discount Patients who are under each discount. Patients By Employer Patients linked to each employer. Patients By Fee Schedule Patients using each fee schedule. Patients By Insurance Company Patients linked to each insurance company. Patients By Patient Alert Patients with an alert are displayed and categorized by their alert. Patients By Preferred Dentist Shows all patients associated with the specified dentist. Patients By Preferred Hygienist Shows all patients associated with the specified hygienist. Reports • 495 Patients By Responsible Party Patients linked to each responsible party and account balance. Patients Currently Referred Out Shows those patients currently referred out based on the date they were referred. Patients On Short Notice Lists patients who can be called on short notice to fill an open appointment. Patients Seen Lists patients who have had procedures posted on the walkout statement today. Lists patients with the same name entries in the first and last name fields in the Edit Person window. Lists patients with the same entry in the Social Insurance field on the Edit Person window. Patients with Duplicate Names Patients with Duplicate Social Insurance Numbers Patients with E-mail Addresses Lists all patients with e-mail addresses. Patients Without Recalls Lists patients who do not have a date specified for the next recall. Patients Without Visits Shows all patients in the system without a first visit date. Production By Account Revenue information (charges, collections, estimated insurance, contract balance) for all patients, Month-to-Date and Year-to-Date. Production By Patient Revenue information (charges, collections, estimated insurance, contract balance) for all patients, month-to-date and year-to-date. Referred Patients All patients who have been referred to the practice and their referral source. Top Referral Sources Shows top referral sources ranked by the number of patients referred based on the specified date range. Providers Report Name 496 • Reports Displays Detailed Production by Provider Shows production for each provider; that is, the collections go to provider for that production during selected range of dates. Employee Time Sheets Shows employee time sheets for a selected date range. Post-Op Calls Shows a listing of all scheduled postoperative calls scheduled for the date range. Patterson EagleSoft 15.00 Procedures By Provider Procedures by provider and by service code, including number of times a procedure was performed, and production per procedure. Provider Facts Provider facts, including address, license and tax numbers, and insurance and collections information. Provider Goals Lists the Daily Scheduled/Goal Amounts for each provider. Provider History Lists all services performed, patients seen, and fees charged by provider. Provider on Insurance Master Lists all providers who are set as provider on insurance. Provider Productivity Provider productivity, including production, Collections and Adjustments by a specified date range. Providers Master Lists all providers who are entered in the system. RVU This report shows the Relative Value Units for the procedures completed by a provider during the selected date range. Security Profile Master This report shows a breakdown of the security access for each profile Lists all employees designated to use the time clock. Time Sheet Employees Time Sheet Work Types Lists all work types being used in connection with employee time sheets. Scheduler Report Name Patterson EagleSoft 15.00 Displays Appointment by Time Scheduled By Service Type Shows the amount of time scheduled for each service type per provider, according to services scheduled in the Edit Appointment window. Each service type is listed with the provider time scheduled for each category. Appointments Basic information on all appointments for the selected provider during the selected range of dates. Customized Hours Report Displays all customized hours. Office Chairs Master Master report of all chairs set up in the system for OnSchedule. Patient Arrival Tracking Report This report shows arrival times according to arrival indicator setting Reports • 497 Scheduled Appointments Not Walked Out Shows basic information on all appointments scheduled but not walked out during the selected range of dates. Scheduled vs Goals By Provider Shows scheduled production compared to daily goals by provider for a range of dates. Scheduled vs Goals Shows scheduled production compared to daily goals for a range of dates. Scheduler Audit Trail Shows all modifications made to the scheduler for the specified date range. Scheduled vs Goals Shows scheduled production compared to daily goals for a range of dates. Quick Fill List Basic information on all patients in the Quick Fill list. Today’s Appointments Shows a display of all appointments for the current date. Services Report Name Coverage Book Master Displays Lists all coverage books in your system. Detailed Exploding Codes Master Lists exploding codes in detail with service codes and fees. Exploding Codes Master Lists exploding codes by code ID and description. Fee Schedules – Detailed Displays all patients, employers and their fee schedules. Fee Schedules Master Lists all fee schedules by name. Service Codes By Fee Schedule Lists service codes categorized by each fee schedule. Service Codes By Standard Fee Lists service codes by standard fee. Service Codes By Type Lists service codes categorized by service type. Service Codes Master Lists all service codes with service types and fees. Service Codes Productivity Master Lists all service codes, fees and their productivity for the month and year. Service History History of selected service by patient, provider, and fee. Service Type ProductivityDetailed Lists all service codes and fees categorized by type showing productivity for the month and year. Service Type Productivity-General Lists service types and their productivity for the month and year. Service Types Master 498 • Reports Lists all service types. Patterson EagleSoft 15.00 Standard Fee Master Lists all standard fees Tx/Rx/Lab Report Name Displays Detailed Treatment Plans Lists all treatment plans, including the actual services marked as Proposed, Accepted and Completed. Lab Case Types Master Displays all the lab case types in your database. Lab Cases Master Displays a list of all current lab cases, including the appointment date and time. Laboratory Master Displays a list of all laboratories. Pharmacy Master Displays a list of all the pharmacies. Prescription History Report Displays a list of all prescriptions for a selected patient or provider within a range of dates. Prescription Template Master Displays a list of all prescription templates. Rx Drugs Master Displays a list of all prescription drugs. Treatment Plans Master Lists all treatment plans, including the dollar amounts proposed, accepted and completed treatments for the treatment plan. Other Reports These reports are only listed under the All tab. Report Name Displays Patterson EagleSoft 15.00 Account Alerts Master Master report of all account alerts that are set up in your system. Adjustment Types Report Master report of all adjustment types that are set up in your system. Discounts Master Master report of all discounts set up in your system. Electronic Submission Summary Displays a summary of all electronic submissions Employer Prompts Master Master report of all employer prompts that are set up in your system. Letters Master Master report of all letters that are set up in your system. Payment Types Master Master report of all payment types set up in your system. Practice Information Report Shows general practice information and the various preferences you have previously set up. Reports • 499 Messages Master Master report of all messages that are set up in your system. Patient Alerts Master Master report of all patient alerts that are set up in your system. Patient Prompts Master Master report of all patient prompts that are set up in your system. Provider Prompts Master Master report of all provider prompts that are set up in your system. Referral Sources Master Master report of all referral sources that are set up in your system. Referral Recipient Master Master report of all referral recipients that are set up in your system. Staff Positions Master Master report of all staff positions that are set up in your system. System Activity Report Displays information regarding the processing of end-of-day, end-of-month, end-of-year, billing statements, and account aging during the selected range of dates. Task Categories Report of all task categories created or edited in Practice Management Lists | General Setup | Task Categories. Task Manager Report of all tasks in the Task Manager, including those for the current user only. POSTAL Codes Master Master report of all POSTAL codes set up in your system. Clinical If you have Clinical installed, there is a list of Clinical reports. Report Name Annotation Master 500 • Reports Displays Displays all annotations used in Advanced Imaging. Application Interfaces Lists the currently installed application interfaces. AutoNotes Master Displays all AutoNotes available. Clinical Exams Master Displays summary information for all clinical exams. Conditions Master Displays all conditions. DenOptix Scan Master Types Displays all scan types. Digital Image Exam Master Shows all digital image exams for selected date range. Digital Image Exams for Patient Shows all digital image exams for a selected patient and selected date range. Patterson EagleSoft 15.00 Example Groups Lists all example groups. Document Groups Lists all document groups. Image Template Master Displays detailed information for each image template. Incomplete Clinical Exams Displays information for all clinical exams that are marked as incomplete. Post Procedure Notes Displays unverified post procedure notes for all patients. Quick Pick Assignment Master Displays a list of all services and conditions assigned to a quick pick button. My Favorites The My Favorites category was added to allow you to customize your own report category that contains only those reports you commonly review or print. Adding a Report to the My Favorites Group: Right-click the name of the report from the Reports list. Select Add This Report To My Favorites. Removing a Report from the My Favorites Group: Right-click the name of the report from the My Favorites group. The preceding pop-up window appears. Select Remove This Report From My Favorites. Patterson EagleSoft 15.00 Reports • 501 Practice Management SnapShot SnapShot is a truly amazing management feature. With one select of the mouse, SnapShot presents a “state-of-the-practice” overview in easy-to-read graphical displays. You’ll see graphs covering such essential areas as production versus collection totals, accounts receivable totals and patient production. It even allows for historical trends and comparisons for any monthly time segment. Viewing SnapShot Go to Activities, choose Practice Management, and then select SnapShot. The totals for the current month are displayed. Several options are offered on the Graph What tab. The Provider dropdown box allows you to graph information pertaining to a specific provider or for all providers. Below is an explanation of the categories that you can graph with SnapShot. 502 • Practice Management Patterson EagleSoft 15.00 Use: To Show: Current Monthly Totals Information about the current status of productions/collections, accounts receivable and patient production. Production/Collection Graphs depicting trends and comparisons of provider production and collections. Patient Production Graphs revealing patient visits, new patient visits and production/ collections per visit. Accounts Receivable Graphs showing total accounts receivable (A.R.), A.R. that are 90 days overdue and A.R. ratio. Use Graph Method to choose to graph either the trend or a comparison of two months. Select the correct radio button and then choose the appropriate months from the dropdown menus. Select the Show What tab to receive various options concerning the information that is graphed. This window appears differently based on which of the four categories you graph. Select the radio button next to your preferred selection. The Graph button tells EagleSoft to create a graph based on your specifications. Select it on when you are ready to graph the data compiled from your database. To change the graph type, right-click the graph and choose Type. Patterson EagleSoft 15.00 Practice Management • 503 Highlight the graph to use and select OK. To view the dollar amount for each category, select a section of the graph. Select Close when you are ready to return to the virtual screen. The Report button brings up the print dialog box. Select Info to see the information that is provided by EagleSoft about maximizing your office profitability. Revenue Opportunities The Revenue Opportunities option highlights areas that are typically overlooked but full of revenue potential: recalls not scheduled, overdue recalls, patients without recalls, planned treatments not yet scheduled and several others. Use this option often to determine potential sources of revenue. It also allows you to perform some “what if” scenarios by specifying the percentage of patients whom you believe are likely to comply with the proposed area of opportunity. Viewing Revenue Opportunities Go to Activities and choose Practice Management. Then select Revenue Opportunities. The Revenue Opportunities window is displayed. 504 • Practice Management Patterson EagleSoft 15.00 Choose the preferred Option: Choose: To Show Totals of: Accounts Receivables Current accounts receivable by category. Overdue Recalls All patients who have a past due recall. Unscheduled Future Recalls All patients who have a recall due but lack an appointment. Patients Without Recalls All patients who do not have a recall date. Patients Coded Not To Receive Recalls All patients who have been set up not to receive recalls. Quick Fill List All patients who have cancelled an appointment but have not yet been rescheduled. Planned Treatments Amount of all services that are planned for patients. Accepted Treatments Amount of all services that have been proposed and accepted by the patient. Enter the information that is requested by the Revenue Opportunities Finder. For example, if you are interested in the number of patients in your database without recalls, select the radio button next to Patients without Recalls. Patterson EagleSoft 15.00 Practice Management • 505 Enter the Percentage of Patients to Comply. For example, if you send a letter to all patients who are overdue on their recall, enter the percentage that you believe would come to your office as a result. Enter the Average Amount Spent Per Visit. This is defaulted to last month’s average walkout statement, but feel free to modify the amount if you believe that it would be higher or lower for the particular area. Review the Potential Revenue to Practice. You can return to the virtual screen at any time by selecting Cancel. The Money Finder The Money Finder is appropriately named, as it does just that - finds the hidden money in your practice. It performs this function by accessing a variety of areas in your system, including appointment status, insurance status, recommended work and planned treatment status, and completed service status. Depending on the parameters you determine, The Money Finder queries your patient base and produces a concise list of patients who fit your practice’s particular needs at any given moment. Viewing The Money Finder 1. Go to Activities and choose Practice Management and then The Money Finder. The Money Finder window appears. 2. The Categories dropdown list box enables you to access a variety of preset patient base queries. To view these preset categories, simply select the down-arrow at the end of the Categories box. To choose a specific category, simply select one. When you choose one of these preset queries, the related information necessary to run the query is automatically placed in the appropriate field boxes for you. If you so choose, you can modify any of the preset information as you see fit. 3. You may also choose Custom from the dropdown list box to enter your own custom criteria. Simply select or fill in the appropriate fields on The Money Finder window: NRA/NPA – Selecting on the radio buttons in the Next Regular Appointment and Next Preventive Appointment box enables you to search 506 • Practice Management Patterson EagleSoft 15.00 for patients who match either of those criteria as they relate to being scheduled and/or unscheduled. Select Patients Who – This section is split into checkbox options; dropdown list boxes and an entry field. Select the Select Patients Who checkboxes to search for patients who: • Are On Short Notice • Deductible Does Not Apply To Prev • Have Cancelled or Failed Appointments Select a dropdown list box and select an option for the following: • Have Appt Time Preference • Have Insurance Status Of • Have Preferred Dentist Of Enter information in the following field: Recall Note Includes: • From/To – Selecting on or using the Tab key to access the fields and entering appropriate information in the From/To box allows you to specify amount, date and age ranges, as well as recall note information in your search criteria • Include Patients That Match The Following – By selecting Add to enter appropriate information to search for patients who have or lack planned or completed treatments A. Select the dropdown list box in the Has Or Lacks Info column to look for patients who have or lack proposed or completed services. B. Select the arrow in the Service Is column to look forservices that are proposed or completed. C. Select the Code column to either key in a service code/codes or press the F2 key to choose a code. D. Select the arrow in the &/Or column if you want to include more than one planned or completed service in the search (for example, “this and that” or “this or that”). Once the search information is completely entered for the type of search you want to make, select OK. At this point, the Print Options box appears. In the Print Options box, you can choose: Patterson EagleSoft 15.00 Practice Management • 507 • Report – Print a report of the patients who match the criteria. • Letter – Select and print a letter for the patients who match the criteria. • Label – Print mailing labels for the patients who match the criteria. • Laser Label – Print laser mailing labels for the patients who match the criteria. • Postcard – Print postcards for the patients who match the criteria. • Laser Postcard – Print laser postcards for the patients who match the criteria. • Export To InContact – Exports the lists of patients who match the criteria to your InContact contact list. • Envelopes – Print envelopes for the patients who match the criteria. • Sort By – Make the choice from the Print Options dropdown list box for your particular needs by selecting on the desired radio button in the Method box. You can also choose to sort any of these printout formats by patient name, next preventive appointment, next regular appointment, next recall date or Postal code by also selecting on the radio buttons in the Sort By box. • Description to Appear on Report – Enter a description for the report. Once you have selected your choices for the printout format, simply select OK, and The Money Finder query starts searching your patient base and subsequently issues the chosen output. When the query is complete, a Report Preview window appears. From this window, you can sort the information and adjust the alignment. Select Print to print the Money Finder data. Trends Trends is a practice management feature in the software that allows you to view office totals according to specified criteria. From Trends, you can import and enter data according to month or year, and then print the information. Trends is a perfect example of how EagleSoft helps you manage your office and money. Accessing Trends From the ActivitiesPractice Management, choose Trends. Note: Actual Total Office Production total is based on the standard office fees used without discounts, adjustments or fee schedules. This total cannot be reproduced by any one report in the EagleSoft system. 508 • Practice Management Patterson EagleSoft 15.00 Updating Trends To update the data in Trends, first select the month and year for the current Trends data. This is how your Trends data is saved. For example, if the user selects Save with the month and year in the image below selected, the current Trends data is saved under September 2001. To update this information, select Import. The following window appears. From the dropdown list box, select the range for your data. If you print out reports regularly, you probably recognize this window. When you have selected your range, select OK. If you want to save the data in Trends as is, be sure to select Save before you exit. Note: Trends information cannot be printed unless it is first saved. Importing Data from Different Months If you want to import data from prior months or any time range different from the Trends time frame, select Import. Patterson EagleSoft 15.00 Practice Management • 509 If you have saved Trends data before selecting Import, the following message appears. Select Yes to continue. The following message appears. Select Yes if you wish to overwrite the data. If you select Yes, the prior period values for Accounts Receivable 0-30, 60, 90+ and Insurance is overwritten by the current period’s A/R amounts. Indicator Fields There are 46 indicators in each window: Total Office Production, Adjusted Production, Production – Hygiene, and others. These indicators display the goal, actual, variance, year-to-date actual and year-to-date goal. Importing changes the data accordingly. The column fields display the calculated totals according to the name of the field. There are two types of data in Trends: data imported from EagleSoft and data overwritten by the user. The fields keyed in by the user are used for calculation of the other fields. To update the fields, just select Import. To display, the different types of fields are displayed in different colours: Green – Data imported from EagleSoft. Fuchsia – Data imported from EagleSoft but overwritten by user. Printing Trends Information Previewing and printing Trends reports are quick and efficient. If you are familiar with printing reports in other parts of EagleSoft, printing the Trends reports will be even easier for you. Before printing, make sure your data is saved, current, and updated according to your selected time frame. If you need more information on updating the Trends fields, see the section. Save your Trends data before printing. From the Trends window, select Print. If you have not saved your changes, a warning window appears. 510 • Practice Management Patterson EagleSoft 15.00 Select Yes and the Report Preview window appears. When you are finished previewing the report and the data looks correct, select Print. Indicator Field List Below are the definitions of each indicator field and how the column is updated for the specific field. Total Office Production Adjusted Production The user keys the Goal and YTD Goal in. Actual and YTD production is calculated as if fee exceptions were not used.* The user keys the Goal and YTD Goal in. Actual and YTD production are the sum for the selected time frame. Adjusted Production (cont’d) When imported, these totals coincide with the Production Reconciliation and Day Sheet Production columns.* Number of Doctor Days – Total Office All fields are keyed in by the user.* Average Daily Production – Total Office All fields are imported as Adjusted Production/Number of Doctor Days – Total Office.* Number of Doctor Hours – Total Office All fields are keyed in by the user.* Production Per Hour – All fields are imported as Adjusted Total Office Production/Number of Doctor Hours – Total Office.* Patterson EagleSoft 15.00 Practice Management • 511 Production – Hygiene The user keys the Goal and YTD Goal in. Actual and YTD Actual are imported as production for all hygienists in the selected time frame. When imported, this amount coincides with Hygienist Production totals in the Production Reconciliation report along with any of the Hygienist rows at the bottom of the Trends interface.* Number of Hygiene Days All fields are keyed in by the user.* Production Per Day – All fields are imported as Production – Hygiene Hygiene/Number of Hygiene Days.* Collections (Adjusted) The user keys the Goal and YTD Goal in. Actual and YTD Actual are imported as the total of all collections for the selected time frame. When imported, this amount coincides with Collection Reconciliation or Day Sheet Collection columns.* Collection % All fields are imported as Collections (Adjusted)/Adjusted Production. The variance is calculated as Actual % - Goal %. Accounts Receivable Actual is calculated as the current accounts receivable for the selected time frame. When imported, this amount coincides with Day Sheet Ending AR amounts. The A/R Responsible Party report (Total A/R column) also ties in with this amount when the same time frame is used. The A/R by Responsible Party report is always current. Goal, Variance, YTD Actual and YTD Goal are not used for this field. Accounts Receivable The user keys the Goal and YTD Goal in. Ratio Actual and YTD Actual are calculated as Accounts Receivable/Adjusted Production. The variance is calculated as Actual % - Goal %. Credit Adjustments The user keys in the YTD Goal. When imported, this amount is the total of all credit adjustments, regardless of production, collections, or adjustment impactions. Credit Adjustments % The user keys the Goal and YTD Goal in. Actual and YTD Actual are calculated as Credit Adjustments/Adjusted Production. The variance is calculated Actual % - Goal %. 512 • Practice Management Patterson EagleSoft 15.00 Accounts Receivable Actual is calculated as the current accounts 0-30 receivable with aging from 0 - 30 days for the current month. When imported, this amount coincides with the A/R by Resp Party report (current column estimated insurance column). Goal, Variance, YTD Actual and YTD Goal are not used for this field. Note: This amount is based on the current month and year selected in Trends. Current Collection % The user keys the Goal and YTD Goal in. Actual and YTD Actual are calculated as Accounts Receivable 0 - 30/Adjusted Production. The variance is calculated as Actual % - Goal %. Note: This amount is based on the current month and year selected in Trends. Accounts Receivable Actual is calculated as the current accounts 90+ receivable with aging from 90 days or higher for the current month. When imported, this amount matches with the A/R by Resp. Party report (90 Days column). Goal, Variance, YTD Actual, and YTD Goal are not used for this field. Note: This amount is based on the current month and year selected in Trends. Accounts Receivable The user keys the Goal and YTD Goal in. % - 90+ Actual and YTD Actual are calculated as Accounts Receivable 90+/Adjusted Production. The variance is calculated as Actual % - Goal %. Note: This amount is based on the current month and year selected in Trends. Accounts Receivable Actual is calculated as the total of estimated – Insurance insurance for the current month. When imported, this amount coincides with the A/R by Resp. Party report (estimated insurance column). Goal, Variance, YTD Actual and YTD Goal are not used for this field. Note: This amount is based on the current month and year selected in Trends. Accounts Receivable The user keys the Goal and YTD Goal in. Actual and YTD Actual are calculated as % Insurance Accounts Receivable - Insurance/Accounts Receivable. The variance is calculated as Actual % - Goal %. Patterson EagleSoft 15.00 Practice Management • 513 Note: This amount is based on the current month and year selected in Trends. The user keys the Goal and YTD Goal in. Actual and YTD Actual are calculated as all patients with a Date Entered (when the patient was first entered into the system) for the Trends time frame. Note: This amount does not tie with the coinciding New Persons report, because that report is all new persons, and the Trend total is only for those marked as active patients.* The user keys the Goal and YTD Goal in. New Patients Actual and YTD Actual are calculated as Internal patients referred by other patients with a date entered (when the patient was first entered into the system) for the Trends time frame.* The user keys the Goal and YTD Goal in. New Patients Actual and YTD Actual are calculated as External patients referred by a provider with a Date Entered (when the patient was first entered into the system) for the Trends time frame. The user keys the Goal and YTD Goal in. New Patients Actual and YTD Actual are calculated as Advertisement patients referred by other sources with a Date Entered (when the patient was first entered into the system) for the Trends time frame. Amount Diagnosed – The user keys the Goal and YTD Goal in. When imported, the amount is the total for all New Patients treatment plan items within the selected Trends time range, and the patient is considered a new patient for the same month and year. The user keys the Goal and YTD Goal in. Amount Accepted – When imported, the amount is the total of all New Patients accepted or completed treatment plan items within the selected Trends time range, and the patients are considered new patients for the same time frame. All fields are imported as Amount Accepted – Accept Rate – New Patients/Amount Diagnosed – New Patients Patients. The variance is calculated as Actual % - Goal %. New Patient Potential All fields including Goal and YTD Goal are imported as Amount Diagnosed – New Patients/New Patients.* All fields are imported as Amount Accepted – New Patient Value New Patients/New Patients.* The user keys the Goal and YTD Goal in. Amount Diagnosed When imported, the amount is the total for all Patients of Record planned treatment plan items within the selected Trends time frame, and the patients are not considered new patients for the same time frame. The user keys the Goal and YTD Goal in. Amount Accepted – When imported, the amount is the total of all Patients of Record accepted or completed treatment plan items within the selected Trends time frame, and the New Patients 514 • Practice Management Patterson EagleSoft 15.00 Accept Rate – Patients of Record patients are not considered new patients for the same time range. All fields are imported as Amount Accepted – Patient of Record/Amount Diagnosed – Patients of Record. The variance is calculated as Actual % - Goal %. The user keys the Goal and YTD Goal in. When imported, the amount is for all patients that have a date entered on or before the Trends time frame selected, and they have a next recall date greater than the selected Trends time frame. The patients also must have been walked out within the selected Trends time frame. The variance is calculated as Actual % - Goal %. Note: This YTD amount is always calculated based on the calendar year, regardless of when the client ran EOY. All fields are imported as Preventive % of Practice in Maintenance Compliance/Total Active Preventive Patients who have a date entered on or before Maintenance the chosen Trends time frame.* Production – Doctor The user keys the Goal and YTD Goal in. (each staff member is Actual and YTD Actual are imported as the sum of all production for the displayed provider’s listed once) Trends time frame. When imported, this amount coincides with Production Reconciliation (individual provider total).* The user keys in all fields.* Number of Doctor Days – Doctor (each staff member is listed once) Production Per Day – All fields are imported as Production – Doctor/Number of Doctor Days.* Doctor (each staff member is listed once) All fields are keyed in by the user.* Number of Doctor Hours – Doctor Production per Hour – All fields are imported as Production – Doctor/Number of Doctor Hours.* Doctor Preventive Maintenance Compliance / = Divided by. Patterson EagleSoft 15.00 *Variance is calculated as Actual/Goal. Practice Management • 515 Route Sheets Overview Route Sheets can also be accessed from OnSchedule. The Route Sheet is an excellent means of communication between the front desk and the operatories. When generating route sheets as part of the daily office procedures, many offices have found them an informative and efficient means of communicating within the office. Information on the Patient Route Sheet The route sheet printout contains a wealth of valuable summary information about the patient. Following is a summary of the information you’ll see on the printout: Patient Demographics – Name, Address, Sex, Age and so on. Insurance Summary – Including primary and secondary insurance information. Account Balance Summary – Current, 30-Day, 60-Day and more. Patient Notes – Any note entered in the Patient Notes area in the Edit Person screen. 516 • Route Sheets Patterson EagleSoft 15.00 Referral Information – Referred By, Referred To, Date Referred and so on. Fee Sheet – Exploding codes set up to include certain codes on route sheet. Tx Plan Information – Summary of treatment plan items for the patient. Lab Tracking – Lab case information for the patient. Prescriptions – Summary of prescription information for the patient. Family Appointment Information – Summary of appointment information for other patients within the same account. Generating Route Sheets for Patients with Appointments Go to Activities and choose Patient Route Sheets. The Patient Route Sheet window is displayed. Note: The Patient Route Sheets are available from any navigational right-click menu in Practice Management. Check Print Patients With Appointments. Key in the appropriate range of dates and select Get Matching Patients. If you are maintaining your patient appointments, it is easy to generate route sheets for all patients coming in on this particular day. Select the Sort By dropdown list box to print the report in order of Patient ID, Patient Name, Provider, Chair, Date and Time. To remove a patient from the list, simply highlight the patient and select Delete. Select all the information that you want to print on the route sheet in the Mark To Include On Route Sheet section. If Fee Sheet is chosen to be included, designate the Exploding Code to print, or press the F2 key to select an exploding code. The fee sheet is a listing of commonly used service codes within your office set up as an exploding code. This portion of the route sheet serves as an aid for the doctor to communicate which services have been provided. When you are ready to begin printing the route sheets, select Print. After your route sheets have been successfully printed, select Close to return to the virtual screen. Generating Route Sheets for Individual Patients 1. Patterson EagleSoft 15.00 Go to Activities | Practice Management Activities and choose Patient Route Sheets. 2. Select Add. 3. Enter the patient’s ID number and press the Tab key. If you do not know the ID number, press the F2 key to display the Patient List box. Highlight the name of the patient and select Use. 4. Repeat steps 2 and 3 until all patients have been entered. Route Sheets • 517 5. Highlight a patient in the list and select Delete to remove the patient from the list. 6. Select all information that you want to include on the route sheet in the Mark To Include On Route Sheet section. 7. If Fee Sheet is chosen to be included, designate the Exploding Code to print, or press the F2 key to select an exploding code. The Fee Sheet is a listing of commonly used service codes within your office. This portion of the route sheet serves as an aid for the doctor to communicate which services have been provided. 8. When you are ready to begin printing the route sheets, select Print. After all of your route sheets have been successfully printed, select Close to return to the virtual screen. Setting Up a Fee Sheet for Your Route Sheets Most offices want a Super Bill, or the most frequently used service codes, printed on their route sheets. An exploding code must be created to do this. To create an exploding code, go to Lists | Practice Management Lists | Exploding Codes. Create a new code called Route. Then, add the most frequently used service codes for your office. When you set up your route sheet criteria and the Fee Sheet box is checked, enter the new exploding code, Route. 518 • Route Sheets Patterson EagleSoft 15.00 InContact Overview InContact is an interactive contact manager that makes keeping track of your patient base an easier task. InContact enables you to store different types of groups of patients based on recalls, post op calls and different types of reports. It is also an electronic mechanism to: • Make calls on recalls • Make calls on delinquent accounts • Track responses from calls • Generate mailings This chapter provides information on the following: • Adding patients to InContact from recalls, post op calls and other areas of the software • Filtering and changing information in InContact • Viewing data related to InContact information Accessing InContact Since InContact is a feature that is integrated with other modules in the software, it is accessible from several places. Accessing InContact: Patterson EagleSoft 15.00 InContact • 519 From the EagleSoft menu, choose Activities, and InContact. -orFrom the Integrated Mode window, select the InContact icon. -orFrom the Practice Management Front Office window, select the InContact icon. -orInContact can also be accessed via the following areas: Recalls Delinquent Accounts Report The Money Finder Patient Master Report Patients on Short Notice Report Patients without Recalls Report Patients Seen Report Production by Patient Report New Persons Report Patients by Account Alert Report Patients by Discount Report Patients by Employer Report Patients by Fee Schedule Report Patients by Insurance Company Report Patients by Patient Alert Report Patients by Preferred Dentist Report Patients by Preferred Hygienist Report Patients by Responsible Party Report Production by Account Report Outstanding Claims by Insurance Company Adding Patients to InContact One of the strengths of InContact is its integration with other areas of EagleSoft. Since InContact is a program that merges data based on different forms of criteria, it is essential that it is accessible from various places in EagleSoft. This section details how and where patients are added to an InContact list. Manually from InContact From the InContact window, select Add. 520 • InContact Patterson EagleSoft 15.00 The Patient list box opens. Choose the patient you want to enter, and then select Use. A Batch Description window opens. The Batch Description is case- sensitive. Use a short description name that is easy to remember. A display note, “Added Individually On… (date),” is listed by default. To change this, double-click the name and enter a new description. Confirm the display note by selecting OK, or you can edit the display note and select OK. The patient is added to the InContact list with an Unscheduled status. To confirm all manual additions or modifications to InContact, select OK. Choose Cancel to close the InContact window without saving changes. Recalls When generating patient recalls, choose the output method of InContact. Select Finish to send the recalls to InContact. The Batch Description box appears with the default message, “Added Recall batch…” Note: Batch Descriptions are case sensitive. Either confirm the message or enter your own. Select OK when you are finished. This adds the patients with the specified recall criteria to your InContact list with the Unscheduled status. The Money Finder After specifying patient criteria in The Money Finder, choose Export To InContact as your output method. Patterson EagleSoft 15.00 InContact • 521 This adds the patients with the specified Money Finder criteria to your InContact list with the Unscheduled status. Post Op Calls After processing a walkout statement with a service code that generates a Post Op Call, the Enter Post Op Call window appears. To create a Post Op Call description for the InContact list, type a note in the Enter Post Op Call window. Select the Send this patient to InContact checkbox. Select OK when finished. The Post Op Call is listed in the InContact list with your description. Reports After previewing any of the reports that can import information to InContact, select Print; there are different output options available to you. Choose the Add These Patients To InContact option. The patients listed on this report are added to your InContact list and categorized according to the type of report. Working with Patients in InContact Now that you have learned how to enter patients into your InContact list, you need to know what can be done with the patients on the list and how to modify the contact information contained within the list. 522 • InContact Patterson EagleSoft 15.00 Sort The list of patients in InContact can be easily sorted by selecting on the heading of a column. For example, to sort by the date the patients were entered into InContact, select the Entered heading. Status The status of the patients in your list is determined by how they were added to the list. However, the status can be modified at any time by selecting the dropdown list box under Status for each patient. There are many preset status types from which to choose, including: Busy, Collected, Contacted, Delinquent, Left Message, Other, Scheduled, Sent Letter, To Call and Unscheduled. Right-click Menu Right-click any patient in your InContact list to get a pop-up menu with the following options: • Call Work – Use the Autodialer to call the selected patient’s work phone number • Call Home – Use the Autodialer to call the selected patient’s home phone number • Print – Print the InContact report of your choice • Note – Create a Contact note for the listed patient. This note can be added as an Account note as well • Add – Open the Patient list box to add a new patient to InContact • Edit – Open the Edit Patient window, where you can modify information about the selected patient • Delete – Remove a patient from the InContact list • Filter – Specify criteria to define which patients you want to appear in InContact • Schedule – Open the OnSchedule Appointment Search window for the selected patient • Account – Open the Account window for the selected patient The action for each of the right-click items also applies to its corresponding button in the InContact window. InContact Data InContact data gives you further information on the patient selected. If you select a patient, the patient’s information and account information is listed below. The InContact Type Summary lists the data categories and the amount currently being stored in InContact. Patterson EagleSoft 15.00 InContact • 523 Patient Information This section (from lower left of the InContact Type Summary window) displays very basic summary information about the selected patient. This information is valuable when making calls from the InContact list. Account Information This section (lower middle of InContact Type Summary window) displays very basic summary information about the selected patient’s account. This information is valuable when making calls from the InContact list. InContact Type Summary This is a breakdown summary to indicate how the patients were added in the InContact list. • 524 • InContact Delinquent Accts – Added from the Delinquent Accounts report • Recalls – Added from the Recalls window • Money Finder – Added from The Money Finder window • General – Added manually and those added from the Patient Master report • Post Op Calls – Added by checking the box from the Post Op Calls setup window • Quick Fill List – Added from the Quick Fill List Patterson EagleSoft 15.00 InTouch Overview InTouch, EagleSoft’s letter generator, is a flexible, integrated letter generator that enables you to create customized letters for your patients. You can customize by merging data fields into your letters or by specifying your own settings for font, pitch, bold, colour and much more. Use InTouch to create new letters or edit existing letters for use in other areas within EagleSoft. Accessing InTouch – Letters From the Lists menu, choose Letters. The Letters List window appears. From the Letters List window, you can: create a New letter, Edit an existing letter, Delete a letter from the list or print the Letters Master report, which lists the description of all letters in your system. Patterson EagleSoft 15.00 InTouch • 525 Creating A New Letter From the Letters List window, select New. Enter a description of the letter in the Letter Name field, and press the Tab key twice to begin typing the body of your letter. Customizing a Letter Inserting Data Fields into Your Letter for Merge For those letters you print with customized patient information such as name, address, balance, and more, you will want to take advantage of the Merge Data feature. Place the cursor in the location you want to insert a merge field. This can be done by selecting once in the location or by using the keyboard to move the cursor to the location. From the Type of Merge Data dropdown list, choose the category of data field you want to work with. You can choose from Patient, Account, Patient Referral Source, Other Referral Source and Insurance Company. This enables and populates the Merge Data dropdown list with the merge data fields for the chosen Type of Merge Data. From the Merge Data dropdown list, choose the field you want to insert into your document. Verify that you have chosen the correct merge data field. If it is correct, select Insert. When using the checkbox Format Data on Insert, the Choose a <<>>Format window appears. In the Choose a <<>>Format window, use the drop arrow to select the format preferred. A preview of the data in the selected format appears. Select the Use button. To format data that has already been inserted, right-click the data field and select Format. 526 • InTouch Patterson EagleSoft 15.00 Merging Data into the Merge Fields While creating a new letter or editing an existing letter with merge fields, when you print the letter from InTouch, only the text of the letter and the actual merge fields print out. Example: <<FIRST NAME>> <<LAST NAME>> To get data into the merge fields of your letter, it needs to be printed from any of the areas within EagleSoft listed in the Saving, Sending, and Printing Letters section. For example, if you choose to print one of your customized letters with merge fields to all the patients you have filtered to appear on the Patient Master report, you need to select Patient as your type of merge data. Your letter prints with merged data for each patient on the report. Customizing Your Letters Margins, Font, Colour You can further customize your letters using the variety of controls available on the InTouch toolbar. Use the controls to: Font – Change the font of the selected text. Font Size – Change the font size of the selected text. Font Style – Change the font style of the selected text. With the four buttons provided, you can set the selected text to Bold, Italics, Underlined or strikethrough. Use the controls to modify the left, right, top and bottom margins of your letter. The controls are defined according to each section. Alignment – Change the alignment of the text. • Left Align – Align the text flush left • Center Align – Center the text on the page • Right Align – Align the text flush right • Justified – Justifies the text to both sides of the page Line Spacing – Change the spacing between lines in your letter. • Single Space • Double Space • Triple Space Superscript/Subscript A superscript font looks like this: July 5th. The following is an example of subscript font: H2SO4. Tabs – Insert tabs into your letter (counterclockwise beginning bottomleft). Patterson EagleSoft 15.00 InTouch • 527 • Decimal Aligned Tab – Center text over decimal point for list of numbers • Center-Aligned Tab – Center text on tab stop • Right-Aligned Tab – End tabbed text at tab stop • Left-Aligned Tab – Begin tabbed text at tab stop. This is the default. Hide/Show Select this button to show or hide paragraph markers, hard returns, tabs and so on. Font Colour Select this button to change the colour of the selected text. However, the letter does print in colour. Spell Checking When using the Spell Checking option to Check Spelling While Typing in InTouch, you will notice a wavy line appears under any unrecognized word. You may right-click the unrecognized word and choose Add to include the word in your Spell Check dictionary. When using the Spell Checking option to Check When Done Typing, selecting the Process or Cancel button will launch the Spelling Error window. In the Spelling Error window, choose from the following options: • Select the Change button to retype the unrecognized word. Select into the Misspelled Word box and retype the word • To use one of the Spell Checker’s suggested words, highlight the word and select the Change button • Select Change All to apply the suggested or corrected word to all occurrences of the unrecognized word • Select Ignore to skip the word • Select Ignore All to skip all occurrences of this word • Select the Add button to add a word to the Spell Checker’s lexicon • Select Cancel to close the window Saving, Sending and Printing Letters Save a Letter To save your new letter or to save changes you’ve made to an existing letter, select OK. To exit from InTouch without saving your changes, select Cancel. 528 • InTouch Patterson EagleSoft 15.00 Printing and Sending a Letter There are two methods of sending a letter: printing and mailing the letter or sending the letter through e-mail. Print a Letter To print a letter from any of the above areas, select Process in the InTouch window. The letter is printed for that patient. Only patient who have been marked to receive e-mail and have an e-mail address entered in the Patient screen can receive e-mail. E-mail a Letter This feature only works with MAPI compliant e-mail packages, such as Microsoft Outlook and Outlook Express. Consult your hardware technician if you are unsure about your e-mail package. To e-mail a letter to a patient, select the Send to E-mail checkbox in the InTouch window. When you select the checkbox, a window appears asking if you want to print the letters for those receiving e-mails. Select Yes to print the letters. Select Process to send the letter through e-mail. Using InTouch from the following areas: The InTouch window is available from the following areas: Account – Right-click the patient name, choose Send To and choose InTouch. Walkout – Right-click the patient name, choose Send To and choose InTouch. Treatment Plan – Right-click the patient name, choose Send To and choose InTouch. Edit Person – Select Letter. InContact – Select Print or right-click the patient(s) you wish to print the letter for and choose Print. SmartDoc – Use SmartDoc to access existing letters or create new ones. InTouch Reports – To send letters using reports, select an InTouch report and select Print. From the Preview window, select Print. Choose Send Letter to patients on <report name> and select OK. Patterson EagleSoft 15.00 InTouch • 529 This page has been left blank intentionally. 530 • InTouch Patterson EagleSoft 15.00 System Maintenance and Backups – Unit 9 The System Maintenance and Backups unit contains the following sections and chapters: Utilities Making Backups Patterson EagleSoft 15.00 System Maintenance and Backups – Unit 9 • 531 Utilities Overview The Utilities menu is utilized to perform tasks that are not usually performed in the normal course of daily business. These options include System Inquiry, Patient Transfer, Walkout Statement Utilities, Change Service Fees and many others. System Inquiry The Practice Management System Inquiry option is composed of three sections: Patient Demographics, Account Activity and General. The System Inquiry provides you with general information in these areas, such as the total number of patients, the number of patients without insurance, the number of walkout statements that have been generated and several other items of information. Using System Inquiry From the Utilities menu, choose System Inquiry. The System Inquiry window is displayed. Patient Demographics is selected by default. This category shows the number of male/female patients, total number of patients with insurance/without insurance and so on. Click Account Activity to view totals related to accounting transactions. Click General to view the total number of employers, insurance companies, account alerts and so on. Click Report to print the current information. 532 • Utilities Patterson EagleSoft 15.00 Click Setup to choose the printer that you would like to use. Choose Cancel to exit the window and return to the virtual screen. Patient Transfers Use the Patient Transfer option to transfer a patient to a different responsible party or to change a patient to become his/her own responsible party. However, there are some circumstances when a patient cannot be transferred. Patient Transfer cannot be used if the patient: • Is a responsible party for other patients • Has outstanding insurance claims For example, Jim Smith is the responsible party for Marilyn Smith. Marilyn Smith has turned 18 and needs to be changed to her own policyholder and responsible party. Marilyn Smith can be transferred to herself as long as she has no outstanding claims. Transferring a Patient to a Different Responsible Party From the Utilities menu, choose Patient Transfer. Select With History or Without History. The Patient Transfer window is displayed. Enter the Transfer Patient ID and press the Tab key or press the F2 key and select the ID from a list. You can also key in the full or partial last name of the patient and press the Tab key as well. Enter the Responsible Party’s Patient ID and press the Tab key or the F2 key and select the ID from a list. You can also key in the full or partial last name of the responsible party and press the Tab key. The responsible party information is displayed. Click OK to transfer the patient. A warning window appears with a summary of what happens and instructions related to viewing this patient’s history. Click Yes to continue and finish the transfer. Patterson EagleSoft 15.00 Utilities • 533 When using the Without History option, review past history by printing the Account History By Patient report or filtering the Account window. For more information on filtering the Account window, go to the Account chapter. Setting up Patients as Their Own Responsible Parties 1. From the Utilities menu, choose Patient Transfer. Select With History or Without History. The Patient Transfer window is displayed. 2. Type or select (using the F2 key) the Transfer Patient ID or the full or partial last name of the patient. 3. Type the same patient ID in the Responsible Party’s Patient ID. Click Yes to make this patient the responsible party. 4. Choose OK to transfer the patient. Follow the instructions on the window to complete the transfer. Choose Cancel to return to the virtual screen. Making a Responsible Party Only a Patient If the responsible party has an account history or other patients, you have to use the Patient Transfer utility for that person and his/her patients. From the Person List window, choose the name of the responsible party that you want to edit. Click Edit. Uncheck the Responsible Party box. Key in the ID number of the new responsible party. When transferring a patient with history, it is recommended that you reprint the patient’s last statement prior to transferring. After the patient has been transferred, the system doesn’t recognize that this account has ever had a statement generated. 534 • Utilities Patient Transfer With History Patient Transfer offers the option to include past transaction history. In Utilities, select Patient Transfer | With History. Patterson EagleSoft 15.00 During the patient transfer, you will receive the above warning pertaining to the transfer of patient history. An Account Note will be created in the new account. Payments that are being transferred to the new patient’s account will not display on the current period’s Deposit Report. Walkout Statement Utility There are times when a walkout statement needs to be reprinted. It may be that the patient needs a receipt or that the printer jammed on the first printout. The Walkout Statement Utilities provides you with the capability of reprinting these walkout statements. This option also provides you with the capability of generating a new claim for a patient. Reprinting Walkout Statements and Payment Receipts From the Utilities menu, choose Walkout Statement Utilities. The Walkout Statement Utilities window is displayed. Click the Patient hyperlink to select a patient or enter the Patient ID and press the Tab key (or press F2 for a listing of available patients). Past walkouts are listed for the patient. Choose the appropriate past Walkout Statement by clicking on it. Verify that the appropriate Walkout Statement has been selected by viewing the corresponding Line Items. Select the Message to Appear on Reprint of Walkout. Click Setup to change the printer, if necessary. Click Print to reprint the highlighted walkout statement. Click Cancel to exit the window and return to the virtual screen. Viewing Estimation on Walkouts The Walkout Statement Utilities window enables you to view how insurance is estimated at the time of the walkout per service code. Patterson EagleSoft 15.00 Utilities • 535 From the Walkout Statement Utilities window, select a walkout statement from the Walkout Statement/Payment Received box. Select a service code in the Walkout Statement Items box. Click Show Estimation. A window appears describing how each item’s estimated insurance was calculated at the time walkout was originally processed. Click Close to return to the Walkout Statement Utilities window. Re-creating the Claims To use this option, go to Walkout Statement Utilities. Click on the date of the service for which you want to create a claim. Click New Claim. (Estimation Options box is expanded in the following image.) Select the estimation option. Estimation Options You can choose to have the primary or secondary claim re-created with or without estimated insurance. Primary Insurance Claims: Estimate Insurance Based On Current Benefits – This estimates the insurance based on the patient’s current benefits. Estimate Insurance Based On Original Claim – This estimates the insurance based on when the claim was first created. Do Not Estimate Insurance – Select this option if you want to re-create the claim without estimating any insurance. Recreate 2ndary Claim With No Est Insurance – Use this option to re-create secondary insurance claims without estimated insurance. Click OK when finished. The Insurance Questions window appears. Enter relevant information in the Insurance Questions window. 536 • Utilities Patterson EagleSoft 15.00 Change Service Fees Many dental practice management consultants recommend a small price increase each quarter. In some cases, there may be an occasion to raise (or lower) the fees only on your restorative procedures. This functionality is available in the Change Service Fees utility option. This option is also extremely helpful when initially getting online with your new EagleSoft system. Changing Individual Fees It is highly recommended that you make a backup of your database prior to using this utility. From the Utilities menu, choose Change Service Fees. The Change Service Fees window is displayed. Enter the New Fee in the last column in the list of services for each service code fee that you wish to update. Click OK to save the fee changes. Changing Fees for Multiple Services Patterson EagleSoft 15.00 1. From the Utilities menu, choose Change Service Fees. The Change Service Fees window is displayed. 2. Select the Service Type. Choose All Service Types if you wish to update the fees for all services. 3. Enter the percentage of the current fee that you would like to increase or decrease fees by. 4. Choose the method of rounding from the Round Fees to The Nearest options. This automatically rounds your fees to the nearest quarter, half-dollar or dollar, or does not round the fees at all. You can also select Update Treatment Plan Fees or Update OnSchedule Fees. These features update the fees for services in any treatment plans or in the scheduler. 5. Click Apply % to view the impact of the price change. 6. Verify or change numbers in the New Fee column in the list of services. Utilities • 537 7. Click OK to begin the process of updating the fees. The date of the last fee change will be updated on each service code. 8. Click on Cancel to exit the window and return to the Front Office window. Note: If you forget to update the Treatment Plan and OnSchedule fees, update them again by entering 0% in the Markup Services By field. Purge Options If you are experiencing slowness, you may need more hard drive space. To increase database efficiency, you may need to purge some data. Purge options allow you to remove large amounts of data at once. Warning: Before proceeding with any purge options, we recommend you make a backup of your data. See the Making Backups chapter located at the end of this unit. There are several options available from the Purge Options menu. Mass Delete Appointments – Purges old appointments in the system. Delete Treatment Plan Items – Purges treatment plan items that match criteria you specify. Delete Pre-Authorizations – Purges pre-authorizations created on or before the date you specify. Remove Duplicate Insurance Companies – Purges all duplicate insurance companies that are not linked to open claims or preauthorizations. This also prints a report of the duplicate companies. Any patients associated with deleted companies will be transferred to other companies. Delete Electronic Submissions Log – Delete the log file created during electronic submissions and shown in the Online Center. Delete From Task List – Select and delete tasks from task list. 538 • Utilities Patterson EagleSoft 15.00 Mass Delete Appointments To purge old appointments from the system: From the Utilities menu, choose Purge Options | Mass Delete Appointments. The Appointment Search For Deletion window is displayed. Specify the criteria for the mass deletion of the appointments. Select the appointments for a particular Provider or choose (Any Providers) to delete appointments for everyone; select the appointments for a particular Chair or select (Any Chair) to delete appointments in each Operatory; enter the Date and Time Range; and check each Day Of Week you wish to delete. Click Report to print a report of all appointments that will be deleted. Click OK to begin the process of purging appointments. Click Cancel to return to the Main menu without deleting any appointments. Mass Delete Unscheduled Appointments Select All Patients or Individual Patient to delete unscheduled appointments from the Appointment Queue. Select OK to delete. Delete Treatment Plan Items Patterson EagleSoft 15.00 Utilities • 539 To delete items from treatment plans: 1. From the Utilities menu, go to Purge Options | Delete Treatment Plan Items. The Delete Treatment Plan Items window is displayed. 2. Choose the Status of the Treatment Plan from the dropdown list. Choose Completed. Choosing anything other than Completed may delete currently used treatment plan information for patients. 3. Enter the date for Status On Or Before. 4. Select the Provider listed in the treatment plan. 5. Click OK. You will be prompted to make sure that this is an action you wish to perform. Click Yes to proceed. Click No to cancel. Delete Pre-Authorizations This feature will allow a mass deletion of pre-authorizations before an entered date. To delete Pre-Authorizations matching your criteria: From the Utilities menu, go to Purge Options | Delete PreAuthorizations. Enter the date to use when deleting pre-authorizations. This utility deletes all pre-authorizations created on or before the date you specify. Click OK. You are prompted to make sure this is an action you wish to perform. Click Yes to proceed. Click No to cancel. Mass Delete Time Sheets To delete all time sheets from a particular date range, select the date and select OK. Remove Duplicate Insurance Companies This feature removes duplicated insurance companies from your database. To remove duplicate insurance companies, click Begin Deletion. 540 • Utilities Patterson EagleSoft 15.00 Click Report to get a listing of all the duplicate insurance companies. Delete Electronic Submissions Log This tool enables you to delete electronic submission logs from the database. An EagleSoft Support Representative typically uses this feature. Delete From Task List This purge option enables you to delete tasks from the task list: From the For dropdown list box, select one of the following categories of tasks to delete: • All nonprivate tasks • All nonprivate tasks assigned to me (the current user logged on) • Completed nonprivate tasks • My private tasks • Unassigned tasks To delete tasks within a certain range of dates, select the Delete Tasks from a Range of Dates checkbox. Then, enter the specific dates. Click OK to delete the selected tasks. Mass Updates The Mass Updates section contains several updates that involve making changes to your entire database. The updates include: Global Employer Preferences, Mass Patient Transfer, Mass Appointment Transfer, Update Patient Signature On File, Update Area Codes, Trojan Services Utilities, Reset Insurance Balances, Change Insurance Benefits, Mark Appointments As Walked Out and CDT Utility. Due to the impact of utilizing these updates, it is recommended you do not use any of the features in Mass Updates without the assistance of an EagleSoft Technical Support Representative. Patterson EagleSoft 15.00 Utilities • 541 Global Employer Preferences This feature enables you to update employer preferences for all employers in the system. Most of the Global Employer Preferences window is grayed out, except for the Edit These Fields selections at the top. Once you select a field to edit, that specific area will become available. For example, if you need to change the default insurance form for all employers to Electronic Submit, then click the Default Insurance Form checkbox. The Form dropdown box will then be available at the bottom of the window. Select Electronic Submit from the box and click OK to update all employers. When selecting the Do Not Track Claims option, it is advised that you also use Patient Responsible For All as the calculation method. Select OK to close this message. 542 • Utilities Patterson EagleSoft 15.00 Mass Patient Transfer The Mass Patient Transfer feature is a quick and easy way of transferring patients from one provider to another. If a hygienist retires or moves on to another job, the preferred patients who belonged to her can easily be transferred to another hygienist in just a few steps. From the Mass Patient Transfer window, select if this is a preferred dentist or hygienist by choosing the Preferred Dentist or Preferred Hygienist radio button. In the From box, select a provider. This provider will no longer be the default provider for any patients. From the To box, select the provider you want to transfer the patients to. Click OK to transfer the patients. Mass Appointment Transfer This feature enables you to transfer appointments from one provider to another, one chair to another or one day to another. If you have recently reorganized positions in your office, Mass Appointment Transfer can reduce a time-consuming task to just a few seconds. From the Mass Appointment Transfer window, the From and To providers. In the Chair section, choose From and To chairs (if applicable). In the Date section, select the From and To dates for transfer. Click OK to transfer the appointments. Check the Include Past Appointments box if the purpose to the transfer is to inactivate a provider. Select the checkbox to Include Unscheduled Appointments to transfer any appointments in the Appointment Queue. Patterson EagleSoft 15.00 Utilities • 543 Update Patient Signature On File Mass Update Signature on File This option changes signatures on file for all of your patients. If you are not receiving payments from insurance companies and should be, select the Set Signature on File for All Patients to YES radio button. Click OK to process. Mass Change of Release Info on File Select the first option to change the Release on File preference in the Patient Preferences window. Mass Update Area Codes This feature gives you the ability to update an old area code in the event of an area code change. If you need to update area codes only for a certain prefix, select the Change only for prefix checkbox and enter a prefix. Click OK to process the update. Trojan Services Utilities Note: Do not use this program without the assistance of an EagleSoft Support Technician. 544 • Utilities Patterson EagleSoft 15.00 The Reassign Insurance Benefits function reassigns all insurance benefits by applying all service type percentages in Trojan to all Trojan employers in the database. Click Start to begin reassigning the benefits. The Delete Trojan Information function deletes all Trojan information from the database. Reset Insurance Balances To reset insurance balances for all current insurance plans, select the Reset Insurance Balances checkbox. Enter Anniversary Months (the beginning and ending of the insurance’s fiscal year) in the appropriate fields. Click OK to reset the insurance balances. Change Insurance Benefits This feature enables you to change remaining benefits or deductibles for all patients. You can also update the maximum insurance coverage or remaining annual deductible for all employers. This gives you the chance to reset the benefits. From the Patient section, select a primary/secondary insurance or deductible checkbox and enter the amounts. Click OK when finished. From the Employer section, select the Set Maximum Insurance Coverage or the Set Remaining Annual Deductible checkboxes. Then, enter the amounts and click OK when finished. Patterson EagleSoft 15.00 Utilities • 545 Mark Appointments As Walked Out This mass update utility changes the status of all appointments in OnSchedule from current (appointment block colour) to walked out (gray). CDT Utility This utility only changes existing CDA codes. The service codes will remain the same, but the appearance of the CDA codes on the insurance form will reflect the utility change. This utility does not add new codes or delete codes no longer used. To use this feature, go to Utilities | Mass Updates and select CDT Utility. The following window appears. If you want to print a report of the services not modified, select the Print report of services not modified checkbox. Click Start to begin the conversion process. Inactive Provider Wizard Inactivating a provider just got easier. Use the Inactive Provider Wizard to complete all the steps for inactivating a provider in your practice. To use the Inactivate Provider Wizard, select UtilitiesInactivate Provider Wizard. Select the Back button at any time to return to the previous screen. Select the Cancel button at any time to cancel the Wizard. 546 • Utilities Patterson EagleSoft 15.00 Select the Provider to be inactivated from the dropdown menu. Click Next. Select the replacement provider for Preferred Dentist from the dropdown menu. Click Next. Select the replacement Preferred Hygienist from the dropdown menu. Click Next. Patterson EagleSoft 15.00 Utilities • 547 Select the replacement provider for Collections Go To from the dropdown menu. Click Next. Select the replacement provider for Provider on Insurance from the dropdown menu. Click Next. Click Next to begin the closing all open claims for the departing provider. 548 • Utilities Patterson EagleSoft 15.00 Select, mark and close all open claims for the departing provider. Close the Claims window to proceed. Select from the following: Transfer patient balances to one provider, Transfer patient balances to multiple providers. Click Next. Select the replacement provider from the dropdown menu to which patient balances will be transferred. Click Next. Patterson EagleSoft 15.00 Utilities • 549 Select the replacement provider on treatment plans from the dropdown menu. Click Next. Review the information pertaining to the transfer of data. Click Back to return to a previous screen. Click Finish. Click Yes. This message will not appear when using the preference Disable “Are you Sure Messages”. Click OK. 550 • Utilities Patterson EagleSoft 15.00 Assign Dentist on Hygiene Appointments Use the dropdown arrows to select the Hygienist, Dentist and Chair. Select OK. Data Archiving Wizard Run the data archiving Wizard to store old images etc. Choose the items that you wish to archive from your live database. Select from the following options: Images, Documents, Audio and Scribble Notes. Next, select the checkboxes to establish parameters: Patient Last Visit Date, Inactive Patients Only, New Acquisition Date. Patterson EagleSoft 15.00 Utilities • 551 Select the Browse button to choose the location for your archived file. Enter a name for your archived file or use the default name. Click Next. Review the summary information and select Next to continue. Select Back to make changes. 552 • Utilities Patterson EagleSoft 15.00 Select the Mark button to check an entry for archiving. Select Mark All to check all entries. Select Unmark to deselect an entry. Select Clear All to deselect all entries. Select Calculate Disk Space to compare the archive file size against your free hard drive space. Select Finish to continue. Select Back to make changes. Select Cancel to exit without archiving. Select Help for more information on the Archival Wizard. Select Yes to archive your file. Data Restoration Wizard Use the Data Restoration Wizard to return archived data into your live database. Select the Browse button to locate the archived file. Select the file name for restoration and click Next. Patterson EagleSoft 15.00 Utilities • 553 Select the Mark button to check an entry for archiving. Select Mark All to check all entries. Select Unmark to deselect an entry. Select Clear All to deselect all entries. Select Finish to continue. Select Back to make changes. Select Cancel to exit without restoring. Select Help for more information on the Restoration Wizard. Select OK to finish. Database Validation The Database Validation option ensures the integrity of your data within EagleSoft. It will perform a series of comparisons to ensure that all data is logically organized. This function should only be performed under the guidance of an EagleSoft Technical Support Representative. Database Navigator Due to the nature of this utility, it is recommended you do not use Database Navigator without the assistance of an EagleSoft Technical Support Representative. Remove All Users This option should be mainly used to remove any users still logged in when End-of-Day is processed. If you have been assured that everyone is logged off but you are still getting the message requiring exclusive use, call EagleSoft Technical Support and they will walk you through removing any users left in the system. Due to the nature of the impact of utilizing this utility, it is recommended you do not run Remove All Users without the assistance of an EagleSoft Technical Support Representative. Recover OnSchedule Audit Trails If you have computer problems and lose some of your data, you may need to re-key your OnSchedule appointments. If this happens, EagleSoft has provided a way to print the OnSchedule Audit Trails. This utility enables you to print and preview the OnSchedule Audit Trail when re-keying appointments into OnSchedule. From the OnSchedule Audit Trails window, select an audit trail date and click Preview. 554 • Utilities Patterson EagleSoft 15.00 Click Delete to delete an audit trail. User Summary This option displays a listing of all users who are logged on to the EagleSoft system. For each user who is logged on, there will be a lock type of No Lock. The User Summary reveals any options that are being utilized that lock other users out of that same option. The Aging Account function requires exclusive use, which means all other users must be logged out of the system while the accounts are being aged. System Activity Log The System Activity Log enables you to view your system activity by date, time, user and task description. Such activities include: End-of-Day processing, End-of-Month processing, EOY processing and Aging Accounts. To view the System Activity Log: From the Utilities menu, choose System Activity Log. This displays the System Activity Log window. Click on the Show dropdown list box to view only the activity of a particular area of EagleSoft, such as Accounting, Monthly Processing, Utility Program and so on. Click on Report to print a copy of the Activity Log. Click on Cancel when you are done viewing the Activity Log. Patterson EagleSoft 15.00 Utilities • 555 Communication The Communication submenu lists troubleshooting features for eBusiness. eClaims and eStatement Logs The eClaim and eStatement logs are stored in your database. These logs will be used by EagleSoft Support Representatives to troubleshoot any concerns you have when submitting e-Statements or e-Claims. Reinitialize Controls To be used by an EagleSoft Support Representative. View e-Claims File To be used by an EagleSoft Support Representative. Auto Backup IMPORTANT This option will not replace your daily, monthly or annual backup. Auto Backup will not: This feature enables EagleSoft to automatically create local backups of the database at startup. This can be set up through Technical Reference. The backups will consist of a Postal file containing the dental.db and dental.log files at the time of the execution. Auto Backup is a system tool and not a replacement for external backup media Select Start | Programs | EagleSoft | Technical Reference. From here, select the Database Set up button. Select the Auto Backup button. 556 • Utilities Patterson EagleSoft 15.00 To use the Auto Backup, select the checkbox Use Auto Backup. Enter the number of days between Server startup that you wish to perform an automatic backup. Enter the highest number of backup files you wish to keep at any given time. Use the button to browse to the auto backup folder if this hasn’t been done prior. Note: This system should not be relied upon as the sole means for data backup. Patterson recommends using an additional process as your primary data backup. Messenger Introduction EagleSoft provides various ways for you to send messages to your patients. The Messenger program provides a way to send messages to staff members while they are in the office. For example, a hygienist in Operatory A wants to inform the doctor in Operatory B she is ready for him to examine the patient’s teeth. Instead of leaving the patient, she only has to send an instant message to the doctor. The Messenger service provides instant communication between all areas of your computerized office. Quicker communication between the doctor and hygienists means quicker treatment for more patients. Using Messenger Sending Messages Click on the Utilities menu and choose the Messenger. The Messenger window appears. Shortcut: Press the Ctrl + M keys to open Messenger. In the To column, select the user to whom you wish to send a message. This column contains the names of all computers logged into the Messenger server. Use the Select All button to send the same message to all users. Select the Acknowledge button to alert the sender that the message was Patterson EagleSoft 15.00 Utilities • 557 received without replying. Select the Clear button to delete the message log. Select the Options button to set your machine-specific preferences. Multi-users will notice that the Messenger Server starts and stops automatically with the database engine. The server must be running for Messenger to operate. The following window appears. Under User Name, use the default name or type a new one. Select the checkbox to Display an alert when other users log on. Select the checkbox to Display an alert when a message is received. Select the checkbox to Play a sound when users log on or a message is received. Select the Font button to select a new font. Select the OK button to exit and save your preferences. Select the Cancel button to exit without saving. Select the Defaults button to return your options to their default setting. A sound card and proper speakers must be used for the sound options to function. Please consult your hardware provider for more information on your sound card. In the Enter Message Here section, type your message and select the Send button. In the Quick Text section, add ‘quick messages’ that are often sent or repeated. Select the Add button to add additional text. Select a section of quick text to remove and select the Delete button. Double-click on a Quick Text item to add it to the outgoing message. Using EagleSoft Messenger’s Sound To use the delivery notification sound, ensure that your computer’s speakers are on and operational and set your windows default sound. To set the default sound: Windows 2000 – Open the Control Panel and click the Sounds & Multimedia icon. In the Events section, find “Default Beep”. Select a sound in the Name field below the Events section. Window XP – Open the Control Panel and click the Sounds & Audio Devices icon sounds tab. In the Program Events section, find “Default 558 • Utilities Patterson EagleSoft 15.00 Beep”. Select a sound in the Sounds field below the Program Events section. Using EagleSoft Messenger from Other Locations The EagleSoft Messenger is available from two other locations in the software: Integration menu and OnSchedule’s right-click menu. Integration Menu The EagleSoft Messenger is available from the Integration Menu in most Clinical windows. Click the button and select the EagleSoft Messenger from the menu. OnSchedule From the right-click menu in OnSchedule, choose Practice Management. The Messenger option is available from the Practice Management submenu. Assign eClaim Payer IDs For more information on this feature, see the eBusiness chapter in the Daily Procedures unit. Infoport This feature gives you the ability to save your day sheet totals, provider productivity and other EOD reports into files that can be opened in a spreadsheet program. This feature is useful if your practice has several offices and/or often uses Quicken or any other spreadsheet program to look at office statistics. Saving Indicators to File There are two ways to save the indicators to file. If you want the indicators saved to file when processing EOD, follow the procedure as described in the End-of-Day Processing chapter located in the Daily Procedures unit. You can also use the Infoport feature on the Utilities menu mentioned next. Using Infoport From the Utilities menu, click on Save Daily Indicators. The following window appears. Patterson EagleSoft 15.00 Utilities • 559 Select an EOD date from the Store Information For Day dropdown list box. All data is stored according to the EOD date. Select one of the following checkboxes: • Provider Productivity – Click this checkbox to export your provider productivity totals to be imported into an external spreadsheet program • Day Sheet – Click this checkbox to save and export Day Sheet data to be imported into an external spreadsheet program • Quicken Information (Deposit Report) – Click this option to export deposit totals for the selected EOD and store them in a format that can be read by Quicken or QuickBooks • When the Quicken format option is selected, a window opens that enables you to enter the name of the account you use in Quicken or QuickBooks. If an account is not specified, the data will be stored in a file named Business Account Click OK to save and store the indicators. Open your spreadsheet program to import and view the indicators. Install the Write Note Use this option when installing the Write Note marketing letters package. Patient Education This link opens the Patient Education module. You must have the Patient Education interface load line entered in the X-ray int tab in Clinical preferences for the Patient Education program to run. Calculator This link opens the standard calculator normally installed with Microsoft Windows. 560 • Utilities Patterson EagleSoft 15.00 Fast CheckIn Preferences/Activities Under Utilities, select Fast CheckIn. From here, select Preferences. In the Fast CheckIn Preferences, select the checkboxes associated with the items that you wish the registering patient to access. Patient Demographics Medical History Require Signature on Medical History PIPEDA Notice of Privacy Practices PIPEDA Authorization PIPEDA Consent Prompt patient to view CAESY presentations attached to today’s services. Enter the number of minutes after which you would like Fast CheckIn to cancel the current session. The PIPEDA Authorization and Consent forms have been predefined within Patterson EagleSoft. To customize the message to the patient, select the Edit button following the PIPEDA item. Select the following checkboxes if applicable: Use last saved Medical History exam data when starting application and Generate account note based on viewed pages. Use last saved medical history exam data when starting application will default the medical history section of the Fast CheckIn to the answers provided in this patient’s last medical history exam. These answers may come from either a Fast CheckIn session or a medical history form within EagleSoft. Note: The Medical History answers that appear are from the Patient’s last saved Medical History. Generate account note based on viewed pages will create a general note in this patients note history window that contains a description of the Fast CheckIn screens that were displayed and answered by the patient. Enter a password for the Fast CheckIn station. Select OK. When a computer is operating in kiosk mode, it will not exit the Fast CheckIn operations without this password. To stop the kiosk mode operations, select Ctrl + Shift + P on the keyboard of the kiosk machine. You will receive a prompt for the password to exit kiosk mode. Patterson EagleSoft 15.00 Utilities • 561 Under Utilities, select Fast CheckIn | Activity. Fast CheckIn Preferences Custom Documents – Select the checkbox to include the listed documents in the Fast CheckIn Wizard. If this option is deselected, all the buttons and list box associated with this option will be disabled. Disabling this option will NOT delete any existing custom documents. New – Select this button to open Custom Document Setup window and add a new custom document to the list. Edit – Select this button to edit the selected custom document. Remove – Select this button to permanently delete the currently selected custom document as well as any images attached to this document. Up – Select this button to move the selected document up in the list. Down – Select this button to move the selected document down in the list. Custom Document Setup If no radio button has been selected, it will give you the option to continue without selecting a custom document. If you choose to continue, then the custom document will default to a text document with a blank document Document Title – Enter a title for the document. This field is required. 562 • Utilities Patterson EagleSoft 15.00 Narrative – Enter a narrative for the document. The narrative should explain to the patient what the document contains and/or instructions to complete the document. Text Document – Select this option to enable/disable the Edit button. This will also clear any other selected radio buttons in the group. Edit Button – This button will open up an RTF editor so the user can write a custom text document. Scanned Document – Select this option to enable the Scan button. This will also clear any other selected radio buttons in the group. Scan Button – This will open the scanner interface allowing you to scan one image or document to be used in the Custom Document. Imported Image – Select this option to enable the Import button. This will also clear any other selected radio buttons in the group. Import Button – This button will open a window so you can import a custom image to be used in the Custom Document. Preview Button – This will bring up a dialog so you can preview the document. Requires Signature – Check this box to require the patient to sign the document before continuing the Fast CheckIn wizard. This will save a copy of the custom document to the Patient’s SmartDoc. Enable Drawing on this document – Check this box to enable the patient to draw on a document, to mark checkboxes for example. This option is only available for scanned or imported documents. This will save a copy of this custom document to the Patient’s SmartDoc Always Show Document – Check this box to always show the document every time the patient visits the Fast CheckIn. If this option is deselected, the patient will only see this screen if they have not been to Fast CheckIn since the last time this Custom Document was updated. Pen Colour – This is the colour to be used when drawing on a document. Document Group Link – This link will open up the Document Image group window to allow the user to add, select, and modify document groups. If they select a Document Group from this window, it will automatically update the Document Group dropdown menu Document Group Dropdown Menu – This will allow the use to select which document group the custom item will be saved to when it is created in SmartDoc. Image Recycling Bin See the chapter on Imaging for more information on the Image Recycling Bin. View Messenger Log View the log of Messenger connections. Patterson EagleSoft 15.00 Utilities • 563 Master Password Use the Access Password utility to locate a lost or forgotten password. When setting up the Security Administrator password, the following screen appears. Enter and confirm the desired password. Enter the questions and answers that will be used to retrieve password information. Select OK. Select the checkbox Clear Existing Password to delete the current password. To set up your individual Provider passwords, log on as the Security Administrator. Select the appropriate person from the Provider/Staff List. Select Edit. 564 • Utilities Patterson EagleSoft 15.00 Enter the Question and provide the Answer. You must include an entry for all three. Select OK. Select the checkbox Clear Existing Password to delete the current password. To establish your Time Sheet password, select the Time Clock Password button. Enter and confirm the desired password. Enter the questions and answers that will be used to retrieve password information. Select OK. Select the checkbox Clear Existing Password to delete the current password. Any failed attempt to enter your password will result in the following prompt: The following screen will appear. Enter the answers to the questions listed on the Access<<area of software>> Password screen. Contact the Support team if the answers cannot be obtained. To otherwise retrieve your Passwords, select Utilities | Access Passwords. Patterson EagleSoft 15.00 Utilities • 565 Select the appropriate radio button for Master Password, Provider Password and Timesheet Password. Enter the answer for each question. After each question is successfully answered, select OK. The password will appear. Contact the Support team if the answers cannot be obtained. Print Screen Capture images of your computer screen using the ESInet. In the System Tray, right-click on the ESInet icon. Select Print Screen. A window appears showing that the screen capture is being printed and to what printer. Database Options Note: The Assistant Database cannot be set to start as a Windows Service. 566 • Utilities This feature will enable the EagleSoft Database Server and Messenger Server to start as a Windows service. Patterson EagleSoft 15.00 Select Start | Programs |EagleSoft |Technical Reference. From here, select the Database Set up button. In the Database Set up window, select the checkbox Start Patterson EagleSoft Database Server as a Windows Service. Select OK. By selecting this preference, the Start Patterson EagleSoft Server and Stop Patterson EagleSoft Server icons will still start and stop the database service and the Messenger service. Deselect this preference for the Database Server to function as they do currently. Prior to restarting the computer or the server, you need to remove the preference Start Patterson EagleSoft Database Server on Startup. When using this feature, the Server icon will no longer appear in the task bar. The Stop and Start Server icons will function exactly as they do now. Administrative rights may be needed to enable this function. Patterson EagleSoft 15.00 Utilities • 567 Making Backups Backups Making a backup is one of the most important things you can do for your office. Backups are a form of insurance against fire, power outages, theft and other misfortunes. If you lose all of your data in a fire but you have a recent backup, you have just saved your office staff time and money. This section provides information on what to back up, how often to back up and where to store a backup. Both single- and multi-user backup procedures involve backing up the entire data folder: dental.db, dental.log, indicators, audio, documents, custom drawtypes, images, voice and metafiles. Single-users, however, will back up at the computer they use to do all their work. They also need to exit any EagleSoft programs. The backup process for a multi-user involves a few more steps. Since the data on a multi-user system is located on the server, it is necessary to perform your daily data backups from the server. This section tells you what files you need to back up, what you need to do before backing up and how often we recommend that you make backups. Making Backups When making your backups, the files that need to be backed up from your program directory (most often, this is c:\program files\eaglesoft\data) onto disk or tape media are the following: • dental.db • dental.log • C:\Program Files\EagleSoft\Data\Indicators If you are using EagleSoft’s Clinical program, there are six subdirectories that need to be backed up along with dental.db and dental.log. They are: 568 • Making Backups • C:\program files\eaglesoft\data\audio • C:\program files\eaglesoft\data\images Patterson EagleSoft 15.00 • C:\program files\eaglesoft\data\metafiles • C:\program files\eaglesoft\data\documents • C:\program files\eaglesoft\data\custom drawtypes • C:\program files\eaglesoft\data\voice It is recommended that you backup your entire data folder. *IMPORTANT NOTE FOR MULTI-USERS ONLY The EagleSoft database engine must be shut down after all users exit the program before a successful backup can be performed. Failure to shut down the EagleSoft server could result in corruption of backed-up data. When to Make Backups It is the office’s responsibility to make backups consistently. The more backups your office makes, the more your data is protected and insured against catastrophe. We recommend the following for backup frequency: Daily backup – A separate tape should be used for each day the office is open and these tapes should be rotated weekly. Monthly backup – Rotate two tapes. Yearly backup. Note: A separate tape should be used for each type of backup. More Tips on Your Backups Where to Store Backups It is a good idea to store your backup in a safe, fire/waterproof location, such as a safe deposit box. Most important, keep your backups at an offsite location. Make Sure You Are Making a Correct Backup To verify that you are making the backup correctly, restore it at least once a month. If you have questions on this procedure or need assistance, contact your hardware provider. Patterson EagleSoft 15.00 Making Backups • 569 This page has been left blank intentionally. 570 • Making Backups Patterson EagleSoft 15.00 Troubleshooting – Unit 10 How to Use the Index To use the EagleSoft 15.00 Index, first look for the affected area of the software and then look for the submenu listing. For example, if you wanted to look up how to set up drugs for the Rx Writer, look under ‘R’ for Rx Writer and then find Setting Up Drugs in the submenu. Shortcut Keys and Navigational Hints Under Window, you can choose to view Practice Management Mode, Clinical Mode or Integrated Mode. Left-Click – navigate areas or fields within the program. (Single/double click the left side of mouse). Right-Click – Can be used in many different areas of the system. To name a few, On Schedule, Reports and in the Account Screen there are three different areas that you can do a right-click. This again is done as an Alternate way to access different areas of the system. InContact, Treatment plan and Walkout screens also have the right-click capabilities. When a mouse appears on the screen, which indicates that with a right-click, there is a list or menu available to you, this will bring up different areas that you can access from that screen. OK – Saves newly entered information or saves information that you have edited. Cancel – Cancels information. Enter – The Enter key on your keyboard will activate the button that is highlighted or outlined or looks three dimensional on the screen in front of you. Use – Connects the chosen item on a list into the appropriate field. This is found when accessing a list box within a hyperlink. Edit – This button is used for looking at information listed or for changing the information that has already been entered. Tab – The Tab Key moves the cursor forward from one entry field down to the next one. Shift/Tab – Moves the cursor back to the previous field. Patterson EagleSoft 15.00 Troubleshooting – Unit 10 • 571 Function Keys F1 – EagleSoft Help File F2 – Function Key will launch different lists that are available to you when in a particular field (EX. Person, Service Codes, Employer, Account Alerts, Patient Alerts, Referrals and Insurance to name a few). This is similar to selecting a hyperlink. F2 will also allow you to view the available option icons on the Virtual Front Office Screen and on the Virtual Clinical Screen. F3 – Function Key will allow you to view the Patient Photo. ** F4 – Function Key will launch Alerts. F5 – Function Key will recall the last patient that you were working on, or if you are entering a new patient, you can use F5 to bring up the last policyholder or responsible party when you are in that particular field. F6 – Function Key will launch the OnSchedule at Day at a Glance. F7 – Function Key will launch the OnSchedule at Week at a Glance. F8 – Function Key will launch the Appointment Search window within the OnSchedule. F9 – Function Key will open EagleSoft Practice Management and Clinical.** F10 – Function Key will access your Menu Headings. From here, you can use your arrows on the keyboard to move you to the left, right or you can use the arrows to move you up and down a list that is on the menu. F11 – Function Key will launch your task list. F12 – Function Key will launch the patient’s Medical History. ** ** equals Clinical. Navigation Space Bar – The space bar will provide you with a check mark when you are in that field that has checkboxes or deselect a checkbox by selecting the spacebar again. Home Telephone Number – If the area code already appears, use the space bar to advance to the next available spot to type the rest of the telephone number. Highlight a Field –Left-click at either the beginning or end of the information to be deleted and drag the cursor across that information to highlight it. When it turns colour (most likely blue), type over it with the correct information. You might also want to highlight a field, right click and copy it so that you can paste it in another field. Arrow Keys – Used to move the cursor either to the left or the right without deleting any information. The arrow keys are located to the right of your keyboard. Here are a few examples of how you can use them: The arrow keys can be used to make the person either male or female when you are in that field, the down arrow can be used to take you down the list of options within that particular field. The arrows can be used in perio charting. The up and down arrows move the teeth either forward or back a tooth. When you are in the space provided for the salutation you could use your arrow keys to see your choices. 572 • Troubleshooting – Unit 10 Patterson EagleSoft 15.00 Backspace – Used to move cursor back one space deleting the character to the left of the cursor. Delete – Will move your cursor forward one space deleting the character to the right of the cursor. Accelerator Keys (Alt) – Hold down the alt key and press the key that matches the underlined letter. This is used to access different areas in that screen that you are in without having to tab all the way to it. Hyperlinks – Are blue underlined words located throughout the software. Select these words to access the quick list box attached to the blue word. (For patients, services, employers, insurance companies, etc.) Home – Will move the cursor to the beginning of the word or sentence. End – Will move the cursor to the end of a word or sentence. Ctrl & Enter – Starts another line. This can be used when creating your messages or anywhere you have a field available for notes. Ctrl & Home – Moves to the beginning of the document or screen. Selecting Home will also bring your schedule up to the top of the screen. Ctrl & End – Moves to the end of the document screen. Ctrl & Delete – Deletes one word at a time. Ctrl & M – Will bring up the Messenger. Ctrl & A – Will change the patient arrival indicator in the schedule. Continuing to select on Ctrl A will change the indicator from patient late (red) to arrived (yellow) to in the chair (green). Additional Customize your toolbar on each computer by using the right-click on the toolbar and choosing customize. Customize your toolbar for the OnSchedule, Virtual Office, Virtual Clinical, Integrated Screen, Advanced Imaging and the Image Document window. This will add, remove, show the text and move the icons up and down on the placement in the toolbar. You can add virtually all practice management and clinical menu items to any toolbar. When entering your hours in the provider screen or in the appointment scheduler for the chairs, enter 8am and the system will convert it to the 8:00am format. If the hours are the same, highlight 8:00am, hold down your Ctrl key along with the C key to copy. Tab to the area that you want duplicated and hold down the Ctrl key with the V key to paste the information on the selected area. Military time also works in these fields. You can either access a patient by typing in their last name, first name, SS#, ID#, Phone#, Chart ID# or you can type in the first few letters of their last name, comma and their first initial of their first name. In OnSchedule, left-click the arrow in the lower right corner of the appointment and drag the appointment down. This will increase the length of the appointment. Patterson EagleSoft 15.00 Troubleshooting – Unit 10 • 573 Additional EagleSoft Modules Dual Databases EagleSoft provides a way for two providers to utilize two databases on the same network. For more information on this feature, contact EagleSoft’s Sales Department. The Write Note Introducing The Write Note, Patterson’s suite of marketing and patient based letters. To purchase The Write Note package, please contact your Patterson Technology Representative. Under Utilities, select Install The Write Note. Select the radio button Install The Write Note Letters. Select OK. Select Yes to continue. Select No to cancel the installation. eService eService takes the guesswork and downtime out of addressing your service needs. Using your office’s Internet connection, eService captures important data and sends it to EagleSoft Client Services Department’s attention. eService is a standard part of the Service Club benefits at no additional cost to you. Some key components of eService are: The Compliance Checker The Compliance Checker informs the user when a machine is out of compliance with EagleSoft’s hardware requirements. The Compliance Checker is a diagnostic tool designed to identify potential performance issues before they become problems. The Save Report feature will also capture a system check to be uploaded to Client Services. The Compliance Checker appears once daily when the EagleSoft program is started on a machine where components do not conform to EagleSoft’s specifications. Your options on the Compliance Checker are to Print Report, E-mail Report, Save Report or Ignore. Clicking Ignore simply closes the window. EagleSoft offers a new level of electronic support. EagleSoft captures any system message data and sends it electronically to EagleSoft Client Services. Handling Data The first occurrence of an error message in EagleSoft will prompt you to locate the machine with an Internet connection. If the computer you are using is not that machine, click browse and locate the machine with Internet access. Click the name of the Internet computer and click OK. This prompt will only appear on the first occurrence. If you do not have an Internet connection on at least one machine in your office network, you’ll need to call EagleSoft Support for assistance with your error messages as you currently do. 574 • Troubleshooting – Unit 10 Patterson EagleSoft 15.00 Send System Checks Instead of your staff member locating, running, printing, and faxing system checks, file finders, and version information, the System Check can capture the information and upload it to EagleSoft Support directly. eService uses your Internet connection and EveryWare for the Web conduit to provide instant information to EagleSoft Support Department. Browse to the computer with the Internet connection and click OK. If this has been previously established, the browse window will not appear. The System Check will be automatically sent to EagleSoft Support. If you are not currently Internet capable in the office, click cancel on the browse window. Choose from the following options: • Save the SnapShot so that it can be uploaded later • Save the SnapShot on a floppy disk for mailing to EagleSoft Support. The SnapShot will be deleted from your hard drive • Print the SnapShot for faxing to EagleSoft Support. The SnapShot will be deleted from your hard drive • Delete the SnapShot Click OK to proceed. EagleSoft Direct For instant updates on EagleSoft information, CTC dates, the eNewsletter, Support information and more use EagleSoft Direct. EagleSoft Direct provides pertinent information at the click of a mouse. Control how and when information gets to your office. In Practice Management, Select Online and click the Online Center. In the Online Center, click on the EagleSoft Direct button. To upload files from EagleSoft Direct Client Services, click the eService button in Technical Reference. Select Sync eService Data to download the information from EagleSoft Client Services. To upload files from EagleSoft Direct, please consult EagleSoft Client Services for any additional assistance installing or implementing uploaded data. Live Help Use the Live Help desktop icon in the software to request a Remote Support session from the Patterson Canada Technology Center, Live Help, FAQ or E-mail Support. Be sure to inform Support that you are located in Canada. The following is an example of the Live Help desktop menu: Patterson EagleSoft 15.00 Troubleshooting – Unit 10 • 575 To access the Live Help menu, select the Live Help graphic on the desktop. From the menu, select any of the Live Help options. To access support options from the Menu, select Help. In the Help menu, select from the available support options. EagleSoft Remote To better service our clients, EagleSoft has developed EagleSoft Remote. Using your Internet connection, your EagleSoft Client Services technician can connect to your office to resolve issues faster. To use EagleSoft Remote, select the eService button in Technical Reference. Click the Wait for Connection button. The EagleSoft Remote Current User Properties window will appear. Enter a password to be given to EagleSoft Client Services upon request. Note: The Current User Properties will not launch from here after the initial session. When a connection has been established, the following window will appear containing your IP address, your Port and your Remote Password. Please provide this information to your EagleSoft Support Specialist. When your session is engaged, the following Remote icon will appear in your Windows task bar. To end your Remote session, right-click the Remote icon and choose Close EagleSoft Remote. Choose End All Client Connections from the rightclick menu to terminate all Remote Sessions without disconnecting from the Internet. To disconnect from the Internet without closing the Remote Server, click the Disconnect button under Remote Access Options in Technical Reference. 576 • Troubleshooting – Unit 10 Patterson EagleSoft 15.00 To change your Remote password, double-click on the Remote icon in your task bar or right-click the icon and select Properties. Clear the current password and type a new one. You may change your password as often as you like. Remember … If you have a question or suggestion about Patterson EagleSoft, please don’t hesitate to call us at 1-866-449-7282. Patterson EagleSoft Support Department hours are as follows: 7 a.m. 5 p.m. MST, Monday – Friday. Our staff of trained service representatives will be here to answer all of your questions. Patterson EagleSoft 15.00 Troubleshooting – Unit 10 • 577 Appendix Draw Type Legend The Draw Type Legend featured in the Clinical Chart window. 578 • Appendix Patterson EagleSoft 15.00 Patterson EagleSoft 15.00 Appendix • 579 580 • Appendix Patterson EagleSoft 15.00 Index A accessing Clinical from patient summary 473 accessing OnSchedule from a patient summary 473 account right-click menu in the ledger 232 Write-off - receiving payments 241 Account payment types 256 coverage book -if the service code is not in the coverage book 259 editing past payments 247 monthly note for statements 253 payments-patient account option 256 receive billing charge 253 receive finance charge 253 receive statements 252 statement message 253 Account coverage book-service code is in the coverage book 259 Account account alerts 254 account ledger 238 Account Type 251 alerts adding 254 alerts displaying 255 alerts removing 255 Cancellation Charge 246 Credit Adjustment 270 Debit 245 deleting past transactions 248 filtering account history 250 getting started 228 History 238 multiple payments 271 Notes 241 Patterson EagleSoft 15.00 offsetting debits and credits 253 Outstanding Claim 233 Patient information 239 Payments 239 preferences 252 receiving insurance payment 258 Related Claim Items 236 Related Walkout Items 236 returned checks 242 walkout statements 239 Write-off 240 Write-Off - reactivating an account 241 Account insurance payments 240 insurance payments distribute 258 integrated options 230 right-click menu 230 account alerts setting up 119 account alerts master report 499 account history by patient report 494 account history report 494 account summary report 494 accounts marked not to receive a statement report 494 accounts receivable by provider reports 491 accounts receivable by responsible party report 491 accounts with offsetting debits and credits report 491 accounts written off report 491 Active/inactive status 13 adjustment reconciliation report 492 adjustment types editing 115 adjustment types report 499 adjustments by type report 491 advanced imaging exporting an image 373 importing an image 371 pasting as new image 377 printing 373 toolbar usability modes in 355 Index • 581 advanced imaging exam bar in the window 356 exam view window 358 advanced imaging EagleEye 387 acquiring images 363 Advanced Imaging print custom layout as an image 377 Advanced Imaging annotations 379 brightness and contrast 382 Browse Images 362, 371 customizing print layout 373 Drag and Drop 367 Drag Image- how to 367 e-mailing from advanced imaging 373 image document window 358 Image Document-template map 393 image information view 360 Image Recycle Bin 370 image view window 360 Live Video Exam 366 measurements for images 379 Open As Document 362, 371 Open Cascade 362, 371 Print Custom Templates 376 Rearrange images 368 Spelling Error Window 389 Text Tools 378 aging accounts category 446 true date 446 annotations creating new or editing 129 appointment types entering the usual amount 169 setup 168 updating next preventative appointments 170 updating next regular appointments 170 appointments viewing information from other places in EagleSoft 199 appointments blocking unavailable times 192 click and drag 190 deleting 193 editing 187 finding 177, 194 locating 177 locating scheduled 194 moving 177 moving to different appointments 177 pasting 177 scheduling 185 appointments report 497 associate companies 582 • Index in the insurance company window 89 audit trail report 492 auto advance in the perio window 49 Auto Backup 556 AutoNotes delete existing 127 edit existing 127 B backups files for the 568 making 568 when to make 569 Bulk insurance payments 262 Bulk Insurance Payments open claims for insurance company 263 show open claims 263 C CAESY 221 calculation methods patient responsible for all 43 calculator 560 category aging of accounts 446 chair hours 168 setup 172 changing service fees 537 Chart using show what 292 applying mixed dentition permanent 279 primary 278 currently charted 293 date range 292 draw type legend 291 print 292 Chart customizing colors and draw types 279 primary and permanent dentition from the right-click menu 278 quick tour 275 Chart changing draw type color 280 condition -surface view 284 Custom Draw types 280 defective- service 284 Detailed Surface Information 289 detailed surfaces 287 entering conditions 283 hatch types darker 282 vertical lines 282 ledger 290 quick charting 52, 293 Patterson EagleSoft 15.00 service 284 service -remarks for unusual services 285 services-editing 285 status hatch colors 52 status hatch colors-changing 282 summary surfaces 287 tooth information - service 285 viewing hatch width 53 viewing in the perio window 279 Chart - Perio Overlay 293 chart items setting up 51 chart label in new patient window 84 chart laser label in new patient window 84 chart preferences setting up 51 claim closing and applying unpaid amount back to remaining benefits 440 closing and crediting the account 440 closing and updating annual deductible for patient 440 Claim Forms 438 Claim information 438 claims closing and applying the amount unpaid back to the account 440 re-creating- estimating options 536 claims show what 437 claims auto-mark 438 change answers 443 changing insurance 442 changing insurance forms 438 closing 439 entering notes 441 printing/reprinting 444 processing 439 re-creating 536 view 438 viewing closed claims 441 viewing/editing 439 Claims accessing 437 changing employer/company per claim and all patients with this policy holder 443 changing insurance 442 do not estimate insurance 536 Do Not Track 44 estimate insurance based on current benefits 536 estimate insurance based on original claims 536 open 438 Printing Labels 437 Patterson EagleSoft 15.00 rejections 444 unsubmitted 438 unsubmitted elec 438 claims - ledger 438 Claims - making payments 441 clinical exam report incomplete 348 clinical exam accessing from the activities menu 329 cancer 345 cosmetics (cosm) 342 creating types 329 detail report 348 general 344 habits 343 head 343 history 346 master report 348 notes 347 occlusion (occl) 337 other 346 Perio 333 printing reports 347 restorative (restor) 335 selecting exam date 331 selecting exam type 331 setting security 330 summary (summ) 332 TMJ 336 Clinical Exam add/remove tabs from current exam type 331 clinical exam questions reports 348 clinical exam tabs IntOral 338 clinical exam types 127 adding a custom question to 128 creating new 127 delete existing 128 deleting custom questions 129 edit existing 128 editing custom questions 129 setting the status 331 closed claims viewing 441 closing primary insurance claim 440 collection exception report 492 collection reconciliation report 492 Compliance Checker 4, 574 conditions deleting 123 edit existing 122 contact list report 494 Cosmetic Imaging flipping an area of an image 396 whitening 398 Cosmetic Imaging Index • 583 adding this area to the example group folder 397 comparing images before and after 397 copying areas of the image 396 Delete 397 editing a teeth selection 397 example groups library 397 importing files into an image 397 mirroring an area of an image 397 pasting from the clipboard 397 reloading the image 398 selecting an area 396, 397 selecting teeth 397 Undo 398 coverage book in the edit employer window 90 coverage books setup 106 coverage production report 493 custom hours frequencies 165 customized hours report 497 D daily fee exceptions report 492 daily production/collection summary report 492 database navigator 554 date range when searching for appointments 194 day sheet 492 deleted transactions report 492 delinquent accounts report 492 DenOptix defaults setting up 58 DenOptix scan type carousel type 133 DenOptix scan type templates 133 DenOptix scan types setting up 132 deposit report 492 detailed contact list report 494 detailed exploding codes master report 498 detailed production by provider report 496 detailed referral productivity report 492 detailed treatment plans reports 499 digital X-ray preferences setting up 55 discounts entering 120 discounts master report 499 E EagleEye 387 EagleSoft Direct 575 584 • Index EagleSoft Today 201 Customize 202 eBusiness introduction 453 eBusiness preferences changing the default insurance form for an employer 456 eClaims claims status 459 creating 453 editing insurance companies for payer IDs 458 pre-authorizations 454 receiving claim information 460 setting up provider identification 456 setting up the preferences 457 e-claims (Envoy) submission summary report 493 eClaims preferences 457 employer estimate insurance preference edit 92 employer insurance company responsible for all option in the edit employer window 92 patient responsible for all 92 Employer amount not paid by primary employer coverage book report 493 employer master reports 493 Employer preference insurance company responsible for all 43 Employer preference estimating insurance preference 43 Employer Preference calculation method 43 employer preferences amount submitted 93 employer preferences authorizes payment to office 43 calculation method 92 identify billing dentist by 42 identify dental plan by 42 lifetime deductible applies 43 lifetime maximum applies 43 secondary calculation 43 employer prompts master report 499 employer/company changing per claim 442 employers calculation method 92 entering notes 91 group name 90 reviewing productivity 91 selecting a coverage book 90 selecting prompts 91 employers entering 90 identify billing dentist by Patterson EagleSoft 15.00 in the edit employer window 92 in the insurance company window 89 Employers group name 27 selecting a coverage book 27 Employers entering 26 End-of-Day deposit slip reports 465 secondary deposit slip reports 465 End-of-Day adjusting offsetting debits and credits 464 daily reports 464 processing 463 reports 464 updating late payment plans 464 End-of-Day reports preference 47 eReferral Manager 424 Wizard 422 eReferrals 419 eService - EagleSoft Direct 575 eService - EagleSoft Remote 576 eService - System System Check 575 eService - The Compliance Checker 574 exploding code deleting 109 editing 109 entering 108 printing reports 109 exploding codes master report 498 F Fast CheckIn 137 Using 140 Fee Schedule Provider 102 fee schedules setting up automatically 104 fee schedules setting up service codes individually 105 setup 103 using an existing fee schedule 106 fee schedules master report 498 Fees Standard by Provider 100 finance charge report 492 finance charges in statement wizard 451 G GM graphic in the perio graph 51 group name and number in the edit employer window 90 Patterson EagleSoft 15.00 I image directory 63 Image preferences printing 54 Image Template flipping the image 131 image templates setting them up 130 images viewing them in the perio window 279 Imaging Patterson 3D Viewer 368 including item detail in statement wizard 450 InContact accessing 519 account information 524 adding patients manually 520 batch description name 521 patient information 524 patients 522 post-op calls 522 recall patients 521 reports 522 right click menu 523 sorting 523 Status 523 the money finder 521 type summary 524 Insurance payment-amounts to individual items 262 Insurance - changing claims 442 Insurance Claim final payment 259 insurance companies assigning payment groups 89 entering new or editing 88 entering the employer 89 setup 88 Insurance companies entering new or editing 25 entering the employer 26 insurance companies master report 494 insurance companies with same payment group name 89 insurance company history report 494 insurance company productivity report 494 insurance company window associate companies 89 insurance payments 258 Insurance payments final payment on a patient with primary and secondary insurance 261 payment types Insurance payments 441 Index • 585 IntelliCare 142 Account 143 Appointment 146 Birthday 150 Creating 143 Imaging 149 Patient Exam 151 Patient Info 152 Preferences 142 Reminder Window 154 Service 153 interface preferences setting up 62 Intouch accessing 525 InTouch creating 526 customizing margins, fonts, color, and so on 527 e-mail a letter 529 merging data into letters 527 L lab case tracking appointments 416 creating 409 creating or editing 412 printing 414 types 410 walkouts 415 label tools 377 letters accessing 525 creating 526 customizing 526 e-mailing 529 merging data 526 printing 529 saving 528 Letters Spelling Error Window 528 Write Note 574 letters master report 499 logged on viewing users 4 logging off EagleSoft 4 logging on to EagleSoft 4 M mass delete appointments 539 messages master report 500 MGJ graphic in the perio graph 51 Money Finder InContact 508 Label 508 586 • Index Letter 508 postcard 508 Reports 508 N new patient reviewing patient history 81 setting up alerts 81 new persons report 495 note history accessing note history 349 deleting a note 351 filtering 350 printing 351 tracking 351 viewing/editing notes 351 O office chairs chair name 172 setup 172 office chairs master report 497 onschedule printing daily a list of appointments 198 for each operatory 199 printing daily-page properties 198 showing times on the right when printing 198 onschedule tracking appointments preferences 160 onschedule locating appointments 194 OnSchedule appointment provider colors 177 confirming appointments 177 creating block 177 day at a glance display/print setup -showing service information on appointments 180 display/print setup-number of chairs to show 179 week at a glance 176 OnSchedule blocking unavailable times 192 find/appointment search 177 moving appointments/blocks 177 pasting appointment blocks 177 printing 177 provider hours setup 162 Task Manager from toolbar 177 OnSchedule accessing 175 Patterson EagleSoft 15.00 adding an appointment to the Quick Fill list 193 Appointment Queue 190 arrival indicators 187 chair hours 168 Closed Time Indicator 180 Current Time 190 Current Time Indicator 190 day at a glance button setup 181 day at a glance-go to a different day 192 display abbreviation when scheduling an appointment 187 entering a prefix when scheduling an appointment 186 Family Appointments 191 holiday preferences 174 holiday setup 173 moving or hiding chairs 183 printing in color 198 printing page properties print orientation 198 provider chairs/goals 173 right-click menu 178 scheduling appointments 185 setup 159 templates 171 tour of the window 175 Unscheduled Appointments 191 viewing a week at a time 199 viewing the legend 184 Views 174 week at a glance button setup 182 Onschedule performance improvement options in Onschedule preferences 179 Onschedule preferences displaying scheduled versus goal free form entry free form entry 44 Onschedule preferences loading templates automatically when changing days 179 selecting symbols to identify provider 180 showing double book information Onschedule preferences tracking appointments 44, 160 Onschedule preferences selec time units in 45 Onschedule time units in Onschedule preferences 162 outstanding balances by preferred dentist report 492 outstanding claims by insurance company report 494 outstanding payment plans report 492 outstanding pre-authorizations by insurance report 494 Patterson EagleSoft 15.00 P Password Retrieval 564 pasting images from the clipboard 397 patient entering recall status 77 entering the ID 77 laser mailing label 84 mailing label notes 82 setting up referrals 83 setup 76 view missing teeth 83 patient envelope 84 sending a letter 82 Patient Inactivate Patients 80 next recall in new patient window 77, 78 recall notes in new patient window 77 patient alerts entering 117, 119 in new patient window 81 patient alerts master report 500 patient analysis report 495 patient chart labels report 495 patient chart laser labels report 495 patient fee schedules report 495 patient history report 495 patient labels report 495 patient laser labels report 495 patient master report 495 patient preferences discount 80 patient preferences employment status 79 entering prompts 82 financial preferences 80 name of school/school city 79 productivity information 81 recall preferences 80 signature on file 79 student status 79 patient prompts master report 500 patient summary right-click menu options 473 viewing 472 patient transfer 534 patients by account alert report 495 patients by discount report 495 patients by employer report 495 patients by fee schedule report 495 patients by insurance company report 495 patients by patient alert report 495 Index • 587 patients by preferred dentist report 495 patients by preferred hygienist report 495 patients by responsible party report 496 patients currently referred out report 496 patients on short notice report 496 patients seen report 496 patients without recalls 496 patients without visits report 496 payment group in the insurance company window 89 payment groups detailed report 494 payment plan coupon book 266 payment plan amortization schedule 266 annual interest rate 266 future services 266 loan amount 266 number of payments 266 past services 266 payment amount 266 payment frequency 266 payments 268 report of pending 267 truth-in-lending contract 266 Payment Plan distributing payments/credit adjustments equally to all providers 269 distributing payments/credit adjustments based on percent of balance 269 distributing payments/credit adjustments manually 269 distributing payments/credit adjustments to oldest provider balance first 269 setting up 265 payment plans processing End-of-Day 268 payment reconciliation report 492 payment types currency type 114 payment types editing 113 selecting primary or secondary deposit 114 payment types master report 499 performance summary report 493 perio history-viewing in the window 317 images-viewing them in the window 317 perio editing previous exams 318 perio accessing a perio exam 314 comparison graph zooming 323 graph changing display 321 588 • Index printing 321 zooming 321 perio comparison graph printing 323 comparison graph showing different exams 322 Perio comparison graph 322 perio comparison 319 printing 320 showing 320 perio exam position of tooth 316 site on tooth 316 perio preferences other 50 post procedure notes tracking 351 Postal codes master 500 post-op calls report 496 practice audit trail report 493 Practice Information 30 practice information report 499 practice management SnapShot 502 pre-authorizations deleting 540 pre-authorizations for e-claims creating 454 pre-determinations 454 Preferences General 32 Preferences Accounting 36 Alerts 48 Insurance 35 SmartDoc 63 Statements 38 print custom 373 Print Custom orientation 376 Print Screen 566 printer administration for EagleSoft 65 printing pre-authorization insurance forms 305 printing preferences End-of-Day reports 47 printing alerts on detailed recall report 47 printing insurance claims at time of walkout 46 printing receipt at time of payment 46 printing statements at time of walkout 46 using letterhead 46 printing statements from patient summary 473 procedures by provider report 497 production by account report 496 production by patient report 496 Patterson EagleSoft 15.00 production exceptions report 493 production reconciliation reports 493 prompts customizing 112 payment 114 Provider Inactivate 72 provider chairs/goals 173 provider facts report 497 provider goals report 497 provider history report 497 provider master report 497 provider productivity report 497 provider prompts master report 500 provider/staff goals 71 hours setup 69 notes setup for providers/staff 68 options 68 passwords 72 prompts setup 69 reviewing history 70 setting provider color 69 setting up identification 70 viewing productivity 69 providers/staff collections go to 68 provider on insurance 68 psr accessing 325 adding new exams 325 comparison printing 327 comparison removing exams 326 comparison showing 327 viewing or editing exams 326 psr comparison adding an exam 326 purge options delete pre-authorizations 540 delete treatment plan items 539 mass delete appointments 539 Q Quick Fill OnSchedule toolbar 177 Quick Fill List deleting an entry 197 deleting appointments 193 scheduling a patient from 197 quick pick preferences setting up 53 quick picks for conditions 124 quick picks Patterson EagleSoft 15.00 creating them for services 123 setting up 123 Quick Start Patient 20 Payments 24 Quick Start Walkout 23 Quick Start Appointment 21 Quick Walkout 33 R Recalls 426 messages 430 method 430 patients due for future cleanings, but no scheduled preventative appointment 429 patients not seen since specified date 429 patients past due for cleanings with no scheduled preventative appointment 429 patients with scheduled preventative appointments 428 preview recalls before you print 431 print recall report with recalls 431 printing options 430 reports 431 skip patients marked not to receive recalls 429 Types and Service Codes 434 Wizard 427 Recalls patients with scheduled regular appointments 429 Receipts Printing 247 referral sources master report 500 referrals in new patient window 83 Referrals Recipients 420 referred patient report 496 removing all users 554 Report offsetting debits and credits 254 reports Clinical 500 clinical exam detail 348 clinical exam master 348 exam questions 348 exploding codes 109 filters 486 financial 491 generating and printing 484 InContact 522 insurance 493 my favorites 501 others 499 Index • 589 patient 494 providers 496 scheduler 497 service code master 94 services 498 treatments 499 zoom control 485 Reports filtering 487 Quick Reports 489 Rulers 486 sort 485 Reports 13 reprinting last statement from patient summary 473 returned checks report 493 revenue opportunities 504 revenue opportunities accepted treatments 505 accounts receivables 505 average amount spent per visit 506 overdue recalls 505 patients coded not to receive recalls 505 patients without recalls 505 planned treatments 505 potential revenue to practice 506 tickler file 505 unscheduled future recalls 505 route sheet insurance summary route sheet account balance summary route sheet family appointment 517 route sheets fee sheet 517 generating for individual patients 517 generating for patients with appointments 517 information 516 setting up fee sheets 518 Rx Writer Introduction 400 perforated Rx forms 405 person preferences 404 pharmacies 402 prescriptions 406 printing preferences 405 printing prescriptions 408 reports 408 setting up drugs 401 setting up pharmacies 401 templates 403 S saving as an AutoNote 590 • Index in the text note window 352 scheduled appointments not walked out report 498 scheduled versus goal amounts 173 scheduled vs goals by providers report 498 Scheduler accessing 175 chair hours 168 setup 159 Views 174 scheduler audit trail report 498 scheduler vs. goals report 498 scheduling appointments 185 scribble pad notes creating new 352 secondary calculation method amount not paid by primary 92 amount submitted 93 Security Assigning Profiles 8 sending letters from patient summary 473 Sensor Information 56 service code allow free form description 97 chart setup 98 entering description 96 entering display abbreviation 96 generates postop call 97 preferences 96 printing reports 98 reviewing productivity 98 selecting relative value units 96 selecting service types 96 selecting time units 96 setup 95 updates patient recall 97 viewing history 98 Service code applying discounts 97 Service Code setting the preferred dentist or hygienist 97 service code preferences submit on insurance 96 service codes by fee schedule report 498 service codes by type report 498 service codes master report 498 service codes productivity master report 498 service fees changing for multiple 537 changing individual 537 service history report 498 service type in service code window 96 service type productivity reports 498 service types default percentage 114 Patterson EagleSoft 15.00 service types master report 498 services button groups 124 signature on file in patient preferences 79 smart codes setting up 125 SmartDoc Accessing 476 import documents 476 Signature 477 Using SmartDoc 86 SmartDoc Preferences 63, 475 SnapShot viewing 502 SnapShot 502 graph method 503 viewing accounts receivable 503 viewing current monthly totals 503 viewing patient production 503 viewing production / collection 503 social security number 92 Spell Check Preferences 42 Spelling Error Window 242, 375 staff position master report 500 staff positions editing 113 statements accounts (a-l) 449 accounts (m-z) 449 accounts that have not had a statement in the last_days 449 accounts that should receive statements 449 all accounts 449 finance charges 451 including all items since 450 including item detail 450 individual account 449 preferences 447 processing 448 range of accounts 449 view last batch detail 448 Statements accounts with balance greater than or equal to $_ in statement wizard 449 accounts with estimated insurance in statement wizard 449 accounts with outstanding claims in statement wizard 449 options 40 processing 40 superbill See route sheets swap in advanced imaging 380 system activity log 555 system inquiry using 532 Patterson EagleSoft 15.00 System Inquiry viewing account activity 532 viewing patient demographics 532 T task categories entering/editing 120 task manager accessing the task list 203 creating a new task 206 report filter 209 setting the frequency 207 setting up recurrence 207 status of task 206 task list ledger 204 task list toolbar 205 task manager wizard 207 viewing the task list 204 Templates OnSchedule 171 Scheduler 171 text notes create a new 352 the money finder 506 the money finder InContact 521 printing 507 viewing 506 The Write Note 574 tickler file in revenue opportunities 505 Tickler File report 498 Time Clock 210 Time Sheet Report 213 Time Clock Clocking In 212 Time Clock - Setting up preferences 210 TIN (Tax Identification Number) 92 today's appointments report 498 Toolbar 14 adding and removing text 18 customizing 18 dragging and dropping buttons 18 functions 15 showing text 18 top referral sources report 496 transferring patients to a different responsible party 534 to make a patient his / her own responsible party 534 to make a responsible party only a patient 534 treament planner recalculating insurance 298 saving your modifications 312 Treatment Plan Fast Delete 302 Index • 591 treatment plan items deleting 539 treatment planner accepted 303 completed 303 estimates 304 modifying a different plan 311 modifying the description/notes 312 modifying the service item date planned, tooth, surface, and so on 312 modifying the service item status 312 modifying the status 312 post-to-walkout 304 proposed 303 rejected 304 treatment planner accessing 296 creating a new treatment plan 303 introduction to 297 modifying existing treatment plans 311 processng treatment plans 304 viewing all items 300 viewing items by plan 297 Treatment Planner 296 Treatment Planner Informed Consent 306 treatment plans master reports 499 Trends importing 509 Trends accessing 509 indicator field list 511 printing 510 updating 509 true date aging of accounts 446 viewing referral information from patient summary 473 viewing SnapShot graph method 503 VixWin using the image directory 63 W walkout insurance claims options submit electronically 225 submit manually 225 Walkout insurance claim options print later 225 insurance claim print now 225 insurance estimation 220 new recall date 224 patient distribution 223 print later when processing an insurance claim 225 printin an insurance claim 225 provider distribution 223 service fees 220, 227 showing estimation 219, 226 submit manually when processing an insurance claim 225 submitting electronically when processing an insurance claim 225 Walkout How To 217 Processing 222 X X-ray preferences use retake comparison option 56 U Z user summary 555 utilities mass updates 541 remove all users 554 utilize date sensitive holidays in holiday setup 174 zooming on an image in Cosmetic Imaging 397 V view/edit treatment plans from patient summary 473 viewing closed claims 441 viewing history from patient summary 473 viewing insurance information from patient summary 473 viewing items by plan in treament planner information/settings 297 592 • Index Patterson EagleSoft 15.00 Patterson EagleSoft 15.00 Index • 593 594 • Index Patterson EagleSoft 15.00 Patterson EagleSoft 15.00 Index • 595 596 • Index Patterson EagleSoft 15.00 ">
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Key features
- Patient Management
- Appointment Scheduling
- Billing
- Reporting
- Practice Management
- Clinical Operations
Frequently asked questions
EagleSoft is a software designed for dental practice management. It offers a variety of features including patient management, appointment scheduling, billing, and reporting.
You can find information about logging on to EagleSoft 15.00 in the “Logging On” section of the viewed document.
You can find information about making an appointment in EagleSoft in the “Quick Start Basics” section of the viewed document.