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read this in one of the comments on that thread: "According to our dear friend Indy (RIP), 6.3.3 was the best and fastest version, and it was downhill thereafter."

WOW wonder what he would say about V12..............

Everyone is still blaming the doctors for the opioid crisis. Now in retirement I work part time for our local jail as the prescribing physician for MAT (drug treatment). I ask the inmates how they got started, and most of the time they claim it was a doctor who prescribed opiates for a minor injury. In a number of these cases I know it is not true -- but it is more acceptable to blame the doctor, not oneself.

Oh yes I remember that now. Oh well.

Is there any way to get rid of some of the dropdowns for the inbox, i.e.

Saved Mail
Lab and Radiology
Providers
Rx Prior Auth
Public Health

or at least make it an option.

Never used one of those for 21 years unless someone sends something there erroneously.

Perhaps Marc will weigh-in, but I am fairly sure this became impossible several versions ago.

See this thread: https://acusersforum.com/ub/ubbthreads.php/ubb/showflat/Number/76944

The opioid crisis was met by a pendulum that went too far. Even the CDC admitted that. Tylenol and Motrin are making a killing because all the ED will give you. We get a whole 14 days of Norco (2 times 7) before you have to put chronic. Again, the pharmacists can change it, but they like the power of making us send an entirely different script. (Sorry to all the pharmacists on here)

In most states they track every script you write. They don't notify you that you are writing too much, they just wait until you hit a certain limit, then they take your license, so all 100 of your patients on chronic oxycodone have to find it in the street. In New England the FBI has an opioid task force that goes after doctors. You have to have exemption codes to write for chronic opioids. Pretty much A) cancer and B) hospice care counts. Otherwise, you need a PA, which puts the task force on your trail. We have one doctor here where they took his license. He had one patient on 680 mg of oxycodone a day. She didn't do too well. His PA wrote the script and the board swooped right in. So no one writes for them. Or benzos.

Following, I have no idea how to do this!

When you set the inbox say to Providers or Deleted Items, the number of items shows up to the left under Scheduled and above Pharmacy Requests.

I remember I used to be able to edit the diagnosis codes database. Can we still do this? I can't seem to find where. I found the dx code list but see no where to edit. I want to edit some codes to say "DONT USE THIS" for insurance purposes.

There is a setting in user preferences where it will automatically clear deleted messages after a set period of time.
Some time ago I had my deletes cleared and it speeded things up tremendously, I now have it set for 1 year
I have found that often I have charts that were not completed and periodically have to troll the deletes to find them
How did you determine the number of deleted items?

They can change it but most of the work is done by pharmacy techs who are clueless and if the computer states not covered, they look no further.
You only need a high school diploma and some classes to be a pharmacy tech.

I run AC on a server in my office and would rather switch EMR systems altogether than move to any web-based service. This way, I maintain some control, I can get input from my IT guy and avoid putting all my eggs in one basket. I am, in principle, opposed to anything web-based. Just look at what they did with QuickBooks—they completely did away with the desktop version. It’s only a matter of time before customers receive an apology letter for a data breach along with a year-long subscription to Equifax credit monitoring.

Walmart refuses to fill pain medication unless you put if it is for chronic or acute pain. For acute pain they will only fill for 7 days.

Bump

No our pharmacists seem to go out of their way to make it hard. I think things they can do, they don't do. If you write for Amoxicillin 500 mg tablets and put capsules in Dispense, they don't fill it.

Or if you write amoxicillin 400 mg/5mL suspension

1 tsp po bid for 10 days

and

write Dispense 1000 mLs, they won't change it to 100 mLs.

Did you know that on an opioid, the only thing a pharmacist can't change is the drug name and amount. They can change anything else. But they won't.

Still migrating, have 1600+ meds to go. I refuse to sit at one time and do all of them, I see it as a waste of time. Iw ill do them as they come up. Some meds I will never use again and may only be ion one pt that could be dead. I started at over 3,000.

You can still prescribe if not all medications in the database are migrated. You just can not prescribe for a patient that has not had all meds migrated and matched, thus the example above. I had not seen this lady for some time and she had been on 2 different named OCPs due either to pharmacy or insurance availability. Yes there is a generic, not my point of the post. These are old and inactivated meds but I still had to match them to prescribe for her. I showed this as just an example of how ludicrous this whole system is with migrating.

I may be reading this question incorrectly, but you can eRx from the very first patient as long as that patient's past meds are migrated. Which, of course, migrates everyone with that medication so it gets faster and faster. I rarely have to migrate a medication.

What is the total deleted items anyone has in their deleted items folder? To check open your deleted items folder and check the number of messages shown in the PNG. Looking for the record for total number.

Then close AC and reopen and see if the time is faster to open up and post here in seconds.

Mine was 852 deleted items which isn't that many. And time to open was two seconds faster.

What is the total deleted items anyone has in their deleted items folder? To check open your deleted items folder and check the number of messages shown in the PNG.

A question for you, Chris... are you still migrating? I thought we could not e-prescribe until we completed the process.

We finished at the deadline... though we have had an occasional drug appear on the master list in admin, even though the list was complete.

This is awesome! I get credit for a post: I am friggin' completely lost. Where is Paul when you need him.

The first fax machine, known as the **pantelegraph**, was invented by the Scottish inventor **Alexander Bain** in **1843**. Bain's device used synchronized pendulums to transmit images over telegraph wires, making it the precursor to the modern fax machine.

The first practical fax transmission took place later in **1865**, when the Italian inventor **Giovanni Caselli** improved on Bain's concept and successfully sent an image over telegraph lines between **Paris** and **Lyon**. Caselli’s pantelegraph was used commercially and was able to transmit handwriting and simple images, making it the earliest form of fax communication in regular use.

The use of faxing in disseminating information in medicine should have been stopped a long time ago. It is a joke. Like it says, the first fax machine was invented in 1843.

They are slow. It can take 15 minutes or longer to send a 150-page document.
They are NOT HIPAA compliant. Anyone can be at the other end. Who knows who gets it. And anyone can go outside of your office and tap into your fax line and read faxes all day.
They are a waste of time. Someone has to physically get up to send faxes. Someone has to physically get up to receive faxes.
Those who are behind the times still have to print out a document to paper to fax it.
Faxes crash into one another. We have two fax lines and faxes crash into each other all the time.
You get an answer almost as often as transmitting.
A good fax machine is expensive.
You don't know if the receiver got the fax, and they are way too lazy to let you know.
It's like using a dial telephone.
It's a joke using them.

I have a rather inexpensive email program that can do tons of things including sending emails securely including the attachment. And it tells you when it got there successfully. AND IT TELLS YOU WHEN THEY OPENED IT. You can many things with it including sending a note on the email with DISAPPEARING INK.

You can send the document in seconds. You send it directly to one person. With AI, I am sure the entire process would be 500% better. With AI, it would be simple to know when they got it and when they opened it. No more offices telling you they didn't get your referral.

The problem is after the receiving office says they don't take records on Flash drives, CDs, email, etc. and only by fax. When I call them and ask them for their email address to send the record, they are shocked. Some offices do put their email address on the ROI sheet, and it is simple to send to them.

EVERY DOCTOR'S OFFICE SHOULD BE FORCED TO HAVE SOME TYPE OF ENCRYPTED AND SECURE WAY OF SENDING EMAILS.

Does this sound difficult? The government (with a few exceptions for some physicians) forced every office to get an EHR. They even paid for it although you had to do meaningless use. They could easily do this with email.

Even better, they could set up the whole thing by setting up secure servers where you send the record or document, and the other office is simply sent an email informing them they have an email. They simply reply with a password-protected method to get the record. The record would be there for you to take back if you need to. This is how the company that made Certified Mail over 20 years ago did it.

Email gets to the recipient 99.99% of the time. And it gets there in less than 10 seconds.

Still using faxes to send confidential information in 2024 is a joke.

Here is a fun one for migration. I know, just use the generic. I sent it to AC support just because it is frustrating to me.

My question is WHY, why do we even have to put that. If, in Texas, a pharmacist is able to move from brand name to generic unless DAW is written why in the world can they not use their discretion on cap/tab when insurance is the hold up. I think they can, it is just just an issue in the system that some one, not a pharmacist does not catch and just sends back to the prescriber.

I did and several others. A lot of frustrations were voiced.