-The day's schedule is printed out in the morning (same day appts are handwritten into it as they occur).
-Patient checks in (fills out demographic forms,etc if they are new which, along with their insurance cards are scanned in and imported to their chart). Receptionist enters their demo info and collects a copay, which she records handwritten on the printed schedule.
-Receptionist opens the chart, as if to start a note... double clicking on their name/time slot in the schedule opens the note with the reason for visit pre-populated
-Receptionist forwards that started chart to the nurse.
-Nurse takes patient back, records their vitals on a slip of paper, and records this info into the chart at a workstation computer, and forwards the chart to me, the provider. (If the patient is in for only a nurses visit, she records the visit/shot/whatever and forwards me that chart to sign off).
-On days when I am without a nurse, the receptionist forwards the chart straight to me when the patient arrives.
-I open the chart from my inbox, write and sign off on the note, complete with codes and modifiers.
-The following day or so my office manager/biller records all the copayments into AC from the paper record then uploads the day's charges to EZ-Claim, making sure all the codes and modifiers match up.


Chris
Family Medicine
Randolph, NJ