Sorry for the confusion. Let me try to clarify.
When we moved to AC, I imported all the patients from our practice management system. We had recently moved to that system (April 2010), and the only patients in that system are patients who have been seen in our clinic since April 2010.
Ergo, any patient seen in our clinic since April 2010 has a chart in AC. But that doesn't mean that chart is populated with anything more than demographic data.
We started using AC in March, and with that I started ePrescribing. Since I now use ePrescribing, all local pharmacies that are able to do so, send refill requests electronically, whereas they use to fax them.
This results in a refill request for a patient who may have been seen in February 2011, with an upcoming appointment in July - they have a chart in AC, but no records of any medications as we start putting clinical data into AC when the patient is seen.
So now I have a refill request, but no corresponding prescription to "match" it to, and therefore am unable to simply approve the request. And since it can't be matched, I can't "deny and rewrite" either. The only work around is to deny and create a new prescription in AC (in that order or vice versa).
Which leads me to wonder why the need to "match" prescriptions, and if anyone has found a better, quicker way to handle this problem.
