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I'm wondering when to expect Version four. I'm holding off signing up for e-prescrbing as I hear is better. I tried the one connected now with AC and thought whooo I hope this gets easier. Anyone with information? Will it flow with AC? Will it cost extra?

For those with local labs I found a good solution for labs in Chart Connects Results Manager. www.chartconnect.com They connected to our regional lab and things work well along side AC.

We love AC!!!! and hope the changes are going to be good.


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The e-prescribing module in AC is better than several others that I have used. Yes, it took me a little while to get use to but it does get easier. Would I change things if I could? Certainly but it is still better than many others out there.

Bruce.


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When I tried it several months ago it seemed to require double entry of demographics and the prescribed med, which made it a no-go w/ me. Am I wrong or is something new since then?


Victor Wilson MD FAAP
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The double entry is what holds me back.

I'm hoping the newer version does not have this.

Bonnie Sprague, NP

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By double entry do you mean entry into NewCrop e-script and AC? I had problems at first but recently when I "synchronize" aat the end of sending the e-script the list has appeared in AC, too. I know this was an issue that the folks at AC were working on becasue I brought it up several months ago when I first sarted using AC and NewCrop. I still have to enter the medlist into AC initially when doing the first progress note but it gets better after that. As with any database the up-front work can be a lot but the dividends received later payy off.

Bruce.


Bruce.
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@Bonnie,

Hi. smile I see you have been a member since June 2004. I haven't seen many posts from you.

@Bruce,

I didn't quite understand your post. What do you mean when you say, "I still have to enter the medlist into AC initially when doing the first progress note, but it gets better after that."


Bert
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In the progress note I enter the medlist in the med window, right after the allergy window. This doesn't link to the prescription writer or vice versa. But after it is entered into the standard prescription writer or electronic presribing it's a snap come time to refill. THat' what I meant by upfront effort paying off down the road.



Bruce.
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Bruce -

Does the prescription writer automatically transfer to the e-prescriber now ? When I tried it a few years ago you had to enter it in the prescription writer and in New crop....

Out of curiosity why do you enter it on the main page instead of just using the scrip writer ?

Steven


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Often, the patient doesn't need refills during their initial visit but I still need a medlist for future reference.


Bruce.
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It would still seem to help you in the future by entering it in the scrip writer with qty 0 and then when it came time to refill it would be easy. Is it now easy to transfer from scrip writer to new crop and vice versa. ?


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Qty 0 and RF 0 sounds like a good idea. I'll try it because I do believe that AC will "synchronize" from NewCrop but not necessarily vice versa.


Bruce.
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When I tried the 30 day trial 6 months ago, clicking on the electronic prescribing tab in AC (within the Prescription Writer window in a specific patient's chart) connects to NewCrop. However, you still need to enter patient info/allergies for each patient at least once, then find the drug, dose, qty, refills, etc. Then you need to search for the correct pharmacy (more windows & buttons), and finally transmit. Oh, and no response on whether it was received. And at that time, you still had to return to AC to record the refill/new rx. I didn't see any way to synch the online list to AC.
I didn't sign up for the $35/month because this was such a kludgy process( no wonder you have to pay for a year up front).
Can anyone comment on the way this works, step by step, now?


John
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I have to be honest. I haven't looked at ePrescribing in awhile. But way back I was very excited about them, but then had the same experience you had.

When you think about it, this is the reason we all switched or bought AC. We didn't have time to "drill down" to enter a physical exam on Logician or whatever. Sure, it produced a pretty note and in the end was likely a bit more accurate, but you pay dearly for that with the time you have to spend.


Bert
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I am in the process of switching from Allscripts to the Surescripts/New Crop in AC.
The interface with v4 forces is not yet "in the note". You have to go to the pt list, go to the medications tab, right click and enter. It does offer an option for adding meds directly to the list without having to send them to the pharmacy. I like this for my controlled substances that I still hand write.
There is a way to add the new meds to the list and remove old ones in a synchronization process. I really like that.

In AC I have been worried because it was hard to really tell when the scripts were written or filled. The eprescribing takes care of that. I feel more confident of my list.

I have a lot of elderly, very sick patients. I reconcile their meds at each visit and print them a list to take with them at the end of the visit. At this point, I am satisfied with the eprescribing in AC. Eprescribing is on the launching pad to be an integral part of ac in the next few months. Can't wait.


Vicki Roberts, MD
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Vicki
I too was considering switching to New Crop from Allscripts but was unhappy with when I tried the interface with AC version 3 one year ago and had to double enter all the prescriptions
Now that v4 is out is there anything different??
I am not sure what you meant when you referred to
"The interface with v4 forces is not yet "in the note"

Thanks

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Hello NASMD,
The eprescribing has to be done from the drop down list, not the note. There are few little quirks in it-the demographics can't say Medicare A&B, it has to say Medicare A and B.

It allows you to drop the new meds into the AC list and to inactivate meds you are no longer using.

It's not double entry, just a little inconvenient. Compared to the Allscripts erx, it is much nicer. I like it becuase I can add meds to the list that I'm not sending refills for. I really like the instant refill feature.

Good luck.


Vicki Roberts, MD
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Hi Vicki
Thanks for the info.

What about meds that are already in AC ...do you need to manually re-enter them in the New Crop system or can you upload your previously entered AC meds into New Crop so they can be filled electronically??

I am also a bit confused about the Medicare issue. We do not use AC for billing so our demographic files do not contain any reference to Medicare. (we use a separate billing program we have had for over 25 years.) Why does the E-script need to know about Medicare A and B

Thanks again


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Glad to help

I used the billing part of ac for one month and promptly got to work finding another option. I think that's what a lot of us do.

The New Crop program does not need to know about the insurance. It does pick up the demographics to write the script.

The eprescribing does not pick up the meds that are in your ac list, but you can add them to the eprescribing list wihtout send them as a script. You can choose a button that says Finish/add to current meds. It drops it into your eprescribing list.

The synchronizing has a few hiccups too. If you get to that point, let me know and I'll be glad to help.



Vicki Roberts, MD
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Originally Posted by vroberts
The synchronizing has a few hiccups too. If you get to that point, let me know and I'll be glad to help.

I have signed up for NewCrop in AC, and I am successful with outgoing eRxs.

How can I pick up the electronic messages for refills sent from the pharmacies? I can't seem to find a place within AC to check for these.

Last edited by ryanjo; 12/16/2008 6:24 PM.

John
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Don't know yet. Now you have me curious. It was very obvious in allscripts. If I figure it out, I'll let you know and I hope you'll do the same.
Thanks vr


Vicki Roberts, MD
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I went to the manual (on the admin tab in erx). It says that notifications will show up in the "Status Page" the messages at the top of the prescription page when you open it. If a refill has been requested, it will show up there-same place that the rxs that didn't go through or are still pending show up.
Happy prescribing!!


Vicki Roberts, MD
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Vicky,
I recently read through the information on the future "mandate" regarding e-prescribing and how it if we implement it first, we get a Medicare bonus. Anyway, my question is does Surescripts fit those requirements? Does it provide an interaction list or warn you of allergies? Just Curious,
Francisco


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I have begun using the eRx tab of the AC Prescription Writer this week. I can send prescriptions electronically to pharmacies and have begun to receive refill requests as well. A few observations, for anyone comtemplating using AC and its partners (NewCrop & SureScripts) for eRx:

1. The ability to transmit begins as soon as you sign up and get your approval codes, but I had to email NewCrop (customerservice@newcroprx.com) to begin to receive refill requests from the pharmacies. However, NewCrops' email customer service is very pleasant, prompt and connected me efficiently.

2. There is no "batch" method to approve refill requests. You must open each patients chart and open the eRx tab in the AC Rx Writer window. The patient demographics transfer automatically, but you have enter the meds you want to transmit and patient allergies manually (lots of little windows to open). However, once done, the meds and allergies are saved for the next session for that patient.

3. The staff can log in to AC and do the data entry and either leave the Rx to be approved in the "Doctor's Review List", or just approve the Rx and transmit it to the pharmacy. Hmm, does anyone think that this is like leaving some signed blank Rxs around?

4. When I'm transmitting one patient's Rxs, I can be notified (by a flag in the window I'm working on) when refill requests have been received from pharmacies. Although I can look at these requests by clicking a tab, I have to close the active patient and open each of the other patient's files to approve the refills.

5. The only way to check for pending Rxs in the Doctor's Review Box or refill requests received from pharmacies is to open up the Electronic Prescribing tab in a patient's chart. There needs to be a way to check this more efficiently.

6. On completion of the session, the eRx window pops up a dialog box, offering to sync the "online" eRx med list with the med list in that patient's AC chart. However, it has never successfully done so for me. Therefore, if I get a call from the patient that their electronically transmitted Rx was not at their pharmacy, I have to open the ERx tab in their AC chart to verify this. Contrast this with paper Rxs done with AC, which show the refill dates when clicking on the med in the med list.

I'm going to continue using the eRx in AC, since I think this is the future, but I can't as yet say that it's either efficient or easy.


John
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Thanks for the above info.
We too were considering purchasing the NewCrop interface and
I spoke with AC yesterday and there will be a new E-rx interface coming out "this winter". For the interim will probable stay with the free AllScripts program. While it claims to allow batch refill requests (a tab called "tasks") I have yet to see any renewal requests but the regular e-prescribing works well. Demographic are easily filled in by using revere phone number searching which is an option.

Thanks

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I knnow that you have to reach a minimum number of scripts to a given pharmacy before they "recognize" you as an e-prescriber but after using the AC-embedded NewCrop service for 6 months (and >90% of all Rx's) I too have yet to get a refill request online. Anybody have any idea what may be up?


Bruce.
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I had to email NewCrop (customerservice@newcroprx.com) to begin to receive refill requests from the pharmacies.


John
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The synchronization problem is better in Version 4.
It is still not integral in the beta version of v4.
I do like it 110% better than allscripts-in every way except the price.


Vicki Roberts, MD
Family Medicine of Southeast Missouri
Sikeston, MO

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