I just immunized a patient with Vaccines-for-Children medicaid-provided vaccines. 5 Vaccines. Maybe he got the worst of it, with 5 shots. But each vaccine required coding with an -SL modifier. Depending where on my monitor the AC chart might be, each one required 11 or 12 clicks of the mouse, and exact mouse-pointer location on for each click to page the modifier drop-down menu exactly right. Then I have to click on -SL. That's one patient, at least 60 mouse clicks--just to get to the right spot on the menu.
I must page through a list of modifiers for occupational health, Left Anterior Descending coronary, Left foot-second toe, and other modifiers that will never be used in my pediatric practice. I have only used a few of the modifiers on the list, ever, and I've been using AC for 7 years. Why can't I customize this menu? Why can't I at least change the order of the modifiers to make my commonly-used ones at the top? They don't seem to be in numerical or alphabetical order, in order by category or by organ system. If they are in random order, why not my order? Why can't the program remember the last modifier I chose? Why can't the program have a demographic patient-specific check box for VFC that will automatically fill in -SL modifier for all vaccines and set the price to $0? Instead, after dozens and dozens of clicks to set the modifier for each vaccine, I have to go then to the pricing, change my billed price to $0 (then point to and click 'NO' in the pop-up window that asks, each time, if I want to re-set this as the permanent price for this vaccine), then down to the next vaccine price, do the same thing, then the next, and the next, and the next. I am capable of programming this kind of thing in an Excel spreadsheet. Why can't AC?
