Most Recent Posts
Prescriptions
by AMCS - 03/12/2025 9:15 AM
QRDA1 file
by JamesNT - 03/10/2025 3:25 PM
New Order of Imported Items
by ACZ - 03/05/2025 7:48 PM
Replace Updox?
by ACZ - 03/01/2025 10:11 AM
find past insurances
by VTWilson - 02/27/2025 10:43 PM
PMP
by Bert - 02/27/2025 1:22 PM
Prescription Drug Monitoring
by ChrisFNP - 02/20/2025 6:13 PM
Member Spotlight
Sandeep
Sandeep
California
Posts: 2,316
Joined: April 2011
Newest Members
It's me, Paradise Family, MedCode, MZ Medical Billi, girlfromwebpage
4,593 Registered Users
Previous Thread
Next Thread
Print Thread
Rate Thread
#79407 01/22/2024 11:10 AM
Joined: Oct 2012
Posts: 116
ffac Offline OP
Member
OP Offline
Member
Joined: Oct 2012
Posts: 116
My local hosted AC has a 2012 SQL that is 32bit. I have not been able to upgrade to 2016. There were many different instructions when this was a thing. I just gave up at the time. I now would like to fix this. I now find out the problem is the 32bit SQL. I pay for support ever year. Is this something AC support is supposed to fix or will I get nickel and dimed? I wanted to just do a new VM install and move my database over to fix this issue but support said that costs extra. Any suggestions?

Joined: Nov 2009
Posts: 685
Likes: 15
Member
Online Content
Member
Joined: Nov 2009
Posts: 685
Likes: 15
Sorry, can't help, hopefully James will see this and help you out.

Joined: Oct 2012
Posts: 116
ffac Offline OP
Member
OP Offline
Member
Joined: Oct 2012
Posts: 116
Bump.

Joined: Dec 2009
Posts: 1,197
Likes: 8
Member
Offline
Member
Joined: Dec 2009
Posts: 1,197
Likes: 8
@ffac,

Your solution is to indeed stand up a new virtual machine with SQL Server 2016 64-bit. The work of standing up the new virtual machine with Windows Server 2019 is your responsibility. AC will move your database over for you and take care of the rest for a fee of about $500. Pointing your workstations to the new AC server is also your responsibility as well as coordinating with any interfaces (LabCorp, etc.) for them to move their stuff over to the new server.

In short, this will cost you about a day's downtime and some money. If you are comfortable with all the things that are your responsibility, then paying AC is about all you have to do as most of the interface guys move their stuff for free. If you are not comfortable working with AC or standing up your own VM, pointing workstations, etc. then you can reach out to me to work with AC to turnkey it all for you. My rate is $95/hour.

Note that being comfortable handling such a migration yourself means also having the skill to solve any unforeseen technical issues that crop up as well. Handling the migration yourself with the idea that should something go wrong you can just email me or post on the forum and we will all drop what we are doing to save your hide then and there is not feasible. Such upgrades/migrations need to be well planned events rather than "I'll jump from the plane and ask for a parachute later if my idea doesn't work."

NOTE: I do not support peer-to-peer networks. At all. Also, I do not support any version of Windows older than Windows Server 2019 on the server side and Windows 10 on the client side. If you have older stuff, I can help upgrade it all but that will need to be factored into your costs and time.

James


James Summerlin
My personal site: http://www.dataintegrationsolutions.net
james@dataintegrationsolutions.net
Joined: Nov 2009
Posts: 685
Likes: 15
Member
Online Content
Member
Joined: Nov 2009
Posts: 685
Likes: 15
Thanks James, glad to see you back on the board.

1 member likes this: JamesNT
Joined: Oct 2012
Posts: 116
ffac Offline OP
Member
OP Offline
Member
Joined: Oct 2012
Posts: 116
Since my SQL server was 32-bit on my AC server, I was not able to update to SQL server 2016 myself. I had to schedule the update to be done by tech support. It took multiple agents nearly 2 hours and it forced me to AC v11.5 from v11.1.4. The update also forced my x-ray SQL server to have to be uninstalled and I had to move it to its own VM. I spent the whole weekend reconfiguring my server that runs all my VMs. I hope v12 doesn't introduce a whole set of new unforeseen problems. This is why I hate updates/upgrades. Ugh. /r

Joined: Nov 2009
Posts: 685
Likes: 15
Member
Online Content
Member
Joined: Nov 2009
Posts: 685
Likes: 15
Thanks for the update. Hopefully Tech support took note of the issues for the upcoming V12 change. I will say that going from 11.1.4 to 11.5 has been a significant improvement in both speed and prescribing issues. I still have some lag for prescribing and other small things but overall 11.5 has been more stable and I don;t see the "prescribing gremlins" I used to have.

Joined: Sep 2003
Posts: 12,867
Likes: 33
Member
Offline
Member
Joined: Sep 2003
Posts: 12,867
Likes: 33
A little of a hijacking, but I still would like an answer as to why the initial query for the eRx has to bring over all of the inactive meds. I don't know how their table and query works, but I don't need to go into the 20 drugs that are inactive except maybe every 8th to 10th time. I could wait then for AC to bring over the inactive.

JamesNT could comment here.

Yes, we had support try to install the latest version, and it just wasn't going to happen so we stayed with 11.1.4.


Bert
Pediatrics
Brewer, Maine

Joined: Dec 2009
Posts: 1,197
Likes: 8
Member
Offline
Member
Joined: Dec 2009
Posts: 1,197
Likes: 8
There is no reason why the query in AC should bring over active and well as inactive meds other than someone else thought it was a good idea to do so. One possible reason is seeing the med history may affect a doctor's thought process on what to give the patient next. For example, 6-month follow-up and the doctor decides to give the patient a new med, pulls up the chart and sees, "Wait, I tried that one two years ago. Never mind."

I'm completely making that up, but you get the point. Active and Inactive meds can be separated. My process to convert AC databases to PDF does so. You get two meds lists. One for active, one for inactive.

JamesNT

Last edited by JamesNT; 03/18/2024 9:08 PM.

James Summerlin
My personal site: http://www.dataintegrationsolutions.net
james@dataintegrationsolutions.net

Moderated by  ChrisFNP, DocGene, JBS, Wendell365 

Link Copied to Clipboard
ShoutChat
Comment Guidelines: Do post respectful and insightful comments. Don't flame, hate, spam.
Bert: Please comment on the board
Bert: for this issue
Mark@AC: NewCrop just informed us that there is an outage. They are investigating, but no ETA at this time.
koby: yes what a combo new crop and AC reliable as Amazon......NOT
Mnemonic: A lot of fake stuff on Amazon, Just saying.
koby: but they take it back....NewCrops fixed
Mark@AC: Updox System Issues An update has been posted We will be taking the application offline at 4:30 PM (Eastern) to perform emergency maintenance. The application will be down for approximately 1 hour.
AmazingDave: 10/14. Multiple eRx failures. Anyone else?
JBS: eRx not working for us this morning 10/15 630am Eastern
JBS: Looks like its related to the migration - we completed it by NewCrops apparently doesnt think so
beagle: updox is downdox again, 10/15
JBS: updox back up... now if we can just reach Ac to restore eRx
DocMark: eRx is up for us but slow, unworkable
BrotherJon: eRx issue for many. New Crop and AC working on it.
ChrisFNP: yep, refills have crashed twice today
Dr M @ EmmFamPr: newcrop down for us also; and we did the migration; unable to send anything electronically
ChrisFNP: Any updates fr us in the CST area?
ACZ: Still no fix to prescibing. Nobody available from AC last time I checked. I have an email request in. Anyone else?
ACZ: update on prescribing: After calling thursday morning and leaving a message, received call from AC. They changed something on their end, and prescribing is fixed.
eriklloyd: 11/11/24 - Prescription failure for us. Anyone else experiencing issues?
Pinky: Yes. Prescriptions aren't going through.
beagle: anyone contact ac and get eta fix?
AMCS: Same
AMCS: This is from newcrop: New incident: Investigating We are currently investigating an error that may occur when attempting to transmit prescriptions. This is resulting in prescriptions remaining queued. Our engineers are working on resolution presently.
Bert: I am sure AC knows. It's probably a NewCrop issue and they are working on it
Pinky: It is working now. 1pm EST. 11/11/24.
Clem Surak: Is anyone else using ACPM and the EOBs are not matching up to patient accounts and the EOBs are having to be retyped into ACPM? Started a couple of weeks ago. Payer IDs are correct and match the EOB payer IDs.
tcosta: @ Clem Surak: yes, this has been going on for MONTHS in our office. We've been told it's the payers fault and it has to do with loop segments and payer response. Doesn't make sense to me, considering it's ALL the time now on multiple EOB's a week.
tcosta: It almost never used to happen and now it's constant.
tcosta: ACPM is extremely short staffed and it's taking them days to respond and fix the issue.
Clem Surak: Yes, it has been getting progressively worse. I have a ticket logged, but have not heard back, so I keep retyping the EOBs so that our accounting is up to date. Hope the migration to the new Clearinghouse fixes this issue. Thanks for the response.
Bert: Can anyone tell me where the post is from AIDevelopment
ChrisFNP: Anyone else experinencing sloooowwww prescribing? 11/22/2024 1550CST
Reena: eprescribing has not worked for me all day
awcenter: Anyone having problems with escribe this morning
ChrisFNP: 12/16 very slow escribe but working
ChrisFNP: I think escribe is already on Holiday 12/20
beagle: Alas, random escribe slow downs unfortunately par.
DRMO: anyone else having problems with e-prescribing today? Had issue on Friday also, but it autocorrected. now back 12 30 24
ChrisFNP: can't validate for controlled
DRMO: AC support did a remote assist. problem fixed. TY
ChrisFNP: MIne corrected about 2 cst
Headcase: I cannot Rx Fioricet last few days, put in support ticket....
Headcase: This Fioricet thing probably is of limited general interest, but I was able to send generic...
Bert: This sucks
ChrisFNP: A/C meeting today at NOON EST
ChrisFNP: Meeting is 2/26/2025 should have an email with the invite
koby: does it matter if NewCrap is worse on a Friday than a Monday?
ChrisFNP: nope, both are busy for me
lesmar: "Prescription batch error. There was an unknown failure trying to complete the prescription batch for [patient name]."' I was just trying to send a refill on narcotic medication. Any suggestions would be greatly appreciated. Thanks
Who's Online Now
0 members (), 97 guests, and 19 robots.
Key: Admin, Global Mod, Mod
Top Posters(30 Days)
Bert 8
ACZ 4
imcffp 2
koby 2
Top Posters
Bert 12,867
JBS 2,978
Wendell365 2,362
Sandeep 2,316
ryanjo 2,084
Leslie 2,002
Wayne 1,889
This board is dedicated to the memory of Michael "Indy" Astleford. February 6, 1961 -- April 16, 2019




SiteLock
Powered by UBB.threads™ PHP Forum Software 7.7.5