[MT-L] Rad reports need sent to External Radiologist group

[Patricia Perry]

Please forward all responses to Cheryl Childers at cchi...@trhospital.org.

$T Radiology - We Batch Fax our Radiology reports to the ordering physicians
from the Meditech Radiology module. But, the Radiologist group who reads
these reports would also like a copy for billing purposes. We cannot batch
fax due to the ordering MD is who the report is linked to go to. Each day
we have a different Radiologist (40+ in the group) who could possibly read
the exam. The "Copies To Recipient" would be very tedious to add the
radiologist for every exam done. It would be a manual entry. We also
inquired about downloading the RAD reports, but this is not possible. Any
ideas or suggestions?

Thanks for your help!

*Cheryl Childers*

IS Financial Analyst

Transylvania Regional Hospital

(828) 883-5311

cchi...@trhospital.org

*Pat Perry*

Director of IT

Transylvania Regional Hospital

ppe...@trhospital.org

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[Doug Hiteshew]

Good morning and Happy FRIDAY, Cheryl and Patricia!

There is a reasonably simple solution to your plight.

We got out of the printing business for the RAD's Billing company
several years ago as it was costing US a lot of staff time plus paper
and toner costs just so THEY could send out bills. When you think about
it a moment, you are spending lots of money to help someone else make
money, without any remuneration.

Our contract with the RAD group said we have to make the billing
information available- but didn't say that we have to spend money to
give it to them. So we helped our RAD billing company connect with
Iatric Systems and had them pay Iatric Systems to create two reports:
one for the Radiology patient demographics and insurance information,
the other report created a text file of all of the signed RAD reports
for the user defined date range. We then worked with Iatric Systems to
test the reports. (OR you could write these reports for a fee, but the
idea is not to throw any more of your time and money down that
proverbial hole.)

The end result is that we have given the RAD billing company access to
our Meditech system to run and download these two reports whenever they
want. We are otherwise removed from the RAD billing business.

Bottom Line: You will need to facilitate/Project Manage the work between
Iatric System and the RAD billing company
1. Contact your RAD billing company to negotiate this and obtain the
file layout for importing patient demographics and insurance info into
their computer system.
2. Print a few RAD reports and spool them together to show the RAD
billing company what a potential download file of RAD reports would look
like.
3. Get and keep the RAD billing company and Iatric Systems working. I
suggest that you announce a deadline after which you will no longer
provide any information. Otherwise the RAD billing company has zero
motivation to change methodologies. You will not have any difficulties
working with Iatric Systems, your problems will come from the RAD
billing company dragging their feet.

Good luck!

Doug

Doug Hiteshew, MT(ASCP)
Senior Systems Analyst
Johnson Memorial Hospital
Franklin, IN 46131
V: 317-736-3397
E: dhit...@johnsonmemorial.org

Thanks for your help!

*Cheryl Childers*

IS Financial Analyst

Transylvania Regional Hospital

(828) 883-5311

cchi...@trhospital.org

*Pat Perry*

Director of IT

Transylvania Regional Hospital

ppe...@trhospital.org

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[Julie Carlson]

We have just completed a similar setup to what Doug describes. The main
difference is that instead of using an interface, we have our download
report scheduled to spool every day and it is sent automatically to the
radiologist's billing company via ftp.

Julie Carlson
Meditech Systems Analyst
CASCADE VALLEY HOSPITAL AND CLINICS
Close to Home. Close to Heart.
330 S Stillaguamish Ave, Arlington, WA 98223-1603
tel. (360)618-7866
fax (360)618-7657
cell (425)220-2286
www.cascadevalley.org

Good luck!

Doug

Thanks for your help!

*Cheryl Childers*

IS Financial Analyst

Transylvania Regional Hospital

(828) 883-5311

cchi...@trhospital.org

*Pat Perry*

Director of IT

Transylvania Regional Hospital

ppe...@trhospital.org

====================================

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[Julia Carter]

At my former facility, we did an NPR report and then inserviced the local Rad office on how to connect and download the report themselves. The billing company was very appreciative, but the actual Rad office was difficult to support. I made many visits there to trouble-shoot their access to Meditech. If their internet connection was down, it became our problem. They had no IT support, so we hooked them up with a local company to provide a basic level of support and took ourselves out of that loop.

Julia

Julia Carter, CPAR
Senior Consultant
Consultant People
396 W Main St
Lewisville, TX 75057
http://www.cpeople.org
(229) 891-6668

[Joe Cocuzzo]

Unless you create a secure VPN tunnel from your network to the billing services network, you are sending PHI over the internet unencrypted, and this is very un-HIPAA.

Joe Cocuzzo
Vice President
NPR Services
Iatric Systems, Inc.
Phone/Fax: (978) 805-4115
Email: mailto:Joe.C...@iatric.com
Web: http://www.iatric.com/

Iatric Systems is a leading provider of integrated software applications, interfaces and reporting solutions for hospitals and healthcare systems.
__________

-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Julie Carlson
Sent: Friday, September 03, 2010 10:51 AM

[Ranone, James]

If you use an FTP client with SSH - SFTP - it establishes a "temporary
point to point tunnel with encryption." Of course, it's dependent on the
application used to do it. My Security Admin has approved a few SFTP
clients for my use in these situations.

Thank you,
James

James Ranone RN, BSN, Technical Clinical Analyst
Information Technology, Stillwater Medical Center
Ph: 405.742.5833 Fax: 405.742.5369

[Joe Cocuzzo]

As far as I know, this is not supported via a scheduled auto-FTP report from a Magic system.

You would really need to relay it, send it to an FTP server inside your network and relay with some sFTP client software running on that server.

Joe Cocuzzo
Vice President
NPR Services
Iatric Systems, Inc.
Phone/Fax: (978) 805-4115
Email: mailto:Joe.C...@iatric.com
Web: http://www.iatric.com/

__________

[Stewart, Donald]

We do the same here.

Donald F. Stewart

[Stewart, Donald]

I will qualify my previous post on this. We ftp to a local ftp server
folder. The RAD company VPNs into our system and picks the file up.

Donald F. Stewart

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Joe Cocuzzo
Sent: Friday, September 03, 2010 11:33 AM
To: 'Julie Carlson'; Doug Hiteshew; medit...@mtusers.com
Subject: Re: [MT-L] Rad reports need sent to External Radiologist group

Unless you create a secure VPN tunnel from your network to the billing
services network, you are sending PHI over the internet unencrypted, and
this is very un-HIPAA.

Joe Cocuzzo
Vice President
NPR Services
Iatric Systems, Inc.
Phone/Fax: (978) 805-4115
Email: mailto:Joe.C...@iatric.com
Web: http://www.iatric.com/

Iatric Systems is a leading provider of integrated software
applications, interfaces and reporting solutions for hospitals and
healthcare systems.
__________

[Stewart, Donald]

You just have to do it outside of Meditech. Meditech currently has no
secure FTP process.

Donald F. Stewart

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Ranone, James
Sent: Friday, September 03, 2010 11:52 AM

To: Joe Cocuzzo; Julie Carlson; Doug Hiteshew; medit...@mtusers.com
Subject: Re: [MT-L] Rad reports need sent to External Radiologist group

If you use an FTP client with SSH - SFTP - it establishes a "temporary
point to point tunnel with encryption." Of course, it's dependent on the
application used to do it. My Security Admin has approved a few SFTP
clients for my use in these situations.

Thank you,
James

James Ranone RN, BSN, Technical Clinical Analyst Information Technology,
Stillwater Medical Center
Ph: 405.742.5833 Fax: 405.742.5369