AHLTA Provider TrainingAHLTA Provider Training

AGENDAAGENDA Sustainment Training Consultant InitiativesSustainment Training Consultant Initiatives User SettingsUser Settings Usability Aim Form & Template TipsUsability Aim Form & Template Tips New Templates to Maximize RVU’sNew Templates to Maximize RVU’s Dragon Naturally SpeakingDragon Naturally Speaking Documentation & Coding in AHLTA to Maximize Documentation & Coding in AHLTA to Maximize

RVU’sRVU’s E/M Calculator In Disposition ModuleE/M Calculator In Disposition Module E/M Report in AHLTAE/M Report in AHLTA Questions/AnswersQuestions/Answers

Sustainment Training Consultant Sustainment Training Consultant InitiativesInitiatives

– Maximize Effective Use of AHLTAMaximize Effective Use of AHLTA Templates in Favorites FolderTemplates in Favorites Folder Using Order Sets and QA’d CodesUsing Order Sets and QA’d Codes

– Improve Provider SatisfactionImprove Provider Satisfaction Focused TrainingFocused Training Analyze Clinic Workflows Analyze Clinic Workflows Recommend how support staff can document in Recommend how support staff can document in

AHLTA to save provider timeAHLTA to save provider time

– Improve RVU’sImprove RVU’s Monitor through reports moduleMonitor through reports module Analyze completed encounter s/o notesAnalyze completed encounter s/o notes

Sustainment Training Consultant Sustainment Training Consultant InitiativesInitiatives(Cont’d)(Cont’d)

– Triad ConceptTriad ConceptCoder, Consultant, Clinic ChampionCoder, Consultant, Clinic ChampionMonthly MeetingsMonthly MeetingsTargeted Approach to Provider Training to Targeted Approach to Provider Training to

Improve Overall Clinic RVU’sImprove Overall Clinic RVU’sAvailable Super User Training ClassesAvailable Super User Training ClassesClinic Champion Works with Consultant on Clinic Champion Works with Consultant on

TemplatesTemplatesClinic Templates (QA’d by Coders)Clinic Templates (QA’d by Coders)

User SettingsUser Settings

User SettingsUser Settings

3.3 ONLY

Documentation & Coding Documentation & Coding in AHLTAin AHLTA

Maximizing RVU’s in the S/O

Warning!!!!Warning!!!!

Free Text used in AHLTA is NOT coded Free Text used in AHLTA is NOT coded automaticallyautomatically

Avoid using free textAvoid using free text

If you must use it always try to associate it If you must use it always try to associate it

with a Medcin termwith a Medcin term

How Much Should You Do?How Much Should You Do? Obviously there will be a lot of encounters Obviously there will be a lot of encounters

(i.e. Established Patients) where little or no (i.e. Established Patients) where little or no physical exam occursphysical exam occurs

However when a physical exam is done or However when a physical exam is done or must be done (i.e. New Patients) be sure must be done (i.e. New Patients) be sure to get credit for what you do!to get credit for what you do!

Things like “Vitals” “Orientation” “Gait” Things like “Vitals” “Orientation” “Gait” and “Appearance” should be automatic on and “Appearance” should be automatic on almost any examalmost any exam

This template has been added to your clinic folder with A name that includes a “#” which, when added to yourFavorites will move it to the top of your drop down list

In the S/O module

NOTE: THIS ENCOUNTER TEMPLATE HAS THE DOD AIMFORM ON IT AND WILL BE UPDATED AUTOMATICALLY.

YOU WILL USE THIS TEMPLATE FOR S/O DOCUMENTATIONONLY AND THEN LOAD YOUR DEFAULT ENCOUNTER

TEMPLATE OR DISEASE SPECIFIC TEMPLATE FOR THE A/P PORTION WITH DX, PROC CODES AND ORDERS

GO TO CLINIC FOLDERAND EXPAND NEW TEMPLATES

SUBFOLDER AND THEN CLICK ONCE TO SELECT

AND THEN ADD TO FAVS

NOTICE HOW THE TEMPLATE IS NOWAT THE TOP OF MY DROP DOWN LISTSINCE THERE IS NO REASON TO SAVE

AN AIM FORM AS YOUR OWN

Use the HPI/Screening Tab forChief Complaint and past history,family history, and social history

Addressing Tobaccoand/or Alcohol here gives1 credit point to SocialHistory…

Coding rules are listed at the top.1 for Problem Pertinent. 2 -9 ROS must becovered for a 99214 (Extended level ROS)from 2 or more different organ systems, etc.Must be clinically important to get credit!

USE THE ‘ALL NORMAL” BUTTONSTO QUICKLY DOCUMENT NORMAL ROSAND THEN CHANGE YOUR ABNORMAL

FINDINGS.NOTE HOW YOU SHOULD FLIP + ROSTO HPI SO ALL YOUR + FINDINGS IN

HPI

Use the quick normal findings button andChange from N to Y or N to A for abnormalAnd then describe using the free text box

Use New TemplatesUse New Templates

Excellent AIM Form Templates ExistExcellent AIM Form Templates Exist– Alternate Input MethodAlternate Input Method– Usability Aim for Primary Care and Pre/Post OPUsability Aim for Primary Care and Pre/Post OP– Specialty Specific Templates also exist nowSpecialty Specific Templates also exist now

Searching for TemplatesSearching for Templates– S/O TemplatesS/O Templates– Encounter TemplatesEncounter Templates– List of TemplatesList of Templates

Templates ResourcesTemplates Resources

List of TemplatesList of Templates Power point and word documents on Power point and word documents on

how to’s and FAQhow to’s and FAQ– SEE NEXT SLIDESEE NEXT SLIDE

SEARCHING FOR S/O TEMPLATE

ADD TO FAVORITES

LOAD TEMPLATE

ENCOUNTER TEMPLATES

Encounter templates contain your s/o note (list orForm), diagnoses, procedures, hcpcs, and orders.Encounter templates provide you with maximum

Efficiency.Multiple templates can be loaded in a/p so no

Searching for codes is needed.

This drop down list contains all Encounter templates and order sets

Select ALL your orders here by clickingSelect or Modify (if need to change QTY

Or if RAD to modify the impression),Then press submit and all orders

Process at once.

THIS USABILITY AIM FORM CAN BEUSED FOR ABOUT 85% OF ALL VISITS

AS THE FIRST TEMPLATE

THIS IS PROCEDURESAIM FORM

NEW AIM FORMS PRODUCECLEAN, READABLE NOTES

Dragon Naturally Dragon Naturally SpeakingSpeaking

Coding and RVU’sCoding and RVU’s

E/M CALCULATOR

**3.3 only

E/M CODING REPORT**

Questions??Questions??