Feature Zeus Claim - PrognoCIS · Feature – Zeus Claim 4010 Moorpark Avenue, Suite 222, San Jose, CA 95117. Phone (Sales): 8776936748 Phone (Support): 408873 3032 2 TABLE OF CONTENTS

Version No: 3.0

Feature – Zeus Claim


4010 Moorpark Avenue, Suite 222, San Jose, CA 95117. Phone (Sales): 8776936748 Phone (Support): 408873 3032

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TABLE OF CONTENTS

Audience ......................................................................................................................... 2

Revision History ............................................................................................................... 2

1. Introduction .............................................................................................................. 3

2. Zeus Claim UI ............................................................................................................. 3

3. Create Zeus Claim ...................................................................................................... 4

4. Update Zeus Claim ..................................................................................................... 8

5. Download Zeus Claim ................................................................................................ 8

6. Preview Zeus Claim .................................................................................................... 9

7. Conclusion ............................................................................................................... 10

AUDIENCE

PrognoCIS Users

REVISION HISTORY

No. Date of Revision (latest on top)

Revised By

Change Reviewed On

Reviewed By

1. February 6, 2017 Julie Anthony

Updated screen, highlighted description according to the review comments

February 6, 2017

Shivani


Updated doc with review comments


Added Create (complete with screen shots);Update; Download; Preview; and Conclusion information to the document

February 2, 2017

Shivani

4. January 30, 2017 Julie Anthony

Added Claim UI and Create(partial) information

5. January 18, 2017 (Date of Creation)

Julie Anthony

Created the document with introduction note



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1. INTRODUCTION

Zeus Claim helps ‘Personal Injury’ treatment Clinics to meet the guidelines of

auto-insurance companies and collect maximum reimbursement from them.

Zeus Claim is specifically a personal injury medical evaluation EMR (Electronic

Medical Record) questionnaire and SOAP (Subjective Objective Assessment Plan)

Note system that locates decision points so that these points are not erroneously

omitted from the medical file.

PrognoCIS has partnered with Zeus Claim to bring in its services for Clinic Users

and have the interface invoked from within PrognoCIS (via existing Hook feature

– for more information, read the document on Hook namely,

Feature_Customization of menu for 3rd party urls.doc)

2. ZEUS CLAIM UI

Navigation Goto patient Encounter Encounter TOC Zeus Claim

The Zeus Claim link on Encounter TOC is a hook and following two properties become applicable for the same, - prognocis.hook<number>.parameters ( with property value being label=Zeus

Claim|modal=N|width=1000|height=500|top=50|left=80|url=ZEUS^55484293) and - toc.menu.options – the TOC property should have the appropriate

HOOK<number>

Note: PrognoCIS supports hook numbers between 1 and 9.

Zeus Claim UI allows Users to Create a Zeus Claim for Patients current encounter (a one-time process); Update an intermediate copy of the created Zeus Claim; and when ready, download the processed document onto the respective patient’s Document List in PrognoCIS.

Currently, the Zeus Claim UI displays the action buttons, Create, Update, and Download on the top right of the UI, followed by a table listing out various documents that were previously generated and downloaded for the Patient (if any for the current encounter). Refer to figure 2.1



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Figure 2.1: Zeus Claim screen UI

Column description: – Download Time: Displays the date and time when the Zeus Claim was

downloaded for the Patient in the encounter. – Provider: Displays the name of the Attending Provider of the encounter. – Description: Displays the type of document. A Provider typically generates

only a SOAP note PDF file for each claim visit. The other document types such as the demand letter, rebuttal letter are generated by the attorney when the doctor cooperates on a patient claim with an attorney. The medical validation letter (added via the 'REQUEST Medical Validation and/or Attorney Letter') needs to be requested by the Provider from the Zeus Claim company which is then generated by an affiliated medical doctor at their end.

– View: The View icon: provided for each downloaded document, allows Users to view the details of selected documents

On Click on each individual record of the downloaded document, its content is available for preview on the screen itself. Refer to figure 2.1

3. CREATE ZEUS CLAIM

In the current encounter if User is creating Patient’s Zeus Claim for the first time then the Create button on the Zeus Claim screen is the only button that displays enabled. Refer to figure 3.1



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Figure 3.1: ‘Create’ button on click invokes the Zeus Claim popup consisting of the standard Zeus Claim questionnaire

Create button invokes the Zeus Claim popup - an external software interface. The popup displays the standard questionnaire required to be filled in by the User to create a Zeus claim for injuries. Refer to figure 3.1

A click on Save Data found on start of each individual section helps to save details of all sections individually. Saving sections individually helps when details are entered in intermediate time intervals. Refer to figure 3.2

Figure 3.2: The button, ‘Save Data’ helps in saving section wise details



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At the end of the questionnaire, there is common save button, Save and Generate SOAP PDF Report that saves all the entered details and then generates SOAP Report in PDF file format. Refer to figure 3.3



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Figure 3.3: Common button to simultaneously save and generate the SOAP report

Note: The button, REQUEST Medical Validation and/or Attorney Letter found next to the ‘Save and Generate SOAP PDF Report’ button is used to add medical validation letter and needs to be ‘requested’ by the Provider directly from the Zeus Claim company who in turn generate it by an affiliated medical doctor at their end.

Once the details are saved and the SOAP Report is generated then a confirmation message is displayed to the User and a link of the PDF file is provided. Refer to figure 3.4



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Figure 3.4: Confirmation message and the link to view report as displayed on the Zeus Claim popup

Additionally, the two buttons available help to regenerate or edit the recently saved SOAP report. Refer to figure 3.4

4. UPDATE ZEUS CLAIM

The last saved notes or questionnaire are available for continual updates from the update popup, till the Patient’s encounter remains open. Refer to figure 2.1

5. DOWNLOAD ZEUS CLAIM

Once the Zeus Claim is created, it is ready for download. On click, the Download button makes available the processed Zeus Claim in PrognoCIS for further Usage. It is simultaneously available on the Zeus Claim screen itself and on the Document List screen. Refer to figure 5.1



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Figure 5.1: Downloaded Zeus Claim records displayed on the Document List screen

The documents are displayed under Document List with type as 'Encounter Attachments' and Category as 'Zeus Claim - Personal Injury'.

Note:

User has provision to download even after close of Patient’s encounter.

These Zeus Claim documents that are available on the Document List screen are not available or supported by the feature, ‘Share-on-Portal’. For more details on the feature, read its feature document – ‘Feature - Share Docs on Portal.doc’

6. VIEW ZEUS CLAIM

On the Zeus Claim screen, the records of each downloaded document(s) are available in a table format and in descending order (i.e. latest on top) of timestamp. User has a provision to view the detailed contents of these document(s), a click on

the View icon: invokes the Report details in a popup. Refer to figure 6.1 from the

popup a User additionally has provision to zoom and view (click zoom icon: ) the details and also to delete the document.



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Figure 6.1: Preview of the generated Zeus Claim invoked from the Zeus Claim screen

7. CONCLUSION

With the inclusion of Zeus Claim feature within PrognoCIS and its usage by Clinics who are into ‘Personal Injury’ treatment, it is expected that the guidelines of auto-insurance companies are met accurately and maximum reimbursement for the same is collected by the Clinics.

Documents

Feature Zeus Claim - PrognoCIS · Feature – Zeus Claim 4010 Moorpark Avenue, Suite 222, San Jose, CA 95117. Phone (Sales): 8776936748 Phone (Support): 408873 3032 2 TABLE OF CONTENTS