PrognoCIS Telemedicine FAQ’s
Your frequently asked questions on PrognoCIS Telemedicine answered.
FAQ's
This is a great resource on how to document physicals during a telemedicine visit. https://www.telemedmag.com/article/telemedicine-physical-better-think/
No. PrognoCIS integrates with Zoom to provide Telemed services.
This site goes into great detail: http://www.telemedmag.com/article/telemedicine-physical-better-think/
Any secure form of video, there are many options. However, PrognoCIS integrates with Zoom and while you are talking to the patient you can chart simultaneously.
Yes. Each provider who intends to conduct Televisits needs to have individual Zoom Pro accounts.
No. You do not have to save the video
No, one account per URL
Yes. As soon as the appointment is booked, the patient receives the ‘Appointment Confirmation’ email and an SMS. Both of which contain the Zoom meeting link. The patient can click on the link and install the app in advance.
No. Text reminders work independently.
Via the patient portal
Tech support will notify you that you are set up and give a brief training on this.
Sign up for a Zoom Pro account at https://zoom.us/pricing. Then send the credentials to your Client Manager and ask to turn on telemedicine
Yes. There is a virtual waiting room. If the provider has not joined the meeting because they are in a meeting with another patient, the patient enters the virtual waiting room.
Via the patient portal
Box 32 for the location will be where the physician is located
Yes, it is.
There are different codes for video vs. phone. Please see description of codes listed in Webinar and https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet
Once Zoom is successfully installed please direct the patient to the Appointment email and ask them to click on the Zoom link.
“To change the location while booking an appointment please perform the following steps:
1. Double click an empty slot/ click ‘Schedule appointment’ from the home page.
2. In the location drop down select ‘Telehealth Visit’
3. Select the ‘Telemedicine’ option under Enc Type
4. You may see a message ‘Provider is not available at this location during the selected time/date.’
5. To proceed with the booking select ‘AnyTime’ checkbox before clicking on ‘Schedule’
No, you will need to set up a location and make sure the appointments are scheduled at the ‘telehealth’ location
On the billing side under settings: Configuration, Location, next to name of location you will see a gray box for address
To change the location while booking an appointment please perform the following steps:
1. Double click an empty slot/ click ‘Schedule appointment’ from the home page.
2. In the location drop down select ‘Telehealth Visit’
3. Select the ‘Telemedicine’ option under Enc Type
4. You may see a message ‘Provider is not available at this location during the selected time/date.’
5. To proceed with the booking select ‘AnyTime’ checkbox before clicking on ‘Schedule’
“Yes. You can mark your exisiting Enc Types as Telemedcine Encounter type by following the steps given below:
1. Go to Settings –> Configuration –> Under Clinic click ‘Enc Types’
2. Select an existing Enc Type
3. Check the ‘Telemedicine Appointment’ checkbox and click ‘Save'”
“No. To open/ access the encounter without starting the Zoom meeting. Perform the following steps:
1. From the PrognoCIS home page mark the appointment ‘Arrived’
2. Clicking on the patient name will now take you to the patients encounter
3. You can now go to all screens on the open encounter
4. Once you are ready to see the patient, from the open encounter open the third video meeting pane by clicking on the icon with three dots ( Elipsis) and choose ‘Video Meeting’
5. Once the conversation is complete, be sure to click ‘Leave meeting’ to end the meeting properly”””
The encounter is accessible even after you end the meeting. Any documentation can be completed using the usual process. The encounter does not get closed unless you close it.
In this case, you can enter an email address of the patients spouse/ legal guardian. However, ensure that you capture their cellphone. They will receive the Zoom meeting link via an SMS as well.
Once we receive your Zoom pro account credentials, it take 1-2 days to get the setup done. We assure you that we are trying our best to get the setups done as quickly as we can.
“Yes. To change the location while booking an appointment please perform the following steps:
1. Double click an empty slot/ click ‘Schedule appointment’ from the home page.
2. In the location drop down select ‘Telehealth Visit’
3. Select the ‘Telemedicine’ option under Enc Type
4. You may see a message ‘Provider is not available at this location during the selected time/date.’
5. To proceed with the booking select ‘AnyTime’ checkbox before clicking on ‘Schedule’
NOTE: This is applicable if the you have billing module turned on in PrognoCIS”
PrognoCIS does not integrate with Facetime.
To end the previous meeting properly, go back to the encounter of the patient whose meeting was not ended. Going to the encounter will once again open the third pane and your meeting will resume. You will now have the option to leave meeting on the right bottom corner of the screen. Click ‘Leave meeting’ and then click ‘End meeting’ on the popup that appears next or you could simply close the encounter. This will automatically end the meeting.
Yes. It is mandatory to enter both while booking an appointment. However, if the patient does not have an email address, please enter a dummy email address to proceed with the booking. Please ensure that the correct cellphone is entered in this case. The patient will receive a SMS with the Zoom meeting link to join the video visit.
If you have EPCS enabled, you would be able to prescribe using the usual process.
Although the icon may appear blue in color, it is enabled (available to click on) 15 mins prior to the scheduled time. This is the default duration and can be changed to any number between 1 to 30. In case you are trying to click on the icon within the 15 mins window and still face any issues, please contact support to get further assistance.
Yes. A new meeting ID is generated for each appointment when we schedule it.
some carriers are allowing it right now yes
ex BCBS of NC and Medicaid of Texas released statements that they will pay for audio only.
The meeting needs to initiated by the host of the meeting, the provider.
“To change the location while booking an appointment please perform the following steps:
1. Double click an empty slot/ click ‘Schedule appointment’ from the home page.
2. In the location drop down select ‘Telehealth Visit’
3. Select the ‘Telemedicine’ option under Enc Type
4. You may see a message ‘Provider is not available at this location during the selected time/date.’
5. To proceed with the booking select ‘AnyTime’ checkbox before clicking on ‘Schedule'”
Medicare only reimburses for chiropractic manipulation, and that cannot be performed via telemedicine. Other payers would have their own guidelines. We recommend you contact the payer for guidance.
Document as much as you can, i.e. height weight, if patient has a thermometer have them provide their temp
Use POS 02 if the doctor is at the office and the patient is at home
Zoom set up on Apple
https://prognocis.com/wp-content/uploads/2020/03/Apple-Config.pdf
Zoom set up on Desktop
https://prognocis.com/wp-content/uploads/2020/03/User-Desktop-Config.pdf
“If there is no live video meeting, it is not considered as a Televisit. Please visit the following links for more information.
https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet
https://edit.cms.gov/files/document/medicare-telehealth-frequently-asked-questions-faqs-31720.pdf”
No, the provider must still see patients in the office or hospital or nursing home setting.
You will need both of them.
It is called Telepsychiatry and this is a great resource: What is Telepsychiatry?
Error: 3005 will appear on your screen if the previous meeting that the provider was on has not been ended properly. Please visit the encounter of the patient where the video meeting is still on and click the ‘Leave meeting’ option and then click the ‘End Meeting’ button on the prompt that is presented or simply close the encounter.
You can see the time count if you have chosen to use the Zoom App externally (outside PrognoCIS).
Yes, patients can request a Telemedicine type of appointment via the patient portal
Yes. The PrognoCIS patient portal app is available on the Google Play Store and on the Apple App Store as the ‘My Health Records’ App. Also, patients can join, TeleVisits from the app. In that case, the patient does not need to download Zoom separately.
The address listed on the claim is the office location the doctor was sitting at when utilizing telemedicine. The place of service code is 02.
I recommend using the patient portal for paperwork and consent forms. Have the patient log into their portal, fill out the paperwork, and save it so it sends it back into PrognoCIS and into the encounter for the provider to review.
“For patients, we would recommend that they click on the link provided via the email or text notification that they would receive once we book the appointment.
For the provider’s computer, you do not need to necessarily have Zoom installed unless you would be conducting meetings outside of PrognoCIS. In that case please install ‘Zoom Client for Meetings'”
Yes, if you are using interactive video or zoom you will use regular E&M codes
“Your PA can join the video visit as an additional caregiver at no cost. For this your PA will need the link to join the Zoom meeting.
The link for each individual appointment can be copied by performing the following steps:
1. Go to Appointments –> Schedule
2. Highlight the appointment for which the link needs to be shared
3. On the left bottom of the screen under the ‘Patient Information’ box click the black video camera icon
4. Press Ctrl + C to copy this link and share it any others who needs to join this visit
NOTE: The meeting needs to be initiated by the provider for who the appointment is scheduled as you are considered the host. Also, be sure to ‘Switch to Zoom App’ once the meeting begins. Doing this will be ensure you can speak to/ see all parties who have joined the meeting.”
The prompts that appear on the cellphone are based on the language selected by the patient on their cellphone. However, we can help you setup the text messages in Spanish language if needed.
Yes. To open/ access the encounter without starting the Zoom meeting. Perform the following steps:
1. From the PrognoCIS home page mark the appointment ‘Arrived’
2. Clicking on the patient name will now take you to the patients encounter
3. You can now go to all screens on the open encounter
4. Once you are ready to see the patient, from the open encounter go to the third video meeting pane by clicking on the icon with three dots ( Elipsis) and choose ‘Video Meeting’
5. Once the conversation is complete, be sure to click ‘Leave meeting’ to end the meeting properly
Yes, the encounter can be reopened and can remain open just like a regular encounter.
Any tablet device on which Zoom can be installed and has a video camera can be used.
Yes. It is possible to start the video visit at a later time. By default, when Telemedicine is set up for you, you or your patient can join the video meeting 15 mins prior to the scheduled time(this can be set to any number between 1 min upto a maximum of 30 mins). Meaning, if the appointment is scheduled for 08:00 AM, both you and your patient can join anytime after 7:45 AM. The icon will continue to be available throught out the day. This means, you can click and join at 11 AM as well. However, please note that the icon will be disabled once the date changes. In essence, once it is 7:45 AM, the icon will remain enabled for the entire day and can be clicked any time on the same date.
No. Multiple patients will not connect at the same time. If the provider is already on a meeting with a patient, any other patient who tries to join the meeting will be on hold( in queue). In fact, any patient joining will be in the queue till the provider joins their meeting.
If you have successfully completed a video consult, you may bill for the same.
Yes, if you do not have speakers connected to your desktop, you can use a headset with a mic to listen to the patient and speak to them.
We are working on making obtaining a consent a part of the Televisit. As of now, we would request you to please use the record option while you are on the Televisit and get a verbal consent from the patient before you begin the visit. These recordings can be accessed by you via your Zoom pro account. Here is the link to all instructions to access these recordings: https://support.zoom.us/hc/en-us/articles/205347605
We recommend that you have a separate Zoom pro account for every provider who intends to use Telemedicine. To answer your question, yes two simultaneous Televisits can be conducted as long as the two providers have two separate Zoom accounts.
There is no waiting time. For example if you receive the patient call at 9:40 AM, you can book the appointment for 09:40 Am and start the video meeting immediately.
Yes. They can.
To get Telemedicine for your practice:
Contact our sales team
Phone: 1-877-693-6748
Email: sales@bizmaticsinc.com
OR
Contact your Account Manager
PrognoCIS telemedicine and mobile apps enable providers to remotely access patient records, document hospital rounds and prescribe medication. Solutions scale from single physician clinics to large, multi-site and specialty medical facilities. Practices can communicate seamlessly with labs, radiology departments, pharmacies, and referring doctors.
Other features include:
-Multiple data entry methods: point-and-click, voice and handwriting recognition
-Scheduling management and health reminders
-E-prescription and lab automation
-Compatibility with iPhone and iPad (Dragon Voice Recognition integrated into PrognoCIS Telemedicine mobile app)
-HIPAA Compliant; CCHIT; HL-7 interfacing
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