Patient John Miller calls Dr. Moyer's office to reschedule his 4:30 appointment. With just a few mouse clicks, the receptionist finds a new time slot for John using The Medical Manager Appointment Scheduler. Due to the rescheduling of John's appointment, the 4:30 time slot is left available.

After the rescheduling of John's appointment, the Wait List feature of The Medical Manager software automatically reminds the receptionist that patient Lynn Moore needs to see Dr. Moyer as soon as possible and that the 4:30 time slot is now available. The receptionist selects Lynn from the Wait List, and the system loads her demographic and financial data into the Appointment Scheduler.

To verify Lynn's eligibility with her insurance company, the receptionist uses Medical Manager Network Services to contact Lynn’s insurance company online. Seconds later, the insurance company sends an electronic verification that states that Lynn is eligible for the appointment under her current insurance plan.

The receptionist informs Lynn that everything is fine with her insurance company and schedules the 4:30 appointment.

When Lynn arrives for her appointment, she notifies the receptionist of her scheduled appointment, and the system automatically prompts the receptionist to collect Lynn’s $12 co-pay. Lynn pays with her Visa card, which is quickly authorized through Medical Manager Network Services’ Credit Card Authorization feature.

To ensure Lyn's visit is a pleasant one, the receptionist uses The Medical Manager system's Patient Flow Tracking feature as she checks her in. This tracks Lynn's movement throughout the practice and records how much time she will spend in each area. Later, the practice will use this information to analyze the wait times in various areas of the clinic to pinpoint bottlenecks and improve efficiency. The feature also allows a practice to document the amount of time the patient spends face to face with the physician for payer audits.

In the exam room, a nurse uses a computer to access Lynn’s electronic medical record. She quickly and easily accesses the system's View Patient Chart feature, which provides a snapshot of Lynn's entire medical history-including lab tests, diagnosis history, past medications, allergies, and all other clinical information. The nurse then takes Lynn's vital signs and documents them in her chart with a few mouse clicks.

The nurse then pulls up The Medical Manager Quality Care Guidelines System to access a complete listing of preventive care procedures for Lynn based on her age, sex, and various health factors. The nurse reminds Lynn that she is due for a mammogram and tells her that she will be referred to a radiologist at checkout.

After the nurse's work is complete, Dr. Moyer greets Lynn and quickly reviews her record on the computer. He then opens OmniDocs, a system that allows a physician to quickly and easily document a patient visit at the point of care. In OmniDocs Dr. Moyer uses the mouse to quickly and easily enter Lynn’s symptoms, medical history physical exam findings, any lab tests that needed to be ordered, the physician's diagnosis, and his prescribed therapies To prescribe a medication, Dr. Moyer activates the system's Prescription Writer feature from within OmniDocs. He selects a medication from an electronic drug file of over 22,000 drugs maintained in the drug interactive system. The drug database confirms that Lynn will have no adverse effects to the prescribed drug based on other medications, allergies, or other health factors.

The integrated Formulary Database then informs Dr. Moyer that the medication he chose for Lynn is not in compliance with her insurance company's formulary. He then selects a comparable drug from the list of alternatives provided by the system. The drug database then automatically performs the drug utilization review on the new drug. Using Medical Manager Network Services' electronic connectivity, Dr. Moyer transmits the prescription to Lynn's preferred pharmacy.

After transmitting the prescription, Dr. Moyer decides that he would like to order routine blood work on Lynn. From OmniDocs, he enters the Laboratory System. The system allows him to quickly and easily order any lab tests he finds necessary. The test results will be available electronically and will automatically be stored in Lynn's electronic medical record. In addition, when Lynn's lab results are electronically sent from the laboratory, the system automatically enters a task in the Clinical Task Manager to notify Dr. Moyer that Lynn’s lab results are ready to be reviewed.

Before leaving, Lynn is referred to a radiologist for her recommended mammogram. The Medical Manager Managed Care System searches for radiologists and matches them against the approved physician list for Lynn's particular plan. The receptionist then requests an electronic referral authorization from the insurance company, which is received in seconds.

The referral is then sent electronically to the radiologist with an internal referral number, which the radiology practice will use to bill Dr. Moyer’s IPA. Since Lynn is a capitated patient, the IPA will use the Advanced Managed Care System to review and pay the radiologist’s claim.

All charges are posted, and The Medical Manager system calculates all contractual adjustments including fee-for-service and capitated services. Billing information is then stored in the central billing office server for access by the practice and the IPA's central office.

While checking Lynn out, the receptionist accesses the Clinical Task Manager to assign the transcriptionist the responsibility of sending a thank-you letter to Lynn for returning to Dr. Moyer's office. The transcriptionist will easily create this letter using The Medical Manager Transcription Management System.

Using the Laser Form Generator, the receptionist generates a walkout bill for Lynn so she has a record of the day’s transactions and any amounts due. In addition, Lynn is provided with two handouts for her review. One includes patient drug education data printed from The Medical Manager Prescription System, and the other is a patient education document detailing her illness and treatment, printed from the Patient Advisory System.

After Lynn visits the radiologist for her mammogram, Dr. Moyer receives the radiologist's report containing the results of the study. With the Document and Image Management System, this hard-copy report is scanned into Lynn’s electronic record and stored for future use. If Dr. Moyer determines that Lynn needs to see a specialist, The Medical Manager system’s reporting capabilities enable him to track her visit with the specialist and follow up with her for future visits.

Dr. Moyer's IPA then handles Lynn's insurance claim. The IPA staff uses the Electronic Media Claims system to check Lynn's claims for errors and to electronically transmit it to the insurance payer. Once the payer processes the claim, the IPA staff receives the remittance data in electronic form from the Electronic Remittance System. With this system, all payments are posted directly to the system.

Soon after her visit, Lynn receives a statement from Dr. Moyer's office showing her co-pay and the amount covered by her insurance. With Medical Manager Network Services' patient statement service, Dr. Moyer's office electronically transmits patient billing data to the MMNS processing center via a modem, where statements are laser printed folded, stuffed, and mailed first-class to patients within 24 hours of receipt.

Lynn later receives a short thank-you letter from the practice and makes a mental note to refer friends and family members to Dr. Moyer since her visit was so smooth and pleasant.

The Medical Manager is a registered trademark of Medical Manager Research & Development, Inc., a wholly-owned subsidiary of Medical Manager Health Systems. This site is maintained by Kent Brewster.