Webinar 3: E-prescribing & E-labs Essentials

Luminello University

Learn how to effectively manage the e-prescribing and e-labs features.

Transcript of the webinar

Melissa: Hello everyone. Welcome to the E- Prescribing and E- Labs Essentials webinar. Thank you so much for joining today. My name is Melissa and I will be today’s facilitator. This meeting has a Q&A chat section for you to type in your questions, whenever you feel you have any doubt or questions you can type them in the Q&A chat section. Cynthia has joined us today as a panelist. She will be reviewing your questions and answering them live. At the end of the session we will also be reviewing the Q&A chat section to address any questions or concerns. 

Our Goal: 

All right, so, our goal for this webinar is to show you how to take advantage of Luminello’s E-Prescribing and E- Labs features to improve how your practice manages prescriptions and electronic lab orders. Here we have an overview of what we will be reviewing throughout this webinar and this is all assuming your ERXN E-Labs account is all set up which we will not be covering today.  

Overview: 
E-Prescribing
  1. How to send an e-prescription.
  2. How to run a practice-wide prescription report. 
  3. Getting started with PDMP.
  4. How to process an e-prior authorization. 
E-Labs Essentials
  1. How to send an e-labs order.
  2. How to see patients’ e-labs results.
E-Prescribing: How to Send an E-Prescription:

So, let’s get started with e-prescribing how to send an e-prescription on Luminello. To send a prescription you can go to a patient’s chart and from there click on the “RX tab” or, from your short-cut menu select the chart and from the go to drop down you can select “send an e-prescription.” So, once DrFirst loads up you can click on the orange “create new prescription” button to start creating a prescription. In the search field you can enter the first two letters of the drug you wish to prescribe and the results will begin to auto populate in the drop down box. You can ether select the drug from the list or run the search to display the full result. Once you have selected the medication, you can go ahead and choose your desired strength and this will take you prescribe medication area. Here, you can fill in the required fields which are marked by red asterisks. These fields are the patient directions and quantity. If you have prescribed the same medication in the past you may notice that the six fields are pre-populated as per your previous settings. If this is the first time you prescribe this medication you’ll have to enter new six details. So, to save time and avoid all the clicking you can show your sick tags for six and directions to pharmacist by clicking on the “plus sign.” Once you click on the plus sign your default six tags will appear here, same thing with the directions to pharmacist. When you click on the plus sign your default tags will display here. 

Now, if you haven’t set default tags you can do so by clicking on “settings.” You can do this once you are inside a patient’s RX section. Click on the hamburger icon and then go to “settings.” From settings, click on “preferences” and under the “prescription section” you can enter default six and directions to pharmacy tags. This will show up when you click on the plus sign when sending a new prescription. If this is a controlled substance you will notice a “do not fill before” section will appear where you can add a new do not fill before date to this prescription. Once you’re done filling out the required fields, you can click on “review.” You will be prompted to review the prescription. 

All right, so in this screen, you will be able to review the prescription to ensure that all information that was entered is correct. After reviewing your prescription, scroll down to add your signature password. The signature password is the password that you use to e-prescribe non-controlled substances to the pharmacy. To transmit the prescription, you can click on “send” or “save pending RX” if you wish to save it and send it at a later time. 

Now, if you are sending a controlled substance, you will be prompted to enter your EPCS passphrase and token. The passphrase is the password that needs to be entered whenever you send a controlled substance prescription. You set this up yourself during identity proofing and the token is the code you have on your phone that updates every thirty seconds. Make sure to check the box next to each controlled substance that you wish to send. If for some reason you can’t enter the EPCS passphrase, it shows grayed out. Make sure that you have checked at least one box next to the prescription. And that’s it. 

To see if a prescription has been successfully transmitted, you can click on “prescription report” and here you will see a green checkmark next to a prescription that has been successfully sent, a clock next to a pending prescription and a stop icon for a cancelled prescription. You can cancel a prescription yourself by clicking on the “X button.” These buttons will be located next to each prescription. Once you click on the X, select a reason for the cancellation and then click on “cancel prescription.” If you wish to add a medication to your favorites list, you can click on the “star icon.” Another way you can add medication to your favorites list is from the man menu or the hamburger icon and clicking on “utilities.” 

From the utilities menu, go to favorites and here you can manage your medication favorites list. To add a medication to your favorites, click on the “add favorite” button and then start typing in the name of the medication you would like to add, choose the desired strength for this medication, next you can add the patient directions to this medication and when done click on ”save.” Now this medication and directions to patient will be added to your favorites list. To quickly create a prescription from your favorites list, you can click on the star icon. This icon is located right next to “new prescription.” Once you click on the star icon you will see that your favorites list will display along with the strength and directions previously added. Your recent prescriptions are displayed here as well under favorites. 

How to Handle Prescription Refill/ Change Requests:

All right, now let’s review how to handle prescription refill and change requests. You can respond to an e-refill request by clicking on the RX notification box. This will be located right next to your “charts menu.” Once we click on RX, it will display your pending e-refill request one by one. Here you would select an action from the drop down. You can use the remove action if you have previously handled this request and this is just actually a duplicate. The “modify” suggests the action prompts you to modify this prescription once you sign. You can replace the current medication for this e-refill request by selecting the “choose a new drug” action. The “deny” action will deny the request and send a denial message to the pharmacy. And lastly, the “renew” action will renew the prescription. So, after selecting an action for each request click on “send” to respond to the request, and that’s it. 

You will see a success notification letting you know that your e-refill was sent successfully. Now, for change requests, pharmacies can electronically send back requests to change a prescription, which will then show in the RX “change request tab” from the ERX notification section. This is used for example, when the pharmacy wants you to send in 90 days instead of 30, or if a prescription needs a working adjustment, once this notification is received is when you are able to process the change request. 

Once you are inside a patient’s RX section, you can renew all their old medication by clicking on the “select all” option. With all the prescriptions selected click on the renew button and the medication you chose to renew will appear in a pending status. 

Running a Practice- Wide Prescription Report:

Now, let’s take a look at running a practice- wide prescription report. A drug report is a record of all patients or clients that are currently taking a specific medication. For example, if the FDA issues a warning about a specific medication and you would like to contact all patients that are currently taking that medication, this is the report that you would need to run. You can run a practice- wide report for a specific medication or for all the medications that you have prescribed. So, to run a practice – wide report for a specific medication you can go to the RX section once inside a patient’s chart. Click on the navigation menu or hamburger icon and select “reports.” Under the reports section click on “drug report.” Here, you can type in your medication and select it from the list. Then you would select the responsible providers and medication providers. Under period since medication last updated, you can click on a day. It goes from 30 days to a year, to the date range that you prefer. Once you’re done click on “create report” to create your medication report and the records will be displayed right here. Now, if there are no results you will see a message displayed saying that no results were found for this specific drug. And that’s it. 

If you would like to run a practice report for all the medications you have prescribed, then on the “report section” instead of clicking on drug report you would click on “periodic report” instead. Here you can create a report since the last periodic report which is done every period of 90 days. Below, under “interval” you can select a date range that you prefer for this medication. Once you’re done click on “create report” and that’s it. 

How to Use PDMP:

Our next topic is how to use PDMP. This is assuming that you have already signed up for PDMP access. So, once inside a charts RX section, you can click on “view PDMP data” button. It will display the PDMP summary report for the selected chart. It will also display a last viewed date. If you want to hide the report you can click on “hide PDMP data” button, and that’s it. You may notice that the button may change its color to green and a checkmark will be added next to view PDMP data, showing that you already viewed this report. 

Processing an E-Prior Authorization:

All right, now let’s take a look at processing an e-prior authorization. E-prior authorization requests can only be initiated by a pharmacy or if Sure Sure-Scripts the text, a prior authorization will be needed. So, when a pharmacy initiates an e-prior authorization you will see a notification in “ePA tab” this is located in the patient advisor section. After clicking on the ePA notification you can click on “start now” or while going through the e-prescribing process you a “start PA” if the doctor first detects that the prescription will need a prior authorization. You can start from there by clicking on “start PA.” 

Next, you will have to answer a few questions and scroll down to click on “submit.” If you see a PA question set available notification, this means that you would need to answer another round of questions before you finish, otherwise you will see your request moved to the PA submitted to plan section, and that’s it. 

E-Labs Essentials: How to Send an E-Lab Order: 

All right, now let’s move on to E-Lab Essentials. We’ll start with how to send an e-lance order. You can send an e-lance order to any of your patients by following these simple steps. So, let’s get started by going to a patient’s chat and once inside that chart click on “labs” section. After you click on labs, click on “send e-labs” Change Healthcare will load up and you would be prompted to select an order type. So, here in the order type drop down you will see three options, PSC, which is the most common one, standard and recurring. So, PSC, also known as patient service center, is the default and the most common one for out-patient psychiatric services. 

In the PSC order type, the patient’s specimen is collected at the testing facility, such as PathCore, Quest, or any other lab. Now, if you select the standard order type, the patient’s specimen would be collected for testing at your office. If you select this order type, a collection date and time must be entered in the order information section. Now, the recurring order type would be selected if this is a recurring lab order. 

So, taking a look at the bill type now, in the drop down you will see three options as well, patient, third party, and client. This information is based on the information provided to Change Healthcare. So, if this patient has insurance and the insurance information has been provided and the pair was found, the bill type would automatically change to third party. If not, then the bill type would be set to patient. This means that the patient would get billed directly by the lab for the order.

Now, client is the third option in the bill type drop down. If you choose client at the bill type, this means that you have a pre-existing relationship with a lab. Do not select client unless you wish your practice to get billed directly by the lab for the order. Next, we have the patient demographic. This is auto populated from the chart information. However, you may update this information before submitting the order by clicking on “edit demographics.” Scrolling down to order information, here the required fields for the order will be marked by a blue asterisks. 

The lab ordering physician and client/ facility will auto populate and the expected date and time will be required depending on the lab and the order type. If you have selected order type “standard” it means that you would be collecting the sample at your office, then it would request for you to enter an expected date and time. 

For this scenario I chose PSC, so no expected date and time is requested. If you lab integration with more than one lab, in the lab drop down you can switch between the different labs that you are integrated with. Now, let’s take a look at this test section. This section is where you would enter the tests for this order. If you happen to know the test by heart you can type it in the search bar. If you don’t know it by heart you can click on the binoculars icon to start searching for your test code. In this scenario I click on the binoculars icon and I would start searching for the test in the description area. 

Here, you type in the name, for this example I chose TSH, check the test code that you would like to use for this order by adding a checkmark and then click on “use selected.” The use selected and save to preferences is for commonly ordered labs. So, if you will be using this test on a daily basis you can click on “use selected” and “save to preferences.” That’s how they would show up in a big list automatically for future lab orders. 

I chose TSH and clicked on use selected, you will see that your test has been added to the list. If you scroll down you can review the ICD codes that will be added to this order. This is also populated from the chart. Whatever diagnosis the chart has added will be populated here under the ICD section. All right, this does not mean that the ICD code that is here needs to go to this order mandatory. You can simply uncheck the ICD code. Once you uncheck it you will be able to search for other ICD codes by either typing them in the search bar or by clicking on the binoculars icon to do a more detailed search. 

If applicable, you can update the patient’s demographic information before submitting the order. Once you’re done reviewing the patient’s demographic info, click on “next” here you will be prompted to validate the test order and the ICD code as well. Once you confirm that it’s all good to go for this order, click on “validate order.” 

In the next screen, you will see the order details displayed. Here you can download a PDF copy and print out the order and hand it or email it in the portal to the patient so that if the patient shows up at the lab they can pull up the order. If they can’t pull up the order the patient doesn’t have to contact you while they’re at the lab, they would simply have the order with them handy. So, to send out the order you can click on “send” and this will transmit the order to the lab. 

Seeing Patient’s E-Labs Results:

So, after you have sent out your order, how can you see your patient’s E-labs results? Let’s go ahead and take a look. So, Luminello will send you a notification, you will see that a notification for E-labs would show up right next to your charts section. You can click there to take you to your unread E-lab results for all the patients in your chart. I have clicked on this notification and it took me to the unread E-lab results for this particular chart. Luminello will also send you a message notification. Whenever you have a new E-lab result available for a patient, Change Healthcare would inform us (Luminello) and we would let you know via a message. 

That message will include a hyperlink, you can click on it and it will take you to the E-lab results for this patient. Another way that you can access the results for a particular patient is going to the “labs” section by clicking on labs and then click on “E-results and other info.” Here you will see all the E-labs results available for this patient. To view a result in detail, double click on it and it will show you the details where you can review it, you can download a PDF copy, and send it out to the patient. If you wish to add these results to the patient’s chat, there is a button at the top click on “enter results into chart” button. And that’s it. The results will be added to the patient’s chart entries. All right, so that’s pretty much it. We have arrived at the questions section where Cynthia and I will be taking a look at the Q&A chat section. If you have any questions feel free to type them in now. We will be sharing this recording with you. We’ll send it to you via email. You can review it as many times as you want and if any questions come up feel free to send us an email. The email for our support team is: [email protected]. Again, that email is [email protected] so, looking forward to your questions. I’m taking a look now at the Q&A chat section. I don’t see any questions right now. I want to thank everyone for joining so much. It was my pleasure conducting the webinar. I really hope you liked it. Stay tuned for the recording. And if you have any questions, again, send us an email to [email protected]. Thank you so much for your time, and have a great day.

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