Electronic Health Record

Electronic Medical Records

The ezEMRx suite of clinical products is geared toward public health clinics. The product is easily modified to fit any public health department. Its unique tab layout allows a user to capture discrete clinical information and makes reporting quick and easy. System interoperability is achieved using standard practices such as data exchange via Health Level 7 (HL7) specifications and/or Continuity of Care (CCD)/document (C32) electronic exchange.

EMR on a browser

As a web-based system, providers are not bound to a specific operating system - such as Mac OSX, Linux, or Microsoft Windows. Additionally, ezEMRx delivers the power of mobility by its unique supporting applications on iOS and Android devices.

The ezEMRx solution is hosted by CDP, thus most implementation tasks will be completed at the host level—no software is loaded on the local computer. The system is highly-configurable, with many administrative features accessible by on-site users.

The ezEMRx Certified EHR (ezEMRx 10.00) meets the certification criteria as a complete EHR. This Health IT Module is 2015 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

ezEMRx Ver 10.00 (CHPL ID# is compliant and was certified as a complete EHR by UL on July 10, 2018. The 2015 criteria supports the Stage 1, 2 & 3 Meaningful Use measures required to qualify eligible providers and hospitals for funding under the American Recovery and Reinvestment Act (ARRA). The 2015 criteria also supports MIPS/MACRA.

For full MU disclosure, please refer to: http://www.ezemrx.com/index.php/pages/certification2015

ezEMRx product lines empower Public Health providers to achieve better clinical outcomes. Significant ezEMRx features include:

  • Stage 1 and 2 Meaningful Use/Public Health ready Electronic Health Record (EHR) solution built for Public Health
    • Dental
    • Vision
    • Mental and Behavorial Health
  • An integrated Practice Management/Billing solution with optional Revenue Cycle Management (RCM)
  • The ability to integrate with our other public health solutions and services such as our WIC, WIC EBT and Environmental Health systems
  • Important security and protection for sensitive or critical data and systems
  • Easy-to-access patient records.
  • Consistent and easy patient encounter documentation
  • The capability of integrating with labs, state HIEs, immunization registries, and hospitals

Our cloud-based practice management module for billing services is completely integrated in ezEMRx. The solution is comprehensive, secure, and HIPAA compliant.

Significant Practice Management features include:

  • Complete and seamless integration with ezEMRx, utilizing HL7
  • Integrated eligibility and benefits verification in real time
  • Public Health billing
  • Credentialing
  • Automated electronic claims submission with comprehensive claims scrubber
  • Automatic posting capability of electronic remittance advices
  • Integrated patient statement processing, mailing, viewing, and reporting capability
  • Mobile support for charge capture and scheduler applications

Revenue Cycle Management (RCM)

Revenue Cycle Management Revenue Cycle Management (Click to enlarge) When the need arises to outsource your billing department—we have the answer. Our optional RCM solution ensures the highest degree of reimbursement for your department. Our model is transparent: you can view claim status or run real-time reports at any time. Benefits of the system include:

  • Certified coders and goal-oriented A/R staff
  • Analysis and follow-up services
  • Coding and denial audits
  • In-depth real-time aging reports, claims pending, payments due, and much more
  • Real-time eligibility verification
  • Code scrubbing

Core Features

ezEMRxPrivate Ver 9.00 has been certified as a 2011 & 2014 Meaningful Use Complete EHR. If you have any questions, call the Meaningful Use hotline at 630-307-7600 x8257.

ezEMRxPrivate Ver 9.00 – 2011 & 2014 Edition

ezEMRxPrivate Ver 9.00 (IG# 2469-14-0004) is compliant and certified as a Complete EHR by lnfoGard on May 09, 2014. The 2014 criteria supports the Stage 1 & 2 Meaningful Use measures required to qualify eligible providers and hospitals for funding under the American Recovery and Reinvestment Act (ARRA).

Certified Clinical Quality Measures: CMS50, CMS68, CMS69, CMS117, CMS122, CMS126, CMS138, CMS148, CMS154, CMS155, CMS156, CMS165 Public test report available at: http://www.infogard.com/healthcare_it/ehr_testing_and_certification/ehr_certified_products

MU Disclosure

The ezEMRx Certified EHR (ezEMRxPrivate 9.00) meets the certification criteria as a Complete EHR. This Complete EHR is 2014 Edition compliant and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of the U.S. Department of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.

The ezEMRx EHR is certified to Data Portability criteria 170.314(b)(7) and can generate a set of export summaries for all patients. However, the ability to utilize the mass export functionality for Data Export is designed to work after hours & can only process records in a multiple batches to ensure optimal system performance. Users can contact ezEMRx support at any time to request the export, and is generally provided within 24 hours of the request.

Price Transparency Statement

The additional costs that a provider could incur while implementing ezEMRxPrivate 9.00 to meet meaningful use objectives and measures include:

Licensing Costs:

EHR solution: The ezEMRx Certified EHR is offered as a Web based solution that includes hosting and subscription for a monthly fee; cost is per provider.

RCM solution: The ezEMRx RCM solution includes RCM Services and the ezEMRx Certified EHR as a Web based solution that includes hosting and subscription for a monthly fee. This fee is a percentage of the total collected revenue of the practice. There could be additional monthly fees per provider for dictionary updates depending on collected revenue volume in this solution. This can vary from provider to provider.

Depending on the practice needs and solution, there may be costs for additional services (such as implementation services, system & business analysis services, training services, credentialing services, retainer fees, conversion services, etc.).

Additional costs that may be incurred for the certified product:

The ezEMRx Certified EHR may require one-time costs to establish interfaces to electronically exchange clinical data for non-integrated interfaces. Any interfaces which benefit several providers will NOT be charged. (170.314(b)(5)(a) – Incorporate laboratory tests & values/results, 170.314(a)(12) – Radiology Results)

While connecting to other HISPs which are part of Direct Trust, providers may incur service fees per provider. This refers to criteria 170.314(b)(1) – Transitions of care – receive, display and incorporate transition of care/referral summaries & 170.314(b)(2) – Transitions of care – create and transmit transition of care/referral summaries.

The provider practice must sign an agreement with typically a year term which may vary depending on the practice needs. There could be additional agreements and associated fees that a practice may enter with third-party vendors (such as a merchant services - payment processing, clearinghouses, labs, appointment reminders services via voice, text and email, etc.) depending on the practice requirements.

ezEMRx implements and adheres to Healthcare security standards.

Protection and Audit measures - Patient records created within ezEMRx cannot be deleted by any user from within the EHR. All connection and session activity in ezEMRx is logged for security purposes. Audit logs cannot be disabled or modified. In addition, database level hashing methods are implemented to detect any alterations outside the scope of ezEMRx.

Transport and Session Encryption - Network traffic is protected and encrypted using High-grade Encryption (PKCS #1 SHA-1 With RSA Encryption) SSL certificates. ezEMRx is accessed via a browser and after a session ends, no “ezEMRx” information is left on the client computer.

ezEMRx is a state-of-the-art, enterprise appointment scheduling system (including resource based scheduling capabilities), designed to improve scheduling efficiency and productivity.
Dependent on the countries visited by the patient, functionality exists which will trigger workflow that facilitates improved quality and increased efficiency by recommending and/or screening using preventive alerts for proper care.
ezEMRx comes with its own patient portal which can be published or integrated with other systems as required.
ezEMRx provides consistency of documentation, offering pre-built clinical templates and workflow developed specifically for health care management.
ezEMRx offers coding optimization functions using its Auto-Coder, supporting evaluations and management coding, maximizing third-party payments, and providing documentation and supporting evaluations for audits.
ezEMRx helps identify patients with higher risk for some diseases and also looks for early warning signs. ezEMRx assembles and creates a "pedigree" family tree. The system enables the clinician with Gene, Gene/Drug, Test, and Disorder/Indicator to capture and establish risk prediction for genetic counseling.
Your staff captures the data based on patient responses including social and environmental conditions. ezEMRx translates the interview summary into clinical terminology that is passed to the EMR.
ezEMRx offers standardized templates for tuberculosis, diabetes and asthma that meet unique internal objectives which can be analyzed through the reporting functionality. ezEMRx allows the creation of a health matrix with referral tools, reports, and alerts to document patients’ compliance with their individual care plans (for example, periodic HBA1C for diabetic patients).
The Care Provider Task List within ezEMRx helps organize the care provider's day and streamlines the administrative and clinical tasks that confront providers on a daily basis.
ezEMRx records follow-up recommendations with just a few keystrokes and the information is readily available to support staff, which can generate follow-up appointments for preventive visits.

During an encounter, patient data collected is stored as discrete data elements. This model enables unlimited possibilities of data mining. Some examples of reporting include any procedures performed and/or diagnoses.

ezEMRx offers an ad-hoc report writer for tailoring information to specifically address any need.

Templates are formulated using a tree concept which utilizes drop-down lists and check boxes to speed up the data entry process during patient encounters. Each template features standard problems, diagnoses, conditions, allergies, medications, and symptom lists for each specialty to help standardize care across the clinic and increase user efficiency. The Template Editor allows the user to make changes such as adding new fields, alerts, new screens, clinical pathways, documents, protocols, default fields, required fields, and pick-lists without programmers or additional costs.
The heart of the patient record is the electronic chart, which maintains a complete patient record based on input templates completed during patient encounters. Using a range of imaging devices such as scanners and digital cameras, paper documents can be converted into electronic data that has been filed and fully integrated with the patient's electronic medical record.
ezEMRx allows multiple-location healthcare organizations to capture, store, and share data while supporting:
  • Single Master Patient Index (MPI)
  • Advanced security to protect data
  • Locations to operate independently
  • System administration cost reduction
  • Demographic data sharing and complying with privacy laws
  • Improved care with clinical data sharing

ezEMRx features a document generation module that saves clinicians and support staff significant amounts of time.

This module creates a wide variety of printed documents automatically with only a few simple keystrokes, including:

  • Referral letters
  • Consultation requests and responses
  • Drug information
  • Patient follow-up letters
  • Disease management information
  • Routine lab tests
  • Chart publishing

Providers using ezEMRx can securely send health records to a patient or other providers with a few clicks. Health records can include any data, such as patient images, demographics, histories, lab results, allergies, diagnoses, or patient education documents.

ezEMRx's graphing capabilities deliver formats that communicate results most effectively. For instance, capabilities include tracking patient attendance at disease-specific programs or charting county-wide blood values to analyze treatment outcomes.

At CDP, we continuously keep up with product compliance requirements and market requirements. As a product company, we have quarterly releases, monthly patches, and on- demand release patches.

The system features built-in intelligence with Centers for Disease Control and Prevention (CDC) rules incorporated to guide care providers with immunization and screening schedules. The system automatically provides alerts to the care provider on items due based on gender and age, thereby reducing the complexity of clinical maintenance. Furthermore, the printed immunization and screening records can be provided to patients for school requirements.
The Vaccine Inventory enables users to manage inventories of vaccines as well as automatically reduce inventories as vaccines are distributed. Within public health, it is understood that vaccines often are funded through various grant programs, for example Vaccines for Children versus Private Pay. The ezEMRx vaccine inventory functionality, integrated with the immunization application within ezEMRx, enables users to track lots/batches of vaccines by way of bar code scanning. Subsequently distributing those vaccines will be deducted from the inventory and reports will reflect this administration of vaccines.
Because of our longstanding experience in public health, we understand the need for public health entities to be able to capture household related data including: numbers in-house, annual household income as well as if a patient is certified in the WIC program. Based on these numbers, CDP/ezEMRx can incorporate sliding fee scales to determine the proper amount a patient should pay for services for which they are responsible. The Household module also enables a public health entity to schedule a household containing any number of members at once versus scheduling each patient within a household manually.
ezEMRx incorporates sliding fee scales based on income to determine the proper amount a patient should pay for services for which they are responsible. The user can also enter different income levels and different sliding fee scales for each subprogram if different subprograms have different qualifications for income. The application generates a client percent pay report based on a specific date and subprogram; the system calculates the percent the client must pay for the specified subprogram based on the sliding fee scale information for that date. The system also has the ability to maintain and update poverty level tables.
The system features specialized templates for Primary Care, Pediatrics (incorporating American Academy of Pediatrics (AAP) guidelines for well child visits, milestones and guidance), and OB/GYN (incorporating pre-natal charts, tracking of mother and child, Estimating Due Date (EDD) charting and OB Assessment).
The schematics option in ezEMRx allows providers to capture of clinical images from outside sources directly into a patient's chart.
The system has comprehensive methods of monitoring compliance with immunization recommendations, screening adherence using preventive alerts and clinical decision support (CDS)
The application includes a standardized workflow designed to meet most clinical roles and workflow needs. ezEMRx offers the capability to customize the workflow to match the provider's processes.
From within ezEMRx providers have the option to order studies and receive results electronically. Through favorite lists, providers can order studies and tests with just a few clicks. The orders are transmitted directly to the appropriate lab, either directly or manually.
This application includes a complete medication database, designed specifically to enhance provider access. The interaction feature minimizes risks by automatically checking new prescriptions against a patient's medication list and recorded drug allergies to help prevent interactions and/or medication errors. ezEMRx’s Clinical Decision support tool enables the provider to track and validate risks and modalities with directive based approaches. The system offers an alerting mechanism to the provider thus ensuring a double check.
Eligible providers are able to order, record, and transmit a prescription directly to the pharmacist, ensuring that no information, such as dosage or frequency, becomes lost in translation or transport. Partnering with SureScripts, RxHub, and providers through ezEMRx, providers can search medication lists, automatically check for drug-to-drug interactions and drug allergies, and perform a real-time formulary confirmation. Providers can then instantly transmit the prescription to the patient's local participating pharmacy through the SureScripts network Fax Integration Services. This helps ensure that documentation and prescriptions are transferred accurately from ezEMRx. The system is also capable of receiving faxes directly, thus avoiding paper-based fax retrieval methods.

Users always have access to the electronic patient charts. ezEMRx is web-enabled and can be accessed anywhere - anytime.

ezRite is an adaptive product made for the mobile platform aligning itself with the capabilities of the ezEMRx EHR. The providers have access to patient records and are able to make constructive decisions on patient care and document them anywhere with a smart phone or a tablet.

Provides transferable, comprehensive electronic histories (CCR) that patients can share with providers throughout their life. It meets national and industry standards of communication which facilitates the seamless exchange of patient data between healthcare entities such as payers, labs, pharmacies, and diagnostic imaging centers to other medical records systems, patient portals, and medical devices. ezEMRx is HL7-ready.

Transaction Standards: HL7, X12, NCPDP, DICOM, IHE Integration Profiles (ebXML), HITSP Interoperability Specifications, CDAs, CCRs and CCDs
Clinical Terminology Standards: LOINC, SNOMED-CT, RxNorm, ICD and CPT

This program is compliant with national and industry standards of health data exchange, which facilitates the seamless exchange of patient data between healthcare entities such as hospitals, payers, labs, pharmacies, and diagnostic imaging centers to other medical records systems, patient portals, and medical devices. ezEMRx is interoperable compliant and offers a provider-based HIE.

HIEs offer unidirectional and bi-directional approaches of integration. ezEMRx uses its own ezEMRxHIE. The ezEMRxHIE is configurable to adapt to any type of connection. An example of an ezEMRxHIE implementation is the DOCS4DOCS service (using an underlying site-to-site VPN connection between ezEMRx data centers and IHIE data centers). The implementation is bi-directional. However, connections from the public health department to the HIE is based on provider and patient consent. Different states base such clinical data exchanges in accordance with patient consent directives. ezEMRxHIE accepts MPIs (Master Patient Index) and also uses its own heuristic algorithm for patient matching. ezEMRxHIE performs data translations between dictionary formats such as LOINC, SNOMED-CT, RxNorm, ICD, and CPT using cross-maps. It can exchange and accept any type of messaging.

ezEMRx integrates using healthcare standards and protocols. Integration is made possible using the ezEMRxHIE platform (ezEMRx's own HIE portal) geared towards clinical data exchanges. The ezEMRxHIE platform supports the following standards towards integration and exchange.

  • Transaction standards: HL7, X12, NCPDP, DICOM, IHE Integration Profiles (ebXML), HITSP Interoperability Specifications, CDAs, CCRs and CCDs (Levels 1,2,3)
  • Transport protocols: Web Services (SOAP) and TCP/IP Sockets
  • Clinical Terminology Standards: LOINC, SNOMED-CT, RxNorm, ICD, and CPT

ezEMRx integrations include HIEs and hospitals. Providers can receive patient records consisting of hospital visits, ER visits, labs, radiology results and other clinical documentation within ezEMRx. ezEMRx has also integrated with other EHRs exchanging CCDs in a bi-directional manner.

Providers can input data using any third-party, voice recognition software.

Insurance Form ezEMRx is offered with the Medical Billing Component which includes:

  • Cost-effective submission via nationwide clearinghouses such as Availity, ClaimRemedi, Emdeon, and Navicure.
  • Auto Posting through electronic remittance advise
  • Integrated subscriber eligibility
  • Verification in real-time
  • Claim status in real-time
  • Integrated merchant transaction capability i.e. The ability to process credit, debit cards and checks electronically
  • Integrated patient statement processing, mailing, viewing & reporting capabilities
  • Integrated claims scrubber
  • Extensive set of comprehensive reports
  • Worry free software updates (including ICD10)
  • Multi-office/location capability
  • Accounts receivable
  • Bill and dental audits
  • Diagnosis related groupings / CPT coding audits
  • Genrate and monitor:
    • Unresolved payer credits
    • Workload estimates
    • Transaction summaries
    • Provider and facility credentialing
    • Patient calling and follow-up
    • Payment recovery
    • Patient statement and write-off validation
    • Contracted Billing
    • Ceiling and Floor Prices for a CPT code when sliding fees
  • Ability to assign multiple payers to one line item.

Revenue Cycle Management (RCM) - An Integrated Practice Management/Billing Solution

  • We will work with the department staff to enable "clean" bills to be sent out.
  • Utilizing ezEMRx, the users providers will use one of the following methods for coding submission:
    • Document and code patient visits in ezEMRx's certified EHR and such information will be automatically transmitted for claims processing.
    • Upload billable hospital/non-office visit summaries to ezEMRx's secure cloud.
  • The team sends claims and statements and process secondary insurance claims, in a timely manner.
  • The team follows-up on transmitted/submitted claims.
  • The team makes any corrections and re-bill if required
  • Clients scan and upload all EOBs/documents to ezEMRx's secure cloud upon receipt.
  • The team posts payments.
  • The team provides ongoing monthly reports such as:
    • Total charges for the time period
    • Total collections for the time period
    • Outstanding receivables for the time period
    • Aging accounts receivable balance – as of that time period
  • The team conducts all activities remotely.
  • Clients notify the team within five days of any payment received.
  • The team makes best effort to collect on pre-existing receivables that may be presented prior to the implementation of ezEMRx.
  • The system sets claims as billable and/or reportable. All claims that cross over to Practice Management are automatically marked as billable to the primary insurance or not billable to insurance in the case of self-pay patients or if the primary payer is appropriately marked.

Our RCM Solution includes our ezEMRx, all Billing activities, Practice Management, Patient Portal and much more - at no additional charge with no Advertisements or hidden fees.

ezEMRx is integrated with eDispense systems to perform real-time inventory actions such as displaying current availability of drugs prior to prescribing.
ezEMRx offers a patient check-in method. Patients can answer custom questionnaires - validating their personal information which is tied to the clinic’s workflow. Front desk staff is alerted as soon as a patient checks in and when the patient is ready to be seen.

ezEMRx Intake is geared toward simplifying the update of medical and demographic information by patients. With Intake, patients can use a laptop, tablet, or kiosk to answer questionnaires, validate their personal information and this is all tied into the clinic’s workflow. Front desk staff is alerted as soon as a patient checks in and when the patient is ready to be seen.

ezEMRxIntake reduces patient wait times, alleviates front desk staff workload, and reduces overall re-entry errors. ezEMRxIntake is a simple tool, built exclusively to address front desk efficiencies.

EMR Mobile ezEMRxPHR is specifically-designed and personal experience for patients which allows them access to their records at their convenience. From here, they can access documentation such as lab results, progress notes, or referrals. Patients can also request their appointments using the portal.

In addition, information can be exchanged securely between providers and patients. Prior to visiting the clinic, patients can complete questionnaires which saves time when they get to the clinic. ezEMRxPHR compliments ezEMRx.

* Side image by NEC Corporation of America with Creative Commons license.