Sunrise Services recently concluded Medisoft Clinical upgrades to version 11.2.1. The latest version incorporates a new ePrescribing module based on an enterprise service. One tremendous advantage of the enterprise version is the elimination of downloading, installing, and managing insurance formularies and drug interactions. Instead, Medisoft Clinical incorporates these features into the service!
NOTE: This article is for Version 11.2.1 only. If you have not updated to version 11.2.1, please contact us so we can guide you on any requirements to upgrade
As the lead Medisoft Clinical support technician for Sunrise Services, I’ve experienced with you, first-hand, how any change in a feature can affect your workflow. Therefore, I’ve compiled some of the most common questions, issues, and confusions clients experience with the new eRx service:
When you look under the ‘RX/Medication’ tab in a patient chart, you may notice several different status codes. You must look at the entire picture to get an understanding of what the status is for the selected prescription.
Pending – The prescription has not yet left the system. No action required unless the status changes to ‘Error’,
Queued – The order is in the system and queued up to send to Surescripts and the pharmacy. If the RX remains queued for more than 10 minutes, contact support to investigate.
Verified – The pharmacy received the prescription and confirmed receipt with a message sent through Surescripts.
Error – The prescription did not make it to the pharmacy, resulting in an error message received from Surescripts or the pharmacy. If the error message appears to be one you can remedy, correct it yourself. Otherwise, or if in doubt, call Sunrise for support.
Completed – The Rx was put in the system for a different provider and is complete. Completed prescriptions occur when you perform a ‘Medicine Reconciliation.’ Remember to remove the medicine when it is no longer active. Just highlight the medication and move to ‘Historical.’
Sent – You’ve received no additional information from Surescripts or the pharmacy after sending the prescription.
Let’s take a closer look at the ‘Sent’ status:
If you created a paper Rx, then it is ok to have a ‘Sent’ status. On a printed prescription, the system has no way to validate whether the pharmacy received the order, so the system marks it as “sent” to indicate completeness.
If you made an Electronic Prescription, or eRx, and the status is stuck on ‘Sent,’ then you must investigate further. The ‘Sent’ status indicates the prescription did not make it to the pharmacy, or the pharmacy sent back a denial. You’ll see this status typically when a refill request is filled and is older than 14 days. When you have a refill request present on the eRx Worklist, it’s in your best interest to address it as soon as possible.
If the eRx status has a sent Status, usually after about 10 minutes, you can see any associated errors by doing the following:
- Click on Maintenance > Setup > Prescriber Management. The Prescriber Management window will open.
- Click on Message History (Bottom Right). Insert the patient’s last name and click on Search.
If the status is ‘Error,’ click on the eye icon on the right to open the raw message where you can find the denial reason.
- If you see no reason provided, it is more than likely that the refill request is out of the date scope for the pharmacy. To rectify, remove the eRx from the medication list and make a new one. You should have a new status in under 5 minutes.
NOTICE: Any eRx refill request received in the Worklist that does not have a corresponding Medication in the current medications list will result in a pop-up box. To rectify the problem, you can match the refill request from the medication on the left to a medication in the drop-down list, OR you may deny the request and select the Proceed button. The pharmacy will receive a denial request. You may also deny the eRx now and submit a new medication.
If, after you perform these steps, you require further assistance, please call Sunrise Services Support line @ 502-538-4665.
Medisoft Clinical’s latest upgrade includes several other advancements to help in your staffs’ daily workflow.
A new Prior Auth button is available in the eRx Worklist: Click the ‘Prior Auth’ button to access the CoverMyMeds ePA Dashboard. For more information on enrollment, contact Sunrise Services support.
When you discontinue medication and select either Adverse reaction or Allergic reaction as the discontinue reason, a new section expands to enter details about the reaction. Select the severity from the drop-down options and type or select the reaction description.
A CCDA based on selections clicked in the clinical summaries is now sent to Updox (Patient Portal). Make your selections within the Special Features section of the Configuration drop-down.
The most significant changes in the new RX process are behind the scenes. No longer is Medisoft Clinical using the PMSI application, but rather the more stable PMSI Interoperability service. This change frees up memory and allows the program to operate at a premium level.
For additional information on Medisoft Clinical’s new features and how to incorporate them into your workflow, give Sunrise Service’s support team a call at (502) 538-4665.