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COGNECY SOLUTIONS, LLC

Software for Electronic Medical Records
Improving Human Resources Management in Clinics
MEDCIN powered Patient Information Software
Comply with HIPAA law in 6 hrs
Search Engine Optimization for Medical Services
Converting Patient Paper Records into Electronic Files

Medical Search Engine Optimization, Patient Management, EMS Groups, HIPAA, Electronic Patient Record Management, Health Data Mining, Electronic Medical Records and Medical Office Practice Enhancement


Cognecy Solutions, LLC is an information management solutions provider focused on providing leading edge services and products to healthcare facilities, medical providers, accounting firms, and legal practice. Netrik Consulting, Inc. is a networking and IT consulting firm based in Spokane, WA. Netrik has established itself as a significant presence in the consulting industry nationwide, particularly in the medical and dental fields. Netrik Consulting, Inc. is a Microsoft Certified Partner.

ELECTRONIC MEDICAL RECORDS, MEDICAL OFFICE PRACTICE ENHANCEMENT, EMR

Netrik provides medical offices and clinics with complete solutions, including network infrastructure, cutting-edge electronic medical records (EMR) and practice management solutions, as well as medical office practice enhancement ``coaching`` that can realize return on investment (ROI) figures of a year or less with many clinics. Netrik has recently this for small to medium sized medical offices and clinics nationwide.

Netrik offers complete solutions for medical offices and clinics. We can evaluate your office or clinic and provide you with work flow, human resources and billing consultation, the best electronic medical record and practice management solutions to fit your practice, as well as the best possible network infrastructure to support it all and allow for growth.

ELECTRONIC HEALTH RECORDS, EHR

Netrik Consulting, Inc. has researched available EMRs for several years in an effort to find the most efficient and cost effective solution for the clinics and physicians offices Netrik services. Any medical record that is stored in a digital format may be considered an EMR and many products use this technicality as a selling point that they are providing physicians with a solution that meets the needs of their practice. This is not always true. EMRs may also be referred to as electronic health records (EHR).

DIGITAL DICTATION STORAGE

There is a difference in how digital formats are stored which drastically effects how the data may be utilized. There are basically only three formats in which the EMR data is stored in today`s EMR solutions: image files such as scanned images of charts; text files such as digital dictation storage or text-based EMR solutions; encoded data or codified data which is the next generation of EMR solution (very few EMR solutions utilize this last format exclusively). A select few EMRs utilize combinations of the three.

EMRIMAGING

Image format: Generally scanned images of data and historical patient records. Data is typically accessed by file names of separate images or in the case of eMRimaging, also offered by Cognecy Solutions. LLC. Key search terms and information about the document/patient is embedded directly into a document label. Most image-based systems utilize a database structure with the file images in stored TIFF Image format and the key search terms archived in a separate database. In the case of eMRimaging, files are stored in Adobe PDF format with the key search terms and specific information about the document/patient is embedded directly into the PDF as a document label. This system breaks the shackles of a traditional database structure by completely eliminating the need for it (each file in essence becomes its own database). Documents created with the eMRimaging system are stored in a single document repository and assessed through keyword searching much the same way you would look for information on the internet.

E&M CODING

There is there is no automatic E&M coding available in this solution and there is no way to quantify or analyze data for disease or patient management. eMRimaging, as well as other imaging-based systems are primarily storage solutions that address the paper portion of every practice. Return on investment (ROI) on this type of system is realized primarily through improved office efficiency, re-claimed storage space, and faster EOB turn-around with copies of original documents.

DISEASE MANAGEMENT

Text format: Text format is generally a misnomer, because stored text may only be a part of what the EMR stores. An EMR may utilize an advanced database system to encode and store data such as SQL or Oracle and an advanced program ``front end`` to access the data, but the inclusion of text-based elements, such as digital dictation, precludes the ability to completely encode data for later advanced uses. Due to the limitations of including text-based elements, E&M coding and disease management cannot be aggregated into useful information and the physician must select his or her own code for each visit. Many systems offer a coding assistant based on the number of items selected in a particular category. These systems are easily recognized because a physician must still choose the level of complexity of the visit. Text format systems cannot code based on the narrative -- they can only assist. There may be a ROI with text-based EMRs, depending on the solution selected, but it is minimal; typically savings realized in office efficiency and decreased transcription costs.

MEDICAL TRANSCRIPTION, DISEASE MANAGEMENT

Encoded Data: This is the most exciting new development in EMR solutions and definitely the future of fast, efficient EMRs that allow doctors to spend less time on charting and more time with patient care, as well as increasing E&M codes for visits that can increase the income of the clinic dramatically. In this type of EMR solution all data is ``codified`` or encoded in such a way as to be available for computations that include E&M coding (the AMA estimates that approximately 33% of all visits are under-coded by $27 or more); dynamic automated charting which completely eliminates medical transcription; as well as advanced disease management and patient management, research capabilities and diagnostic queuing. With this type of product, the physician`s office can realize a substantial increase in revenue by the elimination of medical transcription, increased E&M coding, and improved office and doctor efficiency. In addition, codified data allows for incredible opportunities in research, data sharing between facilities that preserves patient confidentiality, yet allows for advanced access to patient data.

It is Netrik`s professional opinion based on years of research, development and trial with numerous EMR solutions that any image format or text-based format EMR is a waste of time and money, although solutions in these formats do offer better data storage options than paper charts and can produce a limited return on investment.







Though Netrik`s focus has been primarily office workflow and how it relates to the installed network and software solutions, network infrastructure, EMR and practice management solutions, Netrik has also seen the value in Medical Office Practice Enhancement ``Coaching`` services to reduce accounts receivable (AR) to under 90 days and improve human resources management in order to make clinics more efficient and profitable. In order to provide our clients with the ``complete solution`` that serves them best and makes them the most profitable and efficient, Netrik has put together a Practice Enhancement ``Coaching`` Service department.

Now, through Netrik, Practice Enhancement ``Coaching`` is available nationwide, and at fees that are affordable to small to medium sized medical offices and clinics.  Normally, consulting of this type and caliber is provided by large consulting firms that specialize in hospital settings. Netrik is making this available to the smaller clinics and offices they service to insure the success and profitability of all of their medical clients.

Coaching is the most important part of expanding the capabilities of everyone in your practice. It is the difference between giving orders and teaching people how to get things done. The foundation of a great company is human resource development. Does the company provide the right experiences, such as cross-training and giving candid feedback?

Effective coaching happens when a person is observed in action and then provided with specific useful feedback. This feedback points out behavior and performance that are either good or need to be changed. A coach uses their knowledge of the business to constantly probe and question. They bring weaknesses to light and rally the team to correct them. A coach is effective because they are constantly observing members individually and collectively on and off the job. That`s how they get to know employee`s capabilities and how the coach gets firsthand benefit of each employees experience.

Success lies in how clear we are with our desired outcomes and then how well it is executed, rewarded and maintained. The goal is to interpret and then successfully execute your vision so that your practice is fulfilling to you, your team and your patients. We pride ourselves not only on the results but also on the legacy we leave behind. Here`s a glimpse of what coaching can offer your practice. Practice profitability depends on:

  • Physician productivity
  • AR buckets/collection performance
  • Contracting issues
  • Overhead (OH)
  • Ancillary services (Does your practice, not you, need to generate more revenue?)
  • Office processes
  • Staffing
  • Patient relations/customer service
  • Month end financial/performance reports they can understand




Medical Office Practice Enhancement

ELECTRONIC MEDICAL RECORDS SOFTWARE, MEDCOMSOFT

MedcomSoft is an innovative developer of software solutions that are changing the way the healthcare industry captures, manages and exchanges patient information. MedcomSoft provides important tools that enable healthcare professionals to automate their practices and to efficiently connect to their pharmacies, laboratories, medical suppliers and insurance providers.

The management of information in healthcare is typically fragmented and inefficient. The problem is the transformation of nurse and doctors` notes into data that is useful. Even when the notes are stored as text on a computer, the information cannot be readily aggregated or analyzed. Conversely, computers can only harness data that is stored in a numeric format and can only then facilitate the aggregation, analysis and exchange of information across the healthcare spectrum.

MEDCOMSOFT RECORD, MEDCIN

MedcomSoft Record is an innovative, user-friendly EMR (electronic medical records) designed to simplify the task of recording medical notes and produce detailed, well-structured, and numerically codified medical charts. MedcomSoft Record is a new generation of advanced EMR powered by MEDCIN, one of the largest, numerically codified medical vocabularies in the world which includes over 250,000 clinical data elements connected through 72 million intelligent SOAP links.

MedcomSoft Record reduces the time and effort required to produce compliant documentation and accurate coding, and provides unprecedented return on investment through cost reduction, increased revenues, reduced risks and better quality of patient care. MedcomSoft solutions are well suited for any size medical practice, from a solo practice to multi-provider groups.

MedcomSoft Record clinical content and rich template library supports primary care practices and numerous specialties including cardiology, orthopedics, ob-gyn, ophthalmology, dermatology, oncology, neurology, and internal medicine. MedcomSoft Record automatically creates encounter documentation and letters, and manages orders and results (prescriptions, laboratory testing, X-rays and medical images. )

DISEASE MANAGEMENT

MedcomSoft has leveraged its ability to save any and all patient information in a numerically codified format to introduce the world`s first full disease management system. Record`s revolutionary Disease Management System is capable of representing, in a single flow-sheet view, all clinical information captured in a patient chart. This enables the aggregation of all information in a medical record by disease or by symptom and instantaneously compares this data to evidence-based care protocols and best practice guidelines.

Follow-up visits can be quickly documented from this same view there by significantly reducing encounter times and maximizing patient flow. Record also allows users to longitudinally graph any clinical indicator enabling rapid identification of abnormalities and improving patient care.

MedcomSoft Record provides specialist users with intelligent documentation templates that have been designed with no compromise between ease of use and powerful functionality. Record`s Specialist Protocols enable the capture of encounters while displaying previously captured clinical data and allowing users one-click access to charting by exception or to the full clinical vocabulary and intelligent prompting.

MEDPROTOCOL DESIGNER

MedProtocol Designer is a tool that allows users to create and customize health related forms. Forms can be developed to consolidate clinical information into an easily navigable format, promoting consistency in the clinical approach to care. They can be organized to support normal clinical workflow of subjective information gathering, objective assessment, identification of problems and/or diagnoses and the subsequent development of an ongoing plan of care.

Forms can also be linked to each other such that a specific finding on a form will cause another form to launch. Forms may also include alerts that appear automatically based on predefined groups of findings. Physicians will have the ability to create forms or MedcomSoft can customize them for users according to Best Practice Guidelines or care paths proprietary to the users.

HEALTH DATA MINING

Record`s robust health Data Mining System provides the ability to dynamically create queries supporting unlimited combinations of demographic data, clinical data, drugs, ICD-9, CPT, and user-defined codes, presenting practitioners access to a wealth of rich data. Searches can be performed on specific areas of the database for clinical trials, outcomes analysis, reporting, and drug recalls. Queries can be saved for future use, and results can easily be exported to industry standard software tools.

MEDCOMSOFT PORTABLE CHART

MedcomSoft Portable Chart, or detailed patient electronic medical records, contain all information related to the patient`s health and conditions. Transferable to a USB key or a Bluetooth enabled device, such as a cellular phone or PDA, MedcomSoft Portable Chart can be easily viewed and updated by different healthcare providers.

EXPANDED PATIENT MANAGEMENT

Built with numerically codified data elements, MedcomSoft Portable Chart contains a detailed record of the patient`s medical history, including their allergies, immunizations, current medications, and laboratory results. In addition, MedcomSoft Portable Chart holds all the data elements related to symptoms, physical examinations, tests, diagnosis and therapies previously captured by the patient`s primary care provider. MedcomSoft Portable Chart is a highly secure and fully encrypted electronic chart that requires the patient`s authorization before any access is granted to another provider. This enables the patient to maintain possession of their private medical data without concern of unauthorized access.

MedcomSoft Portable Chart is compatible with the continuity of care record (CCR) and can be easily mapped to other reference terminologies such as CPT, ICD-9-CM,LOINC or SNOMED. This compatibility ensures the safeguard of the codified patient information in a format that can be easily imported by different systems from different vendors.

HIPAA COMPLIANCE

MedcomSoft Portable Chart is a very important step in the support of HIPAA compliance through the creation of secure and standard portable patient medical charts.




Health Data Mining

INTERACTIVE HIPAA

Not yet HIPAA compliant? You need Interactive HIPAA. Software so simple, you`re HIPAA compliant in a matter of hours. With Interactive HIPAA you produce a completely customized policy and procedure manual and begin your HIPAA training in just 4-6 hours. Unlike other programs, Interactive HIPAA actually walks you through every aspect of the privacy and security law step-by-step.

EMS GROUPS

You review elements of the HIPAA law, and make simple edits so that the law reflects the HIPAA policies and procedures followed by your office or facility. The result? A policy and procedure manual that`s customized for your workplace -- as required by law. Interactive HIPAA is ideal for doctors` offices, medical facilities, diagnostic centers, EMS groups, home healthcare and nursing home operations, pharmacies, DME suppliers, state, county and city agencies, fire departments, and any facility with access to personal health information.

The software is ideal for doctor`s office and medical facilities, but it is not ``facility specific``. We have sold thousands of copies to doctors` offices, diagnostic centers, ambulance services, EMS services, home health care, nursing-home operations, pharmacies, durable medical equipment suppliers, state agencies, and even fire departments.

Interactive HIPAA software is

  • Simple. It`s completely interactive, so there`s no special training necessary
  • Uncomplicated. Since it`s divided into 20 separate modules, you can work through all points of security and privacy at your own pace
  • Customizable. Creates policy & procedure and administrative manuals that specifically reflect the policies and procedures in your facility.
  • Verifiable. Generates a compliance verification report that demonstrates you are HIPAA compliant.

Interactive HIPAA software includes:

  • More than 40 patient and administrative forms to simplify the compliance process within your office or facility
  • An E-Z Reference Guide which allow your staff to quickly process patients in compliance with HIPAA
  • Our exclusive Compliance Guard feature warns you if you create a manual with non-compliant language
  • Instructional videos that clearly explain how to use the program.
  • State privacy laws so that you can apply the most stringent laws to your manuals
  • A glossary of terms that defines new HIPAA terminology

One of the exclusive features of Interactive HIPAA is our helpful reminder tool -- Compliance Guard. Compliance Guard is always in the background waiting to protect you and your facility from creating non-compliant procedures and manuals. The HIPAA regulations contain numerous `mandatory` elements to be included in your office policy and procedures manual. If you attempt to remove or corrupt a `mandatory` element, you will see this screen. If you make any changes to, or delete this `mandatory` element, the Interactive HIPAA program will keep track of those changes. When you finish each section of the manual, you must review and approve the changes or deletions you have made.

With HIPAA, you will be affected one way or the other. Electronic billing, online claim status, etc. More importantly, the privacy standards are now in effect. The privacy standards are a patient`s right! You as a provider must provide all patients with HIPAA mandated procedures. Failure to comply could result in severe monetary penalties and possibly jail time.

There are hundreds of documents, self-help tools, and thousands of pages of law! There are numerous boilerplate manuals and complicated programs already available for purchase. They all do the same thing: they approach this as a law, and few ultimately get you HIPAA compliant.
The Interactive HIPAA program is a fully installed software application. Once installed, you are not confronted with multiple screens and projects to complete before you actually get started on implementation. There is only one implementation screen, and you do all of your work from there!

The main screen literally walks you through the entire compliance project with a description of an office procedure. It explains what each procedure means, shows you that part of the law, explains what is required in your manual, and makes a list of what forms you will be using. You then view /edit that section of the policy/ procedure manual and the accompanying forms. Much of the structure of the policy/ procedure is required by law; however, in each section you are prompted to ``interact`` and add office specific information. This added information is then automatically imported into the manual and the forms!




HIPAA


MEDICAL WEB DEVELOPMENT SERVICES

MedNet Technologies is the leader in medical web development services for medical and dental professionals. We host and manage the websites of more than a thousand healthcare practices across the United States, Canada, Mexico and throughout Europe, ranging in size from large hospital systems to individual medical and dental practices. We also manage the websites of laboratories, insurance companies, professional societies and medical colleges. Our clients include many of the most recognized and well-respected healthcare providers in the world. Our award-winning web designers and copywriters have extensive experience in healthcare as clinicians, administrators and IT executives in medical offices and hospitals. Our resource libraries contains thousands of medical photographs, illustrations and graphics in addition to written content on almost every medical and dental specialty.

Our services include web design, programming and development in addition to website hosting and maintenance, site management and promotional services. Our marketing services can design brochures and promotional printing, and we can also manage complete advertising campaigns. Our promotional group works to register our clients with popular search engines and we offer a variety of service levels to enhance ranking positions and drive traffic to client websites. Our technical staff provide timely modifications to our client websites and assist clients in resolving problems with e-mail and other support issues.

Each website we build is custom-developed -- not a template design and each includes extensive amounts of content. We create a unique and professional presentation which combines important details about your practice with helpful information on the treatments and procedures that you offer to your patients.

  • 100 Million Americans consult the Internet for health information
  • 70% say the information they find influences their treatment decisions
  • 80% say that they trust the information on their doctor`s website
  • 63% would switch to a doctor with a website that offered credible content, online scheduling or secure communication
  • 20% of all Internet traffic is healthcare-related

Patients research their doctor`s practices on the web. The Internet enables patients to research their healthcare providers. Because they can research a referral on the web before scheduling an appointment, patients will frequently choose a doctor based on the information presented on the practice`s website – even when they are referred by another doctor. It is therefore extremely important that your website project a professional image by combining important details about your practice with helpful information for your patients.

Our skilled development staff paints a vivid, colorful picture of your practice with photography of your facilities and staff, and explanations of procedures, treatments and therapies. Where appropriate, `Before & After` photography can provide compelling examples of your surgical skills and treatment therapies. Visitors can also review hospital and insurance affiliations, learn about office hours and policies and even print out patient forms and interactive maps to your facilities.

Our unique, all-inclusive Website Management Service combines web hosting with site maintenance to ensure that your website`s content is always up-to-date -- all for one low monthly fee. We maintain our own network of dedicated web-servers, mail-servers, streaming servers and switching equipment at our high-security Network Operations Center. As part of our Hosting & Site Maintenance Services we will also make any necessary updates to your website to accommodate changes in professional information, address personnel, etc.

Your website is also the center for your practice`s e-mail messages and the linchpin for the transfer of electronic information to other doctors, pharmacies, hospitals, etc. Simply, your website needs to be on-line, all the time. MedNet keeps your website operational 24 hours a day, seven days a week using our state-of-the-art computers and telecommunications equipment. We use multiple T-3 fiber-optic connectivity, multi-processor web-servers, routers, multiplexers, switches and firewall equipment. Each site is mirrored on separate, individual servers and our facilities include redundant power management in the event of electrical failure.

You can receive detailed monthly analysis reports on your website`s traffic each month. Graphs and statistical details on:

  • Visitor sessions (by day of month + more...)
  • Most requested pages
  • Visitors who have visited more than 1x
  • Top referring websites (search engines)
  • Key words matched on search engines

MEDICAL SEARCH ENGINE OPTIMIZATION

MedNet Technologies offers Visibility Services to place your website on popular search engines and directories such as Yahoo!, MSN, Google, AOL and others. We position and manage sponsorship and pay-per-click links for many practices to ensure top-of-page positioning for dozens of keywords and phrases across multiple search engines. We are able to place websites on search directories in Europe, Asia and North America. Our medical search engine optimization (SEO) services and Sponsored Links Management are also available for websites that have been developed by other web design firms.

On average, more than 85% of all visitors find websites by using search engines. MedNet`s medical search engine optimization services focus at increasing the visibility of each of our client websites individually. Since MedNet does not operate any ``Doctor-Directories`` which accept physicians and dentists as listed advertisers, we concentrate on getting your website prominently ranked on major search engines directly. Under certain search terms MedNet clients hold the top five search positions and some of our clients receive more than 2,000 visitors each month from search engine sources.

This compares against the strategies of numerous Doctor-Directories such as Einstein Medical`s various `DocShops`, Locate-A-Doc (Mojo Interactive) and iEnhance (MedAvenue). The actual Doctor-Directory needs to rank higher on search engines than their listed advertisers in order to first drive traffic to their websites and then distribute inquiries out to the listed advertisers by geographic location.




Medical Search Engine Optimization

Medical Web Development Services

ELECTRONIC PATIENT RECORD MANAGEMENT, EMRIMAGING

eMRimaging is an electronic patient record management system that takes the manual process of a paper-based filing system and converts it into an electronic-based system. By scanning patient records into a searchable PDF file that is stored electronically on a network server, physicians and staff can retrieve a patient`s historical records from any networked computer. It also allows patient records to be retrieved over the Internet from a hospital, a satellite office, or from home.

We have discovered that 95% of physicians have evaluated EMR systems, but less than 5% have purchased one. Their complicated nature and inability to easily integrate into an office have been their largest obstacles in the physician market. We have taken the complicated and made it simple. We created an electronic patient record management system that is so simple to use that office staff and physicians can master it in less than 15 minutes. Yet the document imaging technology behind the eMRimaging is currently used by government agencies such as the U.S. Naval Command Center and Langley Air Force Base.

DATA INPUT FLEXIBILITY

We have created a versatile electronic medical records system that gives the option of using both paper and electronic format harmoniously. Each physician has a choice of electronic data entry or writing on traditional paper templates that are then integrated into the patient EMR.
Some physicians or clinics may not feel comfortable with a full implementation of an electronic medical records system and would prefer a gradual addition of technology until entering full production. Our electronic medical records system allows practices or hospitals to start small and build up in functionality and features. It is also scalable to the size of practice, accommodating one-physician practices to full scale hospitals.

EMRIMAGING LITE

eMRimaging Lite generates universally accessible PDF files that are automatically Web-enabled upon creation. Every record and document incorporated into eMRimaging™ Lite is Web-enabled, allowing easy remote viewing of critical patient information. It meets the objectives of any EMR system:

  • Improve patient care
  • Reduce costs
  • Increase efficiencies
  • Comply with HIPAA

ELECTRONIC PATIENT RECORDS

eMRimaging is not billing or scheduling software. It does not create databases that allow you to manipulate the information contained within the database. It turns paper patient records into electronic patient records and helps you manage them in an extremely user-friendly manner.

eMRimaging Lite and eMRimaging create electronic medical records that mimic the ``Look and Feel`` of their paper counterparts. Electronic patient files are sorted and electronically filed according to four default criteria: patient name, patient number, type of procedure, and date of service (Note: these categories are fully customizable). Electronic labels containing the default criteria are automatically embedded into PDF documents. All patient-related documentation, whether it is a lab report, a progress note, or a prescription, is electronically indexed, and can be searched and retrieved from any network PC or Tablet PC.

Simplicity is the foundation of our software`s success: it is simple to setup, simple to use, and simple to manage. We provide a comprehensive out-of-the-box system that can be up and running in hours, without any expensive and time-consuming installation and customization process. Our electronic patient record management system is designed so that entry-level personnel can be in full production (running the scanning station and labeling documents) with less than one hour of training. End-users on a network can learn to retrieve, view and print patient records with less than fifteen minutes of training.

With our software package, you have the option of creating PDF files by two different methods. First, documents that already exist in another electronic format can be converted directly into the PDF format and added to our system for search and retrieval. Second, paper documents can be scanned, automatically converted into retrievable PDF documents, and added to our system for search and retrieval. Every PDF document and searchable index created by EMRimaging can be archived on CD-ROMs, external hard drives, or another storage device of your choice.

Patient information is automatically embedded into every electronic PDF file created by eMRimaging; everywhere the document goes, the label travels with it. This feature is an enormous advantage to our customers because it eliminates the need for database maintenance and our documents are Web-enabled. This gives you the freedom to move patient`s records from one directory to another, or one computer to another, and still be able to find and retrieve the patients records.

Our system uses a Web browser to perform searches to retrieve, view and print patient records from the system. Because Web browser software is free, we avoid a ``per-seat`` charge for workstations connected to the network. With eMRimaging, it does not matter whether 2 users or 10,000 users are on a network; the cost to search, view and print a patient`s record is the same.

Our entry-level electronic patient record management system is designed for 1-3 physician practices that want minimal interruption, a small learning curve, the ability to continue using paper, and to gain simplicity in their EMR system.

The eMRimaging is designed for larger, multi-specialty organizations and hospitals that demand more robust search and retrieval features. In addition to the features found in the Lite version, eMRimaging allows search and retrieval of a patient`s electronic medical record on the Internet from any remote location.





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