TECHNICAL BULLETIN. Computer Hardware & Software Requirements. Operating System Software. Internet Access:

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Health TECHNICAL BULLETIN Computer Hardware & Software Requirements Operating System Software Because of the level of computer performance required by RAPID, we recommend it be used in Microsoft

1 Health TECHNICAL BULLETIN Computer Hardware & Software Requirements Operating System Software Because of the level of computer performance required by RAPID, we recommend it be used in Microsoft Windows XP Professional, Vista Business, Advanced Server 2003 or 2008 operating system environments. Note: RAPID is compatible with 32bit systems as well as 64bit. Configuration RAPID can be used in a single-user setting on a stand-alone computer using the Windows XP Professional or Vista Business operating systems. For offi ces with multiple workstations, we recommend that RAPID be used in a client/server confi guration via a dedicated server running one of the specifi ed operating systems listed above. Multi-site and Multi Data Set operations must be licensed for the RAPID Enterprise Edition and may be connected to the Server using Microsoft Terminal Services with DSL or broadband connection. Internet Access: Your offi ce must have high speed access (DSL, Cable or T1) in order to be able to receive on-line training and support for your RAPID software products.

2 TECHNICAL BULLETIN COMPUTER HARDWARE Recommended Minimum Requirements Below you will fi nd our recommendation for minimum general requirements for hardware to operate the RAPID EPM and EMR software effectively in a small to medium sized practice. Your specifi c needs may vary based on storage requirements and other software applications used by you and your staff. YOUR NETWORK SERVER Suggested Specifi cations: Network Server CPU/Processor: Video Card: Internet Access: CD Drive: Network Interface Card (NIC) Other recommended Items: 2.4 GHZ or better (32 bit or 64 bit are compatible) RAM: 2 GB preferred, 1 GB Minimum Storage*: 100 GB Hard Disk Drive RAPID system requires a minimum of 4 GB of free space. The size of your practice will dictate your data storage requirements. Resolution of 1024x768 or better DSL or Broadband Internet service CD-R Drive 10/100 MB or 1 GB (preferred) Ethernet External SATA & USB ports - BackUp scenario via external SATA/USB hard drive * We strongly encourage the utilization of daily data backups

TECHNICAL BULLETIN SINGLE USER COMPUTER (No Network) OR CLIENT/KIOSK WORKSTATION Specifications CPU/Processor: 1.

Enhanced performance may be achieved by utilizing a PCMCIA wireless network card with its respective router manufacturer (This may also decrease your battery use time) Example: N band

3 TECHNICAL BULLETIN SINGLE USER COMPUTER (No Network) OR CLIENT/KIOSK WORKSTATION Specifications CPU/Processor: 1.5 GHZ or better RAM: 1 GB preferred, 512 MB Minimum Storage: 40 GB Hard Disk Drive CD/R Drive CD-R Drive Video Card: CD-R Drive Network Interface Card (NIC) 10/100 MB or 1 GB (preferred) Ethernet Other recommended Items: Multiple USB ports Network Hardware Wireless access point -OR- Wireless router with integrated switch (We Recommend Linksys brand routers and access points) G or N band (depending on your offi ce layout, distance, and speed requirements) External hi-gain antennas are recommended for increased coverage area. Enhanced performance may be achieved by utilizing a PCMCIA wireless network card with its respective router manufacturer (This may also decrease your battery use time) Example: N band router/access points should use N band PCMCIA card. G band MIMO router/access point should use G MIMO PCMCIA card *Note: If you are using any kind of wired router in your office, it is recommended that you use a wireless access point in place of a wireless router. This will eliminate IP addressing conflicts.

TECHNICAL BULLETIN Other IMPORTANT System Component Requirements Power Surge Protection: Every PC should be equipped with a surge suppressor rated at 1200 joules or better.

Network Hardware: 100 Megabit Ethernet network or Gigabit preferred Wireless router preferred w/ integrated multi port switch Ethernet HUBS are strongly discouraged Network Stability: PC s should be

Issues RAPID EPM is not designed for wireless connectivity, any PC s running EPM must be hardwired to the network.

4 TECHNICAL BULLETIN Other IMPORTANT System Component Requirements Power Surge Protection: Every PC should be equipped with a surge suppressor rated at 1200 joules or better. Uninterruptible Power Supply: Recommended for Network Server. Network Hardware: 100 Megabit Ethernet network or Gigabit preferred Wireless router preferred w/ integrated multi port switch Ethernet HUBS are strongly discouraged Network Stability: PC s should be within the same Windows workgroup or domain PC s should have read and write fi le sharing capabilities with the server or front desk PC INFORMATION FOR YOUR HARDWARE TECHNICIAN Known Compatibility Issues RAPID EPM is not designed for wireless connectivity, any PC s running EPM must be hardwired to the network. RAPID EPM will not run its integral Crystal Reports components on a computer which has or has had Offi ce 97 installed. These machines must be updated to Offi ce2000 or later. 800x dpi Video Resolution Each PC should be capable of 800x600 resolution, and a dpi of 96. Local Area Network operation under Windows XP Pro, Windows Vista, Windows 2003 Server, or Windows 2008 Server must use only TCP/IP protocols. Printer Management software Standard Windows print drivers are preferred instead of printer management programs that are provided by the printer manufacturer.

5 TECHNICAL BULLETIN HARDWARE/SOFTWARE TECHNICAL SUPPORT RAPID offers FREE pre-purchase telephone consultation services for our clients. Your RAPID Software Support policy does not include any of the following services: Windows operating system installation, troubleshooting or support; on-site network set-up or troubleshooting; or the set-up, confi guration, or troubleshooting of any printer, modem, or other system peripheral devices. RAPID Software support does not support Anti virus, Spam or Personal Firewall software. Installation of the software can not be completed if the network access is blocked. If it is determined that any of the above software is affecting the installation, we will request you to contact your IT professional. Installation will resume and be completed once network issues have been corrected. If you have additional questions about Computer Hardware Confi gurations, please call the RAPID Client Support Line at (866) , Option 2. Printers for RAPID SYSTEM REPORTS: RAPID was designed to print system reports on any Windows compatible Ink Jet or Laser Printer manufactured after 2000 which supports Courier type fonts and which has properly installed operating system drivers installed on the workstation originating the print command. CLAIM FORMS: Claim forms CAN NOT be properly aligned on any dot matrix and on some Inkjet and low end laser jet printers. With proper set-up by your hardware technician RAPID may be able to print claim forms on any HP compatible Laser Printer manufactured after 2000 which supports Courier type fonts, has user adjustable top and left form margins, and has properly installed operating system drivers installed on every workstation that might originate the claim form print command. The RAPID Support Policy does not cover printer set-up and support. RAPID does not support any Dot-Matrix style printers or ALL-IN-ONE units (Scan, Print, FAX) Call: ext

Health RAPID Implementation Timeline * We hope this document will help you see how valuable our program will be to your business.

Below is an outline of the implementation timeline from the day of executed contract: Within 5 business days Customer will receive welcome packet Customer will receive

Network specifications are highlighted and explained thoroughly Network settings are tested Installation process is started Within 2-3 weeks Installation is completed

6 Health RAPID Implementation Timeline * We hope this document will help you see how valuable our program will be to your business. We take a unique approach to business that is truly tailored to you and your needs. Below is an outline of the implementation timeline from the day of executed contract: Within 5 business days Customer will receive welcome packet Customer will receive introduction phone call Call is scheduled to cover the welcome packet and network specifications Within 1-2 weeks Implementation process is explained and outlined Network specifications are highlighted and explained thoroughly Network settings are tested Installation process is started Within 2-3 weeks Installation is completed and passed onto training staff Within 4-6 weeks Training lessons are scheduled EMR and/or EPM lessons 1-3 are completed within this timeframe *All projections are dependent on network configurations being in place as well as staff availability Call:

also contributing to the continuing development of ACOM s EPM practice management solution. Dr.

Later, he accepted a position as a Clinical Instructor at Life University where he was responsible for preparing student clinicians for outpatient clinical rotation, focusing on patient care and the

He next entered the insurance industry as a case manager, a position in which he had the opportunity to see first-hand when and why claims were either delayed or denied.

Following his insurance industry tenure, he worked at a medical bill audit software company as a customer account manager, implementing the company's bill audit solution within the client

This position provided additional insights into the insurance industry as he had the opportunity to work with claims personnel and various related departments.

7 Health Dorel Radivoj, DC Dr. Radivoj joined ACOM as a Clinical Training Consultant in late 2008, bringing his unique background as a clinician, a teacher and an insurance company case manager to the benefit of ACOM s clients and also contributing to the continuing development of ACOM s EPM practice management solution. Dr. Radivoj graduated from Life University in 2000, joining an Atlanta personal injury clinic as an associate. Later, he accepted a position as a Clinical Instructor at Life University where he was responsible for preparing student clinicians for outpatient clinical rotation, focusing on patient care and the importance of patient file documentation. He next entered the insurance industry as a case manager, a position in which he had the opportunity to see first-hand when and why claims were either delayed or denied. More often than not, he learned, it was because the patient files either lacked documentation or did not support chiropractic/medical necessity. Following his insurance industry tenure, he worked at a medical bill audit software company as a customer account manager, implementing the company's bill audit solution within the client organizations and training their staffs on its use. This position provided additional insights into the insurance industry as he had the opportunity to work with claims personnel and various related departments. Rick Siegler, DC After graduating from Life Chiropractic College in 1981, Dr. Siegler worked as an associate doctor for two years, then opened his own practice. Confronted directly by the changing insurance company relations environment, he began researching optimal ways to document patient files. After multiple attempts over several years, he realized handwritten, check list and dictation/transcription approaches were not only inefficient, they were time-consuming and costly. He implemented several electronic documentation systems, but none met all of his needs. Dr. Siegler s first association with ACOM was when he purchased a RAPID EMR solution for his practice. I realized that I had found a true EMR system, he says, For the first time I was able to refine and customize it to all my documentation needs. When he retired from active practice in 2005 Dr. Siegler joined ACOM, working in sales and contributing to product development. In 2007, he assumed the role of Clinical Training Consultant and has since worked with doctors throughout the country, helping them achieve their electronic documentation objectives with ACOM s RAPID EMR. Eric Tyler Hickes Eric joined ACOM in 2000 in the company s Financial Documents Division, where he worked as a technical specialist and later as an implementation specialist installing check printing systems for community bankers. In late 2007 he brought his implementation skills to the ACOM Health Division where he now performs that service for chiropractic and pain management clinics. Earlier in his career, Eric worked in UPS customer service as a shift supervisor. Seeking a greater challenge, he moved to a software development and sales company that provides point of sale systems to retail customers of banks. In that capacity he was both an implementation specialist and lead field technician. Eric considers each customer relationship to be unique and considers customer service to be the foundation of a successful business. It is my job to deliver what the customers expect to receive, he says. It is a point of pride that we offer the finest solutions in the chiropractic field and there is great satisfaction in knowing that what we do is enormously beneficial to healthcare providers. Eric attended Georgia State University Call:

8 Health RAPID EPM Training Agenda Lesson 1: System Setup User IDs/Passwords and User Rights System, CMS/Form Defaults Time Clock What is Time Clock How can it be used in your Practice Reporting Scheduler Customize to meet Office needs Office Visit Reasons and setting Kiosk defaults Creating/removing Scheduler Blocks Location/Chartroom What is it? How can it improve your office workflow Message Center What is it? How can it improve your office workflow Libraries/databases Provider(s) and Facility Payors/Insurance CPT/Internal Codes: Creation and setting Fees Creating CPT specific Alerts Creating Payor CPT specifics Alerts EPM to EMR interface Inventory What is it and how can it be used in your office? Lesson 2: Daily Operations Patient Management Using Pre-Registration Patient Demographics and Reporting Scheduler: Setting Appointments Single Appointments vs Care Plans Cancellations vs Rescheduling Using recall functionality Late Appointment Alert Review of Appointment related Reporting Office Workflow review/discussion Using EMR, Kiosk and EPM to its full capabilities Developing your office s workflow Patient Office Encounter Checking In/Out Patients Checking In (EPM) vs Signing In (Kiosk) Updating Patient Location Doctor/Patient Encounter: EMR How EMR is used to send data to EPM Messages to Front Desk Billing Data to EPM Checking Out Patient: Dashboard Review Posting Charges and Patient Payments Setting feature appointments Q&A and Review

9 Lesson 3: Back Office Operations Billing How to use EPM for Billing Workflow EPM Reporting can streamline the process Paper vs Electronic Processing Collections Using EPM s internal Collections features: Aging report Primary Secondary Patient Status Call notation entry Claims corrections Follow-up Reminders Insurance Posting Individual vs Bulk payment entry Balance Billing Secondary Insurances Lesson 4: Reporting Review of EPM Reporting Daily Activity Patient Data New Patient Counts Last Seen Case Types Referral Sources Attorney/Provider Referrals Statistical Analysis Appointments Cancellations No-shows Recalls Daily Activity Review 0409 Call: RAPIDsupport@acom.com

Health RAPID EMR Training Agenda Lesson 1 Initial program set-up to include specifics on: Chartroom, Kiosk, Passwords and Facility Settings Navigate around the EMR which will include: Front EMR page,

10 Health RAPID EMR Training Agenda Lesson 1 Initial program set-up to include specifics on: Chartroom, Kiosk, Passwords and Facility Settings Navigate around the EMR which will include: Front EMR page, New Patient Tab, Settings Tab and Files Tab. Navigating the front page of a patient file Intake of a new patient through the Kiosk New Patient consultation & history Entry of examination findings Generation of initial documentation Personal organization and customization of the Diagnosis, Recommendations and Treatment Tabs Review Lesson 3 Workflow of all other types of reporting to include: Brief, Follow-up, Final and specialty evaluations Discussion and demonstration of Generic Helpers. How they are created and used throughout the program Discussion and demonstration of the Image Library. How images are added, inked on, printed, stored and recalled Review Lesson 2 Establish patient Kiosk check-in Daily Note workflow Generation of the Daily Note document Discussion fo the Birds Eye View feature Discussion on Mutation of Daily Note text Review Call: RAPIDsupport@acom.com

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