Yes the EHR is certified - this is the disclaimer on the entrance page:
"This Complete EHR is 2014 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 or guarantee the receipt of incentive payments. MediTouch EHR 4.0 was certified on June 13th 2013 (ID# 06132013-1962-8) and has been certified to Criteria 170.314: (a)1-15, (b)1-5&7, (c)1-3, (d)1-8, (e)1-3, (f)1-3, (g)2-4 and all of the CMS core CQMs including, CMS2v1, CMS50v1, CMS68v1, CMS69v1, CMS75v1, CMS90v1, CMS117v1, CMS126v1, CMS136v1, CMS138v1, CMS146v1, CMS153v1, CMS154v1, CMS155v1, CMS156v1, CMS165v1, CMS166v1, in addition, this certified product-version may require fees to establish interfaces for reporting to registries, public health agencies, and transmission of reportable laboratory tests and requires the use of the surescripts network for clinical interoperability and spreadsheet software"
We are a group pain management practice, seeing patients and doing procedures in the office. The cosign information only shows in the clinic operations when one views the overview list of all encounters for a patient in the EHR. It shows who treated the patient in one box, and cosigners in another box and so on. The boxes/columns are:
Service Date Finalized Appointment Rendering Signed By Cosigned By Options
(DOS) (date) (date) (rendering name) (e-signature) (cosigner name)
The cosign information is only seen when viewing this overview of all DOS. It does not show when someone views the note. It only appears when the pdf of the note is printed.
On the printed note, the provider signature prints along the left hand side of each page of records. This has always been the case, With this upgrade however, now the cosigner name is on the opposite side of the page from the provider with the "co-signed and reviewed by" along with the date of the review.If there are multiple cosigners on a note, only the first cosigners name appears.
We are doing the incentive with the G-codes and eRX, but we have not yet mastered Meaningful Use. We fall under RAC Connolly Consulting Associates, Inc
I personally felt the cosign signature could be left as is, but I was wanting to get a broader opinion on it to make sure that we had considered everything. You can't be too careful these days. I wasn't 100% sure what 'cosigned by" legally meant in this circumstance - as in 'Is co-signing a note something only a provider can do' ?. The actual note is very specific who the provider is at the beginning of the note where the patient, DOS, and insurance are identified. Again, the cosigner name does not appear anywhere at all until the actual note is printed, with the exception of the overview DOS list. Once you open a specific DOS, you cannot see any cosigner information.
Hopefully I answered all your questions adequately. I so appreciate Supercoder for this feature, and all of you who help us through the tough spots we encounter.
Thanks in advance