eclinicalworks welcome pak

Welcome Pak

eClinicalWorks112 Turnpike RoadWestborough, MA 01581

Revision 07-06-07 (L.Wallace)

Table of Contents

Section I: Implementation..............................................................................................................3

Welcome.....................................................................................................................................................3

What is the Implementation Process?.....................................................................................................4

Implementation Timeline.........................................................................................................................4

Providers..........................................................................................................................................5

Facilities.....................................................................................................................................................5

Insurances..................................................................................................................................................6

Integration Features.................................................................................................................................7

Network Check........................................................................................................................................13

Installation...............................................................................................................................................13

Customer Care Portal.............................................................................................................................14

Training...................................................................................................................................................14

Post Training...........................................................................................................................................14

Continuing Education.............................................................................................................................15

Additional Information..........................................................................................................................18

Section II: Software Training......................................................................................................19

Training Overview..................................................................................................................................19

Training Recommendations...................................................................................................................21

Section III: Practice Information & Checklist............................................................................22

Integration Features...............................................................................................................................23

Provider License Setup...........................................................................................................................26

Section IV: IT Information & Checklist......................................................................................27

Network....................................................................................................................................................27

Server & Clients......................................................................................................................................29

Computers...............................................................................................................................................30

Peripherals...............................................................................................................................................34

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Section I: Implementation

WelcomeHello and welcome to eClinicalWorks!

eClinicalWorks looks forward to assisting every client each step of the way through the installation process.

The purpose of this document is to help the client understand the different components of the Implementation Process. This document is broken down into four sections. The following describes what to expect in each section:

Section I: Implementation

Information on the complete Implementation process including timelines, integration features, hardware, and key milestone dates

Section II: Software Training

Overview of the Front Office, EMR, and Billing components of the system

Section III: Practice Information & Checklist

A checklist of features which the Project Manager will review with the client during an initial conference call, referred to as the Kick Off call. The client will be responsible for completing this section and returning to the Project Manager no later than 2 weeks after the Kick Off call.

Section IV: IT Information & Checklist

Valuable IT information when building the network and a checklist of information needed by eClinicalWorks to perform the Installation. The client is responsible for completing this section and returning to the Project Manager no later than 2 weeks prior to the assigned Network Check.

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What is the Implementation Process?After the client signs the contract with eClinicalWorks, the Implementation team initiates the Implementation Process. The Implementation Process consists of the following activities:

1. Introduction phone call by the Project Manager to schedule a Kick-Off call (within 24 hours of receiving signed contract)

2. Receipt of the eClinicalWorks Welcome Pak via e-mail (within 48 hours of receiving signed contract), including the hardware requirements and credit card payment form

3. A Kick-Off Call with the Project Manager. He/she will help the client make choices with integration features and provide milestone dates as part of the Implementation timeline

4. A Billing Discovery call with a Billing Trainer. During this call, your Billing Manager will answer a series of questions to inform eClinicalWorks about your billing process.

5. Working on Integration Features

6. Performing Network Check

7. Performing Installation

8. Performing Training & Go-Live for client and staff

9. Performing Lab Integration (optional)

At this time the implementation process is completed, and the practice is up and running with eClinicalWorks.

Implementation TimelineThe following Implementation Timeline is a guideline, for a typical implementation. Each practice has its own individual requirements; therefore, it is only a suggested standard, not a guarantee.

Typically the Go-Live date is scheduled between 12-14 weeks after the Kick Off call.

Week 1: Receive signed contract

Schedule Kick-Off call & send Welcome Pak email

Perform Kick-Off call

Week 2: Return Section III – Practice Information & Checklist

Perform Billing Discovery call

Start enrollment process with Clearinghouse

Data Migration process begins and continues through Implementation (optional)

Week 2-6: Send hardware specifications to eClinicalWorks for review and approval

Return Section IV – IT Information & Checklist

Week 6-8: Network Check

Week 8-9: Application Installation

Weeks 12-14: Training and Go-Live

Weeks 12-16: Mandatory Billing follow-up trainings

Weeks 22-28: Lab interface process (optional)

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Kick-Off CallThe Kick-Off Call starts the process of working with the client’s Project Manager and possibly other members of Implementation Team at eClinicalWorks. During this call the client will discuss integration features with their Project Manager and go over the Implementation Timeline including the Go-Live date.

eClinicalWorks suggests the following people be available for the Kick Off call:

From client’s practice:

At least one physician from your practice

Office Manager

IT Specialist

From eClinicalWorks:

Project Manager

Technical Support Specialist (as needed)

Coordinators for ExpressBill, Lab Integration, Clearinghouse or Data Migration (as needed)

After the Kick-Off Call is complete, the Project Manager will send a follow-up message by email recapping the implementation choices and schedule.

Billing Discovery Call

Shortly after the initial kick-off call with your Project Manager, we will conduct a Billing Discovery call with your Billing Manager, Office Manager and/or your Administrator. This call will take approximately one hour and will be conducted by an eClinicalWorks Billing Trainer. The purpose of this call is for our billing experts to understand your internal billing processes, policies and workflow. The information gathered during this call will be used to prepare our on-site trainers to best train your practice on billing.

Here is a sample agenda that should help you understand our goals and objectives for this call and also help you to identify which of your staff members should participate on the call.

Providers

How many providers do you bill for? What are their specialties? Do you employ any Ancillary providers? (NP, PA, Midwife) Are they credentialed for billing purposes?

Facilities How many office locations do the providers see patients at? What other locations do the providers see patients at? (Hospital, Nursing Home, Rehab

Center, etc.) Do the providers perform procedures at a free-standing Ambulatory Surgical Center? Do you operate a Medicare Independent Lab? Do you bill for any in-house labs? (rapid strep, urine dip, etc.) If you bill for labs, do you have a Medicare CLIA number? Do you operate an Urgent Care clinic? Is your practice a Medicare Approved Rural Health Center (RHC), Federally Qualified Health

Center (FQHC) or Community Health Center (CHC)? If YES – Do you split claims and bill both HCFA and UB92 claim forms? If YES – Do you bill for dental services? What system are you currently using for

dental? Do you use a Sliding Fee Schedule? Do you bill for Occupational Medicine?

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Do you practice in a Medicare Health Professional Shortage Area (HPSA)? (Modifier AQ) Are Facility ID numbers needed by Medicare and BCBS when billing for hospital services? Do you bill for any facility services requiring UB92 claim forms? Do you split-bill claims for ANY reason? (FQHC, RHC, DME, ASC)

If YES - Do you split HCFA claims to a UB92 or another HCFA?

Insurances Do you use a Tax ID number for Billing?

If YES - Is it an Individual or Group number? Do the providers have their NPI numbers?

If YES - Do they have Individual or Group numbers? Do any of your office locations have Facility NPI numbers? Do you accept assignment on insurance claims? What is the estimated % of self-pay patients? Do you collect at time of service? Do you submit Workers’ Comp and Liability Claims? Do you sell products that are not covered by insurance?

If YES - Do you charge sales tax on these products? Do you participate with any Captitated Insurance plans? Does your state’s Medicaid have any special billing requirements or forms?

If YES – What are those requirements? Does any provider have more than one provider number issued by an insurance company,

determined by the facility where the services are rendered? Does your practice deal with Incoming or Outgoing referrals? Referring Provider – do you use the patient’s PCP or the provider who referred them to the

practice? Do you need the referring provider name & number (box 17/17A of the HCFA) on all

insurances? If YES – Do you use the UPIN number? If NO – What number is needed and for which insurance?

What Clearinghouse are you currently using? What Clearinghouse are you planning to use with eClinicalWorks? Do you currently submit electronic claims directly to any insurance payers (bypassing a

clearinghouse; not paper claims)? Do you currently receive insurance payments using Electronic Remittance Advice (ERA)?

Will you use ERA with eClinicalWorks? Which payers will you use ERA?

Do you currently print patient statements or send them electronically? Do you provide individual or family statements? Who are your top 10 insurances? (Please List) Are you currently having any major problems with any payers that you are submitting to

electronically?

Miscellaneous How knowledgeable are the providers about coding? Limited, Average, Above Average, Very

Knowledgeable? Will your billing staff create claims using the information contained in the Electronic Medical

Record? If NO – Will you be using a paper encounter form or superbill? Is the use of a paper encounter form temporary?

What is your billing workflow? If multiple locations, do you have a central billing office, or does each office do

their own billing? Is the process the same for both charges and payments?

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Integration Features

DevicesMidmark Devices

eClinicalWorks has developed an interface with Midmark EKG, Spirometer and Holter devices.

If you purchase any of these devices from eClinicalWorks or an eClinicalWorks reseller, there is no charge for the installation of the interface on one computer.

If you already own a Midmark device or plan to purchase a Midmark device through any other vendor, eClinicalWorks charges $500 for the interface (first machine installation is free) and $100/hour for each additional machine installation.

Note: Midmark Return Policy: The device must not be opened and used (new condition) You will be subject to a 25% restocking fee You must pay for shipping back to Midmark Diagnostics Group

Welch Allyn Devices

eClinicalWorks integrates with several Welch Allyn Spot Vital Signs devices, EKG, and Stress Test machines.

eClinicalWorks charges $500 for the interface (first machine installation is free) and $100/hour for each additional machine installation.

For SPOT connectivity (the one with IR), you MUST purchase Welch Allyn Part# 4200-170 for each device. It connects to a serial port. The device communicates via RS232 protocol over infrared. IR ports on laptops use IrDA protocol. A USB to Serial converter can be purchased separately.

For Spot LXi device, you must purchase a standard USB cable to enable connectivity.

For a full list of devices eClinicalWorks has interfaced with, refer to the Customer Care Portal at http://support.eclinicalworks.com. You can receive a 5% discount on this purchase. When checking out, use eclinical as a checkout code.

MedicScaneClinicalWorks is compatible with the MedicScan OCR. MedicScan scans insurance cards as a document which can be attached to Patient Documents. The OCR reader gives the capability to scan in license information directly into the patient demographics. For more information on this product, visit the following website: http://www.medicscan-online.com

Appointment Reminder SystemseClinicalWorks has the ability to interface with some appointment reminder systems. These systems automatically deliver appointment notifications, recall notices, and/or medication reminders for patients. The following is a list of systems eClinicalWorks interfaces with:

Televox (most commonly used) www.televox.com

ReminderPro www.julysoft.com

PhoneTree www.phonetree.com

Tavoca www.tavoca.com

Smile Reminders www.smilereminder.com

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http://www.smilereminder.com/

http://www.tavoca.com/

http://www.phonetree.com/

http://www.julysoft.com/

http://www.televox.com/

http://support.eclinicalworks.com/

There is no charge for the interface with any of the above systems. Please contact the company directly for pricing and any additional information. The client is responsible for enrolling directly with the company and notifying their Project Manager that they have enrolled.

ClearinghouseClearinghouses save you time and money by accelerating the process of claim submission. You can submit claims electronically to the clearinghouse, which, in turn, submits them electronically to insurance companies.

The Importance of Making an Early Decision for a Clearinghouse

You can choose from a variety of clearinghouses, depending on your geographical region, and other factors. The clearinghouse choice is important and changing clearinghouses mid stream is not recommended.

NPI Number

As of May 2007 all providers will be required to have a National Provider Identifier (NPI) number.

A health care provider can obtain a NPI number by submitting an application for an NPI-either on paper through the postal service or electronically over the internet. After the application is successfully processed, the healthcare provider will be notified of its NPI number.

The CMS website (www.cms.hhs.gov/hipaa/hipaa2 ) contains information on when, where and how the NPI application can be obtained.

NPI application form can be located at: http://www.cms.hhs.gov/NationalProvIdentStand/Downloads/NPIapplication.pdf

Clearinghouse Choices

The most common clearinghouses currently used by eClinicalWorks customers are Emdeon and Gateway EDI, which use ANSI format. Should you choose another clearinghouse, please contact the clearinghouse directly to enroll. Your Project Manager should be notified of all approvals you receive from your specified clearinghouse. eClinicalWorks has certified many clearinghouses, and the list of certified clearinghouses continues to grow. For a complete list of clearinghouses, please refer to the Customer Care Portal at http://support.eclinicalworks.com.

Patient Statements

Printing Patient Statements

As part of the eClinicalWorks software, you are able to print Patient Statements. The statement can be configured with the Patient Statement cycle, dunning messages and number of days before the statement goes to collection. These statements are printed on 8 ½ x 11 paper and use Number 10 Left Window envelopes.

ExpressBill

ExpressBill is a patient billing service provided by ExpressBill, a subsidiary of Emdeon (formerly WebMD). This service prints, stuffs envelopes, and mails patient statements. The benefit of this service

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http://www.cms.hhs.gov/NationalProvIdentStand/Downloads/NPIapplication.pdf

http://www.cms.hhs.gov/hipaa/hipaa2

is that the office staff can better utilize their time with other priorities versus printing and stuffing envelopes. The following details the fees for this service:

Print, Stuff, and Mail Letter/Statements

$ .56 for single-page letter/statement (includes outgoing envelope, postage, inner windowed remit envelope, and toll-free transmission line access)**

$ .17 per additional page

$ .03 per page of backside printing with variable data

If you already use ExpressBill or would like to add ExpressBill to your eClinicalWorks installation, inform the Project Manager and he/she will process the enrollment.

**Current cost as of 5/10/07

ePrescribing - SureScripts

ePrescription is an extra feature of eClinicalWorks that allows you to write and send prescriptions electronically to your local pharmacies. ePrescription uses a service called SureScripts that forwards prescriptions from the physician to the pharmacist. ePrescription can be set up for bi-directional communication so that pharmacists and doctors can send new prescriptions and refill requests electronically. SureScripts enrollment is done by eClinicalWorks. Please note the following information for SureScripts:

Physicians can sign up for ePrescribing and start using it as soon as they go live on eCW, if they wish.

For providers who currently use ePrescribing, the enrollment is fairly quick; your Project Manager will provide you with a Change of Vendor form to be filled out and returned for processing.

For providers who are new to ePrescribing, the enrollment may take from 4-6 weeks.

The fee for SureScripts is $25 per month, per provider; a sales agreement is required.

For enrollment purposes, please provide your physician information, including DEA # on page 23.

Patient PortalThe Patient Portal provides an innovative tool for sharing information and communicating with your patient. Certain medical record information such as lab tests, diagnostic imaging tests, immunization alerts, and prescription alerts are displayed on the home page on the Patient Portal. The home page is specific to a patient, and is based on the user name and a password used to log in to the Patient Portal.

The portal offers you the flexibility you need to set up your practice so that the information you want displayed on the Patient Portal reflects your communication needs. You set up lab profiles, reminder and alert messages, and standard visit types and times. You can define how messages are routed to your practice and the frequency with which information is uploaded and downloaded to and from the Patient Portal.

Functions of the Patient Portal are as follows:

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Messages: Send/receive messages to/from doctor’s office. Received Faxed Medication request to Pharmacy

Appointments: Request a new appointment and view upcoming appointments

Medication: Request a prescription refill from pre-populated list of currently refillable prescriptions

Labs: Request a lab; review and examine lab reports

Statements: Examine current and past statements

Demographics: Enter or modify personal information and other demographic information

Reminders: Receive reminders from doctor’s office about when is the next immunization or lab is due

Referrals: List of prior referrals and ability to request new or existing referrals.

Receive an email for reminders, upcoming appointments and statements.

For further information on the Patient Portal options, please contact your project manager or the eCW sales department. A separate sales agreement is required for implementation of the portal.

Fee Schedule

Converting your current Master Fee Schedule to eClinicalWorks will involve a decision point for your practice. It will also present an opportunity for you to evaluate and modify your current fee structure or develop one that is better aligned to your practice needs.

eClinicalWorks offers a few options for loading a Master Fee Schedule into the system. Each of these options allow for alternative methods to make specific and/or global changes to your procedure fees.

Load a custom Fee Schedule – eCW requires the data to be in Excel format. To facilitate this,

your Project Manager will provide you with a fee schedule template. Up to 5 custom fee schedules will be loaded at no additional charge. More than 5 will be billed at standard Data Migration Rates.

Once in this format and prior to giving it to eCW, you may find it’s an ideal time and easier environment to edit or clean-up your existing fee schedule.

Load the Medicare Physician Fee Schedule - eCW will load the geographically adjusted Medicare Fee Schedule for the current year. eCW will then create a new fee schedule for you based on an agreed percentage of the Medicare allowable during training. Example: The practice sets their fee schedule at 150% of the Medicare allowable.

The practice can further modify or customize fee schedules by manually editing directly into the eCW application. Excel is required on the machine which will do any edits to the fee schedules. eCW will automatically update the yearly Medicare Physician Fee Schedule.

When changing your fees, please be aware that this may affect self-pay patients or patients with an 80-20 plan (indemnity). Finally, it is always wise to check the practice fees against the payer allowed amounts, especially for payers that comprise a large percentage of the practice’s revenue.

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Data MigrationData migration involves extracting your data from your existing PM system and moving it to eClinicalWorks. eClinicalWorks can extract and migrate much of your existing data, including, but not limited to the following types of data:

Patient Demographics

Pharmacies

Referring Physicians

Insurances

Guarantor Information

There are two options eClinicalWorks offers clients for extracting the data for data migration. The first option, which most clients prefer, is having eClinicalWorks extract their existing system. The second option is having the client providing the data. The following lists what is required for each method:

eClinicalWorks Extracts

Inform eClinicalWorks of Application/System name

Practice must install TightVNC on the machine that will be used for data extraction.

Inform eClinicalWorks with an Admin username/password on system

Inform eClinicalWorks of location of data on system (path or directory)

Client Provide Data

Prepare data and supply in Excel format in eClinicalWorks’s Data Migration Template

Send file/s to Project Manager via email, CD, or FTP

Once the extraction is performed, regardless of method, the data is reviewed by eClinicalWorks to ensure that the data can be migrated successfully.

Important Note: eClinicalWorks cannot migrate binary, encrypted, or scrambled data

Important Note: eClinicalWorks does not migrate billing information

Standard data migrations are usually completed within 3-4 days. This time is spread over the course of your Implementation, including the many steps in which our Data Migration Team performs to ensure the integrity of your data.

Lab IntegrationeClinicalWorks can be integrated directly with many of the major labs such as Quest or Labcorp to transmit data electronically.

Interface

The lab interfaces may be Uni-directional or Bi-directional.

In order for eCW to have all the lab tests that your practice frequently transmits to the Lab Company, eClinicalWork’s Lab Programmer will be sending you a Lab Compendium Spreadsheet for you to forward onto your Labs. Please have your lab complete this template and return to your Lab Programmer.

Timeframe

The following general rules apply for lab interface lead times:

10-12 weeks lead time required from Go-Live Date for currently interfaced labs

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Up to 6 months lead time required for hospital or local labs, in which eClinicalWorks has never interfaced with before

Cost

eClinicalWorks charges the lab for the interface and not the client.

For a list of labs that eClinicalWorks has developed interfaces with, please refer to the Customer Care Portal at http://support.eclinicalworks.com.

eClinicalWorks FaxingeClinicalWorks allows the client the ability to fax information such as prescriptions, progress notes, lab/diagnostic imaging orders, and results directly from the software environment.

Clients should do an analysis of the number of faxes sent and received on a daily basis. If you have multiple locations, this analysis should be done at each location. Client should monitor what type of documents they are sending out (referrals vs prescriptions) as well. If you plan to use SureScripts, this will decrease the number of faxes sent significantly as your prescriptions will be done electronically.

eClinicalWorks needs for the client to provide the provider(s) signature(s) in a .jpg format for training. Please save these signatures in a folder on your server entitled “eCW Signatures” and be sure to let your trainer know where to find this folder. Your trainer will set your system up to print the provider’s signatures for prescriptions, progress notes, referrals, etc. If you would like a copy of the default prescription format, please ask the Project Manager.

Refer to Section IV (FaxServer Requirements and Faxing Details) to see what is required for performing eClinicalWorks faxing.

HardwareProper hardware and network configuration is crucial to the success of your eClinicalWorks system. The network (including the server, workstations, tablets, laptops, PDA’s, modems, analog phone lines, printers and scanners) must be fully installed prior to the Network Check, so that during the Network Check eClinicalWorks can confirm all equipment specs and network speeds are within specifications.

eClinicalWorks provides every client with a Hardware Requirements document that states the minimum requirements needed for the network. The client should review this document with their IT specialist to ensure proper ordering or upgrading of equipment. For further information on the hardware refer to Section IV: IT Information & Checklist.

Once the client has determined all the components to their network, eClinicalWorks asks that you provide this information to your Project Manager for review. This way eClinicalWorks can make sure that all equipment meets specifications for the practice and nothing has been overlooked.

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Network CheckThe Network Check is performed by eClinicalWorks approximately 6 weeks before training to ensure the network meets specifications and all hardware and devices are ready for Installation. eClinicalWorks remotely connects to the client’s network via TightVNC (a remote desktop sharing program) to perform this important step in the Implementation process. The following is a list of what is verified during the Network Check:

Check server power & network connectivity

Verify that all network components, machines, and software are configured correctly and in working order

Verify systems meet the minimum eClinicalWorks hardware specifications (processor speed, memory, hard drive space, operating system, routers)

Verify all Service Packs are installed

Test the scanner

Test the analog line, US Robotics Modem & FaxServer (no VOIP lines)

Verify all outgoing ports are open if part of a hospital network

Verify that you can FTP from other FTP servers

Verify that all machines are able to connect to the internet

Check for speed between the server and client machines (workstations, laptops, tablets)

Test the speed between multiple locations

Load setup files

The Installation team uses the information from Section IV: IT Information & Checklist of this document during the Network Check. It is crucial that the client completes and returns Section IV no later than two weeks prior to the scheduled Network Check. If this document is not received on time; the Network Check, Installation, and Training may be postponed.

Also, eClinicalWorks requires that the IT specialist be available at the practice during the Network Check, which typically lasts two hours.

InstallationThe installation of eClinicalWorks is performed 4 weeks before training. The eClinicalWorks Installation team will remotely connect to the client’s Network and install the software on the server and all the clients on the network via Tight VNC.

eClinicalWorks requires that the IT specialist be available at the practice during the Installation, which typically lasts between 6 – 8 hours.

Depending on the number of servers and client machines which require eClinicalWorks to be installed on, the installation could take more than one day. eCW can complete installations in one day when there is 1 server and up to 10 client machines. Additional clients will need additional time. eClinicalWorks will teach your IT individual how to install the client software.

Any hardware that is not ready for the installation will need additional time scheduled to complete. This additional time is billable. Please refer to the eClinicalWorks Labor Charge sheet for details on charges.

Customer Care Portal 4/10/2023

The Customer Care Portal is a website maintained by eCW where the following information can be accessed:

Log of eClinicalWorks Telephone and Web Encounters

Frequently Asked Questions

Implementation Documents

Reference Information (Clearinghouses, Labs, Devices, and Direct Payers that eClinicalWorks have interfaced with)

eClinicalWorks Help Documents

eCW’s Media Presentations (excellent resource)

Recommend Your Favorite IT Person

Host an Open House

To access this website go to: http://support.eclinicalworks.com and log on. A username and password will be provided during the Kick Off call.

TrainingRefer to Section II of this document for a comprehensive description of what to expect during Training

Post TrainingFollow Up Sessions

Following your Go Live of eClinicalWorks, you should attend a ‘Go Live Training’ webinar. This webinar is a free offering which covers Generic Templates, Patient Specific Templates, eCliniSense, Generic Alerts, Patient Specific Alerts, Telephone Encounters, Ordering and Reviewing Labs and Reviewing Documents.

Within the following weeks of your Go-Live date, eClinicalWorks will provide mandatory no charge Follow-Up Training sessions. The first one that is available is a Go Live Session. Please visit the Support Portal (support.eclinicalworks.com) for a scheudle and how to sign up for these sessions.

Additional sessions are available which are geared to billing – Claim Submission, Payment Posting & Statements, Collections & Billing Alert Recalls, and Billing Expert Session. The date for the Claims Submission will be provided to you during your implementation. The following sessions will be scheduled with the eClinicalWorks Biller who performed the Claims Submission training.

Expert Sessions

Once the client has successfully completed eClinicalWorks Training, an Expert EMR Session with eClinicalWorks Product Specialist. The scheduled date and time will be provided after your go-live.

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Continuing Education

Product Documentation Available on the Customer Care Portal (http://support.eclinicalworks.com) Includes comprehensive documentation on the EMR, Front Office, Billing, Administration, New

Releases, and Patient Portal. The EMR Guide includes documentation on SureScripts as well.

Videos The new videos include Payment Posting, NPI, HCFA and UB92 Alignment. A new one will be

available soon for Processing Statements. The SureScripts video that is on our portal is a sales demonstration/overview of SureScripts. It is

NOT for training purposes.

Webinar Training There are quite a few training classes that are available through Webinars. Clients should attend

these as they will find them to be quite informative! Current Class Offerings:

o Version 7.5 PM and Version 7.5 EMR – These are being offered once per day. All clients receiving an upgrade should sign up for these classes.

o eCliniForms/Specialty Forms/Flowsheets/Inking Class

o Alerts & Recalls/Referrals Class

o Back Office I & II classes – covers many back office functions that all practices may not know about

o Mid Office class – covers many mid office functions that all practice may not know about o Collection Management & Alerts

o Sure Scripts

o APL Reports

o OB Flowsheet o Bubble sheets

o Billing/Payments/ERA

o Schedule and Letters

o Lab/DI Workflow

o Patient Portal and SureScripts combo class

eCW Newsletter Clients should sign up for the newsletter. This is how you will find out info on new versions, new

documentation, new training opportunities, new videos, updates on support processes, etc. There are many places for you to sign up from, but the easiest is for them to click on the Help

menu in eClinicalWorks and there is an option for sign-up.

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SupportIf you encounter any problems after Training, please contact support at 508-836-3663 or log your support request through the web at

http://support.eclinicalworks.com.

Call Center Hours: 8:00 am to 6:00 pm (EST) Monday - Friday

Support Portal Hours: 6:00 am to Midnight (EST) Monday - Friday

8:00 am to 6:00 pm (EST) Saturday & Sunday

eClinicalWorks agrees to provide bug fixes to the software comprising the products in a timely fashion that will not impact our Client’s beneficial use of the products at the practice. When problems are reported, eClinicalWorks will adhere to the following schedule to resolve the issues:

Severity Description Response Time Resolution

P0*Critical/Show stopper. System cannot function or suggested alternative has drastic impact on the productivity

1 Hour 4 Hours

P1Minor error. System can function. Clear work around available.

4 Hours 5 Days

P2 Functional Enhancement 48 Hours Next Upgrade Release

Users Group

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If you are interested in sharing your experiences or workflow suggestions, please join a Users Group at http://www.ecwusers.com. For your information, the Users Group is not operated by eClinicalWorks staff.

2007 Holiday Schedule

eClinicalWorks observes the following holidays; therefore, there will be no support staff available on these days:

New Year’s Day January 1

President’s Day February 19

Memorial Day May 28

Independence Day July 4

Labor Day September 3

Thanksgiving Holiday November 22 & 23

Christmas December 25

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http://www.ecwusers.com/

Additional InformationLabor Charges

The following table reflects eClinicalWork’s fees assessed if a task is cancelled by/or due to the client before the allotted time, if additional trainings and installations are requested other than outlined in your contract or if custom work is requested. This does not replace the terms & conditions of your contract.

Item Labor Charge

On-Site Visit $750/day per person + travel expenses

Remote Training $100/hour, 1 hour minimum

Super User Training $750/day + travel expenses

Cancellation or Rescheduling of Network Check (less than 1 week of scheduled date)

$200 each incident

Cancellation or Rescheduling of Installation (less than 1 week of scheduled date)

$250 each incident

Cancellation or Rescheduling of Training (less than 2 weeks of scheduled date)

$100 per ticket + $750/per trainer/per week

Devices* (installation of interface on additional computers or re-installs)

$100/hour, 1 hour minimum

Computers not listed in the IT Checklist $100/hour, 1 hour minimum

Computers not ready at time of Installation $100/hour, 1 hour minimum

Server name change after Installation (requires clients reconfiguring) $100/hour, 1 hour minimum

Installation of Fax Server because it was not ready for install or on a different machine other than the one it was initially installed on

$100/hour, 1 hour minimum

Server or Client Re-Install due to hardware issue on client’s side $100/hour, 1 hour minimum

New Employee Training or Additional Training $100/hour, 1 hour minimum

Specialty Forms – Non-existing (newly developed form) $500 each form

Specialty Forms – Major customization resulting in a new form $500 each form

Specialty Forms – Customization of any data field in an existing specialty form in eCW

$250 each form

Bubble Sheets created by eClinicalWorks $500 per day

Database Customization $40 per hour

SSS Reload – One-time SSS upload is free; reload required by practice request or if initial information provided was incorrect

$500

*Midmark & Welch Allyn products – if not purchased through eCW, there is at $500.00 interface charge.

A copy of the Labor Charge Sheet will be sent to you separately for your signature. eClinicalWorks can not proceed with your implementation without this signed document.

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Section II: Software Training

Training OverviewThe eClinicalWorks training course is designed to instruct the client and staff on the use of the current version of eClinicalWorks EMR and Practice Management Software Suites. Part of the training includes hands-on scenarios, in which users are given the opportunity to practice using eClinicalWorks software.

The following sections describe what is presented to the staff during training. Please understand that these are typical scenarios and may be modified if requested by the practice:

All Office Members Front Office Mid Office – I (Medical Assistants/Nurse) Mid Office – II (Providers) Billing

All Office Members

Overview of the system

Basic navigation and orientation to the system. This includes using different buttons and icons on the system, changing screens, logging on and off, changing passwords, etc.

Patient Lookup

Pulling out a patient’s file/folder. Check patient’s previous or future visits, calls made by a patient, patient’s medical history, etc.

Telephone Triaging

How to document telephone messages, assign these to different people in the office, address them or keep it open to follow-up with patients. Typical examples handled by the software are: refill requests, medical records, calls from doctor, etc.

Messaging

Sending an internal message or an email to someone in the office. These messages are generally not patient-specific.

Front Office

Overview of the system

Basic navigation and orientation to the system. This includes using different buttons and icons on the system, changing screens, logging on and off, changing passwords, etc.

Patient Registration

Adding a new patient in the system. This includes adding/changing patient demographics which includes name, address, telephone nos., responsible party, insurance, favorite pharmacy, etc.

Creating Appointments and Blocks

Train users on how to schedule patient appointments and block provider schedules. Entering the type of appointment, reason of visit, and any note for the scheduled date and time.

Patient Check-in/Check-out

Changing patient visit status, updating patient demographics, scanning insurance cards, making incoming referrals, making follow-up appointments and collecting co-pay

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Document Management/Scanning

Scanning single and multiple pages, moving scanned pages, assigning documents to office members and faxing scanned documents

Mid Office – I (Medical Assistant/Nurses)

Progress Notes

Post assigning a patient to the room number, the MA/Nurse would enter the patient details on the progress notes. This typically includes adding chief complaints, medications, some other history details and vital signs.

Lab, Imaging and Immunizations Flow

Ordering a lab, commenting notes for labs, sending orders to lab companies, sending them to the doctors to review, scan in results, etc.

Document Management

Reviewing scanned or faxed documents, assigning it to providers or other staff, commenting documents and inking documents on tablets

Referrals

Documenting referrals: including adding a referring doctor, visits allowed, authorizations, reason of referral, and any notes. These can be faxed or printed.

Alerts/Recalls

Setting up patient specific alerts or reminders and periodically running recalls to check patients who are due

Mid Office – II (Providers)

Progress Notes

Training on the SOAP note. Details HPI, Exam, Diagnosis, Plan and Coding. Also includes faxing scripts, orders, progress notes and consult notes.

Templates

Creating predefined progress notes, merging more than one template and copying a patient’s previous chart for a follow-up.

Flowsheets

Developing custom flowsheets and running them for patients

Lab, Imaging Tracking

Ordering a lab, commenting notes for labs, sending orders to lab companies, and sending them to the nurses to follow-up and review lab results

Document Management

Reviewing scanned or faxed documents, assigning it to other staff, commenting documents and inking documents on tablets

Referrals

Making a referral and assigning

Alerts/Recalls

Setting up patient specific alerts or reminders and periodically running recalls to check patients who are due.

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Billing

Foundations of Billing

Basic system set-up; Facility, Insurance, Provider details, Fee Schedule, ICD, CPT favorites, etc

Claim Processing

Creating claims, checking claims, changing claim status to ready to send electronically or by paper

Payment Posting

Posting insurance and patient payments, electronic remittance, and refund posting

Accounts Lookup

Checking patient balances, viewing accounts, sending patient statements, setting patient billing alerts, posting billing notes.

Collection Management

Working collection work-list and sending work-list letters

Reports

Running various system related reports.

Training Recommendations The following minimum number of hours should be allocated during training for each user to fully

benefit from the training:

Providers - 12 hours Billers - 12 hours Front Office & Mid Office – 8 hours

The Office/Practice Manager should view the Initial Setup tutorial found on the Customer Care Portal and begin setting up the software.

The Billing personnel must be present on Day 1 of training and should view the Foundations of Billing tutorial found on the Customer Care Portal.

eClinicalWorks does not recommend a full patient load during training. Work with the Project Manager to discuss the best scenario for the practice.

During training, eClinicalWorks recommends that doctor’s appointments be scheduled for double the appointment time (e.g. for a 15 minutes visit schedule 30 minutes). This will allow the doctor to have time to finish chart notes.

Allow time for personnel to get trained in the different areas if their roles overlap.

Trainers will bring in a Checklist for the Office/Practice Manager or Doctor to sign upon completion of training. Trainers in turn will give one copy to the practice and submit one copy to the Project Manager at eClinicalWorks.

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Section III: Practice Information & Checklist**** Fax Section III back no later than 2 weeks after Kick Off call ****

Project Manager __________________________ Fax: 508-475-3003

Practice Name: __________________________________________________________________

Practice Address: ________________________________________________________________

Contact Person: _________________________________________________________________

Office #: ___________________________ Fax #: ________________________________

Backline #: __________________________ Cell #: ________________________________

Email: _________________________________________________________________________

Office Manager: ______________________________Phone # ____________________________

Billing Mgr: _________________________________ Phone # ____________________________

Who will attend the System Setup Training & Billing Setup Training? _______________________

eCW System Administrator: ________________________________________________________

(This person would define security rights within the system as well as receive email notifications regarding upgrades to the system)

Hours of Operation: ______________________________________________________________

Nos. of Providers (Doctors, PAs, or NPs): _______

Nos. of Supporting Staff (Nurses, Administrative, Front Office, Billing, etc): _______

Specialty: ______________________________________________________________________

# of Locations: ______ Location 1:____________________ Location 2:___________________

Location 3:____________________ Location 4:___________________

IT Contact Person: ______________________________________________________________

Office #: ___________________________ Cell #: _______________________________

Email: ________________________________________________________________________

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Integration FeaturesFor detailed information on the following features, refer to Section I: Integration Features

DEVICES: Yes No

Midmark: EKG Spirometer Holter

Welch Allyn: EKG Spot Vital Signs Stress Test Machines

Model#: __________________________________________________

Other: ___________________________________________________

Note: You may order Midmark equipment through eClinicalWorks and the cost of the interface on one computer is included in the price. If you have existing Midmark equipment, the cost of the interface on one computer is $500. Installation on additional computers, regardless where purchased, will be billed at $100/hr.

APPOINTMENT REMINDER SYSTEM: Yes No

Televox ReminderPro PhoneTree Tavoca Smile Reminder

DRAGON NATURALLY SPEAKING: Yes No

MEDICSCAN OCR: Yes No

SURESCRIPTS: Yes No

If yes, please provide your provider(s) DEA #(s) on the chart on Page 26.

Are you currently using SureScripts? Yes No

Are you currently using any other ePrescribing services? Yes No

Name of Service:________________________________

PATIENT PORTAL: Yes No

CLEARINGHOUSE: Yes No N/A

Clearinghouse: _______________________________ Modem Required or Web-based

Are you using a Clearinghouse currently? If so, which one: _______________________________

Do you have an experienced medical biller on staff? Yes No

Will you be using UB92’s for billing (eg. hospital or rural health clinics billing)? Yes No

Are you a Medicare approved Rural Health Center? Yes No

Are you a Federally Qualified Health Center (FQHC)? Yes No

Are you interested in enrolling for Electronic Remittance Advice (ERA)? Yes No

Note: An analog phone line may be required for submitting electronic claims to some Clearinghouses. If so, the billing workstation must have an external modem and dedicated analog

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line for Clearinghouse submission. Refer to the Custom Care Portal or ask your Project Manager to see if an external modem is required. eClinicalWorks supports the US Robotics Modem.

**eCW will require copies of HCFAs and EOBs from your top 5 government and top 5 commercial payers as well as a copy of your NPI confirmation letter(s) per provider. If you have a group number, you need only to send one for each of the top 5 government and one for each of the top 5 commercial payers. These must be copies of true patients (not “test” patients) and must include true patient & insurance information. All information provided to eCW is confidential and protected by HIPPAA.

PATIENT STATEMENTS: Yes No N/A

ExpressBill Other: _____________________________________

Received signed Business Associate Agreement

Which credit cards do you accept? MC Visa Discover Amex

Estimated number of statements per month: __________

Would you like a payment due by date? Yes No

If yes: ‘Payment Due Upon Receipt’ 30 days 45 days ______ days

Would you like a Custom Logo*? Yes No

If yes, send the logo in a jpg format for ExpressBill to the Project Manager. * There is a charge for logos in color.

FEE SCHEDULE: Yes N/A

Load 2007 Standard Medicare fee schedule based on area

or

Load Custom fee schedule provided by client in Excel format

DATA MIGRATION: Yes No

System migrating from: ____________________________________________________________

Data to be migrated:

Patient Demographics

Insurances

Guarantor Information

Referring Physicians

Pharmacies

Appointment Information

Note: Please note the typical migration takes approximately 3 – 4 days of programming, depending on your existing software data format and platform on which it is located. This includes a 1st extraction, evaluation by eClinicalWorks and client, 2nd extraction, and final migration. The data migration process is performed over the course of your implementation.

eCW must be able to connect to your current system within 2 weeks of the Kick Off Call to confirm that data can be extracted. If you are undecided at this time, please be sure to give eClinicalWorks 8-10 weeks notice if you decide to do a migration. If eClinicalWorks is not notified in time, there

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may be a delay in the data migration.

LAB INTERFACE: Yes No

Lab: _____________________ Contact person: _______________________________________

Interface Type: Uni-Dir (Results Only) or Bi-Dir (Orders & Results)





Note: Allow 10-12 weeks AFTER your go-live date for processing the lab interface

Check the Custom Care Portal or ask the Project Manager for what labs are feasible for a bi-dir interface

HARDWARE:

Hi-speed Connection Type: T1 Frac-T1 Cable DSL Other: ________

**T1 line must be dedicated. T1 lines shared with voice have proven to cause performance issues (slowness & freezing); therefore T1 lines must be dedicated.

Upload/Download Speed: ___________________________________

Quantity of Equipment:

Server: ______ Laptops: ______ PDA’s: ______ Scanners: ______

Workstations: ______ Tablets: ______ Printers: ______ Modems: ______

Hardware Specs sent to Project Manager for Review before Ordering

FaxServer requirements explained (No VOIP lines, must be dedicated analog line)

CUSTOMER CARE PORTAL:

Website: http://support.eclinicalworks.com

Username:______________________________ Pwd: _______________________

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Provider License Setup Complete the table below for only the licensed providers that will be using eClinicalWorks.

Provider Name / Credentials Specialty DEA # (for SureScripts)

ex: Frank B. Smith, MD Internal Medicine 1234567

PLEASE NOTE:

Per Medicare, Physician Assistants and Nurse Practitioners are REQUIRED to have their own provider numbers. If credentialing is in process, they may submit claims using the supervising physician’s provider number.

Per Medicaid, Physician Assistants and Nurse Practitioners are NOT required to have their own provider numbers. However, if they intend to insert their name on a claim, they will be required to obtain a provider number.

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Section IV: IT Information & Checklist**** Fax Section IV back no later than 2 weeks prior to Network Check ****

Be advised if this section is not received within 2 weeks of the Network Check, eClinicalWorks will not be able to proceed and scheduled Installation & Training dates may be in jeopardy

IT Specialist must be on-site during the Network Check & Installation

Project Manager ______________________________ Fax: 508-475-3003

Practice: ________________________________________________________________

IT Contact: ________________________________________________________________

Phone Number: ________________________________________________________________

NetworkThe network has to be fully configured for the Network Check. This includes a high speed internet connection, installation of server, client workstations, laptops, tablets, PDAs, printers, and scanners at every location.

High Speed Internet

High-Speed internet is available at all locations

Recommended connections include: DSL, Cable Mode, T1 (must be dedicated; can not be shared with voice), or T3 (eClinicalWorks will not be able to install via dial-up)

The main firewall for your network should block all the incoming ports to your network. Firewall should be configured to allow FTP download and upload (ports 20-21).

Upload/Download speeds need to be sufficient for eClinicalWorks to remotely work on the network and download large files. Refer to table below for required network speeds:

Nos. of Concurrent Users (sharing this connection)

Required Upload Speed

Required Download Speed

1 – 10 Concurrent Users 512Kb/s 768Kb/s

11 – 20 Concurrent Users* 768Kb/s 768Kb/s

21 – 30 Concurrent Users 1.5MBPS 1.5MBPS

*Some practices may require T1 bandwidth speeds depending on usage.

Do you have high-speed internet access at all locations? Yes No

Location 1: Type: Upload/Download Speed:




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Remote Connection Options

Some practices have multiple locations or would like to access eClinicalWorks from home. A VPN connection is required if the practice has multiple locations but there are other options available. The following are some options to consider:

VPN (Virtual Private Network) is a way to connect from location to location over Internet in a secure manner. There are several ways to accomplish this. The following options would provide remote access:

Hardware VPN connections Static IP address Inexpensive hardware & easy to configure the routers Requires VPN Router at each location Linksys VPN routers are good

Server Hardware & Client Software Connection Static IP Address Only one VPN router installed at main location Client uses software to connect Can connect securely from any location with just an internet connection CISCO VPN Routers with 10 client licenses (depending on how many users)

Remote Desktop Connection Static IP Address A port should be open (3389) Connection is secure Cannot use full features of the product like scanning, document attachment. It is part of the operating system

VNC It is similar to Remote Desktop Connection Uses very Low bandwidth Easy to setup and use Really very thin client VNC must be installed on the server & client workstations at the main and remote

locations

Do not install Microsoft VPN services or Microsoft Remote Access, alias Remote Access Connection Manager) on the server running eClinicalWorks

Disable routing and remote services on the server running eClinicalWorks

Are there multi locations? Yes No

If yes, do these locations have VPN access? Yes No

Speed between Server and Location 1:




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Server & ClientsThe following is a list of requirements for the server and clients on the eClinicalWorks network. If any of these items are not checked or are violated at anytime, eCW can not support performance issues.

Server is Windows 2003 Standard Edition (Windows Small Business Server will NOT be supported). AMD Opteron and AMD Athlons are also acceptable.

Server is not setup as a DNS or DHCP server

Server is not setup as a Domain Controller, VPN server, RAS server, or RDP server

Internal static IP is assigned for the server

Server is directly connected to main Switch or Router in the network for better performance

Internet Explorer version 6.0 or later is installed on all computers

Server has a minimum of 80GB of hard disk space free. Please refer to our hardware specifications sheet for further information.

Server has a minimum of 3 - 5GB of hard disk space free on the “C” drive.

If greater than 20 users or multi-site practice, a Gigabit switch is mandatory. Gigabit network cards for the server are required.

TightVNC is installed on your eClinicalWorks and all computers. TightVNC is used by the eClinicalWorks Installation and Support team to connect to the server and other workstations at your practice. This free software can be download from the following website:

http://www.tightvnc.com

Server is not open to the internet. The following ports should be specifically closed to the internet:

MySQL 4928Tomcat 8080

Open “outgoing port range” 9000-9100, 9300-9400 for eClinicalWorks Support, 9900-9999 for eClinicalWorks Trainers for VNC connections.

Port 80 is open for AutoPracticeUpgrade to run; FTP must also be enabled

Celeron and Duron processors are NOT permitted on eCW workstations due to poor performance issues and will not be supported. Low Cache, low clock & bus speed are much lower than Pentiums, which will cause the performance issues.

All workstations/laptops should have Windows XP Professional with Service Pack 2. Tablets should have Windows XP Tablet Edition 2005 with Service Pack 2. Other acceptable desktop processors are Sempron and Athlon.

Clients have a minimum of 5GB of hard disk space free.

MS Word is required to be installed on any computer where the user will be printing letters and/or superbills.

MS Excel is required to be installed on any workstation only if importing custom fee schedules and/or working on the System Setup Spreadsheet.

Computer names should not be changed after Installation has occurred

Wireless phones do interfere with wireless networks if operating under the same bandwidth

Cisco wireless router/access points have been installed for wireless connection (Low end routers are prone to error and will result in wireless speed issues in the long run).

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http://www.tightvnc.com/

Computers

Ove

rvie

wQty of Servers

Qty of Clients

Qty of Desktops

Qty of Tablets

Qty of Laptops

Qty of PDAs

Qty of Printers

Qty of Scanners

Ser

ver

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

Hard Drive Configuration

Hard Disk Available Space

TCP/IP Ports Open

Remote Connectivity Software

(e.g. TightVNC, PC Anywhere, Remote Desktop, Net Meeting, etc)

Type:

If applicable, Username:

Password:

Interfaces

Inte

rfa

ces

Will you require an interface to any Midmark or Welch Allyn devices? Yes No

If so, indicate what computers to install interface and what device:

Computer: Device: Midmark Welch Allyn





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BillingIndicate what computer will be used as the billing computer:

Bill

ing

Computer Name:

Phone Line Available? Yes No N/A (Clearinghouse Web-based)

Modem Available? Yes No N/A (Clearinghouse Web-based)

FaxServer Requirements and Faxing DetailsThe FaxServer must be installed on it’s own dedicated workstation. Refer to the Hardware Specifications document for workstation recommendations.

The FaxServer requires an external US ROBOTICS 5686E modem or an internal US ROBOTICS 5610B modem and a dedicated Analog Phone Line. If you choose to use the external US ROBOTICS 5686E modem, you will need a separate serial cable (not USB) and serial card with male connector in order to connect the US Robotics 5686E Modem. eClinicalWorks only supports the US Robotics Modem.

For practices that have greater than a total of 300-400 faxes per day (incoming and outgoing combined), the Digi Acceleport RAS modem would be recommended. With this modem the practice will receive faxes on multiple phone lines and send faxes on other phone lines. Note: Minimum of two dedicated phone lines will be required. The digiboard requires a larger chasis, please be sure to purchase the correct hardware for a digiboard installation. For more information on this product refer to the following website: http://www.digi.com/products/multimodemadapters/acceleportrasfamily.jsp.

The analog line for the FaxServer has to be dedicated (separate from the analog line used for Clearinghouse transmission). This line can not be shared, split or VOIP.

eClinicalWorks FaxServer should always be logged in as ADMINISTRATOR

The FaxServer computer must have only one login at any given time. Multiple logins must be disabled on the FaxServer computer and the FaxServer application must be running in a console session.

eClinicalWorks FaxServer should always stay powered on for sending and receiving faxes

Printer drivers cannot be installed on the eClinicalWorks FaxServer computer

eClinicalWorks FaxServer and Windows FaxServer cannot work together on the same computer

Faxing prescriptions can be accomplished from all computers on the network

Indicate what computer will be used as the FaxServer computer:

Fax

Ser

ver Computer Name:

Modem Available? Yes No

Phone Line Available? Yes No

Phone Number: __________________ Incoming Outgoing Both

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http://www.digi.com/products/multimodemadapters/acceleportrasfamily.jsp

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Computers (continued)

Clie

nt 1

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 2

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 3

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 4

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 5

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

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Computers (continued)C

lient

6Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 7

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 8

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 9

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

Clie

nt 1

0

Computer Name

Operating System

Admin Password

IP Address

RAM

Processor

HD Size/Free Space

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PeripheralsIndicate what peripheral devices that will be used on the network:

Note: Printers must be network enabled

Prin

ters

Manufacturer/Model Nos. Network Enabled

Note: Scanners must be TWAIN compatible

Note: For the most efficient use of file size, use the following scanner settings:

150 or 100 x 100 DPI 1 or 8 bit gray color Group 4 lzw compression TIFF

Sca

nne

rs

Manufacturer/Model Nos. Twain Compliant

Note: eClinicalWorks does not support Palm Pilot PDA

Note: Pocket PC 2003 is the required operating system on a PDA

PD

As

Manufacturer / Model Nos. / Operating System

Mis

c

Manufacturer / Model Nos.

Dymo Label 400 Series Printer:

MedicScan OCR Card Scanner:

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