| DESCRIPTION | The New Clinic Visits option allows you to enter A&SP clinic visits into the computer. When entering a new visit, if all required information is not typed in, the entire visit is deleted. This is done to eliminate errors caused by incomplete data. After you identify the division and clinic location, the software asks youfor the visit date. QUASAR defaults to today's date and will accept anyDHCP date format except a future date. At the "Select A&SP Patient Name" prompt, enter the patient's name. If a new name is entered (i.e., a name not previously in the A&SP PATIENT file (#509850.2)), QUASAR asks if you want to add the new patient to the file. The software also gives you the cumulative count of unique patients entered in the file. If the selected patient does not have a Primary Eligibility the systemdisplays an error message to this effect and returns to the divisionprompt. If you have not selected an existing visit and the Send to PCE value onthe Site Parameters file for the selected division is set to true thesystem checks to see if there are any appointments set up for this patienton this date. If there are they are displayed, you have the option toselect one. If you select an appointment the appointment time is used topopulate the visit time field in the visit record. If there are noappointments for the patient the system then checks if there are any PCEvisits for the patient on the selected day. If there are they aredisplayed and you are given the option to select one. If one is selecteddata from the PCE visit (that is valid within QUASAR) is used to populatethe visit record. Next, QUASAR provides a brief patient inquiry excerpt, a list of rated disabilities, Service Connected data and the A&SP problem list if anydiagnostic codes have been entered. You are then required to enter a visit time. You are asked to enter the initial visit date. If the patient is a new patient, the initial visit date is the date of the patient's first A&SP clinic visit. If the USE ASP CLINIC FILE NUMBER parameter is set to YES for theDivision, the system shall prompt you to enter the Local Clinic Number forthe Patient. If the USE C&P parameter is set to YES for the Division, then the systemshall look for an open C&P request for the Patient. If one is found thenthe system will prompt if the Visit you are entering is a C&P Exam. If you have selected a PCE Visit then the system will have retrievedall the Diagnosis Codes from the PCE Visit that are valid for QUASAR andthese codes shall be displayed. You will not have to re-enter the sameDiagnosis Codes into QUASAR.QUASAR asks for a diagnostic code (i.e., ICD-9-CM code). For evaluations, the disease codes are those conditions found to be present during the evaluation. For treatment and therapy visits, the disease codes are those conditions which are TREATED. Conditions previously diagnosed during an evaluation but not treated during the visit are NOT entered. The first code entered is always assumed to be the primary complaint. Disease codes are added to the Problem List. You should exercise caution when entering disease codes. If the Send to PCE parameter for the Division is set to NO the VisitEligibility will not be prompted.If the Send to PCE parameter for the Division is set to YES and thePatient is not defined as Service Connected then the system will set theVisit Eligibility to the Patient's Primary Eligibility and this field willnot be displayed. If the Send to PCE parameter for the Patient is set to YES and the Patientis Service Connected the system will prompt for the Visit Eligibility. Itwill display all the Patient's Eligibilities. If the list of Eligibilitiesdoes not include NSC (Non-Service Connected) then this will also bedisplayed. The system shall prompt the user to select an Eligibility forthe Visit from those displayed. If the Send To PCE parameter is set to YES for the Division, and thePatient is Service Connected then the system shall prompt if the Visit'sTreatment was Service Connected. If the Send To PCE parameter is set to YES for the Division, the Visit'sTreatment is Service Connected and the Patient is classified as havingbeen exposed to Agent Orange, the system shall prompt if the Visit'sTreatment was related to Agent Orange Exposure. If the Send To PCE parameter is set to YES for the Division, the Visit'sTreatment is Service Connected and the Patient is classified as havingbeen exposed to Radiation, the system shall prompt if the Visit'sTreatment was related to Radiation Exposure. If the Send To PCE parameter is set to YES for the Division, the Visit'sTreatment is Service Connected and the Patient is classified as havingbeen exposed to Environmental Contaminants, the system shall prompt if theVisit's Treatment was related to Environmental Contaminants. Depending on your site parameter settings, the software may ask foraudiometric data. These data fields are used to enter audiometric thresholds and word recognition scores. The audiometric fields appear for all C&P exams (even when a code for normal hearing [389.8] is entered) and for any routine audiometric evaluation where a hearing loss code is entered in the diagnostic code field. The audiometric data field does not appear when a code for normal hearing (389.8) or when a non-hearing loss code (e.g., dizziness 780.4) is entered in the diagnostic code field. Enter a whole number between -10 and 105. Missing data is coded as 1. No response at the limits of the audiometer or 105 dB HL, whichever is lower, is coded as 110.Note: VACO prohibits presentation of audiometric stimuli. If the user selected a PCE Visit, the system shall copy the Providersassociated with the PCE Visit over to QUASAR, discarding any that are notdefined as active on the A&SP Staff file. Prior to prompting for theProviders for this visit, the system shall display the Providers copiedover from PCE. Next, you are prompted for Primary Provider, Secondary Provider andStudent. The Primary Provider field contains the name of the primary A&SPProvider who participated in the exam. If a second Provider was involvedwith the visit, enter his or her name. If a Student was involved withthis visit, enter the student's name. A screen allows you to select onlyProviders and Students, who are active on the exam visit date. If the you selected a PCE Visit, the system shall copy the Procedurecodes and any associated CPT Modifiers and Procedure Volumes, for thatVisit over to QUASAR, discarding any that are not defined as active on theA&SP Procedure file or the A&SP CPT Modifier File. Prior to asking you toenter the Procedures for this visit, the system shall display anyProcedures (with CPT Modifiers and Volume) copied over from PCE. QUASAR asks for a procedure code (i.e., CPT-4 code).After entering a CPT Procedure code the system shall prompt for any CPTModifiers (if appropriate) and a Volume, before returning to ask foranother CPT Procedure Code. The final prompt is for the total time spent during the clinic visit. Time is recorded in minutes and is to include direct (e.g., face-to-face) and indirect time (e.g., paperwork, documentation, administration). If the Send to PCE parameter is set to YES for the Division the systemshall ensure that the each of the required PCE fields has had dataentered. If any required fields have not had data entered they aredisplayed. You then have the option to return to the amend the visit orquit and therefore delete the visit. The New Clinic Visits option is not used to edit visits. Existing clinic visits can be edited with the Edit an Existing Visit option. |