Peri-Operative Management (Web App)

PART 3: Syncing the Theatre List back to GoodX Web

• The theatre list will be synced back to the Theatre Diary, where the Patient's details and booking will now be visible.

TAKE NOTE: Capturing data on GrandX Change does not create the Debtors in the Anesthesiologists GoodX Web App but creates a shared knowledge base for the Practitioners who are involved in the shared procedures (The Theater lists). The medical debtors must still be opened in the Web App based on the shared information from the Surgeon like captured on GrandX Change.

• The Anesthesiologists can now add the Patients to their system by creating a new Debtor.
• Click on the booking and on the sidebar click on 'Debtor Add'

• The Debtor Input Screen will open.
  
• The information of the Main Member (the account holder) will be on the LEFT side of the screen. This person will be liable for the settlement of the account should the Medical Aid decline payment. The Patients (Dependants) will be on the right side of the screen. 
• Choose the Type of Debtor. The program selects Normal Debtor by default. But you can change it to Private if the patient is a cash patient.
• To duplicate the Physical address to the Postal address, click on the Duplicate Physical Address button.
• If the patient is also the Main Member, click on the Duplicate Debtor button under the Patent Details on the right side of the screen to copy his details to the patient input boxes.
• Click SAVE to store the Debtor's details in your database.

TAKE NOTE: You can also Import a Debtor's Information from the Medical Aid if they are on a Medical Aid. Please click on the link Patient Validation/Dependant Date/New Debtor Import/Benefit Check to see how you can Import a Patient from the Debtor Input Screen.

• The Patient will now be an Existing Debtor on the Anesthesiologists GoodX Web App so they will be able to complete the rest of the Operation Info, Progress, and Billing

• Double click on the booking to open the Operation Info screen.
• The Theater Details (Diary, Start time, Duration), Operation Team, Operation Details, and Patient Details will already be completed as it was synced from the Surgeons theatre lists and theatre booking on the Diary.
• Click on Complete when the Operation Info is done.

• Status: the status will show whether the task/item has been completed by the Patient or not.
  
• Actions: you can upload, email, SMS, send to the kiosk, create or view/edit the forms or assessments under the actions by clicking on the applicable button. Once the option was used it will be greyed out.
  

TAKE NOTE: The Cost Estimate can be attached to the Consent Form from the Operation (Progress) Section. The Patient will be able to review, accept or decline the Estimate and Contract/Consent from their myGC Account >> Forms section. If declined, the patient can give a reason for declining.

• When the Patient Accepts the Consent Form:

• When the Patient Declines the Consent Form:

• IF the Patient declined the Consent Form/Cost Estimate, the Practice will be able to view the Reason under the Account Details >> Notebook >> Under the Consent Form Workflow event.

• On the Notebook screen in Account Details, if you want to print/email or download the Patient Consent Form, click on the Consent Form - click on the Print, Download or Email button at the top of the screen. 

• Click on Complete when the Progress is completed.

Billing: (ONLY available to Anesthesiologists) the billing ensures that timely, accurate and complete accounts for theatre are submitted to the medical aid or issued to private patients. This will help manage the Anesthesiologists billing as they use certain modifiers for different procedures.

• Checklist:
  
• Make sure the Anaesthetic start and end time are completed.
  
• Make sure the right patient modifiers are loaded.
  
• Please ensure that your Assistant Doctor is preloaded in GoodX and linked to a creditor and expense account when using Assistants.
  

TAKE NOTE: The Modifier code - 0043 for Anesthesia for patients under 1 year of age or over 70 years of age will be automatically applied by the system and added on the Billing Summary. As seen below in the example, the patient is over the age of 70 and the 'Patient age <1 or >70' button is marked in green. 

• Secondary Procedures: this is a surgical procedure that is performed to ameliorate conditions that are found to exist during the performance of primary surgery and are considered an independent procedure that may not be performed as a part of the primary surgery or for the existing condition.
• You can select any pre-loaded secondary procedure to add on the billing summary.

TAKE NOTE: Users can upload clinical procedures safely and securely to the GoodXWeb cloud for the purpose of sharing with other GoodXWeb partners. This will also allow users to collaborate by sharing their clinical procedures via the Import Templates section which can be found In Settings >> Billing Settings Screen >> Clinical Procedures section. Click on the following link to open a video on how to set up the Clinical Procedure Settings

• Billing Summary: is where the system will combine all the procedure codes onto a single Invoice, enabling a single payment from the Patient or Medical Aid when the billing is being completed. 

• Click on the Update Estimate button to update any codes or modifiers that were added after the procedures under the 'Operation Details'.
• Click on View Invoice when everything is complete to open the Invoice screen and complete the billing process.
• Click on Complete when the Billing is completed

• When the Invoice screen is open, you can complete the billing process. Click on the Post Only button if its a Private Patient or Post and Switch (Await Response) if its a Medical Aid Patient via real-time switching. The modifiers and all the procedure codes etc. will already be completed here as it pulls through from the Theatre Manager Billing section. 
• Click on Save and Close to close the screen.