1. What patient record formats can you currently export?  Use Ctrl to select multiple entries

  QRDA CCDA CCD CCR Excel Flat File 837P CMS electronic invoice Superbill (ICD/CPT optimized) DBMS Other Notate in texbox below

2. What patient record export formats do you plan for the future? 

To plan compliance with MACRA/CPC/MIPS,

For compliance with the future CMS regulations (MACRA/CPC/MIPS...)
it is suggested to plan to support CCDA, (included with MU2 compliant EHRs).
 

Use Ctrl to select multiple entries
 

  QRDA CCDA CCD CCR Excel Flat File 837P CMS electronic invoice Superbill (ICD/CPT optimized) DBMS Other Notate in texbox below

3. What datacomm methods are available to export data records from your EMR?
Use Ctrl to select multiple entries

  FTPs DIRECT - Secure email XDS.b CONNECT/NwHIN/eHealth Exchange File Transfer Online secure form Other - Notate in texbox below
 

4. Standard health metrics are required for QPP reporting.

Which data elements are included in your patient records? 

Choose any that apply:  Use Ctrl to select multiple entries

  Weight Height Diabetes - A1c BP (Syst/Diast) BMI Smoking Status Hospitalization - Admin / Discharge Rx - Prescriptions Mental Health conditions Elderly Issues Other - Notate in texbox below

5. If "Other" was checked in any of the questions above, please explain.

The following information will be confidential and used to enable us to contact you.

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What is your email address? 

What is your phone number (please include extension