Expand Short Text into Common Phrases in PCC EHR

Expand Short Text into Full Phrases in PCC EHR

PCC EHR’s Snap Text automatically expands a short typed text into a full word or phrase, reducing your typing and saving you time.

To watch a video about Snap Text in PCC EHR, click here.

Each user can customize their own personal Snap Text and your office can set practice-wide entries for all users.

User Permission

Each user can manage their own Snap Text, but managing the practice-wide defaults is accessible via the User Administration tool. Give users access to manage your practice-wide defaults by adding permission to a user role, or creating a new role exclusively for Snap Text Configuration.

Open the User Administration tool and visit the Roles tab, select a role, and check the Snap Text Configuration box.

For a more detailed guide to setting up roles and configuring user permissions, read Set User Roles for Permissions and Security.

Create Snap Text

To create your own Snap Text, open My Account within PCC EHR’s File menu and select the Snap Text tab.

Each user is listed in the drop down menu on the upper right. Select yourself, or, if you have access, Practice Defaults.

Here, you’ll find two fields, one for your typed text, and one for the expanded text. Enter your short text in the first field, and the full, expanded, text in the second. The short text should be a few characters long, and the expanded text can be as long as you need.

Typed text can be any combination of characters. It is case sensitive, so the expanded text will only be triggered if the letter case matches, that also means that “ABC” and “abc” can both be used to trigger different expanded texts. After text is expanded, you can select “Undo” from the Edit menu, or   ctrl+x to undo the expansion and return to the unexpanded text.

Avoid Common Words, Use a Prefix Character: Whatever short codes you enter will be automatically replaced by the expanded text when you press space, or in the case of multi-line text fields, enter, or return.You should avoid real words that might be used in a different context. Consider using a special character prefix before your code. For example, “.adhd” to expand to “Attention Deficit Hyperactivity Disorder” while still leaving “adhd” available to be used without being expanded.

Practice Defaults Matching a Single User's Snap Texts: When a user’s typed text matches a practice default typed text, the user’s snap text will take precedence over the practice default for that user.

Click Save, and you’ll be returned to the Snap Text tab, where you can add another or Save and Exit.

Copy And Edit Snap Texts

Each user can view, but not edit, the snap texts of other users.

When reviewing another user’s entries, any user can copy entries to their own list by using the copy button at the bottom of the tab.

Any of your snap texts can be edited by selecting it from your list, and clicking the edit button. Simply change the text, or if it’s no longer needed, click the delete button to delete it from your list.

 

PCC June COVID-19 Release

PCC has launched a series of rapid updates in response to the COVID-19 pandemic. We are beta testing and rolling out new functionality in direct response to the situation as it evolves. Read below to learn about new features and updates planned for our June 2020 release. Contact PCC Support for information about these new features or about any PCC product or service.

PCC COVID-19 Release Feature Videos: You can watch a video playlist which covers the major features PCC has developed during the COVID-19 pandemic and includes tutorials on related topics.

Migration Considerations for Your Practice: The PCC June COVID-19 update includes features that may require configuration and user-specific software training. Read about the features below and then review the PCC June COVID-19 Release Migration Considerations article.

Chat With Your Practice Inside PCC EHR

PCC EHR includes a chat/instant messaging tool that lets you chat and send messages to other PCC EHR users.

Chat allows you to communicate quickly with the rest of the staff and clinicians at your office without having to log in to another program.

Send a New Message

To send a message, click on the “Chat” icon at the bottom of the EHR window.

If you have any existing message threads you can find and open them here. Or, simply click on the “New” button to find any PCC EHR user at your practice.

Use the “To:” field to search for the user you want, or select a user using the drop-down menu.


Who is on Chat?: The user list in Chat includes all active PCC EHR users. The order in which they appear is controlled by the settings in the User Selection List in the User Administration tool. If your practice uses Care Center functionality, users from your Care Center will always appear at the top of the list.

Then simply begin typing. Other users will be notified that they have a new chat message, and can respond. If you have the chat window open, it will automatically refresh as the conversation continues.


When you get a reply, it will appear instantly in the chat window. All chat messages are time stamped, so you can see exactly when they arrived.

Close the chat using the “Close” button, or use the back arrow to return to the Chat inbox.

Receiving Messages and Message Notifications

When you have new messages, the Chat icon at the bottom of the PCC EHR window will indicate that you have messages waiting with a red circle.

When you open Chat, you will see unread messages at the top of the of your Chat inbox in bold. Click a message to open the conversation and reply.


Reply to the message, and then either return to the Chat inbox, or close Chat and continue with your work.


Chat History is saved in PCC EHR: All chat messages are saved in PCC EHR. Scrolling back through a conversation will reveal the entire chat history between two users.

Use Snap Text to Chart Faster and More Consistently

PCC EHR’s Snap Text automatically expands a short typed text into a full word or phrase, reducing your typing and saving you time.

Each user can customize their own personal Snap Text and your office can set practice-wide entries for all users.

Create Snap Text

To begin creating your own Snap Text, open My Account within PCC EHR’s File menu and select the Snap Text tab.

Each user is listed in the drop down menu on the upper right. Select yourself, or, if you have access, Practice Defaults.

Here, you’ll find two fields, one for your typed text, and one for the expanded text. Enter your short text in the first field, and the full, expanded, text in the second. The short text should be a few characters long, and the expanded text can be as long as you need.

Typed text can be any combination of characters. It is case sensitive, so the expanded text will only be triggered if the letter case matches, that also means that “ABC” and “abc” can both be used to trigger different expanded texts.

Click Save, and you’ll be returned to the Snap Text tab, where you can add another or Save and Exit.

Avoid Common Words, Use a Prefix Character: Whatever short codes you enter will be automatically replaced by the expanded text when you press space, or in the case of multi-line text fields, enter, or return. You should avoid real words that might be used in a different context. Consider using a special character prefix before your code. For example, “.adhd” to expand to “Attention Deficit Hyperactivity Disorder” while still leaving “adhd” available to be used without being expanded.

Copy And Edit Snap Texts

Each user can view, but not edit, the snap texts of other users. When reviewing another user’s entries, any user can copy entries to their own list by using the copy button at the bottom of the tab.

Any of your snap texts can be edited by selecting it from your list, and clicking the edit button. Simply change the text, or if it’s no longer needed, click the delete button to delete it from your list.

Set User Permissions for Editing Practice Wide Snap Texts

Each user can manage their own Snap Text, but managing the practice-wide defaults is accessible via the User Administration tool. Give users access to manage your practice-wide defaults by adding permission to a user role, or creating a new role exclusively for Snap Text Configuration.

Open the User Administration tool and visit the Roles tab, select a role, and check the Snap Text Configuration box.

For a more detailed guide to setting up roles and configuring user permissions, read Set User Roles for Permissions and Security.

Send a Text Message Directly to the Patient or Family in PCC EHR

Is a family waiting in the car before their appointment? Do you need to send a family a link for telemedicine? You can now send a text message directly to a patient.

When you need to send a quick text message, select an appointment on the Schedule screen and then click “Send Text”.


Select a phone number from the patient’s records or enter a new phone number. Then type your message and optionally turn on/off your practice’s default message footer. Messages are limited to a total of 160 characters and should not contain PHI.

Click “Send” to send the message. The family will receive the message in a few seconds.

In addition to sending a text from the Schedule screen, you can also open any patient’s chart and choose “Send Text” from the Edit menu.

Did They Get My Text? Did We Text That Family Already?: After you click send, PCC EHR will display a brief status window, which will usually tell you that the text was successfully delivered. If the text is stalled for some reason, PCC EHR will close the window to allow you to return to work. Use the Single Text Log report in the PCC EHR Report Library to review what text messages went out (and if any bounced or couldn’t be sent). PCC EHR does not log text messages in patient charts.

What Phone Numbers Appear in the Drop-Down When I Send a Text?: When you create a text message, you can pick from phone numbers that PCC has linked to the patient, including home account phone numbers, the patient’s confidential communication preference, and patient portal numbers. If instead you enter a number manually, PCC EHR will remember that number for later use. The most recent number used by your practice will appear at the top. Any numbers previously identified as invalid will not appear.

Review Your Practice’s Outbound Single Text Messages to Patients and Families

Your practice can use PCC EHR to send a text message to any patient or family member. How can you review what texts were sent and find out if a text was delivered successfully?

Run the Single Text Log report in the PCC EHR Report Library to see your outbound text records.


You can optionally filter the report based on date, user, or patient–or see all messages.


On the report, you can see the date and time, the user at your practice who sent the text, and the patient who the message was sent in regards to. Next, the report displays the phone number that was used. When known, the report will display where the number comes from (i.e., from a parent account). If your practice typed in a number when they sent the text, the number’s origin may not be known.

Finally, the report will display the Message and the Message Status. You can use the Message Status to understand whether a message was successfully delivered, bounced by the cell phone carrier, or if something else happened.

Families Can Use a Phone Number or Email Address to Sign In to the Patient Portal

Families can now sign in to the patient portal using either an email address or phone number as a username.

When you sign families up for the portal, their sign in will be the default choice for portal notifications.

Families Can Choose to Receive Portal Notifications via Email or Text Message

When a portal user is being registered for the portal, they can choose whether or not to use their sign in as a communication method. By default, they will receive portal notifications at the number or email they are using as a sign in.

If the portal user wants to use a different method to receive portal notifications, select the “Use a different method” option.


Portal users can choose a phone number, an email, or both as a portal notification preference. They will receive portal notifications by either email or text messages, depending on the method(s) they choose.

Check the Box: In order to choose a method for portal notifications, you must enter the information, and click the check box to activate it.

Changing Portal Notification Preferences

You can change a portal user’s notification preferences on the Manage Portal User screen by clicking “Edit Portal User”.


Portal Users can Change Their Own Preferences

Portal Users can change their notification preferences on the “Edit Account” screen of the patient portal.


They can change their notification email or phone number, as well as choose to activate or deactivate portal notifications on either method.

Patient Portal Users Component: The Patient Portal Users component, which appears both in pocketPCC and in PCC EHR, has been updated to display users’ portal user name, sign in, and portal notification methods.

Families Can Opt-In or Out for Broadcast Messaging

If a patient or family does not wish to receive text (SMS) messages from your practice, responding “stop” or “unsubscribe” will prevent that number from receiving future texts sent through Broadcast Messaging. Likewise, each email sent via Broadcast Messaging includes an unsubscribe link, that will remove the recipient’s email address from future mailings. These addresses and numbers will be moved to your blacklist, and appear there in the Broadcast Messaging Log Report

If a patient or account has unsubscribed from Broadcast Messaging texts, and would like to begin receiving your practice’s text messages again, they can respond to a previous message with “unstop”. Their number will be removed from the blacklist and they’ll begin receiving your text messages again.

Select Which Phone Numbers To Use For Broadcast Messaging

By default, Broadcast Messaging sends text (SMS) messages to all available phone numbers and email addresses in the patient’s home account, confidential communication preference, and patient portal information. If you prefer to limit which contact methods Broadcast Messaging  uses, you can now select which fields should be included in the Practice Preferences menu.

See All Broadcast Messaging Replies on Inbound Messages Report

When a recipient of a Broadcast Message replies via email or text, you can review those replies in a new Inbound Messages report in the Report Library’s Communication category.

Here you’ll see all replies, including automatic responses from emails, and direct replies from users. You can use these results to keep your user’s contact information updated, or follow-up with users who need additional help or answers.

Replies to Broadcast Messages will no longer appear in the Broadcast Message Details Report.

See More Information on the “Blacklist” Column in Broadcast Message Details Report

When a broadcast message can’t be delivered via text to a phone number or via email to an email address, the Broadcast Message Details report will now give you a reason why that contact method was blacklisted and more detail of the message’s status.


The Message Status column now lists if a phone number is not able to receive text messages, or if the message has been accepted by the carrier for delivery, in addition to the statuses or Sent and Not Sent.

If an email or phone number is added to the blacklist, the Excluded from Future Broadcasts column now includes a reason why a contact method has been added. If a text message is sent to a landline, that number is added to the blacklist with the reason “Not Text Enabled”. “Validation Failed” indicates an email address that is invalid or no longer exists.

Check Eligibility for Phone Note and Portal Message Encounters

When you bill for services rendered over the phone or in a portal message, it’s important to verify that the patient’s insurance policy was active during the date of the encounter.

Now you can check insurance eligibility for billed phone notes and portal messages when you post charges in PCC EHR.

As long as the patient’s policy is configured for eligibility, the most recent eligibility information for the date of the encounter appears in the Insurance Eligibility component in the Patient Details section of the Post Charges workflow.

You cannot record notes or statuses in the Insurance Eligibility component when verifying eligibility for phone or portal encounters.

Not all insurance plans offer eligibility, and those that do must be configured on your PCC system. To configure insurance plans for eligibility, contact PCC Support.

Live Eligibility, Not the Batch Eligibility Tool: Phone note and portal message encounters do not appear in the batch Insurance Eligibility viewer under the Tools menu in PCC EHR, nor do they appear in the insurance eligibility (elig) tool in Practice Management. You may only check eligibility for phone and portal encounters in the Post Charges workflow in PCC EHR.

Analyze and Respond to COVID-19’s Financial Impact on Your Practice

Use the new COVID-19 section in your Practice Vitals Dashboard to see how the crisis is impacting your practice and what you can do to respond.

To log into your Practice Vitals Dashboard, select “Practice Vitals Dashboard” from the Reports menu.

Click on the new COVID-19 tab to review trends and metrics specific to your practice.


Graphs are based on weeks, going back to 2/17 as a pre-coronavirus baseline. Data points are updated live from your practice every morning.

COVID-19 has an effect on your practice’s charges and payments (cashflow), your visit volume, and how you see patients. The new dashboard section visualizes those impacts based on data from your PCC system, and it also provides explanations and ways to take action.

To see graphs and analysis based on data from pediatric practices around the country, visit The Business Impact of COVID-19 on Pediatric Practices.

Visit Categorization Update

As part of this update, PCC adjusted the default categorization of visits for many reports. Just as you can now see data on your Telemedicine and Phone visit rates in your Practice Vitals Dashboard, you may also see those categories in financial and charge-based reports in the Smart Report Suite in the Practice Management window.

If your practice previously used a custom visit category configuration (in order to break out mental health visits, for example), we did not adjust your configuration for reports in your Practice Management window. Contact PCC Support to make changes to report configuration for visit categories or any other configuration needs.

Change an Encounter’s Billing Place of Service After Posting Charges

Adjust the billing place of service of phone note, portal message, and visit encounters after the charges have already been posted in the Correct Mistakes (oops) program in the Practice Management window in PCC EHR.

In Correct Mistakes (oops), press F5-Visit Status, select an encounter, adjust the billing place of service on the last page of settings, and save. Then, from the same window, resubmit the charges to insurance.

Read step-by-step instructions in Change an Encounter’s Billing Place of Service After Posting Charges.

Attach Documents to Future Appointments

Future appointments now appear in the Attach Document drop-down in Import Documents and wherever else you can edit documents in PCC EHR, allowing you to link forms, questionnaires, and images to patients’ upcoming visits.

Once you attach documents to a future appointment, that appointment will appear in the patient’s Visit History.

You can view document attachments in the patient’s Visit History by selecting the encounter and clicking “View Documents”. Attachments open in a Document Viewer window, where you can edit their titles, create tasks, move them to different visits, or remove them from the patient’s chart.

You can also view document attachments within the visit ribbon. Select the encounter in the patient’s Visit History Index, click “Edit”, and navigate to the Documents component. There you can see the document’s settings and manage its related tasks.

For more information about how to import and manage documents in PCC EHR, read Import Documents to a Patient Chart.

Identify Missed and Canceled Visits in a Patient’s Visit History

Sometimes a visit that contains notes or documents ends up being missed or canceled by the patient or your practice. Now, visit ribbons and the patient Visit History display a missed or canceled appointment status when an encounter containing notes or documents has been missed or canceled.


Cancelation information in the Visit History or visit ribbon can help you determine if documents were attached to a visit that never occurred, or if a visit that did occur was charted under the wrong encounter.

When you cancel a visit or mark it missed, related notes, orders, tasks, and document attachments remain intact until someone at your practice manually chooses to edit or delete them.

Pilot Test: Send CHADIS Screenings Automatically by Visit Reason

PCC is developing a stronger integration with CHADIS, making it easier to get the proper screenings to the patients you want. As part of this release, we will be pilot testing the first phase of that integration; PCC EHR can automatically register patients with CHADIS and have CHADIS assign those patients screenings based on the scheduled visit reason in PCC EHR.

Coming Soon: Print from PCC SecureConnect to Your Home Printer

Users who connect remotely to their PCC systems using SecureConnect now have the option to print out of PCC EHR and the Practice Management window wherever they are working.

To print a file while working in SecureConnect, choose the printer named “SecureConnect” as your destination.

When you print, the file will download to your local workstation, where you can open it from your downloads folder and send it to your local printer.

For step-by-step instructions about how to print out of SecureConnect, read Print from PCC SecureConnect to Your Home Printer.

Improved Portal Payment Processing

Under certain circumstances, such as when a family closed their patient portal window before the payment transaction completed, portal payments occasionally did not appear in your PCC database. Additionally, in April and May of 2020, the BluePay payment network experienced processing delays which exacerbated the problem.

In April, PCC distributed patches to all practice systems to address this problem. Now the patient portal can validate a payment even if the user has prematurely closed their window. Your PCC system also looks for any stuck payments and makes sure they arrive.

As payments may occasionally take several minutes to arrive on your PCC system, a family might submit a duplicate payment by mistake. Your practice can identify and resolve duplicate payments and other payment issues by reviewing the Portal Payments report in the PCC EHR Report Library.

Other Updates and Bug Fixes

  • Review Communication Reports in New Report Library Category: When your office needs to review your sent Broadcast Messages, texts, and related details, you can now find those reports in a new Communications section in the PCC EHR Report Library.

  • Patient Portal Administration is Easier to Read: When you manage a patient portal account, the interface that displays user details is easier to read, mirroring what your front desk sees during Patient Checkin or in the patient chart.

  • Telemedicine Component Will Display Portal Username: The Telemedicine component, which appears at the top of telemedicine chart notes, will now display the portal user name(s) for the patient, and not the user’s email address. Prior to the PCC June COVID-19 release, the portal’s username was also their email address for portal notifications.

  • One Less Click for Selection and Drop-Down: When you select a bullet item, and then choose from a drop-down, PCC EHR is now smart enough to not require the extra click to select the drop-down. You’ll notice this improvement in various places in PCC EHR, including the Export menu of the PCC EHR Report Library.

  • See Failed Messages Per Broadcast Run in Broadcast Messaging Log: Use the new “Failed Messages” column in the Broadcast Messaging Log to see if your broadcast messages are getting through.

  • Improve Patient Recall Reporting By Excluding Cancelled Appointments: If a practice used a patient-based report to perform a patient recall, under certain circumstances the output could include cancelled appointments and orders. The PCC June COVID-19 update tweaks the criteria behavior for patient list reports so that when you wish to include patients by appointment and orders, they will not include cancelled appointments or orders.

  • Send Fewer Rejected/Bounced Broadcast Messages With Improved Email Validation: In April, PCC updated all practices to improve email validation. If your practice records an invalid email address in an email field, Broadcast Messaging excludes it when it sends messages. We’ve improved this validation with new standards to reduce email errors.

  • Post Charges While Editing the Chart: Under certain circumstances, when a user edited a chart while another user simultaneously saved new posted charges, the charges would not enter the system. This has been resolved.

  • Continue Transmitting Broadcast Messages After Internet Connection Failure: Under certain circumstances, such as when an internet connection failed while transmitting Broadcast Messages, some messages would go out to families and others would not. PCC has added error capturing to the process so that messages will recommence once the connection is restored.

PCC June COVID-19 Release Migration Considerations

The PCC June COVID-19 release includes new features that may need configuration and for which you may want to do extra planning or training. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC June COVID-19 Release article for complete details on these features. You can also watch the PCC COVID-19 Release Video Series.

Contact PCC Support for information about these or any features in PCC 8.12.

Disable Chat For Your Practice, Make Adjustments for PCC EHR Chat

Chat in PCC EHR is turned on by default. You can turn chat on or off for your entire practice from the Practice Preferences window.

If your practice already uses intra-office chat, such as Pidgin or Spark, you can try out PCC EHR chat and then work with your staff to decide if and when to transition.

Finally, you may want to adjust the number of Visit Statuses that each user watches. Visit Statuses appear at the bottom of your PCC EHR screen–these colorful “jelly beans” help your staff know where they are needed and what’s going on in your practice. With the addition of PCC EHR Chat, each user at your practice might benefit from reviewing what statuses they are watching and trimming the list.

Create Snap Texts, Implement at Your Practice, Authorize Users to Create Practice-Wide Snap Text

If a user at your practice wants to use Snap Text, they can open their My Account tool and create new Snap Text entries. Once one user has created Snap Text entries, other users can view, copy, and modify those entries for themselves.

As individuals at your practice implement Snap Text, consider the following:

  • Prefix Your Snap Texts, Avoid Real Words: PCC recommends that your practice avoid using real words or abbreviations for snap text, as they may trigger unintentionally. One common solution is to prefix your snap text with a special character, such as a period (.).

  • Update and then Log In/Log Out: After a user edits a Snap Text, they will need to log out and log back in to see changes.

  • Disable Your Existing Text Expander: Before you begin using PCC EHR’s Snap Text text expander, turn off any text expander software you already have running on your workstation. Using both simultaneously will create conflicts.

  • Use Practice-Wide Snap Text w/ Caution: When an administrative user creates practice-wide Snap Text, be aware that it may conflict with any other text expander software your clinicians use, and that it will be immediately active for all users.

Each user can manage their own Snap Texts, but managing the practice-wide defaults is accessible via the User Administration tool. Give users access to manage your practice-wide defaults by adding permission to a user role, or creating a new role exclusively for Snap Text.

Open the User Administration tool and visit the Roles tab, select a role, and check the Snap Text Configuration box.

For a more detailed guide to setting up roles and configuring user permissions, read Set User Roles for Permissions and Security.

Turn On and Configure Direct Text Messaging

If your practice wants to send direct text messages to patients and families from PCC EHR, you must first turn this feature on. Open Practice Preferences from the Configure menu and select the “Enable Send Text” option.


After you have turned on the feature, the next time a user logs in they will see the “Send Text” option on the Schedule queue and in the Edit menu when editing a patient chart.

You can also customize the default footer text that appears on outgoing text messages sent to single recipients. Note that the footer contributes to the overall total limit of 160 characters.

Note that these setting are for the Send Text features only, and they do not affect Broadcast Messaging or patient portal notification text messages.

Adjust Patient Portal Sign Up Procedures

Now that families can set up patient portal accounts with their cell phone numbers, and adjust how they receive notifications, your front desk may want to change how they get parents and other family members signed up. Since email is not required, families who don’t use email will now be able to use the portal.

Select Which Phone Numbers To Use For Broadcast Messaging

After your PCC June COVID-19 release update, open the Practice Preferences menu and indicate which contact information your practice will use for Broadcast Messaging.

These options will only appear in Practice Preferences if your office has Broadcast Messaging turned on.

Adjust How You Will Handle Broadcast Messaging Replies

Broadcast Messaging is a one-way communication. Families should not reply. However, sometimes they do! Your practice can use the new Inbound Messages report to review these replies and take action if needed.

Before the PCC June COVID-19 update, your practice may have used an automatic email forward so that that mail sent to the “no reply” address would forward to someone at your practice. After your update, you can discontinue this practice. Contact PCC Support if you need help adjusting email forwarding.

Add Eligibility Review to Billing Workflow for Portal Message and Phone Encounters

You now have the option to review insurance eligibility information for phone note and portal message encounters while posting charges in PCC EHR.

In order to take advantage of this feature, verify that the Insurance Eligibility component is included in the Patient Details section of your Post Charges ribbon. If the component is missing, you can add it using the Protocol Configuration tool in PCC EHR.

Not all insurance plans offer eligibility, and plans that do offer it must be configured in your system by PCC. If you would like to learn whether a plan offers eligibility, contact PCC Support.

Update Permissions for New Communication Category and Broadcast Messaging Logs

The PCC June COVID-19 release includes a new Communications category in the PCC EHR report library, a new Inbound Messages report for reviewing when families respond to broadcast messaging, the log of single text messages, and more. After your update, you may want to review and expand permissions for report categories.

By default, the PCC update will give access to the Communications category for all users who have the Manage Report Library Categories permission in one of their user roles.

You can adjust which users will see this category, and make other changes to Report Library access and other permissions in PCC EHR. For more information, read Set User Roles for Permissions and Security.

Create a COVID-19 Test Lab Order

You can use the Lab Configuration tool to create and track lab orders for COVID-19 tests. Your PCC EHR system includes codes and descriptions for SARS-CoV-2, including the newer 95209-3 SARS-CoV+SARS-CoV-2 Ag test.

Watch a Video: Watch a video walk-through of creating a COVID-19 lab order.

CMS Guide to Becoming Certified for Lab Testing: On 2020-09-25, CMS released new tools for laboratories seeking Clinical Laboratory Improvement Amendments (CLIA) certification to test for coronavirus disease 2019 (COVID-19).

Procedure Code Guidance: The procedure code recommendations in this article are intended only as examples. You should consult the AMA’s CPT Coding Guide and work with your insurance payers to verify what codes you should use on claims. Your practice updates and maintains your procedure list, codes, and prices in the Procedures table in the Table Editor on your PCC system.

Open Lab Configuration

Open the Lab Configuration window from PCC EHR’s Configuration menu.


Add a New Lab and Configure Details

Click into the Lab Orders tab, and click the “Add Lab Order” button to create a new lab.

Enter the lab’s name, default lab facility, and other details.

Set Default Lab Behaviors

Next, review and edit the settings and default behaviors for this lab order.

  • Specimen Collection: If you wish to record specimen collection information for this lab order, click “Enable recording of Specimen Collection user, date, and time”.

  • Appear on Patient Reports and My Kid's Chart: If you wish this lab to be visible by default on patient reports, including the Patient Visit Summary and My Kid’s Chart (the patient portal), select “‘Include on Patient Reports’ will be selected when this order is issued”. Clinicians can determine whether or not a lab order is visible at any time for any order by selecting the check box on the specific order for a patient.

  • Refusal and Contraindication: If a lab order can be refused or contraindicated, select the appropriate options to enable those checkboxes on the order.

Add COVID-19 Lab Tests for Third-Party Vendors

If your practice receives results for this lab order electronically from LabCorp or Quest you can add their specific lab test to this lab order. Both LabCorp and Quest have provided lab codes for COVID-19 tests. Enter those into the E-lab Vendor Order Mapping:

  • Labcorp COVID-19 Test: 139900
  • Quest SARS-CoV-2 RNA, Qual Real-Time Test: 39433

PCC EHR will be able to correctly associate and track the lab results with the order in the patient’s record. For more information about e-labs, read the Import E-lab Test Results article.

Optional: Add Specific LOINC Lab Tests for Manual Results

Type a LOINC code or test name in the “Tests to Include” section to add a LOINC test’s fields for manual entry to your lab order.

For example, you could add the 95209-3 SARS-CoV+SARS-CoV-2 Ag test.

Click “Save”

Click Save to save your lab order changes.

Configure Billing

Open Billing from the Configuration menu. Search for your new lab order, select it, and click “Edit”.

If you’re collecting and preparing the specimen for analysis by an outside laboratory, enter the specimen collection procedure, 99000 Handling and/or conveyance of specimen for transfer from the office to a laboratory, in the CPT Billing Procedure field. Additional procedures can be linked by clicking the plus button to add a new line. Click save and the selected procedures will be included in the visit’s bill.

Depending on whether or not your practice is actually performing a lab, you might add one or more of the following procedures to the lab order:

  • 87426 Infectious agent antigen detection by immunoassay technique
  • 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique
  • 86328 Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])
  • G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source.

    Note: This code is for use by independent labs, not private offices.

  • U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc

For more information, read Code and Bill for a COVID-19 Related Encounter.

Optional: Add Labs to Protocols

You can order any lab from the Labs component, which is already available on most of your chart protocols. Specific labs can be added to each protocol- if you’re creating a visit type just for these tests, use the PCC EHR Configuration Tool to add the labto your chart note protocols. Contact PCC Support for assistance.

Test Your New Lab Order

Create a sample visit for a test patient and order your new COVID-19 lab. You should see appropriate tests inside the order, and if you added the Specimen Collection (or other CPT), it should appear on the Electronic Encounter Form.

For additional help setting up your labs or adding them to your protocols, please contact PCC Support.

PCC April COVID-19 Release

PCC has launched a series of rapid updates in response to the COVID-19 pandemic. We are beta testing and rolling out new functionality in direct response to the situation as it evolves.

Read below to learn about new features and updates collected in our April 2020 release, which PCC installed for all practices on Saturday, April 11th.

Contact PCC Support for information about these new features or about any PCC product or service.

PCC COVID-19 Release Feature Videos: You can watch a video playlist which covers the major features PCC has developed during the COVID-19 pandemic and includes tutorials on related topics.

Migration Considerations for Your Practice: PCC has wrapped many of the items below into PCC 8.12.12, recently deployed to all practices. We’ve collected a list of items your practice should review when you prepare for these features. Read PCC COVID-19 Release Migration Considerations.

8.12.x Releases?: PCC typically announces major releases with an update number, such as the 8.12 release. The updates and new functionality described in this article are designated as the 8.12.10 through 8.12.12 releases.

Send Broadcast Messages to Patients and Families

Your practice can use the new Broadcast Messaging report and service to send out messages to patients and families.



You’ll be able to build a list of patients based on a wide range of criteria and then send out a large batch of emails or SMS text messages. Recipients of broadcast text messages can reply “stop” or “unsubscribe” to stop receiving your messages. Likewise, each email sent via Broadcast Messaging includes an unsubscribe link, which will remove the recipient’s email address from future mailings.

To learn more, read or watch Broadcast Messages to Patients and Families (Article, Video).

Review Broadcast Messaging History

How many broadcast messages did your practice send? Can you track message counts to understand future costs?

PCC EHR’s Report Library includes a Broadcast Messaging Log, which tracks all Broadcast Messages sent. You can review historical messages and see results of each batch of messages.

The Broadcast Message Log is found in the Patient Recall Category in the Report Library. You can run it for a range of dates and optionally limit it by user.

Results include the date and time of each message run, the user who sent the message, the message content, type and count of messages sent.

Improve How You Schedule, Chart, and Bill Telemedicine Visits

When you schedule a telemedicine visit in PCC EHR, you can indicate it is a telemedicine visit and optionally add website URL links for your third-party video connection. It will be easier for patients, families, and everyone at your practice to handle telemedicine visits.




Your staff can easily identify the telemedicine visits on the Schedule queue, your clinicians will have instant access to the links they need to connect, and your billers will be able to see that the visit is Telemedicine and make changes as needed.

To learn more, read or watch Schedule, Chart, and Bill for a Telemedicine Encounter (Video, Article).

View When a Visit is Telemedicine in Practice Management

If your practice uses the new Telemedicine features in PCC EHR, and still prefers to post charges in Practice Management, you can also see if an encounter is marked as Telemedicine in Post Charges (checkout).

Any visit marked as Telemedicine in PCC EHR will be indicated with a “(T)” next to the Place of Service field in checkout.

You can also configure a default telemedicine place of service for each scheduling location.

Adjust Billing Place of Service for Telemedicine Encounters

When you schedule and perform a telemedicine visit, it makes sense to use your office locationthe doctors can see their whole schedule, and your practice can see what’s happening at a glance. When it’s time to bill, however, some carriers require a special telemedicine place of service.

When posting charges from PCC EHR’s Schedule queue, the Billing POS is now a drop-down menu. It includes the appointment location and any locations set as a telemedicine location. You can select your new billing location, and complete posting your charges as usual.

To learn more, read or watch Schedule, Chart, and Bill for a Telemedicine Encounter (Video, Article).

Set a Default Billing Place-of-Service for Telemedicine Encounters

It can be cumbersome to manually switch the billing place of service each time you post telemedicine visit charges. To make posting easier, set a default billing place of service for telemedicine visits in PCC EHR Practice Preferences.

To learn more, read Set a Default Billing Place of Service for Telemedicine Visits.

Bill for a Phone Note or Portal Message

After a clinician completes notes for a phone note or portal message, they can click “Bill” to select charges and make the encounter ready for billing. Billers can post charges directly from the Messaging queue in PCC EHR.



To learn more, read or watch Bill for a Phone Note or Portal Message (Video, Article).

Find Encounters Waiting to be Billed with the Encounters by Billing Status Report

Run the Encounters by Billing Status report to find all encounters that are ready to be billed, including appointments, phone notes, and portal messages.


Visits by Billing Status vs. Encounters by Billing Status: This new report mirrors the Visits by Billing Status report, except that it includes phone notes and portal messages in the results. In the future, we will likely combine these reports. For now, if you want to exclude phone notes and portal messages, use the Visits by Billing Status report. To include them, use the Encounters by Billing Status report.

Track and Analyze COVID-19’s Impact on Independent Pediatricians

PCC is tracking and aggregating data from our clients in order to better understand how the COVID-19 pandemic is affecting independent pediatric practices across the country. That data and analysis are available at www.pcc.com/business-impact-of-covid-19/.

This page will be ever-changing as trends develop over time, bringing you useful insights and guidance based on what is happening in pediatric practices across the country.

Changes in daily visit and charge volume across PCC practices is just one trend we are following.

Code Updates for COVID-19

During March 2020, PCC rapidly deployed patches to PCC systems to add codes for COVID-19 related issues.

Configure Quest and LabCorp for COVID-19 Tests and Electronic Results

You can configure your lab orders in PCC EHR for the latest COVID-19 tests, including options for receiving results electronically from Quest and LabCorp. On March 17th, PCC updated all pediatric practice systems with new COVID-19 test identifiers for Quest and LabCorp.

Use the New COVID-19 SNOMED Diagnosis Description

On March 19th, PCC delivered a SNOMED-CT update to your practice’s system, adding the new COVID-19 diagnosis.

To learn more about the March 2020 SNOMED-CT update, read March 2020 SNOMED-CT Update Adds COVID-19 Diagnosis and More.

For more details on coding and billing for COVID-19 related visits, read Code and Bill for a COVID-19 Related Encounter.

Bill With The New COVID-19 ICD-10 Billing Code

On March 23rd, PCC added the newly announced U07.1 COVID-19 ICD-10 code to your practice’s PCC system. By default, PCC maps that billing code to the corresponding SNOMED-CT term. You can use it to bill for visits with a confirmed case of COVID-19.

For more details on coding and billing for COVID-19 related visits, read Code and Bill for a COVID-19 Related Encounter.

Diagnose Exposure to COVID-19 with New SNOMED-CT Event

On March 31st, PCC added a new SNOMED-CT event, Exposure to 2019 novel coronavirus to your practice’s PCC system.

You can use this new SNOMED event as a diagnosis, which you can track on a patient’s Problem List or on a chart note.

By default, this diagnosis will map to the ICD-10 billing code Z20.828 Contact with and (suspected) exposure to other viral communicable diseases.

What’s Coming Next?

PCC updated all client systems with the April COVID-19 release, 8.12.12, on Saturday, April 11th. What are we working on next?

Track and Analyze COVID-19’s Financial Impact on Your Practice

You can soon use your Practice Vitals Dashboard to understand what is happening at your practice as a result of the COVID-19 pandemic. What are the daily trends at your practice? What is the productivity impact? You can track some of these details in your Practice Vitals Dashboard now, and an upcoming update will add new benchmarks and ways to get the data you need to make decisions for your practice.

Guides to Self-Install and Other Supporting Materials

If your practice needs new hardware installed during the COVID-19 pandemic, can you install it yourself? Are there ways to improve remote training and help your practice implement PCC without having someone visit your office?

PCC is working on remote training materials, along with guides for hardware installation, so your practice can get up and running with PCC’s products and services without hosting a PCC employee at your office.

Exploring What You Need Most

PCC is going to explore further enhancements to meet the challenges of working remotely, ramping up telemedicine, and reaching patients during the pandemic.

For example, we are currently exploring creating an in-office chat tool for your staff, adding functionality to the patient portal, macro tools to help you chart consistently and rapidly, under-the-hood tools for making sure you get paid, and more.

Most importantly, we want to hear from you. What obstacles are you facing, and how can PCC help?

Get in touch!

Code and Bill for COVID-19 Related Encounters

How does a pediatric practice code and bill for COVID-19 related encounters? Read below to learn about the SNOMED-CT, ICD-10, and CPT codes available for tests, diagnoses, and more. PCC Support can help you customize your chart note protocols, diagnoses, orders, and billing tools.

New Codes On Your System: Throughout 2020 and into 2021, PCC regularly updated your system to add vendor lab identifiers, SNOMED-CT descriptions, ICD-10 codes, and LOINC codes to help with COVID-19-related orders, charting and billing. Contact PCC Support if you have any questions or can’t find the code you need.

Procedure Code Guidance: The procedure code recommendations in this article are intended only as examples. You should consult the AMA’s CPT Coding Guide and work with your insurance payers to verify what codes you should use on claims. Your practice updates and maintains your procedure list, codes, and prices in the Procedures table in the Table Editor on your PCC system.

Code for Exposure or Other COVID-19 Related Symptoms

How do you code for exposure to COVID-19? What other diagnoses are used for a COVID-19 encounter, and how might you map those to SNOMED descriptions for use on a chart note?

Exposure

When you diagnose exposure to COVID-19, you can use:

  • Z20.822 Contact with and (suspected) exposure to COVID-19
    • SNOMED-CT Mapping Option: Exposure to SARS-CoV-2 (alternate title: Exposure to 2019 novel coronavirus)

History, Associated Symptoms, and More

What other ICD-10 billing codes, and corresponding SNOMED descriptions, are available for COVID-19 related encounters?

  • B97.21 SARS-associated coronavirus as the cause of diseases classified elsewhere
    • SNOMED-CT Mapping Option(s): Suspected disease caused by severe acute respiratory coronavirus
  • Z86.16 Personal history of COVID-19
    • SNOMED-CT Mapping Option(s): H/O: viral illness, H/O: infectious disease
  • Z86.19 Personal history of other infectious and parasitic diseases
    • SNOMED-CT Mapping Option(s): History of disease caused by Severe acute respiratory syndrome coronavirus
  • Z03.89 Encounter for observation for other suspected diseases and conditions ruled out
    • SNOMED-CT Mapping Option(s): Disease caused by Severe acute respiratory syndrome coronavirus 2 absent
  • M35.81 Multisystem inflammatory syndrome (MIS)
    • SNOMED-CT Mapping Option(s): Acute organ dysfunction due to systemic inflammatory response syndrome, Systemic inflammatory response syndrome, Systemic inflammatory response syndrome associated with organ dysfunction, Systemic inflammatory response syndrome without organ dysfunction
  • M35.89 Other specified systemic involvement of connective tissue
    • SNOMED-CT Mapping Option(s): Disorder of connective tissue co-occurrent and due to systemic disease
  • J12.82 Pneumonia due to coronavirus disease 2019
    • SNOMED-CT Mapping Option(s): (pneumonia diagnosis descriptions)

You might also use other diagnoses for common signs and symptoms:

  • R051-R059 Cough
  • R06.02 Shortness of breath
  • R50.9 Fever, unspecified

Code for a Screening Encounter?: In December of 2020, the WHO added another related ICD-10: Encounter for screening for COVID-19 (Z11.52). During the COVID-19 pandemic, a screening encounter code is generally not appropriate. For encounters for COVID-19 testing, including preoperative testing, code instead as exposure to COVID-19.

Adjust Your PCC EHR Chart Note Protocols to Display COVID-19 Related Diagnoses

To make them easier to select, you can use the Protocol Configuration tool to add diagnoses directly to your practice’s chart note protocols.

When clinicians select a SNOMED diagnosis description, the mapped ICD-10 billing code appears on the Bill screen.

Many codes include pre-defined mapping. Use the Billing Configuration tool to adjust the mapping of SNOMED-CT descriptions to ICD-10 codes. Possible SNOMED to ICD-10 mappings are listed in the section above with each billing code.

Order and Code for COVID-19 Lab Tests

During an encounter, you may decide to order a COVID-19 test. When you order a COVID-19 test, your practice might collect the specimen and relay the test to a lab vendor for processing. Increasingly, pediatric practices are also completing tests in-house.

In PCC EHR, when you click “Order” next to a lab order, the appropriate LOINC will be part of the order, appropriate diagnoses and procedures can be queued up for billing, and optionally the lab test information can automatically be added to the chart note for incoming electronic results.

Set Up Your COVID-19 Lab Test Orders: You can learn how to create a COVID-19 lab test order on your system, add it to chart note protocols, and configure billing behavior by reading: Create a COVID-19 Test Lab Order. For additional details about Lab Configuration in PCC EHR, you can read Lab Configuration.

Billing Codes for COVID-19 Tests and Orders

When you gather the specimen for a COVID-19 test, you can bill:

  • 99000: Handling and/or conveyance of specimen for transfer from the office to a laboratory

Depending on your lab configuration, and whether or not you perform the test in-house, you may use additional procedures for a COVID-19 test:

  • 87635: Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique
  • 87426: Infectious agent antigen detection by immunoassay technique
  • 86328: Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])
  • U0002: 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
  • G2023: Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source. Note: This code is for use by independent labs, not private offices.

In PCC EHR, you can map your orders directly to the procedures you bill so they will automatically appear on your electronic encounter form automatically.

E-Lab Configuration Identifiers

You can configure lab orders so results will be sent back to your practice electronically, if your lab vendor supports e-lab integration.

Labcorp and Quest have provided the following vendor-specific identifiers, which PCC added to all practice systems:

  • Labcorp COVID-19 Test: 139900
  • Quest SARS-CoV-2 RNA, Qual Real-Time Test: 39433

Code and Bill a COVID-19 Diagnosis

During an in-person or telemedicine visit for a patient with a COVID-19 diagnosis, you would code both the COVID-19 diagnosis and related conditions.

When you indicate a COVID-19 diagnosis with a SNOMED description, use:

  • 840539006 Disease caused by 2019-nCoV: This diagnosis has alternate, searchable names of “Disease caused by 2019 novel coronavirus” and “Disease caused by Wuhan coronavirus”.

In PCC EHR, you can select this diagnosis on a chart note and/or add it to a patient’s Problem List.

For all encounters that occured after April 1st, 2020, use this code when you bill for a visit with a patient with a positive COVID-19 diagnosis:

  • U07.1 COVID-19

This code was added to all PCC systems with a 2020-03-23 update. By default in PCC EHR, when you select the SNOMED COVID-19 description, the ICD-10 COVID-19 code will appear:

For services rendered prior to the April 1st effective date of U07.1 COVID-19, the CDC recommends you chart and code for the conditions of Pneumonia, Bronchitis, Lower Respiratory Infection, Respiratory Infection NOS, and ARDS, and then adding B97.29 Other coronavirus as the cause of diseases classified elsewhere. Before the specific COVID-19 ICD-10 diagnosis code is in effect, use the less specific B97.29 secondary to the manifestation code to indicate the patient has COVID-19.

Details May Change: The above scenarios and COVID-19 codes are new and payer response may vary. PCC keeps an up-to-date handout with COVID-19 coding and billing recommendations here: 2020 COVID-19 Coding Guide. We will update that PDF and this article as the situation changes and we learn more.

Use Other Procedure CPTs for COVID-19 Related Visits

In addition to the codes mentioned above, here are some other CPT codes you might use in relation to a COVID-19 related encounter.

Code for Telemedicine, Phone Calls, Portal, Email and Other Remote Services: What CPT visit code should your practice use for a video telemedicine encounter, a telephone call, a portal message consultation, or other remote service? PCC is maintaining a COVID-19 Coding Guide with descriptions of appropriate codes for different circumstances. You can also read PCC’s Schedule, Chart, Code, and Bill for Telemedicine Encounters.

Bill for COVID-19 Risk Counseling

Your practice may talk with a patient or parent at length about COVID-19 risk. You could use:

  • 99401: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure) approximately 15 minutes
  • 99402: …approximately 30 minutes
  • 99403: …approximately 45 minutes
  • 99404: …approximately 60 minutes

You may use these codes for COVID-19 risk reduction and prevention counseling. You can add these codes onto a claim with other office visit codes, or they can stand alone.

Are These Codes Okay for Telemedicine?: Although these codes do not appear in Appendix P of the CPT manual, which lists telehealth or telemedicine codes, many states are currently mandating that all services, including the 99401-99403 codes, be billable in a telemedicine encounter.

Add-On CPTs for Urgent and Unusual Circumstances

If an emergency appointment disrupts your office’s schedule, such as the sudden arrival of a patient with Acute Respiratory Distress, you can use this additional code on the claim:

  • 99058: Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service

If you have to leave the office for an emergency visit that disrupts your schedule:

  • 99060: Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office services, in addition to basic service

If you leave the office for an encounter at the request of the patient or family, you might add:

  • 99056: Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service

We're Seeing Kids in the Parking Lot. Is That a 99056?: If the patient or family makes a special request for you to come out to the parking lot to perform a visit, you may add this code. If your practice sees patients in your parking lot as your general office policy during the COVID-19 epidemic, this code may not apply.

Vaccine, Administration, and Counseling Codes

Payment for administration of COVID-19 vaccine varies among payers and states. You should consult your CPT resource for guidance, and speak with your payers.

Guide to COVID-19 Vaccines in PCC EHR: Read COVID-19 Vaccines: Plan, Configure, Order, Administer, and Track to learn about the MVX, CDX, NDC, and CPT codes needed for COVID-19 vaccine encounters.

How to code for COVID-19 vaccine-related encounters has continued to evolve and change during 2021. For example, in June of 2021, North Carolina Medicaid changed their payment policy for CPT 99401 (Preventative medicine counseling and/or risk factor reduction intervention) to allow for an additional 15 minutes to counsel about the benefits of receiving COVID-19 vaccine. They require a CR modifier on the code. When this change occurred, PCC reached out to North Carolina clients.

If you learn of similar updates to policy, please reach out to PCC and/or PCC Community to share!

Installing Your Firewall

PCC uses a Fortinet Fortigate 60F (or related model) as a firewall in our clients’ offices to protect their networks.

Follow the instructions on this page to install your Fortigate firewall.

Follow the instructions on this page to install your Fortigate firewall.

Connect Your Modem

With the ethernet cable that came with your Fortigate firewall, connect your ISP’s modem to the “WAN1” port on the Fortigate.

The ethernet ports on most modems are usually clearly labeled, but if you are unsure which port to use, contact your ISP.

Add Other Devices to Your Network

Now connect other networking equipment to the LAN ports on the back of the Fortigate. Use the ports labeled 1-5. All 5 of these ports are identical.

Ports A and B: Depending on your needs, PCC may have configured your router to also allow ports A and B to be used. Use these ports only if instructed to do so by PCC.

Connect Your Network Switch (optional)

Depending on the needs of your office, you may or may not use a network switch. If you use a switch, plug all devices, including the Fortigate, into the ports on the front of the switch. All ports work the same, and all ports communicate in both directions; you can plug any device into any port.

Connecting network devices via your network switch: If you are using a network switch, all the instructions below still apply. However, instead of plugging your other devices into your Fortigate firewall, plug them into your switch. The switch and your modem will be the only two devices connected to the Fortigate.

Connect Your Network Attached Storage

A Network attached storage (NAS) device is a RAID array of hard drives connected to your network that is used to store backups.

PCC is currently equipping our clients with the FreeNAS Mini E. To connect the Mini E to your firewall (or switch), use the lower-left ethernet port on the back of the Mini E.

Connect Your Server

Your Dell server will need to be connected to your firewall (or switch) using two ethernet cables. Connect one using the “GB1” port, and the other using the “iDRAC” port.

Connect Wireless Access Points

Your wireless access points should already have been installed around your office by your local IT support. Connect them to free ports in your firewall (or switch).

Connect Your Fortigate Firewall to Power

Turn on your modem first: Your modem should be powered on before you plug in your firewall.

Connect the power supply to the back of the device and plug it into a UPS battery device.

Your UPS looks like this:

The “PWR” and “STATUS” indicators on the front of your Fortigate firewall should light up green if the cable is pluged in correctly.

Power cable clicks into place: The power supply connector has a locking tab that will click into place. You must press the tab if you want to remove the cable from the firewall for any reason.

Wait for Your Devices to Connect

Depending on how quickly you plugged everything in, the Fortigate firewall may still need time to start up before you can connect to the network. If after 5 minutes you are unable to connect, please contact PCC for assistance.

Call PCC for assistance: If you need assistance at any point in this process, PCC is here to help! Call PCC Support at 800.722.7708. If possible, have a photo of the back of your Internet modem and the back of the Fortigate firewall available.

March 2020 SNOMED-CT Update Adds COVID-19 Diagnosis and More

On March 19, 2020, PCC updated the SNOMED-CT diagnostic terms on your practice’s PCC system to add the COVID-19 diagnosis.

PCC regularly updates your system’s ICD-10, LOINC, SNOMED-CT, NDC, RVU, VIS, and other standardized lists so you won’t encounter challenges when you chart, order a lab, interface with a care provider, or bill for a visit. (Your practice’s local system automatically updates your practice’s procedure codes.)

We decided to push the most recent SNOMED-CT codes and descriptions out as an immediate patch in order to provide practices with the new COVID-19 diagnosis.

Read the sections below to learn more.

COVID-19 Diagnosis

This update includes language and coding for a COVID-19 diagnosis.

  • 840539006 Disease caused by 2019-nCoV: This diagnosis has alternate, searchable names of “Disease caused by 2019 novel coronavirus” and “Disease caused by Wuhan coronavirus”.

If your practice needs to diagnose COVID-19, you can select this diagnosis on a chart note and/or add it to a patient’s Problem List.

What ICD-10 Code Do I Use for COVID-19?

On Thursday, March 19th, the CDC announced an unusual addition of a new ICD-10 code mid-cycle, making a new COVID-19 code effective as of April 1st, 2020:

  • U07.1 COVID-19

This code’s title has also appeared as “2019-nCoV acute respiratory disease”.

Prior to U07.1 COVID-19, the CDC recommends using specific codes for Pneumonia, Bronchitis, Lower Respiratory Infection, Respiratory Infection NOS, and ARDS, which you would add to a claim along with B97.29 Other coronavirus as the cause of diseases classified elsewhere. As always, payer response may vary.

PCC keeps an up-to-date handout with COVID-19 coding and billing recommendations here: 2020 COVID-19 Coding Guide. We will update that PDF link as the situation changes and we learn more.

Your practice can use the Billing Configuration tool to directly map one or more ICD-10 codes to a SNOMED diagnosis description.

For example, you could set up the Disease caused by 2019-nCoV code to automatically provide a selection of ICD-10 specific codes. In the configuration tool, you’d add codes to the ICD-10 mapping field:

When the clinician selects the diagnosis, they can choose the additional, specific codes to accompany B97.29:


New Favorites Available in Diagnosis Quick Search

The SNOMED-CT update adds 2600 diagnosis descriptions to your system. PCC added 78 of them to the “Favorites” quick search feature of all diagnosis fields in PCC EHR.

In preparation for the update, PCC’s certified coder, Jan Blanchard, assembled a list of 78 new SNOMED-CT descriptions of interest to pediatricians. The update added these diagnoses, which include the COVID-19 diagnosis, to your practice’s default Favorites list for quick searching, unless your practice has specifically requested otherwise.

What is a diagnosis 'Favorites' list?: As you type or search in any diagnosis field, PCC EHR automatically searches a customizable list of Favorites. Use the Diagnosis Configuration tool to adjust your practice’s list of Favorites. You can also right-click on any diagnosis field in PCC EHR to search your system’s full SNOMED-CT diagnosis library.

Abnormal hair finding Acquired stenosis of left nasolacrimal duct Acquired stenosis of right nasolacrimal duct
At increased risk of emergency hospital admission Bilateral itching of eyes Blister of skin
Bronchitis co-occurrent with acute wheeze Bronchitis co-occurrent with chronic wheeze Bronchitis co-occurrent with wheeze
Chronic excoriation of skin Cold and clammy skin Crusting on nose
Disease caused by 2019-nCoV Dislocation of digit of hand Disorder caused by stimulant
Disorder due to vaping Dry skin of abdomen Dullness of light reflex at tympanic membrane
Erythema of skin of nose Erythematous rash Excessive crying of infant
Excessive menstruation with irregular cycle Feeling abnormal Foreign body of eye region
Glass foreign body in skin Gonorrhea of lower genitourinary tract Gonorrhea of penis
Hair tuft in skin of sacral region Hard lump of breast Harmful pattern of use of amphetamine and amphetamine derivative
Has special educational needs Immunization overdue Impulse control disorder caused by stimulant
Intermittent allergic asthma Itching of left eye Itching of right eye
Methamphetamine withdrawal Migration of intrauterine contraceptive device Misuse of medication
Mood disorder caused by cannabis Mood disorder caused by methamphetamine Near fatal asthma
Neonatal jaundice due to ABO incompatibility Nicotine-filled electronic cigarette user Non-nicotine-filled electronic cigarette user
Obesity in adolescence Persistent adjustment disorder Pimple of skin
Puncture wound of thumb with foreign body Puncture wound of thumb without foreign body Pus crust on skin
Pustular psoriasis of palm of hand Pustular psoriasis of sole of foot Rash due to dribbling from mouth
Rash due to dribbling of urine Rash of mouth Rash of scalp
Requires vaccination against diphtheria Requires vaccination against diphtheria-tetanus-pertussis with poliomyelitis Requires vaccination against diphtheria-tetanus-pertussis with typhoid-paratyphoid
Requires vaccination against measles Requires vaccination against mumps Requires vaccination against pertussis
Requires vaccination against typhoid-paratyphoid Rough skin Sexually assaultive behavior
Site of injection normal Splinter in ankle Splinter in eyelid
Strain of rotator cuff of shoulder Strain of tendon of hand Synthetic cannabinoid induced mood disorder
Tingling pain Transient motor tic Vascular birthmark
Vesicle of skin Waxy discharge from ear

Deprecated SNOMED Diagnosis Descriptions

The March 2020 SNOMED-CT update removes or replaces many codes common to pediatric practices. Your practice may want to take special note of them.

  • Acute upper respiratory infection of multiple sites: This common URI diagnosis was removed from the international SNOMED-CT library as being ambiguous. Your practice may want to review alternative diagnoses and adjust chart note protocols, especially as it was often used for CQM reporting. PCC will automatically replace the term on chart note protocols for new visits with “Acute upper respiratory infection”, and there are several related URI descriptions available.

  • Lactose intolerance: PCC’s pediatric practices frequently used this SNOMED-CT diagnosis. It was removed from the SNOMED-CT library in favor of the more specific “Malabsorption syndrome due to intolerance to lactose”. PCC will automatically update your chart note protocols for new visits if this item appears as a default.

  • Infantile seborrheic dermatitis: This SNOMED-CT diagnosis, one of many formal names for “cradle cap”, was removed from the SNOMED-CT library. If your practice used it on a chart note protocol, the update will automatically replace it with “Generalized seborrheic dermatitis of infants”.

  • Here are the top 25 codes from PCC’s pediatric practices that have been removed from the SNOMED-CT diagnosis library in 2020. When these codes appeared for selection on a chart note protocol, PCC added a replacement. For other diagnoses, your providers may easily find related descriptions with a search, but you may want to plan ahead.

    Acute upper respiratory infection of multiple sites 78337007
    Lactose intolerance 267425008
    Infantile seborrheic dermatitis 200776003
    Chesty cough 161929000
    Acute wheezy bronchitis 275499005
    Dysfunctional uterine bleeding 19155002
    Fatigue – symptom 272060000
    Pink eye disease 241759005
    Pulled elbow 95854004
    Oral contraceptive prescribed 169472004
    Vesicular eczema of hands and/or feet 402567004
    Periorbital and/or eye pain 43751000119109
    Maternal drug abuse 169941005
    Superficial bruising 270911002
    Wry neck/torticollis 270476009
    Newborn 46068001
    Facial eczema 43523005
    Hyperkeratosis 396228006
    Genetic syndrome 290028006
    Fall down stairs 414188008
    Eczema of leg 309258000
    Uncomplicated umbilical hernia 196867008
    Tiredness symptom 267031002
    Feeling tired 314109004
    Sprain, ankle joint, medial 209531007

    SNOMED Codes Mapped to ICD-10 for Billing

    The SNOMED-CT update includes new mappings to ICD-10 billing codes. Many previous mappings have been updated.

    You may wish to review billing configuration for your diagnoses. You can open the Billing Configuration tool to configure which ICD-10 diagnoses are mapped to each SNOMED-CT description in PCC EHR. You can also use the snomedmap report to examine your practice’s diagnoses that may need updating.

Send Broadcast Messages to Patients and Families

Use Broadcast Messaging in PCC EHR to send batches of messages to patients and families. You can use PCC’s Broadcast Messaging report, or customize any patient-based report, to create a patient list. PCC EHR will collect all contact information for the patient (emails and cellphones) and send the message to all of them.

Broadcast Messaging requires some initial setup before you can begin sending messages. Contact PCC Support to get started using Broadcast Messaging.

Watch a Video: You can learn how to use Broadcast Messaging in PCC EHR by watching the Send Broadcast Messages to Patients and Families video.

Send a Broadcast Message

Open the Report Library

Open the PCC EHR Report Library from the Reports menu.

Select a Report

Select a report to begin building a patient list.

You can use the Broadcast Messaging Patient List or another report in the library.

Most EHR reports work with the broadcast messaging feature, including (but not limited to) those in the Appointment, Clinical, Immunization, and Patient Recall categories.

Select Report Criteria

Adjust the report criteria to create a list of patients and families you wish to contact.

The Broadcast Messaging Patient List includes a range of criteria for narrowing down the list of patients included in your report. For example, exclude by patient or account flag to ensure that inactive or deceased patients aren’t contacted, or select by care center flag to limit the results to patients of one care center.

By default, the Broadcast Messaging report includes all patients who have been seen in the past three years, are not marked as deceased, and who are under 21 years old.

Run the Report and Review the Patient List

Once you have adjusted the criteria to meet your needs, run the report, and check that the resulting list includes the patients or number of patients you expect.

Export Your Results

Click the “Export” button at the bottom right of the results window.


Select One or More Sending Methods

You’ll see three options, PDF, CSV, or “Send message to patients via” with the option to choose a sending method.

Select one or both of the sending methods, SMS or Email.

Compose a Message

Write your message.

Text (SMS) messages are limited to 160 characters per message. The character count in the bottom right of the window shows how many characters you’ve used out of the 160.

If you select the email option, you will see a subject line for the email. There’s no character limit to emails, so you can write as much as you need.

If you select both the Text (SMS) and Email options, you will see both the Subject field and and character count. When you send both message types, you’re limited to 160 characters. Anything in the Subject field will appear as the subject line of the email and the first line of the text message.

Include Your Practice Information: Broadcast Messages are plain text, and include nothing more than what you type. Be sure to include your practice name, and, if necessary, contact information, so the recipients will know who the message is from. 

Send Your Message

When your message is complete, be sure to double check it, since there’s no going back after sending. When you’re happy with it, click send.

If you’ve chosen to send a message via text and email, the message will go out by both methods to the phone numbers and email addresses you selected in Practice Preferences to all accounts in your report result. Accounts may receive both an email and a text message.

Duplicate Email Address or Phone Numbers: If siblings or patients with shared custodian accounts appear in your search results, duplicate messages will not be sent. Only one message will be sent to each email address and phone number.

You’ll see a confirmation message, and you’ll be returned to the report results.


How Do I Get Started With Broadcast Messaging?

Begin by assigning permissions for broadcast messaging. Who at your practice will compose and send these messages? Broadcast Messaging is extremely powerful, and can send thousands of messages with just a few clicks.

Use the User Administration tool to add a new Role for Broadcast Messaging, and then assign that role to particular users at your practice.

Select Which Phone Numbers To Use For Broadcast Messaging

By default, Broadcast Messaging sends text (SMS) messages to all available phone numbers and email addresses in the patient’s home account, confidential communication preference, and patient portal information. If you prefer to limit which contact methods Broadcast Messaging uses, you can now select which fields should be included in the Practice Preferences menu.

 

Who Will a Broadcast Message Be “From”? What If The Family Replies to the Message?

Email

When a patient or family member receives an email from Broadcast Messaging, the message will be from your practice, with an email address noreply@CLIENT.pcc.com, where “CLIENT” will be replaced with your acronym.

If they reply to that email, it will go to a “noreply” email account on your PCC system, in order to filter bounced emails.

Your practice can configure who will receive a copy of these noreply emails. For example, families might reply to your message with a request to be seen, even though it says “noreply”.

PCC Support can configure what email address will receive copies of email replies from parents and families.

Text (SMS) Messages

When a patient or family receives a Text (SMS) message, it will appear to be from a phone number with your practice’s local area code. PCC provisions these lines, creating one number per-practice or multi-practice group.

You can ask PCC Support for details about this phone number, and optionally share it with your patients and families so they can know the number the messages will come from.

If a family responds to that text message, the Broadcast Messaging service will ignore that text.

Unsubscribing

If a patient or family does not wish to receive Text (SMS) messages from your practice, responding “stop” or “unsubscribe” will prevent that number from receiving texts in the future. Likewise, each email sent via Broadcast Messaging includes an unsubscribe link, that will remove the recipient’s email address from future mailings. These addresses and numbers will be moved to your blacklist, and appear there in the Broadcast Messaging Log Report

Unsubscribing Stops Patient Portal Messages and Direct Texts: Unsubscribing prevents the user’s phone number from being used for any reason by PCC. In addition to broadcast messages, unsubscribing will prevent a user from receiving Patient Portal notifications or direct messages via SMS.

If a patient or account has unsubscribed from Broadcast Messaging, and would like to receive your practice’s broadcast messages again, responding to a previous message with “unstop” will remove their number from the blacklist, and they’ll begin receiving your messages again.

To learn more about how you can help patients and families resubscribe to broadcast messages, read the article Help Families Resubscribe to Broadcast Emails and Text Messages From Your Practice.

Bounced Messages and Dead Phone Lines

PCC’s Broadcast Messaging service will automatically recognize when an email address fails, or a cell phone number fails. When that happens, PCC will automatically add that cell phone number or email address to a black out list so your practice does not send messages to disconnected numbers or emails.

Repeated messages to dead emails or cell phones can lead to your system being identified as a spam service. PCC has set up the blacklist feature to avoid this.

Broadcast Messaging Log

PCC EHR’s Report Library includes a Broadcast Messaging Log, which tracks all Broadcast Messages sent. You can review historical messages and see results of each batch of messages.

Broadcast Message Log is found in the Communication category and the Patient Recall category in the Report Library, and can be run for a range of dates and limited by user.

Results include the date and time of each message run, the user who sent the message, the message content, type and count of messages, both email and SMS, were attempted, how many were sent successfully, and how many failed.

Broadcast Messaging Details Report

The Broadcast Message Details report provides detailed results of a single broadcast message run. You’ll find it in the Patient Recall category.

The communication log criteria lists all previous Broadcast Message runs. Select one from the drop-down menu and click Generate to run the report and see the results of that run.

The results show the date and time of the run, each recipient, the patients associated with each email address or phone number, the status, and a blacklist column.

If an email or phone number is added to the blacklist, the Excluded from Future Broadcasts column indicates a reason why a contact method has been added. If a text message is sent to a landline, that number is added to the blacklist with the reason “Not Text Enabled”. “Validation Failed” indicates an email address that is invalid or no longer exists.

Review Replies with the Inbound Messages Report

When a recipient of a Broadcast Message replies via email or text, you can review those replies in the Inbound Message report in the Report Library’s Communication category.

Here you’ll see all replies, including automatic responses from emails, and direct replies from users. You can use these results to keep your user’s contact information updated, or follow-up with users who need additional help or answers.

COVID-19 Links and Resources

Follow the links below to find content, services, and features that will help pediatric practices during the COVID-19 Coronavirus crisis.

Rapid Development of COVID-19 Related Features: PCC launched a series of rapid updates in response to the COVID-19 pandemic. In 2020, we beta tested and rolled out new functionality, and have released six major updates to all clients with new features for telemedicine, office communication, COVID-19 vaccine support, and more. To review these new features, visit the Updates page.

COVID-19 Vaccines

PCC EHR supports tracking the administration, charting, and billing of the new COVID-19 vaccines. Whether or not your practice administers a COVID-19 vaccine, you can configure PCC EHR to display the vaccination on chart immunization records when patients are vaccinated.

Get Started With COVID-19 Vaccines in PCC EHR: For a guide to available vaccines, how to set them up in your PCC system, and how to order, administer, bill, and track a COVID-19 vaccine, read COVID-19 Vaccines in PCC EHR: Configure, Order, Administer, and Track.

Connect With Patients and Families During the COVID-19 Pandemic

Code and Bill During the COVID-19 Pandemic

 

Other PCC COVID-19 Information Resources

 

Useful Information From Other Sources

American Academy of Pediatrics

Center for Disease Control

World Health Organization

Other

PCC 8.12 Release

In first quarter 2020, PCC will release version 8.12 of our electronic charting and practice management software to all PCC users.

PCC 8.12 includes an all new charge-posting tool in PCC EHR. You can review and update an encounter’s diagnosis and procedure codes, enter claim information, enter payments, and queue your claim right inside PCC EHR. PCC 8.12 brings other highly requested features to your practice, like editable chart sections in pocketPCC, more visibility for orders in the patient portal, improved chart note searching, and reporting updates.

Watch a Video Series: Want to see videos about the updates in this release? Watch the PCC 8.12 Video Playlist.

Implementation: PCC 8.12 includes features that require configuration and user-specific software training. Read about the features below and then review the PCC 8.12 Migration Considerations article.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Post Visit Charges and Payments in PCC EHR

You can now post charges and payments in PCC EHR. When you are ready to post an encounter, click the “Ready To Post” button on the Schedule screen.


PCC EHR will open a Post Charges window. You can review a patient’s history and details as you work with encounter charges. For example, you can use the Patient Details protocol to review eligibility, update a patient’s insurance policies, or change demographic information. You can also click “Visit Note” in the lower-right corner to open the encounter’s complete chart note in a separate window.

Next, use the Diagnoses and Procedures components in the Post Charges protocol to review and update charges for the encounter.

The Diagnoses and Procedures components display all the diagnoses and procedures that the clinician made ready for billing on the electronic encounter form. You can adjust linking or number of units, switch to a secondary insurance (or “Self Pay”), change the amount due personal, select a modified code, add billing diagnoses and procedures, and more.

Next, if an encounter needs to be billed under a different provider, requires a prior authorization number, or has additional details that should appear on the claim, you can enter that information in the Claim Information component.

What amount is due personal for this encounter? Did the family pay part of their balance today? Use the Payments component to review personal due totals and enter payments.

First review the ledger to understand the total of today’s personal charges and any past due balance. Then select a Payment Type to begin entering a payment.

When you finish reviewing and updating all charge, claim, and payment information, click “Save + Post” to post the charges. (If you want a receipt right away, you can first click “Generate a Receipt”.)


The Schedule queue displays that the encounter’s charges are posted.

What Happens Next?: As soon as you post charges, PCC queues up a claim. You can click the “Posted” button to return to Post Charges to add a new payment or to get another receipt. Later, your practice can review, adjust, or delete charges and payments using Correct Mistakes (oops) in the Practice Management window. Finally, your billers can generate claims, which will automatically review claim information for errors and then send claims electronically to the payers.

More Details Please!: We couldn’t fit all the different Post Charges options and features into this release article. To see more details and examples, read Post Charges in PCC EHR for a full how-to procedure.

Enter Visit Data in pocketPCC

In PCC 8.12 you can now enter visit data in pocketPCC. After a patient is checked in, all generic components included in the visit will be available in the Edit View in pocketPCC.

Click the edit button when viewing the visit, and all generic components in the visit will open for editing.

Select radio buttons above a question to enter your auto-notes for that entry, or tap the arrow to the right side of a text field to choose one of your previous answers entered in that field.

Once you’re done editing, click save & exit at the bottom of the pocketPCC window to save your work. After saving, anything you’ve added in pocketPCC will appear in PCC EHR.

Finish Your Notes Without Being Timed Out of pocketPCC

Have you ever lost notes in pocketPCC because you were automatically logged out before you finished a note, or because you stepped away mid-note? In PCC 8.12, new pocketPCC settings have been added to the Practice Preferences window to help prevent lost notes.

You can control the Session Timeout settings for pocketPCC just like you can for PCC EHR. Instead of the default 15 minutes, you can choose from six different lengths, from 15 minutes to 4 hours.

If any user leaves pocketPCC open but unused for the selected time, the session will automatically end. Any action in pocketPCC will reset the timer, so if you’re interacting with pocketPCC in any way, you won’t be logged out.

See Patient Care Center and More in pocketPCC Search Results

In PCC 8.12, pocketPCC’s search results now show more than just names and birth dates so you can quickly choose the correct patient from the list of results. Search results now include each patient’s PCP and flags. If you have multiple locations and you’re using the Care Center feature in PCC EHR and Practice Management, each patient’s care center will also appear.

View Schedule Blocks in pocketPCC

Never miss another scheduled meeting. The pocketPCC schedule now shows more than just appointments: it also includes any Appointment Book blocks, so if you have a block of time set aside for a meeting or walk-in appointments, those blocks will now appear in your schedule.

Blocks appear in-line with your appointments, and are displayed as gray text instead of black. Each block is labeled with its block type and length of time blocked. For example, the Staff Checkin block above begins at 9:15, and lasts for fifteen minutes.

Please note that only blocks added via Appointment Book will appear in pocketPCC. If your practice is not yet using Appointment Book and would like to begin, contact your PCC Client Advocate.

Display Any Order Type in the Patient Portal

You can now share the full range of orders with families through the patient portal. Open Patient Portal from PCC EHR’s Configuration menu. If you check or uncheck the “Orders” box, you’ll show or hide all orders, or you can select individual order types to show or hide.

These changes are applied practice-wide, and will affect all orders of that type. For example, checking Medical Procedure will display all medical procedure orders for all portal users in all visits that include a Medical Procedure order.

Likewise, if you uncheck an order type, the next time a user logs in to the patient portal, all orders of that type will be hidden from view across all users and all visits.

When you attach a document to an order through PCC EHR’s Import Documents tool, those will appear in the visit’s documents section, as long as the “Display in Portal Documents” option is selected.

Review Portal Payments in PCC EHR

The PCC EHR Report Library now includes a report on payments made through the patient portal. Find it in the Billing and Patient Portal reports categories, or search in the All Reports category.

Select a range of dates, and optionally limit your report by portal user, result, card type, transaction type, and autopost status. The resulting report will list all payments made through the portal, including account details for each payment.

Search Within Patient Visit History

Looking for a specific visit or diagnosis in a patient’s history? Now you can search a patient’s history from the Visit History Index. Enter a phrase or keyword, such as a diagnosis, order, or other visit detail, and click search or press enter.

The Visit History Index will change to display only the visits that contain the search term you entered. The search box will show a count of how many visits contain that term, and which of those search results you currently have selected.

When you select a visit, the count will change to indicate which of the resulting visits you’ve selected. In the visit history window above, each instance of your search term will be highlighted.

To return to the full list of visits, click the x in the search box to clear the search.

Add Additional Races, Ethnicities, and Languages to Patient Charts

Your practice can now optionally add more detailed race, ethnicity, and language information to a patient’s chart record.

You can select up to three races, ethnicities, and languages, and more options for each are available to your practice.

As part of the patient’s record, these values are available in custom form letters, reporting, and will appear on the Patient Visit Summary, in the patient portal, and wherever patient demographics appear.

Contact PCC to Add Additional Options: The PCC 8.12 update expands the list of races, ethnicities, and languages to include the full CDC OMB lists. All languages will appear automatically, and you can contact your PCC Client Advocate to add additional races and ethnicities to your practice’s pull-down lists. For more information, read Add Additional Race, Ethnicities and Languages to PCC EHR.

Outgoing Records: If you export or send a C-CDA chart record for a patient, PCC EHR will automatically adapt race and ethnicity standards to the C-CDA standard. For example, C-CDA only supports ethnicities of hispanic or non-hispanic, so other ethnicities will be sent as non-hispanic.

Adjust Custom Reports: If you expand what your practice tracks for race, ethnicity, and language, you should also revisit any of your practice’s custom reports that are based on these values.

Sign Up Now for the Clinical Document Exchange Responder Role

Does your practice frequently receive requests for patient records from local hospitals or other health care providers?

PCC has begun a phased rollout of the Clinical Document Exchange responder functionality to all PCC clients!

You can now sign up to automatically share clinical and demographic information with other adopters of the Carequality framework. Over 1,700 hospitals and 40,000 clinics are currently connected and exchanging clinical documents. You can search Carequality’s nationwide registry to see if your local hospitals and clinics are part of the network.

If you are ready to sign up as a CDE Responder, or just want to learn more about it, read Getting Started with Clinical Document Exchange on learn.pcc.com.

PCC eRx is Now Fully Owned and Operated By PCC!

You may have noticed a change to our PCC eRx logo lately!  (Hint: It no longer says “powered by FDB MedsTracker”)

During the 8.12 release cycle, PCC completed the transition to having full control of our eRx solution.

Here’s what the journey looked like:

  • In October of 2019, we migrated the hosting of PCC eRx from FDB’s cloud-based infrastructure to each client’s PCC server. Several clients reported significant improvements to the load speed with the new locally hosted version.
  • At the beginning of January, PCC completed a seamless one-time migration of all provider accounts with Surescripts from FDB ownership to PCC.
  • In mid-January, we transferred Exostar EPCS credentials from FDB’s ownership to PCC. The migration occurred late at night on Saturday, January 11th, and was complete by the early morning hours of Sunday, January 12. While the transfer didn’t affect prescribers’ ability to send electronic prescriptions using their hard tokens, it did require each provider using the Authy app to replace their FDB Authy account with the new PCC account.
  • Finally, on March 2nd 2020, we deployed the full PCC-hosted eRx package to all offices. This final update included the new PCC eRx logo, a fix to a button that was inadvertently moved during a previous update (the “Mark as Reviewed” button in the Medication History component), as well as a re-direction of drug data referencing from FDB to PCC (identical data) and finally the acquisition of Surescripts formulary files, which had not been updated by FDB in some time. After the update, we received reports of much better formulary results for many of our clients!

Internally, PCC has added dedicated programmers to our eRx development team, and they are already hard at work making pediatric-focused improvements; in the coming months we will be rolling out some new functionality that you have been requesting!  

Stay tuned for information about a PCC eRx-only release coming later this year!

Large Reports and Data Source Reports Generate Faster

Reports in PCC EHR give you access to a massive amount of data. The more columns of data you include in a report, the longer it takes to generate.

Prior to PCC 8.12, stock reports were pulling, by default, dozens of columns of data, leading to long generating times for those reports as well as any custom reports built using those stock reports.

In PCC 8.12, we’ve reduced the number of default columns in the following reports in order to dramatically decrease generation time:

  • Patient List
  • Appointment
  • Chronic Condition Recall
  • Preventive Care Recall

Remember, if you want access to columns that we’ve removed from these reports’ default lists, you can create a custom report that includes those additional columns.


See Per-Provider Immunization Rates in the Dashboard

With PCC 8.12, you can compare immunization rates by provider for the following Dashboard measures:

  • Immunization Rates – Adolescents
  • Immunization Rates – HPV (Patients 13-17 Years)
  • Immunization Rates – HPV (Patients 13 Years)
  • Immunization Rates – Meningococcal
  • Immunization Rates – Patients 2 Years Old
  • Immunization Rates – Tdap


These per-provider breakdowns have also been added to the PCMH page of the Dashboard.

Filter New Billing Statuses in the Report Library

You can now filter reports in the Report Library based on billing statuses with just one filter.

The Billing Status filter in the Report Library allows you to filter on the four billing statuses:

  • Not Ready
  • Ready for Posting
  • Posted
  • New Items

You could use this filter, for example to generate a report of all visits with “New Items,” in order to determine if you need to submit corrected claims.

New and Updated Interfaces Available in PCC 8.12

With each release, PCC’s Interoperability team expands and updates PCC’s direct connections, partnerships, and integrations with insurance payers, immunization registries, and more. Here are the clinical and financial interoperability updates for PCC 8.12:

  • New and Updated Immunization Interfaces: As part of the PCC 8.12 release, PCC updated our immunization registry interfaces with Alabama (ImmPrint), Michigan (MCIR), Wyoming (WyIR), Ohio (ImpactSIIS), Maryland (Immunet), and New Jersey (NJIIS).

  • Updated Clinical Interfaces in PCC EHR: PCC added or updated clinical interfaces with Boone Hospital, Virginia Hospital Center, Trinity Elabs, CCHMC, Beaumont Hospital, and Urgent eLabs.

  • New Insurance Eligibility and Financial Interfaces: PCC added or improved interfaces with Wellcentive, Meridian Health Plan of Minnesota, Medicaid Priority Health in Minnesota, CareSource in Georgia, Mississippi Medicaid and Mississippi BCBS.

If your practice would like to take advantage of these connections, or you have another interface need, contact your PCC Client Advocate.

Immunization Forecasting is Up to Date

During the PCC 8.12 release cycle, PCC updated your immunization forecasting schedules to meet the latest CDC ACIP schedules and to correct unusual schedule scenarios or errors in forecasting.

PCC EHR automatically reviews each patient’s immunization record and provides a table showing any immunizations that were missed, are recommended soon, or that occurred outside of the CDC’s ACIP schedule.

PCC uses immunization logic and calculation services provided by Immucast by STC. During the PCC 8.12 release cycle, STC applied their latest patches (5.22.1 and 5.22.2), updating and correcting immunization schedules and bringing your system’s Immunization Forecasting in line with the latest ACIP recommendations.

Here’s a summary of the most notable improvements:

  • Influenza: STC adjusted the start date for influenza forecasting to July 1st, complying with new CDC CDSi recommendations. They also updated flu shot forecasting for the 2019-2020 flu season.

  • Influenza: Under certain circumstances, a warning for live, quadrivalent, intranasal vaccine for doses administered after 2010 to patients under 2 years (or over 49 years) did not display. A mid-release update corrected this omission.

  • Tdap: A mid-release update implemented the 2018 MMWR recommendation that patients age 11-12 who received Tdap as a catch-up series before age 10 can receive a Tdap at 10 years or older as the adolescent dose.

  • Influenza: After January 1st of this year, in certain circumstances patients were forecasted as needing an influenza vaccine for 07/01/2020, when in many cases they should be forecast as overdue for the 2019-2020 season. A mid-release PCC update resolved this issue.

  • Influenza: STC has added CVX code 197, which is a high-dose seasonal, quadrivalent, preservative free influenza vaccine.

PCC tests all adjustments to the immunization schedules. Please get in touch if you’d like to learn more about the updates, or if you observe a forecasting result or warning that doesn’t match your expectation. You can review the full list of updates by reading the ImmuCast 5.22.1 and 5.22.2 release notes.

To learn more, read the guide to PCC’s Immunization Forecasting features.

Other Feature Improvements and Bug Fixes in PCC 8.12

In addition to the features described above, PCC 8.12 includes these smaller improvements and squashed bugs.

  • Reduce Accidental Selection of Historic Answer Memory: In PCC 8.12, when you type in any field that remembers your previous 10 responses, you can press the down arrow to see the list of historic responses and then use the down arrow key to select an answer. (Previously, pressing the down arrow key would immediately select a previous answer and erase any text you had already typed.)

  • No More 'Chart is Already Open' Error Messages When You Schedule: You can now open a patient’s chart, open the Appointment Book, and use the Patient Details feature without being warned you already have the chart open. Similarly, if you have the chart open and simultaneously use the Insurance Eligibility tool for the patient, you will be able to review the patient’s eligibility without closing the chart first.

  • STC Immunization Forecasting Speed Improved: PCC is working with STC, our immunization forecasting vendor, to improve forecasting speed. A recent mid-release update fixed many of the issues that caused slow results.

  • Faster Report Generation: PCC 8.12 includes some behind-the-scenes changes that increase the speed of report generation in the PCC EHR Report Library.

  • Sort Order in Exported Reports: Changes to report output sort order were not reflected when reports were exported from PCC EHR. This has been fixed.

  • Screen Cut Off in Documents Window: Under certain circumstances, menus in the Documents window would extend off the screen. This has been fixed.

  • New Accounts in Training Databases: Under certain circumstances, creating a new account in a PCC EHR training database could cause PCC EHR to crash. This no longer occurs.

  • Vitals Weight Rounding Improved: PCC 8.12 corrects an unusual bug where rounding up was incorrect when converting from kilograms to pounds.

PCC 8.12 Migration Considerations

The PCC 8.12 release includes new features that may need configuration and for which you may want to do extra planning or training. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.12 Release article for complete details on these features.

Contact PCC Support for information about these or any features in PCC 8.12.

Turn on Post Charges for Appropriate Users

Before your practice can post charges in PCC EHR, you must grant permissions to a user role. After your PCC 8.12 update, administrative users at your practice will have access to Post Charges. You should review your user roles and decide which other users can post charges and queue up an insurance claim.

Open the User Administration tool and visit the Roles tab.


You can create a new “Biller” role, or use an existing role.

When you edit the role, add the new “Post Charges” permission.

Next, review each user at your practice who will post charges and add the role.

For a more detailed guide to setting up roles and configuring user permissions, read Set User Roles for Permissions and Security.

Configure Your Practice’s Patient Details Protocol for Post Charges

As you post charges in PCC EHR, you can review a customizable Patient Details ribbon.

You can customize the Patient Details protocol to include any components your practice will need when they post charges.

Select “Protocols” from the Configuration menu to open the Protocols Configuration window.

Click “Post Charges – Patient Details” to customize the protocol.


To learn more about how to add and customize components on a protocol, visit the Configure Chart Notes and PCC EHR Components section of learn.pcc.com.

Adjust Your Practice’s Workflow and Train Staff

When your practice decides to use PCC EHR to post charges, you will have many questions: When will you generate a TOS receipt? What admin fees does your practice add during billing? Who is watching the Schedule screen in PCC EHR, and do you watch for a signature before you post charges? How are you tracking “add ons” by the provider after charges are posted? You can work with your practice to develop a Post Charges workflow in PCC EHR. Your PCC Client Advocate can help by answering questions, customizing your electronic encounter form, and more. Get in touch!

Complex Billing Configuration Available: As you work in Post Charges, you may see due amounts change based on your selection and your practice’s configuration. PCC supports configurations for price schedules, copay rules, capitated plans that adjust off charges immediately, and Medicaid plans (where nothing reverts to personal due). Your practice can customize the billing behavior of any procedure for any insurance policy. The correct amounts and adjustments will appear in the Procedures component automatically.

What About Hospital Charges, Admin Fees w/o an Encounter, Workers Comp, and TOS Discounts?: PCC 8.12 introduces Post Charges to PCC EHR, and it does not include less-common charge posting situations, such as hospital charges, workers comp, TOS discounts, and fees with no encounter. You can post these charges in the Practice Management window, and PCC will bring this functionality to PCC EHR in upcoming releases. To learn more, chat with your Client Advocate.

Update any Billing Status Reports

If your practice has built any custom reports based on the Billing Status Report in the PCC EHR Report Library, you will want to revisit them after your PCC 8.12 update.

As a result of aligning the billing statuses in Partner and PCC EHR, there is now a single billing status filter with four options, as described in the PCC 8.12 Release article. You should update your custom reports to ensure you’re using the current filter.

Configure Which Order Types Your Practice Will Allow Patients and Families to Review in the Patient Portal

You can now share the full range of orders with families through the patient portal. After your PCC 8.12 update, open Patient Portal from PCC EHR’s Configuration menu.

If you check or uncheck the “Orders” box, you’ll show or hide all orders for families who use the patient portal. Or you can select individual order types to show or hide.

These changes are applied practice-wide, and will affect all orders of that type. For example, checking Medical Procedure will display all medical procedure orders for all portal users in all visits that include a Medical Procedure order (unless the specific order is locked). Likewise, if you uncheck an order type, all orders of that type will be hidden from the patient portal for all users and all visits.

What Orders Appear in Patient Portal After My Update?: If your practice displayed orders prior to PCC 8.12, then Medical Tests, Radiology, and Screening will continue to appear in the patient portal after your update. Your practice can configure which additional order types to display. If your practice did not display orders prior to 8.12, then all orders boxes will be unselected after your update.

Adjust Your Practice’s pocketPCC Timeout Length

After your PCC 8.12 update, open Practice Preferences to configure your practice’s Session Timeout settings for pocketPCC. You can choose from six different lengths, from 15 minutes to 4 hours long.

Contact PCC Support to Add Additional Races and Ethnicities for Your Patient Population

The PCC 8.12 update expands the list of races, ethnicities, and languages in your PCC EHR system to include the full CDC OMB lists. There are hundreds of available race, ethnicity, and language selections.

All languages are available via a searchable menu, and you can contact your PCC Client Advocate to add additional races and ethnicities to your practice’s pull-down lists. Your practice can add any item from the full CDC OMB lists, in accordance with Meaningful Use standards.

What races, ethnicities, and languages are available in PCC EHR? Read Add Additional Races and Ethnicities to PCC EHR.

Implementing Additional Race and Ethnicity Options: If you expand what your practice tracks for race, ethnicity, and language, you should also revisit any custom reports based on these values.

Update Your Windows 7 PCs

You probably don’t need another reminder on this one… but Microsoft has ended all support for Windows 7, along with Windows Server 2008 (R2). Mainstream support for Windows 7 ended in 2015, and extended support ended on January 14th, 2020.

PCC recommends you update or replace all of your practice’s Windows 7 workstations immediately.

Update: PCC made the decision to extend Windows 7 support through the PCC 8.12 release. If you are using a PC workstation with Windows 7, you will no longer be able to run PCC EHR after your PCC 8.13 update, scheduled for August of 2020. Contact PCC Support for more information.

Adjust Charting Workflow for Historic Answer Memory

PCC EHR remembers your common answers to fields as you chart, and makes them available in a pull-down menu. Prior to PCC 8.12, many fields exhibited an undesirable behavior: with a single press of the down arrow key, the contents of a field with historic memory would be wiped and replaced with a saved historic answer.

PCC 8.12 adjusts these fields to behave more as intended: When you press the down arrow key, a list of your historic answers will appear, and you can then press tab or escape to close that list, or use the down arrow key (or mouse) to select one of the historic answers and chart it for the patient.

During PCC’s 8.12 testing in pediatric practices, most doctors and other clinicians did not notice this update–but some did, noting that their keyboard muscle memory would need to change from the previous behavior.

Add Additional Races, Ethnicities, and Languages in PCC EHR

When you update a patient’s demographics, you can select from your practice’s list of races and ethnicities and enter any language from the full CDC OMB lists. You can have up to three races, ethnicities, and languages listed on a patient’s chart.

PCC EHR includes a default list of races and ethnicities, but your practice can optionally add any race or ethnicity from the full CDC OMB lists.

For convenience, you can search the list below to see if what you need is available in the CDC standards used in PCC EHR. Contact PCC Support to have any of the races or ethnicities below added to your practice’s pull-down lists. All languages are always available in PCC EHR.

Races

Default List

  • American Indian or Alaska Native
  • Asian
  • Black or African American
  • Native Hawaiian or Other Pacific Islander
  • White
  • Other Race
  • Prefers not to answer

Other Available Races in PCC EHR

Abenaki Absentee Shawnee Acoma Afghanistani African
African American Agdaagux Agua Caliente Agua Caliente Cahuilla Ahtna
Ak-Chin Akhiok Akiachak Akiak Akutan
Alabama Coushatta Alabama Creek Alabama Quassarte Alakanuk Alamo Navajo
Alanvik Alaska Indian Alaska Native Alaskan Athabascan Alatna
Aleknagik Aleut Aleut Corporation Aleutian Aleutian Islander
Alexander Algonquian Allakaket Allen Canyon Alpine
Alsea Alutiiq Aleut Ambler American Indian Anaktuvuk
Anaktuvuk Pass Andreafsky Angoon Aniak Anvik
Apache Arab Arapaho Arctic Arctic Slope Corporation
Arctic Slope Inupiat Arikara Arizona Tewa Armenian Aroostook
Asian Indian Assiniboine Assiniboine Sioux Assyrian Atka
Atmautluak Atqasuk Atsina Attacapa Augustine
Bad River Bahamian Bangladeshi Bannock Barbadian
Barrio Libre Barrow Battle Mountain Bay Mills Chippewa Beaver
Belkofski Bering Straits Inupiat Bethel Bhutanese Big Cypress
Bill Moore’s Slough Biloxi Birch Creek Bishop Black
Blackfeet Blackfoot Sioux Bois Forte Botswanan Brevig Mission
Bridgeport Brighton Bristol Bay Aleut Bristol Bay Yupik Brotherton
Brule Sioux Buckland Burmese Burns Paiute Burt Lake Band
Burt Lake Chippewa Burt Lake Ottawa Cabazon Caddo Cahto
Cahuilla California Tribes Calista Yupik Cambodian Campo
Canadian and Latin American Indian Canadian Indian Canoncito Navajo Cantwell Capitan Grande
Carolinian Carson Catawba Cayuga Cayuse
Cedarville Celilo Central American Indian Central Council of Tlingit and Haida Tribes Central Pomo
Chalkyitsik Chamorro Chefornak Chehalis Chemakuan
Chemehuevi Chenega Cherokee Cherokee Alabama Cherokee Shawnee
Cherokees of Northeast Alabama Cherokees of Southeast Alabama Chevak Cheyenne Cheyenne River Sioux
Cheyenne-Arapaho Chickahominy Chickaloon Chickasaw Chignik
Chignik Lagoon Chignik Lake Chilkat Chilkoot Chimariko
Chinese Chinik Chinook Chippewa Chippewa Cree
Chiricahua Chistochina Chitimacha Chitina Choctaw
Chuathbaluk Chugach Aleut Chugach Corporation Chukchansi Chumash
Chuukese Circle Citizen Band Potawatomi Clark’s Point Clatsop
Clear Lake Clifton Choctaw Coast Miwok Coast Yurok Cochiti
Cocopah Coeur D’Alene Coharie Colorado River Columbia
Columbia River Chinook Colville Comanche Cook Inlet Coos
Coos, Lower Umpqua, Siuslaw Copper Center Copper River Coquilles Costanoan
Council Coushatta Cow Creek Umpqua Cowlitz Craig
Cree Creek Croatan Crooked Creek Crow
Crow Creek Sioux Cupeno Cuyapaipe Dakota Sioux Deering
Delaware Diegueno Digger Dillingham Dominica Islander
Dominican Dot Lake Douglas Doyon Dresslerville
Dry Creek Duck Valley Duckwater Duwamish Eagle
Eastern Cherokee Eastern Chickahominy Eastern Creek Eastern Delaware Eastern Muscogee
Eastern Pomo Eastern Shawnee Eastern Tribes Echota Cherokee Eek
Egegik Egyptian Eklutna Ekuk Ekwok
Elim Elko Ely Emmonak English
English Bay Eskimo Esselen Ethiopian Etowah Cherokee
European Evansville Eyak Fallon False Pass
Fijian Filipino Flandreau Santee Florida Seminole Fond du Lac
Forest County Fort Belknap Fort Berthold Fort Bidwell Fort Hall
Fort Independence Fort McDermitt Fort Mcdowell Fort Peck Fort Peck Assiniboine Sioux
Fort Sill Apache Fort Yukon French French American Indian Gabrieleno
Gakona Galena Gambell Gay Head Wampanoag Georgetown (Eastern Tribes)
Georgetown (Yupik-Eskimo) German Gila Bend Gila River Pima-Maricopa Golovin
Goodnews Bay Goshute Grand Portage Grand Ronde Grand Traverse Band of Ottawa/Chippewa
Grayling Greenland Eskimo Gros Ventres Guamanian Guamanian or Chamorro
Gulkana Haida Haitian Haliwa Hannahville
Havasupai Healy Lake Hidatsa Hmong Ho-chunk
Hoh Hollywood Seminole Holy Cross Hoonah Hoopa
Hoopa Extension Hooper Bay Hopi Houma Hualapai
Hughes Huron Potawatomi Huslia Hydaburg Igiugig
Iliamna Illinois Miami Inaja-Cosmit Inalik Diomede Indian Township
Indiana Miami Indonesian Inupiaq Inupiat Eskimo Iowa
Iowa of Kansas-Nebraska Iowa of Oklahoma Iowa Sac and Fox Iqurmuit (Russian Mission) Iranian
Iraqi Irish Iroquois Isleta Israeli
Italian Ivanof Bay Iwo Jiman Jamaican Jamestown
Japanese Jemez Jena Choctaw Jicarilla Apache Juaneno
Kaibab Kake Kaktovik Kalapuya Kalispel
Kalskag Kaltag Karluk Karuk Kasaan
Kashia Kasigluk Kathlamet Kaw Kawaiisu
Kawerak Kenaitze Keres Kern River Ketchikan
Keweenaw Kialegee Kiana Kickapoo Kikiallus
King Cove King Salmon Kiowa Kipnuk Kiribati
Kivalina Klallam Klamath Klawock Kluti Kaah
Knik Kobuk Kodiak Kokhanok Koliganek
Kongiganak Koniag Aleut Konkow Kootenai Korean
Kosraean Kotlik Kotzebue Koyuk Koyukuk
Kwethluk Kwigillingok Kwiguk La Jolla La Posta
Lac Courte Oreilles Lac du Flambeau Lac Vieux Desert Chippewa Laguna Lake Minchumina
Lake Superior Lake Traverse Sioux Laotian Larsen Bay Las Vegas
Lassik Lebanese Leech Lake Lenni-Lenape Levelock
Liberian Lime Lipan Apache Little Shell Chippewa Lone Pine
Long Island Los Coyotes Lovelock Lower Brule Sioux Lower Elwha
Lower Kalskag Lower Muscogee Lower Sioux Lower Skagit Luiseno
Lumbee Lummi Machis Lower Creek Indian Madagascar Maidu
Makah Malaysian Maldivian Malheur Paiute Maliseet
Mandan Manley Hot Springs Manokotak Manzanita Mariana Islander
Maricopa Marshall Marshallese Marshantucket Pequot Mary’s Igloo
Mashpee Wampanoag Matinecock Mattaponi Mattole Mauneluk Inupiat
Mcgrath Mdewakanton Sioux Mekoryuk Melanesian Menominee
Mentasta Lake Mesa Grande Mescalero Apache Metlakatla Mexican American Indian
Miami Miccosukee Michigan Ottawa Micmac Micronesian
Middle Eastern or North African Mille Lacs Miniconjou Minnesota Chippewa Minto
Mission Indians Mississippi Choctaw Missouri Sac and Fox Miwok Moapa
Modoc Mohave Mohawk Mohegan Molala
Mono Montauk Moor Morongo Mountain Maidu
Mountain Village Mowa Band of Choctaw Muckleshoot Munsee Naknek
Nambe Namibian Nana Inupiat Nansemond Nanticoke
Napakiak Napaskiak Napaumute Narragansett Natchez
Native Hawaiian Nausu Waiwash Navajo Nebraska Ponca Nebraska Winnebago
Nelson Lagoon Nenana Nepalese New Hebrides New Stuyahok
Newhalen Newtok Nez Perce Nigerian Nightmute
Nikolai Nikolski Ninilchik Nipmuc Nishinam
Nisqually Noatak Nomalaki Nome Nondalton
Nooksack Noorvik Northern Arapaho Northern Cherokee Northern Cheyenne
Northern Paiute Northern Pomo Northway Northwest Tribes Nuiqsut
Nulato Nunapitchukv Oglala Sioux Okinawan Oklahoma Apache
Oklahoma Cado Oklahoma Choctaw Oklahoma Comanche Oklahoma Delaware Oklahoma Kickapoo
Oklahoma Kiowa Oklahoma Miami Oklahoma Ottawa Oklahoma Pawnee Oklahoma Peoria
Oklahoma Ponca Oklahoma Sac and Fox Oklahoma Seminole Old Harbor Omaha
Oneida Onondaga Ontonagon Oregon Athabaskan Osage
Oscarville Other Pacific Islander Otoe-Missouria Ottawa Ouzinkie
Owens Valley Paiute Pakistani Pala Palauan
Palestinian Pamunkey Panamint Papua New Guinean Pascua Yaqui
Passamaquoddy Paugussett Pauloff Harbor Pauma Pawnee
Payson Apache Pechanga Pedro Bay Pelican Penobscot
Peoria Pequot Perryville Petersburg Picuris
Pilot Point Pilot Station Pima Pine Ridge Sioux Pipestone Sioux
Piro Piscataway Pit River Pitkas Point Platinum
Pleasant Point Passamaquoddy Poarch Band Pocomoke Acohonock Pohnpeian Point Hope
Point Lay Pojoaque Pokagon Potawatomi Polish Polynesian
Pomo Ponca Poospatuck Port Gamble Klallam Port Graham
Port Heiden Port Lions Port Madison Portage Creek Potawatomi
Powhatan Prairie Band Prairie Island Sioux Principal Creek Indian Nation Prior Lake Sioux
Pueblo Puget Sound Salish Puyallup Pyramid Lake Qagan Toyagungin
Qawalangin Quapaw Quechan Quileute Quinault
Quinhagak Ramah Navajo Rampart Rampough Mountain Rappahannock
Red Cliff Chippewa Red Devil Red Lake Chippewa Red Wood Reno-Sparks
Rocky Boy’s Chippewa Cree Rosebud Sioux Round Valley Ruby Ruby Valley
Sac and Fox Saginaw Chippewa Saipanese Salamatof Salinan
Salish Salish and Kootenai Salt River Pima-Maricopa Samish Samoan
San Carlos Apache San Felipe San Ildefonso San Juan San Juan De
San Juan Pueblo San Juan Southern Paiute San Manual San Pasqual San Xavier
Sand Hill Sand Point Sandia Sans Arc Sioux Santa Ana
Santa Clara Santa Rosa Santa Rosa Cahuilla Santa Ynez Santa Ysabel
Santee Sioux Santo Domingo Sauk-Suiattle Sault Ste. Marie Chippewa Savoonga
Saxman Scammon Bay Schaghticoke Scott Valley Scottish
Scotts Valley Selawik Seldovia Sells Seminole
Seneca Seneca Nation Seneca-Cayuga Serrano Setauket
Shageluk Shaktoolik Shasta Shawnee Sheldon’s Point
Shinnecock Shishmaref Shoalwater Bay Shoshone Shoshone Paiute
Shungnak Siberian Eskimo Siberian Yupik Siletz Singaporean
Sioux Sisseton Sioux Sisseton-Wahpeton Sitka Siuslaw
Skokomish Skull Valley Skykomish Slana Sleetmute
Snohomish Snoqualmie Soboba Sokoagon Chippewa Solomon
Solomon Islander South American Indian South Fork Shoshone South Naknek Southeast Alaska
Southeastern Indians Southern Arapaho Southern Cheyenne Southern Paiute Spanish American Indian
Spirit Lake Sioux Spokane Squaxin Island Sri Lankan St. Croix Chippewa
St. George St. Mary’s St. Michael St. Paul Standing Rock Sioux
Star Clan of Muscogee Creeks Stebbins Steilacoom Stevens Stewart
Stillaguamish Stockbridge Stony River Stonyford Sugpiaq
Sulphur Bank Summit Lake Suqpigaq Suquamish Susanville
Susquehanock Swinomish Sycuan Syrian Table Bluff
Tachi Tahitian Taiwanese Takelma Takotna
Talakamish Tanacross Tanaina Tanana Tanana Chiefs
Taos Tatitlek Tazlina Te-Moak Western Shoshone Telida
Teller Temecula Tenakee Springs Tenino Tesuque
Tetlin Teton Sioux Tewa Texas Kickapoo Thai
Thlopthlocco Tigua Tillamook Timbi-Sha Shoshone Tlingit
Tlingit-Haida Tobagoan Togiak Tohono O’Odham Tok
Tokelauan Toksook Tolowa Tonawanda Seneca Tongan
Tonkawa Torres-Martinez Trinidadian Trinity Tsimshian
Tuckabachee Tulalip Tule River Tulukskak Tunica Biloxi
Tuntutuliak Tununak Turtle Mountain Tuscarora Tuscola
Twenty-Nine Palms Twin Hills Two Kettle Sioux Tygh Tyonek
Ugashik Uintah Ute Umatilla Umkumiate Umpqua
Unalakleet Unalaska Unangan Aleut Unga United Keetowah Band of Cherokee
Upper Chinook Upper Sioux Upper Skagit Ute Ute Mountain Ute
Utu Utu Gwaitu Paiute Venetie Vietnamese Waccamaw-Siousan Wahpekute Sioux
Wahpeton Sioux Wailaki Wainwright Wakiakum Chinook Wales
Walker River Walla-Walla Wampanoag Wappo Warm Springs
Wascopum Washakie Washoe Wazhaza Sioux Wenatchee
West Indian Western Cherokee Western Chickahominy Whilkut White Earth
White Mountain White Mountain Apache White Mountain Inupiat Wichita Wicomico
Willapa Chinook Wind River Wind River Arapaho Wind River Shoshone Winnebago
Winnemucca Wintun Wisconsin Potawatomi Wiseman Wishram
Wiyot Wrangell Wyandotte Yahooskin Yakama
Yakama Cowlitz Yakutat Yana Yankton Sioux Yanktonai Sioux
Yapese Yaqui Yavapai Yavapai Apache Yerington Paiute
Yokuts Yomba Yuchi Yuki Yuman
Yupik Eskimo Yurok Zairean Zia Zuni

Ethnicities

Default List

  • Hispanic or Latino
  • Not Hispanic or Latino
  • Prefers not to answer

Other Available Ethnicities in PCC EHR

Andalusian Argentinean Asturian Belearic Islander Bolivian
Canal Zone Canarian Castillian Catalonian Central American
Central American Indian Chicano Chilean Colombian Costa Rican
Criollo Cuban Dominican Ecuadorian Gallego
Guatemalan Honduran La Raza Latin American Mexican
Mexican American Mexican American Indian Mexicano Nicaraguan Panamanian
Paraguayan Peruvian Puerto Rican SalvadoranL South American
South American Indian Spaniard Spanish Basque Uruguayan Valencian
Venezuelan

Languages

Default List

All languages defined in the CDC OMB list are always available in PCC EHR.

Languages in PCC EHR

Abkhazian Achinese Acoli Adangme Adyghe; Adygei
Afar Afrihili Afrikaans Afro-Asiatic (Other) Ainu
Akan Akkadian Albanian Aleut Algonquian languages
Altaic (Other) American Sign Language Amharic Angika Apache languages
Arabic Aragonese Arapaho Arawak Armenian
Aromanian; Arumanian; Macedo-Romanian Artificial (Other) Assamese Asturian; Bable; Leonese; Asturleonese Athapascan languages
Australian languages Austronesian (Other) Avaric Avestan Awadhi
Aymara Azerbaijani Balinese Baltic (Other) Baluchi
Bambara Bamileke languages Banda languages Bantu (Other) Basa
Bashkir Basque Batak languages Beja; Bedawiyet Belarusian
Bemba Bengali Berber (Other) Bhojpuri Bihari
Bikol Bini; Edo Bislama Blin; Bilin Blissymbols; Blissymbolics; Bliss
Bokmål, Norwegian; Norwegian Bokmål Bosnian Braj Breton Buginese
Bulgarian Buriat Burmese Caddo Catalan; Valencian
Caucasian (Other) Cebuano Celtic (Other) Central American Indian (Other) Central Khmer
Chagatai Chamic languages Chamorro Chechen Cherokee
Cheyenne Chibcha Chichewa; Chewa; Nyanja Chinese Chinook jargon
Chipewyan; Dene Suline Choctaw Church Slavic; Old Slavonic; Church Slavonic; Old Bulgarian; Old Church Slavonic Chuukese Chuvash
Classical Newari; Old Newari; Classical Nepal Bhasa Classical Syriac Coptic Cornish Corsican
Cree Creek Creoles and pidgins (Other) Creoles and pidgins, English based (Other) Creoles and pidgins, French-based (Other)
Creoles and pidgins, Portuguese-based (Other) Crimean Tatar; Crimean Turkish Croatian Cushitic (Other) Czech
Dakota Danish Dargwa Delaware Dinka
Divehi; Dhivehi; Maldivian Dogri Dogrib Dravidian (Other) Duala
Dutch, Middle (ca.1050-1350) Dutch; Flemish Dyula Dzongkha Eastern Frisian
Efik Egyptian (Ancient) Ekajuk Elamite English
English, Middle (1100-1500) English, Old (ca.450-1100) Erzya Esperanto Estonian
Ewe Ewondo Fang Fanti Faroese
Fijian Filipino; Pilipino Finnish Finno-Ugrian (Other) Fon
French French, Middle (ca.1400-1600) French, Old (842-ca.1400) Friulian Fulah
Ga Gaelic; Scottish Gaelic Galibi Carib Galician Ganda
Gayo Gbaya Geez Georgian German
German, Middle High (ca.1050-1500) German, Old High (ca.750-1050) Germanic (Other) Gilbertese Gondi
Gorontalo Gothic Grebo Greek, Ancient (to 1453) Greek, Modern (1453-)
Guarani Gujarati Gwich’in Haida Haitian; Haitian Creole
Hausa Hawaiian Hebrew Herero Hiligaynon
Himachali Hindi Hiri Motu Hittite Hmong
Hungarian Hupa Iban Icelandic Ido
Igbo Ijo languages Iloko Inari Sami Indic (Other)
Indo-European (Other) Indonesian Ingush Interlingua (International Auxiliary Language Association) Interlingue; Occidental
Inuktitut Inupiaq Iranian (Other) Irish Irish, Middle (900-1200)
Irish, Old (to 900) Iroquoian languages Italian Japanese Javanese
Judeo-Arabic Judeo-Persian Kabardian Kabyle Kachin; Jingpho
Kalaallisut; Greenlandic Kalmyk; Oirat Kamba Kannada Kanuri
Kara-Kalpak Karachay-Balkar Karelian Karen languages Kashmiri
Kashubian Kawi Kazakh Khasi Khoisan (Other)
Khotanese Kikuyu; Gikuyu Kimbundu Kinyarwanda Kirghiz; Kyrgyz
Klingon; tlhIngan-Hol Komi Kongo Konkani Korean
Kosraean Kpelle Kru languages Kuanyama; Kwanyama Kumyk
Kurdish Kurukh Kutenai Ladino Lahnda
Lamba Land Dayak languages Lao Latin Latvian
Lezghian Limburgan; Limburger; Limburgish Lingala Lithuanian Lojban
Low German; Low Saxon; German, Low; Saxon, Low Lower Sorbian Lozi Luba-Katanga Luba-Lulua
Luiseno Lule Sami Lunda Luo (Kenya and Tanzania) Lushai
Luxembourgish; Letzeburgesch Macedonian Madurese Magahi Maithili
Makasar Malagasy Malay Malayalam Maltese
Manchu Mandar Mandarin Mandingo Manipuri
Manobo languages Manx Maori Mapudungun; Mapuche Marathi
Mari Marshallese Marwari Masai Mayan languages
Mende Mi’kmaq; Micmac Minangkabau Mirandese Mohawk
Moksha Moldavian; Moldovan Mon-Khmer (Other) Mongo Mongolian
Mossi Multiple languages Munda languages N’Ko Nahuatl languages
Nauru Navajo; Navaho Ndebele, North; North Ndebele Ndebele, South; South Ndebele Ndonga
Neapolitan Nepal Bhasa; Newari Nepali Nias Niger-Kordofanian (Other)
Nilo-Saharan (Other) Niuean No linguistic content; Not applicable Nogai Norse, Old
North American Indian Northern Frisian Northern Sami Norwegian Norwegian Nynorsk; Nynorsk, Norwegian
Nubian languages Nyamwezi Nyankole Nyoro Nzima
Occitan (post 1500); Provençal Official Aramaic (700-300 BCE); Imperial Aramaic (700-300 BCE) Ojibwa Oriya Oromo
Osage Ossetian; Ossetic Otomian languages Pahlavi Palauan
Pali Pampanga; Kapampangan Pangasinan Panjabi; Punjabi Papiamento
Papuan (Other) Pedi; Sepedi; Northern Sotho Persian Persian, Old (ca.600-400 B.C.) Philippine (Other)
Phoenician Pohnpeian Polish Portuguese Prakrit languages
Prefers not to answer Provençal, Old (to 1500) Pushto; Pashto Quechua Rajasthani
Rapanui Rarotongan; Cook Islands Maori Romance (Other) Romanian Romansh
Romany Rundi Russian Salishan languages Samaritan Aramaic
Sami languages (Other) Samoan Sandawe Sango Sanskrit
Santali Sardinian Sasak Scots Selkup
Semitic (Other) Serbian Serbo-Croatian Serer Shan
Shona Sichuan Yi; Nuosu Sicilian Sidamo Sign Languages
Siksika Sindhi Sinhala; Sinhalese Sino-Tibetan (Other) Siouan languages
Skolt Sami Slave (Athapascan) Slavic (Other) Slovak Slovenian
Sogdian Somali Songhai languages Soninke Sorbian languages
Sotho, Southern South American Indian (Other) Southern Altai Southern Sami Spanish Creole
Spanish; Castilian Sranan Tongo Sukuma Sumerian Sundanese
Susu Swahili Swati Swedish Swiss German; Alemannic; Alsatian
Syriac Tagalog Tahitian Tai (Other) Tajik
Tamashek Tamil Tatar Telugu Tereno
Tetum Thai Tibetan Tigre Tigrinya
Timne Tiv Tlingit Tok Pisin Tokelau
Tonga (Nyasa) Tonga (Tonga Islands) Tsimshian Tsonga Tswana
Tumbuka Tupi languages Turkish Turkish, Ottoman (1500-1928) Turkmen
Tuvalu Tuvinian Twi Udmurt Ugaritic
Uighur; Uyghur Ukrainian Umbundu Uncoded languages Undetermined
Upper Sorbian Urdu Uzbek Vai Venda
Vietnamese Volapük Votic Wakashan languages Walamo
Walloon Waray Washo Welsh Western Frisian
Wolof Xhosa Yakut Yao Yapese
Yiddish Yoruba Yue Yupik languages Zande languages
Zapotec Zaza; Dimili; Dimli; Kirdki; Kirmanjki; Zazaki Zenaga Zhuang; Chuang Zulu
Zuni

EPCS Migration: Connect Your Authy App to the new PCC eRx Account

PCC has just transferred Exostar EPCS credentials from FDB to PCC eRx. With this migration, providers can no longer process prescriptions using the FDB-owned account inside the Authy app.

In order to associate the new PCC account in your Authy app, you will need to go into your settings within PCC eRx and reactivate your mobile credential.

You Can Still Use Your Hard Token to Prescribe: Providers can continue to use their hard token throughout this entire process.

Use a Token to Authenticate Your Account

You need to authenticate your account using either your hard token or your back-up authentication method (back-up texting option) to unlock your account and add the new PCC eRx account as a mobile credential.

Open the Token Management Tool

From the PCC eRx My Settings tab, click on the “Exostar Token Management” button to access your EPCS tokens.


The Manage Mobile Credential box, which displays your Authy info, will be disabled, as the FDB-owned account has been deactivated.

If you registered your cell phone as a back-up authentication method, the Manage Phones box shows that cell phone number.

Authenticate Either Your Hard Token or Your Back-up Texting Option

Click the “Authenticate” button in either the Manage Token box or the Manage Phones box.

Acknowledge the Exostar Validation

You will receive a 6-digit one-time code on either the hard token or your phone.

Enter the validation code as directed on screen.

Add a New Mobile Credential

Once you authenticate your account, the “Add Credential” button in the Manage Mobile Credential box will be enabled, and you will be able to add PCC eRx to your Authy account.

Click “Add Credential”

Click the “Add Credential” button within the Manage Mobile Credential box.

Register Your Phone

Enter the phone number and email address that you use with your Authy app, and click “Register Phone”.

Verify the New Account

You should receive either a text or a notification from the Authy app on your phone to approve.

Verification Not Working?: If you don’t receive the notification within a few seconds, open the Authy app on your phone and click on “Settings” (gear icon in the top right), and then “Accounts” (people icon in the bottom middle) and you will see a new pending Authy account titled something like PCC eRx. Click on that to approve the new account.

Your Authy App Has Been Switched!

Back on the Exostar Token Management tool, you will see your phone number within the Manage Mobile Credential box. The Mobile Credential Status will be “Active”.

You can click “Cancel” to return to the My Settings window.

Remove the Old FDB Icon from Authy App

Finally, you’ll want to “hide” the FDB icon from Authy.

Open Your Authy Accounts

Open the Authy app on your phone and click on “Settings” (gear icon in the top right), and then “Accounts” (people icon in the bottom middle).

Hide the FDB Account

Press on the FDB account and slide to the left. You should then get a Hide option, which will take that tile off the “main” screen.

PCC 8.11 Release

In January 2020, PCC will release version 8.11 of our electronic charting and practice management software to all PCC users.

The PCC 8.11 release includes orders on phone notes and portal messages, a visual update to pocketPCC and the patient portal, improvements to multiple-location scheduling, and much more.

Watch a Video Series: Want to see a video summary of everything in this release? Watch the PCC 8.11 Video Playlist.

Implementation: PCC 8.11 includes features that require configuration and user-specific software training. Read about the features below and then review the PCC 8.11 Migration Considerations article.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Create Referrals, Labs, and Other Orders on Phone Notes

As you work on a phone note, or other message (portal message, elab result, or orders followup) you can now create orders.

Your practice can add order components to your Phone Note protocol and other message-based protocols. Then you can create, track, and complete the orders just as you would orders from a visit protocol. Orders will appear on the Visit Tasks queue, Outstanding Tasks component, and in other tools.

If you are working on orders from the Visit History, the Phone Note (or other message protocol) will indicate when there is an incomplete order.

Phone Notes Can Not Be Billed: Orders that you create from a Phone Note (or other message protocol) won’t end up on an encounter form or result in billable procedure codes. If your practice needs to bill for orders that you create during a phone call, or bill a telemedicine visit, you can create a new visit encounter instead of using a Phone Note.

Indicate Location, Provider, and Diagnoses

When you add an order to a phone note, you may need additional information, like the encounter’s location, provider, or a diagnosis. This information is not always needed for a phone note, but you may need it for an order.

As part of your PCC 8.11 update, all phone note and message-based protocols will now display fields for provider and location.

These fields are not required, but when you create an order that would require them, PCC EHR will prompt you if they are blank.

As with provider and location, you may need to record a diagnosis for some orders. Your practice can optionally add the Diagnoses component to your practice’s Phone Note protocol and other message protocols.

If you add the Diagnoses component to your practice’s protocols, it will be available when you need to indicate a diagnosis for a referral, lab, or other order.

Print or Send Order Details

Do you use a Patient Visit Summary for lab requisitions or referrals? After you create your orders on a phone note or other message protocol, you can now create a Patient Visit Summary.


The Patient Visit Summary is handy when you need to produce a document with the encounter date and basic order information for a lab.

Display ICD-10 Codes on the Patient Visit Summary

Your practice may use visit summaries for lab requisitions, which may require ICD-10 codes, and your patients may also need ICD-10 codes if they submit their own claims. You can now optionally add ICD-10 codes to the Patient Visit Summary.

Your practice can select this option as you generate the report, or set it as the default in the Patient Visit Summary Configuration tool.


View Locations At A Glance in the Appointment Book

PCC 8.11 introduces color-coded location banners to make it easier to differentiate between your scheduling locations at a glance.

You can use the Hours tab within the Practice Preferences tool to assign colors to your locations.

Location Banner Appears By Default: After your PCC 8.11 update, location banners will show on your calendar grid by default if your practice has more than one scheduling location. If you prefer not to see location banners, you can turn off this feature in the Practice Preferences configuration tool.

See Provider Availability Across Multiple Locations

When you need to schedule for a provider who works in multiple locations, you can now see their availability across all of your locations.

A new “All Locations” checkbox option that shows all practice locations where the selected provider has appointment availability.

Click “All Locations” to see location banners down the left side of each column on the schedule. You will be able to see and schedule appointments for the provider on one screen, regardless of where they are working that day.

Option to View All Locations Enabled By Default: After your PCC 8.11 update, the “All Locations” checkbox will be enabled by default if your practice has more than one scheduling location. If your practice does not want to allow this option, you can turn off this feature in the Practice Preferences configuration tool.

If you are scheduling in the Day Working view, and “All Locations” is selected, you will see all providers who are working that day, regardless of their location. The location banner will display which office they are working in throughout the day.

If you are viewing all locations and decide to force an appointment for a time outside of the provider’s normally scheduled hours, you will need to add a location within the Force Appointment window.


Care Center Locations: If your practice uses care centers, schedulers will only see the locations within their own care center.

Use the “All Locations” Feature in the Select Appointment Date & Time Window

With PCC 8.11, you can now select “All Locations” within the Select Appointment Date & Time window, so that you can view provider availability across locations, six months at a time.

The Select Appointment Time panel on the right will now include color swatches and location abbreviations to indicate which location has availability.

New Look and Feel for Patient Portal

Once your practice has received the PCC 8.11 update, your patient portal users will notice that the portal (My Kid’s Chart) has been updated with new graphic elements and a more intuitive presentation, making the screens easier for them to navigate.


The “Patients” section has been renamed “Patient Charts” and the patient name buttons are more prominent, making it clearer that they are clickable items.

Likewise, the “Create Message” option has been redesigned as a button to make it stand out better.

User Verification During Patient Portal Sign-Up Will Prevent Email Errors and Preserve Confidentiality

PCC 8.11 provides an additional security measure to your patient portal sign-up process, in an effort to further reduce the chance of accidental PHI disclosure.

After the 8.11 update, each newly enrolled portal user will need to verify the birthdate of the oldest (living) patient on their account. They will only need to do this the first time they sign in, unless your practice resets their password.


The portal user will get three attempts to choose the correct birth date from their phone’s date selection tool. If they enter the wrong date three times, they will receive a message to contact their provider, and they will be locked out of the account for 15 minutes.

As an added security measure, the welcome email that goes out to new portal users with their temporary password no longer includes the portal user’s last name.

Track Your Portal Users’ Identity Verification Status in PCC EHR

With PCC 8.11, you can now track the status of your portal users’ verification process in both the Portal Administration tool and the Patient Portal Users component, with the new “Identity Verification” field.


There are five possible statuses that may appear within this field:

  • Never: displays when there have been no attempts to verify

  • Verified: displays when the portal user has successfully verified their account, and created a new password

  • Incomplete: displays when the verification process was successful, but the user did not continue on and create a new password

  • Failed: displays when the portal user’s most recent attempt to verify was unsuccessful

  • Never - requires connected patients: displays when there are no patients connected to the portal user (rare)

The Portal Administration tool also now displays the “Last Login” field, which previously was only included in the Patient Portal Users component. This field shows the date and time that the portal user last used the patient portal.

New Look and Feel for pocketPCC

PCC 8.11 updates pocketPCC with new graphic elements and a more intuitive presentation, making the screens easier for you to navigate.

When you need to select a date, you will see a calendar selection tool, regardless of whether you are using an iPhone or Android device.

Other changes include some minor visual enhancements: buttons are more pronounced, sections are more clearly delineated, and errors and validation messaging are more pronounced – they now have a pink background and brick red text.

Find Recent Patients in pocketPCC and When Switching Between PCC EHR and pocketPCC

When you are looking for a patient in pocketPCC, you will now see the last 10 patients whose charts you accessed, just like in PCC EHR.

When you click on the “Find Patient” button, a “Recent Patients” list will appear beneath the search box.


Each patient is identified by name, current age and sex.

If you take a call overnight and look up a patient’s medication – or some other information in their chart – then that patient will also be on your PCC EHR Recent Patients list when you open PCC EHR the next day.


Your last 10 patients listed will include the most recent patients whose charts you opened, regardless of which PCC application you used.

Find Patients Who Are Overdue for Immunizations

Use the new Overdue Vaccine Recall report to find all of your patients who are due or overdue for vaccines.

When you are ready to create a patient list, run the Overdue Vaccine Recall report in the PCC EHR Report Library.



By default, the report will review the records of all patients who have visited your practice for the past three years, who are not marked as deceased, and compare their immunization records with ACIP guidelines.

On the report, you can see all missing vaccines and dose numbers for each patient. The report displays the recommended date, the patient’s next scheduled appointment, and their current insurance. You can add or show additional columns, such as demographic information, in order to contact the family.

You can also change the Group By setting to “Vaccine Family” in order to see lists of patients behind on a particular vaccine.


Vaccine Recall Relies on Patient Records and Immunization Forecasting: The Overdue Vaccine Recall report calculates overdue vaccines based on immunization forecasting data. If you do not have up-to-date immunization records for a patient, the patient may appear on this report even though they are immunized. If your practice does not use Immunization Forecasting, the report will not display any data. Contact your PCC Client Advocate for help.

Refine Vaccine Recall With Criteria

Before you run the report, you can set specific criteria for your search.

What if a patient is already scheduled for an upcoming physical? You may want to exclude all patients who are scheduled for an upcoming appointment.

You could also select a specific vaccine family to search.

You can also include or exclude patients by status flags, age ranges, care center, sex, or many other criteria. After you set criteria, click Generate to find patients.

Create Custom Vaccine Recall Reports For Your Specific Needs: You can use the Report Library to create custom versions of the Overdue Vaccine Recall report based on your needs. For example, if your practice was working to improve HPV vaccination rates, you could create a specific custom report with saved criteria and columns in order to help quickly identify and contact patient families. To learn more, watch the Create a Custom Report in PCC EHR’s Report Library video.

Export Results and Contact Patients and Families

Once you’ve got a list of patients who are overdue for a vaccine, what will you do with it? Click “Print” to print the results, either to a printer or to a file.

You can also export the data as either a PDF or a CSV (for use in a spreadsheet).



Before you export your report, you can optionally add columns for family phone numbers and other demographic information. You can use a CSV export for mail merge or another method to contact each family. As always, remember that report output and other files from PCC EHR may contain private health information and should be handled appropriately.

View Report Library Side-By-Side with Other PCC EHR Windows

With PCC EHR 8.11, the Report Library now opens in a separate window, allowing you to switch between your report results and other EHR windows easily.

Click on each window to switch back and forth, or change the size or position of the window to view your reports and work in PCC EHR simultaneously. Alternately, on a Windows workstation, use Alt+Tab, or command + ~ on a Mac to switch quickly between the EHR window and the Report Library.

When generating a large report, you no longer need to wait for it to finish — you can work on something else while it runs. Just minimize or move the window out of the way. When your report is finished, click back into the window to get your results.

Restrict Access to Reports in the Report Library

You now have more control over who can access and customize reports and report categories in the PCC EHR Report Library.

Manage Report Categories

When you want to limit access to certain report categories to one or more user roles, click the “Manage Categories” button in the Report Library window.

To manage access, select a category and click the “Edit” button, then select one or more roles that should have access to the reports included in the category you selected.

Any user without one of those roles simply won’t see the category in the Report Library window.

Restrict Access to Customize Report and Manage Categories

Before 8.11, any user with access to the Report Library could create custom reports and manage categories. Now, access to the Customize Report and Manage Categories tools are controlled like other permissions: through the Roles tab within the User Administration tool.

Users with access to Report Customization can customize existing reports and create new reports. Users without that permission will only be able to run preexisting reports.

Likewise, users without the Manage Categories permission will not see the Manage Categories button on the Report Library window.

 

Updates to Stock Reports

PCC EHR 8.11 introduces updates to two stock reports, making them more useful and versatile.

Update to Orders by Visit Report

The Orders by Visit Report now includes columns for the Home Account’s first phone number and email.

Update to Patient List report

The Patient List report now provides access to new columns that split out the individual elements of patient’s home addresses, as well as separate first and last name columns.

New Billing Statuses for Encounters

PCC EHR now displays more detailed information about the billing status of encounters.

On the schedule, where there used to be a column displaying a check mark for encounters that were marked “Ready to Bill”, you now will see three different indicators:

  • Ready to Post: Once the clinician marks an encounter “Ready for Billing”, it will appear as “Ready to Post” on the Schedule. (Prior to 8.11, this was indicated by a green check mark)
  • Posted: Once an encounter has been posted, PCC EHR will indicate that the encounter is “Posted”
  • New Items: If a diagnosis, lab or order has been added to an encounter after it was posted, it will appear as having “New Items”

You can use the filters on the schedule screen to see just the encounters with the billing statuses you want.

See the Signing Status of an Encounter on the Schedule Screen

You can now see the signing status of encounters on the schedule screen. The name of every provider who signs the encounter will appear in this column. Billers can now see whether or not an encounter was signed without having to open the encounter.

Co-signing: If an encounter still needs a co-signer, the designated co-signer’s name will appear in orange until a clinician co-signs the encounter.

Avoid Common Claim Error With New Default Relation to Bill Payer of Child

When you add a new patient to your system, their relationship to the bill payer will now default to “Child”. This will prevent a common claim error.

If you are creating a chart for a new patient who will have their own billing account, you can change the relationship.

Use 2020 ICD-10 Codes in PCC EHR

On September 15th, 2019, PCC updated your practice with the 2020 ICD-10 billing codes.

The 2020 ICD-10 update included new codes, additional laterality for existing codes, and more, which took effect on 10/1/2019. You can learn about the updates for pediatric practices by attending PCC Web labs held by Jan Blanchard (CPC, CPEDC). Missed a web lab? You can watch a recorded session as well.

BMI Billing Code Adjustment: Does your practice select an age-specific BMI code during well visits? These codes are often used for pay-for-performance, PCMH, and other mandate programs. The ICD-10 2020 update changes age ranges for older kids, ending at 19 years of age. Your practice should review your protocols and make sure that appropriate options are available for well visit protocols for teens and adults.

Diagnoses Mapped to Deprecated Codes?: Were there any 2020 code changes for items you frequently bill? You can review your system configuration using the snomedmap program in Partner. While there were no major disruptions in the 2020 ICD-10 update, it’s worth taking a look at your mapping report to head off any billing challenges.

Prescribe More Quickly From a Phone Note or Other Encounter

When you prescribe from a phone note or a portal message, you no longer need to indicate the location or provider if PCC EHR already knows that information.

Phone notes and other message encounters in PCC 8.11 support provider of service and location. Therefore, when you visit PCC eRx, you won’t need to enter provider or location. PCC eRx will only ask you to select a location or a provider if it still needs the information.

Use Schmitt Pediatric Care Advice Handouts for Patient Education

When you need educational materials for patients and families, you can now access Schmitt Pediatric Care Advice materials in PCC EHR or through PCC Community.


In PCC EHR, you can search by a patient’s diagnosis using the drop-down menu in Patient Education, or you can navigate directly to “Handouts By Collection” to see what’s available in the AAP’s Point-Of-Care Solutions™ library.


Schmitt Pediatric Care Advice includes more than 280 patient education handouts from telehealth pioneer Barton Schmitt, MD, FAAP, with both symptom-based and diagnosis-based handouts.

You can save any handout to a patient’s chart, print it, and/or make it available in the patient portal for the family. You can also create a new patient portal message and send the handout as an attachment.


In addition to accessing the AAP Redbook, Schmitt Pediatric Care Advice, and other materials inside PCC EHR, PCC clients can also access AAP resources through their PCC Community login. You can learn more by reading the AAP Resources article. For help getting connected, talk to your PCC Client Advocate.

New and Updated Interfaces Available in PCC 8.11

With each release, PCC’s Interoperability team expands and updates PCC’s direct connections, partnerships, and integrations with insurance payers, immunization registries, and more. Here are the clinical and financial interoperability updates for PCC 8.11:

  • New and Updated Immunization Interfaces: As part of the PCC 8.11 release, PCC updated our immunization registry interfaces for Washington, Maryland, Pennsylvania, and New York City.

  • Updated Clinical Interfaces in PCC EHR: PCC created a new connection to Northwell Health Lab.

  • New Insurance Eligibility and Financial Interfaces: PCC improved or developed new claim or eligibility interfaces with UHC Medicaid of Missouri, Blue Cross Community Options, Maryland Physicians Care, Illinois County Care, Delaware Amerihealth, Delaware Highmark Health Options, Aetna Better Health of Texas, Community First Health Plan, BCBS Community Health Plan of Illinois, Johns Hopkins Healthcare, Alabama Blue Shield, Nebraska Medicaid, Asuris Northwest, Anthem Healthkeepers, and Delaware Medicaid.

If your practice would like to take advantage of these connections, or you have another interface need, contact your PCC Client Advocate.

Immunization Forecasting is Up to Date

During the PCC 8.11 release cycle, PCC updated your immunization forecasting schedules to meet the latest CDC ACIP schedules and to correct unusual schedule scenarios or errors in forecasting.

PCC EHR automatically reviews each patient’s immunization record and provides a table showing any immunizations that were missed, are recommended soon, or that occurred outside of the CDC’s ACIP schedule.

PCC uses immunization logic and calculation services provided by Immucast by STC. During the PCC 8.11 release cycle, STC applied their latest patch (5.21.1), updating and correcting immunization schedules and bringing your system’s Immunization Forecasting in line with the latest ACIP recommendations.

Here’s a summary of the most notable updates:

  • Hepatitis B: The STC patch includes numerous improvements to forecasting for the Hepatitis B vaccine, including an improvement to calculations for the Dose 3 recommendation date, better forecasting when the first dose was given as Heplisav-B, and better alignment with CDC recommendations when calculating past-due dates when using Heplisav-B.

  • DTaP: The STC patch improves 4th dose forecasting for DTaP vaccines, adjusts minimum recommended dates to be in line with CDC test cases, and improves forecasting in other, less common situations.

  • Hib: The STC patch corrects an inaccurate recommendation for a fourth dose in a completed Hib series.

  • Polio: Polio vaccine forecasting now assesses minimum age when calculating minimum recommended date for Dose 2 and Dose 3 of a series. The STC patch also improves forecasting in situations where doses were administered before the ACIP recommendation updates in 2009. The patch also improves how forecasting evaluates OPV in relation to the April 2016 changes.

  • Influenza: Under certain circumstances, the forecaster would recommend additional influenza vaccines after administration of an annual dose, or display the year 2066. The STC update corrects these problems and also better accommodates calculations around February (a 28-day month), and updates other messaging.

  • Meningococcal: The STC patch improves forecasting involving short intervals between doses of Trumenba (MenB-FHbp). It also follows new CDC guidelines allowing MPSV4 as the first dose in a series but not as the second dose. Meningococcal catch-up schedules for teens have also been updated, MPSV4 and MenACWY are now evaluated as valid at 10 years, and any administration prior to 10 years for a healthy child will now return a “Dose is not applicable to healthy child-adult series” message, and 2nd dose will be at 16 if 1st dose was before 16.

  • Pneumococcal (PCV, PPSV): The STC patch includes improvements to Pneumococcal forecasting intervals between doses, ensuring that Prevnar 13 series will display as complete when appropriate. It fixes evaluation of doses given at minimum intervals, improves PCV13 dose series evaluation, allows PCV doses after age 2, and makes other improvements to forecasting intervals and grace periods.

PCC has tested all adjustments to the immunization schedules. Please get in touch if you’d like to learn more about the updates, or if you observe a forecasting result or warning that doesn’t match your expectation. You can review the full list of updates by reading the ImmuCast ImmuCast 5.20 and 5.21 release notes.

To learn more, read the guide to PCC’s Immunization Forecasting features.

Windows 7 End-of-Support Login Reminder

As part of the PCC 8.11 update, all PC workstations that are running Windows 7 will see a warning message when the user logs in to PCC EHR.

Does your office have any workstations that run on Microsoft Windows 7? In 2020, Microsoft will end support for Windows 7, along with Windows Server 2008 (R2). Mainstream support for Windows 7 ended in 2015, and extended support ends on January 14th, 2020. PCC recommends you update or replace your Windows 7 workstations now, in advance of the new year.

Your practice’s Windows 7 computers won’t suddenly stop working on January 14th, 2020. However, some of your applications may become unstable over time. In addition, your workstation will no longer receive system and security updates from Microsoft, which could create security risks for your practice.

PCC supports both Windows and Macintosh operating systems that are supported by the vendor. After Microsoft’s end of support, PCC’s software and services will no longer officially support Windows 7. All Windows 7 workstations will display a warning message in PCC EHR as of PCC 8.11. Update: PCC made the decision to extend Windows 7 support through PCC 8.12 as well, which shifts the deadline to August of 2020.

If your practice uses Remote Desktop Services (RDS) on Windows Server 2008 (R2), PCC’s software and services will not run on that platform after January 2020. If your practice uses RDS, you should ask your Windows consultant to contact PCC to determine the best course of action.

So, what computer should you buy? Or should you just update your workstations to a newer version of Windows? Talk to your Client Advocate or PCC’s Technology Solutions Team for help. PCC helps practices select technology that will work best for a busy pediatric practice. You can learn more on learn.pcc.com by reading the Hardware Guide: Your Personal Computer and Equipment article. You can read Microsoft’s guide at Support for Windows 7 Is ending: https://www.microsoft.com/en-us/windowsforbusiness/end-of-windows-7-support 1!Windows7Ends02

Other Feature Improvements and Bug Fixes in PCC 8.11

In addition to the features described above, PCC 8.11 includes these smaller improvements and squashed bugs.

  • New VIS Entries: PCC 8.11 updates the Vaccine Information Statement (VIS) list on your PCC system, making the most recent VIS sheets available when you record information for an immunization administration.

  • NDC Mapping File Updated for Flu and More: In September 2019, PCC patched all client systems with additional NDC mapping files. Among other things, this improves barcode scanning of certain immunizations including new flu shots.

  • STC Immunization Forecasting Speed Improved: PCC is working with STC, our immunization forecasting vendor, to improve forecasting speed. A recent mid-release update fixed many of the issues that caused slow results.

  • Clinical Pulse Corrected: As part of the PCC 8.7 update (first quarter 2019), PCC improved the Well Visit rate dashboard measures. However, the overall Clinical Pulse score and dashboard page were not correctly reflecting the adjustment. In a patch delivered in September 2019, PCC corrected these calculations, improving the accuracy of Clinical Pulse calculations.

  • Strange Characters and Icons Fix When Printing Page Ranges: Due to a font processing issue, some practices saw symbol fonts or icons when generating certain forms or printing documents, particularly when printing a range from a larger document. This problem was fixed in PCC 8.11.

  • Search the Vaccine Lot Report: Under certain circumstances, searching the Vaccine Lot Report could inaccurately display no results. We have corrected this so the Vaccine Lot Report will now work correctly when searching.

  • C-CDA Failed to Load: When you review a C-CDA in PCC EHR, an unusual or nonstandard C-CDA value could cause the C-CDA not to load. PCC has improved the tool in order to load the C-CDA even when the data from the sender is not formatted as expected.

  • Copy and Paste Details: If a user copied and pasted text into a chart-wide history or other generic note field, the field would not be saved unless additional text was added. This problem was corrected with the PCC 8.10.3 mid-release update.

  • Upper and Lower-case Letters for Linking: When you link procedures to diagnoses on the Electronic Encounter Form using letters, the linking now supports either capital or lowercase letters.

  • Documents on Canceled Orders: To prevent accidental document linking, orders that are canceled, refused, or contraindicated will no longer allow you to attach a document.

  • Credits and Balances on the Huddle Sheet Report: The Huddle Sheet schedule report in the PCC EHR Report Library now handles credits and balances better.

PCC 8.11 Migration Considerations

The PCC 8.11 release includes new features that may need configuration and for which you may want to do extra planning or training. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.11 Release article for complete details on these features.

Contact PCC Support for information about these or any features in PCC 8.11.

Add Order Components and the Diagnoses Component to Message Protocols

Does your practice want to create orders during a phone note? First you need to add and configure Order components to your Phone Notes protocol.

Use the Protocols Configuration tool to add any Order component to any message-based protocol (Phone Note, Portal Message, etc.).




After you add a component, such as Referral Orders, you may want to open it up and add specific referrals so they are available with a single click.


If you want users to see an anchor navigation button for an order component, select “Yes” next to Anchor. For more help configuring protocols in PCC EHR, read Configure Protocols.

How Do You Report on Referrals and Other Orders?: If your practice uses reports to find and review orders, such as referrals, you may want to review your process if you begin creating referral orders on Phone Notes or other message protocols. For example, the “Orders by Visit” report will only include visits, and not phone notes and other message encounters. Review your practice’s workflow for referrals and other orders, and talk to your PCC Client Advocate for assistance. PCC is making reporting adjustments in an upcoming release that may help.

Configure Whether or Not ICD-10 Codes Appear By Default on the Patient Visit Summary

If providers at your practice want ICD-10 codes to appear on the Patient Visit Summary, they can make that selection whenever they generate the report.

However, if your practice would like ICD-10s to appear by default, you can configure that in the Patient Visit Summary Configuration tool.


Turn Off Default Location Banners and/or “All Locations” Option in Appointment Book

With PCC 8.11, the Appointment Book now includes location banners and an “All Locations” checkbox. Both are turned on by default for practices with more than one scheduling location.

You can use the Settings tab within the Practice Preferences Configuration tool to turn either of these features off, if you don’t want to use them in your practice.


When “Always display location banners” is checked, a location banner will display on the calendar, even if you are only viewing one location.

When “Display ‘All Locations’ scheduling option” is checked, the “All Locations” checkbox will display in the scheduling panel of the Appointment Book, allowing you to see provider availability across all of your locations.

Billing Status Mapping

If you had billing status filters saved on your schedule screen, that setting will now include all new billing statuses.

  • If you previously had your filter set to “Unbilled”, it will now be set to “Not Ready”.
  • If you previously had your filter set to “Billed”, it will now be set to “Ready to Post”, “Posted”, and “New Items”.

Customize Location Banners in the Appointment Book

Use the Hours tab within the Practice Preferences tool to assign colors to each of your practice’s locations.

You can decide what color to use for each location, by clicking on the new color swatch option to the right of the Location name.


This is the color you will see on the Location banner that displays down the left side of each column on the schedule (if you have enabled “Display All Locations” in the Settings tab).

Create New Roles, Define Role Restrictions, and Restrict Access to Reports in the Report Library

Before you can use the new “Manage Categories” button in the Report Library to control who can access reports, you may need to adjust Roles at your practice and set other permission options.

In the Role tab within the User Administration tool, you’ll find two additional options under Report Library: Manage Categories and Report Customization. These two permissions will be checked initially, but you can change them for any role and remove access to those features.

Unchecking Manage Categories will remove access to the Manage Categories option in the Report Library window for all users with the selected role. Removing access to Report Customization, will only allow users to run preexisting reports, and not customize existing reports or create new reports.

Adjust Your Default Billing Status Display Options

Every user at your practice can configure the Schedule queue in PCC EHR to display just the visits they need to know about. Users who want to see only the visits that need to be posted when they log in to PCC EHR can set the Billing Status filter to show them just those visits, and then click “Save My Defaults”.


Create Custom Immunization Reports For Specific Needs

Your practice can use the Overdue Vaccine Recall report to create a complete list of all patients who are behind on any immunization. However, you may find it more useful to create discrete, custom reports in order to track down and contact families that are behind on certain shots.

For example, if your practice was working to improve HPV vaccination rates, you could create a specific custom report with saved criteria and columns in order to help quickly identify and contact patient families. To learn more, watch the Create a Custom Report in PCC EHR’s Report Library video.

Always Select a Vaccine Family: Forecasting overdue vaccines for all patients for all vaccines is an immense job! To get the answers you need more quickly, PCC recommends you always add a Vaccine Family filter criteria to your Overdue Vaccine Recall reports.

Review Your ICD-10 to SNOMED Mapping

Were there any 2020 ICD-10 code changes for items you frequently bill? You can review your system configuration using the snomedmap program in Partner. While there were no major disruptions in the 2020 ICD-10 update, it’s worth taking a look at your mapping report to head off any billing challenges.

PCC 8.10 Maintenance Release

In August of 2019, PCC will release version 8.10 of our electronic charting and practice management software to all PCC users.

PCC 8.10 is a maintenance release that updates the underlying infrastructure of our software and services. There are a few notable user-facing features, and PCC 8.10 prepares PCC for new updates in the years to come.

Read below for release notes and issues related to the PCC 8.10 update. Contact your PCC Client Advocate for more information about this update or about any PCC product or service.

Looking for the Latest New Features?: Has your practice set up portal message templates, tried the new availability finder in the appointment book, or done end-of-day payment reconciliation in PCC EHR? You can learn about all these features and more in the PCC 8.9 Release article and video.

Improved Missed Appointment Rate Measure Will Help You Understand Recent Trends

You can now use the Missed Appointment Rate measure to track and understand the impact of recent changes you have made to your scheduling configuration and workflow. In PCC 8.10, the Missed Appointment Rate percentage measure and provider breakdown are calculated based on appointments happening during the past 3 months (as opposed to 12 months), making it easier to see progress and the decline of your practice’s no-show rate.

The Missed Appointment Rate trend graph and .csv output will display a snapshot of past monthly results, with an indication of when the measure calculation changed.

Improved E-lab Imports

When your practice receives an electronic lab result, PCC EHR now reviews and rejects incoming files that would report as an error. Successfully imported lab results will appear on your queue, and you won’t need to review and reject the failed submissions.

Improperly-formatted electronic lab result files will now be rejected completely and reviewed by PCC’s Interoperability Team for correction. Previously, PCC delivered all correctly-formatted sections of the lab result file to your E-Labs results queue, which could result in an incomplete lab result report. Going forward, you will find only complete e-lab result files on your queue.

End of Support for MacOS 10.10 and 10.11, Windows 7 Ending Soon

As Microsoft and Apple update and improve their operating system software, they end support for older versions. That means your practice needs to periodically update the system software on your laptops, desktops, and other workstations.

As of PCC 8.10, PCC software will no longer support MacOS Yosemite (version 10.10) and MacOS El Capitan (version 10.11). PCC recommends that Macintosh users update their computers to at least MacOS Sierra (version 10.12), and MacOS Mojave (version 10.14) is preferred. The update is free and improves the security and reliability of your computer.

If you do not update your practice’s Macintosh workstations to MacOS 10.12 or later, you will not be able to launch PCC EHR after the PCC 8.10 update.

Windows 7 and Windows Server 2008 Are Retiring Soon!: PCC would like to also remind Windows users that Microsoft will no longer support Windows 7 or Windows Server 2008 as of January 2020. We’ll remind you again later this year with the PCC 8.11 update, but your practice should review and update your workstations as soon as possible if you are running Windows 7. PCC 8.12 will be unable to launch on Windows 7.

If you are unsure whether this message applies to your office, please contact your practice’s System Administrator, and as always, consult with your Client Advocate or PCC’s Technical Solutions team if you have any questions.

Import Bright Futures 4 Into Your PCC EHR Protocols

Bright Futures is a national health promotion and prevention initiative led by the American Academy of Pediatrics. (brightfutures.aap.org) PCC provides Bright Futures chart note protocols, periodicity schedules, handouts, and more to all PCC practices.

During the PCC 8.10 release cycle, PCC created a set of protocols, handouts and forms based on the recently released Bright Futures 4. If you are interested in adding Bright Futures 4 materials to PCC EHR at your practice, contact your client advocate. They can get the process started and help you configure the new protocols to meet the needs of your practice.

Correction for PCC eRx Drug Updates that Made Favorites and Renewals Invalid

Recent unexpected drug code updates by the NCPDP caused problems for prescription favorites and renewals at many practices. Prescriptions created from favorites that contained deprecated drug codes would encounter problems and could not be transmitted. (New prescriptions created through Add New Medication would include the new codes and correctly qualify for electronic transmission.)

PCC tested and verified a comprehensive fix for this issue, completed beta testing with several PCC offices, and distributed the patch to all PCC practices on 7/30/2019.

PCC eRx Save and Cancel Button Fix

When you prescribe a controlled substance, you may have noticed that the Save and Cancel buttons were briefly arranged backwards after an update earlier this year. During the PCC 8.10 release cycle, a software patch restored the EPCS Save and Cancel buttons to the natural position.

2020 ICD-10 Update is Coming Soon

Prior to October 1st, 2019, PCC will update your practice with the 2020 ICD-10 billing codes. At the time of this mid-release patch, we will share additional communication and tips on new codes.

The 2020 ICD-10 update includes new BMI age coding standards and other improvements. You can learn about the updates for pediatric practices by attending PCC Web labs held by Jan Blanchard (CPC, CPEDC).

Favorites Mapped to Deprecated Codes?: Were there any 2020 code changes for items you frequently bill? You can review your system configuration using the snomedmap program in Partner. When PCC updates your system with the new codes, the update will include a new 2020 ICD-10 report.

Better File Titles for Patient Education Materials

PCC has worked with the AAP to improve some of the unusual file titles for PDFs and other materials in the Educational Materials tool. You’ll see these titles when you save a document to a patient’s chart or share it via the patient portal.

There are thousands of pages of educational materials and not all of them are up-to-date, but the AAP has recently corrected several of the problematic titles. Patients and families will see a title that makes sense, and your practice will spend less time editing or explaining inaccurate titles.

UC 2019 Course Materials Archive

The 2019 PCC Users’ conference was held in Burlington, Vermont. Click below to download the course descriptions, schedule, or the materials provided for each course.


Course Descriptions and Handouts for Individual Courses

Course Title Course Description Materials
2015E Certification Development Feedback Opportunity PCC is prioritizing development work needed to achieve updated certification for the CMS Medicaid “Promoting Interoperability” program (formerly known as Meaningful Use). Join PCC’s Tim Proctor as he explains the EHR functionality we will be adding for this updated certification, and for an opportunity to have your voice heard about which of these features are most important to your practice. Instructor(s): Tim Proctor
A/R Collection Strategies Join PCC’s Jan Blanchard and Lynne Gratton, as well as Betsy Boyce from PedsOne and ask any questions you have about A/R Collection Strategies. Instructor(s): Jan Blanchard, CPC, CPMA Lynne Gratton, CPPM Betsy Boyce, PedsOne
Achieving and Maintaining PCMH Recognition The sheer volume of NCQA requirements and reporting needed to achieve and maintain Patient Centered Medical Home (PCMH) recognition can be daunting. Join Tim Proctor from PCC’s Pediatric Solutions Team and Amanda Ciadella from Patient Centered Solutions as we identify PCC reports and functionality useful for practices seeking PCMH recognition under 2017 standards, or looking to maintain that recognition. We’ll emphasize population management, discussing how to identify your high-risk patients and integrate care management into your practice. We’ll discuss annual reporting requirements within the 2017 standards and strategies for managing the PCMH transformation and reporting process. We’ll introduce you to PCC’s web-based tool that with examples of PCC functionality and reports that can help you satisfy PCMH requirements. Whether your practice is working towards PCMH Recognition for the first time or looking to renew or maintain your recognition status, this session is for you. Instructor(s): Tim Proctor, PCC and Amanda Ciadella, Patient Centered Solutions
Adverse Childhood Experiences (ACEs) and Pediatric Health Care Clinical data shows that adverse childhood experiences are linked to long-term health problems. Understanding brain function in children who have experienced trauma can be instrumental in treating them. A clinical psychologist will describe the fight, flight, freeze and fawn responses, and how they manifest for children with trauma. She will discuss how health care providers can improve their response to trauma and help their patients to build resiliency and decrease the shame and stigma associated with trauma.
Avoiding Bottlenecks in Patient Flow PCC’s Jan Blanchard and Lynne Gratton will lead this discussion on maximizing revenue, time efficiency and patient and staff satisfaction. Your hosts will make recommendations for schedule arrangements, staffing ratios and visit prep that can minimize obstacles to a smooth patient flow experience. Instructor(s): Jan Blanchard, CPC, CPMA Lynne Gratton, CPPM
Be Ready for the Employee Who Says, “I Didn’t Know!” If a practice or medical organization’s employees are not aware of compliance laws and office policies pertaining to their specific job descriptions, you can’t hold them accountable for the problems they may unwittingly create. Join Michelle Ann Richards, CPC, CPCO, SHRM-SCP, CPMA as she presents best practice training and education methodologies to ensure your employees understand his or her position, their organization’s culture of compliance and know that they will be held accountable for their job responsibilities. Instructor(s): Michelle Ann Richards, CPC, CPCO, SHRM-SCP, CPMA, Coding & Compliance Experts, LLC
Bring Your Employee Issues to an Expert Come prepared to ask an expert any of those difficult HR management, compliance, or employee-related questions that you need answered. Remember you don’t know what you don’t know unless you ask. Michelle Ann Richards, CPC, CPCO, SHRM-SCP, CPMA trains healthcare employees across the nation on federal and state regulations, as well as employer compliance and operational expectations. Instructor(s): Michelle Ann Richards, CPC, CPCO, SHRM-SCP, CPMA, Coding & Compliance Experts, LLC
Changing Management to Manage Change Every day in a busy pediatric practice you’re overwhelmed by the number of tactical decisions you need to make. This makes it difficult to think strategically for your practice. How can you ever evolve to become the practice you dreamed of being if you don’t have the time or organizational capacity to make the necessary changes. We will review a few simple guidelines that will help your practice make important changes to improve the quality of your care and the success of your practice. Instructor(s): Chip Hart
Client Feedback Session: Clinical Document Exchange PCC is designing a solution that will allow you to retrieve documents from your local hospital and specialists. Join us to provide feedback on exciting interoperability functionality coming to you in 2020! Instructor(s): Jen Marsala, , CSM, PMI-ACP & Dan Gillette
Client Feedback Session: Post Charges in PCC EHR PCC is designing a fast, powerful billing tool inside PCC EHR. We need your insights and experience around charge posting. Come and chat with our development team! Instructor(s): Kristen Ryan & Michael Stein
Client Feedback Session: Screening Tools and Workflow How does your practice complete screenings and visit questionnaires? PCC is creating a powerful interface to meet your practice’s screening needs. Come tell us about your workflow, what you need, and what PCC can create to make your job easier and improve patient engagement Instructor(s): Amanda Smith & Erica Greenwood
Client Perspective: Care Plan Success Stories Has your practice taken advantage of Care Plans? Join PCC and a panel of your peers to learn how other PCC clients are using Care Plans, and to get ideas for how you might incorporate this feature at your practice. Panelists: Dulce Dudley, MD, Lighthouse Pediatrics, and Tonya Weaver, BSW, Eden Park Pediatrics, Facilitator: Lauren Smith, PMP
Client Perspective: e-Prescribing in PCC EHR Join PCC and a panel of your peers to learn how other PCC clients are optimizing PCC eRx in the field. Hear how your colleagues are handling real-life prescribing challenges with the tools available in PCC eRx. Panelists: Nelson Branco, MD, Tamalpais Pediatrics, Bradley M. Bursch, M.D., Glendale Pediatrics, Korryn Lennstrom, North Seattle Pediatrics, and Lucas Godinez, DO, Kids Plus Pediatrics of Pittsburgh, PA, Facilitator: Morgan Ellixson-Boyea, CPhT, CSM and Sasha Pavlovic
Client Perspective: How Huddles Can Improve Patient Care Clients use huddles (short, stand-up meetings) to improve patient care by sharing information across the team and making a plan for certain situations – they can be a great communication tool. Learn how other offices use huddles for not only clinical purposes, but also front desk and billing, to communicate across teams. Panelists: Ashley Evans, CRNP, Eden Park Pediatrics, Nelson Branco, MD, Tamalpais Pediatrics, and Vinita Seru, MD, North Seattle Pediatrics, Facilitator: Lynne Gratton, CPPM
Client Perspective: Making the Most of Your PCC Protocols PCC EHR’s chart notes are a ribbon of powerful components that you can use to meet your practice’s workflow needs. Come chat with us about your protocol tips, tricks, and best practices to save time and chart smarter. Panelists: LeCresha Harris, First Choice Pediatrics and Jennifer Gruen, MD, Village Pediatrics, Facilitator: Jim Smith & Sarah Bunning
Client Perspective: Patient Portal Success Stories If you are looking for tips on integrating the patient portal (My Kids’ Chart), and hearing about workflow successes and outreach efforts that have worked well for other practices, this class is for you. Even if you’ve not yet implemented the patient portal, you’ll walk away with valuable insight to integrate into your planning process. A panel of clinicians and practice administrators will share their best practices and lessons-learned in all phases of patient portal use. Bring your own questions and walk away with many tips! Panelists: Linda Smith, Columbus Pediatric Associates, Dulce Dudley, MD, Lighthouse Pediatrics of Naples, and Jennifer Gruen, MD, Village Pediatrics, Facilitator: Nate Venet
Client Perspective: Switching to the Appointment Book Learn from other practices’ experience, and get their perpsective on when and how they decided to switch over from sam. You will have a chance to ask questions. Panelists: Lucas Godinez, DO, Kids Plus Pediatrics, Brenna Hall, Topeka Pediatrics, and Shari Moore, Eden Park Pediatrics, Facilitator: Lynne Gratton, CPPM
Clinical Process Support: What is it and does it work? This session will discuss evidence for improved care from use of clinical process support beginning with patient generated data. We will review examples for more accurate and efficient autism screening, improved asthma outcomes, and an approach to addressing social determinants of health. Instructor(s): Barbara Howard, MD, Total Child Health, Inc.
CMS E&M Changes Effect on Pediatrics Join Shannon DeConda in this time-sensitive discussion about the CMS proposed changes to E&M services, and the potential impact of these proposed changes on pediatric medicine. Shannon will review how the E&M changes will affect new office and outpatient payment models and documentation requirements, and how these services will be billed if the proposed changes are implemented. She will also outline potential impacts to reimbursement models. Instructor(s): Shannon DeConda
Delivering on Your Practice Culture Are you running a practice where personal responsibility isn’t baked in? Do people leave shifts early? Do they wait for someone to tell them what to do? Are messes left for someone else (you!) to clean? Join Chip Hart to discover some considerations for leading your practice to the understanding that they are part of a team with a common goal. You’ll also learn tips for honestly assessing BOTH of your practice’s cultures; the culture you aspire to and the culture you actually have. Instructor(s): Chip Hart
Do You Work With the Wrong People? Choosing the right people to work with (whether as partners, employees, or employers) has a profound effect on productivity and job satisfaction. Get it right! Instructor(s): Chip Hart
Effective Recruiting: Finding the Right People Many health care practices are confronted with high turnover rates and human resource challenges. This session will provide information, specific tools and techniques to help health care practices large and small make excellent staffing decisions. Join Tim Rushford from PedsOne as he explains evidence-based screening methods that result in a more exacting hiring process and boost employee retention rate. Attendees will learn solutions including hiring protocols, templates, “wicked good” interview questions, and assessment tools that fit the right person to the right position. Instructor(s): Tim Rushford, PedsOne
Engaging Patients and Families with Your Patient Portal Get families excited about using the portal! Through PCC’s Patient Engagement initiative, we are making some exciting changes to the portal to help you communicate more effectively with your families. PCC’s Ben Brandt will discuss new features such as customizable messaging templates, bill pay through the portal, and the ability for families to store and manage credit cards for portal payment. He’ll also share what PCC is working on next to further improve the patient portal. Instructor(s): Ben Brandt & Lauren Smith, PMP
Faster and More Accurate Vaccines with Scanners Join Sarah Bunning and Brian Kennedy from PCC’s New Client Implementation team for a discussion about PCCs best practices with using scanners for immunization inventory and administration. Instructor(s): Sarah Bunning & Brian Kennedy
Food Insecurity: a practice, terminology, and policy snapshot There is a growing recognition within the pediatric community that health is shaped by social and economic circumstances. Join Sarah DeSilvey, FNP-C, as she presents on the state of implementation science, terminology, and policy in the clinical assessment of food insecurity. Sarah is a rural family practice nurse practitioner in Vermont, with areas of expertise in pediatrics, and women’s health. She is the clinical representative for her health service area to the state’s accountable care organization. And she a terminologist specializing in developing the language and tools to address the social determinants of health in clinical practice. Instructor(s): Sarah DeSilvey, FNP-C
Front Desk Best Practices PCC’s Lynne Gratton, CPPM, explores front desk best practices related to scheduling, check-in, insurance verification and copay collection. Understand the importance of the front desk when it comes to your practice’s workflow and collection process. Instructor(s): Lynne Gratton, CPPM
General Session: Clinically Integrated Networks: Right for Your Practice? Hospital systems, particularly Children’s Hospitals, recognize the value of independent primary care pediatrics with regard to patient referrals and improving population health metrics. Many hospital systems are developing networks to engage pediatricians in a formal manner. These networks may include joint contracting, streamlined referral and communication capability, and data sharing for quality improvement work. This session will outline what an independent practice should review when considering membership in a clinically integrated network (CIN). The session will highlight examples from across the country regarding the perks and pitfalls of CINs. Instructor(s): Colleen Kraft, MD
General Session: PCC’s Roadmap Instructor(s): Scott Ploof
General Session: What’s New What’s new at PCC? New faces, new ideas, and new features and services! Join us for our 2019 year in review. You’ll learn about the best new tools and advancements in PCC software since last year’s UC, and you’ll also learn what’s been changing in the PCC community. We will also advise you on courses you can attend to take better advantage of PCC’s products and services. Instructor(s): Scott Ploof, Michael Stein, Katie Gudmundsen, Kate Taylor and Sarah Gleich
Get the Most Out of Your Relationship with Your Client Advocate Client Advocates are an integral piece of PCC’s support services. Engaging in regularly scheduled calls with your Client Advocate allows you to discuss immediate concerns, learn about the tools and services available to your office, and identify important items to work on and discuss over time. These check-ins foster a more personalized relationship between you and PCC by encouraging you to set aside time to work on small and big-picture projects. Come learn about the many ways your Client Advocate can help to improve your practice. Instructor(s): Jen Perren & Nirav Shah
HIPAA Faux Pas While HIPAA is a very broad topic, maintaining HIPAA compliance can be quite simple. Come hear about small changes you can make around your office to ensure HIPAA compliance. How to make sure you’re in compliance with OCR around charging for continuity of care (patient chart requests). Instructor(s): Lauren Smith, PMP
How Payer Contracts Are Evolving in the Era of Big Data and Value-Based Payments Contracts are quickly evolving to shift more risk to physicians. Learn how ‘big data’ is being used to develop benefit design, tiered networks, and grading of physicians, and how payers are evolving contract terms to extract ‘value-based’ improvements in care delivery. Instructor(s): Susanne Madden, MBA, CCE, The Verden Group
Improve Patient Education Join PCC’s Lauren Smith for a roundtable discussion about ideas for improving patient education in areas such as insurance benefits, financial policies, and their own care management. We invite you to consider ways that educating your patients and families on both financial and clinical aspects can save you time and even reduce call volume. Instructor(s): Lauren Smith, PMP
Improve Productivity with PCC Reports As a managing physician or practice administrator, have you ever wondered which reports you should be monitoring regularly to ensure the practice is operating successfully? This session will highlight PCC’s robust Dashboard and practice management reporting capabilities, focusing on reports that will allow you to keep your finger on the pulse of your practice. Discover the numbers that really matter and how to find and track the information you need most. A practice session will give you the opportunity to review your own practice’s results. Instructor(s): Tim Proctor
Improve Your Practice Health with PCC’s Practice Vitals Dashboard Your PCC Practice Vitals Dashboard displays key metrics about your practice to keep you informed of its financial and clinical health. Join us for a tour of PCC’s Dashboard, focusing on a variety of important financial and clinical measures. Hear how practices have used the Dashboard to monitor quality improvement efforts within the practice. During this interactive session, you’ll also have the opportunity to review your own Dashboard under the guidance of PCC experts. Instructor(s): Tim Proctor
Insurance Billing Workflows PCC’s Lynne Gratton, CPPM, will discuss PCC’s best practices for insurance billing. We’ll review new workflow options, including how to check eligibility and update policies quickly and easily in the EHR, post charges, submit claims, and verify submission. Along the way, you will learn tips and tricks to improve your day-to-day workflow. Instructor(s): Lynne Gratton, CPPM
Is HR Part of Your Practices’ Compliance Plan? If your HR department is not currently part of your compliance program, it most certainly should be, regardless of your affiliation or industry. Human Resources has a dotted line link to Compliance. Learn best practices for keeping your human resource department compliant with stringent federal regulations. The HR department is the first face an onboarding employee sees; it therefore sets the tone for the culture of compliance. Join Michelle Ann Richards, CPC, CPCO, SHRM-SCP, CPMAas she details the ways in which job descriptions, training, education and orientation all play a major role in compliance at your practice. Michelle has over 25 years of healthcare experience, including Healthcare Compliance, Revenue Cycle Management, Meaningful Use, Chart Auditing and Practice Management. Instructor(s): Michelle Ann Richards, CPC, CPCO, SHRM-SCP, CPMA, Coding & Compliance Experts, LLC
KIDS Want to implement an effective program to increase patient satisfaction? Start with your own employees! Join Paul Vanchiere, MBA with the Pediatric Management Institute, as he shares a proven course you can bring back to your practice to help facilitate the needed changes to increase your patient satisfaction. Instructor(s): Paul Vanchiere
Large Practice Roundtable Are you a large practice with multiple clinicians and/or locations? Come to this discussion about challenges you face and share your experiences. Instructor(s): Jim Smith
Managing Complex Family Structures within PCC EHR Is your front office staff clear on the difference between custody and parental rights, espeically as it relates to sharing medical records and HIPAA? This topic can be especially tough to navigate as blended families and children in foster care become more common, and medical records become more accessible through apps and online portals. What do you do with billing situations? Can Mom tell you that Dad can’t have access to demographic data anymore? Join Jim Leahy as he helps to navigate this potential mine field, and offers tips on how to use PCC EHR to identify families with complex structures, and communicate within your staff about how to handle dissemination of information. Instructor(s): Jim Leahy
No Show Reduction Independent Pediatricians typically maintain daily patient volumes of 20-30 patients to keep their practices viable. Pediatricians also schedule appointments up to a year in advance, leading to as many as 15% of patients not showing up for appointments each day. The financial and clinical impact of these gaps in pediatric appointment books is substantial. We analyzed pediatric no-show patterns to identify the variables that truly affect appointment truancy. These insights were translated into interventions to reduce patient truancy. PCC’s Chip Hart presents pediatric no-show patterns, key predictors, and the results several Pediatric practices are seeing with targeted interventions. Instructor(s): Chip Hart
Optimizing PCC EHR: Workflow and Configuration Improvements You Can Use Today Take advantage of the new features in the EHR which can streamline your workflow, providing your clinicians and staff with more time to focus on delivering healthcare. This course will highlight the most useful enhancements and demonstrate how to take advantage of them in your office. Instructor(s): Jim Leahy
Order Workflow Roundtable: Sharing Perspectives on Optimizing Orders How do you keep track of outstanding referrals? Who processes lab results at your practice? Come share how your practice uses PCC EHR for orders, and learn tips and tricks from others on generating, tracking, transmitting, and receving orders. This interactive course will help you generate new ideas that will streamline your use of PCC EHR. Instructor(s): Lauren Smith, Sarah Gleich, Jim Smith, Sarah Bunning, Kate Taylor, Maria Horn
PCC EHR Roundtable Instructor(s): Lynne Gratton, CPPM
PCC PM Roundtable Instructor(s): Bryan LeMoine & Brian Kennedy
PCC Roadmap and Playback Join PCC’s Paula VanDeventer for a tour of PCC’s upcoming Roadmap: What we are developing for you right now, and our plans for the second half of 2019. We will talk about the ongoing integration of PCC EHR and Practice Management, new patient engagment opportunities through the patient portal and pocketPCC, the Report Library, the Dashboard, the Appointment Book and PCC eRx. We’ll also show new Interoperability features, continuing to expand on opportunities for delivering improved patient care. Instructor(s): Paula VanDeventer
Pediatric Coding Best Practices Whether for billing, referrals, lab requisitions, or something else entirely, identifying just the right medical codes can be time consuming. Jan Blanchard will share her approach to quickly finding the most accurate CPTs, ICDs and SNOMEDs for any purpose. Instructor(s): Jan Blanchard, CPC, CPMA
Pediatrics in the Age of Pop-Up Practitioners Urgent care centers and pharmacies have big store fronts, marketing departments, and better hours than your practice can provide. What will your practice do to remain relevant to the parent? And how do you build a relationship with urgent care or even schools to make sure patient charts are up to date? Panelists: Brenna Hall, Topeka Pediatrics, Roger Hovis, El Paso Pediatrics, Facilitator: Chris Forleo
Personal Collections Best Practices Join PCC’s Ben Brandt and Tracy Harter from PedsOne as they focus on the personal collections process, helping you determine which personal balances to collect first, how to capitalize on opportunities to collect overdue balances, and when to send an account to collections. Instructor(s): Ben Brandt & Tracy Harter, PedsOne
Positioning your Practice for Direct-to-Employer Contracting It is time we cut out the for-profit Payer middlemen. Many employers, and not just larger ones, are now ‘self-funded’ when it comes to providing health benefits for their employees. Learn about current direct-to-employer contracting for pediatric practices and how to develop similar programs for your practice. Instructor(s): Susanne Madden, MBA, CCE, The Verden Group
Practical Pediatric Legal Updates Our legal advisors will discuss the most recent legal developments, as well as some nagging issues, that may impact your office or your practice. Instructor(s): Shireen Hart, Esq. and Anne Cramer, Esq. Instructor(s): Shireen Hart, Esq & Anne Cramer, Esq., Primmer Piper Eggleston & Cramer PC
Practical Pediatric Legal Updates: Q & A Following their discussion on pediatric legal updates, PCC legal advisors Shireen Hart, Esq. and Anne Cramer, Esq. will be available to answer your legal questions about pediatric health care. Instructor(s): Shireen Hart, Esq & Anne Cramer, Esq., Primmer Piper Eggleston & Cramer PC
Set Prices for your Practice How do you set prices for your practice? You might be surprised to hear that many pediatricians are basically just winging it. But getting it wrong costs you time and money. Join PCC’s Chip Hart for an informative discussion about the RBRVS system for pediatricians. Learn how to calculate your prices fairly and effectively with just a few keystrokes. Chip will review standard pricing concepts, give a brief history and explanation of RBRVS, and share tools that allow practices to examine both pricing and payments in the context of RVUs. Instructor(s): Chip Hart
Setting Up Accounts Payable Workflows in Your Office Many practices continue to rely on antiquated ways of processing their accounts payable. Find out best practices to organize and process the bills the practice needs to pay each month. Paul Vanchiere, MBA with the Pediatric Management Institute, will provide attendees with practical solutions to automate the bill-paying process. Instructor(s): Paul Vanchiere, PMI
Sharing Clinical Records: PCC’s Newest Interoperability Connection Do you wish your practice could share data more easily? Tired of faxing? This session will explore PCC’s latest interoperability functionality that will allow your practice to exchange clinical documents with your local hospitals and large healthcare systems. Instructor(s): Jen Marsala, CSM, PMI-ACP
Small Practice Roundtable Are you a startup or small practice with 2 or fewer clinicians? Come to this discussion about challenges you face and share your experiences. Instructor(s): Ben Brandt
Soup to Nuts: Pediatric Visit of the Future with PCC EHR Are you curious about where PCC is headed with the integration of our electronic health record and practice managment solution? Having trouble visualizing how all the pieces will fit together when we’re done? Join Jim Leahy as he gives a 10,000 foot overview of OnePCC, and discusses possible workflows that PCC envisions will enhance patient engagement at your practice, and will make charting and billing easier for you! Instructor(s): Jim Leahy
Strategies for Improving Vaccine Compliance with Your Patient Population Using effective communication can help to address the concerns of vaccine supportive parents and motivate hesitant parents toward vaccine acceptance. Come listen to a panel of PCC clients as they explore strategies for addressing vaccine hesitancy and offer suggestions on how you can work with your families to dispel the myths that surround vaccine hesitancy and refusal. Panelists: LeCresha Harris, First Choice Pediatrics, Michelle Mayer, MD, Chestnut Ridge Pediatrics (BCD), and Judy Orton, MD, Green Mountain Pediatrics, Facilitator: Lynne Gratton, CPPM
Success Stories of Pediatric Behavioral Health Integration Join us for this discussion to hear how other PCC practices have become a better medical home to their patients by integrating mental health services. We’ll discuss when it makes sense to bring mental health services in-house, and which type of specialist you should consider hiring. Hear the experiences of other practices as they share how to bill for mental health and what it took for them to get this valuable service covered by public and private payers. Learn from behavioral health specialists how you can best connect your practice with their services, and what may be available to you within your own community. Whether you are considering offering mental health services to your patients, or looking to expand the mental health offering you already provide, join us to hear how practices are filling this need in their community. Panelists: Matthew MacNeil, Howard Center, Meredith Monahan, MD, Essex Pediatrics, Charles Flores, MD, Pediatrics Day & Night, and Jeanne M. Marconi, MD, FAAP, The Center for Advanced Pediatrics, Facilitator: Jim Smith
The Ask Chip Hour The UC covers a lot of ground in three days, but some of the questions or concerns you have may not fit within the context of the classes you choose. Enter Chip Hart and his endless knowledge of all things pediatric practice management. We’ll ask for questions in the weeks leading up to the UC, or just bring your questions with you and put Chip on the spot. Instructor(s): Chip Hart
The Business of Immunizations The AAP has identified the business of immunizations as a critical issue, warning that pediatric practices are at risk of failing if they are not adequately paid for immunizations. Join PCC’s Chip Hart for a frank discussion about the pitfalls and challenges involved with managing vaccines, including the direct and indirect expenses involved. Learn strategies for number crunching, proper coding techniques and negotiating with payers, along with other steps you can take toward a goal of actually making a profit while immunizing patients. Instructor(s): Chip Hart
Transition of Care: Adolescent to Adult All adolescents must transition eventually from pediatric to adult health care. Studies have found that the majority of youth are ill-prepared for this change. Many pediatric health care providers lack a systematic transition plan for their older patients. Starting to prepare youth as young as 14 years old and using a proven transition plan can improve the quality of health care and the success of young adults continuing with preventive care. Join Jennifer Gray, MD, FAAP and Delia Garcia, FNP from Pearland Pediatrics as they share how to develop, implement, and evaluate a transition readiness program that is easily accessible, applicable, and practical at a pediatric primary care setting. Instructor(s): Jennifer Gray, MD and Delia Garcia, FNP, Pearland Pediatrics
Updates in Pediatric Coding: What’s New with CPT and ICD-10 Coding Pediatric coding expert Donelle Holle, RN is back to tell you all about the latest changes to pediatric CPT and ICD-10 coding. Donelle will review the 2019 CPT and ICD-10 changes and review what to document in each level of office visit. You’ll gain a better understanding of how to bill for visits and procedures, and learn how coding changes can help your practice stay compliant with insurance requirements as you maximize your payment. Donelle will also field your questions related to pediatric coding. So come prepared to ask questions and be ready to update your knowledge on coding for Pediatrics. Instructor(s): Donelle Holle, RN, PedsCoding, Inc.
Use Direct Secure Messaging to Improve Coordination of Care Your practice can use Direct Secure Messaging to exchange chart information with hospitals and other care providers. Join Morgan Ellixson-Boyea, one of PCC’s interoperability specialists, as she gives you a tour of this powerful tool and discusses practical applications in your office. Instructor(s): Morgan Ellixson-Boyea, CPhT, CSM
Using PCC Tools to Connect to Your Data Safely and Securely PCC is committed to doing all that we can to protect your data. We offer a number of tools that give you convenient, secure access to your data. Join PCC’s Jason DaSilva and Joey Hynson and learn about connecting to your data remotely and securely with PCC tools such as pocket PCC, SecureConnect, VPN, and RDP. Instructor(s): Jason DaSilva & Joey Hynson
What’s New with PCC EHR Reports? Discover the growing suite of PCC’s clinical reports and learn how to make the most out of the Report Library. PCC’s Dan Gillette will walk you through all of the changes PCC has made in the past year, and there will be time for questions, as well as an opportunity for you to practice using reports to view your own practice’s data as well. Instructor(s): Dan Gillette
What’s New with the Appointment Book? The Appointment Book in PCC EHR is a powerful, visual scheduler. With new features including smarter searching capabilities, provider scheduling templates, and the ability to find appointment availability by visit type, your practice may be ready to change scheduling software. Come see the latest features and enhancements and learn how to configure your schedule. Instructor(s): Lynne Gratton, CPPM
What’s Next for PCC eRx? Join PCC’s Morgan Ellixson-Boyea, CPhT, CSM and Sasha Pavlovic for a review of PCC’s eRx Roadmap for the upcoming year. In addition, come prepared for a discussion of Best Practices, hear about recent bug fixes and improvements, learn new tips & tricks, and share your own secrets for customizing this flexible and powerful solution. Instructor(s): Morgan Ellixson-Boyea, CPhT, CSM Sasha Pavlovic

Clinical Document Exchange

The promise of interoperability between EHRs — that patients’ data will be accessible to any clinician whom they see for treatment — is one step closer to realization.

PCC has implemented an interoperability framework that allows practices to automatically make clinical information available to other providers and organizations who participate in the Carequality Interoperability Framework. This includes many hospitals, specialists, and other networks who may serve your patients.

Participation is Optional: Participation in clinical document exchange with other organizations who are also implementing the Carequality framework is optional, and is included in PCC’s comprehensive service plan. In order to participate, contact PCC Support. If you choose to proceed, which include signing an addendum to your PCC EHR agreement acknowledging and agreeing to the Carequality Connection Terms.

Watch an Introductory Video: Watch Clinical Document Exchange: The Responder Role to learn the basics of CDE along with details about the Responder role, wherein your practice receives requests and shares information.

What is Clinical Document Exchange?

Clinical Document Exchange (also referred to as Query Based Clinical Document Exchange, or QBCDE) allows different healthcare organizations to exchange patient records. Your participation would allow other providers who see your patients to obtain your patients’ records for treatment purposes, as defined in the Health Insurance Portability and Accountability Act (HIPAA).

The Carequality Framework

Carequality is an organization that maintains a framework of technical, data, and privacy standards that allows organizations who implement that framework to directly exchange data.

All implementers of the Carequality Framework sign an agreement with Carequality, outlining rights, obligations, and “rules of the road” for trusted exchange of data. All implementers of the framework are able to exchange patient records with all other implementers of the framework. Carequality maintains a list of software vendors, Health Information Exchanges (HIEs) and others who have adopted the Carequality Interoperability Framework, as well as a tool to search for hospitals clinics, and other entities who are participating. Use this tool to see if you can exchange data with your local hospital or specialists.

The Responder Role

There are two sides to clinical document exchange; an organization in the Initiator Role makes record requests, and an organization in the Responder Role responds to record requests.

What Data will be Shared?

If your practice participates in clinical document exchange, the patient’s most up-to-date Summary of Care Record is made available and contains information including:

  • Demographic data (Name, D.O.B., Address)
  • Clinical data
  • Diagnoses
  • Allergies
  • Medications
  • History of Procedures
  • Diagnostic and Laboratory Test Results
  • History of Immunizations
  • Insurance Policies

Customize the Summary of Care Record: Your practice can configure which information is included in patients’ Summary of Care Records. Click here to learn how.

Who has Access to Patient Data?

Other healthcare organizations that participate in clinical document exchange through the Carequality interoperability framework are able to retrieve your records. They may retrieve your records for treatment purposes only.

Is Clinical Document Exchange Safe and Secure?

Yes. Many layers of security protect patient data both in storage and when it is transmitted to a different healthcare organization.

Do patients or their families need to consent to Clinical Document Exchange?

Your practice needs to make an informed decision about whether you will have an opt-out or opt-in policy for clinical document exchange. Some practices choose an opt-out policy, meaning that all patients are considered to have consented to clinical document exchange unless otherwise indicated. Practices that choose an opt-in policy will require patients to give explicit consent to participate in exchange activities.

You will need to consider your state’s patient privacy and consent laws, your existing office policies, and provider preferences. Laws and policies vary between states. Some state policy is more stringent than federal HIPAA policy and if that is the case, the state policy should be followed, not the federal. PCC recommends that you consult with your practice’s legal counsel and/or malpractice carrier to determine what laws apply in your specific circumstances.

What Does it Cost?

Nothing. Clinical Document Exchange is offered to all PCC clients as part of our comprehensive service plan. There are no hidden fees or additional charges for PCC clients to participate in the Carequality Interoperability Framework.

How do I Participate?

If you are interested in participating in clinical document exchange, contact PCC Support.

Getting Started with Clinical Document Exchange

Follow these steps to get started with clinical document exchange.

Find Out Who You can Connect With

Follow this link to search for Carequality enabled organizations near you.

Determine Your Practice’s Consent Policy

Before contacting PCC Support, please decide whether your practice will have an opt-in or opt-out policy. PCC recommends consulting your practice’s legal counsel as you determine which policy will work for you.

Contact PCC Support

Contact PCC Support to let them know you are interested in clinical document exchange. Your CA can answer general questions about Carequality and and the document exchange process. When you are ready to move forward, they will put you in touch with the PCC teams that will manage your onboarding and go-live.

Review and Sign Carequality Connection Terms

When you are ready, PCC Sales will send you the Carequality Connection Terms for your review and signature. This is an agreement to follow Carequality guidelines – there is no charge to you to participate in the Carequality Interoperability Framework.

Train with PCC

You will have a one-hour training with PCC’s Interoperability Implementation team, in which you will:

  • Learn about document exchange functionality
  • Review patient consent configuration options in PCC EHR
  • Discuss your practice’s consent policy and workflow considerations
  • Find out how to talk to your patients about clinical document exchange

Schedule a Go-Live Date

Schedule a go-live date with PCC to enable clinical document exchange functionality! Once you are live, Carequality enabled organizations will be able to retrieve Summary of Care documents for patients who have consented. No more faxing!

Notify Carequality Enabled Organizations

Notify Carequality enabled organizations who work with your practice that your patients’ documents will soon be available for retrieval. You can explain the new capability in the following way: “Our practice will be making our patients’ documents available to you through Carequality.”

Configure PCC EHR for Clinical Document Exchange

Once you have worked with PCC Support to get started with clinical document exchange, there are a few things you will need to configure in the EHR.

Set Default Consent Status for New Patients

You need to decide whether you will have an opt-out or opt-in policy for clinical document exchange. Once you have done so, set this status in the Practice Preferences tool.


You can choose whether new patients’ consent status will default to “Undetermined”, “Yes”, or “No”. Note that a status of undetermined is functionally the same as a status of no. The data of patients with the status of either undetermined or no will not be shared, while those with a status of yes will.

Add Clinical Document Exchange Consent to Communication Preferences

Once clinical document exchange has been activated for your practice, a section for patients’ consent status will appear in the Communication Preferences component in your chart notes. To make this status appear prior to activating clinical document exchange (perhaps you are acquiring patient consent in advance of implementing this feature), edit the Communication Preferences component with the Protocols configuration tool.




After choosing to include clinical document exchange consent in this component, it will appear in all patients’ charts.

Change a Patient’s Consent Status

To change a patient’s consent status, edit their chart and select a new status.


Retrieve Clinical Documents from Other Healthcare Providers

Once you become a Clinical Document Exchange Responder, the groundwork is laid for your practice to enable the “Initiator” role, which allows you to securely retrieve patients’ clinical documents from other healthcare providers.

Read about how to Securely Retrieve Clinical Documents from Hospitals and Other Providers Through PCC EHR.

PCC 8.9 Release

In June of 2019, PCC will release version 8.9 of our electronic charting and practice management software to all PCC users.

The PCC 8.9 release includes new navigation tools, finding appointment slots by visit type, payment reconciliation in PCC EHR, new features for sending attachments and sharing medical information securely, and more.

Watch a Video: Want to see a video summary of everything in this release? Watch the PCC 8.9 Release Video.

Implementation: PCC 8.9 includes features that require configuration and user-specific software training. Read about the features below and then review the PCC 8.9 Migration Considerations article.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Switch Easily Among PCC EHR Windows

PCC 8.9 makes it easier to open and find the various windows you may be working with. The EHR, Appointment Book, Practice Management window, and Import Documents window are all available at any time with new icons at the bottom of your windows.

Click on any of these icons to open or bring its respective window to the front.

Also, you can use the new “Window” drop-down to go to any currently open window.

Perform End-of-Day Payment Reconciliation in PCC EHR

You can now reconcile posted payments that have been posted in PCC EHR. Run the Payment Reconciliation report in order to prove out.


You can customize the Payment Reconciliation report to filter your results by date, user, location, and payment type.

Subtotals and Grouping in Reports: As you can see in this report, PCC EHR now shows subtotals when appropriate. You can also use the new “Group By” drop-down to select which column to group by. Subtotals and groupings will not appear in .csv exports.

Parents Can See and Pay Balances for Privacy-Enabled Patients in the Patient Portal

When a patient is a teenager with private records, it is still often the case that their parents pay their medical bills.

PCC 8.9 solves the dilemma of how to allow parents to see and pay for outstanding balances through the patient portal, without compromising patient privacy.

Now when a portal user logs into their portal account, they can see balance totals for all their linked patients whether they have privacy enabled or not.

Personal balances for privacy-enabled patients display the date and charge only – not the provider, location or procedure name.

Families Can Request Appointments, Refills, Referrals and More with Customizable Patient Portal Message Templates

Busy parents want a way to communicate effectively with your practice when it’s convenient for them, without having to play phone tag.

PCC 8.9 includes three new optional patient portal message templates that you can use to customize how your families send you messages, and ensure that you receive the information you need.


You can use these templates as-is, or customize them to work better for your office.

In order to use portal messaging templates, your practice must have Secure Messaging enabled. For more information about configuring your patient portal, read Patient Portal Practice Settings and Configuration.

How to Turn On and Customize Portal Message Templates

If your practice wants to use the optional patient portal message templates, you will first need to enable them.

Navigate to the Patient Portal Configuration screen, and click on the new Messaging Templates tab.


Highlight the template you want to turn on, click “Edit”, and then select the “Display in Portal” checkbox.

You can also choose to automatically assign incoming messages of a certain template to a specific person at your practice.

Edits are Permanent: When you edit a default template, the original template will be lost. You will need to recreate it from scratch if you wish to use it again.

What Families Will See

If your practice chooses to enable patient portal messaging templates, your portal users will see a new Subject drop-down option when they choose to create a message:


When the portal user selects a message subject, they will see a list of information to fill out, depending on which subject they select.

Appointment Request

The Appointment Request default portal message allows the portal user to select a desired provider and location on a specified date at a preferred time of day.

The portal user can write a short note about the type of appointment they need and can include a longer note with comments. They can even attach a related photo if they choose.

Your practice can edit the Appointment Request default template to better suit your needs.

Medication Refill Request

The Medication Refill Request default portal message includes a list of the patient’s medication allergies, with a request to confirm them. There are entry fields for the portal user to record the prescription they want refilled and the name and location of the pharmacy they want to use.

The portal user can add comments if they need to, and can attach a photo as well, if applicable.

Your practice can edit the Medication Refill Request default template to better suit your needs.

Referral Request

The Referral Request default portal message includes entry fields for the portal user to describe why they want a referral, who they wish to see and what the provider’s speciality is, along with the provider’s phone, fax, and office name and address.

The portal user can add comments if they need to, and can attach a photo as well, if applicable.

Your practice can edit the Referral Request default template to better suit your needs.

Attach a Document Directly to a Patient Portal Message

With PCC 8.9, you can send portal messages with attachments. You can send a lab result or important handout in a portal message with an accompanying explanation, and your families will never lose their copy. Families will see your attachment within the portal message, which makes the document much easier to find.

When you are working on a portal message, click “Add Attachment” to add a document.


You can select from the Recent Documents section, or choose a document from another category. Click “Attach” to attach the document.


As you compose your portal message, you can see information about the attachment, and click “Send” to send the message and attachment together.

What will the family see in the patient portal? The attachment will appear in line with the discussion.


The family can click on the attachment to download and view the document.

Send a Private Document Directly to One Portal User

Portal messages are always sent to one, specific portal user. When you attach a document to a message, it will be sent only to that portal user. However, your practice can also make documents visible to all portal users, as part of the patient portal record. What workflow should you follow to ensure that a document is only shared with one user?

For example, if you’re sending contraceptive information to a teenage patient, or a form intended only for a parent, you want to attach a document to a portal message but not have it appear elsewhere on the patient portal.

When you add a private handout or document to a patient’s chart in PCC EHR, make sure that the “Display in Portal Documents” checkbox is not checked.

Next, reply to or create a portal message and attach the document.

Since the attachment is not visible in portal documents, you can be sure that the document will only be seen by the specific portal message recipient. (If you’d like to make changes you can click “View Document” and then “Edit” to change whether or not it is available to all portal users.)

The document will only appear as a message attachment for the specific portal user.

New “Add Portal Message” Button

You can now click “Add Portal Message” to compose a new message to a portal user associated with a patient.


The “Add Portal Message” button appears on the Medical Summary, Demographics, and History chart sections, next to the “Add Phone Note” button.

Send to Who?: If a patient has more than one portal user, such as more than one parent and/or a patient, you can select the intended recipient as you compose the message.

Access Recent Documents Quickly

The Documents section of the patient’s chart now includes a “Recent Documents” list, which displays the five most recent documents in a patient’s chart.

You can quickly find the most recently imported or modified documents in the patient’s chart. When you are hunting for a lab result, or attaching the latest handout to a patient portal message, you’ll be able to grab the document you need without having to browse the categories.

View Schedules Only for Providers Who Are Working on a Single Day

When you’re trying to schedule a visit, but your practice has several providers who work in different locations, it can be frustrating to find an available provider.

In PCC 8.9, you can use the new “Day Working” view to see only providers who are scheduled to work for the selected day and location.

You can navigate through the calendar day by day and you will still see only the providers who are available at that location on the given day.

If you prefer to see all providers, regardless of their availability, use the “Day All” view.

Find Available Appointment Slots By Visit Type

What time is the first available sick visit for Dr. Casey today? When is the first available well visit slot after the patient’s well visit due date?

In PCC 8.9, the Appointment Book introduces an Availability Finder tool that you can use to find find the next open time slot for a specific Visit Type.

You can also use the Select Appointment Date & Time window for a more visual approach.

Search for the Next Open Time Slot for a Specific Visit Type by Color

When you select a visit reason in the Schedule Appointment panel, the Availability Finder color swatch will display the same visit type color.

Note: Your practice can choose to ignore the selected Visit Type and default to another Visit Type if you wish. See the PCC 8.9 Migration Considerations article.

You can use the Availability Finder arrows to jump to the next open time slot for that visit type.


In the above image, the user clicked the right arrow, and the Appointment Book automatically selected the next available sick time.

You can click to select that slot, enter an Appointment Note, and click “Save” to schedule. Or, you can continue clicking the right arrow to see additional open time slots with that visit type.

What about well visits? When you schedule a well visit, you typically start looking after the patient’s next physical due date, or whatever date in the future you want to begin the search.


The Appointment Book will jump to that date. Then you can use the right arrow to find the first open Well Visit time.

If you don’t want the first appointment found, continue to click the right arrow to find the next opening. The Appointment Book will continue on to the next day and scroll the screen for you, or even flip to the next week. You can use the left arrow if you want to go back to the last offered time slot.

When you find the date and time you want, click on the time slot to begin scheduling.

None Available: If there are no available appointments for the selected criteria, you’ll see a temporary message in the scheduling panel, which will disappear after a few seconds.

If you need to open up the search to include other visit types, you can click on the color swatch to reveal a drop-down selection of other visit types.

What Are Those Weird Looking Visit Types?: Use the “A” visit type to ignore the color swatch and find the next open slot for any of your visit types. Select “U” to look only for open time on the schedule with no assigned visit type.

Find Next Available Time With Any Provider: Work in the Day View

When you want to search for an available appointment with any provider, use one of the Day views in the Appointment book. As you use the right arrow to find an open slot for the selected Visit Type, the Appointment Book will search each provider’s availability.


As you continue to click the right arrow and move through each available time slot, the Provider field will populate with the available provider’s name, and the open time on their schedule will be highlighted with crosshairs.

Click on a time slot to select a provider and time.

Use the Select Appointment Date & Time Window to See All Available Visit Slots For Any Day

While clicking arrows to jump to the next available time slot can be handy, sometimes you want to see a broader view of open slots on your practice calendar.

Use the Select Appointment Date & Time window to see available time slots for a selected Visit Type, over the next six months.

Click on the Calendar icon to open the Select Appointment Date & Time window.


When you need to find an opening for a sick or well visit (or any visit type), you can adjust the criteria within the Appointment Criteria panel on the left. You can set a different provider, location, or visit type.

The Select Appointment Date panel in the center will show every day that includes availability matching your selected criteria. Days with availability will be highlighted in the color matching the Visit Type you selected. Days that are shaded with a dotted pattern have no time slots that match your criteria.

Click on a day within one of the calendars to see appointment availability, by provider, in the Select Appointment Time panel on the right.

When you find an open time slot that works for you, click the time button to return to your schedule.

The Appointment Book will open to your chosen date and time for the provider selected.

You can make changes in the scheduling panel if you need to, and then click “Save” to confirm the appointment.

Find Siblings When You Schedule

How often do parents ask to schedule siblings for back-to-back appointments? PCC 8.9 makes it faster and easier to schedule multiple family members simultaneously.

The Appointment Book now includes a sibling list for the most recently searched for patient. The list will be indented beneath the patient’s name, and can include up to ten siblings, sorted by age – youngest to oldest.

Siblings are defined as patients who share either a home or billing account.

Workflow Tip: Using this new feature combined with the new visit type availability search described above can help streamline your family scheduling process. For example, if you are scheduling two siblings for a sick visit, and your sick visit time slot is 15 minutes, you can search for the next available 30-minute sick visit. When you find one that works for the family, change the appointment to 15 minutes, and schedule one sibling right after the other.

Improved Appointment Reporting

PCC 8.9 includes improvement to appointment reporting in the PCC EHR Report Library.

Filter Appointment Reports Based on Provider Availability

The Report Library will now allow you to filter reports by provider availability. You can use this to report on all appointments scheduled for a provider that are outside their regular working hours.

Report on Blocks in the Appointment Book

When creating appointment-based reports, you can now filter your results to look at blocks, appointments, or both.

For more information, add the ‘Block Name’ columns and ‘Appointment Note’ columns.


Attach a Document to a Direct Secure Message

You can now attach documents to Direct Secure Messages.


When sending a Summary of Care Record, select a referral or outbound transition of care, then select “Send via Direct Secure Messaging.” Clicking the “Send to…” button will open a new Direct Secure Message dialogue.

The Direct Secure Message dialogue contains the Direct Address, subject, and message fields you are used to. In PCC 8.9, you can now use the “Attach Document” button to attach any documents associated with the patient to this Direct Secure Message.



Use the “Attach File” button to attach any file from your workstation to the message.



Size Limit and Removing Attachments: Before you send the document you have the option to remove any attachments you may have selected. Direct Secure Messages have a 50MB size limit; if you try to send a message that is too big, you will be prompted to remove attachments.

Evaluate Your Well Visit Rates With HEDIS Benchmarks

Well visit measures on your Dashboard now reflect HEDIS measure definitions, and the HEDIS benchmarks are included on a new Well Visit Rates dashboard page that includes a summary of all of your well visit measures in one place.

Pilot Test of Clinical Document Exchange Responder Role

Starting this spring, PCC has begun pilot testing a new interoperability framework that will allow your practice to automatically and securely exchange clinical and demographic information with other providers in other organizations who participate in the Carequality interoperability framework. This includes many hospitals, specialists, and other networks who may serve your patients.

What is Clinical Document Exchange?

Clinical Document Exchange allows different healthcare organizations to exchange patient records. Your participation would allow other providers who see your patients to obtain your patients’ records for treatment purposes.

What is the Responder Role?

There are two sides to Clinical Document Exchange; an organization in the Initiator Role makes record requests, and an organization in the Responder Role responds to record requests. PCC is pilot testing the Responder Role only. In 2020, we will be introducing the ability for your practice to make record requests over this framework.

What Data will be Shared?

If your practice participates in Clinical Document Exchange, the patient’s most up-to-date Summary of Care record is made available and contains information including:

  • Demographic data (Name, D.O.B., Address)
  • Clinical data
  • Diagnoses
  • Allergies
  • Medications
  • History of Procedures
  • Diagnostic and Laboratory Test Results
  • History of Immunizations
  • Insurance Policies

Who has Access to Patient Data?

Only providers at healthcare organizations that participate in Clinical Document Exchange through the interoperability framework Carequality are able to retrieve your records. They may retrieve your records for treatment purposes only.

Is Clinical Document Exchange Safe and Secure?

Yes. Many layers of security protect patient data both in storage and when it is transmitted to a different healthcare organization.

How do I Participate?

If you are interested in pilot testing Clinical Document Exchange, contact your Client Advocate.

C-CDA Improved For Better Record Portability

PCC 8.9 includes some updates to the C-CDA export to facilitate compliance with any Health Information Exchange (HIE) or Clinically Integrated Network (CIN) you may interact with.

  • The custodial (home) phone number associated with a patient, which had been included in the XML version of the C-CDA, is now also included in the human-readable C-CDA.
  • The custodial (home) email address has been added to both the XML and human readable version of the C-CDA.
  • PCC EHR can now send longitudinal C-CDA documents to those HIEs and CINs that require them.

Recent Updates to PCC eRx

PCC updates and improves PCC eRx, the suite of prescription tools in PCC EHR, throughout our product release cycle. For more information about recent PCC eRx updates, check out PCC 8.8 Release: Prescribe Better!.

New and Updated Interfaces Available in PCC 8.9

With each release, PCC’s Interoperability team expands and updates PCC’s direct connections, partnerships, and integrations with insurance payers, immunization registries, and more. Here are the clinical and financial interoperability updates for PCC 8.9:

  • New and Updated Immunization Interfaces: As part of the PCC 8.9 release, PCC updated our immunization registry interfaces for Connecticut, Kansas, and Tennessee.

  • Updated Clinical Interfaces in PCC EHR: PCC updated clinical data interfaces with MedLabs Diagnostics and created new connections to Diagnostic Laboratory of Oklahoma, Orchard Harvest, and Diatherix Eurofins Laboratories.

  • New Insurance Eligibility and Financial Interfaces: PCC improved or developed new claim or eligibility interfaces with Community Health Plan of Washington, Simply Healthcare, Cigna, Texas Children’s Health Plan, Horizon New Jersey Health, and Magnacare.

If your practice would like to take advantage of these connections, or you have another interface need, contact your PCC Client Advocate.

Other Feature Improvements and Bug Fixes in PCC 8.9

In addition to the features described above, PCC 8.9 includes these smaller improvements and squashed bugs.

  • Time Fields Sort on Huddle Report: The Appointment Book reports in PCC EHR’s Report Library, which include the “Huddle” report that helps you review today’s appointments, are now better able to sort by time.

  • Code Set Standards Updates: PCC 8.9 includes updates to the standardized lab list (LOINC), clinical terms (SNOMED-CT), and drug codes (NDC), keeping your practice’s reports and other software tools up-to-date with the latest standards.

  • Improved Support for First and Middle Name Fields for Providers and Referring Providers: The provider and referring provider tables in the Partner Practice Management system now include first and middle name fields. You can use those fields in form letters and other forms you generate.

  • Provider and Location Moved to Appointment Panel: When you schedule an appointment, you can now select provider and location in the same panel as other appointment information.

  • Better Payment Syncing from Patient Portal Will Prevent Accidental Double-Posting: PCC has improved how payment information is synced between the patient portal and Partner, which will eliminate a problem where a payment might end up appearing twice.

  • Faster Balance Reporting: PCC’s databases now do a better job storing and retrieving financial data. You may notice a performance improvement when you run complex practice oversight and other balance-based reports.

  • Reprint Encounter Form Error: Under certain circumstances, users of Partner’s checkin program could not reprint encounter forms. PCC fixed this error with a mid-release patch to all practices.

  • Partner Checkout Wrap Up Screen Error: After the PCC 8.7 update, the Wrap Up screen in Partner checkout would not appear under certain circumstances. PCC fixed this error with a mid-release patch to all practices.

PCC 8.9 Migration Considerations

The PCC 8.9 release includes new features that may need configuration and for which you may want to do extra planning or training. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.9 Release article for complete details on these features.

Contact PCC Support for information about these or any features in PCC 8.9.

Turn On Portal Messaging Templates

Templates for patient portal messages will improve communication between families and your staff. To try out the templates included in PCC 8.9, your practice must first turn them on.

Navigate to the Patient Portal Configuration screen, and click on the new Messaging Templates tab.


Highlight the template you want to turn on, click “Edit”, and then select the “Display in Portal” checkbox.

Not Using Portal Messaging Yet?: If your practice hasn’t enabled the Secure Messaging feature for your patient portal, you will need to do that before you can enable messaging templates. Secure Messaging can be turn on in the Configuration tab of the Patient Portal Configuration screen.

Customize Your Portal Message Templates

After you’ve reviewed the standard portal message templates, you may want to make changes. For example, you may want to add your practice’s own custom disclaimers, add or remove the ability to request a provider when requesting an appointment, assign a specific user for certain templates, and more. You can also create a template from scratch.

Appointment Request Tip: Do you like the new Appointment Request template, but don’t like that it lists all the providers on your PCC system? Want to limit which providers mom or dad can pick from? You can create your own checkbox component, listing only the providers who a patient can pick from, and customize how the names appear.

Adjust Your End-of-Day Procedures to Include the New Payment Reconciliation Report in PCC EHR

What does your practice do at the end of the day to prove out? Do you run Partner’s deposit, or other reports? After your PCC 8.9 update, review the new Payment Reconciliation report, which provides information you need to balance a cash drawer and understand the total payments for a day.

Get Started with Payments in the Patient Portal

Does your practice collect payments through the patient portal? If not, you can chat with your PCC Client Advocate to get started. With PCC 8.9, a patient portal user can see outstanding balances and make payments, even for patients who have reached your practice’s emancipation age.

For more information, contact PCC or read Get Started with Patient Portal Payments.

Adjust Your Patient Portal Message Protocol

PCC 8.9 includes many great improvements to portal messages. Your practice may want to make changes to your Portal Message protocol, especially if your staff’s standard way of handling portal messages changes.

For example, if you add the “Forms” component, your staff will have easy access to forms when they respond to a family’s request. They can then generate a form, save it to the chart, and attach it to the portal message.

For more information, read Patient Portal Practice Settings and Configuration: Customize the Patient Portal Message Protocol.

Implement Visit Types on Your Schedule

When you use Visit Types to color-code the Appointment Book, your staff can tell at a glance when there are open times that are marked as “Sick”, “Well” and more. And in PCC 8.9, the Appointment Book can find the next available appointment based on your criteria and the visit type.

If your practice hasn’t set up Visit Types for your schedule, now would be a great time to get started.

For a guide to creating and configuring Visit Types and configuring each provider’s preferred sick and well times, read Configure the Appointment Book or watch the Appointment Book: Provider Hours and the Calendar video.

Set Your Default Visit Type for the Availability Finder

You can set the default Visit Type used with the Availability Finder during scheduling. The Visit Reason Editor has been updated to include a radio button selection within the “Defaults” tab.

If you have defined a color for your default Visit Type, the radio button will be set to “Match Visit Type for selected Visit Reason” by default.

For example, your practice can choose to have the Availability Finder ignore the Visit Reason and instead search for availability of “Any” visit type.

Customize Appointment Reports to Meet Practice Needs

PCC 8.9 includes powerful new reporting features that can help your practice get exactly the report you need. After your PCC 8.9 update, you may want to explore the new customization features in order to improve your appointment reports.

  • Create appointment reports that show how many patients a provider saw outside of their scheduled hours with the new “Provider Availability” feature
  • Create appointment reports on the blocks in your schedule

Revisit the Huddle Report: It Now Sorts By Time

The Huddle Report is a great daily summary that your practice can use to get ready for the day. It now sorts properly by time. Your practice may want to take a second look at this report to see if it can help your staff.

Adjust Your Practice’s Record Sharing Procedures with Direct Secure Messaging

When you share information with other doctors, specialists, and health care providers, how do you securely send documents?

PCC’s Direct Secure Messaging features now include the ability to attach documents from the patient’s chart or from your workstation.

If your practice has been using e-mail or some other method to share patient information, you can now do so with Direct Secure Messaging, improving record keeping and security.

For help getting started with Direct Secure Messaging, read Get Started with Direct Secure Messaging.

Participate in the Pilot Test of Clinical Document Exchange Responder Role

If your practice would like to participate in the pilot test of the Responder Role for Clinical Document Exchange, contact your PCC Client Advocate.

Send and Receive Direct Secure Messages

When you need to send a secure message to another provider, or a hospital needs to send you patient records, you can use Direct Secure Messaging–a communication technology used to exchange private medical information. You can send your message, along with a Summary of Care Record, directly to a specialist, another pediatrician, or other healthcare provider.

Read the procedures below to learn how to exchange Direct Secure Messages with other healthcare providers.

Setup and Configuration Needed First: Before you can send and receive Direct Secure messages, your practice must activate the feature and you must register an account. Read Get Started with Direct Secure Messaging to learn how.

Watch the Video: Watch Send, Receive, and Reconcile Direct Secure Messages to learn how to send, receive, and reconcile direct secure messages on your PCC system.

Send a Direct Secure Message to Another Healthcare Provider

Read the steps below to learn how to send a message, along with a Summary of Care Record (C-CDA), using Direct Secure Messaging.

Open a Chart and Select the Summary of Care Record Report

When you wish to send a Direct Secure Message, first open a patient’s chart.

Then select the “Summary of Care Record” from the Reports menu.


Optional: Indicate Whether the Message is For a Referral or Transition of Care

On the report’s criteria screen, you can indicate whether or not you are creating the record for a referral or transition of care.

Transition of Care For Meaningful Use: If you have indicated that the record is being created for a referral or transition of care, PCC EHR will track that you have generated the C-CDA document and it will update your Meaningful Use reporting totals.

Optional: Limit Record to a Specific Encounter

When you are sending a Direct Secure Message for a referral, you can select a specific referral and optionally limit the record you send to information from that referral encounter. Choose the specific referral order from the selection pull-down menu.


The Summary of Care Record transmitted with the Direct Secure Message will be limited to procedures, orders, and vitals noted for that given encounter date. (Along with the patient’s Problem List, insurance policies, and some other chart information not specific to a particular encounter.) Optionally, you can deselect the “Limited to the referral encounter” check box, and the Summary of Care report will generate the patient’s complete C-CDA with all available patient information.

Select ‘Send via Direct Secure Messaging’

Click “Send via Direct Secure Messaging” and then click “Send to…” to indicate you wish to send a Direct Secure Message.

Enter a Direct Address, or Search for One

Enter the care provider’s Direct Address (not their e-mail address) into the “To” field. Optionally, you can search by provider or practice name.


You will see more results if a user at your practice is registered with the DirectTrust network (learn how). PCC EHR also displays search results from contacts your practice has entered into the Professional Contact Manager–those results will appear at the top of your search.

Type a Subject and a Message, and Click “Send”

Finally, enter an explanatory subject and message text for your Direct Secure Message. Optionally, you can attach files or documents from your workstation or from the patient’s chart. When you are finished, click “Send” to send the message along with the patient’s care record.

Attach a Patient Document to a Direct Secure Message

You can use the “Attach Document” button to attach any documents associated with the patient to a Direct Secure Message.



Attach a File to a Direct Secure Message

Use the “Attach File” button to attach any file from your workstation to the message.



Size Limit and Removing Attachments: Before you send the document you have the option to remove any attachments you may have selected. Direct Secure Messages have a 50MB size limit; if you try to send a message that is too big, you will be prompted to remove attachments.

Receive a Direct Secure Message and Add It to a Patient’s Chart

Once your practice has activated Direct Secure Messaging (learn how), other medical practices can send Direct Secure Messages to users at your practice. Those messages can include transition of care C-CDA attachments and other documents.

When a Direct Secure Message arrives, it will appear on the Messaging queue. Double-click on a message to review it and associate it with a patient chart.


Similar to the process for importing an electronic lab result, you can review message information, including patient name, birthdate, and sex, and message details, if available. You can view PDF, Continuity of Care documents, and the contents of zipped attachments, and optionally save any attachments to your workstation. Use the panel on the right to associate the message with a patient’s chart. In most cases, PCC EHR does the work for you and suggests a matching patient. Otherwise, you can search for any patient.

Click “Select” to place the Direct Secure Message into the patient’s chart.


After you click “Select”, PCC EHR will open the Direct Secure Message as it appears in the patient chart. You can see the full message details and any attachments.

Add a Custom Summary to a Direct Secure Message

After a Direct Secure Message is placed in a patient’s chart, you can optionally write your own summary of its contents. Custom summaries appear in place of the message subject in the patient’s Visit History.


You can edit the summary of a Direct Secure Message at any time.

Review and Work With a Direct Secure Message

After a Direct Secure Message is placed in a patient’s chart, it appears in the Visit History. You can review it as you would a chart note or phone note.

As you review a message, you can click to open message attachments and create and complete tasks. For example, you can click “View” to view a C-CDA document or other attachment.


You can also create a task for any user so they can follow up on the message.

Reconcile a C-CDA Document

If a Direct Secure Message includes a transition of care document in C-CDA format, you can import any Problems, Medication Allergies, and Medications from the C-CDA document into the patient’s chart record.

When you see an incoming C-CDA in a Direct Secure Message, you can click “Reconcile” to review and import patient data.


On the “Reconciliation – Import” screen, you will see three sections: Problems, Medication Allergies, and Medications. In each section, you will see both the information in the C-CDA and the information that is already in the patient’s chart. When you want to import information, select it in the “Add to EHR” column.

After you have reviewed each section (Problems, Medication Allergies, and Medications) and selected any items you wish to add to the patient’s chart in PCC EHR, click Next.


On the “Reconciliation – Review and Save” screen, you can review what the final result of the patient’s record will be. You will see what the patient’s new Problem List, PCC eRx Allergies, and Medication History will display after the import is complete.

Optionally, Click Edit: You can click “Edit” and modify the items on these lists before saving. If you have a duplicate entry, for example, you may want to edit and combine notes or delete an item.

Click “Save” to save your changes and import the data. You can also click “Cancel” to close the C-CDA without making any changes to the patient’s chart.

Last Reconciled: PCC EHR tracks when a user clicked the “Reconcile” button, whether or not they decided to import data to the chart. You will see a “Last Reconciled” attribution on the Direct Secure Message as well as in the patient’s Visit History. You can revisit the message and choose to reconcile the C-CDA data with the patient chart again at any time.

Check Imported Medications and Medication Allergies in PCC eRx

When you reconcile and import medications and medication allergies from a C-CDA, PCC eRx attempts to match each drug description with a known item in its database. Where a match is found, drugs are added to the Allergies and Medication History components in PCC eRx in such a manner that they participate in drug safety checking. Where no match is found, drugs are added as free text. Free text entries are denoted by a pill bottle icon with a question mark and do not participate in drug safety checking.

In order to facilitate the safest possible e-prescribing, PCC recommends that you check for free text entries after reconciling a C-CDA and recreate them as items that can participate in drug safety checking. Use the “Add New Allergy” button in the Allergies component to recreate medication allergies imported as free text. Use the “Add Hx Med” button in the Medication History component to recreate medications imported as free text.

Once you have recreated imported free text entries as items that are able to participate in drug safety checking, you can delete the original free text versions from the patient’s record.

Remove a Direct Secure Message from the Incorrect Patient’s Chart

If you accidentally attach a Direct Secure Message to the wrong chart, you can un-attach it and send it back to the queue.

From the Visit History, double-click to open a Direct Secure Message.


While viewing the Direct Secure Message protocol, select “Remove Direct Secure Message” from the Edit menu and then click “Remove”.


Reconciled Items: If your practice reviewed the Direct Secure Message and reconciled Problems, Medication Allergies, or Medications, they will not be removed by the above process.

The Direct Secure Message will now appear back in the messaging queue, where you can import it to the correct patient’s chart.

Patients and Families Can Send Direct Secure Messages in the Patient Portal

Once your practice has activated Direct Secure Messaging, your patients and families can use the patient portal to send their own visit summary directly to other physicians and medical practices. They can use your practice’s Direct Secure Messaging connection to send the visit summary directly to another Direct Secure Messaging user.

When users want to save or send a visit summary in C-CDA format, they first select the patient and visit from their history.


At the bottom of the visit, they can choose to download or send the visit summary.


On the Direct Secure Email screen, the user can enter the Direct Secure Messaging address provided by the recipient. For example, a specialist might provide a parent with an address for the purpose of sending a visit summary directly to them.

After they enter an address, the user can optionally edit the default subject and message. Next, the user can choose whether to attach a C-CDA or PDF, and click “Send” to send the message and visit summary.

Direct Secure Messaging Required: Portal users can only send Direct Secure Messages if your practice has activated Direct Secure Messaging. Additionally, until a user at your practice registers with the DirectTrust Network, parents and families can only send messages to physicians and other practices within the Updox network. For more information, read the Get Started with Direct Secure Messaging article.

PCC 8.8 Release: Prescribe Better!

In May of 2019, PCC will release version 8.8 of our electronic charting and practice management software to all PCC users.

This eRx-focused release includes new features, updates, enhancements, and bug fixes for the prescription features in PCC EHR.

Watch a Video: Want to see a video summary of everything in this release? Watch the PCC 8.8 Release Video.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Use RapidRx to Review and Send Prescriptions

As you adjust details for a prescription, you will now see the final prescription details in the RapidRx panel on the right-hand side of the screen. You can sign and send the prescription with a single click.

You can review exactly what the prescription will look like. As you make changes, the panel will update to reflect what will appear on the final prescription. Click “Process Now” to sign and send the prescription. You can use a pull-down menu to select wether you wish to send the prescription electronically (“eRx”) or print it.

Sending a prescription with RapidRx is optional. If you’re not ready to send a prescription yet, you can save it and finalize later in the Review and Sign component. For example, if you are queuing up three months of ADHD medications, you may prefer to create and queue up those prescriptions and then review and send them on the Review and Sign component.

Multiple Locations and Non-Visit Encounters: If you work for a practice with more than one location, and you create a prescription based on a portal message or other non-visit encounter, you will need to select the originating location of the prescription. Previously, PCC eRx prompted you for this information during Review and Sign. With RapidRx you can sign and send your prescription on the details screen, so in PCC 8.8 the prompt appears as soon as you select the drug.


Indicate DAW Where and When You Need It

As you create a prescription, you can select the DAW option as you enter the number of days’ supply and dispense amount.

The new DAW option is more accessible and will work better in your prescribing workflow.

Better Auto-Calculation, Only When You Need It

As you adjust prescription details, PCC eRX auto-calculates dispense amounts and other values. In PCC 8.8, PCC eRx will only auto-calculate values when the change will be useful. When you select a dispense amount for albuterol inhalers, for example, your selection will no longer cause other fields to change.

Auto-calculate is a great feature when you prescribe tablets and liquids. However, if you are selecting a drug form first (such as inhalers), or you have already entered a specific dispensary amount, auto-calculation shouldn’t cause a “whack-a-mole” feeling where you need to adjust a field multiple times. After your PCC 8.8 update, PCC eRx will still help you auto-calculate amounts in a prescription, but it won’t erase a value that you just entered.

Favorites Will Not Recalculate Values When You Prescribe

When you select a prescription favorite from the Favorites list, and then edit those prescription details for a patient, PCC eRx will no longer override your defined amounts.


Auto-calculation will not override the dispense or unit measure that you saved in a favorite. Previously, if you had a prescription favorite for a 5ml bottle of eye drops, for example, and entered instructions for less than that amount, PCC eRx would auto-calculate the dispense amount and overwrite the preference in your favorite. After your PCC 8.8 update, PCC eRx will defer to the amounts and values you used when you created a prescription favorite.

Indications Will Appear on the Final Prescription Review Window

As you review and sign prescriptions, you can now see each prescription’s indications.

PCC eRx previously listed indications in a prescription’s details. Now these indications will also appear in the Prescription Review window. Some states, such as Ohio, require indications for controlled substances. You can now double-check these indications in the final step.

What’s the ICD-10 for an Indication on a Prescription?: If you hold your mouse over an indication listed on the Prescription Review window, you can see the associated ICD-10 code and description.

Easily Send Prescriptions to Different Pharmacies

As you review queued prescriptions for a patient, you can click and drag prescriptions to any of a patient’s saved pharmacies.

If you have a patient with prescriptions for both a local pharmacy and a mail-order pharmacy, or they need to fill a different prescription at their college town’s pharmacy, you can make adjustments on the fly before you send the prescriptions.


Add a Pharmacy on the Fly: Do you need to add a pharmacy for a patient as you finalize prescriptions? You can click “New Pharmacy” on the Prescription Review window.

After you add a pharmacy, you can immediately assign prescriptions to that pharmacy. You can also select whether to send the drugs electronically or print (or both).

Print Pharmacy Name on the Printed Version of the Prescription

When you print a copy of the prescription for a family, the pharmacy will now appear on that printout. For example, you might send a prescription electronically, but then print a paper copy.

Only Available on Letter Paper: Pharmacy address printing is only available for full page, 8.5″ x 11″ prescription printing.

Note that if you print the actual prescription and do not send it electronically, the chosen pharmacy will appear on the printout, but the prescription can also be filled elsewhere.

Simplified Customization of Safety Checking

Your practice can define which types of medication alerts appear as you prescribe. You can also determine which prescriber roles at your practice should see different types of alerts. The PCC 8.8 update includes an improvement to the Safety Checking settings in PCC eRx Administration, making it clearer how to turn an alert on or off.

When you wish to disable a certain type of alert completely, you can deselect the checkbox in front of the item. When you wish to customize which roles should see a type of alert, click “Show Roles” and select or deselect provider roles.


For more information, read Customize PCC eRx Alerts and Warnings.

Create Auto-Calculating Weight-Based Prescription Favorites

PCC 8.8 improves weight-based prescription favorites. You can easily create a weight-based prescription favorite that will automatically calculate the volume per-dose based on a patient’s weight.

Your prescribers can create weight-based prescription favorites manually, or PCC eRx can create them automatically.

To create a prescription favorite manually, visit the My Settings screen and click Add New Med.


Next, find the medication and pick a weight-based dosing statement. (Note: You can actually pick any dosing statement as a template, but picking a weight-based one saves a step.)


Since PCC eRx understands that you want to create a weight-based favorite, it will display the medication with a milligram/kilogram/dose value (which is different from per day). You can adjust the per-kilogram (of the patient’s weight) value, per dose, for your prescription favorite.

After you update the per-kilogram value for your favorite, and adjust other parts of the prescription you’d like to save in your favorite, click Save.

Your new prescription favorite will appear in the Prescribe component.

When you click on it, PCC eRx will check the patient’s weight and calculate an appropriate dose amount based on frequency and days supply.


Automatic Favorites: Instead of creating favorites manually, PCC eRx can build a prescriber’s list of Favorites for them, based on prescriptions they make. If you use this method at your practice, PCC eRx will add any weight-based prescriptions to your Favorites list, omitting the final per-dose value and total volume which will be based on each patient’s weight.

Other Feature Improvements and Bug Fixes in PCC 8.8

  • Dispense Volume/Quantity Does Not Recalculate After Saving: In certain circumstances, when you had edited and saved a prescription, it would no longer provide calculation assistance for dispense volume. Now it will. (33548)

  • Sprintec Tablets Quantity Fix: Under certain circumstances, pharmacies could receive the wrong dispense quantity for Sprintec Tablets. This no longer occurs.

  • Better Syncing Back to a Patient’s Chart: If you clicked the Renew eRx blue swish button in the Prescription History component in PCC eRx, but did not sign and send the prescription, the pending prescription would not display in the Prescription component in the patient’s chart. (It would appear once the prescription was sent.) PCC 8.8 allows the pending prescription to display.

  • Dispensary Amounts Auto-calculate Based on Common Practice (Highest Value in a Range): When PCC eRx auto-calculates a dispensary amount based on a range of usage (i.e. “1-2 tablets every 4 to 6 hours for 30 days”) it will now suggest a dispensary amount based on the highest value in the range.

  • Medication Allergy Checking Update: During the PCC 8.8 release cycle, PCC patched PCC eRx to improve the behavior of medication allergy alerts as well as syncing of allergies between a patient’s chart and PCC eRx.

Recall Overdue Patients for Well or Chronic Condition Visits

The best and easiest way to recall patients who are overdue for their well or chronic condition visit in PCC EHR is to run the Preventive Care Recall report or the Chronic Condition Recall report.

Open The Report Library

Open the Patient Recall Section

Open the Preventive Care Recall or Chronic Condition Recall Report


Select Criteria and Run The Report

The Preventive Care Recall report gives you many options for tailoring your recall list. Some criteria you will likely want to set include:

  • Use the Exclude Patient Flag criteria to exclude patients who are deceased, have transferred, have been dismissed, or are otherwise no longer at your practice.
  • Use the Exclude by Account Flag criteria to exclude patients whose accounts are inactive.

Set the Physical Due criteria to match the time frame you expect to be scheduling for. If you’re already scheduled for 3 months out, setting this to “All Past Dates Through Next 90 Days” will give you a list of patients that includes patients who will be due for their physicals at the time your schedule is open.

You’ll want to exclude patients who already have a physical scheduled, so use the Exclude by Scheduled Appointment criteria to remove those patients from this list.

It’s likely that running the report with just these criteria set will still leave you with an unmanageable recall list. You might further refine this list in various ways:

  • Focus on a specific age range. Maybe you want to focus on kids who will need vaccines before they start kindergarten, so you run this for patients who are 4-5 years old. Or you could run a list of 10 year olds so you can get them in for their HPV vaccination.
  • If your list is still too long, you might choose to recall patients with a specific insurance carrier.

Print or Export the Report

Once you’ve got a list of a manageable size, you use this report to recall patients.

For example, you could adjust report output to include columns for patient contact (phone, address, etc). You could also use Broadcast Messaging to send text and email messages to all patients on the list.

Contact PCC Support: Would you like help setting up the perfect criteria for your recall… and saving those criteria as a custom report? Do you want to explore options for exporting and sending messages? Call PCC Support for help!

PCC 8.7 Release

In March of 2019, PCC will release version 8.7 of our electronic charting and practice management software to all PCC users.

The PCC 8.7 release includes due dates for tasks, menu and Practice Management window improvements, new features and improvements in the Appointment Book, reporting enhancements, and more.

Watch a Video: Want to see a video summary of everything in this release? Watch the PCC 8.7 Release Video

Implementation: PCC 8.7 includes features that require configuration and user-specific software training. Read about the features below and then review the PCC 8.7 Migration Considerations article.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Find What You Need More Easily with Better Menus in PCC EHR

PCC 8.7 includes a new menu organization to make it easier to find the tools you need.

In the updated Tools menu, you’ll find the tools you or your staff need on a day-to-day basis. This includes some items that were formerly in the “Reports” and “Configuration” menus.

Whether you are reviewing immunization registry responses, checking eligibility for tomorrow, updating a provider’s schedule, or performing other daily operations, the Tools menu gives you fast access to the tool you need.

Under the new Configuration menu, you’ll see options for setting your practice’s configuration… these are the “set it and forget it” settings for how your practice uses PCC EHR and other PCC features.

Additional Menu and Tool Adjustments

PCC 8.7 updates a few other common menu selections, creating new specific tools with a clearer purpose.

Patient Portal administration is now split into two tools. When you need to help a family with their Patient Portal account, use the Patient Portal Administration tool, under the Tools menu.


However, if you need to change the settings for your practice’s patient portal, such as turning off Growth Charts, use the Patient Portal Configuration tool.


If you are a nurse, you might use tools like the Vaccine Lot Manager every day. Now it is under the Tools menu.


However, if you need to configure specific details of what immunizations appear in the chart by default, or how your practice displays diseases in the chart, you can use the Immunization Configuration tool.


Disabled Menu Items: If you don’t have a user role with permission to use a PCC EHR tool or make configuration changes, you’ll see grayed out menu entries. Contact your practice’s PCC system administrator or your PCC Client Advocate for help.

Generate Visit Forms in PCC EHR

Use Print Visit Forms tool to print all forms for upcoming appointments

You can use the new Print Visit Forms tool to generate all the forms you need for appointments on a given day.

Open Print Visit Forms from the Tools Menu.

Select a date, location, and provider, and click “Print Visit Forms”.

Then use your system’s print dialogue to print the forms.

Print or Reprint Visit Forms During Patient Check-In

You can print visit forms as you check in a patient, or right from the patient’s chart.

Appointment Details Component: This button appears anywhere you use the Appointment Details component—in Patient Check-In, and also in chart notes.

Reprint Visit Forms: If you have already printed the forms once, the button text will read “Reprint Visit Forms.” Click the button to print the forms a second time if necessary.

Disable Form Printing: You can remove the Print Visit Forms button from charts and Patient Check-In by editing the Appointment Details component in the Component Builder.

Add Due Dates to Orders and Tasks

In PCC 8.7, you can add a due date to a task and then use PCC EHR’s tools to track down work that needs to be done today or later.

If something is not due today, you can edit the due date right on the order.

When should you follow up on referrals or labs? Can you remind yourself to call a family in two months to schedule a followup? By setting a due date for a task, your practice can make sure to follow up on items that are not meant for today.

When you create a task, the default due date will be today. You can change it at any time, and edit orders to update their due dates.

When a task is not due today, the order will appear with the orange ring indicator, so you can tell at a glance that it is task for the future, and not due today.

You’ll see the new due date field wherever you review orders and tasks: on Visit Tasks and Messaging queues, on chart notes, when you hover over an order in the Visit History Index, in the Document Viewer, in the Documents section of the chart, in the Outstanding Tasks component, and when you edit any order.

Following Up: What Happens When a Task is Due?

When a task becomes due (or it is past due) it will appear on the Visit Tasks or Messaging queue.

Your queues will only show you what needs addressing today. A task won’t show up until its due date. If you get to the office on Monday and you want to see tasks that are coming up for the week, you can use the “Due” date filter to look at tasks due by Friday or any future date.

You can also track incomplete tasks on the Outstanding Tasks component.

An orange ring indicates that tasks are not due yet. When the day arrives, the task will appear on your Visit Tasks or Messaging queues, and the indicator will automatically become solid.

Due Date Shortcuts

You can type “in 2 days”, or “2 months” to automatically calculate the date the task should be completed.


You can use many other shortcuts to speed up indicating when a task should be due. Enter a number and “days”, “weeks”, “months”, or “years”, with any of several abbreviations. Spaces are optional.

Days Weeks Months Years
in # days in # weeks in # months in # years
# day # week # month # year
#d #w #m #y

Due Dates in pocketPCC

You’ll see due dates on your tasks wherever they appear, including in pocketPCC.

When you create a new task, the default due date will be today and you can change it at any time.

Improvement to the Edit Orders Window

When you click on the orange task indicator on the Schedule screen, you can review the orders for that visit and make sure they are all done.

In PCC 8.7, if there’s an incomplete task on an order, the navigation icon on the left will display that task’s status–even if the order itself is marked as complete. (Formerly, it would show the order’s overall status, which could lead to missed tasks.)

Use pocketPCC to Take Photos and Add Them to Patient Charts

A picture is worth a thousand words. Rather than try to describe a patient’s rash in your chart note, with PCC 8.7 you can take a photo with your mobile phone and upload it right into the chart.

Add Files/Photos

The new “Add a Photo or File” chart menu option in pocketPCC allows you to add photos and files from your mobile device directly into the patient’s chart.

You can add a photo you take during an office visit, or upload a form or photo that the family emailed you.


You can attach multiple photos or files, and then click “Save Document”.

The photos/files will be attached to the current day’s visit by default. If the patient does not have a visit today, the item will be added as an unattached file.

If you want to change the visit attachment or add a title, tasks, or signature requirements, edit the tags before saving.


Does the Photo or Document Also Save to My Device?: Under normal conditions, the photo you take from pocketPCC will not save to your mobile device. However, if you take the photos before launching pocketPCC, or if your phone automatically saves photos to your camera roll or gallery, you may end up saving private health information to the device. PCC is not responsible for the security of your workstations or portable devices, and you should review your device’s operation and take appropriate precautions.

View Files/Photos in PCC EHR

You can view the photos and/or files in PCC EHR within the visit chart note, or anywhere else that Documents appear.

You can also edit tags from PCC EHR.

Track Immunization Administrations with Barcodes

When you administer vaccines, you can now select a lot by scanning the barcode on the vial with the Select Vaccine Lots window. You can access the Select Vaccine Lots window anywhere you can edit orders; in a patient’s chart, in the “Edit Orders” window from the schedule screen, and in orders that appear on the Visit Tasks queue.

Once one or more immunization orders have been placed, click “Select Vaccine Lots”.

Then scan the barcode(s) on the immunization packaging. PCC EHR will match it with an active lot in inventory.



Manual Selection: You can use the new Select Vaccine Lots window to manually select lots by clicking on the drop-down arrows if you prefer to, or if you do not have a scanner.

If there are multiple identical lots (perhaps for private and state funds), PCC EHR will prompt you to select the appropriate funding source with a radio button.

Pick Lots with Fewer Clicks: Even without a scanner, the Select Vaccine Lots button can be useful, allowing you to select multiple lots from one screen, using fewer clicks.

Error Protection: If a barcode is invalid, the vaccine has not been ordered, or the lot is expired, depleted or reserved, PCC EHR will alert you and will not let you add the lot to your order.

Scan from Within an Immunization Order

As well as the “Select Vaccine Lots” button, you can use the new “Scan” button within each order to scan a vaccine individually.

Smart Scheduling Features Added to the Appointment Book

Often when scheduling, parents don’t ask for a specific date, but will inquire what you have tomorrow, or in two weeks, or three months. With PCC 8.7, you can use smart scheduling terminology when searching the calendar at your practice. The calendar browsing feature has also been updated to make it easier to jump to future dates for visual scheduling.

Enter Dates and Times to Search for Appointments

The new date and time search boxes offer a few different ways to search for appointments. You can enter a specific date, use the drop-down options, or enter shorthand text. For example, you could enter the first three letters of a month, the letter “T” for today, or “2 weeks”, and the date that corresponds with your search command will appear.


The calendar will use hashmarks and highlighting to focus the date and time selected in the search fields.

You can select from pre-configured drop-down options in both the date and time fields. For example, if you have a patient selected and choose the “next physical due” option, the date that they are due for a physical, as well as the age they will be on that date will populate the date field.

If you select “beginning of day” or “end of day” in the Time search field, you will be taken to the first or last time slot that the provider has hours that day.


Use New Calendar Search Window to Jump to Any Day

In addition to the added search fields, the calendar search functionality is now easier to use in PCC 8.7. There’s now a calendar window showing you six months into the future, which makes it easier to find the day you need.


The calendar shows you the provider hours for the selected provider and location.

Edit Details of Scheduled Appointments in the Appointment Book

Sometimes you need to edit appointment details without changing the appointment time. For example, a well visit might turn into a sick visit, or the length of an appointment could need to be extended.

In PCC 8.7, you can make changes to the details of an appointment that has already been scheduled in the Appointment Book, without having to reschedule it.

Click “Edit” to change the visit reason, duration, and/or the appointment note.


Make changes in the Edit Appointment window and click “Save” to continue.

Reschedule Appointments More Easily

PCC 8.7 streamlines the rescheduling process in the Appointment Book, providing a clean and clear interface that makes the job easy without getting lost in your schedule.

When you click on “Reschedule”, the appointment moves to the “Reschedule Appointment” tab.


Complete the reschedule and click “Save” to continue.

Set Up Your Appointment Book Before You Turn It On

With PCC 8.7, your practice can configure the Appointment Book before you switch over officially from SAM.

Your Client Advocate can help you set up visit reasons, templates, provider hours, and open up your calendar, all in advance of turning on the scheduling functionality.

Something to Consider Before Editing Visit Reasons: Keep in mind that any changes you make to visit reasons in the Appointment Book configuration will be immediately updated in SAM, as well.

Better Cancellation Features Between the Appointment Book and PCC’s Notify Service

PCC’s Notify service sends families notifications about upcoming appointments. Optionally, your practice can allow the family to cancel their appointment from the notification email or text message.

In PCC 8.7, the Appointment Book fully supports these cancellation features:

  • Your practice can review a report of which families canceled appointments and then manually cancel them in the Appointment Book.
  • Or, with PCC 8.7, your practice can optionally configure PCC so that an appointment will be cancelled when the family selects the cancel option or texts “No” to the confirmation message. When a family cancels an appointment, that slot will be available for your practice to schedule right away, without any intervention.

To review these options and optimize how PCC’s Notify service works with your PCC Appointment Book, get in touch with your Client Advocate.

Keep Your Practice Management Window Open in PCC EHR

Do you work with PCC’s Practice Management tools, and need to switch back and forth between PCC EHR functions and Partner functions? Practice Management now lives in a separate window.


You can navigate quickly between the main PCC EHR window and your Practice Management window with your workstation’s keyboard shortcuts (command + ~ on MacOS, Alt + Tab on Windows) or window management tools. You can even place the window on a second monitor.

If you want your Practice Management window to open immediately when you log into PCC EHR, you can select the “Launch Practice Management each time I sign in” option in the My Account tool.


Customize the Font Size and Color of Your Practice Management Window

When you are tracking down a billing issue for an account, you want your screen to be as clear and easy to read as possible. The PCC 8.7 update improves the default white text of your Practice Management window for better legibility. You can also select your own preferred font size, font color, background color, and cursor color.

When you want to adjust your Practice Management window’s appearance, open the My Account tool.


You can choose a Small, Medium, or Large font. You can select a preset color option (white on black or black on white), and you can override those presets with your own preferred Background Color, Text Color, and Cursor Color.


As you make adjustments, a preview panel on the right will show you the final result. By using these tools, you can customize the Practice Management window’s appearance so it will be readable and easier on your eyes.

Customize Practice Management Window For Your Staff: All the users at your practice can make the above changes themselves in the My Account tool. You can also make these changes for them in the User Administration tool.

Find Forced Appointments

Use the “Forced Appointments” report to find all appointments that have been forced into the schedule.


Create Daily “Huddle” List for Your Morning Meeting

Use the new “Huddle Sheet” report to generate a list of all appointments on a date or range of dates that you can use to prepare for the day.



Create Custom Appointment Reports

The new Appointments report provides all the filters you need to create custom appointment-based reports.

Remove Unused Criteria from Custom Reports

When you edit a report in the Report Library, use the Select Criteria button to add or remove criteria from the report.



New Report Categories

The Report Library in PCC EHR includes two new report categories. The “Data Source” category includes all “parent” reports. The “Appointment” category contains reports related to scheduling.

Update to Developmental Screening Rates – Adolescents Dashboard Measure

PCC has updated this measure in order to better reflect HEDIS requirements.

  • The measure name has been changed to “Depression Screening Rate – Adolescents”.
  • The age range, which used to be 11-21, has been changed to 12-21.

PCMH Dashboard Updates

The PCMH Dashboard has been updated to reference the NCQA 2017 PCMH standards and guidelines. All sections and descriptions have been renamed to match the 2017 standards.

New Dashboard Measures for Weight Assessment and Counseling for Nutrition and Physical Activity

PCC 8.7 introduces three new Dashboard measures:

  • Weight Assessment and Counseling – Nutritional Counseling
  • Weight Assessment and Counseling – Physical Activity Counseling
  • Weight Assessment and Counseling – Weight Assessment

These measures are based on the HEDIS Weight Assessment and Counseling Measure. All three of these are represented on the same page.

These measures also appear on the PCMH dashboard under “B – Other Preventive Care Measures”.

Optionally Include Comments to Pharmacy on Printed Prescriptions

By default, the comments to the pharmacy for a prescription are only sent electronically. They do not appear on printed prescriptions, as this field is designed to be a communication between the prescriber and the pharmacist.

During the PCC 8.7 release cycle, PCC added the ability to include Comments to Pharmacy on your printed prescriptions. Practices use Comments to Pharmacy for coupon codes, flavor requests for liquids, “dispense in 2 bottles”, and more.

If you would like to change your practice’s configuration so that comments to the pharmacy appear on printed prescriptions, contact your Client Advocate.

Family Will See These Comments: If your practice decides to make the change, all Comments to Pharmacy will appear on printed prescriptions, where patients and families may view the comments. Inform your prescribers so that they do not use that field for comments intended only for the pharmacy staff.

4-Quad and 2-Half Printing: Comments to Pharmacy are not currently available on 4-quad or 2-half prescription printing. For information about your prescription printing configuration, contact your Client Advocate.

Families Can Store Multiple Credit Cards in the Patient Portal

In PCC 8.7, families are able to save multiple credit cards and select which card to use when making a payment through the patient portal (My Kid’s Chart).

Portal users with more than one credit card stored will choose one card to be the “preferred” card. When a portal user makes a payment, their preferred card will be selected by default.

The user can select a different card for the current payment by clicking the drop-down and choosing another stored card.

Add A New Credit Card

If the user clicks “Pay with a New Card”, they can add a new card that will both be used for the current payment and stored for future use.

Manage Stored Cards

The patient portal now includes a “Payment Methods” setting, where portal users can add a new card or edit their stored cards outside of the payment screen.


Portals users can select a card to make edits. They can update the expiration date or change their preferred card. If a user no longer wants the card to be stored, they can remove the card.


Expired cards will appear in red.

Cleaner Secondary Claims

In PCC 8.7, when you generate a secondary claim it will only include the most recent CARC codes and CARC amounts. That means only the required information will be submitted on the secondary claim, and claim processing can proceed without error or intervention.

Sometimes secondary claim submissions could include payment amount and adjustment information that exceeded the actual value of a visit’s charges. PCC’s claim process stopped those claims as invalid. You might have seen an error in your Bad Claims Report when you submitted claims: “The total posted CARC adjustment(s) and insurance payment cannot exceed the charge amount.”

PCC 8.7 fixes this problem. The claim processing software will collect the most recent payment and adjustment information for the claim and use it to submit a clean secondary claim to the patient’s secondary policy.

More Details For Insurance Billers: Here’s a more detailed explanation of what used to occur, and how PCC 8.7 corrects the problem: A patient is covered by two policies, and there were multiple claims sent to the primary policy due to a provider out-of-network or some other error. Once the problem was fixed, a new primary claim went out. Then your practice received a partial payment and an adjustment, and the charge dropped to the secondary insurance. This process all worked well. However, as PCC processed the secondary claim, it saw a CARC code and CARC amount that covered the full amount of the charge, along with a partial payment and adjustment with CARC information. At this point, the claim processing software saw adjustment and payment information that exceeded the total amount of the original charge, and that led to the secondary claim not being sent. You’d see the claim in your Bad Claims Report, and you might not have known how to handle the problem and get the claim sent.

New and Updated Interfaces Available in PCC 8.7

With each release, PCC’s Interoperability team expands and updates PCC’s direct connections, partnerships, and integrations with insurance payers, immunization registries, and more. Here are the clinical and financial interoperability updates for PCC 8.7:

  • New and Updated Immunization Interfaces: As part of the PCC 8.7 release, PCC updated our immunization registry interfaces for Wisconsin (WyIR), Oregon (ORALERT), and Pennsylvania (PASIIS).

  • Updated Clinical Interfaces in PCC EHR: PCC updated clinical data interfaces with MedLabs Diagnostics.

  • New Insurance Eligibility and Financial Interfaces: PCC improved claim submission for Driscoll Health and eligibility services for Amerihealth Caritas, Aetna Better Health Louisiana, Washington Medicaid, and BCBS/Horizon of New Jersey. We also completed a transition of many eligibility connections from Anthem to Availity.

If your practice would like to take advantage of these connections, or you have another interface need, contact your PCC Client Advocate.

Immunization Forecasting is Up to Date

During the PCC 8.7 release cycle, PCC updated your immunization forecasting schedules to meet the latest CDC ACIP schedules and to correct unusual schedule scenarios or errors in forecasting.

PCC EHR automatically reviews each patient’s immunization record and provides a table showing any immunizations that were missed, are recommended soon, or that occurred outside of the CDC’s ACIP schedule.

PCC uses immunization logic and calculation services provided by Immucast by STC. During the PCC 8.7 release cycle, STC applied their latest patch (5.18.8), updating and correcting immunization schedules and bringing your system’s Immunization Forecasting in line with the latest ACIP recommendations.

Here’s a summary of the most notable updates:

  • Better Handling of 4th Dose Grace Period: For children 7 years or older, the grace period was not always considered when evaluating DTaP dose 4, which could result in an inaccurate forecast for Tdap. This has been corrected.

  • Invalid Additional Dose Prevented Booster Forecast: If a child completed their primary series of DTaP before age 7, and then received an additional dose, that dose was preventing the age 11 Tdap forecast. Forecasting will now consider the additional dose as invalid so the age 11 shot will be appropriately recommended.

PCC has tested all adjustments to the immunization schedules. Please get in touch if you’d like to learn more about the updates, or if you observe a forecasting result or warning that doesn’t match your expectation.

To learn more, read the guide to PCC’s Immunization Forecasting features.

Other Feature Improvements and Bug Fixes in PCC 8.7

In addition to the features described above, PCC 8.7 includes these smaller improvements and squashed bugs.

  • Improved Scheduled Provider Appointment Reporting: The PCC 8.7 update improves your scheduling database capabilities by migrating to a more modern database. You may notice different totals on scheduling reports. For example, if the provider who saw the patient was changed in PCC EHR, scheduling reports in the Practice Management (Partner) system will now properly reflect that change. This change will only affect appointment records and is not related to the provider billed for a visit.

  • Improved Reporting of Pre-PCC Appointment Data: When your practice first came online with PCC EHR, we may have converted your visit data from your previous EHR or Practice Management system, if any data was available. We did that by linking up appointment records to chart records, if available. Or, if we had a record of an appointment, we added that appointment as an “Historical EHR Visit”, for example, to make sure the patient’s past records could appear in the Visit History for the patient. You’ll now see these visit reasons in Partner-based reports, like SRS, and you can now report on appointments from that data migration. You can filter out those visit reasons if you do not wish to include that data.

  • Generate Summary of Care Faster: The Summary of Care report, which creates a C-CDA that you can export or send to another practitioner using Direct Secure Messages, now opens and generates more quickly.

  • Chart Open Time Improved: PCC 8.7 includes a number of improvements to how charts open. The database is now optimized to store more useful data in its memory cache, billing information (used to display past balances) is now gathered more efficiently, and a new early-morning cache warm up helps to make chart opening faster at the beginning of the day. Some practices will see charts open several seconds faster.

  • New VIS for Hep B: You can indicate you have provided the most recent Hepatitis B VIS form, which notes that a 2-dose series is available. For more information, you can review the CDC’s Hepatitis B VIS page.

PCC 8.7 Migration Considerations

The PCC 8.7 release includes new features that may need configuration and for which you may want to do extra planning or training. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.7 Release article for complete details on these features.

Contact PCC Support at 1-800-722-1082 for information about these or any features in PCC 8.7.

Review Updated Menus and Menu Items with Staff

Some of the tools your practice uses every day now have new locations in the PCC EHR menus. After your PCC 8.7 update, you may want to take time to review the menus with your staff.

Most prominently, day-to-day tools for your front desk, nurses, and others are located under the Tools menu:

For example, users who check patient eligibility, manage vaccine inventory, print visit forms, or manage portal accounts will find what they need here.

Review and Adjust User Permissions: Many Tools and Configuration menu items have user permission settings. After your PCC 8.7 update, you may need to use the User Administration tool to review and assign appropriate permissions to user roles. For example, the Vaccine Lot Manager and Immunization Configuration items now have separate user permissions.

Adjust Your Visit Forms Printing Workflow, Grant Appropriate User Access

When do you print patient forms for today’s visits? Do you collate printouts with pre-printed forms, reprint each morning, or have another workflow? PCC 8.7 introduces a new Print Visit Forms tool and a new “Print/Reprint Visit Forms” button in PCC EHR.


After your update, work with your practice to adjust when and how you print or reprint forms for each day, or for each encounter. The Print Visit Forms tool is a more powerful, easy-to-use tool that can replace the Print Encounter Forms (prenc) function in Partner.

Grant User Permissions: The Print Visit Forms tool has a new user permission role. By default, all users with User Administration permissions will also be able to print forms. Use the User Administration Tool to assign the Print Visit Forms tool permission to all appropriate roles.

Turn Off the Print Forms Button: If your practice does not print visit forms, you can turn off the Print Visit Forms button that appears in the Appointment Details component. Open the Protocols tool in the Tools menu, open the Component Builder, and edit the Appointment Details component.

Adjust Referral, Lab, and Other Order Workflows at Your Practice for the New Due Date Field

How does your practice keep track of referrals? How do you remind yourself to contact a family in two months? The new Due date field in order tasks will allow you to create tasks for the future that will reappear as due later.

After your practice explores the new Due features in your orders, you can begin to review and revise how you track different types of orders.

For example, if you have been tracking referrals outside of PCC EHR, can you use tasks and the new Due date field to move that job back into PCC EHR? You may need to create new task types for better tracking, for example, or adjust various protocols. The end result will be a more efficient and clearer method for tracking orders. Chat with your PCC Client Advocate to talk about options.

Optionally, Add Due Dates to Your Open Orders: Your Visit Tasks queue may be filled with referrals, open lab orders, and other items that you need to remember to do later. The PCC 8.7 update gave all existing tasks a due date of the date the order was created. You can edit your open orders and give the tasks more appropriate due dates. Then your Visit Tasks queue can be emptied out! By default, it will show you only those items that are due today (or had a due date in the past).

Develop Practice Procedures for Adding Photos to Chart Notes

Your clinicians can use pocketPCC to add photos or any documents to a patient’s chart. How will you use this feature?

As a first step, a clinician might try out the functionality and add pictures of a rash or other diagnostic observation to a chart note.

Your practice may want to develop a policy for this, and help clinicians get started with pocketPCC if they do not already have accounts. You can read more about pocketPCC here on learn.pcc.com.

Note Limitations: Uploads through pocketPCC are limited to 30 megabytes. Also, staff may make document tag adjustments (like title and category) during the upload, but there is no current method for making changes afterwards in pocketPCC. Document information can be edited in the patient’s chart in PCC EHR instead.

Optional: Assign Default Document Category for pocketPCC Uploads

When you add a document to a patient’s chart, you designate a document category. You can set the default category for pocketPCC uploads in the Document Administration tool.

If you want to keep track of photos or documents that were uploaded through pocketPCC, you can add a new document category.


There is a new pocketPCC setting on the Assigned Categories tab of the Document Administration tool. The default selection is your first category, which for many practices is “Correspondence/Consults”. You can change the category to any you would like, including a new one, as created above.


Uploaded photos and files will appear wherever documents can be found in PCC EHR.

Train Clinicians to Scan Their Vials, Buy Barcode Scanners

In PCC 8.7, you can select immunization lots for a patient’s immunizations with a barcode scanner.

Barcode scanning a vial improves accuracy of immunization tracking. To get started, however, your practice will need to purchase barcode scanners and train staff. You may need to consider how many scanners you will need and which workstations they will be attached to.

For more information about using a barcode scanner for immunization inventory, read Use Barcode Scanner to Manage Vaccine Inventory.

Set Up Your Appointment Book Before You Turn It On

Has your practice delayed switching from SAM to the new Appointment Book because of configuration requirements? Your Client Advocate can now turn on the configuration tools and train you on the Appointment Book before you “flip the switch” for your practice.

Contact your Client Advocate to get started.

Visit Reason Changes are System Wide: As you adjust Appointment Book configuration, keep in mind that any changes you make to visit reasons in the Appointment Book configuration will be immediately updated in SAM.

Adjust Cancellation Features for Notify

PCC’s Notify service sends families notifications about upcoming appointments. Optionally, your practice can allow the family to cancel their appointment by replying to the notification message.

If your practice uses the Appointment Book, you should review your cancellation configuration after your PCC 8.7 update. You can either review a report each day of family cancellations and make the changes manually in the Appointment Book, or you can have the family’s cancellation automatically change the appointment.

To review these options and optimize how PCC’s Notify service works with the Appointment Book, get in touch with your Client Advocate.

PCC 8.7 May Activate This Feature For You: If your practice used the automatic cancellation feature before you began using the Appointment Book, the PCC 8.7 update will reactivate this feature. Contact your PCC Client Advocate if you’d like to disable it.

Review Practice Management Window Options with Billing Staff

After your PCC 8.7 update, you can adjust the Practice Management window so it opens whenever you log in to PCC EHR. You can also adjust colors and font sizes.

Review these options with members of your practice who may not usually review the PCC release materials.

Customize Practice Management Window For Your Staff: All the users at your practice can make the above changes themselves in the My Account tool. You can also make these changes for them in the User Administration tool.

Decide Whether or Not to Include Comments to Pharmacy on Printed Prescriptions

By default, the comments to the pharmacy for a prescription are sent electronically. They do not appear on printed prescriptions, as this field is designed to be a communication between the prescriber and the pharmacist. However, some practices like to use this field for coupon codes and other information, and do not mind if the field is visible on the printed prescription.

If you would like to change your practice’s configuration so that comments to the pharmacy appear on printed prescriptions, contact your Client Advocate.

Family Will See These Comments: If your practice decides to make the change, all Comments to Pharmacy will appear on printed prescriptions, where patients and families may view the comments. Inform your prescribers so that they do not use that field for comments intended only for the pharmacy staff.

Review Your Signing Queue for Unsigned Appointments

The PCC 8.7 update migrates your appointment data to a more modern database. As a result, appointments that formerly had an incorrect scheduling provider assigned may be corrected.

After your update, you may notice unsigned appointments on the Signing queue. You can review these to make sure they were actually signed and sign them. If you have an unusual number of them, contact your Client Advocate for help.

Request a Clean Up in Writing: If your practice sees an unusual number of appointments on your Signing queue, you can request that PCC perform a migration and automatically sign and remove them for a certain date range, for example. In order to perform these sort of adjustments, PCC requires that you write out your request in an e-mail to PCC.

Adjust Partner Scheduling Workflow, If Needed

You may need to make adjustments to how you review your schedule, particularly if you use Partner and typically schedule appointments for one provider (such as a “Walk In” provider) and later change the provider.

Prior to PCC 8.7, when you used the Partner scheduling system to schedule an appointment with one provider and then changed the provider at the top of the chart note in PCC EHR (in the Appointment Details component), the appointment record in Partner would hold onto the previous provider information.

In PCC 8.7, Partner will display the new provider that you select in PCC EHR. The original scheduled provider information is still saved in your PCC database, but the new one will appear in scheduling reports and in sam and [/prog]inquire[/prog].

This change will improve your scheduling reports. Additionally, when you look at your schedule in Partner, you’ll be able to see who is actually seeing the patient.

However, this change may also affect your practice’s workflow. For example, if you typically schedule for a fake provider (“Walk In”) or similar, and then switch to the actual provider in PCC EHR, you will notice that those appointments leave the Walk In Provider’s schedule as they are re-assigned.

Implement New Appointment Reporting

PCC 8.7 includes great new scheduling reports, including the Find Forced Appointment and Huddle Sheet reports. You can also customize these reports or make another appointment-based report using the powerful criteria available in the Report Library.

SAM vs. Appointment Book: If your practice has not yet implemented the Appointment Book, some aspects of the appointment reports in the Report Library may not produce results, as the Partner scheduler does not have the same functionality as the Appointment Book.

Configure Your Weight Assessment, Physical Activity Counseling, and Nutrition Counseling Orders for the New Dashboard Measure

PCC 8.7’s three new Weight Assessment and Counseling measures will help your practice meet CMS 155. To take advantage of these dashboard measures, your practice should configure orders for each activity and add them to your chart notes.

To learn more about configuring PCC EHR for these measures, check out Meet Clinical Quality Measures: CMS 155.

For more help configuring your orders so you can track activity for measures and incentive programs, read Use Orders to Track Clinical Measures for Reports and Mandates.

Install TeamViewer So PCC Can Help You On Your Workstation

PCC’s support teams use TeamViewer to help you with PCC EHR and other PCC products and services. With TeamViewer installed, you can ask PCC Support to connect directly to your computer workstation and troubleshoot a problem or train you.

Follow the instructions below to install TeamViewer on your workstation.

Install TeamViewer on Your Microsoft Windows Workstation

Download the TeamViewer QuickSupport Application

Click here to download TeamViewer: Download the TeamViewer QuickSupport Application for Windows (http://get.teamviewer.com/pcchost)

Find and Open the Application

Find your browser’s download folder and double-click on the application to open it. This may differ depending on your browser.

You may be asked if you wish to trust this application.

Provide the ID and Password Information to Your PCC Support Team Member

Once TeamViewer QuickSupport is open, it will display an ID and password. Provide this information to your PCC support team member.


Install TeamViewer on Your Apple Macintosh Workstation

Download the TeamViewer QuickSupport Application

Click here to download TeamViewer: Download the TeamViewer QuickSupport Application for Macintosh (http://get.teamviewer.com/pcchost)

Find and Open the Application

Open your Downloads folder and run the “Install TeamViewerHost” package installer.


You may be asked if you wish to trust this application.

Follow Onscreen Prompts to Install

As the installer runs, you may be asked to select a destination and to enter an administrative user password for your workstation.

Grant Access Permissions

If this is your first time using TeamViewer QuickSupport, your workstation may ask you to grant access permissions to TeamViewer QuickSupport. You can follow the onscreen prompts as described below. (These options are available at any time in the System Preferences application found in the Apple menu.)

First, click “Configure Permissions” and then “Open System Preferences”.


Next, click to “Unlock” your settings, and then click the checkbox next to TeamViewer QuickSupport.


You can now close the System Preferences window.

Provide the ID and Password Information to Your PCC Support Team Member

Once TeamViewer QuickSupport is open, it will display an ID and password. Provide this information to your PCC support team member.

PCC 8.6 Release

In November of 2018, PCC will release version 8.6 of our electronic charting and practice management software to all PCC users.

The PCC 8.6 release includes major new features and improvements to the Appointment Book, along with improved access to ICD-10 codes, improvements to eligibility workflow, growth charts in the patient portal, and more.

Watch a Video: Want to see a video summary of everything in this release? Watch the PCC 8.6 Release Video

Implementation: PCC 8.6 includes features that require configuration and user-specific software training. Read about the features below and then review the PCC 8.6 Migration Considerations article.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Improved Appointment Book Window Layout, Hours Visible, and Workflow

The Appointment Book in PCC EHR now appears in its own window for quicker access, with a new layout that dramatically improves visibility of your schedule and makes it easier to use.

Appointment Book Now Has Its Own Window

With PCC 8.6, the Appointment Book can now be kept open while you work with other screens in PCC EHR. You can now access the Appointment Book from the File menu, where it opens a window on top of PCC EHR.


You can move the window around, and if your screen is large enough, keep both windows open at the same time. Or, you can toggle between PCC applications by using the File menu.

There are several other ways to switch between windows, depending on your operating systems. On Macs, you can click command + ~ to toggle between windows. On Windows machines, click Alt + Tab.

Users can choose to have the Appointment Book launch automatically every time they log in. Set individual preferences in the My Account tool from the File menu.

The Appointment Book window will remain open until it is closed individually, or until PCC EHR is closed.

Users need to have Appointment Book permissions to be able to see it in their File menu.

View More Time Slots on Your Screen

The Appointment Book panels have been moved to the left side of the screen, which opens up more vertical space in the calendar grid.

When you click on a time slot in the new calendar layout, any appointments scheduled within the block of time selected will appear on the left side of the screen, accordion-style. The highlighted appointment will be open, and will show in bold on the calendar grid.

If you click on a time slot in the appointment grid that has open space, the Appointment Book will assume that you are attempting to schedule, and will select the available appointment space first, even when there are other scheduled appointments in the time slot.

You can click on each scheduled appointment, either in the accordion or on the appointment grid to see details for that appointment.

Improved Day View

The Day view, which displays all providers on one screen for a single day, is now easier to read and makes better use of your screen.

The new view spreads out and makes better use of column space.

Depending upon the user’s resolution, the Day view will include less gray space. There will still be some gray space left over when there is only one provider. At minimum resolution, 2-3 providers will remove all excess gray space.

Quickly Find and Schedule Recent Patients

PCC 8.6 improves how you search for patients in the Appointment Book. Now you can quickly find recent patients you were working with.

The Patient Name search field includes a drop-down of the last 10 patients accessed in PCC EHR.

This can be helpful if a nurse is doing a phone note, for example, and realizes they need to bring the patient in for a visit – that patient would be first on the list.

Clicking the “x” in the Patient Name search field will clear the patient but not the slot.

When you click on the patient’s name within the search field, you will see a drop-down displaying their most recent vitals and who their primary care provider is.

No Extra Hold Placed On a Just-Scheduled Appointment Slot

In PCC 8.6, when a newly scheduled appointment is saved, the time slot will no longer be held on other users’ screens.


This way you won’t always have to remember to “clear” in order for other schedulers to see the most current version of the schedule.

Also, when another scheduler clicks in a time slot that has room for multiple appointments, only the time needed for the length of the appointment will be held.

Time slots are also automatically cleared if an appointment is deleted. It knows you’re done, and removes the “hold” so that other schedulers can use the space immediately.

Use Multiple Templates to Configure Provider Hours and Visit Types

With PCC 8.6, practices can now set up multiple scheduling templates to use with changing seasons, on-call schedule variations, or any other scheduling challenges they may encounter from day to day.

Providers can be assigned as many templates as needed to accommodate varying office hours or changes in expected visit type volume. For example, some of your providers may need to allow for last-minute physicals at the beginning of the school year or additional sick visits in the winter months. Some practices have changing needs on a day-to-day basis, such as rotating on-call schedules shared between providers.

You can assign templates by month or by week, and you can edit individual days to select a different template, edit the hours for that day, or indicate that the provider is off. More than one provider can use the same template, if appropriate.

You can read how to create, edit, and assign templates, as well as how to override a template or make a provider “Off”, in the PCC 8.6 Migration and Considerations article.

See Color-Coded Visit Types on Scheduled Appointments

The Appointment Book in PCC 8.6 now indicates the visit type for each scheduled appointment, so you can quickly review a provider’s schedule and know where another well or sick visit can fit.

The visit bubble displays a stripe down the left to show the visit reason color of the actual visit, whether it matches the guidance in the background or not.

Un-Cancel a Canceled Appointment

With PCC 8.6, you are now able to restore an appointment that was canceled in error.

You can use the Appointment History component, which lists all scheduled appointments for a patient – including those that have been canceled – to reverse appointment cancelation.

Highlight the canceled appointment and click the new “Restore” button.

The “Restore” button replaces the “Remove” button when a canceled appointment is selected.

The Details option in the component will show that the appointment was removed and restored.

View Administration Records in the Immunization Lot Manager

The Lot Manager now includes a list of all transactions for each lot, so you can easily reconcile the vaccine inventory.


Vaccine Inventory Transaction Log in the Report Library: Users with Report Library access can use the “Open in Report Library” button to open this report in the Report Library to adjust filters, print a report, and more.

Verify Eligibility for Tomorrow’s Appointments

In PCC 8.6, you can use the new Insurance Eligibility tool to review and confirm the status of insurance eligibility for upcoming patient visits.

You can access the Insurance Eligibility tool from the Reports menu, where it opens a window on top of PCC EHR.


The Insurance Eligibility appointment list defaults to show all scheduled appointments for the next day, but you can select another date if you wish, or even dates in the past, if applicable.

You can see if a patient is active or inactive in the Coverage Status column. You will see an “n/a” if eligibility is not available electronically for an insurance carrier or if the patient is not insured (self-pay). “Unknown” means that an error occurred when eligibility was last checked. If the field is blank, eligibility has not yet been checked.

You can request an eligibility update for all visits that either have not yet had eligibility checked, or that received an error when the request was previously made.


You will need to wait for the first response to come in, and then you can work with individual records.

You can double-click on a visit to enter verification information, review error messages, or to update demographic information.

You can use the “Previous” and “Next” buttons to scroll through the components in the Insurance Eligibility – Review and Verify ribbon.

You can enter status and a note, if needed, and then click the “Save + Next” button to move to the next patient.

Configure Your Custom Review and Verify Ribbon: The Insurance Eligibility – Review and Verify ribbon includes the Insurance Eligibility component, Policies, and other useful components. You can add other components to this ribbon in the new Insurance Eligibility Builder within the Protocol Configuration tool.

Quickly Look Up ICD-10 Codes For Referrals, DME Requisitions, and Pre-Authorizations

When you are filling out a lab requisition, referral, or a request for DME, you may need the ICD-10 codes for a patient’s diagnoses. In PCC EHR, you can now quickly review ICD-10 codes for patient diagnoses in the Diagnosis flowsheet.



Click on the ICD-10 link under a date to view the ICD-10 codes used for the encounter.

The Diagnosis flowsheet displays all of a patient’s SNOMED diagnosis descriptions, with a list of each date when the diagnosis was made. When you click on a particular date’s ICD-10 link, PCC EHR will display all of the ICD-10 codes for that encounter, which may also include information about laterality, episode of care, and other considerations.

You can use the ICD-10 information to complete the requirements of a lab requisition, referral form, durable medical equipment request, prior authorization form, or other task that requires the ICD-10 billing diagnosis code.

Families Can View Growth Charts in the Patient Portal

PCC 8.6 includes the addition of Growth Charts to My Kid’s Chart, PCC’s patient portal. Families and patients will be able to look at their different growth charts at any time, right on their mobile device.

Growth Charts will appear on the “Health Information Summary” page of the patient portal.

Parents will be able to tap through the available charts for their child, using the arrows shown just above the chart.

For a larger view, parents can turn their mobile device sideways.

Patients and parents can view the specifics of each entry (including percentiles) by clicking on the “Measurements” button beneath the chart.


Your practice can control which charts are available for patient portal access in the Growth Chart Configuration tool, and you can remove Growth Charts from the patient portal entirely with the Patient Portal Manager tool. Read the PCC 8.6 Migration Considerations article to learn how.

New Adolescent Dashboard Measure

There is a new “Immunization Rates – Adolescents” measure in your PCC Dashboard.

This measure reports on the percentage of patients currently 13 years of age who are up to date on all of their TdaP (one dose), Meningococcal (one dose) and HPV (two doses) vaccines.

You can use this measure to assess adolescent vaccination in one place. You can also use this measure as part of reporting for PCMH.

Use the “View Breakdown By Vaccine” link to see PCC and HEDIS® benchmark comparisons to broken down by vaccine, as well as to get overdue lists.


The Immunization Rates category score on your Clinical Pulse page will now be partially based on this measure.

This measure is also now included on your PCMH Dashboard page, under factor 6A.1.

Clinical Pulse:

Your Clinical Pulse and Immunization Rates scores will change due to this new measure.

Organize Reports Into Custom Categories

The Report Library in PCC EHR organizes reports into categories. Your practice can now create its own custom categories in PCC EHR’s Report Library, and can choose how to categorize reports.

Create Custom Categories

Click the “Edit Custom Categories” Button at the bottom of the Report Library.

You will see a list of your categories. You can add, delete, or edit categories.




Categories are Practice-wide: These categories are not user-specific, they are available to everyone in your practice.

Add Reports to a Category

To add a report to a new category, open the report in the Report Library.

The categories the report already belongs to are displayed at the top of the report. To make a change, click “Edit Categories”.

Use the checkboxes to add and remove the report from categories, then click “Save”.



New Weight Management and Patient Population Reports

PCC EHR 8.6 introduces two new reports for reporting on your patient populations.

  • Patients Overdue for Weight Management: Use this report to identify patients who are in need of a weight management visit based on BMI and past visit activity.
  • Predominant Conditions of Your Patient Population: This report shows the number of specific diagnoses over a date range. You can use this to satisfy the 2017 PCMH requirement KM 06.

Auto-Post Payments Made Through the Patient Portal

In PCC 8.6, practices can choose to have payments that are made through My Kid’s Chart (PCC’s patient portal) automatically posted into Partner.

When a payment is auto-posted, PCC will apply it toward the portal user’s associated Billing Account, from oldest to newest charges. If an over-payment is made, the account will receive a credit.

PCC billing reports, as well as the balance that families see in the portal, will be automatically updated to show that the payment has posted.

Working with Portal Payments in PCC: On PCC reports, such as proving out reports, auto-posted portal payments will appear with the username “portalpmt” and location “portal”.

To learn more about adding payments through your patient portal, read Get Started with Patient Portal Payments.

Configure Auto-Posting Portal Payments

If your practice wants to enable auto-posting for payments through your patient portal, use the Configuration tab in the Patient Portal Manager.

Check the box for “Automatically Post Portal Payments”, and select a payment type for each type of card displayed. The payment type you select will be the one that is displayed in reports.

These fields are all required. If you do not have an appropriate payment type, you can add one in the Payment Types table in Partner, or contact your CA.

New PCC Webmail Client with Vacation Messaging

PCC is pilot testing a new webmail client, Roundcube, that will replace Squirrelmail. Roundcube is a more modern and robust interface, with features you’d expect from a web client, including vacation messages, the ability to import and export contacts, and more! Read more about Roundcube here.

New and Updated Interfaces Available in PCC 8.6

With each release, PCC’s Interoperability team expands and updates PCC’s direct connections, partnerships, and integrations with insurance payers, immunization registries, and more. Here are the clinical and financial interoperability updates for PCC 8.6:

  • New and Updated Immunization Interfaces: As part of the PCC 8.6 release, PCC updated our immunization registry interfaces for Pennsylvania, Kentucky, Indiana, New Jersey, and Washington.

  • Updated Clinical Interfaces in PCC EHR: PCC updated clinical data interfaces with Orchard Trellis, Mercy Diagnostics, and NC HealthConnex.

  • New Insurance Eligibility and Financial Interfaces: PCC improved claim submission for Amerigroup and BCBS Texas Medicaid Star Chip and eligibility services for HMA, MVP Health Care, MI BCBS, MI Medicaid, Priority Health, and Aetna Better Health of Maryland.

If your practice would like to take advantage of these connections, or you have another interface need, contact your PCC Client Advocate.

LOINC Fall 2018 Update

PCC 8.6 updates your practice to the latest version of the standardized lab test list, LOINC (Logical Observation Identifiers Names and Codes). As part of this update, 1350 new codes were added, and many descriptions and test result standards were updated. The update changes a few tests that pediatric practices use, and your practice may notice the new test names in your orders.

Historical Data is Not Affected: Like all of PCC’s code set updates, the LOINC update will not affect historical descriptions or charted data. Flowsheets, which track lab results over time, will display the most recent description of a completed order.

Deprecated Lab Tests

The LOINC update deprecates 190 tests, often replacing them with new tests. PCC examined the list of changed tests, and wherever possible the PCC 8.6 update adjusts your configuration to match the new standard tests. For example, if your practice has a now-deprecated test on a chart note, or configured to trigger a Clinical Alert, PCC 8.6 updates it with the appropriate new test instead. In some cases, it was not possible to decide between multiple new options.

Here are some examples that your office should be aware of:

  • Obstetrics and Gynecology Referrals: Prior to the 2019 LOINC update, OB/GYN referrals could all be coded with 57179-4 “Obstetrics and Gynecology Referral note”. This LOINC code has been deprecated. After your PCC 8.6 update, you should review your referral orders and select either 89234-9 “Obstetrics Referral note” or 89225-7 “Gynecology Referral note”. You might also decide to create two separate orders so that you can code these referrals discretely.

  • Glomular Filtration: The LOINC 33914-3, titled “Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)”, was deprecated and replaced with 77147-7, “Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)”. No action is required.

  • Other, Less Common Changes: PCC noted two other LOINC deprecations that you may wish to review in your system. LOINC 52496-7 “Behavioral Signs and Symptoms” and 52482-7 “Laboratory”. You may want to review your PCC EHR configuration for orders with these LOINC codes.

Review Your Configuration

You may want to review your labs and other orders and change tests. And if your practice has not configured discrete, official tests for a lab order or other order, now would be a great time to review and update your configuration.

Use the Lab Configuration tool under the Tools menu, or the Component Builder section of the Protocol Configuration tool in the Tools menu, to review which tests are assigned to each of your practice’s orders.

Lab Test Report Preferences: As part of the update to the new LOINC list, user default preferences for the Lab Test Report will be reset. That means if your practice periodically uses that report to create a lead test report, for example, you may need to reselect appropriate labs after your PCC 8.6 update.

Immunization Forecasting is Up to Date

During the PCC 8.6 release cycle, PCC updated your immunization forecasting schedules to meet the latest CDC ACIP schedules and to correct unusual schedule scenarios and correct errors in forecasting.

PCC EHR automatically reviews each patient’s immunization record and provides a table showing any immunizations that were missed, are recommended soon, or that occurred outside of the CDC’s ACIP schedule.

PCC uses immunization logic and calculation services provided by Immucast by STC. During the PCC 8.6 release cycle, STC applied their latest patch (5.18.7.2), updating and correcting numerous immunization schedules and bringing your system’s Immunization Forecasting in line with the latest ACIP recommendations.

As you may be aware, there were two prior attempts to update immunization schedules for PCC clients. In each case, we found that STC’s update included incorrect forecasting for some shots. In response, PCC has developed a new process for testing and validating STC’s patches, which among other things includes beta testing the update with volunteer PCC clients before general deployment. Thank you for your patience in waiting for these updates, and thank you to those offices who helped us green light the latest patch.

Here’s a summary of the most notable updates:

  • IPV Will No Longer Be Considered a Live Vaccine for Forecasting: Under certain circumstances, a Polio forecast interval was assuming 28 days, as if for a live OPV vaccine. Since IPV is the vaccine currently in use, Immunization Forecasting will now will only consider the live vaccine interval for evaluation of immunization history and not for the forecast of future doses.

  • Corrected Forecasting of a Third Dose for HPV: HPV forecasting will now correctly forecast the two-dose series for patients who start their series before age 15.

  • HiB Forecast Update: The Hib forecasting schedule has been refined and improved.

  • DTaP Forecast Update: Immunization schedules for DTaP have been updated to best practice guidelines for the interval between dose 3 and dose 4. Additionally, the interval forecasting for the fifth dose has been fixed for circumstances where the fourth dose happened after age four.

  • Pneumococcal Conjugate Forecast Update: Interval between dose 2 and dose 3 for Pneumococcal Conjugate has been updated.

  • Rotavirus Maximum Date Corrected: The maximum date for completion of Rotavirus series has been fixed.

PCC has tested all adjustments to the immunization schedules. Please get in touch if you’d like to learn more about the updates, or if you observe a forecasting result or warning that doesn’t match your expectation.

To learn more, read the guide to PCC’s Immunization Forecasting features.

Other Feature Improvements and Bug Fixes in PCC 8.6

In addition to the features described above, PCC 8.6 includes these smaller improvements and squashed bugs.

  • Other Code Set Standard Updates: The PCC 8.6 update includes updates to RVU, GPCI, and NDC code sets as well, keeping your practice’s reports and other software tools up-to-date with the latest standards.

  • Reprint Encounter For Rescheduled Appointment Book Appointments: When you reschedule an appointment in the Appointment Book, and then reprint the encounter form in Partner, the new appointment information will appear on the form.

  • Multiple EHR Session Bug: Under certain circumstances, if two PCC EHR instances were accessing the same cached resource, PCC eRx screens could become unresponsive. This no longer occurs.

  • Creating Patients: If your practice used PCC before PCC EHR was released, you could encounter unusual crashes when you created new patient records. This no longer occurs.

  • Charts Can Not Be Opened: If there was an error in the nightly management of your PCC server, or if you opened a patient chart between midnight and 1am local time, under certain circumstances you would be unable to open Patient Check-In or the patient chart. This has been corrected.

  • Visit Status Counter Not Updating Correctly: PCC 8.6 improves how visit status counters update.

  • Save Button Illumination: If another user or a remote service updates a patient record while you are reviewing it, PCC EHR will illuminate the “Save” button, encouraging you to click to refresh. This was not occurring under certain circumstances, or would appear only briefly. The “Save” button will now light up until you save and refresh the chart.

  • Placeholder Accounts Causing Slow Load: If your practice uses a placeholder patient record for testing purposes or as a holding account, it could cause Visit History to load very slowly. PCC has corrected how Visit History loads so such usage will not slow you down.

  • Speed Partner Up: PCC 8.6 includes corrections and optimizations to improve database calls in Partner programs like Correct Mistakes (oops) and Structured Notes.

PCC 8.6 Migration Considerations

The PCC 8.6 release includes new features that may need extra planning, training, or configuration. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.6 Release article for complete details on these features.

Contact PCC Support at 1-800-722-1082 for information about these or any features in PCC 8.6.

Help Your Schedulers Automatically Open the New Appointment Book Window

The Appointment Book in PCC EHR now appears in its own window for quicker access, more hours on the screen, and an improved workflow. On the Monday after your PCC 8.6 update, you may need to review the new Appointment Book command under the File menu.

Each user at your practice can decide to have the Appointment Book open automatically, every time they log in. After your PCC 8.6 update, help your users set these individual preferences by reviewing the My Account tool from the File menu.

Additionally, you may find it helpful to review the quick keyboard commands to switch between windows within an application. On Apple Macintosh computers, you can press command + ~ to toggle between windows. On Microsoft Windows machines, press Alt + Tab.

Implement Scheduling Templates and Open Your Calendar

With PCC 8.6, practices can now set up multiple scheduling templates to use with changing seasons, on-call schedule variations, or any other scheduling challenges they may encounter from day to day.

Default Provider Regular Hours Templates: If your practice already uses the Appointment Book, the PCC 8.6 update will create a “Regular” template for each provider with their previously assigned hours. These templates have been auto-assigned out one year, but you can easily make changes as described below. If your providers already had “custom” or “off” times scheduled beyond a year, those dates are also preserved.

After your PCC 8.6 update, you can create new templates and assign them to months and weeks to open up your calendar.

Configure Templates for Provider Hours and Visit Types

Open the “Scheduling Templates” tab of the Provider Hours tool to create, clone, edit and delete templates for provider hours and visit types.

Click the “Add” button to create a new template.


You can set up the template the same way you would have set up the provider’s Regular Hours, in the past. Double-click on a template to edit it. Changes will be reflected in all future dates in the affected providers’ calendars.



If you want to build off of an existing template, you can clone it and save yourself from having to create a new template from scratch.


You can use the new “Clear Hours” button to clear the entire template, with the exception of the template name, or the new “Clear Visit Types” button to keep the same hours for the new template, but change the visit type guidance. You can also just make changes to any part of the schedule.

You can also delete templates that are not currently assigned to a provider’s calendar.

A Search Filter field allows you to filter templates, if your practice uses a large number of them.

Assign Templates to a Provider’s Calendar

After you update your provider’s Scheduling Templates, use the new “Assign Scheduling Templates” button on the Provider Schedule tab. You can open up a provider’s calendar for scheduling by assigning templates by month or by week.

If you choose the monthly option, the template will be assigned to all calendar days within the selected month.


If you choose the weekly option, you can set templates for any week that is displayed on the screen.

Edit One Day on the Calendar

You can edit individual days on a provider’s calendar to select a different template, change the hours for that day, or indicate that the provider is off.

Double-click on a single day, or select a day and click the “Edit Day” button.



If you assign templates after creating individual “Custom” or “Off” days, those days will not be changed unless you uncheck the “Preserve off and custom” checkbox. You can uncheck the box if you want to override previously scheduled “Custom” or “Off” days.

Get Ready for Eligibility in PCC EHR

In PCC 8.6, you can use the new Insurance Eligibility tool to review and confirm the status of insurance eligibility for upcoming patient visits.

Move from Partner Elig to PCC EHR Insurance Eligibility?: Your practice may formerly have used the Eligibility (elig) program in Partner, PCC’s Practice Management system. You can continue to use Partner’s Eligibility if you wish, but the new Insurance Eligibility tool includes more features and is easier to learn and use.

Configure Your Custom Review and Verify Ribbon: The Insurance Eligibility – Review and Verify ribbon includes the Insurance Eligibility component, Policies, and other useful components. You can add other components to this ribbon in the new Insurance Eligibility Builder within the Protocol Configuration tool.

This might be useful if you want staff to update demographic or account information as they check eligibility for each patient.

Configure Growth Charts in the Patient Portal

PCC 8.6 includes the addition of Growth Charts to My Kid’s Chart, PCC’s patient portal. Families and patients will be able to look at their different growth charts at any time, right on their mobile device.

Your practice can control which charts are available for patient portal access by checking the box within the new Portal Display column in the Growth Chart Configuration tool.

With PCC 8.6, all growth charts that are used by your practice in PCC EHR will be migrated into the patient portal. You can uncheck the box in the Portal Display column for any chart that should not be shared with families in the portal.

You can decide to disable growth charts in the portal entirely by unchecking the box in the Configuration tab of the Patient Portal Manager tool.

Do You Hide Vitals Now? Growth Charts Displays Them:

Your practice can specifically set whether or not to display patient vitals from each encounter in the patient portal. Growth Charts also display vitals collected by your practice. If you prefer to hide vitals information on chart notes and patient summaries, you may also wish to turn of Growth Charts.

Remind Practice Vitals Dashboard Users that Clinical Pulse Will Change

The new “Immunization Rates – Adolescents” measure in your PCC Dashboard is a great tool for tracking your practice’s rates on important immunizations.

This new measure will change the rate of your practice’s overall “Clinical Pulse” score, so if you have a Practice Vitals Dashboard user at your practice who tracks this score carefully, you may want to let them know about the score change.

Create Custom Categories in the Report Library

Your practice can create its own custom categories in PCC EHR’s Report Library to organize the reports you use every day. Full documentation is in the PCC 8.6 release article.

Configure Auto-Posting Portal Payments, Or Get Started with Portal Payments

Did you know families can pay their bill right in the patient portal? And, in PCC 8.6, you can choose to have portal payments immediately post against balances on your PCC system.

If your practice wants to enable auto-posting for payments through your patient portal, visit the Configuration tab in the Patient Portal Manager. Check the box for “Automatically Post Portal Payments”, and select a payment type for each type of card displayed.

These fields are all required. If you do not have an appropriate payment type, you can add one in the Payment Types table in the Table Editor (ted) or speak with your Client Advocate.

To learn about getting started with portal payments, read Get Started with Patient Portal Payments.

Adjust OB/Gyn Referrals and Other Orders for the LOINC Fall 2018 Update

After your PCC 8.6 update, you should review orders on your system affected by the LOINC update. PCC recommends that your practice review orders related to OB/Gyn orders, as well as LOINC 52496-7 “Behavioral Signs and Symptoms” and 52482-7 “Laboratory”.

For more information read the PCC 8.6 Release article.

Connect Remotely with PCC SecureConnect

Working from your home office? Follow the instructions below to connect to your practice’s PCC server from home.

Authorized Users Only: PCC keeps your system locked down so that only approved users can use this method to connect to PCC software. Your office can decide which users should be allowed to connect from home (or from a remote office) and call PCC Support to change that authorization list at any time.

Use pocketPCC Instead: You can review your schedule, see many sections of a patient’s chart, and create phone notes on any internet-connected device using pocketPCC. You only need to use SecureConnect when you wish to run the full PCC EHR or Partner software remotely.

Set Up and Configure Your Remote Connection

Download and Run the Authy App On Your Mobile Device

PCC SecureConnect uses two-factor authentication via the Authy app to ensure a secure connection to your server. Use your mobile phone’s app store to download and install the Authy app. Images below show the Apple iOS app store.


Register the Authy App With Your Identification

The Authy application will walk you through entering identification information to use it as a software token.



Verify your account with either a SMS message or phone call. When you are finished, proceed to the next step.

Log in to PCC SecureConnect

Set aside the phone and use a web browser on your laptop or workstation to navigate to your practice’s SecureConnect login page and enter your PCC username and password. The url is your practice’s acronym, followed by “.pcc.com/secureconnect” (such as: https://bedrockpeds.pcc.com/secureconnect).


Pair the Authy App with your PCC Server

Pair the Authy app with your PCC server by scanning the QR code.






Enter Your Token on the SecureConnect Login Page

Enter the six-digit token you see on your phone in the appropriate field on the SecureConnect login page on your computer’s web browser.

Tokens regenerate every 30 seconds: Authy tokens are only valid for 30 seconds, after which Authy generates a new token automatically. If you don’t enter the token within the 30 seconds, don’t worry, just enter the new token as it appears on your cell phone.

Open and Log In to PCC EHR

You are now logged in to your PCC server. Click the “Start” button and open PCC EHR.



Connect to Your PCC Server

Once you have installed and paired the Authy app with PCC SecureConnect, follow these instructions to log in to PCC SecureConnect.

Log in to PCC SecureConnect

Use a web browser on your laptop or workstation to navigate to your practice’s SecureConnect login page and enter your PCC username and password. The url is your practice’s acronym, followed by “.pcc.com/secureconnect” (such as: https://bedrockpeds.pcc.com/secureconnect).


Enter your Token from the Authy App

Open the Authy app on your mobile device and enter the token that is presented into SecureConnect in your web browser.


Tokens regenerate every 30 seconds: Authy tokens are only valid for 30 seconds, after which Authy generates a new token automatically. If you don’t enter the token within the 30 seconds, don’t worry, just enter the new token as it appears on your cell phone.

Open and Log In to PCC EHR

You are now logged in to your PCC server. Click the “Start” button and open PCC EHR.



Moving Your Practice to a New Location

So your practice is moving. Maybe you have outgrown your current space, or want to move to a more affordable location, or your lease is up, or you want to buy a building as an investment? Moving can be complicated. There are many moving pieces, and PCC is eager to make your move successful, with as little interruption to routine and as few surprises as possible.

Contact PCC

When you make the decision to move please contact PCC Support. Your Client Advocate and/or a PCC project coordinator will arrange a “kick-off” meeting with you and a team at PCC. Ideally you’ll let PCC know about your move at least three months before your projected move date, but the more lead time we have the easier and less stressful the process will be. PCC will work with you to ensure all the i’s are dotted and t’s crossed for your move.

Moving Checklist

Many small things have to happen for your transition to go smoothly. PCC has developed a checklist you can use to track your outstanding tasks while you get ready to move. Download it here.

Guide for Start-up Practices

Opening a new practice is a complex process. One important element is selecting the EHR and Practice Management System you want to use, but, before your practice can open its doors, certain things must be in place.

Physical Space

Location

Your practice location is of critical importance. Selecting a location, signing a lease or purchasing a property, and interior fit-up take time.

Certificate of Occupancy:

Before you can begin seeing patients, you must receive a Certificate of Occupancy from your state or local government to certify that your physical space meets building code requirements.

Internet Access

Having a connection with enough bandwidth to support your patient volume and practice operations is critical. Before you can start using your EHR, the right internet connection needs to be up and running, provided by the local internet service provider (ISP) of your choice. PCC strongly recommends fiber or business-class cable for internet. Your PCC representative will provide specific requirements and review your current or planned internet connection.

Equipment Room

Will your practice host your data locally, in a physical server on the premises, or in the cloud? PCC provides both solutions, and can work with your practice to decide on the best choice. We also provide network equipment to practices that need them, such as a firewall, UPS battery, and network switch.

If you will have a server running locally on the premises, or if you use PCC to supply and manage your network equipment, PCC requires that this equipment have adequate space, power, and ventilation. Many pediatric practices use a ventilated closet or storage room, one that is not used for other storage needs. To ensure that proper security is maintained, this equipment should be locked when not attended.

Network Cabling

Your office must have network cables to connect hardware throughout your practice. Speak to your PCC representative for help determining what kind of cabling will work for your practice. Please note that PCC does not do premise cabling and cannot cut holes in your walls, ceilings, or furniture for cabling. You are responsible for arranging such work to be completed before the PCC Server is installed.

Floor Plan

A floor plan of your physical space allows you to determine how many exam rooms you will have, where your front desk will be, where to house your PCC equipment, and where to place wireless network access points.

Recommended Hardware

Before you can go live with PCC, you’ll need to set up the printers, scanners, and workstations to support your practice. Clinical, front desk and billing staff will need workstations that meet PCC’s hardware requirements.

Set Up Billing Workflow

One of the biggest challenges for new practices is ensuring that their billing and collections are up and running from day one. Your billing is your revenue stream, and without proper coding, claims processing, and followup, your practice will have a difficult time getting paid fairly and on time. We recommend the following as a minimum to help you build a healthy billing workflow.

Get Your Providers Credentialed Properly

Without the right credentials, your providers can’t see patients, or bill for services. Identify who is responsible for getting the right paperwork completed to ensure that your providers can see patients and submit claims before you open your doors.

Hire an Experienced Biller or Billing Service

Billing is an incredibly detailed and complex process. It may sound straightforward, but insurance companies, coding practices and changing regulations require a great deal of attention. Hiring the right person will help you build strong billing practices from the start, saving you from potential trouble down the line. If you’d prefer to use a billing service, PCC has experience working with billing services.

Identify Claim Posting and Followup Responsibilities

Determining who posts charges, who follows up on personal balances, and who follows up with insurance companies is vital. Make sure each person understands and can handle their responsibilities.

Plan Out Your Front Desk and Encounter Workflow

Your patients and families need to quickly check in at your front desk, register for their visit, and pay their copays. When you start a new practice, you’ll be collecting a lot of information – names, addresses, insurance cards – and your front desk will be set up for success if they have clear responsibilities and proper workflow in place. How will your practice manage the flow of patients from check in, to the waiting room, to the exam room?

The best way to prepare for your go-live is to visit a pediatric practice in your area already using PCC. We’re happy to provide you a list of PCC clients near you. Visiting another office allows you to see how they have chosen to set up their system, observing their workflow and asking questions about what works best for them. This hands-on experience will give you an idea of how you’d like your practice to work and can help you make informed decisions as you go through the PCC online process.

Set Your Prices

Your practice needs to determine how much to charge for its services. This includes all of the different procedures and office visits you do, as well as lab tests, school forms, and other ancillary services. PCC has reporting tools you can use as a guide when making pricing decisions, but, your practice must decide how much to charge for each service you provide.

Determine Your Coding Practices

Pediatric billing is complicated, and your practice needs to become familiar with Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) coding. Use resources about pediatric coding to decide which CPT and ICD codes you will use and how your visits should be coded. Make sure this information is communicated clearly with staff members who are responsible for charting.

Top Ten Data Security Best Practices for a Small Pediatric Practice

As a pediatric practice you deal constantly with Personal Health Information (PHI). This data includes:

  • Name, Address, Phone Number
  • Social Security Number
  • Date of Birth
  • Insurance Information
  • Medical Records, including test results

This information can be extremely valuable, and therefore a target for hackers. Here are some basic best practices you can implement in order to ensure your PHI remains safe.

  1. Keep Your HIPAA Policy Documents Up-to-Date: HIPAA, or the Health Information Portability and Accountability Act, is a set of policies, procedures and guidelines that include rules around health insurance, medical savings accounts, and other aspects of healthcare. When most people talk about HIPAA, they are talking about the HIPAA Title II sections on privacy, rules around information transactions, and security. HIPAA rules around privacy are not just arbitrary requirements, they are also practical measures you can take to secure the PHI and other data at your practice. Read more about HIPAA and security here.

  2. Perform a Periodic Security Risk Assessment: Your practice is obligated to perform and record an annual Security Risk Assessment. You can use your Security Risk Assessment to inform and update your practice’s HIPAA Security Policy.

  3. Get Social Security Numbers Out Of Your System: One of the best ways to increase data security at your practice is to not store any unnecessary sensitive data. It can be tempting to use Social Security numbers as unique identifiers for patients, but those numbers are a target for identity theft. CMS has already removed SSNs from Medicare cards and replaced them with a Medicare Beneficiary Identifiers (MBI). Maybe you have an old custom field in PCC EHR that you used to store SSNs? Contact PCC for help with removing/re-purposing that field.

  4. Maintain Proper Wireless Network Configuration and Passwords: Your practice uses a wireless network that was set up by PCC or by a third party IT consultant. Networks in your office configured by PCC include both an internal network that can access your PCC server but does not have access to the internet, as well as a staff/guest network that has access to the internet but does not have access to PCC. This “network segmentation” isolates your system from outside attacks. The weakest link in network security is generally the human user. With that in mind:

    • Never share your clinical network password with anyone.
    • Do not share your staff/guest password with patients. If you want to provide network access to your patients and families, contact PCC.
    • If you keep your passwords written down, treat them as sensitive information. Secure them, and do not leave them exposed on paper, post-it notes, etc.
    • PCC does not know your password and will never ask you for your password.
  5. Perform Staff Training on Practice-Wide Procedures for Data Protection: Your staff should be trained on HIPAA privacy guidelines and your practice’s HIPAA policies. The Department of Health & Human Services has a summary of the HIPAA guidelines, and healthIT.gov’s Privacy, Security, and HIPAA page has a number of resources including a Security Risk Assessment tool and various training modules.

  6. Make Sure Your Credit Card Processors Are PCI DSS Compliant: The Payment Card Industry Data Security Standard (PCI DSS) is a standard established by the major credit card brands to protect cardholder data. Any business that processes, stores, or transmits credit card information must comply with the standard. You can find more information about PCI DSS compliance, as well as self-assessment tools here.

  7. Encrypt Your Data: Any computer that holds PHI should always have encrypted drives. Your practice’s server already has an encrypted drive, and all data backups, both locally and in the cloud, are also encrypted. Your workstations and laptops may contain PHI (maybe a saved e-mail attachment, or an exported report), and so should be encrypted as well. If one of your practices laptops is lost or stolen, it does not need to be treated as a HIPAA breach if its hard drives are encrypted.

  8. Periodically Review Your User Lists in PCC EHR, Partner, and Other Logins Around Your Practice: Employee turnover is a natural part of running a business. When an employee leaves, you should remove (or change the password for) their logins in PCC EHR, Partner, or any other hardware or software you use in your office. Only people who have a reason to log in to your system should be able to do so.

  9. Review Your Audit Logs in PCC: PCC’s Audit Log gives you granular details about which users are accessing or changing information in PCC EHR. More information is here.

  10. Don't Share User Logins For PCC or Any Other Services: It can be tempting to use the same login or password for multiple services. Never use your PCC login or password for other services or websites.

More detailed information about HIPAA, Security Risk Assessments, and your practice can be found here.

PCC 8.5 Release

In the summer of 2018, PCC will release version 8.5 of our electronic charting and practice management software to all PCC users.

The PCC 8.5 release includes a new Patient Check-In process which incorporates demographic updates, copay posting, insurance eligibility, and tools to help families with the patient portal. Patient Check-In in PCC EHR is an easy-to-learn solution for your front desk. PCC 8.5 also includes new tools to help your practice complete chart tasks and enhancements to the Appointment Book, reporting, and more.

Watch a Video: Want to see a video summary of everything in this release? Watch the PCC 8.5 Release Video

Implementation: The new features in PCC 8.5 require configuration and user-specific software training. Read about the features below and then review the PCC 8.5 Migration Considerations article.

Read below to learn more, and contact PCC Support for information about these new features or about any PCC product or service.

Check In Patients in PCC EHR

PCC 8.5 brings patient check-in into PCC EHR and provides great new functionality around reviewing and updating patient and family information. You’ll save time, improve how your front desk collects information, and reduce training time for new employees.

When you are ready to check in a patient, click on their appointment’s “Scheduled” status on the Schedule queue.


Use the new, customizable Patient Check-In protocol to perform all of your practice’s check-in procedures. You can use the anchor buttons to navigate directly to a component, or click on the Next button to quickly page through each of the important check-in steps in your practice’s workflow.

As you review patient information, you can update insurance policies, and make changes to demographics, contact preferences, and more. If you need to, you can also change the provider of the encounter in the Appointment Details component.

You can customize the Patient Check-In protocol to include any of PCC EHR’s other chart-wide components, such as Reminders, Appointment History, Forms, and more. PCC 8.5 also introduces new components to review balances, post payments, check eligibility, and review patient portal accounts. (See below to learn more.)

When you are finished checking in the patient, click “Save + Check In”.


PCC EHR will update the patient’s status to Checked In, and you’ll be ready to greet the next patient. You can reopen the Patient Check-In ribbon if you need it again. Select the appointment and click “Patient Check-In”.

You might do this to complete check-in for a patient, to review and update information later, or to post a time-of-service payment.

Who Checked This Patient In?: The Appointment Details component at the top of a visit’s protocol indicates who checked in each patient.

Can You Use Checkin in Partner/Practice Management?: You can continue to use the previous, Practice Management-based checkin program. If you wish, some members of your staff can switch to using the new Patient Check-In protocol in PCC EHR, while others continue to use the old, familiar checkin tool. Patient Check-In in PCC EHR includes powerful new features, but both workflows share most of the same functionality and can work together seamlessly.

Check In or Arrive Patient, Visit Status Counters

Patient Check-In is a great tool for reviewing and updating patient information and for performing other front desk tasks. However, you can optionally just mark a patient as having arrived, without checking them in.

PCC EHR has an “Arrive Patient” button, which you can see when you open a chart for a patient who has not been checked in.

If a provider wants to create an appointment and begin working with the patient immediately, for example, or if your practice decides not to use Patient Check-In, you can click to “Arrive” a patient instead.

Keep in mind that when you “Arrive” a patient, you skip the Patient Check-In protocol, which includes important components such as a patient’s policies and eligibility. (You can optionally complete Patient Check-In later, using the “Patient Check-In” button on the Schedule.)

Your green Visit Status Counter (at the bottom of the screen) will display a total of all patients on your Schedule screen who are either Checked In or Arrived.

Alert Check-In Staff to Billing Problems or Other Patient and Family Issues

When you check in a patient, you want to know if the family has a billing problem, hasn’t signed your practice’s privacy statement, or has another important issue you need to address.

Your practice can configure PCC EHR’s Clinical Alerts to tell the front desk what they need to know at checkin. When someone checks in a patient who matches specific criteria, the alert will appear with a message about the topic.


You can base the alert on a wide range of available criteria, including patient or account flags, demographics, or other details. For information on configuring your practice’s Clinical Alerts that appear during Patient Check-In, read the PCC 8.5 Migration Considerations article.

Review Balances and Collect Copays During Patient Check-In in PCC EHR

As part of the new Patient Check-In workflow in PCC EHR, you can review outstanding balances and post payments. The new Account Balances and Time of Service Payments components display clear, aged balances and you can enter a new payment with just a few clicks.

Account Balances

PCC EHR knows each patient’s billing account, and the new Account Balances component can show you an overview of outstanding personal charges.

The balances are account-based, so you can see total overdue amounts for this patient and any siblings who share the same billing account. Unpaid balances are broken down into Personal, Insurance, and Medicaid charges. They are aged across aging categories (0-29 days, 30-59 days, etc.), with the total personal balance due displayed in red.

Does the family want to know where the balance comes from? Click the disclosure triangle to view a summary of the charges that have an outstanding personal (non-insurance) balance.


You can see the patient, the date of service, each charge, and a record of all payments or adjustments applied toward the charge so far. You can use these details to explain outstanding charges to the family.

Collect Time-of-Service Payments

As you check in a patient, you can use the Time of Service Payments component to post today’s copay, or other amount, toward the account balance. The amount due today will appear in a ledger.

Select a payment type, enter an amount, and if appropriate enter a check number and select a provider. The provider will default to the provider for today’s encounter. As you enter payment details, you’ll see the payment amount appear in the ledger above. You can see the new expected balance before you save the payment.


For an account with past-due balances, you can post a single payment for past charges and today’s copay.

If the account has balances due for encounters related to a sibling, you can clearly see the totals of their copays and outstanding balances. You can post a single payment toward all of the family’s current and past-due balances.

When you check in the next sibling, you’ll see the payment details from when you checked in the first sibling.

After you post one or more payments, you can click Print Receipt to print out a receipt.


You can make changes and reprint the receipt if you need to, and you can always retrieve the receipt if you need it later by returning to the Patient Check-In protocol.

Account Balances are Also in pocketPCC

On your mobile device, you can review a patient’s outstanding personal balance in the Demographics section of the chart, or wherever the component appears.



Review Insurance Eligibility During Patient Check-In in PCC EHR

Claim rejections and payment delays hurt your practice. You can now review patient insurance eligibility for all active policies in PCC EHR, with every visit, either during Patient Check-In or when charting the encounter.

PCC 8.5 adds an Insurance Eligibility component, so that Front Desk staff will no longer have to switch over to Partner to verify eligibility.

When you first open the Patient Check-In protocol, PCC EHR will automatically check eligibility, if it has not already been done. The Eligibility Response will display either “Active” in green, to indicate that the patient is covered, or “Inactive” in red, meaning that the patient is not currently covered.

There are two available reports beneath the Eligibility Status. The Summary Report and the Full Report can be opened at any time by clicking on the disclosure triangles.

When you select a status from the drop-down field, the date will automatically display today’s date, and your username will appear to the right of the date in brackets.


If someone else originally checked insurance eligibility and you perform an updated request, the date will change to today’s date, and your username will replace the original user’s.

If you update a patient’s insurance information during check-in, you can submit a new eligibility request from the insurance carrier with a single click. The report will run in the background, so you can continue to work on the screen while the eligibility request is processing.

If eligibility is not available electronically for the selected insurance carrier, you will see a message in the Eligibility Response field, indicating that this payer will need to be contacted by another method.

When a patient has multiple insurance plans, each plan will be displayed within a separate bubble, and each eligibility request is performed independently.

Your providers can also check eligibility while charting, if your practice chooses to add this component to visit protocols.

Check Eligibility with Partner: The previous, Practice Management-based elig program will still function after your PCC 8.5 update. If your practice checks eligibility in advance of your appointment date, PCC EHR will pull in results from Partner. You can check eligibility again for the same patients within PCC EHR, if needed, and Partner will be updated accordingly.

Get All Families Onto the Portal with the New Patient Portal Users Component

Use the new Patient Portal Users component in PCC EHR to quickly review portal information and help get all of your families using the patient portal.

When you check in a patient or work with them on the phone, the new Patient Portal Users component can help you verify they are set up for the portal. You can see if mom, dad, or another guardian has access to the patient’s records.

If the patient has no portal account users, you can click “Add Portal User” to jump into the Patient Portal Manager.


In addition to reviewing and updating portal access, you can use the Patient Portal Users component to understand how the family is using the patient portal. Is communication through the portal working for the family?

For example, you can see the time of last login and if there are unread messages from your practice or documents they have not reviewed yet. If you see that a family hasn’t logged in for a while, you can generate a new temporary password for them, and help them log in right at the front desk.


If a patient has passed your practice’s emancipation age, you will see a message letting you know that the user does not actually have access to a patient’s records.

Maybe it’s time to set up the teenage patient with their own patient portal account. Or, you may decide to click “Manage Portal User” and grant access to this portal user.

Implement Account Balance and Portal Payments: The Patient Portal Users Component can help your practice implement account balances and payments in your practice’s patient portal. You can see if a billing account for personal balances is assigned for the user, and you can click Manage Portal User if you decide to add one.

To learn more about adding account balances and portal payments in the patient portal, read Patient Portal User Account Administration.

Patient Portal Information is Also in pocketPCC

On your mobile device, you can see all of the portal users who have access to the patient’s account. The Patient Portal Users component appears by default in the Demographics section of pocketPCC, but you can add it to other pocketPCC ribbons.

Find and Complete Outstanding Chart Tasks

Does your patient have any incomplete tasks, labs, referrals, documents, or other items in their chart? PCC 8.5 includes new features to help your practice make sure every task is complete.

Outstanding Tasks Component

The new Outstanding Tasks component in the Medical Summary shows you all outstanding tasks for the patient. New icons indicate if the task is attached to an order, phone note or document. You can add this component to other sections of the chart or protocols.

Highlighted Components Contain Outstanding Tasks

The anchor button for any component, protocol or section in a patient’s chart that has an outstanding task will now show orange. This way, at a glance, you can see what sections of a patient’s chart need attention.

Tasks in the Visit History Index

A new “Tasks” column in the Visit History component uses the new icons to indicate which encounters contain outstanding tasks. Hover your mouse over each icon to view a summary of the tasks, or click on the icon to go directly to the task.

Quickly Verify Patient Information Prior to Scheduling in Appointment Book

Your practice has a scheduling workflow that works for you. You may simply schedule appointments and then verify demographics at check-in, or you may have a list of regular items that you check before finalizing an appointment, such as the date of the patient’s last physical.

PCC 8.5 adds an optional Patient Details window, which you can customize with the information you need to review at the time of scheduling.

When you find a patient to schedule, the Patient Details screen appears.


The Patient Details window can also be accessed manually at any time by clicking the “Patient Details” button.

Click “Edit” to add or edit information in the Patient Details ribbon.


Click “Save + Exit” to commit your edits and proceed to the scheduling screen.

The Patient Details ribbon includes several components by default: Appointment History, Recent and Upcoming Appointments, Patient Demographics, Account Demographics, and Policies. You can add any chart-wide components you like, and rearrange the order of the ribbon to suit your office’s needs. For information on configuring your practice’s Patient Details ribbon, read the PCC 8.5 Migration Considerations article.

Powerful Patient Lists and Patient Recall

Patient Lists

PCC 8.5 adds a new “Patient List” report with a comprehensive collection of criteria that you can use to create custom patient list reports. This report contains both clinical and billing criteria, allowing for a wide range of custom lists.

Patient Recall

PCC EHR’s Report Library now includes a new “Patient Recall” category, with new reports that will enable you to run effective recalls for preventive care as well as chronic conditions. And, of course, you can use either of these reports as a jumping-off point to customize your own custom recall reports.

Make Exactly the Report You Need With Improvements to Criteria and Columns

PCC 8.5 introduces a number of improvements to our Report Library that make both creating and reading reports much easier.

Report Library Criteria Groups

Some report criteria naturally belong together. If you want to run a report on upcoming appointments, for example, you would need to individually select Visit Reason, Date of Appointment, Provider, and perhaps Location. We’ve collected some criteria that can be added to or removed from reports as a group, with just one click.


Dynamic Future Dates on Report Criteria

PCC reports now include dynamic date ranges that extend into the future, so you can create reports that will, by default, return results for:

  • Tomorrow
  • Next 7/30/60/90/365 Days
  • All Past Dates Through Next 30/60/90 Days

Rearrange Filters

You can now change the order of filters in your custom reports. When you customize a report, simply click and drag the filters to where you want them.



Configure Which Columns to Include in Reports

You have always been able to add or remove columns from your report after you’ve generated it, but now you can configure which columns will be available in a report before you generate it. This can reduce report generating times, as the report doesn’t have to render those columns.

When you are customizing a report, click “Edit” under “Columns to Include” and then choose which columns to include in the report.


When you run the report, you can choose to display or hide only the columns you have made available.

Enter Vitals in pocketPCC

Does a nurse need to carry around a cumbersome laptop just to record height, weight, and blood pressure? Maybe there’s a better way.

PCC 8.5 includes a new Vitals component in pocketPCC, the mobile portal to PCC EHR.

Clinicians can view and enter vitals in a large, easy-to-use interface on their iPhone, iPad, or other mobile device.

When you are viewing a visit in pocketPCC, you can enter or edit vitals by clicking the “Edit” button.


The Vitals component will display the same fields that are configured to appear for the visit type in PCC EHR.

Clicking “More” will show all possible vitals measurements.


You can enter as many vitals as you need to for the same visit.


Vitals entered in pocketPCC will show up immediately in PCC EHR, everywhere that vitals are displayed. You can edit any vitals that you entered, and you can see who entered other vitals by hovering over the vitals measurement.

Always Log In As Yourself: It is important that when using pocketPCC at your practice, you don’t just hand off the device between staff members. Make sure that you log in individually, so that in addition to having your username connected with your vitals entries, you also don’t commit a HIPAA violation.

Customize Your Summary of Care (C-CDA) for Referrals

The Summary of Care (C-CDA) report in PCC EHR is now configurable; instead of sending a full C-CDA to other care providers, you can select exactly which sections of the C-CDA to include.

Select which sections to include or omit by using the Summary of Care Record Configuration tool.


Practice-Wide Settings: The settings in the Summary of Care Record Configuration tool will apply to all EHR users.

When you run the Summary of Care Record report, it will only include the sections your practice has chosen.


Permission to use the Summary of Care Record Configuration tool is role-based.

Recent Updates to PCC eRx

PCC updates and improves PCC eRx, the suite of prescription tools in PCC EHR, throughout our product release cycle. During the PCC 8.5 release cycle, we made improvements including:

  • Improved Searching for Drug Lists and Dosing Statements: When a prescriber searches for a medication and then selects a dosing statement, the lists they see will now be based on your practice’s common prescriptions. You’ll find medications that you use more quickly, and you will no longer have to scroll through long lists of unwanted dosing statements. If at any time you wish to search the entire list, just click “Full Product Search”.

  • FDB Drug Database Update Including Methylphenidate: In June of 2018, FDB’s periodic drug database update included improvements to drug searching and dose selection for Methylphenidate. Each of the biphasic formulations of methylphenidate ER capsules (30-70, 40-60, 50-50) are now split out into separate options, and the Metadate CD suggestions will no longer include the incorrect biphasic 40-60 and 50-50 entries. Included with the update were additional clarifications regarding the biphasic preparations for both Ritalin LA and Aptensio XR entries.

  • Improve eRx Open Times: New data processing optimization, installed to all PCC clients in May 2018, improves PCC eRx opening times. Users may experience an improvement of up to 2-3 seconds, especially for complex charts.

  • Auvi-Q: PCC continues to work with FDB to improve dosing statements. In July, we added a requested Auvi-Q dosage.

Want to learn more? You can see a log of all PCC eRx patches and updates in the PCC eRx Update Log.

For more information about PCC eRx, visit PCC’s library of PCC eRx training videos and documentation. We add new eRx videos and materials every month.

New and Updated Interfaces Available in PCC 8.5

With each release, PCC’s Interoperability team expands and updates PCC’s direct connections, partnerships, and integrations with insurance payers, immunization registries, and more. Here are the clinical and financial interoperability updates for PCC 8.5:

  • New and Updated Immunization Interfaces: As part of the PCC 8.5 release, PCC updated our immunization registry interfaces for Missouri, Tennessee, Delaware, and Nebraska.

  • Updated Clinical Interfaces in PCC EHR: PCC updated clinical data interfaces with LabCorp and updated segments of our C-CDA to meet Medicaid requirements for North Carolina practices.

  • New Insurance Eligibility and Financial Interfaces: PCC improved claim submission for Connecticut Medicaid and eligibility services for Select Health of South Carolina, Wyoming BCBS, and Nebraska BCBS

If your practice would like to take advantage of these connections, or you have another interface need, contact your PCC Client Advocate.

Watch PCC Videos with Closed Captions

Do you watch PCC training videos in a busy office, without headphones? Does the written, visual word stick in your mind more than a speaking voice? All new PCC Videos now include automatically generated closed captioning.


When you need to watch a PCC Video, we recommend clicking the full screen button and optionally turning on closed captions for a better learning experience!

Quick Access to Important PCC Downloads

Shortly after the 8.5 release, PCC will be introducing a download page you can access with your web browser that gives you direct access to important PCC downloads, as well as links to PCC support and our online documentation at learn.pcc.com!

The url is simply your PCC acronym followed by pcc.com/downloads. So, if your acronym was ABCD, your downloads page would be at https://ABCD.pcc.com/downloads

Where is my download page?: Your practice’s download page will be deployed sometime after the 8.5 release. Until that point, this url will not be functional.

Other Feature Improvements and Bug Fixes in PCC 8.5

In addition to the features described above, PCC 8.5 includes these smaller improvements and squashed bugs.

  • Improved Coding Expertise Benchmark: The Practice Vitals Dashboard “Coding Expertise Benchmark” now includes several new codes to reflect both the clinical and financial benefit of performing and billing for certain procedures.

  • Wider Insurance Policy Display: When you click the policy pull-down menu to add a new patient policy, you’ll now be able to see more of the plan description. You’ll have an easier time selecting exactly the right plan for the patient.

  • Cannot Open Encounter Error: Under certain circumstances, PCC EHR could not identify the correct protocol for opening an encounter, resulting in a “Cannot Open Encounter” error. This has been resolved.

  • Improved ICD-10 Searching: When mapping an ICD-10 code in the Billing Configuration tool, some newer codes were not available under certain circumstances. This will no longer occur.

  • Improvements to Partner Functionality: PCC is working under-the-hood to make sure that Practice Management and Partner features continue to function as expected as we introduce new functionality in PCC EHR. During the PCC 8.5 update, we made modifications so that patient checkin functions can work seamlessly in either PCC EHR or Partner. As part of that work, PCC resolved issues with insurance policy searching, display of diagnoses, and other Practice Management functions.

  • CARC Code Update: During the PCC 8.5 release cycle, PCC updated all PCC systems with the latest updates to the CARC (Claim Adjustment Reason Code) standard. Your PCC system can understand all CARC information from carriers.

  • ICD-10 for 2019: The PCC 8.5 update includes all updates needed for the 2019 ICD-10 changes, which take affect in October of 2018. Your practice will be ready to bill with updated codes, and you can use the updated Partner snomedmap report to analyze your practice’s coding and make configuration changes. To learn more about ICD-10 billing changes coming in October, attend one of PCC’s free monthly Pediatric Coding Weblabs.

PCC 8.5 Migration Considerations

The PCC 8.5 release includes new features that may need extra planning, training, or configuration. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.5 Release article for complete details on these features.

Contact PCC Support at 1-800-722-1082 for information about these or any features in PCC 8.5.

Get Ready For Patient Check-In in PCC EHR

The new Patient Check-In in PCC EHR is a fast, powerful, easy to use tool for checking in patients. When and how will your practice start using it?

The good news is that anyone at your practice can try it, right after your PCC 8.5 update, without interrupting the daily flow of patients at your practice. Some of your staff can try the new Patient Check-In, while other users continue to use the checkin program in Partner.

How is PCC EHR Patient Check-In Better Than checkin in Partner?

The new Patient Check-In in PCC EHR has many significant advantages you can share with your staff.

  • Easy Access From PCC EHR: The clearest advantage is that your practice can perform check-in in the same tool as other patient and task management. Some staff may no longer need two monitors, and can perform all of their job within a single interface.

  • Patient Portal Users Component: Patient check-in is a great time to review whether a family is signed up for the portal, whether or not they can log in, and help them get started. The new Portal Users Component is only available in PCC EHR Patient Check-In, and not in the previous, Partner checkin program.

  • Better Account Balance Information: When you review a family’s outstanding balance in PCC EHR’s Patient Check-In, you can quickly see complete charge details, including more payment and adjustment reason information than is available in Partner checkin.

  • Customizable Workflow: Your practice can customize the components that appear in Patient Check-In, adding exactly the tools that you need. You can insert notes to the staff and create custom components if you need to complete other tasks at check-in.

  • Check-In Clinical Alerts: Your practice can configure reminders and notices to trigger automatically when you check patients in. This is a great way to implement new front desk policies, such as telling patients about an issue or referring families to the billing office.

  • All On One Screen: Patient Check-In steps in PCC EHR all appear in one scrolling ribbon. You don’t have to leave and open a separate screen to post today’s copay or review the reason behind an account balance.

  • Graphical Interface and Easier to Use Tools for Patient Eligibility, Communication Preferences, and Other Components: PCC EHR’s Patient Check-In includes a clear, easy-to-use graphical interface for all of your check-in needs. That makes it easier and more enjoyable to review eligibility, update policies, or perform other important check-in steps.

  • Reprint the Receipt, As Often As Needed, Shows All Payments: After you post a copay or other time of service payment in PCC EHR, you can print a receipt. If you forget, need another copy, or need to post another payment, you can always return and print the receipt again. A single receipt will display all the payments.

  • Who Checked This Patient In? Who Checked Eligibility?: The new Patient Eligibility component in PCC EHR’s Patient Check-In displays who checked insurance eligibility, and when. And, when you complete Patient Check-In, your username is added to appointment details, so you can later understand who checked a patient in.

  • Today's Payments Default to Today's Provider: When you post today’s payment, PCC EHR knows what provider the family is seeing today and automatically enters it. You can change the provider of a payment, and/or the provider of the encounter, right on the Patient Check-In ribbon.

The “Arrive Patient” Button, Eligibility, and Other Considerations

As your practice explores Patient Check-In, be sure and discuss the ways that Patient Check-In may affect your current workflow.

For example, when your practice uses Patient Check-In, you should avoid clicking “Arrive” for patients, as that bypasses your check-in procedure.

Also, the Patient Eligibility function in Patient Check-In works seamlessly with the eligibility features in the Practice Management system. Your staff can continue to use the elig tool, and the status and notes they enter will appear for your staff in Patient Check-In in PCC EHR.

Two Users Checking In the Same Patient?: If two users try to check-in the same patient, one in Partner checkin and one in the new Patient Check-In in PCC EHR, then the user who saves any changes last will overwrite the previous changes.

Hardware Shuffle: If your front desk staff is shifting from Partner and “AniTa” to PCC EHR in order to use the new Patient Check-In, now may be a great time to review their hardware needs. Do your staff use laptops or desktops that meet PCC’s minimum requirements? Were you aware that Windows 7 will only be supported by Microsoft until the end of 2019? It may make sense to begin replacing Windows 7 computers now so you can stretch the cost over a period of time, and support your staff now by providing them with fast, secure workstations.

Make Sure Staff User Accounts Are Linked

When you post a payment in PCC EHR, you want it to show up with appropriate attribution in your practice management reports. Are your EHR users linked up with their Partner, practice management user accounts?

If your staff skipped the process of linking their PCC EHR logins to a practice management account, and they use Patient Check-In in PCC 8.5 to post payments, their activity will appear as “EHR User” in Partner’s proving out reports, such as deposit.

How can you fix this? Make sure your PCC EHR users are linked to a practice management account.

You can review the PM Username column in the User Administration tool, and enter practice management account information for your staff.


And, if a staff member does not have a Partner account login, or you need to change or reset their password, you can do so in the User Administration program.


Configure Your Practice’s Patient Check-In Ribbon

Like other screens in PCC EHR, your practice can decide exactly which components should appear on the Patient Check-In protocol. In addition to adding useful components like Forms or Care Plans, you can rearrange components and even create custom notes that you want staff to share whenever a family checks in.

You can edit the Patient Check-In protocol in the Protocol Builder.


The default Patient Check-In components are shown in the image above. They include Patient Demographics, Communication Preferences, Patient Portal Users, Account Demographics, Policies, Insurance Eligibility, Account Balances, and Time of Service Payments.

Set Up Check-In Alerts

What kinds of things do the front desk staff need to know when they check in a family? Billing issues, incomplete forms, important announcements and reminders? Your practice can create Clinical Alerts to inform them of these issues.

When you create a Clinical Alert, you can indicate whether it should appear when a chart is opened or saved, and/or when the patient is checked in.

You can base the alert on a wide range of available criteria, including patient or account flags, demographics, or other details. This is the perfect tool for common patient and family status flags, like Billing Problem, Privacy Notice, or other clerical needs.

All Staff Alerts: If it’s important that the entire staff see an alert, make sure you check each appropriate box. Opening and saving the chart are not the same as Patient Check-In, for example.

For a guide to creating and editing Clinical Alerts, read the Clinical Alerts help article.

Adjust User Permissions for Patient Portal Administration

With Patient Check-In and the new Patient Portal Users component in PCC 8.5, different people at your practice might review and manage patient portal information for patients and families.

In order to edit a patient portal account, your staff must have a user role with the “Patient Portal Administration” permission.

Use the User Administration tool to edit your user roles and add the permission where appropriate. For more information on how to adjust and assign user roles, read Set User Roles for Permissions and Security.

Add Account Balance and Patient Portal Users Components to Other Screens in PCC EHR

Does your practice want to review patient portal usage during phone calls? Would providers like to see balances on the Medical Summary?

Many of PCC EHR’s screens are customizable to meet the needs of your practice, and PCC EHR’s new Account Balance and Patient Portal Users components can be added wherever you need them. You could even add Account Balance to a chart note protocol, if your providers address these issues with families during certain types of visits.

Use the Protocol Configuration to edit chart note protocols and chart sections.

Where Are They Now?: The PCC 8.5 update adds the Account Balance and Patient Portal Users components to the Patient Check-In protocol and to the Demographics section of the patient’s chart.

Train Your Staff on New Outstanding Tasks Features, Pick a Location for the Component

Your practice has a complex set of processes to make sure that every referral is followed up, every recheck appointment is scheduled, and every lab result is reviewed and shared with the family. PCC 8.5’s new Outstanding Tasks component, orange lighted navigation buttons, and enhancements to the Visit History Index give you new tools for your toolbox when completing orders and tasks.

PCC recommends you review the Outstanding Tasks component, along with the other features, with anyone at your practice who completes tasks, reviews documents, and so forth.

Also, where should you put the component? After your PCC 8.5 update, the new Outstanding Tasks component will appear right at the top of the Medical Summary, so everyone can see it when they open a chart! You can use the Medical Summary Builder in the Protocol Configuration tool to move it somewhere else, and add the component to chart notes, phone notes, or any protocol where it would help your staff.

Configure the Appointment Book’s “Patient Details” Screen

What information should you review with a family before you schedule the patient? The Patient Details ribbon includes several components by default: Appointment History, Recent and Upcoming Appointments, Patient Demographics, Account Demographics, and Policies. You can add any chart-wide components you like, and rearrange the order of the ribbon to suit your office’s needs.

From the Protocol Configuration tool, select “Patient Details Builder (Appt Book)”.


You can click the “Add” button to include any additional chart-wide components, and drag and drop component names to rearrange how they appear on the ribbon.

For example, maybe you always ask for insurance information and double-check cell phone numbers. Maybe you manage patient portal users. You can add, remove, and move components around to make sure staff has the details they need when they schedule.

Turn Off Automatic Patient Details Window

You may want to turn off the automatic Patient Details window, so that it doesn’t get in the way when your staff are scheduling over the phone.

Within the Appointment Book section of the Practice Preferences tool, simply uncheck the checkbox next to “Present Patient Details when scheduling appointments”.

The scheduler can still access the Patient Details window by clicking “Patient Details”.

Customize Your Summary of Care (C-CDA) for Referrals

After your PCC 8.5 update, you can customize exactly which portions of the standardized C-CDA report will appear when you generate it for a patient.

Select which sections to include by using the Summary of Care Record Configuration tool.


Practice-Wide Settings: The settings in the Summary of Care Record Configuration tool will apply to all EHR users.

Permission to use the Summary of Care Record Configuration tool is role-based.

Review Your Custom Reports and Change Columns

Prior to PCC 8.5, you could adjust columns on a report after it was generated, to create exactly the report output you want. In PCC 8.5, you can customize a report to remove (or add) columns of data that will be used whenever the report is generated.

After your PCC 8.5 update, you can optionally customize your reports and eliminate columns. This can significantly reduce the time it takes to run a complex report.

Review 2019 ICD-10 Code Changes, Update Your Billing Configuration

ICD-10 code changes are coming in October of 2018. You can review the new codes on your system now, and configure them for your billing needs in the Billing Configuration tool. As usual, PCC has updated reporting tools (like the snomedmap report) so you can analyze your practice’s charges and adjust code mapping for commonly used diagnoses.

Attend PCC’s monthly coding web labs to learn more about upcoming changes to ICD-10.

Immunization Registry Response Viewer

Use the Immunization Registry Response Viewer to review acknowledgements and other responses from your immunization registry. You can see successful transmissions and also look at warnings and errors that you may need to fix.

Permission to access this tool is role-based.

Configuration and Preparation Required: The Immunization Registry Response Viewer is available for all practices that participate with an immunization registry. It requires additional configuration and activation on your system. To get started, click here for more information, or contact PCC Support.

Open the Viewer and Review an Error

When you want to review registry responses, select the Immunization Registry Response Viewer from the Tools menu.


By default, PCC EHR will present a list of all responses to your system that contain errors or warnings. You can adjust the filters at the bottom of this screen to show all responses, a specific date range, or a specific care center.

Double-click on a message to see the error details.

The window will display all segments of the message that contain errors or warnings. The “Response Message” column will include a description from your immunization registry.

Correct an Error and Mark It As Reviewed

If an error is something simple you can fix in the patient’s chart, click the “Open Chart” button to open the chart and make any necessary corrections.

The Immunization Registry Response Viewer will remain open in a separate window while you work. You can make changes to the chart and then click “Save + Exit”.

Next, you can click “Reviewed: By” to mark the response as reviewed. Click “Save” to return to the list of responses, or click “Save + Next” to move directly to the next unreviewed message with errors or warnings.

When you return to the tool’s main window, you can use the “Reviewed” filter to filter out messages that have already been reviewed, leaving only responses that need attention.

PCC 8.4 Migration Considerations

The PCC 8.4 release includes new features that may need extra planning, training, or configuration. Read below to learn more, and share relevant details with your physicians and staff.

Read the PCC 8.4 Release article for complete details on these features.

Contact PCC Support at 1-800-722-1082 for information about these or any features in PCC 8.3.

Adjust Workflow and Configure Protocols for Insurance Policies in PCC EHR

If your practice uses PCC EHR, you can now update insurance policy information in either PCC EHR or Practice Management (Partner). The information and policy-management features are available in both interfaces, but the Policies component in PCC EHR is easier to learn and has some improved functionality.

After your PCC 8.4 update, your practice can add the new Policies component to any customizable ribbon in PCC EHR. For example, you could add it to your practice’s Medical Summary, phone notes, and visit chart notes. Use the Protocol Configuration tool to add the Policies component wherever it would help your practice’s workflow.

When does your practice update insurance policy information? The new availability of Policies in PCC EHR can optionally change how and when your practice updates insurance information. Additionally, in upcoming PCC EHR releases the new Policies component will be available as part of a PCC EHR checkin workflow and an Appointment Book scheduling workflow.

Blank Subscriber Information: As your practice begins using the Policies component in PCC EHR, you may notice that subscriber information is often blank. When PCC generates a claim, it pulls required subscriber information from the bill payer account for the patient. You do not need to enter full subscriber information into the policy record.

Get Started With Payments in the Portal

PCC 8.4 introduces portal payments as a limited pilot test. We will post updates and more information about portal payment availability as the pilot test proceeds, and you can e-mail or call your Client Advocate to learn more.

Before your practice can implement mobile payments through your patient portal, you will need to make sure the following configuration and startup procedures are in place.

Does Your Practice Use the Patient Portal?

First, your practice must be using the patient portal, My Kid’s Chart, and signing up your patients and families. For more information about the portal (My Kid’s Chart), check out our patient portal resources on learn.pcc.com.

Link Billing Accounts to Portal Users

Next, your practice must implement the Personal Balance feature in the patient portal, and assign billing accounts to portal users. Only portal users with associated billing accounts will be able to see the “Make Payment” button in the portal. For more information on this feature of the portal, review the My Kid’s Chart User Account Administration article.

Here are some recommendations for getting portal users hooked up to accounts:

  • PCC Can Help: PCC can perform a one-time batch migration that will join all portal users with a single billing account that corresponds to the patient(s) in their portal, if a 1:1 direct relationship is available.

  • Manual Assignment: For more complicated situations, when there is more than one billing account associated with the patient(s) in a user’s portal, your office will need to decide which billing account to link to their portal. This is a simple process, but will take some time, depending on how many portal users you have with this scenario.

  • Add Billing Account Assignment to Your Patient Portal Sign Up Workflow: Your practice can ensure proper configuration by asking if a family uses the patient portal at each visit, and by always linking new portal users to billing accounts during the portal registration process for new families.

Sign Up, Get Started, and Tell Families

Once the pilot test concludes, you can sign up for portal payments with PCC and register with Payment Pros. Next, PCC recommends you let patients and families know about the portal payment options.

For more information about getting started with portal payments, read Get Started with Portal Payments.

Update Your Workflow for Lab Results and Other Documents

After your PCC 8.4 update, your practice may want to make workflow adjustments to take advantage of the new Documents Viewer.

When you review a document in PCC EHR 8.4, it appears in a separate window. You can also open multiple documents at once, and navigate the chart independently of the document viewer. If your practice frequently needs to review documents while making notes on the chart, entering results or adjusting tasks, you may want to work with your staff to discover how best to take advantage of the new functionality.

Set Up Color-Coded Time Slots in the Appointment Book

If your practice uses the Appointment Book, you can now create color-coded visit types and then paint your provider schedule(s) to indicate visit type guidelines for your schedulers.

After your 8.4 update, use the new Visit Reasons tool to create Visit Types and assign them to your visit reasons.

Next, use the Provider Hours tool to place visit type colors directly onto each provider’s schedule.

Implement the Immunization Registry Response Viewer

If your practice automatically submits immunization data to a state registry, you can now review and fix data problems right in PCC EHR.

After your PCC 8.4 update, you can open the Immunization Registry Response Viewer and check out the kinds of responses your practice receives. You will only see responses that arrived after your PCC 8.4 update.

You may decide to designate someone at your practice to periodically review the errors or alerts and fix patient data problems.

PCC recommends you reach out to your state immunization registry to learn more about the details in the responses. You can also work with your Client Advocate to develop a workflow and understand the tools for updating the patient’s record.

Review SNOMED-CT to ICD-10 Mappings for Every-Day Diagnoses

Thousands of diagnoses were added and updated as part of SNOMED-CT for 2018. You may want to review the adjustments for important diagnoses, and check out the SNOMED-CT to ICD-10 billing mapping.

Read the PCC 8.4 Release article to learn more about new favorites, common diagnoses that were deprecated and more. After your PCC 8.4 update, consider the following:

  • Common Diagnoses that Changed or Were Deprecated: Several nosebleed diagnoses received new names and descriptions, and the common “Vaccination Required” diagnosis was swapped out for “Requires Vaccination”. Review the lists of changed and deprecated diagnoses and make sure your billers are aware.

  • Review and Adjust Favorites: The Favorites list are those diagnoses that pop-up through a quick search in any diagnosis field. You can review and adjust your practice’s favorites in the Diagnosis Configuration Tool.

  • Adjust Billing Mapping: Whenever possible, PCC EHR uses assisted mapping provided by the SNOMED-CT code set to automatically determine the appropriate ICD-10 billing codes. Your practice can take control of this process with the Billing Configuration tool, selecting precisely the code mapping that you need.

  • Snomedmap Report: You can use the snomedmap report in Partner to review ICD-10 code mapping on your common codes.

Adjust LOINC Tests on Your Orders

The 2018 LOINC update deprecates and changes some tests that may be on your practice’s labs or other orders. You can adjust lab tests in the Lab Configuration tool, and update linked LOINC tests on other order types in the Component Builder section of the Protocol Configuration tool.

Read the PCC 8.4 Release article to learn about changes that your practice should be aware of.

Review and Update Location Information

When you generate form letters from PCC EHR after the 8.4 update, your login location is used to set location-based variables. That means that if you are working in your “Downtown Office” location, for example, and generate a form letter, the address and contact information for that location will appear on the letter. In order to be ready for unusual form needs, PCC recommends that practices review and update their locations in the Places of Service table in the Table Editor (ted).

Contact your Client Advocate for help customizing your form letters and updating the location information that appears on them.

Review and Update Your Default Document Category

After your PCC 8.4 update, you may need to review and update your default categories in the “Assigned Categories” tab of the Document Administration tab.

When you add a new form letter, educational material, or other document to a patient’s chart, PCC EHR will enter the default category for you.

Prior to PCC 8.4, your practice could leave the default category blank. Then PCC EHR would prompt the user to select a category each time. In PCC 8.4, the document editor will automatically assign the first category (alphabetically) instead. PCC recommends you review your document categories and pick a good default for both Patient Education and Patient Forms.

PCC eRx Drop-In Sessions

PCC’s Morgan Ellixson-Boyea, CPhT, Dewey Howell, MD, PhD, and the rest of the PCC eRx team host conversations about all things eRx, from solutions to common prescribing dilemmas to new functionality. If you are a PCC client, you can sign up to attend one. At PCC’s eRx drop-in sessions, we discuss your questions and often preview upcoming prescribing functionality in PCC EHR.

Register for the Next PCC eRx Drop-In Session

You can sign up for the next PCC eRx drop-in session by clicking here:

http://www.pcc.com/events/

Watch a Previous Web Lab

Click in the table below below to review archived presentation files, video, or accompanying materials for PCC’s eRx drop-in sessions.

Date Topics Presentation Additional Links and Handouts
2024 March 2024-03 PCC eRx Drop-In slides video chat transcript
2024 February 2024-02 PCC eRx Drop-In slides video chat transcript
2024 January 2024-01 PCC eRx Drop-In slides video
2023 December 2023-12 PCC eRx Drop-In slides video n/a
2023 November 2023-11 PCC eRx Drop-In slides video chat transcript
2023 October 2023-10 PCC eRx Drop-In slides video
2023 September 2023-09 PCC eRx Drop-In slides video chat transcript
2023 August 2023-08 PCC eRx Drop-In slides video