Costs and Limitations

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ATTN: Drummond Group, LLC 13359 North Hwy. 183

Suite B 406­238

Austin, TX 78750

May 17, 2016

patientNOW

patientNOW 7.0

To Drummond Group:

The Mandatory Disclosure statement of costs and limitations for our certified product(s) is attached to this letter and will be posted along with the required product information on our website here:

www.patientnow.com/

We agree to notify Drummond Group of any and all future changes to our transparency and disclosures language for this certified product­version.

We understand and agree that the ONC Health IT Certification Program Final Rule statement gives Drummond Group, as an ONC­ACB, the sole responsibility for ensuring compliance and determining appropriate consequences if EHR technology developers fail to divulge accurate transparency and disclosures information.

We understand and agree that we will provide to Drummond Group copies of or give access to any and all websites, marketing materials, communication statements, and other assertions made by your organization regarding the ONC certification status of this product in a reasonable time to ensure the transparency and disclosures information is being accurately disclosed.

Jerry L. Jacobson, President & CEO patientNOW

 

Capability

Description of Capability

Costs or Fees

Types of costs or fees that a user may be required to pay to purchase, license, implement, maintain, upgrade, use, or otherwise enable and support the use of the implementation or use of the capability ­OR­ in connection with the data generated in the course using the capability

Contractual Limitations Limitations of a contractual nature (including developer policies and other business practices) that a user may encounter in the implementation or use of the capability ­OR­ in the connection with the data generated in the course of using the capability

Technical or Practical Limitations

Limitations of a technical or practical nature that a user may encounter that could prevent or impair the successful implementation, configuration, maintenance, support or use of the capability ­OR­ prevent or limit the use, exchange or portability of any data generated in the course of using the capability

ePrescription

The ability to send an electronic prescription to the pharmacy Impacted certification criteria:

∙ 170.314(a)(1) ­­ CPOE

∙ 170.314(a)(2) – Drug­drug, drug­allergy interactions

∙ 170.314(a)(6) – Medication List

∙ 170.314(a)(7) – Medication Allergy List

∙ 170.314(a)(10) – Drug

Formulary Checks

∙ 170.314(a)(15) – Patient Specific Education

170.314(b)(3) – Electronic Prescribing

170.314(g)(2) – Automated Measure Calculation

There is an annual per prescriber cost as well as an annual cost from Verizon® identity services (the third part proof to verify identity of legal prescriber)

No contractual limitations

No technical or practical limitations

Google Calendar

The ability to sync patient appointments with google calendar, there is a potential cost to the practice if they choose to do a shared google calendar

If they so choose to utilize shared calendars, there would be an additional cost from google

No contractual limitations

No technical or practical limitations

myPatientNOW

Patient facing, encrypted, secure portal providing access for the patient to provide their PHI to the practice in advance of an appointment or treatment

Impacted certification criteria:

∙ 170.314(a)(15) – Patient Specific Education

∙ 170.314(a)(6) – Medication List

∙ 170.314(a)(7) – Medication Allergy List

■ 170.314(a)(3) – Record Demographics

■ 170.314(a)(5) – Problem List

■ 170.314(a)(11) – Smoking Status

■ 170.314(a)(4) – Vitals BMI

Growth

■ 170.314(a)(13) – Family Health History

  • 170.314(b)(1) – Transition of Care

∙ 170.314(b)(2) –

Create/Transmit Summary of Care

∙ 170.314(e)(1) –

View/Download/Transmit

∙ 170.314(e)(2) – Clinical Summary

170.314(e)(3) – Secure Messaging

170.314(g)(2) – Automated Measure Calculation

If not included in purchased package, available through one time flat annual subscription fee

No contractual limitations

Annual support fees must be current and paid in full

myFax

Allows the ability to send electronic faxes

Annual subscription, paid flat fee, unlimited faxing

No contractual limitations

Annual support fees must be current and paid in full

textNOW

Allows two­way texting, saving the messages into the patient medical record

If not included in purchased package, available through annual subscription, unlimited messaging

No contractual limitations

Annual support fees must be current and paid in full

Canfield

Allows the use of the Canfield Visia® skin complexion analysis tool and Canfield Mirror® Medical imaging software products to be utilized directly from the patientNOW software product

Integration available at the request of the practice/client, fees to be paid directly to the 3rd party separate of patientNOW. Practice may incur one­time set­up cost.

No contractual limitations

Annual support fees must be current and paid in full

Compass Billing

Medical billing service. Integrated with patientNOW software to exchange patient demographic information and insurance claim information.

Impacted certification criteria: 170.314(a)(3) – Record Demographics

Integration available at the request of the practice/client, fees to be paid directly to the 3rd party separate of patientNOW. Practice may incur one­time set­up cost.

No contractual limitations

Annual support fees must be current and paid in full

EMA

Allows for ipad EMR functionality Impacted certification criteria: 170.314(a)(3) – Record Demographics

Integration available at the request of the practice/client, fees to be paid directly to the 3rd party separate of patientNOW. Practice may incur one­time set­up cost.

No contractual limitations

Annual support fees must be current and paid in full

MyMedLeads

A lead collection service. Integrated with patientNOW software to exchange patient demographic information.

Impacted certification criteria: 170.314(a)(3) – Record Demographics

Integration available at the request of the practice/client, fees to be paid directly to the 3rd party separate of patientNOW. Practice may incur one­time set­up cost.

No contractual limitations

Annual support fees must be current and paid in full

Optum / Ingenix for codes + insurance billing

Electronic claims submission through Optum Insight claims clearing house.

There is an annual per prescriber cost as well as an annual cost from Verizon® identity services (the third part proof to verify identity of legal prescriber)

No contractual limitations

No technical or practical limitations.

TouchMD

Allows for integration with Touch® from Alphaeon Suite ™, an interactive visualization and patient education platform.

Impacted certification criteria: 170.314(a)(3) – Record Demographics

Integration available at the request of the practice/client, fees to be paid directly to the 3rd party separate of patientNOW. Practice may incur one­time set­up cost.

No contractual limitations

Annual support fees must be current and paid in full