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Frequently Asked Questions - Product
Yes. To use ICANotes on an iPad or iPhone, read and follow these instructions.
Access ICANotes from an Android device by performing these steps:
ICANotes provides technical support to users from 9:00 am to midnight Eastern time (6:00 am to 9:00 pm Pacific time). Our phones are answered by live experts based in the United States with comprehensive knowledge of ICANotes functionality. We pride ourselves on responsive customer service, and we respond to support requests submitted within ICANotes messaging, by email, and by phone. Please visit our Customer Support page for a full description of our customer service philosophy.
ICANotes was founded in 1999. Over the past 12 years, the product has continuously evolved and is now the most robust EHR available today for behavioral health clinicians.
ICANotes is a mature EHR product which has been on the market for more than 12 years. We currently have over 3500 users and more than 2 million notes have been created.
ICANotes provides video tutorials, online training, and on-site training for large practices. Our video tutorials are available on-demand via the Training Library on our website. Online training and new user training is provided one-on-one by calling our Support team. On-site group training can be arranged through our business office by calling 866-847-3590.
ICANotes is provided as a web-based service for a flat monthly fee. For the first prescribing clinician, the monthly fee is $149 (including one administrative user). For the first non-prescribing clinician, the monthly fee is $69 (including one administative user). Additional administrative users are $39 per month (but a practice qualifies for an additional free administrative user when signing up four clinicians). Each additional prescribing clinician is $99 per month, and each additional non-prescribing clinician is $69 per month. The monthly fee includes unlimited support and training as well as all maintenance and upgrades.
There is an annual $65 license fee per user which is billed upfront on each practice's anniversary date. These licenses are transferrable.
ePrescribing is an additional $50 per month per prescriber. No additional licensing fees are incurred for this feature.
Electronic signature functionality requires an additional $5.00 per month per clinician.
ICANotes is an abbreviation for "Intuitive Computer-Assisted Notes."
EHR and EMR are often used synonymously. However, a difference was proposed by the National Alliance for Heath Information Technology (an industry-led alliance that has recently dissolved) and their definitions created a distinction. Whether their definitions and the distinction it creates will continue and enter into general usage remains to be seen.
Basically, as proposed by NAHIT, EMR are the electronic records created by and accessible to a single clinical entity, such as a doctor's office or a group practice or a hospital. By this definition, ICANotes is an EMR.
Since an individual is likely to be treated by more than one clinical entity (for example, a patient may see a psychiatrist, a dermatologist, and a family practitioner), it would be advantageous if all the different EMR records were electronically combined into a "superchart" containing the records of all the different clinicians treating that patient. This superchart is the EHR.
The EHR superchart could contain all the records in the individual EMRs or it could contain just summaries like ASTM’s Continuity of Care Record (CCR) or HL7’s Continuity of Care Document (CCD).
How the EHR superchart would be organized and where it would be stored and who would manage it is being debated. Clearly, if the EHR superchart were securely stored and accessible with the patient's permission via the internet, then new providers would have fast access to the patient's entire record, an obvious advantage in case of an emergency. Also, by storing all of the patient's clinical records in a single electronic database, unnecessary duplication of testing and inappropriate combinations of medications could be avoided. Other efficiencies can be imagined.
PHR is basically synonymous with the EHR superchart. It is an older term, coined before the emergence of computers, and was originally conceived of as a record that would be obtained and updated and stored by the patient, perhaps on paper.
HIPAA will eventually make electronic medical records and electronic signatures a necessity. Only electronic recordkeeping can provide the level of security and confidentiality required by HIPAA. As electronic medical records come into use, the insecurity and limitations of the paper chart will become increasingly evident, and lead to its abandonment.
Electronic records are required by HIPAA to be protected from alteration or destruction. Furthermore, for the electronic record to be legally admissible it must be unalterably locked and signed in a way that can be authenticated. Electronic signature software that legally and electronically identifies the creator of the record and that protects the note from alteration or deletion is therefore required. The only current technology that meets those standards is digital signature technology. ICANotes contains this capacity to digitally sign and lock records.
Storing all of your notes in a database means that the database may be searched. For example, you can quickly find all patients using a certain medication or all patients with a certain demographic (i.e., over age 60 or under age 17).
Billing reports are easily and quickly prepared. These can be automatically sent to a billing service (we provide that capacity, ask us about it) or to your own practice management software or medical billing software.
Unlike paper records, electronic notes are secure. Only individuals with passwords and the proper privileges can access the notes.
Electronic records are highly accessible. All records are available at any time from any location with an internet connection.
Electronic records are less easily lost or damaged, if they are properly backed up. ICANotes is backed up multiple times a day and daily backups are routinely stored at a different site.
Yes, Tablets are ideal for use with ICANotes because buttons can be pushed with the stylus and the handwriting recognition feature of Tablet PCs works well with ICANotes. For feedback from ICANotes users on various tablet computers please read our user forum on this topic. To see a demonstraction of handwriting recognition on a Windows 7 based tablet, watch this video.
Yes, speech recognition software is an excellent adjunct to ICANotes. We have found Dragon Software to work particularly well on the Windows platform.
For the Mac platform, MacSpeech works well. It is based on the Dragon speech recognition engine. Contact us if you want more information.
Reports created in ICANotes do not sound like they were written by a computer and each note is individualized for the specific patient.
ICANotes automatically uses the patient's name and correct pronouns in the body of the report. It also randomly selects phrases with the same meaning. Also, the use of buttons and pop-down menus modifiable by the clinician creates a unique quality to each note. Finally, you can (and should) type or dictate some unique information into each report.
These variations create a note that reads as highly individualized for each patient.
Yes, it can -- particularly if you have been reluctant to code at higher levels because of uncertainty about the coding criteria. Using ICANotes, you can watch the program as it credits you with code-able items and easily see what you need to code at higher levels. If you have already been coding at higher levels, you are likely to rest easier knowing that your coding is supported by your note.
Hospitals and individual practitioners typically bill Medicare at the lowest level, because of uncertainty about whether documentation requirements have been met. With ICANotes, coding at a 99232 level is the rule. This results in approximately $17 extra per service to Medicare patients. For an individual practitioner, this can mean tens of thousands of dollars a year. For a hospital, it can be hundreds of thousands of dollars a year.
Clinicians also realize significant savings through a reduction or elimination of transcription expenses. ICANotes frequently pays for itself in a short period of time.
Yes, it does. ICANotes determines the highest Evaluation and Management (E/M) code (99232, for example) for the site where you are working. This is a Medicare/Medicaid Code.
E/M codes often provide a higher reimbursement than other codes. The E/M code is determined, in part, by the clinical documentation in the note, which ICANotes automatically keeps track of by noting which buttons you have pushed. The program also knows where you have indicated you are working, and whether you are doing an Initial Assessment, a Progress Note, or a Consult.
If you do psychotherapy in addition to Evaluation and Management, ICANotes will automatically code the appropriate Psychotherapy with Medical Evaluation and Management service code (90807, for example).
More Information about Self Coding