LTC Admission Procedures

Create an Electronic Medical Record (EMR) for the new resident, and admit the resident to your Census. Create the Current Stay Record and provide all necessary information to bill for the resident’s expenses during this period of time.

If a resident is discharged, returns, or has a change in payer or level of care, simply edit the EMR and create an new Stay Record that includes the billing information for that period of time.

The EMR is shared throughout the System and with other Hi-Tech Software Systems, including Clinical Records and Resident Trust Accounting. It includes the following:

• Personal and demographic data required for billing.
• Resident’s photo.
• Medicare, Medicaid and other insurance numbers.
• ICD9 medical diagnoses for both billing and medical purposes.
• Primary and Secondary Physicians and Specialists.
• Family, Financial and Legal contacts.
• Notes of additional information such as medical history, maiden name, names of family members, nationality or ethnic background.
• Electronic documents from other sources (scans, PDFs, Word files, etc.)
• Patient Liability balances.
• Resident’s A/R balances, updated automatically with billing and payments.
• Resident Trust balances if you use the Resident Trust Accounting application.
• Clinical information recorded through the Clinical Records System (i.e. Advance Directives, allergies, discharge plan). This information can be restricted to Clinical staff only.