Labs 2.0 Point of Care (POC)

 

POINT OF CARE URINE DRUG SCREENING

Now Includes Chain of Custody and MNDR Reporting! Order POCs, process requisition, and receive results with MNDR, all in Kipu.

New Historical View for POCs! Results Graph! MNDR Report and More!

  • Easier POC ordering
  • POC scheduler, including random frequency
  • Easier viewing of results
  • Graph results over time
  • Compliance with TJC Requirements
  • Compliance with Payor Requirements
  • Doctor can sign off on order/result in one location  
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Lab 2.0 Point of Care Drug Screening Interface

Point of care testing can aid in treatment as this covenantal method of testing can be used to assist with diagnosis, monitor, and screening the patient during treatment. This quick method of testing can also assist with decision making on whether a quantitative confirmation test is required.

Kipu’s new POC (Point of Care) interface allow the facility to quickly and efficiently order, set collection frequencies, set test duration, document medical necessity, collect, and review POC results. Kipu’s cloud based system provides immediate access to patient’s test results which can be viewed and signed instantly by care providers, assisting with quicker decision making, and also ensuring optimal use of medical staff’s time.

Key features

• Physician or medical personnel can place POC orders in your Kipu EMR, using patient’s

   demographics that were entered on admission, saving your facility time when placing several orders. 

• Setup a custom frequency and duration for each client. Now including Kipu’s random frequency.

• Add unique statements of medical necessity using Kipu’s statements of medical necessity builder

   which will assist in customizing statements for each client. 

• Kipu’s requisition scheduler will display when patients are due for testing. 

• Quickly process the requisition on collection via our HIPAA secure POC interface. 

• POC result will be stored in your patient’s charts, where they belong and waiting to be reviewed by

   physician or medical personnel. 

• MNDR (Medical Necessity Documentation Report) attached with every result

• POC orders and results will be available in the doctors dashboard for quick review. 

How it works

1. Step One Place the POC Order

No more forms

Specify Testing Frequencies per Patient, now including Random

Specify Duration per Patient

Select POC test per Patient

Statements of Medical Necessity Builder

Physician’s POC orders can be signed in one location

Assists in compliance

Assists with the possibility of over testing or missing collection

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POC Urinary Drug Screening
Interface Features:

  • Physician or medical personnel can place POC orders in your Kipu EMR, using patient’s demographics that were entered on admission, saving your facility time when placing several orders.
  • Setup a custom frequency and duration for each client. Now including Kipu’s random frequency.
  • Add unique statements of medical necessity using Kipu’s statements of medical necessity builder which will assist in customizing statements for each client.
  • Kipu’s requisition scheduler will display when patients are due for testing.
  • Quickly process the requisition on collection via our HIPAA secure POC interface.
  • POC result will be stored in your patient’s charts, where they belong and waiting to be reviewed by physician or medical personnel.
  • MNDR (Medical Necessity Documentation Report) attached with every result.
  • POC orders and results will be available in the doctors dashboard for quick review.

 

Ordering POC

Ordering a POC has never been easier with the POC Interface. Simply navigate to the patient’s chart and click into the “Lab Orders” tab and hit “Create”. This will open the up a window that will need to be completed to document the POC order on the patient’s chart. The required points are, ordering physician, ordered test, start date, frequency, duration, if the test will be collected on admission as well as on discharge, and the statement of medical necessity. 

Statement of Medical Necessity (SOMN)

Kipu Health is proud to introduce its proprietary system for generating a Statement of Medical Necessity (SOMN) and the Medical Necessity Documentation Report (MNDR) as part of our POC Interface.

The SOMN is a demonstration of need for a course of treatment determined to be reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care. We have programmatically created an engine to populate information into the Statement of Medical Necessity to document a unique statement. 

Selecting a prebuilt SOMN

Kipu allows the facility to create buttons that, when clicked, will populate a Statement of Medical Necessity from a customized set of standardized justifications for testing. This will quickly and easily create a unique SOMN for each patient’s order.

Manually documenting a SOMN

The Statement of Medical Necessity field is also a free type  field. If the facility needs to edit a prebuilt statement or add further information, simply click into the text and edit the information as needed. 

2. Step Two Collect and Process in Kipu

With the Kipu Lab Scheduler, collectors can see who is due for POC testing, create requisitions, document POC’s, collect consent for testing, and save to the patient’s chart. The facility will no longer need to maintain a list of patient’s due for test, assisting with quicker collection, and also ensuring optimal use of medical staff’s time.  Kipu's Requisition Scheduler displays patients due for testing based on the frequency and handles:

  • Collection Sample
  • Locate POC requisition for patient
  • Document POC results and additional information
  • Process requisition to save information
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Point of Collection:  Creating Test Order Window.

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Point of Care Urinary Screening  button is clicked. Kipu will then populate the customized Statement of Medical Necessity setup for this button.

Kipu’s POC Requisition Documents:

  • Unique specimen ID and data 
  •  Collection Date
  •  Collected By
  •  Patient demographic information
  •  Insurance information
  •  Ordered POC Test
  •  Medical Necessity Statement
  •  POC Results
  •  Prescribed medications
  •  Diagnosis codes
  •  Patient consent

 

3. Step Three Review Results

Easy access to results

With the POC interface, there are several locations where a user with access to result can view them and see how the patient is preforming during their episode of care. Below are a few examples.

Inside the patients chart view 

Results can be found in the patient’s chart under the “Lab Results” tab. Here the facility user with access to results can use the filter to assist in finding a specific report to view. Kipu will also highlight any report that has positive test results reported for quick viewing. Result can easily be opened by clicking on the specimen ID. 

Extensive data

POC Results available in the patient’s chart

See all POC results in one location, includes filters

Icon displayed on patient's picture: results need to be reviewed  

Now available, historical results view with the POC interface

POC results include MNDR (Medical Necessity Documentation Report)

Reviewing Physician: Add notes, sign off on POC results in one location​

Historical data at your fingertips

In the “Lab Results” tab, there is also the new “Test results history” button that when clicked, Kipu will gather all results and display them side by side for a historical view of the patient’s testing. There is also a powerful filter section located at the top of the page that can assist in locating the results the user will like to view.

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Results History Graph:

The result graphs are in the results history view. To view the graph, click the arrow to the left of the test name.

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All Results View:

Kipu also has a location were the user with access to results can navigate to and view all results in the facility’s Kipu. There is also a powerful filter section located at the top of the page that can assist in locating the results the user will like to view.

Reviewing Results

When POC results are documented in Kipu, the physician will be notified that there are pending results that need to be reviewed. The notification will display on the patient’s picture as an erlenmeyer flask. 

With the Kipu POC interface, all POC orders and results that are pending the physicians signature will live in one location where the physician can quickly login and sign off on these pending items.

Reviewing Results

When POC results are documented in Kipu, the physician will be notified that there are pending results that need to be reviewed. The notification will display on the patient’s picture as an erlenmeyer flask. 

With the Kipu POC interface, all POC orders and results that are pending the physicians signature will live in one location where the physician can quickly login and sign off on these pending items.

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Signing POC orders:

To sign off on orders, the Doctor can navigate over to the Dashboard. Under the Physician’s Review tab, the doctor can decide if they would like to sign off on all orders or individually. These orders can be reviewed and signed off by the physician with a single signature or custom setup pin. 

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Signing POC results:

To sign off on POC results, the Doctor can navigate over to the Dashboard. Under the Physician’s Review tab, the doctor can select Lab Reports tab. Kipu will then list all of the results with the Doctor’s NPI that are pending a signature. All results that have no positive results can be signed off by the physician with a single signature or custom setup pin. All result with positive values will stay on the list so the physician may review them and leave a note if needed. The doctor can also use the powerful filter section in the header to view all result.

FULL DOCUMENTATION FOR EVERY TEST ORDERED
MNDR
Helps support your claim for POC testing

Available with the Kipu Lab 2.0 Interface. The Medical Necessity Documentation Report    fully documents the reason for a test being ordered and performed, while allowing full transparency and detailed auditing for all tests.The MNDR eliminates the need for you to manually gather and present data to insurance companies, including medical records requests.​

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Get paid for POC​

A recent survey reviewed hundreds of policies and most provide that they will reimburse for POC UDT (Urine Drug Testing) “as needed” within established yearly limits which usually range from 8 to 15 tests per year. The study cited average reimbursements where need is demonstrated, without any risk of audit or other retaliatory practices on the part of any Payors where POC UDT is invoiced by Treatment Centers making claims.   

That’s where Kipu’s unique Lab 2.0 Interface comes in.  With Kipu Lab 2.0 interface, the POC-UDT order is quickly and easily entered by medical personnel. At that time Kipu’s Smart Text™ Narrative Builder helps draft a Statement Of Medical Necessity documenting the “Need” required.  A POC is then taken and read. The results are recorded in the Kipu Lab Interface and results are available for review of Medical Personnel. All negative results can be batch reviewed and signed off while positive results require review and signature. At the same time, changes to the treatment plan or other procedures may be activated to react to positive results. The Kipu System then kicks off a claim through it’s Integrated Billing System. 

In the event of a records request, denial, or rejection, Kipu’s Provisionally Patent Pending “Medical Necessity Documentation Report™” may be printed or a secure PDF may be created* for submission to The Payor. 

Kipu Treatment Centers and Labs, as well as Kipu Gold Billers all report better reimbursement on labs when armed with Kipu’s Lab 2.0 Interface and MNDR™. 

Finally, the UDT program now integrates with Kipu’s Golden Thread and FIT (Feedback Informed Treatment) systems for greater compliance with the new 2018 TJC Requirements. 

This is just one more way Kipu helps it’s clients become more efficient and improve both financial and patient outcomes!  You see, Kipu is all-in the fight against addiction, but to do so our clients must deal with the less desirable “business side” of billing and collections.  Kipu covers that for you so you can concentrate on treating patients.  

*Requires separate software, such as Adobe Acrobat.​

Information available within the MNDR

  • Practice or facility
  • Patient demographics
  • Doctor Order and Signature
  • Receiving Lab Information
  • Requisition with Patient Consent
  • Signed Lab Report

The MDNR includes all information required by insurance carriers to help ensure payment.
Lab Order
CLIA ID#, Specimen details, Address
Lab Result
Specimen ID, Received date, Reported date, Received by client