e-medsys Student User Guide

Transcription

1 e-medsys Student User Guide Welcome to e-medsys Student User Guide! This guide will help you get started with e-medsys by providing in depth, step-by-step instructions, created specifically for the student user. Contents Benefits of Using e-medsys... 2 Where to Buy... 2 Installation (Windows) and Login... 2 Overview... 3 Walkthrough... 6 Product Support... 21

2 Benefits of Using e-medsys e-medsys is a single solution to train you on state-of-the-art software used in medical practices; learning both front office and back office skills and procedures. We've partnered with TriMed Technologies to provide you with a Realworld software used by thousands of practitioners', the e-medsys Solution Suite. This workbook and online solution will help you develop the confidence and skills needed to work in a paperless medical office. e-medsys is a fully integrated and fully online practice management (PM) system, electronic health records (EHR) system, and patient portal used across the country in thousands of medical offices. This product features 10 modules of exercises including both front and back office tasks, step-by-step instructions with screen shots for further clarification, and real-world patient case studies. Where to Buy CengageBrain.com : Choose the format and price options that work best for you. CengageBrain.com offers Textbook and Bundle Rentals, etextbooks, individual echapters and even free study tools. Go to and search ISBN number provided by your professor. Installation (Windows) and Login Installation Open your browser and enter in the address bar. Click the button: Download e-medsys. A window will pop up asking Do you want to run or save this file?. Click Run. After e-medsyspm.exe is downloaded it will ask Are you sure you want to run this software? Click Run. The e-medsys Educational Edition Setup Wizard will appear. Click Next. Specify the location of the e-medsys directory (c:\e-medsys). Click Next. On the Ready to Install screen, click Install. Type your Enterprise Number (printed on the inside cover of your book) and click OK. Click Yes through the prompt confirming your Enterprise Number. Click Finish to complete the e-medsys Setup Wizard.

3 Setting up the Configuration Tool You must set up the Configuration Tool to configure your unique number on the computer. Go to: Start > all Programs > e-medsys > e-medsys Configuration You may receive a prompt about whether you are an e-medsys customer. Click Yes through the prompt. Type in your Enterprise Number (printed on the inside cover of your book) and click OK. You may receive several prompts; click Yes and OK through the prompts, until you have confirmed that e-medsys has been configured. Login Click on the e-medsys link on your desktop. The login screen will pop up. Enter your Enterprise Number, Login Name, and Password, found on the inside front cover of your workbook (give your instructor the administrator card located on the inside back cover of your workbook). Click Login. PLEASE NOTE: A DOS window, or black screen, will always be present and minimized on your taskbar DO NOT close this window or you will close the program. Overview Once you are logged in, you are at the e-medsys home page. The modules in the workbook only use the following menus on the home page menu bar.

4 File: allows you to log out of the program, review the keyboard shortcuts and change your password. Billing: allows you to work in the Patient Registration area, add and update patient information, add and modify authorizations, post charges and credits, and other tasks. Scheduling: allows you to work in the practice management appointment schedule.

5 Electronic Data Exchange (EDI): allows you to use the Charge Posting Interface, which brings over charges entered in the EHR side of the program. Electronic Health Records (HER): provides access to the EHR interface to work in individual patient charts including adding notes, prescriptions, orders, and lab results

6 Walkthrough Registering a New Patient To register a new patient, click Billing on the main menu. From the billing dropdown, choose Patient Registration. Click the New Patient button at the upper left corner of the screen and fill out the form. Notice that in the account number field, the next chronological number is assigned automatically by the program. To automatically populate the city and state, hit Enter or Tab after typing the patient s zip code. You can also hit Enter after typing in the patient s birth date to automatically calculate the patient s age. When you have filled in all the necessary patient information, click on the Accept + Ins button to save the new patient s information and launch the insurance tab to continue registering the patient. Insurance Entering Insurance Now that you ve created a new patient record, you are ready to enter insurance information for the patient. Click Add Ins button on the right of the screen.

7 In the Insurance Plan field, type in the name of the patient s insurance plan and hit enter on your keyboard. The Insurance Plan Selection list appears. Highlight the appropriate insurance plan by clicking on it and click OK. In the Policy Holder Information box, in the Patient s relation to Policy Holder, choose the appropriate option. If the patient is the policy holder, the rest of the information could be left as is. Otherwise, please update to capture the needed information. Enter the insurance Effective date, Group No. and Policy No in the appropriate fields on the right. Leave the boxes next to Accept Assign and Signature on File checked. Enter the patient s copay amount in the appropriate filed and then click Accept. The insurance now appears as an active insurance in the table at the top of the screen. Click Exit to return to the e-medsys main menu screen. Updating Guarantor Information To search for an existing patient in the database and update patient information, begin by clicking on Billing on the main menu screen. From the Billing dropdown, click Patient Registration. Type in the patient s last name in the last name field. Then click the Search button. The patient s record will appear. From here, you can update the patient s information. For example to update Guarantor information, choose the guarantor tab to fill in any missing information. Click the Accept button after updating the information to save the data. Then click the Clear button to exit the patient s record.

8 Changing the Order of Insurance Plans To change a patient s primary insurance plan, first find the patient in the e-medsys educational edition system. Click the Insurance tab after you ve found the patient information. Next, click the Change Order button. A popup message will appear, telling you to double-click on each insurance plan using the new order. Double-click the new primary insurance first. Next, double-click the secondary insurance plan. Click the Clear button to exit the patient s record. Inactivating an Insurance Plan If a patient has lost insurance coverage, you will need to make their insurance plan inactive in the e-medsys educational edition. To start, find the patient in the system and click on the Insurance tab. Click on the row representing the patient s insurance information. Click on Modify Insurance on the right side of the screen. Now the bottom of the screen is populated with the insurance information. Uncheck the box next to Active, and enter an effective ending date. Click the Accept button once all the changes have been made to save the information. Click on the Inactive button to see the insurance plan(s) that have been made inactive. Click the Clear button to close the patient s record.

9 Scheduling Scheduling a New Patient To schedule an appointment for a new patient, begin by selecting Scheduling. Choose Bookings from the dropdown menu. Choose the appropriate provider by clicking on the Provider button. Choose the provider by highlighting the name and clicking OK. Enter the name of the new patient, in the Name field at the top of the page. Click Search to bring up the new patient s record. After loading the appropriate patient record, click Exit. In Visit Type dropdown, select Annual. To schedule a date for the exam, click on the calendar icon. Hit enter after you type in the year, choose the appropriate month, highlight the appointment date, and then click OK. The week of the chosen date shows on the screen. Highlight the patient s desired time slot and then click Book. The Supplemental Information screen appears. Fill out the necessary information and then click OK. The new patient s appointment is now scheduled. If you hover over the appointment with your mouse, detailed information about the appointment appears. Now that the appointment has been booked, you may click the Clear button to prepare to book another appointment. Click the Exit button to return to the main screen. Scheduling an Established Patient To schedule an appointment for an existing patient, begin by selecting Scheduling. Choose Bookings from the dropdown menu. Choose the appropriate provider by clicking on the Provider button. Choose the provider by highlighting the name and clicking OK. Click the calendar icon to select the appointment date. Hit enter after you type in the year, choose the appropriate month, highlight the appointment date, and then click OK. The week of the chosen date shows on the screen. Type the name of the patient, in the Name field at the top of the page. Click Search to bring up the patient s record. After loading the appropriate patient record, click Exit. From the Visit Type dropdown, choose Return Office Visit (RET OV).

10 Highlight the patient s desired time slot and then click Book. The Supplemental Information screen appears. Fill out the necessary information (Reason for Visit, Comments, and Instructions) and then click OK. Click Exit to return to the main menu screen. Scheduling a Procedure Begin by clicking Scheduling. Choose Bookings from the drop-down menu. Choose the appropriate provider by clicking on the Provider button. Choose the provider by highlighting the name and clicking OK. Click the calendar icon to select the appointment date. Hit enter after you type in the year, choose the appropriate month, highlight the appointment date, and then click OK. The week of the chosen date shows on the screen. Enter the patient s name in the name field and click Search. After loading the appropriate patient record, click Exit. From the Visit Type dropdown, choose the appropriate procedure. Highlight the appropriate time slot and click Book. The Supplemental Information screen appears. Fill out the necessary information (Reason for Visit, Comments, and Instructions) and then click OK. Click Exit to return to the main menu screen. Canceling and Rescheduling an Appointment Begin by clicking Scheduling. Choose Bookings from the drop-down menu. Enter the patient s name in the name field and click Search. Highlight the patient s appointment and click Cancel. Type in the reason for the cancellation in the popup box. Click Patient Cancel if the patient chose to cancel the appointment. Now an option appears to reschedule this appointment. Click Yes to reschedule. Make sure that the same doctor is listed as the provider. Click the calendar icon to schedule the new appointment. Click OK after selecting the new appointment date. Make sure that the previous procedure scheduled for the previous appointment is listed in the Visit Type dropdown. Highlight the new appointment time and click Book. Click Clear to book another patient. Click Exit to return to the main menu screen.

11 Requesting or Updating an Authorization Requesting an Authorization Begin by clicking Billing. Choose Inquiry from the drop-down menu. Find the patient in the system by typing in the patient s name in the name fields, and clicking Search. Click Authorization. Then click Add. In the Type dropdown, choose Referral In when the referring and the referred to doctors work in the same office. Choose Referral Out when a doctor refers a patient to an outside facility. In the status field, select Requested from the dropdown list. In the request date field, enter today s date. In the Primary Care Provider field, type the first few letters of the referring doctor s last name, then press Enter. In the Specialty Provider field, type in the first few letters of the provider to whom the patient has been referred. Then, press Enter. In the diagnosis field, type a percent sign and press enter to search for the diagnosis code. Searching using the percent sign searches for all diagnosis codes in the system. The Diagnosis Selection screen appears. Highlight the diagnosis and click OK. In the Contact fields, type in the first and last name of the insurance contact person. Type in the contact person s phone and fax numbers in their respective fields. Select the Authorized Visits/Procedures tab. Click the CPT radio button. Type a percent sign in field 1 and press enter to search and select the appropriate procedure code. Highlight CPT Office Consultation and click OK. Type 1 in the quantity column. Click Accept. Click Exit to get out of the authorization screen. Click Exit again to exit to inquiry screen and return to the main menu.

12 Updating an Authorization Begin by clicking Billing. Choose Inquiry from the drop-down menu. Find the patient in the system by typing in the patient s name in the name fields, and clicking Search. Click Authorization. Highlight the appropriate request and then click Modify. Type the Authorization Number in the appropriate field. Use the Status dropdown to change the status to Approved. Type today s date in the Authorization Date field. In the Expire Date field, type in the date that the insurance company has designated that the authorization will expire. Click Accept. Click Exit to get out of the authorization file maintenance screen. Click Clear to get out of the patient s account. Click Exit again to exit to inquiry screen and return to the main menu. Checking in Patients Checking in Patients with Registration Updates To mark on the schedule the arrival, admittance, and registration of a patient, begin by clicking Scheduling. Choose Bookings from the drop-down menu. Click the calendar icon to find today s date. Click OK. To find the patient s provider, click the Provider button. Choose the provider. Search for the patient s appointment in the provider s schedule. Right click on the patient s appointment. Click Arrived. The Patient Appointment Information screen appears. This is a snapshot of the patient s account and can be used to confirm whether registration updates need to be made. If the patient s record requires updates, click Billing and click Patient Registration. The Patient Registration screen appears. Search for the patient s account by typing his or her last name in the name field, and click Search. The patient s record appears. Click on the Insurance tab (Ins) and highlight the row representing the patient s insurance plan. Click Modify Insurance button on the right side of the screen. Now the bottom of the screen is populated with the plan detail information. Make updates as needed. Click Clear to exit the patient s account. Click Exit to get out of the patient s registration area. The patient appointment screen appears. Click Exit again to return to the appointment scheduling calendar. Right click the patient s appointment, and roll the mouse over to the second dropdown to select Registered as you have already updated the patient s information. The program will add a time stamp after the word Registered.

13 The patient is now ready to be seen by the provider. Click Clear to prepare the calendar for the next entry. Click Exit to return to the main menu. Checking in Patients with no Registration Updates If a new patient is checking in for an appointment and has no registration updates to be made, start by clicking Scheduling. Choose Bookings from the drop-down menu. Click the calendar icon to find today s date. Click OK. To find the patient s provider, click the Provider button. Choose the provider. Search for the patient s appointment in the provider s schedule. Right click on the patient s appointment. Select Registered from the second drop down menu. The patient is ready to be seen by the provider. Click Clear to prepare the calendar for the next entry. Click Exit to return to the main menu. Printing Charge Tickets Charge tickets allow a provider to provide services performed during a patient s appointment. To print a patient s charge ticket, begin by clicking Scheduling. Choose Bookings from the drop-down menu. Search for the patient in the system by typing in the patient s name in the name fields, and clicking Search. The Patient Appointment Information screen appears. Highlight the appropriate appointment and then click Charge Ticket. The charge ticket will print to your local printer if you click OK. Click Exit. Click Exit again to return to the main menu. Admitting Patients Using the EHR Schedule At the top of the screen, click EHR. Click EHR homepage from the dropdown. To open a doctor s schedule, select his or her name in the list on the right side of the screen. Type in the date and press tab on your keyboard to find the correct date. Beneath the calendar, make sure the radio buttons next to Calendar and Daily are selected. This indicates that you want to view the calendar for today s date only.

14 Right click the patient s name on the schedule. Roll your mouse over Status and click Admitted. This provides a timestamp for when the patient was admitted to an exam room. Creating a New Patient Note with ROS and Vital Sign Information To create a new patient note on a patient s record, begin by right clicking on the patient s name in the HER screen. From the menu, click Add New and then click Patient Note. The individual patient s chart opens and a new note has appeared on the bottom right side of the screen. In the Template field, use the drop down to select the appropriate option (e.g. Routine Exam Male). In the date field, fill in the date. Note that in a medical office setting, the date will automatically be populated with today s date. Click Save. Click the Patient Info tab (Pt Info). Make sure the Date of Visit is accurate.

15 Click the + sign next to Chief Complaint. This action will bring up a script, which will let you add additional drop down items to the chief complaint list. Type in Annual Physical Exam and click OK. In the PMH (Patient Medical History) field, you may enter additional information. Click Save when you are finished. If a patient has completed a patient questionnaire while in the waiting room to update the provider on his/her state of health, this information will need to be entered into the patient s chart. All of this information will be reviewed with the patient and signed by the provider. Begin by clicking the ROS tab in the patient s note. Note that the default settings are normal, which helps save time when working in the chart. The person documenting, needs to enter only remarkable or abnormal items. Click Save when you are finished. After a patient s vital signs are taken, they will need to be entered into the new note. To do this, begin my clicking the Exam tab. Enter the patient s vital signs, such as height, weight, blood pressure, pulse, etc. Click Save when you are finished. The provider will complete the rest of the page during the exam. Click the X next to Routine Exam to close the Routine Exam tab. Navigating the Patient Using Tree View So far, you have learned to enter information in one area of the chart. On the lower left side of the EDR screen, you will see a group of vertical tabs. This is the left navigation bar.

16 Click on Appointments (Appts). Make sure that Tree is checked, but Appts: Inc Cancl is not checked. This will suppress appointments that were canceled. Tree view shows items as they relate to one another. For example, this patient had two appointments. The tree view will continue to build when additional items are added to the patient s chart during each appointment. Click Home at the top of the screen to return to the provider s appointment listing. Creating a Prescription and Sending for Approval To enter prescription information provided by a provider for a patient, you can begin by right clicking on the patient s appointment from the EHR page. Click Add New (Linked) from the drop down. Then choose Prescription. The Prescription tab appears. You may maximize the prescription section by clicking on the corner box in the upper right corner of the section. Note that the provider name and location automatically populate based on the patient selected. To the right of the ICD field, click on the binoculars icon to search for the diagnosis related to the medication being prescribed. Click the radio button next to Search, type in the key words in the description field, and hit Enter on your keyboard. The ICD code is now populated. In the Drug field, enter the first few letters of the drug to be prescribed. Then, click on the binoculars icon to the right of the field. Make sure that the box for Search All is checked. Find the appropriate drug and dose from the list, and click on it. In the Date field, type in the appointment date. In the Quantity field, type in the appropriate amount. Note that the Dur Days field, automatically populate. Type in the appropriate refill amount in the Refills field. Click Save when complete. Note that in the tree view, the new prescription appears beneath the appointment date.

17 To send a message to the provider information him/her that a prescription is ready to be signed off, from the saved prescription screen, click on the envelope icon in the top right corner. A new window will appear. On the left side of the screen, beneath Select Individual Staff, highlight the patient s provider. Click the right facing arrow button (>). This moves the provider name onto the Route To List. Click on the provider on the Route To List to select it. Click on the radio button to Send Indiv. Action Items. The Route Date and Time will automatically populate with the current date and time. In the Action Type field, use the dropdown menu to select Sign Off. Select the priority level. Note that the Attachment/Routed Item field is automatically populated with the prescription information. Click Send. Now you are back on the prescription screen. Click the X next to the drug name to close out of the screen. Click Home to return to the EHR schedule. Documenting an Injection A patient has arrived at a provider s office for a procedure, but is only scheduled to see the medical assistant to undergo the procedure. To begin, go to the EHR home screen to open the patient s appointment. Right click on the appointment. From the dropdown, click Add New (Linked) and then click Patient Note. The patient note appears. Click on the binoculars icon next to the ICD field. In the description field, type in the first few letters of the keyword (e.g. type in rheu to look for rheumatoid arthritis) and press enter on your keyboard. Now the ICD field is populated with the correct field. Enter the Date of administration. In the Comment section, enter the drug, its dosage, and by whom it was administered. Click Save. When you are certain that the information documented is accurate, sign off on the note by clicking Sign. A new window opens. Enter your user login as your signoff password and then click Save. The information that you d entered is now grayed out on the screen. It is part of the patient s permanent record and cannot be modified further.

18 Creating a Superbill To create a superbill for a patient, begin in the patient s EHR chart on the left side of the screen. Left click on the appointment from which the superbill will originate. The right side of the screen will bring up more information regarding the appointment. From the right corner of the screen, click the Superbill tab. The electronic superbill appears. Click on the corner box to enlarge the superbill screen while you are working in it. Ensure that the provider s name appears in the provider field. Note that the insurance field is automatically populated based on the patient s insurance. In the Date field, type in today s date. Below the Comment field, is a section with three tabs. The ticket tab is populated with some of the most common charges used in the medical office. If a charge does not appear on the ticket tab, you can select the Find tab to look up a CPT code and add it to the superbill. In the Find tab, type the code representing the administration of the drug in the code field and then press Enter on your keyboard. The procedure code appears below the search field with a box next to it. Click the box to select it. When you do, a row at the bottom opens that indicates your selection. Move your mouse over to the Diag 1 field. When you do this, a binoculars icon appears. Click on the icon. Clicking on the binoculars icon brings the cursor back to the code field. In the Description field, type the first few letters of the diagnosis and press enter on your keyboard. The diagnosis code appears below the search field. Click the box next to the diagnosis. This will make the diagnosis code appear in the Diag 1 field on the bottom of the screen. Click Save to return to the ticket tab. The next CPT code is listed on the ticket tab. Scroll down and select the box next to it. Not that a new row appears on the bottom of the screen. Click the triangle next to Diag 1. This will copy the diagnosis code that you ve previously selected and enter it into the new row. Click Save. When you are certain that the information documented is accurate, you will sign off on these charges by clicking Sign. The Sign Off window appears. You will use your e-medsys login as your signoff password. Then click Save. The information that you ve entered is now grayed out on the screen as it is now part of the patient s permanent record and cannot be edited. To print a copy of the superbill, click Print. Click Close to exit out of the superbill

19 Lab Orders and Results Creating a Lab Test Order To record laboratory tests on a patient s record, begin by right clicking the patient s office visit in the EHR screen. Select Add New (Linked) from the dropdown and then select Order. Put in the appropriate date in the Date field. In the Bill To section, make sure that Insurance is selected as the order will be billed to the patient s insurance. In the Priority dropdown, make sure that Routine is selected. Leave the remaining fields blank and click Save. Click the Test tab. In the Company dropdown, select the appropriate option. The Order Set field will automatically populate. Choose the appropriate test. Notice that row appears at the bottom of the screen to indicate your selection. Now click the ICDs tab. In the description field, type in the first few letters of the diagnosis. This will allow the system to search for all diagnosis codes that start with these letters. Click the box at the upper right corner to maximize the screen. Click the box next to the appropriate code. Note that when you select the box, the diagnosis code is filled in, in the row at the bottom in the diagnosis field. Click Save. Now the order is ready to be signed off by the provider. To do this, click on the Route/Send Message icon in the upper right corner of the order screen. Click Home to return to the EHR schedule. Uploading Lab Results A patient s lab results have returned from the laboratory. The results are scanned in and need to be uploaded to the patient s chart. This walkthrough will simulate the receipt of lab results that have arrived at the medical office by fax. To begin, from the EHR home page, click Chart. Then, type in the patient s name and hit enter on your keyboard. After finding the patient, click on Appointments (Appts) from the list of tabs. The patient s appointment appears, as well as the order that is linked to that appointment.

20 Right click on the order. Select Add New (Linked) and then Upload File from the dropdown. The document upload screen appears on the right. From the Folder dropdown, select Results. From the Doc. Type dropdown, select Lab Result Report. In the ICD field, click the binoculars icon. Search for the appropriate ICD option and select it. In the Date field, enter today s date. In the Name field, Lab Result Report is already populated. Continue by clicking Browse. Locate and select the document you want to upload. Click Upload toe Chart. Now on the left side of the screen, the lab result should appear in tree view as a submenu item beneath the appropriate order. Click Home to return to the EHR schedule. Posting Charges and Payments A patient suffers from diverticulosis and his provider has performed a sigmoidoscopy. To post charges to the patient, begin by clicking Billing from the e-medsys Educational Edition main menu screen. Click Posting and then click Charge Posting from the second dropdown. A Batch Posting window appears. Enter the New Batch Description: Charges for November 25, Remember: Each medical office will have its own policy for posting charges. Always follow specific office procedure. For this walkthrough, we will post charges organized by day. After typing in the batch description, ensure that Gastro Calabasas Medical Group is selected in the Department drop-down. Note that this drop-down indicates the location of the person entering the charges--not the location in which the patient was seen. Click OK. Now the batch name appears at the top of the Charge Posting screen. Type the patient's last name in the Name field, and click Search. A charge ticket was not created for this patient, so click Cancel. Now the cursor is at the bottom of the window in the Charge tab. Here, you will enter the date, department, provider, and primary insurance plan. In the Procedure field, type the percent sign and press Enter on your keyboard. This allows you to search for all procedure codes that are in the system. Select the appropriate procedure code from the list and click OK. In the Diagnosis field, type the percent sign and press Enter on your keyboard. Select the appropriate diagnosis and click OK. Now the program automatically opens another tab, where you can enter additional diagnosis codes if the provider has specified them. In this example, the provider has not specified additional diagnosis codes, so click the Return button. We have returned to the Charge tab. Note that the POS, TOS, and Charge Amount have been filled in by the program, based on your code selection.

21 Keep the boxes next to Statement, Insurance, and Accept Assignment checked. Leave the box next to Return to Date of Service unchecked. You would check this if you were posting multiple services done on different dates, for example, hospital charges. Click OK. Notice that the information that you just entered is transferred below. Now that you have finished entering all of the procedure charges for the patient, go to the bottom of the screen to check the boxes next to Credits, Print Receipt, and Print Claim. Click Accept. The charges will be accepted and the program will automatically take you to the credit posting screen. To post a copayment for a patient, begin in the Credit Posting screen in the Credit Info tab. In this example, the patient plans to pay by check, which will cover today's copayment and an outstanding balance. Under Credit Type, choose Check. In the Check Number field, enter the patient's check number. In the Amount field, enter the amount of the check. Click the All radio button and fill in the appropriate amount. For example, in the Applied column, enter $25 in the first row, for the March 1, 2002 charge. Enter $45 in the second row, for today's charges. Now the CMS-1500 form and patient receipt will print to your local printer, because you had selected this on the Charge Posting screen. After printing both files, click Exit to return to the e-medsys main menu screen. Using the EDI for Posting Charges To post a patient s charges using the EDI, begin by clicking on EDI from the e-medsys main menu. Click Charge Posting Interface from the dropdown. At the bottom of this screen, select the appropriate Physician from the dropdown. Leave the other dropdown fields as All. Enter the appropriate dates in the From and To fields and select the radio button next to Service Date. Click Search. The program has found the patient and displays her information as a row on the top of the screen. Highlight the row with the patient s name and click OK. The program brings you to the charge posting screen. Click New Batch and enter the appropriate information (e.g. Charges for [Month/Day/Year]) as the batch name. The program finds the charges. In the bottom left corner of your screen, check the box next to Prt Claim only since the patient will not be making a payment today and does not need a receipt. Click Accept to post the charges to the patient s account. The form will print to your local printer. Click Exit to return to the e-medsys main menu. Product Support Questions with your CengageBrain account? Check the FAQs in the Support area of your CengageBrain home. Write to cengagebrain.support@cengage.com Call Mon. through Fri. from 8 AM to 6 PM EST Questions regarding e-medsys? Go to for 24/7 live chat! Call Mon. through Thurs. 8:30 AM to 9 PM EST and Fri. 8:30 AM to 6 PM EST