MentalNote, the psychiatrist's documentation software, is also now an Electronic Medical Record software intended for mental-health clinics, offices and individual providers. Patient data is encrypted and stored on the user's computer or both the users' computers and MentalNote HIPAA-compliant servers. Templates are customizable by the user, and may be utilized to generate final documents and progress notes, which are rendered in plain English in dictation-style format. Rating scales are incorporated into the software for evidence-based practice, and interpreted in sentence-format by the software itself. The user has a full range of editing capability over his or her final documents.

There is an issue in Internet Explorer 8 that does not recognize the MentalNote.air file. Please upgrade to Internet Explorer 9 by clicking here.

You can also use Mozilla Firefox or Google Chrome to download the MentalNote.air file.

MentalNote, the psychiatrist’s documentation software, is the Electronic Medical Record software intended for mental-health clinics, offices and individual providers. Patient data is encrypted and stored on the user’s computer or both the users’ computers and MentalNote HIPAA-compliant servers. Templates are customizable by the user, and may be utilized to generate final documents and progress notes, which are rendered in plain English in dictation-style format. More than ten rating scales are incorporated into the software for evidence-based practice, and interpreted in sentence-format by the software itself. And, the user has a full range of editing capability over their final documents.

Yes, we would be happy to demonstrate MentalNote Online (in one hour or less) via web-conference according to your business needs.  To register for demo session, please fill out the Webinar form on our event page.

Only for the MentalNote Cloud Edition (CE) and Meaningful Use Edition (ME), the MentalNote software will “sync” the records on your computer with the records stored on a server in a central location when the application is idle for three or four minutes, when you launch the software application, when you press the Sync button, and when you exit the application.

Because data stored on our Cloud server must follow strict requirements to assure HIPAA compliance, the server is often safer than the precautions followed by the physicians on their personal desktop computers. With that said, all or our MentalNote editions (FE, SE, CE, ME) meets HIPAA compliance.

Due to current database technology, you can store a seemingly endless amount of records in MentalNote.

You may purchase MentalNote Solo Edition (SE) to manage your own documents instead of choosing the Cloud Edition (CE) that allows us to keep a back-up on our HIPAA compliant Cloud server.

Yes, the MentalNote Solo Edition (SE) and MentalNote Cloud Edition (CE) are pay-as-you-go (monthly or yearly) services, so you can upgrade, downgrade or cancel anytime.

MentalNote Meaningful Edition is a yearly service, so you can change you plan at the end of your subscription year.

If you have signed up for Free Edition (FE) and want to upgrade to Solo Edition (SE), Cloud Edition (CE), please go to our Products page.

To upgrade to the Meaningful Use Edition (ME), please Contact us.

We accept payment via PayPal (you must have an account with PayPal).

Yes, we are 100% HIPAA compliant.

For more information, please email us at: contact@mentalnoteonline.com or Call us at +1-866-611-MNOL(6665)

The MentalNote Free Edition (FE) provides everything behavioral health specialists need to get started with simplifying their note taking.

The MentalNote Free Edition (FE) includes:

· *      * Simple, intuitive note taking

· *      * Customizable templates

· *      * More than 10 rating scales

MentalNote is not for electronic billing and practice management.  It is an electronic documentation and medical record solution.

MentalNote Solo Edition (SE) includes all the features of FE and:

* Unlimited clients

* Month-to-Month or Annual Contracts

MentalNote Cloud Edition (CE) includes all the feature of SE and:

* Cloud technology allows online/offline access

* increased storage capacity

* e-prescribing

MentalNote Meaningful Use Edition (ME) includes all the features of CE and :

* Meaningful Use Certified

* Meets Medicaire incentive reimbursement

* Meets Medicaid incentive reimbursement

The FE will allow only 1 user and up to 25 clients per license. Each client can have unlimited documentation. To add users, you'll have to upgrade to the Cloud Edition (CE) or Meaningful Use Edition (ME).

The database for MentalNote, mentalnote.db, is located in:

Windows

"/Users//AppData/Roaming/com.mentalnoteonline.com.client/Local Store"

Mac

"/Users//Library/Preferences/com.mentalnoteonline.client/Local Store/"

MentalNote comes with eight (8) ratings scales.  Requests for additional rating scales will be submitted as enhancements and considered for future releases.

As promised by the President, the American Recovery and Reinvestment Act of 2009 included under which, according to current estimates, as much as $27 billion over ten years will be expended to support adoption of electronic health records (EHRs). While there has been bipartisan support for EHR adoption for at least half a decade, this is the first substantial commitment of federal resources to support adoption and help providers identify the key functions that will support improved care delivery.

Under the Health Information Technology for Economic and Clinical Health Act (HITECH), federal incentive payments will be available to doctors and hospitals when they adopt EHRs and demonstrate use in ways that can improve quality, safety and effectiveness of care.   Eligible professionals can receive as much as $44,000 over a five-year period through Medicare.  For Medicaid, eligible professionals can receive as much as $63,750 over six years.  Medicaid providers can receive their first year’s incentive payment for adopting, implementing and upgrading certified EHR technology but must demonstrate meaningful use in subsequent years in order to qualify for additional payments.

Electronic health/medical records improve care by enabling functions that paper records cannot deliver:

- EHRs can make a patient’s health information available when and where it is needed – it is not locked away in one office or another.

- EHRs can bring a patient’s total health information together in one place, and always be current – clinicians need not worry about not knowing the drugs or treatments prescribed by another provider, so care is better coordinated.

- EHRs can support better follow-up information for patients – for example, after a clinical visit or hospital stay, instructions and information for the patient can be effortlessly provided; and reminders for other follow-up care can be sent easily or even automatically to the patient.

- EHRs can improve patient and provider convenience – patients can have their prescriptions ordered and ready even before they leave the provider’s office, and insurance claims can be filed immediately from the provider’s office.

- EHRs can link information with patient computers to point to additional resources – patients can be more informed and involved as EHRs are used to help identify additional web resources.

- EHRs don’t just “contain” or transmit information, they also compute with it – for example, a qualified EHR will not merely contain a record of a patient’s medications or allergies, it will also automatically check for problems whenever a new medication is prescribed and alert the clinician to potential conflicts.

- EHRs can improve safety through their capacity to bring all of a patient’s information together and automatically identify potential safety issues -- providing “decision support” capability to assist clinicians.

- EHRs can deliver more information in more directions, while reducing “paperwork” time for providers –for example, EHRs can be programmed for easy or automatic delivery of information that needs to be shared with public health agencies or quality measurement, saving clinician time.

- EHRs can improve privacy and security – with proper training and effective policies, electronic records can be more secure than paper.

- EHRs can reduce costs through reduced paperwork, improved safety, reduced duplication of testing, and most of all improved health through the delivery of more effective health care.

EHRs do not achieve these benefits merely by transferring information from paper form into digital form.  EHRs can only deliver their benefits when the information and the EHR are standardized and “structured” in uniform ways, just as ATMs depend on uniformly structured data.  Therefore, the “meaningful use” approach requires identification of standards for EHR systems.  These are contained in the ONC Standards and Certification regulation announced on July 13, 2010.

Similarly, EHRs cannot achieve their full potential if providers don’t use the functions that deliver the most benefit – for example, exchanging information, and entering orders through the computer so that the “decision support” functions and other automated processes are activated.  Therefore, the “meaningful use” approach requires that providers meet specified objectives in the use of EHRs, in order to qualify for the incentive payments.  For example: basic information needs to be entered into the qualified EHR so that it exists in the “structured” format; information exchange needs to begin; security checks need to be routinely made; and medical orders need to be made using Computerized Provider Order Entry (CPOE).  These requirements begin at lower levels in the first stage of meaningful use, and are expected to be phased in over five years.  Some requirements are “core” needs, but providers are also given some choice in meeting additional criteria from a “menu set.”

Don’t be intimidated by the government’s threats of penalties for not complying with its voluntary EHR Stimulus Program. This is not a government mandated program. Not only are the penalties in the legislation quite small relative to the potential risk, but they also would not begin until 2015 if they are imposed at all. The legislation explicitly states it in section 3006 (a) (1) of the HITECH Act.

However, if you do plan to invest, for the Medicare Incentive Program, you potentially can earn the maximum amount $44,000 over a 5-year period if you begin using the technology in 2011 or 2012. Even if you do not implement until 2013 or 2014, you still could be eligible for much of the incentive.

For the Medicaid Incentive Program, you can earn the maximum amount of $63,750 over a 5-7ear period if you begin before 2016.

You can learn more about the Recovery and Reinvestment Act of 2009 (Economic Stimulus Plan) by clicking HERE.

To learn more about the HITECH Act, click HERE.

To qualify for the incentive plan, all Electronic Health Records systems must demonstrate meaningful use of the certified EMR every year [Sec. 4101]. Incentives are earned by individual physicians, and each provider must demonstrate meaningful use personally. Therefore, it is possible that some physicians within a practice might qualify for payments, while others might not. 

Although the terms of "meaningful use" are not yet finalized, some requirements are likely. The practice will be required to demonstrate effective use of ePrescribing, information exchange, and quality improvement measure reporting. The requirements for meaningful use become more stringent over time.

Currently, we have completed Stage 1 definition of Meaningful Use (learn more HERE) and Stage 2 will be define in 2012 or 2013. The final Stage 3 will be available in 2014 or 2015.

MentalNote Cloud Edition (CE) by itself does not meet Meaningful Use criteria. However, because MentalNote integrates with RCopia Meaningful Use system for ePrescribing and quality measures, this partnership allows our customers to meet Stage 1 Meaningful Use to receive their stimulus incentives. Our partner will work with you to get your reimbursement payments.

Rcopia-MU’s CMS ONC-ATCB EHR Certification ID: 30000001T0GKEAC

This is a simple and interim solution to help our customers receive their stimulus incentives. We will continue to obtain a ONC-ATCB certification for MentalNote in 2012.

If a physician is successfully ePrescribing, then you cannot collect under both plans during the same payment period (i.e., a single year). A provider can select one or the other.

For eligible professionals (EPs), incentive payments for the Medicare EHR Incentive Program will be made approximately four to eight weeks after an EP successfully attests that they have demonstrated meaningful use of certified EHR technology. However, EPs will not receive incentive payments within that timeframe if they have not yet met the threshold for allowed charges for covered professional services furnished by the EP during the year. Payments will be held until the EP meets the $24,000 threshold in allowed charges for calendar year 2011 in order to maximize the amount of the EHR incentive payment they receive. If the EP has not met the $24,000 threshold in allowed charges by the end of calendar year 2011, CMS expects to issue an incentive payment for the EP in March 2012 (allowing 60 days after the end of the 2011 calendar year for all pending claims to be processed). Payments to Medicare EPs will be made to the taxpayer identification number (TIN) selected at the time of registration, through the same channels their claims payments are made. The form of payment (electronic funds transfer or check) will be the same as claims payments.

Bonus payments for EPs who practice predominantly in a geographic Health Professional Shortage Area (HPSA) will be made as separate lump-sum payments no later than 120 days after the end of the calendar year for which the EP was eligible for the bonus payment.

Please note that the 90-day reporting period an EP selects does not affect the amount of the EHR incentive payments. The Medicare EHR incentive payments to EPs are based on 75% of the estimated allowed charges for covered professional services furnished by the EP during the entire payment year. If the EP has not met the $24,000 threshold in allowed charges at the time of attestation, CMS will hold the incentive payment until the EP meets the threshold as described above.

Medicare EHR incentive payments to eligible hospitals and critical access hospitals (CAHs) will also be made approximately four to eight weeks after the eligible hospital or CAH successfully attests to having demonstrated meaningful use of certified EHR technology. Eligible hospitals and CAHs will receive an initial payment and a final payment. Eligible hospitals and CAHs that attest in April can receive their initial payment as early as May 2011. Final payment will be determined at the time of settling the hospital cost report.

Please note that the Medicaid incentives will be paid by the States, but the timing will vary according to State. Please contact your State Medicaid Agency for more details about payment.

For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms

What information must an eligible professional (EP), eligible hospital or critical access hospital (CAH) provide in order to meet the measure of the meaningful use objective for "provide patients with an electronic copy of their health information" under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs?

In our final rule, we limited the information that must be provided electronically to that information that exists electronically in or accessible from the certified EHR technology and is maintained by or on behalf of the EP, eligible hospital or CAH.

We encourage all providers to meet patient's request for information with all of the information that the patient requests and meets the description above. However, if the provider's certified EHR technology cannot provide all of patient requested information within the 3 business day timeline, a minimum level of information is defined in the certification process. All EHR technology is certified for the purposes of this program (according to §170.304(f)) to provide:

Problem List

Diagnostic Test Results

Medication List

Medication Allergy List

An EP, eligible hospital or CAH that provides these four elements within 3 business days of the patient request in the specified standards meets the measure associated with this objective. Again, we encourage all providers to continue to work with patients to provide information patients may request above and beyond these four elements.

For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms

Who can enter medication orders in order to meet the measure for the computerized provider order entry (CPOE) meaningful use objective under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs? When must these medication orders be entered?

Any licensed healthcare professional can enter orders into the medical record for purposes of including the order in the numerator for the measure of the CPOEobjective if they can enter the order per state, local, and professional guidelines. The order must be entered by someone who could exercise clinical judgment in the case that the entry generates any alerts about possible interactions or other clinical decision support aides. This necessitates that CPOE occurs when the order first becomes part of the patient's medical record and before any action can be taken on the order. Each provider will have to evaluate on a case-by-case basis whether a given situation is entered according to state, local, and professional guidelines, allows for clinical judgment before the medication is given, and is the first time the order becomes part of the patient's medical record.

For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms

If a provider purchases a certified Complete Electronic Health Record (EHR) or has a combination of certified EHR Modules that collectively satisfy the definition of certified EHR technology, but opts to use a different, uncertified EHR technology to meet certain meaningful use core or menu set objectives and measures, will that provider be able to successfully demonstrate meaningful use under the Medicare and Medicaid EHR Incentive Programs?

No, the provider would not be able to successfully demonstrate meaningful use. To successfully demonstrate meaningful use, a provider must do three things:

1. Have certified EHR technology capable of demonstrating meaningful use, either through a complete certified EHR or a combination of certified EHR modules;

2. Meet the measures or exclusions for 20 Meaningful Use objectives (19 objectives for eligible hospitals and Critical Access Hospitals (CAHs)); and

3. Meet those measures using the capabilities and standards that were certified to accomplish each objective.

A provider using uncertified EHR technology to meet one or more of the core or menu set measures would not be using the capabilities and standards that were certified to accomplish each objective. Please note that this does not apply to the use of uncertified EHR technology and/or paper-based records for purposes of reporting on certain meaningful use measures (i.e., measures other than clinical quality measures), which is addressed in FAQ #10589.

For more information about the Medicare and Medicaid EHR Incentive Program, please visit http://www.cms.gov/EHRIncentivePrograms.

To learn more on how to obtain your Medicare & Medicaid stimulus incentives, click HERE.

Gives physicians a simple, secure, certified and affordable way to send controlled-substance prescriptions electronically through DrFirst and their partners.

Generally, schedule II – V drugs. However, individual state laws dictate which drugs can be sent electronically.

Within the Rcopia e-prescribing system there will be an indicator next to the pharmacy name if the pharmacy is certified to accept controlled substances electronically. A prescriber will also be able to search the pharmacy list for pharmacies who are authorized to receive the prescriptions.

Currently, California and Virginia pharmacies are available to accept e-prescriptions for controlled substances, but you can start the identity-proofing process so you will be ready when the pharmacies in your state become available. Please check back to see when your State qualifies.

All events and activities completed in EPCS Gold will be recorded including source type, signing events, Controlled Substance drug information, etc.

EPCS Gold^TM provides a platform for providers to sign and send controlled substance prescriptions electronically through the Surescripts network. EPCS Gold includes:

• PROVIDER AUTHENTICATION AND REGISTRATION
  The DEA requires TFAP (Two-Factor Authentication Protocol) for any provider who wants to send controlled substance prescriptions electronically. The provider authentication and registration process takes the provider step-by-step through the identity-proofing and authentication process and results in the activation of a hard token, providing the second factor of the TFAP requirements.
  • EPCS Gold registration
  • Provider authentication through third-party identity proofing process
  • Two-factor authentication token
• EPCS SIGNING MODULE
  The Signing Module allows prescribers to electronically sign and submit controlled substance prescriptions electronically. The signing module has the following features:
  • Display of DEA-mandated content
  • Two-factor authentication validation
  • Generate digital signature for the prescription at the application level
  • Audit log

1. Install the Splashtop Remote app on your iPad ($4.99)

2. Install the Splashtop Remote software on your Mac or Windows desktop/laptop (free). Go to

www.splashtop.com/remote/download.

3. Create an ad-hoc network

a. FOR MAC:

i. If you have problems running the Splashtop Remote s/w, then you might have to install

the Soundflower driver (www.macupdate.com/app/mac/14067/soundflower)

ii. After successfully installation, then go to your Airport icon and select “Create

Network...”

iii. Create a Name and select Require Password to create a password.

b. For Windows Vista:

i. On the Start menu, click Connect To.

ii. In the Connect to a network window, click the Set up a connection or network task.

iii. On the Choose a connection option page, click Set up a wireless ad hoc (computer-tocomputer)

network, and then click Next. (This option only appears on computers that

have wireless adapters.)

iv. Read the ad hoc network information, and then click Next.

v. Provide a network name, select whether the network is open or requires authentication,

provide a security phrase, and then click Next.

vi. After Windows Vista sets up the ad hoc network, you have the option of sharing your

Internet connection.

vii. For Windows XP, go to this site

www.microsoft.com/windowsxp/using/networking/setup/adhoc.mspx

viii. For Windows 7, go to this site

www.kombitz.com/2009/02/09/windows-7-how-to-create-an-ad-hoc-network

4. On the iPad, open the Splashtop Remote app

5. Select the + (plus) icon and fill-in the required fields (Computer name, IP Address that you

obtain from your computer, Password that you selected for the ad-hoc network)

6. Then select Done.

7. In a few seconds, you can use your iPad to access your computer remotely.

* Remember to always create a password for your ad-hoc network and disconnect the network when not using.