GEMMS ONE is a unique product designed specifically for cardiologists. Every GEMMS ONE system comes packed with the real world experience of cardiology clinicians who have an unparalleled technical understanding of the information challenges facing cardiology practices. GEMMS ONE is a complete system for your practice including:

• Scheduling
• Demographics/insurance/pre-certification
• Clinical encounter/documentation
• Lab/testing interfaces
• Billing/electronic remittance
• Collections
• Reporting
• And more...

At the heart of the GEMMS ONE system is a point-of-service, wireless data collection and documentation system. The users access and enter data stored on a network server via an RF (radio frequency) interface using tablet-computers. The information is managed through easy-to-follow "Decision Trees" that guide the user through the system.

Among a GEMMS ONE system's other benefits is your ability to integrate your clinical and fiscal information into a single database that is available anywhere at anytime, regardless of the size of your practice, and gives you the ability to capture the true operating costs of your practice. GEMMS ONE provides you the ability to create and manage a standard of care and identify which procedures lead to specific outcomes. It allows an integrated long-term and linear patient record, thus allowing physicians to effectively track a patient’s medical progress.

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GEMMS SYNC is a portable, self contained version of the GEMMS ONE product. MD sync allows cardiologists, other clinicians and office staff to utilize the GEMMS ONE system’s functions without being connected to the main GEMMS ONE server. MD sync allows you to:

• Download all vital patient information and documentation needed for the day’s appointments from the GEMMS ONE database to a laptop computer for use at remote clinics or hospital locations.
• Review downloaded documents, conduct clinical encounters with patients, write and print prescriptions, update medications and problem lists, create orders and develop a bill from any remote location.
• Synchronize the data collected at remote sites, coordinate program updates to your master files, and transmit all orders and bills.
• Upload documents collected from off-site locations to the master clinical repository.
• Experience full EMR functionality at remote clinics without additional network expense.

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In an emergency situation, optimal health care can be compromised by inaccurate or incomplete medical data, adverse drug interactions and incorrect diagnoses. Physicians and health care professionals can more effectively avoid these problems when patients have their complete medical record when entering the emergency room. But what is the chance of patients having their record in an emergency situation?

GEMMS MYRECORD increases those odds significantly:

• Patient records are downloaded from the GEMMS ONE system directly to a mini compact disk that patients can carry in their wallet or purse.
• Physicians can insert this disk into any computer and obtain instant access to critical medical information, such as allergies, current medications, active diagnoses and primary care physician contacts, thus helping them make the right treatment decisions and even save lives.
• Your patients can rest assured that should they find themselves in a medical crisis where they cannot talk and attending physicians are unable to reach you for information immediately, GEMMS MYRECORD will be there to speak for them.

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Finally, there is a low cost solution for your paper Explanation of Benefits “EOB” paper problem. GEMMS SCAN, external scanning allows the practice to truly become “paperless”

GEMMS SCAN software is designed to permit the capture of paper based Explanation of Benefits (EOB) by converting them to digital TIFF images. User indexing is by “Pay Date”, GEMMS Batch Number” plus an additional value for “Provider Code” and allows for archival and retrieval.

EOB Scanning

“Capturing” the documents consist of indexing and Scanning. First the user enters the “Pay Date”, the GEMMS Batch Number” and “Provider Code” (if desired). The documents to be scanned are placed in the scanner and the “Scan “button is pressed. The scanner will continue to pull all pages from the feeder and add them to the current Batch Number under the Pay Date entered. Once scanning is complete for that particular batch number, the user may enter the next Batch Number and for the same Pay Date or if the Pay Date is different, the user must enter the new “Pay Date” and Batch Number”. The user has the option of changing the scanner setting as necessary.

EOB Retrieval/Viewing

Authorized users may retrieve documents by entering the “Pay Date” which will display all “Batch Numbers” associated with the “Pay Date” entered. Double clicking the desired Batch Number document icon will result in the first page of the selected Batch to be displayed. The user may view documents in the Batch by clicking on “next” or “prev”. Portions of the document may be redacted when desired. Individual pages or the complete Batch May be printed at the option of the user.

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GEMMS LINK is a valuable tool that allows practices to receive accurate and timely lab test results via a bi-directional electronic link with the laboratory. Designed to reduce manual entry and paper output associated with lab tests, it helps to increase the quality of health care by providing physicians with test results expediently and with a minimum of error. Utilizing a directory of the lab’s test codes and insurance codes, it automates the entire process, from electronic orders to results.

Test orders are created inside MedInformatix ordering system and sent to the lab electronically. Results are then received electronically and are stored directly in the patient’s chart for viewing and analysis. Physicians are notified automatically via electronic message inside GEMMS ONE with the patient’s chart attached.

Bi-Directional Laboratory Interfaces
GEMMS LINK is fully integrated with GEMMS ONE. There are three bi-directional Laboratory Interfaces: to national labs, to regional labs, and to a practice’s in-house laboratory information system (L.I.S.).

National Laboratory Interfaces
Bi-Directional interfaces with some of the nation’s largest national labs:
• LabCorp®
• Quest®
• Spectrum®

Regional Laboratory Interfaces
GEMMS LINK interfaces with regional labs are available, with others in development:
• Sunrise Medical Laboratories

In-House Laboratory Interfaces
Many practices utilize their own in-house lab equipment which is managed by a Laboratory Information System (L.I.S.). GEMMS LINK interfaces with many of these systems, provides full functionality of the national or regional lab interfaces. Systems include, with others in development:
• Fletcher-Flora LabPac®
• Antec Labdaq®
• Orion ALS™
• Orchard Haverst™
• Comtron Labgen™

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The Advanced Claim Checker is a valuable tool that allows practices to check out-going claims before submitting to the insurance company. It is designed to reduce claim rejections and coding errors not compliant with the current standards and specifications. Using the Advanced Claim Checker assures that virtually 100% of all out-going claims are submitted clean the first time (from a clinical standpoint).

Utilizing Unicor’s Coding System technology, the Advanced Claim Checker performs over 2.5 million edits on all out-going claims. In addition, an unlimited number of practice defined custom edits can be created based on special needs. Custom Rules can be built using virtually every field in GEMMS ONE that deals with claims, for example rules that allow errors to be ignored.

Checking and Editing Claims
The Advanced Claim Checker uses the same filter criteria as the GEMMS ONE Claims Processing screen. Data is organized by episode and alphabetically by patient. When an episode is selected, all information including all line items for that episode are shown. Every error for each line item, complete with full descriptions, are displayed and color coded for easy viewing.
Episodes and incorporated Line Items can be modified directly in the Advanced Claim Checker, which are automatically updated in GEMMS ONE. The episode is then rechecked dynamically, immediately checking that the error has been corrected. If desired, claims can be automatically or manually put on hold in the Advanced Claim Checker, which is reflected in GEMMS ONE, so clean claims can be sent without delay.

Tools and Information
Tools are included allowing research about procedure codes and descriptions, Diagnosis descriptions, modifier descriptions, and supporting diagnosis based on the Unicore database. This is useful in helping the practice search different procedure codes with possible higher reimbursement levels or for procedure descriptions and additional notes. Also, in the event a supporting diagnosis is needed, the Advanced Claim Checker will search and display supporting diagnosis codes for the procedure selected on the line item.

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The GEMMS PACS Medical Viewer is a low cost software program that allows the viewing of Medical images on a standard Windows PC. In addition to DICOM ultrasound, nuclear, and x-ray angiography, viewer support is also provided for HP® / Agilent®, Freeland® / Tomtec®, Nova Microsonics® / Kodak®, and Biosound® image formats

Images can be retrieved quickly from media, across a network, or from a DICOM archive via Query Retrieve. As a DICOM Server, images can be received from any modality supporting DICOM Networking. GEMMS PACS provides full measurement and reporting capabilities for ultrasound. GEMMS PACS allows fast simple serial comparison of current to past studies. GEMMS PACS also allows images to be saved as DICOM, email attachments or in AVI/BMP format

The optional GEMMS PACS Reporting System utilizes customizable Microsoft® Word Templates for Echo, Stress Echo, and TEE. Templates utilize a fully user customizable phrase file system. Measurements and Demographics can be “autopopulated” into the report templates to reduce errors and save time. Templates can be further customized by our programmers, to the users exact specifications, for an additional cost

GEMMS PACS will read image file from the following:· Acuson Sequoia, Aspen, and Cypress, QV3000· ATL 3000, ATL5000 (DVS)· Biosound / Esaote· HP / Agilent 4500 and 5500· Kodak / Nova Microsonics· Tomtec / Freeland version 4, version 5, and P-90

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Overview