eOrdering with Clinical Labs of Hawaii (CLH)

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What is eOrdering with Clinical Labs or Hawaii (CLH)?

Elation and Clinical Labs of Hawaii (CLH) have partnered to bring you a bidirectional interface to make the process for ordering labs more efficient for your practice.

• You will now be able to submit orders for labs to (CLH) directly within Elation without manually printing and faxing the order.
• We built Clinical Labs of Hawaii (CLH)‘s laboratory compendium and ask-on-entry prompts directly into the lab requisition form, to ensure that your practice is always selecting a CLH-specific, CLH-approved lab test to be performed.
• Save more time when you answer all CLH’s ask-on-entry prompts associated with a selected test upfront to ensure CLH can proceed with testing immediately

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Requesting Clinical Labs of Hawaii (CLH) integration & managing lab settings

The Labs settings page allows you to manage your preferred lab vendors. You can add Clinical Labs of Hawaii (CLH) as a vendor and then click I need help -> Contact Elation Support and notify Elation that you would like to set up an integration with CLH. Please reference the Labs Settings Guide for more information on the Labs settings page.

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Managing order sets

The Lab Orders settings page contains:

• Lab Order Settingsfor default lab vendor, bill type and test sorting
• custom Lab Order Sets created for any lab vendor with eOrdering, such as Clinical Labs of Hawaii (CLH), as well as Lab Order Setsfor manual lab requisitions for regular lab vendors.

You will be able to add, edit or remove order sets for CLH from this page. For electronic ordering with CLH, when you are creating a Lab Order Setunder the *Clinical Labs of Hawaii (CLH)***section, we will return matching search results from CLH’s compendium database.

• Due to the nature of structured order compendiums, you will only be able to select from CLH’s compendium database and will not be able to create or select lab tests created by your practice.

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Adding new order sets

To add new order sets

1. click the “+ Add Lab Order Set” button
2. enter a Name for the order set
3. search for and select the appropriate lab Tests
4. select diagnosis (Dx) codes commonly related to this order set (as needed)
5. click “Save”

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Editing or removing order sets

To edit an existing Order Set

1. click on the pencil icon next to the order set
2. make any edits as needed
3. click “Save” to save your edits.

To remove an existing order set, click the trash can icon.

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Clinical Labs of Hawaii (CLH) Order Form overview

To create an electronic lab order for Clinical Labs of Hawaii (CLH), click on “Orders” >> “Lab Order” at the top of the patient’s chart.

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Lab vendor & site

Select the CLH option appended with the location that you are ordering from/on behalf of. If you practice uses Elation from multiple office locations, each of the locations will be set up with the ability to send electronic orders to CLH. This will be reflect as different locations in the Labdropdown. You do not need to specify a site. All CLH locations will have the electronic order on file.

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In-house lab draws

If your practice collects specimens in-house, select the “In-House-Draw” option on the “Any Site” menu in the lab requisition form. Use the “Collection Date” and “Collection Time” fields to enter relevant information for the electronic order and/or requisition printout.

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Tests

Clinical Labs of Hawaii (CLH) electronic ordering in Elation uses the CLH compendium database for test selection. The database is supplied and maintained by CLH and is updated on a monthly basis. You will not be able to create your own tests or select previously created lab tests from your database.

• If you cannot find a test in the test search, we recommend trying to search for the test using different terms (ex. the Complete Metabolic Panel is known as “Comprehensive Metabolic Chemistry Panel” for CLH). If you have a question about a specific test or test code, please contact your CLH representative for assistance. Custom CLH codes are not supported at this time.

Additionally, we support CLH order compendium Ask at Order Entry (AOE) questions. For certain tests, the lab requires answers to questions in order to effectively process testing on a specimen. If you select a test that contains AOE questions, we will automatically see the appropriate questions and answer formats for the selected test(s). You are not required to answer the AOE questions, but please note that if you leave the questions unanswered, CLH will likely contact you to confirm the missing details.

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Diagnoses

The Dx field will auto-populate if an order set with associated diagnosis codes is selected, or you can utilize our search function by typing out the name of the problem or diagnosis and selecting from the returned results.

• If the patient has problems with associated diagnosis codes in the patient’s Problem List , those codes will automatically appear in the dropdown for you to select. Use the Problem List Guide to learn more about this feature.

You can remove diagnoses by hovering your mouse over the line item and clicking the “X” button at any time.

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Bill Type

You can select the patient’s method for billing in the Bill Type field on the lab order form. The dropdown shows CLH’s required selection options. Depending on the selected Bill Type, Elation will send associated details in the electronic order to CLH. These may include insurance or guarantor information. These are the various Bill Types and their uses:

• Third Party= Bill the Patient’s insurance information on file
• Patient= Bill the Patient directly
• Client= Bill my practice
• Worker’s Comp= Bill the patient’s worker’s compensation payer
• Special Billing= Allows you to designate that you have some kind of special discount code or code that you would like to associate with this order. Add the code to the Lab Instr field

If Third Party (e.g. Insurance) is selected for a patient’s Bill Type, you will notice a blue “Check Medicare Eligibility” button appear. This link will show up any time Third Party (e.g. Insurance) is selected, regardless of whether or not the patient chart has Medicare insurance on file. If you click the “Check Medicare Eligibility” button, Elation will run a quick check with CLH’s Advanced Beneficiary Notice service to see if the patient has Medicare Coverage for the lab tests and diagnosis(es) selected in the order. If results are returned and the patient is not covered, we will display the estimated cost for the tests and generate a printable Advanced Beneficiary Notice (ABN) form.

• CLH is often unable to provide coverage information for many insurances via this feature. We recommend contacting the patient’s insurance company directly if coverage information is needed.

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Sending the order electronically to Clinical Labs of Hawaii (CLH)

When completing a lab order, you will have the option to either send the order electronically (“eOrder”) to CLH or print the lab requisition and hand it directly to the patient.

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Printing requisitions and specimen labels

The requisition form can be printed directly from the chronological timeline, or from the Lab Reports view.

• To print from the chronological timeline, hover over the lab order, click “Actions” >> “Print” or “Print Specimen Labels”.
• To print from the Reports tab, select the desired lab order, then click “Actions” >> “Print” or “Print Specimen Labels”.

The specimen labels can be used with label printer paper.

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Reordering, changing, and canceling electronic orders

Previous lab orders can be easily re-ordered by hovering over the order from the chronological record or from the Reports tab and clicking “Actions”, then “Reorder”.

• If the order has already been sent to Clinical Labs of Hawaii (CLH) and you would like to change or cancel the order, please contact CLH to make these changes.

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Receiving Clinical Labs of Hawaii (CLH) test results

Once a patient completes a lab order and the results are finalized, CLH will send you the test results directly through Elation. For more information about receiving electronic test results, see the Lab Reports- Viewing results from lab interfaces article.

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Close-the-loop feature

Being aware of outstanding orders is vital to prioritizing patient outreach efforts and informing future care plans, which is why we have incorporated an optional set of features that will help your practice keep track of outstanding orders. Learn more about the Close-the-Loopexperience and how to request access in the Orders Guide- Following up on outstanding lab, radiology or other orders article.

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Frequently Asked Questions (FAQ)

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What if the test I am looking for is not available?

The directory of all tests available (compendium), is supplied and maintained by Clinical Labs of Hawaii (CLH). Elation EHR updates our CLH compendium on a monthly basis. We recommend trying to search for the test using different terms (ex. the Complete Metabolic Panel is known as “Comprehensive Metabolic Chemistry Panel” for CLH) If you have a question about a specific test code, please contact your CLH representative for assistance. Custom CLH codes are not supported at this time.

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How can I create a lab order for patients without insurance?

If you choose “Patient” as the Bill Type then you do not have to enter insurance information for the patient. The patient would then be expected to pay at the lab center.

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Why can’t I see or select my existing Order Sets?

Clinical Labs of Hawaii (CLH) requires you to use tests (compendium) from their database. You cannot use your old order sets because those tests are not tied to the CLH compendium. You must create new order sets for CLH eOrdering.

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My staff can not see the option to eOrder. Why?

Only authorized staff delegates will see the option to eOrder. To add an authorized staff member, providers must navigate to “Settings” >> “User Settings” >> “Authorized Staff Delegates” and add the staff member as an Authorized Staff To Sign Orders. Learn more about staff delegates in this article.

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How do I link a lab order for a visit note?

To include an order in a visit note, please follow the steps below. Please note the visit note must be created prior to initiating the eOrder:

1. Open a new visit note.
2. Start a new lab order and complete the Lab Order Form.
3. Click “eOrder” or “eOrder & Print”.
4. The lab order will be referenced and linked in the visit note.

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How do I set a default lab vendor?

To set a default lab vendor, go to the Lab Orders settings page and select a default lab vendor under Default Lab Vendor.

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How do I find the electronic orders placed for a patient?

Lab orders are logged in the Chronological Record in the patient chart by the date the order was placed. To filter for all the lab orders placed for a patient, click into the search bar within the patient chart and click on “Type”. Afterwards choose “Orders” from the drop-down.

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How do I place a future order?

To place an order to be performed in the future, please enter the date that you would like the order to be completed on in the “do test on” field.

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What does the “Check Medicare Eligibility” button do?

If Third Party (e.g. Insurance) is selected for a patient’s Bill Type, you will notice a blue “Check Medicare Eligibility” button appear. This link will show up any time Third Party (e.g. Insurance) is selected, regardless of whether or not the patient chart has Medicare insurance on file. If you click the “Check Medicare Eligibility” button, Elation will run a quick check with CLH’s Advanced Beneficiary Notice service to see if the patient has Medicare Coverage for the lab tests and diagnosis(es) selected in the order. If results are returned and the patient is not covered, we will display the estimated cost for the tests and generate a printable Advanced Beneficiary Notice (ABN) form.

• Clinical Labs of Hawaii (CLH) is often unable to provide coverage information for many insurances via this feature. We recommend contacting the patient’s insurance company directly if coverage information is needed.

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Related Articles

• Labs Settings Guide
• Patient Demographics Guide- Managing patient insurance
• Problem List Guide
• Lab Reports- Viewing results from lab interfaces
• Orders Guide- Following up on outstanding lab, radiology or other orders