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Lab 2.0 for Point of CarePOINT OF CARE URINE DRUG SCREENINGNow 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

TECHNOLOGY

Point Of Care Urine Drug Screening InterfacePoint of care testing can aid in treatment as this conventional 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 allows the facility to quickly and efficiently order, set collection frequencies, 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.

POC Interface 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.

• MNDRTM (Medical Necessity Documentation ReportTM) attached with every result

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

1. Step One: Place the POC Order• No more forms• Specify Testing Frequencies per Patient,

including Random• Specify Duration per Patient• Select POC test per Patient• Statement 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

2. Step Two: Collect and Process in Kipu• The New Requisition Scheduler will display who is due for

testing based on the frequency.• Collection Sample• Locate POC requisition for patient• Document POC results and additional information• Process requisition to save information

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• POC Results available in the patient’s chart• See all POC results in one location, includes filters• Icon displayed on patients picture notify

results need to be reviewed • Now available, historical results view with the POC interface

• POC results will now include attached MNDR (Medical Necessity Documentation Report)

• Reviewing Physician can add notes and sign off on POC results in one location

Lab 2.0 Point of CareHow it works

Patient with results pending physician’s signature

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TECHNOLOGY P O I N T O F C A R E

Lab 2.0 Ordering POCOrdering 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 click “Create”. This will open 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 NecessityTM (SOMN)TM

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 SOMNTM

Kipu allows the facility to create buttons that, when clicked, will populate a Statement of Medical Necessity from a customized

Create Medical Test Orders X

Ordering physician

Available TestsSelect a Test...

Ordered TestsMedical Test Start Date Frequency Duration On Admission On Discharge

Statement of Medical Necessity

Cancel Create

Raymond Miller, DR Phone, read and verified

Add

Delete Selected

Patient Information Intro Point Of Care Urinary Drug Screening Toxicology Testing Hair Segmentation Testing

Pharmacogenetic Testing Clinical Blood/UA Testing STD Testing (by Client/Patient Request)

STD Testing (by Physician Recommendation) Eating Disorder Testing Verify Compliance with Tx Unresponsive to Rx

High Risk

Point Of Care - (POC Performed at 04/06/2018 Randomly twice a week Six weekFacility) - (Urine) [rit10768_POC]

55 year old male Client presenting with F10.10 Alcohol abuse, uncomplicated, F17.203 Nicotine dependence unspecified, with withdrawal, F11.10 Opioid abuse, uncomplicated, F19.20 Other psychoactive substance dependence, and uncomplicated. Client indicates that he has been abstinent for 3 months and 5 days. Prescribed medications are Tylenol 8 hour, Xanax, Cvs Vitamin B-12, Aqueous Vitamin E, Buffered Vitamin C, and Suboxone.

In order to provide the safest, most effective care possible, the requested testing is medically necessary for the patient for several reasons. The results will assist in patient-specific decisions regarding the medical and/or clinical care. The primary reason(s) for the current order are: Following Doctor’s orders, treatment plan, and facility’s policies and procedures.

Urine testing is medically necessary for diagnostic, clinical, and therapeutic purposes, A repeat test for Urine is ordered to confirm a patient is following facility’s policies and procedures.

Client will be screened for reported prescription medications and positive results will be quantified to ascertain compliance with treatment and dosage, on admission, and as needed according to this facility’s policies and procedures.

Point of Collection: Creating Test Order Window.

set of standardized justifications for testing. This will quickly and easily create a unique SOMN for each patient’s order.

Manually documenting a SOMNThe 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.

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

Create Medical Test Orders X

Ordering physician

Available TestsSelect a Test...

Ordered TestsMedical Test Start Date Frequency Duration On Admission On Discharge

Statement of Medical Necessity

Cancel Create

Raymond Miller, DR Phone, read and verified

Add

Delete Selected

Patient Information Intro Point Of Care Urinary Drug Screening Toxicology Testing Hair Segmentation Testing

Pharmacogenetic Testing Clinical Blood/UA Testing STD Testing (by Client/Patient Request)

STD Testing (by Physician Recommendation) Eating Disorder Testing Verify Compliance with Tx Unresponsive to Rx

High Risk

Point Of Care - (POC Performed at 04/06/2018 Randomly twice a week Six weekFacility) - (Urine) [rit10768_POC]






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

Sleek and Powerful. 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.

Lab 2.0 Collecting and Saving the POC Data

Point Of Care Requisition: Example of a POC Requisition which is completed and saved at time of collection

Kitty Treatment CenterEastern Time (US & Canada) (GMT-5:00) Rick Rhode Settings Users Sign Out Help4

Lab Requisitions Lab Reports

Urine

Medical Test Orders

Lab Test Requisition

X

Lab Test Requisitions / Lab Test Requisition Sources / Create Lab Requisition

First Name Middle Name Last Name Mr Number

Ordered By: Raymond Miller. Npi: 0001232723Statement of Medical Necessity





Clinical DataDiagnosisF10.10 Alcohol abuse, uncomplicated, F17.203 Nicotine dependence unspecified, with withdrawal, F11.10 Opioid abuse, uncomplicated, F19.20 Other psychoactive substance dependence, uncomplicatedMedicationTylenol 8 hour, Xanax, Cvs Vitamin B-12, Aqueous Vitamin E, Buffered Vitamin C, and Suboxone

Lester N/A Tester ktc-1

Specimen Collected At P6GRMHNN 04/06/2018 12:36 PM

Specimen Source

Patient

Date of Birth Phone Address Gender07/12/1977 305-102-1011 1726 S Red Road, Miami FL Male

Payment Method LocationInsurance Kitty Treatment Center

Lab Name Account Clia Code Lab

Poc Performed At Facility SalesPOC XXXXXXXXXXX

Address Phone Fax Director NA N/A N/A

Order Description Ordered AtMedical Test: Point Of Care - (POC Performed at Facility) - (Urine) 04/06/2018 11:35 AM Deselect Code: SALESDEMO_POC_POCOrdered Medical TestsTest Description Specimen Source Test Type

Additional Information

Point of Collection Results (POC)

Point Of Care Urine Toxicology

If temperature not in range, what if the actual specimen temperature?

Temperature read within 4 minutes and is in range of 32.5 - 37.7 C (90.5 - 99.8 F)? YES

Dashboard Clients Occupancy Schedules Shifts Contacts Lab Interface Reports Templates

Sign Consent for Testing Save Save & Send

ImageChoose File No fi...osen

Special Instructions

AMPHETAMINES POC result

BARBITURATES POC result

BENZODIAZEPINES POC result

BUPRENORPHINE POC result

COCAINE POC result

MDMA POC result

METHADONE POC result

METHAMPHETAMINES POC result

OPIATES POC result

OYXCODONE POC result

PHENCYCLIDINE POC result

Propoxyphene

THC POC result

TRICYCLIC ANTIDEPRESSANTS POC result

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Positive Negative

Temperature is measured in ceisius or fahrenheit? Celsius


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.

Lab 2.0 Results

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 histori-cal 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.

Lester Tester ktc-1Age: 55 Birthday: 07/12/1962Allergies: No Know Allergies/NKAAdmission: 03/01/2018 (37) Care teamLocation: Kitty Treatment Center (GMT-05:00) Eastern Time (US & Canada)

Lab Results

Clients

F10.10 Alcohol abuse, uncomplicatedF17.203 Nicotine dependence unspecified, with withdrawalF11.10 Opioid abuse, uncomplicatedF19.20 Other psychoactive substance dependence, uncomplicated

Information Screens & Assessments Nursing Medical Treatment Plans Group Sessions Doctors OrdersMed Log/MARS Disclosure Log Lab Orders Lab Requisitions Lab ResultsPatient Assessments Appointments Chart Summary

Search... Select status From date To date Any result Search

Test results history

X

Specimen Accession No Results for Review Lab Created At Reported At Collected At Status

P6GPAGNC P6GPAGNC 1 Poc Performed At facility 03/13/2018 05:42 PM 03/13/2018 05:41 PM 03/13/2018 05:36 PM Assigned

P6GPAGRF P6GPAGRF 1 Poc Performed At facility 03/13/2018 05:42 PM 03/13/2018 05:41 PM 03/13/2018 05:36 PM Assigned

P6GPA4HG P6GPA4HG 1 Poc Performed At facility 03/13/2018 05:42 PM 03/13/2018 05:41 PM 03/13/2018 05:36 PM Assigned

Lester Tester ktc-1Age: 55 Birthday: 07/12/1962Allergies: No Know Allergies/NKAAdmission: 03/01/2018 (37) Care teamLocation: Kitty Treatment Center (GMT-05:00) Eastern Time (US & Canada)

Test Results History

Lab Report / Test Results History

F10.10 Alcohol abuse, uncomplicatedF17.203 Nicotine dependence unspecified, with withdrawalF11.10 Opioid abuse, uncomplicatedF19.20 Other psychoactive substance dependence, uncomplicated

Information Screens & Assessments Nursing Medical Treatment Plans Group Sessions Doctors OrdersMed Log/MARS Disclosure Log Lab Orders Lab Requisitions Lab ResultsPatient Assessments Appointments Chart Summary

Search... Select status From date To date Any result Search

X

Result Description 02/13/2018 11:01 AM 03/13/2018 05:36 PM 03/13/2018 05:40 PM

Lab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionLab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionKitty Treatment CenterEastern Time (US & Canada) (GMT-5:00) Rick Rhode Settings Users Sign Out Help4


Lab Reports / Test Results History

Abnormal

Abnormal

Amphetamines [POC_AMPH] NEG NEG NEGPoc Results Normal Normal Normal

Barbiturates [POC_BARB] POS NEG NEGPoc Results Normal Normal

Benzodiazepnes [POC_BENZ] NEG NEG NEGPoc Results Normal Normal Normal

Buprenorphine [POC_BUP] NEG NEG NEGPoc Results Normal Normal Normal

Cocaine [POC_COCN] NEG NEG NEGPoc Results Normal Normal Normal

MDMA [POC_MDMA] NEG NEG NEGPoc Results Normal Normal Normal

Methadone [POC_MTD] NEG POS NEGPoc Results Normal Normal

Methamphetamines [POC_METH] NEG NEG NEGPoc Results Normal Normal Normal

Opiates [POC_OPIA] NEG NEG NEGPoc Results Normal Normal Normal

Oxycodone [POC_OXY] NEG NEG NEGPoc Results Normal Normal Normal

Phencyclidine [POC_PCP] NEG NEG NEGPoc Results Normal Normal Normal

Propoxyphene [POC_PPX] NEG NEG NEGPoc Results Normal Normal Normal

Specimen Temperature Is In Range [POC_MEASURED_TEMP] YES YES YESPoc Results Normal Normal Normal

Specimen Temperature Type [POC_TEMP_TYPE] CEL CEL CELPoc Results Normal Normal Normal

THC [POC_THC] NEG NEG NEGPoc Results Normal Normal Normal

Tricyclic Antidepressants [POC_TCA] NEG NEG NEGPoc Results Normal Normal Normal


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.

3/13/2018 11:01 AM [22] 3/13/2018 05:36 PM [25] 3/13/2018 5:40 PM [24]

For Review

Normal

Not Classified

Result Description 02/13/2018 11:01 AM 03/13/2018 05:36 PM 03/13/2018 05:40 PM

Abnormal

Amphetamines [POC_AMPH] NEG NEG NEGPoc Results Normal Normal Normal

Barbiturates [POC_BARB] POS NEG NEGPoc Results Normal Normal

Lab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionLab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionKitty Treatment CenterEastern Time (US & Canada) (GMT-5:00)

Rick Rhode Settings Users Sign Out Help26


Lab Reports

Patient Name Specimen Accession No Results for Review Lab Created At Reported At Collected At Status

Ester Tester P6GRMNHN P6GRMNHN 1 Poc Performed At Facility 04/06/2018 02:57 PM AM 04/06/2018 02:56 PM AM 04/06/2018 02:56 PM ASSIGNED

Lab Test Requisitions Lab Reports

Search... Select Status From Date To Date Any Result My Reports Search Review All Negatives

Lester Tester P6GPAGNC P6GPAGNC 1 Poc Performed At Facility 03/13/2018 05:41 PM AM 03/13/2018 05:41 PM AM 03/13/2018 05:36 PM ASSIGNED

Lester Tester P6GPAGRF P6GPAGRF 0 Poc Performed At Facility 03/13/2018 02:57 PM AM 03/13/2018 02:56 PM AM 03/13/2018 05:40 PM ASSIGNED

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.


When POC results are documented in Kipu, the physician will be notified that there are pending results that need to be review. 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.

Signing POC OrdersTo 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.

Signing POC ResultsTo 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.

Lab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionLab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionMy Locations

Raymond Miller Sign Out Help

DashboardOrders Med Pass Actions Physician Review Physician Case Load Current Census Discharged Clients

My Orders All Orders Lab Reports

Search... Select Status From Date To Date Search Discounts Review All 1 2 Next Last

Dashboard Clients Occupancy Schedules Shifts Contacts Lab Interface

Standard Medical Test Orders

Patient Description Created At Start Date Duration Frequency On Admission On Discharge Status

Easter Tester Medical Test: Point Of Care - (POC Performed at Facility) - (Urine) 04/06/2018 02:55 PM 04/06/2018 One Week Every 3 Days Yes Yes

Lester Tester Medical Test: Point Of Care - (POC Performed at Facility) - (Urine) 04/06/2018 11:35 PM 04/06/2018 Six Weeks Randomly twice a week Yes Yes

Active

ActivePending Order Review

Pending Order Review

Lab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionLab Test Requisitions / Lab Test Requisition Sources / Create Lab RequisitionMy Locations

Raymond Miller Sign Out Help

DashboardOrders Med Pass Actions Physician Review Physician Case Load Current Census Discharged Clients

My Orders All Orders Lab Reports

Dashboard Clients Occupancy Schedules Shifts Contacts Lab Interface

Patient Name Specimen Accession No Results for Review Lab Created At Reported At Collected At Status

Ester Tester P6GRMNHN P6GRMNHN 1 Poc Performed At Facility 04/06/2018 02:57 PM AM 04/06/2018 02:56 PM AM 04/06/2018 02:56 PM ASSIGNED

Lester Tester P6GPAGNC P6GPAGNC 1 Poc Performed At Facility 03/13/2018 05:41 PM AM 03/13/2018 05:41 PM AM 03/13/2018 05:36 PM ASSIGNED

Lester Tester P6GPAGRF P6GPAGRF 0 Poc Performed At Facility 03/13/2018 02:57 PM AM 03/13/2018 02:56 PM AM 03/13/2018 05:40 PM ASSIGNED

Lester Tester P6GPA4HG P6GPA4HG 0 Poc Performed At Facility 03/13/2018 11:03 PM AM 03/13/2018 02:56 PM AM 03/13/2018 11:01 PM ASSIGNED

Search... Select Status From Date To Date Any Result My Reports Search Review All Negatives

Lab 2.0 Reviewing


MEDICAL NECESSITY DOCUMENTATION REPORTAvailable 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.

Helps support your claim for POC testingMNDR

SMIt’s The Right Technology!

TM

The Provisionally Patent Pending MNDR has helped increase reimbursements.

FULL DOCUMENTATION FOR EVERY TEST ORDERED

Information available within the MNDR

Practice or facilityPatient demographicsDoctor Order and SignatureReceiving Lab InformationRequisition with Patient ConsentSigned Lab Report

TM

TM

The MDNR includes all information required by insurance carriers to help ensure payment.

Lab OrderCLIA ID#, Specimen details, Address

Lab ResultSpecimen ID, Received date, Reported date, Received by client

Get Paid for POC-UDTA 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.

TMTM

For more information, contact Kate Stewart at 561-523-9338 or via email at: [email protected]

2018 KipuHealth. Kipu is a registered trademark of KipuHealth, LLC.

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