I am curious if anyone else has problems when during and after the filing of the MIS Medical Necessity Requirements dictionary.
Our Patient Accounting manager is the one in charge of this dictionary. She usually updates this dictionary in the middle of the night from home, because it appears to have such an impact on system functionality. There used to be a major decrease in response time throughout the system when this dictionary was filed. This does not appear to be an issue anymore, as the Patient Accounting manager accidentally filed this dictionary one day last week. However, it seems that the other MIS dictionaries when the Medical Necessity Requirements dictionary is filed. I was setting up a user, and then went to Copy Access Dictionaries, and the new user I set up was not available in the lookup. I also went to the Nurse Dictionary in NUR to initialize this user there, and the user was not available in that lookup either. The Patient Accounting manager also noticed that she had entered a new insurance into the MIS Insurance dictionary, but was unable to see it in the lookup in one of her BAR dictionaries. Not only did these things happen, but the filing of the Medical Necessity Requirements dictionary generated errors on the caretaker: BACKGROUND JOB A * IST NOT FUNCTIONING PROPERLY There were also messages for Job B and D as well. MEDITECH said that everything was fine. "The CPT dictionary is being updated causing the IST's to run a bit slower but they are moving. Once this completed the IST's will go back to idling." Does anyone else have problems with this besides us? Has anyone found a solution to this problem, or does anyone know of a DTS that could possibly correct this issue? Any responses are greatly appreciated. Thanks, Jay Gilmore Systems Analyst Crisp Regional Hospital (229) 276-3173 [EMAIL PROTECTED]
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