Perfect Care EHR Version 8.4

NCG Medical Systems, Inc. attests that our Perfect Care EHR product version 8.4 may require ongoing licensing fees per provider per month. These fees support and establish interfaces for reporting to immunization registries and public health agencies (170.314.f.2 and 170.314.f.3), online patient services which allow patients to view, download and transmit their health information, and secure messaging which allows patients and providers to communicate via the online portal (170.314.e.1 and 170.314.e.3). These fees are a flat license fee, have no technical, practical or contractual limitations, and apply to all the services listed above.

Capability and Certification Criteria	Description of Capability	Limitations (Contractual / Business Practices)	Limitations (Technical / Practical)
2014 Edition – Complete EHR Ambulatory : 170.314 (a)(1-15); (b)(1-5, 7); (c)(1-3); (d)(1-9); (e)(1-3); (f)(1-3); (g)(2-4)	Complete EHR Ambulatory: For all capabilities required to utilize this certified product-version, including Self Attestation Reports, use of Perfect Care EHR product version 8.4 is required	The EP must sign a minimum one year agreement with Change Healthcare.	Requires internet connection.
Patient Portal Certification Criteria: §170.314(e)(1) View, download, and transmit to 3rd party.	Patient Portal: This secure Internet based solution allows Patient’s access to their Clinical Visit Summaries and Clinical History Summaries from their Providers in a standard format (CDA). Also allows messages of any kind from the Provider to their Patient	Requires Patients’ to use IngagePatient for Patient Portal Services. There is a per provider per month fee to access this service.	Requires internet connection and an account with IngagePatient.
Patient Secure Messaging Certification Criteria: § 170.314(e)(3) Secure messaging	Secure Messaging: This secure Internet based solution allows Patient’s to send Messages directly to their Providers, providing ease of communication between Patient and Provider	Requires Patients’ to use IngagePatient for Patient Portal Services. There is a per provider per month fee to access this service.	Requires internet connection and an account with IngagePatient.
Transition of Care Messaging Certification Criteria: §170.314(b)(1) & (b)(2) Transitions of care	Transition of Care Messaging: Allows Providers to Create, Receive, and Transmit Transition of Care documents	Requires Provider receiving Transition of Care Documents to use IngagePatient. There is a per provider per month fee to access this service.	Transition of Care Messaging does not currently support transmit/receipt of Transition of Care Documents from Providers who utilize Direct Messaging and requires the receiving provider to have an account with IngagePatient, and an internet connection.
Immunization Registries and Public Health Agency Interface Certification Criteria: 170.314.(f)(2) and 170.314.(f)(3).	Immunization Registry and Public Health Interface: Allows Providers to export and submit vaccine and other public health information to state and specialty registries.	This Service requires the provider to be registered with the State or Specialized Registry. There is a per provider per month fee to access this service.	Requires internet connection.
Electronic Prescribing Criteria: 170.314.(b)(3)	Electronic Prescribing: Allows providers to generate and submit prescriptions electronically to a pharmacy.	This service has an optional add on module for electronic prescribing of controlled substances. The EPCS module has an additional per provider per month fee and a one- time setup fee.	The provider must go through a third party identity proofing process for ePrescribing and must be credentialed at NIST Level 3 for EPCS. For EPCS, 2 Factor authentication and an app that generates a token is required.