Contacting MRDN-APP-07… 0%
Meridian Clinical Suitev7.4.221 (build 20261121) · ONC 2015 Edition Cures Update certified Not signed in
Worklists
Unsigned encounters 7
Results to review 12
Refill requests 8
Coding queue 9
Denials worklist 4
Prior auth pending 3
Unindexed documents 5
Recent Patients
Blackwood, Marguerite
Pemberton, Thaddeus
Vandermeer, Rosalind
Hollingsworth, Ignatius
Castellano, Winifred
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Workstation NGMG-WS-114
Node MRDN-APP-07 (pool 3)
Northgate Secure Access
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Sessions are limited to one concurrent desktop per user. Published applications launch through the Citrix Workspace app. If the application does not launch within 60 seconds, contact the service desk.
Action Items
SignUnsigned progress notes7
CosignResident notes awaiting attending cosignature3
ReviewAbnormal results pending acknowledgement12
CodeEncounters awaiting E/M level assignment9
RebillClaims returned by the clearinghouse4
ReconcileMedication reconciliation not completed6
System Alerts
Care gap3 patients overdue for HbA1c per HEDIS CDC-HbA1c measure
Chart deficiency7 unsigned encounters exceed the 72-hour HIM policy
Eligibility2 x12 271 responses returned inactive coverage
InterfaceADT feed NGMG-ADT-01 lagging 4 minutes behind source
FormularyRxNorm catalog refresh pending since 11/18/2026
Credentialing1 rendering provider NPI expires within 30 days
Clinic Census
Scheduled today68
Arrived41
In room9
Ready for provider5
Checkout pending7
No-show rate (30d)6.2%
Revenue Cycle
Days in A/R38.4
Clean claim rate91.7%
Denial rate (30d)8.3%
Net collection rate96.1%
Unbilled charges$412,880
Credit balances$18,204
Quality Program
MIPS composite84.2 / 100
Promoting InteroperabilityAttested
eCQM submissionIn progress
HCC recapture rate72.5%
Average RAF1.184
Annual wellness completion63.9%
Access Audit Trail - Last 7 Events
TimestampUserActionDetailReferenceWorkstationPurpose of Use
11/21/2026 08:41:02clinicianVIEWPatient chart accessedMRN-100004NGMG-WS-114Permitted - treatment
11/21/2026 08:39:55clinicianSEARCHRegistry query executedlastName=BlackwoodNGMG-WS-114Permitted - treatment
11/21/2026 08:38:17svc_hl7IMPORTADT^A08 processedMSH-00194821MRDN-INT-02Interface account
11/21/2026 08:36:44clinicianSIGNProgress note filedENC0500012NGMG-WS-114Permitted - treatment
11/21/2026 08:34:09svc_837EXPORT837P batch transmittedBATCH-20261121-03MRDN-EDI-01Payment operations
11/21/2026 08:31:52mnorthPRINTContinuity of care documentMRN-100159NGMG-WS-092Permitted - ROI
11/21/2026 08:30:11clinicianLOGINSession establishedSESS-8842NGMG-WS-114Permitted - treatment
11/21/2026 08:28:47rvasquezVIEWResults review openedLAB-770104NGMG-WS-088Permitted - treatment
11/21/2026 08:27:03svc_eligibilityQUERY270 eligibility inquiry sentEV-448210MRDN-EDI-01Payment operations
11/21/2026 08:25:39kpatelAMENDDemographics updatedMRN-100287NGMG-WS-041Permitted - operations
11/21/2026 08:23:18clinicianORDERCPOE order placedORD0900117NGMG-WS-114Permitted - treatment
11/21/2026 08:21:55svc_registryEXPORTImmunization registry syncIZ-BATCH-1121MRDN-INT-02Public health
11/21/2026 08:19:42jokonkwoBREAKGLASSRestricted record accessedMRN-100662NGMG-WS-114Emergency treatment
11/21/2026 08:17:20mnorthMERGEDuplicate MPI records mergedMRN-100119/100883NGMG-WS-092Permitted - operations
Audit entries are retained for six years under 45 CFR 164.312(b). Break-the-glass access is reviewed daily by the Privacy Office. Purpose of use is recorded per HL7 security label.
Interface Engine Status
ChannelFeedStandardTransportStateBacklogLast Message
NGMG-ADT-01ADT inboundHL7 v2.5.1MLLP 6661Connected4m lag11/21/2026 08:40
NGMG-ORU-02Results inboundHL7 v2.5.1MLLP 6662ConnectedCurrent11/21/2026 08:41
NGMG-ORM-03Orders outboundHL7 v2.5.1MLLP 6663ConnectedCurrent11/21/2026 08:41
NGMG-EDI-04837P claimsX12 5010SFTPIdleNext 17:0011/20/2026 17:00
NGMG-ERA-05835 remittanceX12 5010SFTPConnectedCurrent11/21/2026 06:15
NGMG-CCD-06C-CDA exchangeHL7 CDA R2HTTPSDegradedRetrying11/21/2026 07:58
NGMG-RX-07ePrescribingNCPDP SCRIPTSurescriptsConnectedCurrent11/21/2026 08:41
NGMG-IZ-08Immunization registryHL7 v2.5.1SOAPConnectedCurrent11/21/2026 08:21
NGMG-SIU-09Scheduling outboundHL7 v2.5.1MLLP 6664Connected2m lag11/21/2026 08:39
NGMG-DFT-10Charge outboundHL7 v2.5.1MLLP 6665ConnectedCurrent11/21/2026 08:40
NGMG-MDM-11Document inboundHL7 v2.5.1MLLP 6666IdleNext 12:0011/21/2026 06:00
NGMG-FHIR-12Patient access APIFHIR R4HTTPSConnectedCurrent11/21/2026 08:41
Channels are monitored by the Meridian interface engine. Degraded channels retry with exponential backoff before paging the on-call integration analyst.
Coding and Risk Adjustment Reference
CodeSetDescriptionCategoryRAF Weight
E11.9ICD-10-CMType 2 diabetes mellitus without complicationsHCC 190.105
N18.32ICD-10-CMChronic kidney disease, stage 3bHCC 1380.069
I50.32ICD-10-CMChronic diastolic heart failureHCC 2260.331
J44.1ICD-10-CMCOPD with acute exacerbationHCC 2800.335
99214CPTOffice visit, established, moderate MDMWork RVU 1.92-
G0439HCPCSAnnual wellness visit, subsequentWork RVU 1.92-
E66.01ICD-10-CMMorbid obesity due to excess caloriesHCC 480.250
F32.1ICD-10-CMMajor depressive disorder, moderateHCC 1550.309
I25.10ICD-10-CMAtherosclerotic heart diseaseHCC 2240.135
Z79.4ICD-10-CMLong term use of insulinStatus-
99457CPTRemote physiologic monitoring, 20 minWork RVU 0.61-
99490CPTChronic care management, 20 minWork RVU 0.61-
Risk adjustment factors reflect the CMS-HCC V28 model. Suspected conditions must be documented and coded in the service year to be recaptured.
Scheduled Jobs and Batch Status
JobDescriptionWindowStateDurationLast RunResult
JOB-NIGHTLY-01Clinical data warehouse ETL02:00 CTCompleted41m 12s11/21/2026 02:410 errors
JOB-NIGHTLY-02Risk adjustment recalculation03:00 CTCompleted18m 44s11/21/2026 03:190 errors
JOB-NIGHTLY-03Care gap evaluation03:30 CTCompleted26m 03s11/21/2026 03:562 warnings
JOB-NIGHTLY-04Statement generation04:00 CTCompleted9m 51s11/21/2026 04:100 errors
JOB-HOURLY-11Eligibility refreshhourlyRunning4m 22s11/21/2026 08:00-
JOB-DAILY-21837P claim batch17:00 CTScheduled-11/20/2026 17:000 errors
JOB-DAILY-22835 remittance posting06:00 CTCompleted12m 09s11/21/2026 06:153 exceptions
JOB-WEEKLY-31Index rebuildSun 23:00 CTScheduled-11/17/2026 23:000 errors
JOB-DAILY-41Audit log archival01:00 CTCompleted6m 33s11/21/2026 01:070 errors
JOB-DAILY-42Formulary catalog sync05:00 CTFailed0m 14s11/21/2026 05:00RxNorm endpoint 503
Failed jobs retry twice before paging the on-call analyst. The formulary sync failure leaves the RxNorm catalog at the 11/18 snapshot until the next successful run.
Interface engine: 5 of 6 channels connected Eligibility: 270/271 real-time available Clearinghouse: Availity - accepting 837P ePrescribing: Surescripts certified, EPCS enabled Immunization registry: bidirectional Document imaging: NGMG-SCAN-02 online Last backup: 11/21/2026 02:00 CT
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