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Forcura Document Management

Forcura streamlines document management and simplifies care coordination for providers across the continuum. Its direct integration with Axxess Hospice helps organizations reduce administrative expenses, optimize revenue cycle management and deliver better patient care.

Reduce Administrative Expenses

Allow cross-functional teams to collaborate and manage workflow through one cloud-based, integrated platform


One full-time employee (FTE) can accurately manage documentation for 800 patients​


Eliminate hard costs such as paper, ink, printing, postage, faxing and storage


Optimize Revenue Cycle Management

Reduce patient onboarding time by as much as 50%


Capture more reimbursable conditions at the start of care


96% of documents returned and signed in 30 days


Once an organization enables the Forcura integration, approved orders can automatically be sent from Axxess Hospice to Forcura to be faxed for physician signatures, signed, and returned to the Axxess Hospice solution. The Forcura integration streamlines document tracking and enables users to attach returned orders directly to their corresponding Axxess patient records.

Get Set Up with Forcura

Getting started is simple. To activate the Forcura integration, Axxess Hospice clients should contact sales@forcura.com and integrations@axxess.com to set up agreements with each software vendor for the integration.

Clients will then need to submit a request to enable the Forcura integration in Axxess Hospice. To submit a request to enable the Forcura integration, navigate to Company Setup under the Admin tab in Axxess Hospice. On the Subscription Plans tab, navigate to the Integrations tab and click Orders Management under Forcura. Click Submit Request.

Admin tab ➜ Company Setup ➜ Subscription Plans tab ➜ Integrations tab ➜ Pending Integrations section ➜ Forcura ➜ Orders Management ➜ Submit Request

The Document Management functionality is automatically activated when the Forcura integration is enabled. This item enables documents that flow in from Forcura to be attached to patient charts in Axxess.


The organization can choose to enable the Orders Management feature by checking the box next to Orders Management. This feature enables users to electronically send approved orders from the To Be Sent screen to Forcura for managing and tracking in the Forcura application.


The organization can choose to automatically send approved orders by checking the box next to Automatically send approved orders to Forcura. If this setting is not selected, the organization manually sends approved orders to Forcura through the To Be Sent screen under Patients Orders Management. If this box is selected, orders that have been approved in the Quality Assurance Center (or set to bypass QA) will be automatically sent to Forcura for managing and tracking.


When an administrative user selects Enable ➜ Submit Request under the Forcura integration in Company Setup, Axxess receives an activation request. On receipt of the request, a member of our Integrations team contacts the client to discuss and identify a go-live date.

The established go-live date displays in the Effective Date field in Company Setup, and the integration is activated and added to the organization’s Axxess subscription based on the date.

Manage Documents

When Forcura is enabled, a predefined list of document types populates in the Document Types list. To access this list, navigate to the lists menu and select Document Types.

➜ Document Types

The predefined list includes standard Forcura document types for indexing purposes. If a user attempts to edit or delete one of these document types using the buttons under Actions, the system will trigger the following message and prevent editing/deletion: This document type is associated with an active interface and cannot be edited or deleted.

Managing Patient Documents:

When a document is indexed from Forcura, the document attaches to the patient’s chart. Select the Manage Documents button at the top of a patient’s chart to navigate to the Documents list.

Patients tab ➜ Patient Charts ➜ Manage Documents

To add a new document, select the Add Documents button in the top-left corner of the Documents window.

Select the document from your device, enter a name and select the document type. Click Save Documents to finish uploading the document.

When adding, editing or deleting patient profile information in Axxess, the patient profile information in Forcura will update automatically.

Manage Orders

Accessing Orders to Be Sent:

Once orders are generated and ready to be sent for physician signatures, they appear on the To Be Sent tab of the Orders Management screen.

Patients tab ➜ Orders Management ➜ To Be Sent

A Delivery Method filter appears on the To Be Sent screen to optimize orders management processes. The Delivery Method column enables users to identify orders that are set to go to Forcura. When the Forcura integration is enabled, all orders with Electronic selected in the Delivery Method field will be sent to Forcura.

When Forcura is enabled and a delivery method is not selected, the Delivery Method column will indicate Not Available.

Users can select the Update Delivery Method hyperlink, select an order delivery method and click Update to enable sending.

Adding a Physician’s Order Delivery Method:

To identify a physician’s order delivery method, navigate to the Physicians list under the lists menu ( ) and select Edit next to the appropriate physician. Make a selection from the Preferred Delivery Method field and click Save Physician.

➜ Physicians ➜ Edit ➜ Preferred Delivery Method ➜ Save Physician

Users should select Axxess Physician Portal in the Order Delivery Method field for physicians who sign orders electronically through the Axxess Physician Portal. If this option is selected, a valid physician’s email address must be provided. Physicians should regularly monitor the portal to minimize delays in signed orders.

When Mail or Fax is selected without the Forcura integration enabled, users will be required to manually download the PDF files and fax or mail items to physicians for signature. The To Be Sent screen will help users select orders and mark items as sent using the Send button in the top-right corner of the screen.

When the Forcura integration is enabled, all orders with Mail or Fax selected in the Delivery Method field will be sent to Forcura to send to physicians via mail or electronic fax (eFax). Administrators should make sure the most up-to-date physician mailing addresses and fax numbers are saved in the physician’s profile information.

When adding, editing or deleting physician profile information in Axxess, the physician profile information in Forcura will update automatically.

Viewing and Receiving Orders Pending Physician Signature:

To view orders pending MD signatures, navigate to the Patients tab and select Orders Management. On the Orders Management screen, navigate to the Pending Signature tab.

Patients tab ➜ Orders Management ➜ Pending Signature tab

Columns on the Pending Signature screen indicate age and delivery method.

  • Age – Number of days since the order was sent

  • Delivery Method – Order delivery method set at the physician level

Viewing Completed Orders:

The Completed Orders tab of the Orders Management screen enables users to track manually and electronically received orders. To view completed orders, navigate to the Patients tab and select Orders Management. On the Orders Management screen, navigate to the Completed Orders tab.

Patients tab ➜ Orders Management ➜ Completed Orders

When an order is signed and returned from Forcura, the order attaches to the order task with a unique bar code and signature. To view an order, click the printer icon on the order task.