Product Release Version: v25.2.0

      November 2024 Product Release 

© 2024 Practice Management System

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Printed November 2024 at PracticeSuite, Inc.

Part 1- Product Enhancements

Practice Management

1.1 Referral Management

The referral management module has been further enhanced with additional features and functionalities. The following are the new changes made to it.

A. Appointments: Users can now add new and follow-up appointments from the referral screen. To add a follow-up appointment, the chart should have originated via an appointment. If no appointment is associated with the chart, the ‘Follow-Up Appointment’ option will not be available.

To schedule an appointment, click on the ellipsis at the right end of the referral listing. Please refer to Image 1.1a.

Image 1.1a

B. Upload Documents: Users can directly upload documents from the referral screen. All the uploaded documents are automatically attached to the referral (see Image 1.1b).

Image 1.1b

C. Provider’s Signature: Users can add the provider’s signature to referral letters. Use the tag #@PROVIDER_SIGNATURE#@ to populate the provider’s signature.

1.2 Work Queue Enhancements

The Work Queue’s appearance and feel have undergone a few major changes in this edition.

A. The Work Queue now includes expanded search filters, with nearly all the filters in Collections Manager being made available in the module (refer to Image 1.2a). Users can access these filters by clicking the filter icon next to the search field, which opens the full range of Work Queue search options. This enables more precise and efficient search functionality within the Work Queue.

Image 1.2a

B. The Work Queue has been updated to restrict users to viewing only their assigned worklists, ensuring the worklists remain private and maintaining focus and attention to their tasks. Users are restricted from accessing other users’ worklists. However, supervisors (Level-1 and Level-2, as set on the Teams page) retain visibility of the overall user’s tasks and have access to the Assigned To filter and can view other’s tasks.

C. The Unallocated and Need More Info Queue lists will only appear if the user selects the Show Unallocated checkbox under the More Filters section. 

D.  An instant quick search box has been added to the left pane, allowing users to easily type keywords to search for rules, worklists, and other items. The search results are organized and displayed under their respective headings, making it quick and convenient to locate specific items.

E. The priority headers on the left-side pane will have colored badges corresponding to their priority and this visual enhancement makes it easier for users to identify and respond to high-priority items at a glance. The priorities will have the following color codes: Priority 1: Red 2: Orange 3: Blue 4: Dark Blue and 5: Green.

F. Rule headings will be prefixed with .

G. The left pane can be hidden by clicking on the header.  Additionally, an expand and collapse option has been provided for all the levels in the tree structure, including a ‘Collapse All’ at the top.

H. To clearly distinguish between line status and sub-status, items with a status of HOLD will now be prefixed with Line Status, while line sub-statuses starting with HOLD_**** will be prefixed with Line Sub Status.

Image 1.2b

1.3 Charges and Claims

1.3.1 Claim Batch Generation

An internal modification has been made to include service location as a criterion in the claims batching process. The grouping was previously restricted to LE, Receiver, and Insurance.

This change has been made to align with the requirement of certain payers to have certain service location-based segments appear in the electronic claim headers. This is an internal change and does not impact the user experience.

Image 1.3.1

1.3.2 Status Change from HOLD

Charges can now be moved from HOLD status to any other line status, enhancing flexibility in charge management. Previously, charges in HOLD status could only be reinstated to the line status they were in before they were changed to hold status. This applies to charges updated from X-Superbill, Charge Master, and Claims Workbench.

1.3.3 Claim Validation

If the CMS Pricer (CCI) claim validation is enabled in the system, both the internal and the CMS price validations will henceforth run together. Previously, only the CMS Pricer validations would have run, ignoring any of the active internal rules in the system.

1.3.4 EDI Claim- Send Admission Date for POS 32

For Place of Service (POS) 32, the admission date will now be included in the EDI claim if entered. Admission dates will continue to be sent for place of service 21, 31, 51, and 61.

1.4 X-Superbill

1.4.1 X-Superbill Automation Based on Eligibility

A setting has been made available to enforce eligibility prechecks for automated charge processing. A new checkbox named Auto-Process Charges Only if Eligibility is Verified has been added under the billing options. The setting enforces the system to auto-process the charges with an eligibility status response, leaving those without them. If the setting is not enabled, the system processes all the charges regardless of the eligibility status.

Additionally, the length of the field Exclude CPT Code has been increased for improved usability.

Image 1.4.1

1.4.2 New HOLD Bucket for Eligibility

The charges errored in the eligibility verification cycle will automatically move into a bucket named HOLD_ELIGIBILITY. The line sub status of the affected charges will change to HOLD_ELIGIBILITY and remain with the line sub status until either manually cleared or when a successful response is received in the subsequent eligibility cycle.

Additionally, on the X-Superbill listing screen, the errored charges will have a red x, and the error-free charges will display a green check.

Image 1.4.2

1.4.3 Charges Import- Wizard Implementation Complete

The bulk charge upload wizard for the import of charges using CSV file(s) has been fully implemented. Akin to the fee schedule import, the charge import also follows a two-step process:

1. The first step is for the user to upload the system-compatible CSV file.

2. Once uploaded, the user can custom map the fields in the file to the corresponding fields in the system.

1.5 Payment Master-EOB Attach

Henceforth, users can attach an EOB file to a payment even if the payment falls in a closed accounting period. This change applies to both fully applied and partially applied payments.

General

1.6 Access Permission Setup at Practice Level 

The new software update introduces a new practice-level parameter for regulating IP permissions. The setting allows the practice’s administrators to input individual IP addresses or a range of addresses.  The new field, Practice Allowed IP/IP Range, is available in the Preferences screen as in Image 1.6a.

Administrators can enter a single, multiple (separated by commas), or a range of IPs. For example, to enter an IP range starting from 192.168.0.1 to 192.168.0.100, enter it in the format 192.168.0.1/100.

Image 1.6a

The remote access control screen within the user’s setup now includes an IP Range Alias drop-down menu (refer to Image 1.6b). Selecting PRACTICE_ALLOWED_IP_RANGE applies practice-level IP permissions to the user. Choosing Select Range allows users to specify specific IP addresses in the Public IP Address field as earlier.

If this field is left empty, the user will have unrestricted access from any IP address.

Image 1.6b

1.7 2FA- Facility to Skip 2FA on a Device

Once the two-factor authentication (2FA) is enabled for a device by the user, the user can choose to skip the prompts for future logins from the same device. A checkbox labeled Trust this device is included in the popup, permitting access from the device for future logins without requiring secondary authentication. Please refer to Image 1.7.

2FA authentication that was previously available for individual logins has been made available for group/single sign-on logins with this release. The grace period to skip 2FA for an SSO user is preset to 15 days.

Image 1.7

1.8 Patient Demographics: Import Patient Data CSV

Similar to the recently released charge CSV upload, a similar feature for the patient demographics import has been made available with this release and has a two-step process. 

Step 1: In the first step, the user is prompted to upload the system-compatible demo CSV file.

Step 2: The user is then prompted to map the fields in the file to the corresponding fields in the system.

Once the fields are mapped, the user can click on ‘Import’ to have the data imported into the system. The system will display a confirmation message with the number of records uploaded.

1.9 Document Scanner 

When using the scanner application within the Document Manager to scan new documents, the most recently used scanner will automatically default for the scanning.

1.10 ICD Repository Updated

The ICD repository has been updated with the latest codes effective from October 1st, 2024.

Reports

1.11 New Aging Report – ‘D16. Detailed- Patient Aging Report’

A new detailed patient aging report containing patient and encounter information has been added to Report Central and is named ‘D16. Detailed-Patient Aging Report’. 

* The offline reporting feature is available for the D16 report.

* Available Search Filters are Patient, LE, Provider, Aging Bucket, Statement Count, Patient Account Type, and Case Type.

Key Columns in the D16 Report 
RP Code (Rendering provider code) Last User Activity By
DOS Last User Activity Date
POS (Place of Service) Last User Activity Note
Service Location Last Follow-Up User
Claim Date Last Follow-Up Date
Claim # Last Follow-Up Notes
Procedure Code
D1, D2, D3, D4 (Diagnoses codes)
Charge
Line Status
Balance
Payor Remark
Last Statement #
Age since Last Statement
Aging Since DOS
Aging Since Claim Date

Image 1.11

1.12 A/R Days – Patient Aging Reports

The following reports have been updated and will reflect the patient aging based on the patient’s a/r date (the date the encounter line was moved to the patient responsibility status) instead of the DOS or the claim date.

D3. Summary-Patient/Guarantor Balance and Aging Report

D4. Insurance Balance and Aging by Patient Report 

D7. Accounts Receivable Aging Report

D8. Provider Wise A/R Aging Report

D11. Aged AR (Insurance and Patient) by Patient Report

D12. Aged A/R (Ins. and Patient) by Payer Report

D13. Service Location Wise A/R Aging Report

J28. Procedure Aging by Financial Class

 

Part 2: Resolved Items

2.1 X-Superbill Alert

Charges that only had the alerts (without the errors or warnings) were not displaying the alert notification. This has been addressed.

2.2 Patient Portal Payments- Service Location Info 

When payments were made through the patient portal they failed to reflect the service location. This has been resolved.

2.3 J1 Report Performance

The performance issue reported for ‘J1. System Financial Summary Report’ has been resolved.