Enterprise Edition 14.13 Release Notes
July 24, 2014
Below are the latest updates to Enterprise Edition.
firstHOMECARE & firstHOSPICE
Maintenance
Changes have been made to Reports | Scheduling | Employee Detail Calendar and Employee Week Calendar to fix issues that were causing the reports to not always display the correct Service descriptions.
Changes have been made to Reports | Admission | Listing By Physician report to fix issues that were causing patients that did not have the selected payor to display when the Payor filter was selected.
Changes have been made to the Patient Management screen to fix issues that were causing the Do Not Admit Reason to overlap the Diagnosis section below it if the data was too long.
Changes have been made to Scheduling to allow only Active personnel to display in the Assign to field and in the grid when assigning visits from the Order Generation Screen.
Changes have been made to fix issues that were causing errors to occur when logging in to Enterprise Edition if Internet Explorer cache settings were set to auto. Additionally, changes have been made to fix issues that were causing the incorrect patients document to display when a patients document was clicked on, if Internet Explorer Cache settings were set to auto.
Changes have been made to Reports | Personnel | Personnel Productivity to fix issues that were causing personnel with Line of Business = BOTH to not display unless the report was filtered by both lines of business. In addition, changes have been made to enable the Active Only checkbox to function correctly.
Changes have been made to Reports | Scheduling | Employee Week Calendar and Scheduling | Patient Week Calendar to fix issues that were causing schedule times to incorrectly display on the reports.
In Enterprise Edition Release 14.12, HEALTHCAREfirst began the process of adding the ability to revise non-OASIS Clinical Documents. To continue expanding this process, changes have been made to Documents to no longer allow the Lock check box to be deselected if Revise has been enabled and the document is locked. To make revisions and unlock the document you will need to click the Revise button. This change has been implemented to ensure that all revisions of a document are tracked. Not all documents will display the Revise button, or have the capability of this feature. For documents that do not display the Revise button, the Lock check box will function as it has previously.
Enhancements
Changes have been made to Administration | System Control to make the Electronic Signature setting available on Hospice Aide Care Plan B and HHA Care Plan B documents.
Changes have been made to Reference Files | Advance Directives to add a new check box DNR type of Advance Directive. The check box will default to not be checked. Once selected, it will designate the selected Advance Directive as a DNR type, and will apply to any patients utilizing this advance directive.
Changes have been made to the Login screen. The screen will have a different appearance, the login fields will be in a different location, the UserID field will now read “UserName”, and the Sign In button will now read “Login”. Additionally, a “Remember Me” option has been added which saves the entered UserName upon logout or the session timing out. If the browser is closed without logging out the UserName will not be saved.
firstHOMECARE
Maintenance
Changes have been made to iPad | Clinical Document | OASIS SN SOC/ROC, SN Discharge, PT SOC/ROC, and PT Discharge to fix issues that were causing the document to incorrectly display.
Changes have been made to iPad | Clinical Documents to fix issues that were causing the Wound Numbers to not appear.
Changes have been made to Clinical Documents | Homecare Certification (485) and Homecare Recertification (485) to fix issues that were causing only the first allergy for the patient in Locator 17 – Allergies to display when using the 485/487 Addendum Format printing option.
Changes have been made to Clinical Documents | 485 Addendum to fix issues that were causing a timestamp to display in the patient’s Date of Birth field along with the date of birth.
Changes have been made to Clinical Documents | Homecare Certification 485 | Print in 485/487 Addendum format to move the Attending Physician signature line to the bottom of each page as well as at the top of a blank page at the end when printed.
Changes have been made to Reports | Case Management report to fix issues that were causing the PPS Episode From and Thru dates to not print.
Changes have been made to Clinical Documents to fix issues that were causing charge detail information to incorrectly store. This occurred when attaching documents with P Pages, for Disciplines utilizing Clinical Document Charge Verification visit behavior.
Enhancements
The following new Billing errors will be added:
Warning - Visits exist within the episode date range that need to be cancelled and/or released. (The error will look for any scheduled visits with a billable service and Medicare recognized revenue code (27x, 42x, 43x, 44x, 55x, 56x, 57x, 62x) that are not in a status of cancelled or released with dates within the episode date range that do not have charges created.)
Warning - Visits exist within the episode date range that need to be verified. (This error will look for any visits with a Medicare recognized revenue code (27x, 42x, 43x, 44x, 55x, 56x, 57x, 62x) with dates within the episode date range that have not been verified.)
Fatal - A final claim (EOE) already exists for this episode. (This error will look for any final claim EOE that already exists for this episode.)
The new errors will only be checked when generating an EOE-type claim (bill type 329). They will display on the Billing Batch Error report.
firstHOSPICE
Maintenance
Changes have been made to iPad | Clinical Document | Hospice Aide Care Plan to fix issues that were causing the document to display several sections incorrectly on the iPad.
Changes have been made to Clinical Documents | F2F document to change the attestation and narrative statements and the physician prompt. These changes will be reflected on the printed document.
Changes have been made to Clinical Documents | Initial Plan of Care/Physicians Orders to limit the Benefit Period drop-down to Medicare benefit periods from the Admission Election Period tab which have the First 90 option selected for the entered period. Additionally, for non-Medicare custom Election periods where users cannot designate which Period the entry is for, all entered periods will continue to display in the Benefit Period drop-down.
Changes have been made to Reports | Employee Week Calendar to pull the correct description of the service from Service Master.
Changes have been made to Clinical Documents | Face to Face document to fix issues that were causing the J0900C Pain Tool to denote that the patient's Pain Severity is None. This has been changed to leave the J0900C Pain Tool Used to be blank if the patient had no pain.
Changes have been made to fix an issue with HIS Extract Security Object to no longer require Oasis Extract be added along with HIS Extract rights.
Changes have been made to Reports | Admission | Late Orders/F2F/IPOC Physician Orders report to rename the report to "Late Orders/F2F/POC Physician Orders". The report will now include both IPOC and RPOC documents. In addition, if either the Attending or Hospice Physician in Document Tracking has a provided Sent Date and no Physician Signature Date for either document, they will be included on the report. If for a single document, both the Attending and Hospice Physician have a Sent Date and no Physician Signature Date, a row will be present on the report for each physician as well as the Document Tracking date information.
Changes have been made to HIS Validation to fix issues that were causing Enterprise Edition to accept 2 of the 7 components of a Comprehensive Pain Assessment and consider it complete. Now 5 of the 7 components are required to consider a Comprehensive Pain Assessment complete.
Enhancements
Changes have been made to Clinical Documents to add a new Recert Plan of Care/Physicians Orders (RPOC) to send to the physician for orders on a patient for the second 90 day and any subsequent 60 day election periods. The document will allow signature dates for both the Attending Physician and the Hospice (Certifying) Physician to be entered. Additional changes have been made to accommodate the new document:
The Document Tracking Document Type filter drop-down has been modified to Plan of Care/Physician Orders. The filter option is inclusive of both Initial Plan of Care and Recert Plan of Care.
The Document Tracking navigation menu item Orders/Initial Plan of Care/F2F link name has been modified to Orders/Plan of Care/F2F so that Plan of Care is inclusive of both Initial Plan of Care and Recert Plan of Care.
The Document Tracking Exclude Initial Plan of Care/Physician Orders check box has been renamed to Exclude Plan of Care/Physician Orders. The behavior will exclude both the Initial Plan of Care and Recert Plan of Care.
A new billing error RPOCPO has been added in Master Files | Payors/Plans | Payor Billing Errors to check for Physician Signatures in the Recert Plan of Care/Physicians Orders (RPOC) document. The error message will read "There are Recert Plan of Care/Physicians Orders not signed by either an Attending or Hospice Physician. Order IDs: xxx". The error will be triggered any time an RPOC document is included in the billing batch and neither an Attending or Hospice Physician Sign Date has been provided in Document Tracking | Orders/POC/F2F. Once a Sign Date has been entered the error will be resolved. The same Severity level of Fatal has been set as the default for the new RPOCPO error as the IPOCPO default.
IPOC and RPOC documents will now be marked with the Sent Date in different ways when the official copy of the document is printed from Document Tracking | Orders/POC /F2F. The IPOC document will automatically contain the Sent Date for the day of printing in both the Attending and Hospice Physician columns. The RPOC document will not automatically set the Sent Date, you will need to manually enter the Sent Date in the appropriate physician column prior to printing. To limit the results in Document Tracking | Orders/POC/F2F to only include those RPOC documents which have neither been officially printed nor had Sent Dates entered for either physician: choose Sent to Physician drop down option No and click the Include only Documents Not Printed box to check it prior to executing the Search. When the Include only Documents Not Printed filter option is not enabled and the Sent to Physician drop down is No any RPOC documents which have no physician sent value for either Attending or Hospice Physician will be returned regardless if the official Copy has been printed.
The Signed By/Sent By Physician filters have been modified in Document Tracking | Orders/POC/F2F as follows to aid in tracking physician signature compliance. For the IPOC document if No is selected and the Hospice or the Attending Physician field specified by the drop-down is blank the document will be returned. In addition, the document will be returned if both the Hospice and Attending Physician fields specified by the drop-down are blank. If Yes is selected and the Hospice and Attending Physician fields as specified by the drop-down both contain a value the document will be returned. For the RPOC document if No is selected and the Hospice and Attending Physician as specified by the drop-down are both blank the document will be returned. If Yes is selected and either the Hospice or Attending Physician as specified by the drop-down contain a value the document will be returned.
Changes have been made to Patient | Admission/Discharge | Election Period to add a new F2F Exception drop-down to allow users to select from three supplied exception reasons regarding why the provided F2F Date may be missing or outside of the normal expected range. The reasons are supplied and may not be modified. This drop-down is available on the Election Period tab whenever the F2F Date entry is available. Provided reasons available in the drop down are as follows:
Emergency weekend admission
CMS data system unavailable
Patient died within 2 days of admission
Changes have been made to Clinical Document | Initial Plan of Care/Physicians Orders to modify the document to move the drop-down fields/date fields for the Hospice Physician Signature and Attending Physician Signature immediately after the attestation statement below the Certification for Terminal Diagnosis field. These changes will also be reflected on the printed document. Additionally, this document will now allow signature dates for both the Attending Physician and the Hospice (Certifying) Physician to be entered. It is advisable when selecting the Preview Tab from within Document Tracking | Orders/POC/F2F to print these to only return in the results Order Tracking tab older versions or newer versions of the IPOC. Where both versions are present in the results, the expected data may not generate on the Preview tab.
Changes have been made to add two new billing errors in Master Files | Payors/Plans | Payor Billing Errors for the Initial Plan of Care/Physicians Orders (IPOC/PO) documents. The errors are as follows:
Error ID IPOCPOV6A will trigger any time an IPOC/PO document is included in the billing batch and an Attending Physician Sign Date has not been provided in Document Tracking | Orders/POC/F2F and will read "There are Initial Plan of Care/Physicians Orders not signed by an Attending Physician. Order IDs xxx". Once a Sign Date has been entered the error will be resolved.
Error ID IPOCPOV6H will trigger any time an IPOC/PO document is included in the billing batch and an Attending Physician Sign Date has not been provided in Document Tracking | Orders/POC/F2F and will read "There are Initial Plan of Care/Physicians Orders not signed by a Hospice Physician. Order IDs xxx". Once a Sign Date has been entered the error will be resolved.
In addition, the previously used IPOC/PO billing error is now hidden from view in Master Files | Payors/Plans | Payor Billing Errors. This previously used error will still trigger for older versions of the documents with the same Severity level which was previously set.
Changes have been made to Clinical Documents to add a new Show Changes button that will display on all document revisions, but not the original version. When the Show Changes button is enabled, all individual changes made between the prior and current document will display.
Changes have been made to Clinical Documents | Face to Face document to change the attestation statement and physician prompt to attest that the Physician confirms that the narrative is based upon their review of the patients' medical record and/or examination of the patient. These changes will also be reflected on printed documents.
Thank you for being our customer!