Enterprise Edition 14.19 Release Notes

November 20, 2014

Below are the latest updates to Enterprise Edition.

The following icons denote items that you should pay close attention to. These items may need an adjustment to your work flow and processes or set up to function as designed, or to meet regulatory changes and mandates.

firstHOMECARE & firstHOSPICE

Maintenance

• Changes will be made to Accounts | Billing to allow the accurate Authorization Number to pull to 1500 Electronic Claims.

• Changes will be made to Reports | Patient | Encounter to accurately display the Encounter Activity when All Payors is selected in Payor From and Payor Thru instead of using the new Payor filter.

• Changes will be made to Reports | Late Orders Report to pull the accurate current revised 485 ID.

Enhancements

•    Changes will be made to Patients | Physicians to allow physicians to be more efficiently tracked for new CMS Hospice requirements. Please refer to the CMS Final Rule link in the Hospice section for further details on the new requirements.

•  PROCESS CHANGE - Users will now use the From and Thru dates for Patient Physician records. You should not delete Physicians except for scenarios where the Physician was added to the Patient Record in error. In the event that you attempt to delete a Physician, you will receive an Error message stating “Deleting this physician will permanently remove it. To archive the physician for historical use instead, Click Cancel and enter a thru date or click OK to continue deleting.”

A field will be added to enter From and Thru dates for Patient Physician records to allow the tracking of all physicians associated with a patient. Both fields will default to blank. These new fields will allow for a date range to easily track the dates the physician is effective.

The Physicians grid will be modified with the following:

o   The Attending column header will now read Type, and the column data will indicate the type of physician (Attending, Certifying, or Medical Director). Physicians listed in the grid will now appear with the current physician first, followed by historical physicians.

o   From and Thru columns will be added that will denote the dates the physician was tied to the patient. Upon release you will have the ability to enter dates for existing as well as new physicians.

o   The order in which physicians are listed in the grid will display with the most current physician at the top, followed by historical physicians. While you are working in a patient record on the Physician tab adding physicians, the grid will list physicians in the order in which they have been added. Once you leave the record and return to the screen, physicians will be in proper historical order.

A Historical checkbox will be added to allow entry of historical physicians that may have been previously removed from the record. Click the box to select it when adding a historical physician, or to make an existing physician a historical physician. When adding Attending and Certifying historical physicians, their effective dates (From and Thru) may not overlap with any active physicians. If you attempt to add a historical physician with the same dates as an existing Attending or Certifying physician, you will receive an Error message stating “Attending (or Certifying) Physician already set for time frame. Only one is allowed per time frame.” 

• Changes will be made to Accounts | Billing, Patients | Documents, and Patients | Orders to areas where the Patient Physician record exists, to effectively accommodate the newly added Physician From and Thru date fields.
•   Changes will be made to Master Files to add a new Payroll Setup item. Detailed information will be added to iLearning with release of this item. 

firstHOMECARE

Maintenance

• Changes will be made to Patients | Documents to allow the Pediatric Start of Care (Summary and Goals page) to accurately flow all data forward upon revision of the document.

• Changes will be made to Accounts | Billing to present Billing Errors based on only the most current version of the 485. D-02064 Additionally, changes will be made to accurately display the EOEEXISTS Billing Error.

Enhancements

• Changes will be made to Reports | Accounting | Unbilled RAP and Unbilled EOE to add a Include Adjustments checkbox in the filter criteria to add the ability to include gross and net amounts to the reports.

• Changes will be made to Accounts | Billing. Iowa Medicaid homecare claims will have statement From and Thru dates set to the beginning and end of the month. If the patient is admitted and/or discharged during that month, the statement dates will be adjusted accordingly. Charges for the prior month will not be included in the claim.

•   You must set the Master Files | Payor/Plan | Billing Formats Service Billing Options to Group by Revenue Code for Iowa Medicaid claims to run correctly.

firstHOSPICE

Maintenance

• Changes will be made to Patients | Admission to accurately update the NOE Accept Date after a patient’s Discharge Date is entered.

• Changes will be made to Patients | Admission | Notice of Election to accurately pull the agency 10 digit phone number to the NOE. Changes will also be made to disable the Create NOE button until all necessary data is present, to avoid errors due to missing data. Hover text will appear with details regarding missing data. Additionally, changes will be made to set the accurate NOE Accept Date value.

• Changes will be made to Patients | Documents to accurately retain the Pain Screening Tool on page 7 of the Nursing Visit Note upon revision of the document.

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