8.2.6 Release Notes

 

Tracking: FDN Assignment

If minimum balance is not specified, then look at patients with balance 0.01 or higher.

CR# 10090280 - Added Balance Over XX days. This will find any patient with charges billed that are over XX days old.

Added View Report and Open Patient to popup menu.

Searching

Added search controls to the bottom of all reports. This includes clearinghouse reports, auto-apply reports, activity reports, and all reports in the reports section.

The following illustrates how the search feature can be used to find data within your reports.

 

Clearinghouse Reports

SB and SE reports are now included under Payer Generated Reports.

Here is an overview of all the payer generated report types:

Prefix

Description

Clearinghouse Level Reports

CA

Claims Acknowledgement Report

EC

Exclusion Claims Report

Payer Level Reports

CR

Generated Reports that have been provided directly by the payer. These reports have been normalized by RelayHealth into SR, SB and SE reports.

SB

Normalized Payer Batch Reports. These reports show only batch information from CR reports. These reports are now included in tracking.

SR

Normalized Payer Reports. These reports show claim level processing information from CR reports. These reports are included in tracking.

SE

Normalized Payer Error Reports. These reports show only error information from SR reports. These reports are included in tracking.

 

Tracking

Do not allow users to run tracking on date ranges over 365 days without specifying a search by criteria.

Added batch level status information from SB reports.

Added edits control to filter the level of content to display.

Option

Description

All Edits

Shows all status details

Front-End Edits

Shows only status details for front-end (pre-adjudication) edits. This is information that appears in clearinghouse reports.

Back-End Edits

Shows only status details for back-end edits (remittance details). This information comes from auto apply and payment details.

 

Normalized status codes for tracking.

Code

Description

Batch Level Codes

B

Batch Report Message

BR

Batch Rejection

PR

Partial Batch Rejection

BA

Batch Accepted

Claim Level Codes

A

Accepted

E

Remittance Information

F

Acknowledgement and/or Forwarded

I

Request for Additional Information

M

Informational Message

P

Pended

R

Rejected

U

Unknown-Report Default

Z

Zero Payment Claim

 

Normalized Tracking Claim Status Example

Normalized Tracking Batch Status Example

Provider

Added alternate NPI to eligibility configuration

 

2009 Updates

Added 2009 to  pricing wizard, fee schedule, etc.

 

Claims

Fixed issues with 100% payment from the claim section when the claim is entered.

Added height and weight to additional info tab.

Added CPAP DMERC Form under service level forms.

Added LA KidMed Form under claim level forms.

 

Payments: EOB Posting

cr# 10090060 - Corrected issue with changing payers not updating the credit memo line properly. Corrected issue where transitioning from secondary payer to primary payer, reset of payment information was not removing the allowed or payment amounts.

cr# 10089997 - Check for deleted acct credit item when recalculating totals

cr 10083187 - Fixed issue with not being able to commit EOBs.

Reports: Patient Reports: Patients at Collection

cr# 10090062 - add last payment date and last collection dos to collections report.

 

Reports: Patient Reports: Patients with Account Credits

Split account credit field into two columns, account credits due patient and due insurance.

 

Reports: AR Reports: Charges Due Patient - Single Accounts

cr# 10090271 - Added Charges over 30 Days Outstanding Option

 

Reports: AR Reports: Charges Due Patient - Family Accounts

cr# 10090271 - Added Charges over 30 Days Outstanding Option

 

Reports: AR Reports: Charges Due Insurance - By Aging Range

cr# 10090271 - Added Charges over 30 Days Outstanding Option

 

Scheduler

Synchronized background processes to resolve database latch problem.

Fixed cache refresh synchronization issues.

Patient

Fixed setting tertiary effective/term dates

Added Email as a patient export option.

Mail Message

Do not reset message info when user replies to global messages

System

Fixed issue with Unsupported Version/Update screen appearing when there is a server error

Fixed failover problems when communication errors occur.

Fixed rendering issues with login screen when logging in and switching accounts.

ANSI

cr #10088058 - Special rule for customer 10003884. Don't send facility on claims. Facilities are only used for tracking purposes on this account.

Added KidMed K3 Form

Added Real Time Adjudication processing