November 15th, 2014 Dear Practice Perfect user, We are pleased to announce the official release of Practice Perfect EMR + Management Software Version 2.0 R417 Please review the attached list of new features & benefits carefully. Integrated credit and debit card processing is now available within Practice Perfect! Call our support department or email us at [email protected] for more information. This update also includes changes required for Ontario’s HCAI update as of November 1st, 2014. REMEMBER, BACKUPS MUST ALWAYS BE MADE BEFORE PRIOR TO PERFORMING THE UPDATE. UPDATES CAN TAKE TIME TO COMPLETE - BE PATIENT AND PLAN ACCORDINGLY – DO NOT INTERRUPT AN UPDATE. PLEASE CONTACT OUR SUPPORT DEPARTMENT FOR ASSISTANCE IF YOU ARE AT ALL UNSURE OF THIS PROCESS. If you have any questions, please do not hesitate to contact our support department at (877) 510-7473. Thanks again for your continued support! Yours truly, Steven Presement, President -1- -2- Practice Perfect EMR + Management System software January – November 2014, Versions R370-R417 Modification Listing General & Setup: Credit & Debit Card Integration Credit and debit cards can now be processed directly within Practice Perfect without requiring a separate terminal and double entry. Credit cards information can now also be securely retained for future use. Please email us at [email protected] or contact our support department for more information (R384). The ability to accept credit cards from payors, and not just clients, has been added (R391). A new tick box entitled Don’t retain credit card info has been added to the top of the Client, Payment Info tab – if selected, Credit Card information, either manually entered or through the new integration, will not be retained (R394). Blue Side Bar Intermittent issues with this info created by release R384 have been corrected (R385). The # of Future visits is now displayed in the blue sidebar and issues with phone #’s not showing intermittently, introduced in R415, have been corrected (R417). Blue Header A new setting under Settings, Customize Notes entitled Show Last Updates has been added. If selected, the last update date for the client and incident records will be displayed in the blue header (R388). A new setting under Settings, Customize Notes entitled Show Client Balances from all Incidents has been added. If selected, the total of the unbilled and unpaid amounts from all incidents will be combined and displayed instead of just the current incident for the specific client (R388). PQRS/Functional Limitation Reporting (US Only) All PQRS and Functional Limitation Reporting score entry automation and reminders have been implemented (R376). Additional PQRS and Functional Limitation Reporting fixes (R377, R378, R379). -3- The Service Date was coming up as 12/31/1899 if PQRS/FLR entries were being forced prior to any services being entered – this has been corrected (R378). PQRS codes requiring entry at time of Re-Eval (eg; CPT 97002, 97004, etc) have now been automated (R378). The forcing of Initial & Interim PQRS/FLR G-Code entry during service entry was sometimes not working, this has been corrected (R379). The count indicating the Visits since last functional report has been set to include the testing visit as visit #1 and not the subsequent visit as #1 (R383). All 2014 PQRS/Functional Limitation reporting modifications have been made. Key changes include the PQRS Medications (#130) reporting with each visit, additional of Measure #317 for Chiropractic and the removal of several measures that have become registrybased (R397). PQRS/Functional Reporting can now be forced for any payor by selecting the new PQRS/FLR reporting is required… tick box found under Payors, Data preferences (R395). All invoice formats will now report charges in the following order: Regular CPT code, Functional Limitation Reporting codes and then PQRS codes (R397). Additional changes to the handling of PQRS measures #317, #131, #130 and #182 were implemented. Measure #245 was added (R399, R402). The automated 10th visit recording of Functional Limitation Reporting was not working when a daily PQRS code was also required – this has been corrected (R400). PQRS measures #182 and #131 are no longer deemed as being required with each visit (R405). The Billing Provider for PQRS/FLR charges was not necessarily defaulting correctly (caused in R405), this has been corrected (R408). When entering new PQRS Measures for a client, you could not begin the entry with a “#” sign, making dropdown entry difficult – this has been corrected (R410). PQRS measures that are required to be entered at each Re-Eval were also coming up for entry every 10th visit, which is incorrect - this has been fixed (R412). -4- A new option that prevents the daily services from being stored if the associated PQRS/FLR codes are not entered has been added. Basically, if Cancel is clicked during PQRS/FLR entry, the other services for the day will be removed. This new option can be found under Settings, Other Settings and is entitled Enhanced PQRS/FLR Protection (R410). Physicians Job Title will now be included in the exported version of the Physician Listing report (R381). The Website field has been added to the Physician record (R391). The Physician Listing now also contains the Postal/Zip Code (R415). Job Title will now be included in the printed Physician Listing report (R416). Other Contacts The Website field has been added to the Other Contact record (R391). The Other Contact Listing now contains additional address and phone # information (R415). Payors Each Payor’s Fax # will now appear on the Payor Listing (R415). Physiotec The integration with the Physiotec Home Exercise software is now based on the client’s treatment location (so that Physiotec will require notification if you are treating in multiple sites) (R388). Security To prevent accidental overwriting of therapist schedules in multi-location facilities when changes are made, a new security option entitled Allow to copy resource schedules to other locations has been added to the Security Actions tab (R391). Two new security settings have been added – Can complete and sign documents & Can complete and sign other provider documents. Until now, these traits for the documents had been inherited from the same Progress Notes settings – they have now been broken out on their own (R415). Diagnostic Codes A new column has been added to the Diagnostic Code listing allowing the user to indicate if the code is a member of the ICD9, ICD10 or Other code sets (R391). Web Scheduling A new interface has been developed allowing users to view and modify their schedules using their web browsers on any web-enabled device (eg; iPads, etc). You will require the assistance of our support department to enable this new service (R390). -5- The forcing of comment entry on cancels and rebooks, the correcting of hanging issues and the respecting of the Auto Charge settings (for Arrived and/or Completed appointments) have also been implemented on the new web-based scheduling (R392). The F4 pop-up box Some Windows 7 users have reported that the F4 popup box on the scheduler does not always appear correctly. This seems to be a very specific issue related to only a few users on Windows 7. Auto-logout Under Settings, Other Settings, an Auto-logout After # of minutes can now be set for each user – the default is blank meaning that auto-logout has been disabled. If a duration is set, the user will be logged out automatically after the specified # of idle minutes (R398). All report, invoice & document headers All report, invoice, documentation and statement headers will now include email and website information for the facility (R398). Clients: Defaults The default for the Auto Call Phone and Auto Text Phone fields for each client can be set under Settings, Other Settings in the General tab (R391). Client Listing Client Age & Race have been added to the exported version of this report (R381, R383). Diagnostic Codes will now be exported in the correct order as they appear on the Incident, Statistics tab (R384). Extra characters in the zip/postal code export have been removed (R386). The date filtering options have been reworked for this report and it is now possible to print clients who are active (ie; have services recorded) during a specific date range (R381). Client Record Birth Date and Gender have been added to the Guardian tab for each client record. This information is then transferred to the Policy Holder information section automatically if the Guardian is selected as being the Policy Holder (R381). Issues surrounding dropped Birthdate and Gender info caused by R381 have been corrected (R382). A new field called Race has been added on each client’s Demographic tab. This is a drop-down field that can be populated under Housekeeping, Contacts, Race (R381). US Only: A new Place of Injury field has been added to the Incident tab for use with Auto Accident clients. It contains a drop-down of States and will appear on the HCFA-1500 forms in the appropriate position (R395). -6- On the Treatment Plan tab, a new section called Frequency has been added to track compliance, number of visits per ‘x’ # of days, etc – reporting and more information to follow (R408). The Deductible and Co-Pay Show Only boxes (found on the client Billing Rules tab) can now be set to be ticked by default for new client entry. To turn on this new default, visit Settings, Customize Accounting. A new section at the bottom of this panel will now appear entitled Default Billing Rules where these options can be set (R406). The Authorization # field in the Treatment Plan tab has been expanded (R411). Two new status have been added to the Employment Status field, as follows: Full Time Employed Modified Duties & Part Time Employed Modified Duties (R415). Client Profile Sheet Client Drivers License information has been added to this report (R372). Race has been added to this report (R383). An option to Include intake info has been added to this report. If selected, all of the information from the Incident, Intake tab will be printed on the Profile Sheet (R383). A new option has been added entitled Include Client Comments. If un-selected, the blue-header user-entered notes for the client will not be included in the Profile Sheet (R392). The username and date of all client notes will now be included on this report (R405). Billing Rules (US Only) Available units (Total Units and Units per Day) will no longer be reduced for charges with a fee total that is either $0.00 or $0.01 – this is to address the unit value associated with PRQS and FLR codes which should not be reducing the total availableunits (R392). Authorized Providers & Security A new tab has been added under the Incident panel entitled Auth Providers. In this tab, you can add a list of Providers authorized to access the client’s information as setup in the security settings. Any provider listed on this tab will be treated as if the client is theirs and not just the Managing Provider’s (R400). -7- Invoices, Payments & Service Entry Client Activities by Service ALL services on each Client’s Activity by Service screen can now be expanded at once by clicking on the Expand All icon on the column title line of the screen. The detail can be collapsed by clicking on the Collapse All icon which will appear in the same position (R381). Pressing the F4 key while highlighting any specific service line will now pop-up a box containing Diagnostic, Body Part, Injury and Modifier codes associated with that charge (R392). The username who entered the charge will now also be displayed (R404). Transferring of Charges US Only: $0 charges (eg; PQRS/FLR codes) were not being transferred to subsequent payors if those payors had an EDI billing style – this has been corrected (R382). Services transferred between incidents will no longer have any previously unapplied payments transferred, as well (R404). Fee Code setup Under Payor Rates, if For Predictive Use Only was indicated then that Fee could not be disallowed – this has been corrected (R384). Payor Rates will now be listed alphabetically by payor (R406). Invoices/Receipts When producing invoices/claims, an additional option to select the Fee Type for which to invoice been added (R374). Claim # information is now being stored with the invoice meaning that reports and invoice reprints will contain the correct Claim #, based on time of invoicing, and not the current Claim #, if it has changed (R372). (US Only) A new option, under Settings, Customize Invoices for all Generic Invoice/Receipts entitled Show Modifiers has been added. If selected, Modifiers will be included on these invoices (R400). A new option has been added allowing the user to copy the current Policy, ID, Group and Claim identifier information to previously created invoices, generally for reproduction or resubmission. This is performed from the client record, under the Policy/Claim tab using the new Copy Policy/Group/ID/Claim #’s to old invoices button (R391). Please note that once performed the changes cannot be reversed. -8- The newer Do not invoice charges with incomplete daily notes option (under Payors, Billing Preferences) was using the transfer date as its trigger, not the original treatment date – this has been corrected (R397). A page-size issue introduced in a recent update has been corrected (R400). Diagnostic Codes listed on generis invoices will now appear in the order that are listed on the Incident, Statistics tab (R405) A new option has been added to the Payors, Billing Preferences tab entitled Hide patient information. If selected, all generic invoices for this Payor will only show the client’s File # in the invoice header without any other identifying information (R404). The ‘Behalf of’ phrase was sometimes appearing on generic invoices incorrectly – this has been corrected (R405). Fee Descriptions containing the “#” symbol were being truncated, this has been corrected (R407). When preparing individual invoices, a new option entitled Email appears next to the Print, Preview and Cancel buttons. This can be used to email invoices directly to clients. The setup for this new function can be found under Settings, Customize Email Appointment/Invoice notification (R404). The Email button will now only appear for clients who have an email address on-file. If multiple clients are flagged and even one does not have an email address on file, the Email button will be disabled (R407). The Email button will also be disabled if all flagged invoices are not of the Generic style (R410). Receipts Long Provider Name & Registration information was being ‘cut-off’ on the receipts – this has been corrected (R400). Payors (US Only) Next appointments shown on invoices/receipts will now reflect the soonest date based on all incidents, not just the current incident (R381). A new option under each Fee Code in Payor Rates tab now allows for the inclusion of the actual service description on HCFA, eHCFA and EDI837 claim formats. This new option is entitled Include description on HCFA/eHCFA/EDI837 and should only be used if instructed to do so by a specific Payor (R388). -9- Also under Payor Rates, a new option entitled Ordering Provider required has been added. If this specific item, usually a DME, requires an ordering provider to be included on the EDI837 invoice for the specific payor, this option should be selected (R388). Payment Entry Overpayments on a client’s account will now be automatically applied to services transferred back to the client during payment entry if the Apply overpayments during service option has been selected (R388). Service Entry (US Only) Modifiers contained within Payor Rates were not being respected in favour of modifiers being broughtforward from previous charges – a combination of the two has now been implemented allowing for the proper modifiers to appear during service entry (R379). A new field entitled Billing Provider has been added to all service entry screens. This new field should only be used to override the provider that will appear on all invoice styles for that particular service. All existing Billing Provider defaults remain in place (R400). Corrections to which Billing Provider is used by default during service entry have been made. The default will now always be to the Billing Provider, if specified, from the client’s Incident tab (R406). Treating and Billing Providers were not being retained when multiple services were entered where no Managing and Billing Provider existed in the client’s incident – this has been corrected (R411). Activities by Payment All Activities by Payment screens have been modified to enhance performance and clarity. A new column entitled Other Paid has been added to reflect other transactions that reduce the balance of each specific charge such as write-offs, transfers, etc – instead of lumping them in with the Paid amount (R400). On the Payor Activities by Payments screen, there are two new filter options in the grey area above the listing where both Year and payment Type can also be selected (R400). Scheduler: Waiting List It is now possible to jump directly to a client’s full record from the Waiting List by clicking on the new Client icon (R381). A new function has been added to the scheduler allowing an appointment to be cancelled and immediately moved to the Waiting List for future processing. While on an - 10 - appointment cell, right-click and then select Move Appointment to Waiting List – the appointment will be cancelled and transferred to the Waiting List (R384). If a waiting list client’s Expiry Date precedes the Request Date, the user will now be warned (R415). The client’s home phone # has been added to the Waiting List listing (R415). Find Appointments By popular demand, the Pending appointments function now includes any appointments from the current date, as well. The Pending button will also now override any other report settings that were entered previously (R370). The Find Appointments report will now also include Time in and Time Out if they have been supplied (R382). A new option to Include Deleted Resources (eg; Scheduled Providers that have since been removed) has now been added to this function (R417). Pending Appointment Report A new option has been added to this report to Include appointment notes which will force any specific appointment note to be printed under each future appointment date (R383). The Ending On date for the Pending Appointment report may now be modified prior to printing (R388). The header of this report will now indicate the client’s Incident Service Office (R406). This report will now ignore any appointments that had been setup under a now-deleted Scheduled Resource (R406). The comments on this report will no longer print in an italic font (R414). Day Sheets & Day at-a-Glance An option to Include # of future appointments booked has been added to this report (R383). The Total # of Appointments is now included at the bottom of these reports (R416). Client Attendance Report An option to Include client address info has been added to this report (R383). All client Phone #’s have also been added to this report (R383). General The scheduler would freeze if the user attempted to visit a day prior to when a scheduled resource began – this has been corrected (R378). - 11 - If a provider had only special shifts and no regularly scheduled hours, appointments were not being shown – this has been corrected (R380). When returning to the scheduler, the client displayed in the blue header is the first client of the day. However, service entry, if selected, may have been applied to the previous client in-use, this has been corrected (R415). Week-at-Glance The Provider Name was not been shown on the Excelexport version of this report – this has been corrected (R388). Appointment Labels The time on next appointment labels will no longer be shown in military format (R398). Groups The Group Listing will now behave like the Client Listing, with the ability to drop-down and filter Active Groups, Discharged Groups or ALL Groups (R415). Quick adding of clients When quick-adding a client from the scheduler, Assessment Date can now be supplied at time of entry (R415). Reporting: Provider Performance Summary Rebooked appointments will Cancellation counts (R372). now be included in A bug that sometimes reported negative unscheduled hours has been corrected (R398). Billing Sheets Rooms & Equipment, if part of the client’s appointment, will now be included on this report (R385). Revenue Report The # of unique incidents, along with the # of unique clients, will now be included on this report (R383). A Summary by Fee Type has been added to this report (R383). A new option entitled Show zero charges only has been added to this report. If selected, only charges with a net $0.00 amount will be reported (R391). A new Treatment Location filter has been added to this report. Revenue generated at a specific, external location based on the Treatment Location field in the booked appointment will be reported, if selected (R392). Please note that this does not refer to the Office Location at which the appointment occurred, its for external appointments only. - 12 - A bug in which negative Visits and Quantities were being incorrectly reported on each detail line of the Revenue Report has been corrected – totals were always correct (R392). A new option on this report entitled Include Checked-In Duration will cause the report to include each day’s appointment duration based on the check-in/check-out time from the scheduler (R410). A bug in which this option was automatically enabled when the report was run using the Show providers individually option has been corrected (R414). The Total Value was reporting incorrectly when the Use predictive values option was invoked – this has been corrected (R414). Compensation Report A Summary by Fee Type has been added to this report (R383). Payment Application Report Fee Type has been added as another filter option on this report (R381). Show client payments and Show Payor payments have been included as options on this report allowing to you select only one, if need be (R383). Ledger has been added as a new filtering option to this report (R384). Sales Taxes will now be separately outlined in the summary section of this report (R385). A Summary by Division section has been added to this report (R404). Account Statements Statement production speed has been improved (R370). Additional statement detail content fixes have been made (R379). A balance error created in release R379 has been corrected (R381). Aging Totals will now match the statement balance and include unbilled services (R384). A recently-introduced bug causing the printing of the tear-off section even when there was a $0 balance has been corrected (R404). When preparing individual statements, a new option entitled Email appears next to the Print, Preview and Cancel buttons. This can be used to email statements directly to clients. The setup for this new function can be found under Settings, Customize Email Appointment/ Invoice notification (R404). The Email button will only - 13 - appear for clients who have an email address on-file (R407). Please note that mass emailing of statements is not available. Patient Fall-Off Reporting An issue involving Statements not being produced where a guardian existed has been corrected (R406). Empty client birthdates were being printed “12/30/1899”, this has been corrected (R370). Operations Summary as When printed using the ‘by scheduler’ option, clients with cancelled and no-show appointments were not being included as having fallen-off attendance (R372). Rebooked appointments will Cancellation counts (R372). now be included in A new Use Predictive Values option has been added to this report (R382). Payment Journal The # of unique incidents, along with the # of unique clients, will now be included on this report (R383). The Summary of Payoff by Aging section of the payment journal was totaling incorrectly due to a recent update, this has been fixed (R382). Ledger has been added as a new filtering option to this report (R384). Daily Reconciliation A Division Summary has now been included at the end of this report (R391). A new Use Predictive Values option has been added to this report (R382). The Daily Reconciliation report will now indicate if a charge has been entered for the day but is missing a visit count (eg; charges entered, but no visit count within those charges), which would skew reporting and visit count down calculations (R383). Problems with this new indicator showing when not appropriate have been corrected (R385). Unpaid Services Report The client’s phone # information has been added to this report (R382). Network has been added as a filter to this report (R383). Changes to how transfers are handled on the back-dated version of this report have been made to enhance accuracy (R411). Payor Kind has been added as a filter on this report (R417). - 14 - Client Listing Include Appointment info and Include Physician info have been added as options to this report. Appointment info shows first and next appointment dates (R383). A new option that shows all clients whose first recorded treatment is within a date range has been added through the Show drop-down field and is entitled Clients first visit date from (and to). This is independent of Contact and Referral dates (R397). The client/incident count was incorrect when the Include Payor Info option was selected – this has been corrected (R400). Certain payor info was being brought forward from patient to patient on this report, this has been corrected (R409). The No Further Contact field will now be included in the exported version of this report (R416). Unbilled Services Report Square brackets [ ] in Contact Log entries were causing this report to produce errors – this has been corrected (R383). A Division Summary has now been included at the end of this report (R391). Backdating of this report became inaccurate in a recent update, this has been corrected (R417). Accounts Receivable Report Network has been added as a filter to this report (R383). A Division Summary has now been included at the end of this report (R391). Claim #’s will now be included on this report for all clients (R398). Shading to separate invoices was not working on the Payor version of this report – this has been corrected (R398). The Show Invoice History option will now detail the services on each invoice in a more detailed manner (R407). An error occurred when running the report based on Date of Service, introduced in R408 – this has been corrected (R411). The client’s Date of Birth has been added to this report (to the client-based version) (R416). - 15 - Payor Kind has been added as a filter on this report (R417). Contact Log Follow Up Report The Location will now be included in the Contact Log reports (R383). A new field has been added to each Contact Log entry entitled Responsible Party. Tasks can now be assigned to a secondary party and this report can now also be filtered by this new Responsible Party field (R392). When entering a new Contact Log item, there is new tick box entitled Create Reminder – if ticked, a Reminder will be created based on that Contact Log entry (R397). The contact’s full name will now be added to the reminder text, as well (R415). The Client File # will now appear at the bottom of the printed version of this report (R417). Treatment Statistics Report Payor and Division have been added as filtering options on this report (R383). Treatment cost and length of statistics are now displayed even for Active clients along with a warning indicating that the results may be skewed due to their inclusion (R383). A new option entitled Only base on primary diagnosis has been added to this report. If selected, all of the statistics reported will be based purely on the first (primary) diagnostic code, body part and injury code, as if the subsequent codes were not attached to the client’s record (R392). Client Missing Fields report The Client Missing Fields report can now be customized based on Division so that the user can specify key fields required based on patient type. To setup the fields required per division, go into the Divisions listing (from Housekeeping, Contacts, Divisions), highlight the Division in-question and select the new Required fields icon – you can then select the required fields to be tracked from each tab of the client record (R393). Assessment Date and Incident # (Canadian only) have been added, as options, to this function (R416). Invoice Journal Deleted invoices were reporting incorrect units when this report was run by Date of Entry – this has been corrected (R395). Funding Report The remaining deductible amount was not being reported correctly, only the original amount – this has been corrected (R409). - 16 - Any # of weeks remaining that is less that 1 will now show the actual # of days remaining (R411). Remaining Units has been added as a new filter on this report (R417). Documentation/EMR Canned Documents The spelling of ‘color’ and ‘colour’ has been set accordingly, depending upon the Country of the user (R372). Insurance identifier information, if selected, will now appear on the bottom of ALL pages of these reports (R383). The ability to add a Body Map has been added to all Canned Documents (R385). A new option entitled Show services performed has been added to the printing of all canned documents and will report on all services performed on the same date as the document (R392). A new tick-box entitled Discharge Incident has been added to the Discharge Summary report to prevent premature discharges if the report was initiated accidentally (R405). Multiple Discharge Summaries may now be added to each incident – a warning will appear if more than one of these documents exists within an incident (R417). The 5-line limit in the CC: field has been removed along with extra blank lines that were being printed (R416). Daily Notes The Activity by Daily Note screen was showing quantity in favour of visits/units if a quantity existed – this has been corrected, Visits/Units now take priority (R372). Identification information for payors deleted from the client’s billing rules were being printed, this has been corrected (R378). The Goals Completed icon was not always being updated correctly if no Goal Code was provided, this has been corrected (R388). A loophole allowing a Daily Note to be stored without a provider has been closed (R398). - 17 - The Goals entry screen has been renamed to Goals & Tests – a new section now exists at the bottom of this panel where functional test scores can be entered for the specific visit. These tests can be setup under Housekeeping, Clinical, Functional Tests. Plans are in the works for statistical reporting based on test results and inclusion on daily notes (R398). This panel has been resized to allow for more room for goal entry (R415). The Compact Notes printed version will now also include the client’s File # at the bottom of each page (R406). The Compact Notes printed version was sometimes including a blank goals header with no details, this has been corrected (R411). The security setting Can Complete and Sign Other’s Providers Notes was looking at the Managing Provider and not the author or the note – users could not necessarily sign their own notes if this security option was in force – this has been corrected (R411). If fee codes were entered for a given day prior to the daily note being initiated, the previous day’s SOAP note would not have been brought forward – this has been corrected (R410). A new option to Include Location Code on the printing of the daily notes has been added (R409). During daily note entry, the appointment length will now be displayed near the check-in/out times (R415). Annotated Notes If, while entering an annotated note, the back-arrow icon was clicked, the note would not be saved. This has been corrected (R377). Quick Service Entry The Quick Service Entry screen can now be used from the entry of both canned and customized documentation bringing it in line with service entry on Daily Progress Notes (R392). A loophole allowing the entry of services missing a Service Location and/or Diagnostic Code, if indicated as being required, has been closed (R406). The entry of Fee Codes not allowed by a specific payor during Quick Service Entry was causing the user to be stuck in a data entry loop that could not be exited – this has been corrected (R408). Billing Provider and Treating Provider fields have been added to the Quick Service Entry panel (R407). The Treating Provider can no longer be left blank (R409). - 18 - All services entered through Quick Service Entry panel will now reflect, by default, whomever the appointment was scheduled with as the Treating Provider – it will no longer come from the Managing Provider, correcting a bug that was introduced in R407 (R411). Web documentation Goals were not being retained during the web-based entry of Daily Goals if a Goal Code had not been supplied, this has been corrected (R370). MS-Word Integration The Referring Physician Company Name field has been added to the Word-merge function along with all information pertaining to the Policy Holder (Address, City, State/Prov, Code, Phone # info) (R381) and Birth Date (R383). Diagnostic Codes will now be exported to MS-Word in the order that they appear on the Incident, Statistics tab (R383). Last Visit Date has been added as a new field available for MS-Word Integration (R417). Imported/Scanned Documents The Print icon will no longer be highlighted for scanned and imported documents on the Activities by Document panel, when flagged, since these documents need to be opened first before they can be printed (which was always the case) R406. *.MOV files can now also be imported into the document record – a 20 megabyte limit has been imposed, per file (R417). Customizable Documents The first version of Customizable Documentation has been completed – under Housekeeping, Customized Document (R383). Information on the usage of this feature can be obtained by visiting: www.practiceperfectemr.com/customhelp.pdf A new Date field-type has been added to the Customized Documents (R385). The ability to add a Body Map has been added to the Customized Documents (R385). Client Age and Incident Managing Provider (name, credentials, License/NPI #) have been added to the Customized Documents available fields (R388). Table Labels can now be formatted to be bolded, underlined or italicized (R388). The Description column in a table is now definable (R388). - 19 - Field headings will now also respect bold, underline and italic settings even if they are not deemed as labels (R388). A new option entitled Show services performed has been added to the printing of customized documents and will list all services performed on the same date as the document (R392). Customized drop-downs were not working properly where spaces existed in the specific drop-down texts (they were treated as separate items) – this has been corrected (R392). Table wrap-around issues; long label issues and the ability to bold/underline/italicize field names have all been added to the customized documents (R389). Goal table contents will now also wrap-around, if needed (R396). A bug had caused the Single Line Text fields and new Client Address block fields to interchange – this has been corrected (R404). A new option entitled Include Date of signature has been added to the printing of these reports – the signature line format is now consistent across all documentation types (R392). Tables that are completely empty will no longer be printed on the final reports (R396). Physician Fax #, Client Address block, Client Home Phone # and Client Work Phone # have all been added as field options (R400, R401, R402). The field type drop-down list has been rearranged into a more usable order (R400). A bug where an “L” was shown for a multiple line label has been corrected (R398). The phrase Evaluation Date has been changed to Document Date both on-screen and printed on Customized documents (R406). The Activities by Document listing was not showing the Status (Incomplete, etc) for Customized documents – this has been corrected (R408). The retrieval, printing and previewing speed of the customized reports has been enhanced (R411). The Do not print if blank option was not working on tick box fields, this has been corrected (R414). - 20 - US Electronic Invoicing HCFA/EDI837/EDI835 (US only) NEW HCFA/EHCFA 1500 (2014) forms The new HCFA-1500 2014 version invoice formats are ready for use. Under each Payor, there are two new invoices styles entitled “HCFA-1500 Red form (2014)” and “HCFA Ebill (2014)”. The old formats have not been removed and now contain the word “Legacy”. As your insurers require you to change to these new formats, change your Primary and Subsequent invoice styles accordingly (R397). A bug preventing the Payor Idenfitier from being included on both the Legacy and 2014 eHCFA invoice styles has been corrected (R400). Box 12, Date of Signature, for the 2014 HCFA/eHCFA has been re-instated (R398). A new Payor, Billing Preference has been added entitled Box 32 to be included on all HCFA/eHCFA forms – this is to accommodate specific payor requests for Box 32 to be reinstated even it is identical to Box 33 (R400). A bug related to which insurance information was shown in all Box 9 fields when there were multiple payors has been corrected (R404). Errors on the HCFA Submission reports relating to Other Insured’s Policy/group # Box 9a have been removed, they were redundant (R407). Dashes will now be stripped from the clinic SSN Box 25 (R409). Corrected an error where payor info may have been brought forward between claim forms (R410). EDI 835 Remittance Processing Multiple adjustments contained within one adjustment CAS line will now be processed (R370). New remittance codes N356 and 246 have been added to record PQRS/Functional Limitation Reporting results (R377). Unit fields in a CAS adjustment line will now be ignored (R383). NM1 segments containing no first name will now be processed properly (R404). - 21 - The DTM*232/233 Statement Time Period will now be handled when these is no DTM specified under the service lines (R406). The ‘NON’ type payment was not processed in a regular payment way, and all the adjustments were not processed properly – this has been corrected (R414). EDI 837 Claim Submission Hyphens are now removed from the 2330A loop in the REF segment (R373). Corrected an error in which the SSN from the secondary policy holder was not included if the policy holder was the client (R374). Added REF Service Facility Location secondary identifier in loop 2310C (R377). Fixed a bug that excluded an asterisk in REF segment of loop 2310C (R378). A new option to use payor # for HCFA 32b & 33b in EDI5010 files has been added (R378). A segment count error has been corrected (R382). Guardian birthdates and Genders were not being included in the file properly – this has been corrected (R383). The DMG segment has been dropped by loop 2320 (R385). The Date of Injury was not being included in the EDI837 file for Workers Compensation claims – this has been corrected (R388). The Ordering Provider will now be included in loop 2420E, if selected in Payor Rates for a specific Fee Code (R388). The Fee Description will be included in SV101:7 if the Include Description… option is selected in the Payor Rates for a specific Fee Code (R388). Loop 2310A was missing when a fee code requiring an Ordering Provider was used – this has been corrected (R397). Unapplied payments will now be excluded from all submissions (R401). When selecting to “Show Treating Provider” in the EDI/HCFA Box 33 show field (under Payor, Billing Preferences), the treating provider’s address will now be used (R404). - 22 - A bug that returns undefined payor sequence code information when dealing with older information has been corrected (R406). Errors on the EDI837 Submission report relating to Other Insured’s Policy/group # have been removed, they were redundant (R407). Merge line level of loop 2340 claim adjustment strings in EDI 5010 (R410). If both EDI4010 and EDI5010 style invoices were prepared in the same batch all claims were duplicated, this has been corrected (R411). Legacy CMS-1500 form claims submission If an amount was $0.00, it was being show as “.00” and not “0.00” – this has been corrected (R374). The client’s and insured’s middle initial will now be included in Boxes 2, 4 and 9 on the printed HCFA form (R378). If the At Home box is ticked in the client’s incident tab, the home address will now appear in Box 31 of the HCFA and eHCFA forms (R383). Guardian birthdates and Genders were not being included properly – this has been corrected (R383). A new option entitled Do not show payor info on HCFA/eHCFA has been added to each Payor’s detail under the Billing Preferences tab. If selected, the name and address of the payor will not show in the upper righthand corner of the HCFA/eHCFA forms as per special request from specific payors (R392). eHCFA claims submission Dashes will now be stripped from the clinic zip code (R370). The client’s and insured’s middle initial will now be included in Boxes 2, 4 and 9 on e-HCFA claims (R378). Errors on the eHCFA Submission reports relating to Other Insured’s Policy/group # Box 9a have been removed, they were redundant (R407). Dashes will now be stripped from the clinic SSN Box 25 (R409). Reproducing HCFA/eHCFA claims An obscure error in which reprints of these invoice styles would not be produced properly has been corrected (R382). - 23 - Canadian Electronic Invoicing (Canadian only) Ontario OHIP For OHIP clients, in Ontario, a new Exp Date field has been added next to the Health # field on each client’s record in order to track OHIP expiry dates (R397). No actions yet relate to this new field. Ontario HCAI Several provider types were added for HCAI: Kinesiologist, Acupunture & Chinese Medicine (R404). OCF23’s and OCF18’s can now be prepared and transmitted directly to HCAI from within Practice Perfect! Please contact our support department for more information about the usage of this new feature (R415). Correct an issue that returned an incorrect OCF version for the OCF21C – introduced in R408 (R410). Mandatory HCAI changes making use of the new HCAI Toolkit 3.12 11/01/14 have been completed (R415). Several fixes to the R415 HCAI release have been made to allow for OCF21 submissions (R417). Alberta The address block has been reworked to better fit the invoice (R398). British Columbia MSP claim # validation now takes into account that the second digit could be a letter and not necessarily a number (R405). MSP remittances will now ignore all X-Charge (integrated credit card) payments which had been causing MSP payments to show as being ‘Previously Applied’ (R405). Teleplan submissions were not making use of regular Fee Codes, but only the special fee codes setup under the ICBC/WCB/MSP Invoice Settings, Fees tab – this has been corrected (R405). In order to accommodate the recording of $0 treatment visits under the new British Columbia WCB guidelines, services can now be set to NOT transmit to Teleplan. This new setting can be found under Settings, ICBC/WCB/MSP Invoice Settings under the Fees tab by using the new Do not transmit column (R404). - 24 -
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