Analytics
NEW: Chart Routing Dashboard (Platform Customer Exclusive)
This dashboard allows retrieval managers to view EVE chart sorting efficacy and intake performance metrics so that they can better manage their retrieval programs.
UPDATE: Report Date Filter
Date Picker has been replaced with Calendar Date Picker for the below reports. The Date format is MM/DD/YYYY instead of YYYY-MM-DD.
- Intake Productivity Report
- Provider Outreach by Contact Type Report
Admin
NEW: My Chases - Completed Assignments
Coders/Abstractors can view their work history from My Work\My Chases. If user accesses a completed chase, they will see a “Read Only” version of the chase
UPDATE: Users
The label UPLOAD USERS has been replaced with “BULK MANAGE USERS,
Clinical
NEW: Clinical Submit and GetNext
If there are no assigned chases in the queue of the user: a new chase will be assigned, and the user will not be directed to “My Work” page. If no chases available for assignment, then the user will be redirected to “My Chases”.
NEW: Annual Wellness Visit (AWV)
New measure AWV is available for MY 2023. No NLP for Overread as it is new measure.
NEW: HEDIS: Dual Screen Sync
The ability to code on two monitors at the same time with both screens running in real-time synchronicity. The Document will open in a new browser window.
Screen sync icon is available for all HEDIS Project types: Chase, Member, and Gap
- Icon on click: Screen sync icon disappears
- Primary Screen
- Displays the Document Manager thumbnails
- Thumbnail click updates medical record page selection on Secondary Screen
- Primary screen hides the document manager bottom navigation
- Primary Screen supports Overread Feedback module
- "Close" Window Click
- Screen Sync is disabled
- Single view is restored on the secondary screen
- Secondary Screen
- Medical Record is launched in a new browser window
- Medical Record Pagination is updated upon thumbnail selection on Primary Screen
- Medical Record Scroll Position is updated upon thumbnail selection on Primary Screen
- "Close" Window Click
- Screen Sync is disabled
- Single view is restored on the primary screen
- When Screen Sync enabled, users can
- Manage pages
- Request new documents
- Upload documents
Single View
Screen Sync
UPDATE: Chase query
In the past, when the user renders chase query page, there is fraction of seconds the older filters being shown and then they get overwritten with new layout. This has been fixed and no flickering will appear when loading chase query page
UPDATE: HEDIS MY 2023
Following measures have been updated for HEDIS MY 2023. Now the system has capability to handle two years: MY 2022 & MY 2023 simultaneously.
BPD, CBP, CCS, CIS, COA, COL, EED, IMA, LSC, PPC, TRC, WCC
UPDATE: Highlights are updated to underline on default state. Highlight overlay will appear upon hover
RISK 2.0
NEW: Risk 2.0 New Project Settings: “Is Coder required to review all Admin claims Encounters and Diagnoses?”
Determine if coder is required to review all admin claims info (Encounters and Diagnoses)
- If selected “Yes”: Coder cannot submit the chase unless every admin encounter and diagnosis have been reviewed
- Encounter reviewed = User selected Yes/No for validation on every claim
- Diagnosis review = User has applied a VRC to every admin Dx
- If selected “No” Coder can submit the chase even if every admin encounter and diagnosis have not been reviewed
- There must be at least 1 valid claim for chase submission
- If ENC is 'Not Reviewed', no pursuit is created upon submission
Information on hover:
"If yes, all claims must be reviewed. If no, claim review is optional. Note: there must be at least 1 valid claim for chase submission."
NEW: Hide Thumbnail in RISK 2.0
When a user disables Member, Encounter and/or Diagnosis Filters
- Thumbnails not containing above evidence will be hidden and not just the labels
- If a thumbnail has multiple evidence, it will be hidden only if all the filters have been disabled
- When all the filters are enabled except No Evidence filter
- When “Member Name” filter is disabled: Page# 2&3 have been hidden
UPDATE: When Admin Encounter is set to No, users can still view Admin Dx cards in Read Only view
User can click to expand Admin Dx card to view additional details
UPDATE: EVE Encounter Validations are no longer prepopulated
UPDATE: User can view EVE suggested diagnoses prior to validation in Read only mode
- If any EVE suggested Encounter is set to “NO”, User cannot validate any diagnosis. However, diagnoses cards can be expanded to view details
- Diagnoses cards are disabled until user set the encounter to “YES”
- Once any EVE suggested Encounter is set to “YES”, user can validate the diagnoses
UPDATE: Submit Tab: In addition to Valid Encounters and Non-Valid Encounters, ‘Unreviewed Encounters’ are also displayed
Submit Tab: In addition to Validated Dx and Not Validated Dx, 'Unreviewed Dx' are also displayed
Invoices
UPDATE: Member Name is displayed in Invoice Grids
Retrieval
NEW: Support Multiple Contacts at AIDs
Multiple contacts can now be loaded into an address if desired. A contact is defined by a unique phone number, and each phone number can have a different name, email and fax number associated to it. If the data load contains multiple phone numbers with the same address, the contact names associated with each phone number will appear as a drop down. If no contact name is available, it will appear as ‘Contact 1’, ‘Contact 2’ etc. In order for a request to be sent, one of the contacts must be set as the ‘Primary Contact’. This is the contact that will receive the request. All existing contacts will be automatically set as the primary contact for their address.
NEW: Provider Lookup Tool for Retrieval
Retrieval users will now have access to the NPI database by navigating to the ‘Providers’ tab within an AID and clicking ‘Provider Search’. This will open up the NPI database where users can search by provider name, NPI, address, phone or fax. The phone number for a provider can be called by simply clicking ‘call’ next to the provider’s name. This will automatically create a ‘Research Call’ which will indicate that the provider search tool was used
NEW: “Move Provider” functionality to improve chase move process
The chase move process has been streamlined by allowing users to move all chases associated to a provider in a single action, as well as bypass the chase move approval process. When performing a provider move (or chase move) the user will be prompted to enter the new address, new contact information, and new retrieval method which will allow the chases or provider to be automatically moved to the new address without requiring manager approval.
UPDATE: EMR field in address information has been changed from free text to a drop down.
If the desired value is not available, user can select ‘Other’ which allows them to enter the value in free text. Existing values in free text field will be automatically mapped to new values when possible.
Provider Gateway
NEW: New Pursuit Request Page
A new page has been added to provider packets specifically for requesting pursuits. If no pursuits are included in a request, there will be no changes to the existing provider packet. For document request pursuits, each document that is requested will appear in its own row with the appropriate description and time frame. If the pursuit is for a specific date of service, the description will appear as ‘all available documents’ with the specific date(s) of service listed. If the pursuit type is DOB/GEN it will appear with a description of ‘member demographics’. If the pursuit is an attestation, the description will appear as ‘provider signature’
NEW: System Generated Attestations
When a request includes an attestation, the attestation form will now be automatically populated with the member and provider names as well as the specific dates of service for the associated chase.
UPDATE: Provider packet has been updated with a bold footer to improve visibility for providers as well as the intake team
UPDATE: Pursuit details will now be displayed in the timeline of the parent chase as well as the comments of the pursuit. This will help to increase visibility for retrieval users as they are requesting pursuits from a provider. Simply clicking ‘comments’ in the chase grid will open the comments window and display the contents of the given pursuit.