Page History

Modified options and functionality in the Plan / Claims tab / Plan Claim Options section:

• Procedure record 99100 is appended to the case if the following are true:
  • The Plan allows extreme age modifier option is selected for the insurance plan
  • An anesthesia procedure is added to the case
  • The patient is of ‘extreme age’ (<1 or >70)
  • Procedure 99100 is not already on the case

• Procedure record 99140 is appended to the case if the following are true:
  
  • The Plan allows emergency condition modifier option is selected for the insurance plan
  • An anesthesia procedure is added to the case
  • The case is marked as an ‘Emergency’
  • Procedure 99140 is not already on the case

14573, 14593

New Set physical status modifiers to first position option added to the Plan / Anesthesia tab / Custom Logic section. If selected, the Physical Status Modifier is appended to the first modifier position on both paper and electronic claims.

Payment Batches

13997, 14514

Added Acct Date field and Account Date filter to the Payment Batches tab.

Refunds

14173, 14558

The prepend text added to the beginning of the Memo description on a refund check (e.g., Refund to Insurance, Refund from Suspense) was removed to provide additional space for displaying more of the specific refund description text.

These edits apply to both Print and Reprint functionality.

Reports

12740, 13492, 14506

Case Reporting Type added as a Group By search option to the:

Support Menu

14419

Added Email Support link to the Support menu.

14447

Added a system check to prevent users from adding, updating, or deleting Case Hold Reasons on submitted cases.

Create button disabled on the Case / Case & Claim Holds tab unless the Place case on hold option is selected.

Code Updates

14869

Added 2022 Q1 code updates:

• CCI Edits
• GPCI Codes

Collection Letters

14614

Confirmation message added to the Delete activity for Collection Letters.

Eligibility

14525, 14698

Added new Check Eligibility button to the Charge Batch / Charge Batch Information tab to access the Check Eligibility window and submit Eligibility inquiries.

14528, 14774

Added functionality to display an Error Report of all rows that cannot be submitted for eligibility when the Error Report button is clicked on the Check Eligibility window.

14530, 14694

Search window added to the Eligibility tab of the Charge Batches page.

14535, 14921

Added new Eligibility role to Back Office with options for View and Create rights.

14547, 14696

Added Export 271 button to the Charge Batches / Eligibility tab. Clicking the button allows the user to export and save the 271 text file.

14552, 14697, 14777, 14778

Added Eligibility tab to the Charge Batches page. The tab is utilized to review submitted Eligibility requests and responses.

14693, 14695

Added Check Eligibility window, accessible from the Charge Batch/Charge Batch Information tab. The page is utilized to submit Eligibility inquiry requests.

Payers & Plans

14375

Added new Case Time – Minutes worked option to the Box 24g drop down options on the Plan / Paper Claim Options tab.

Practices

13740

Updated the DLT104 Refund Check format adding the following information to the check stub:

• Plan
• DOS
• Patient Name
• Claim #

Refunds

14604, 14686

Added Payee Address field to the Refunds page.

Reports

13534

Updated the Charge Payment Posting Summary report by adding:

• New group by options in the Primary Group By, Secondary Group By, and Tertiary Group By fields:
  • Rendering Provider
  • Referring Provider

13603

Updated the Insurance Payment Denial Detail report by adding new:

• Fields: Payment Rank, Created Date, Case Reporting Type, Facility Case ID
• Report Parameter: Created Date to the Date Mode options

13723, 14876

Updated the Practice Performance Summary report by adding:

• Secondary Group By and Tertiary Group By fields to the report Parameters options.
• New group by options in the Primary Group By, Secondary Group By, and Tertiary Group By fields:
  • Referring Provider
  • Place of Service
  • Type of Service
• New report fields:
  • Malpractice RVU
  • Facility RVU
  • Non-Facility RVU

14105

Updated the Production Analysis Summary report by adding:

• New Date Mode report parameter
• New Group By parameter options:
  • CPT
  • ASA
  • Financial Class
• New report fields:
  • Insurance Payments
  • Guarantor Payments

14393

Added new Practice Detail report.

14600

Updated the Payment Analysis Detail report with added fields:

• Case ID
• Facility Case Number
• Check Number

14609

Modified the Anesthesia Case Utilization – Case Output report:

• Added logic to return all cases within the specified time range, regardless of the rendering provider’s time.
• Added Place of Service to the report.

14619

Added Place of Service field to the Case Analysis Detail report.

14645

Updated the Charge Analysis Detail report with added fields:

• Gender
• Hold Statement
• Rendering Provider NPI
• Referring Provider NPI

14835

Updated the Case Analysis Detail report with:

• Added new fields: Primary Subscriber ID, Primary Member ID, Primary Group ID
• Added new fields: Secondary Subscriber ID, Secondary Member ID, Secondary Group ID
• Renamed Payer field to Primary Payer
• Renamed Plan field to Primary Plan