The latest Connect release is 22.5.4. Highlights of this release include the following: Accounts - Changed the label on the View Transaction window (accessed from the Accounts / Active AR tab for a CLAIM-E line item):
- Subscriber Demographics information renamed Patient Demographics on an external claim transaction.
Cases - The Room field on the Case / General Case Information tab no longer accepts free text, requiring the user to select one of the Rooms associated with the selected facility.
Charge Batches - Added system check to generate an error message when trying to submit cases where:
- Directed provider has case time without a directing provider for the same (concurrent) time, and
- Facility is not set up to Allow directed only CRNA services
Claims Modified the Claims / Electronic Claims tab:Added Rebill button to allow users to rebill single claims as needed from this tab.Renamed View Rejection button to View Message for rejected claims.When Status = Rejected, Rejected will display in red text.Eligibility Added new Eligibility > Payer List tab to view and manage the full list of TriZetto payers and their corresponding payer mappings.- Added new Create Payer Mapping window for admins to create and add payers to the Eligibility > Payer List
- Added new Eligibility – Payer Mappings permissions to Back Office (View, Create, Update, Delete) for granting access to Payer Mapping admin functionality.
A new Check Eligibility: Missing Mappings tab was added to the Check Eligibility workflow for users to map non-TPS payers to a TPS Payer ID.Charge Entry - Fixed issue where Case time was not calculating correctly; it was not including Directed Provider time in the calculation and the fee was being calculated using the Directing Provider’s time.
Eligibility - Updated Eligibility logic, so differences in information submitted in a 270 and returned in the 271 will display as red text on the Charge Batches / Eligibility tab for these additional fields:
- Member ID
- Subscriber ID
- Subscriber Address: Street, City, State, Zip
- Patient Address: Street, City, State, Zip
- Updated the Override Payer ID logic to check for a custom Payer ID in the Payers & Plans / Claims / Payer ID field before returning an error message during an Eligibility check.
- Fixed refresh issue causing an updated Payer/Plan to not correct and reflect immediately for an Eligibility check.
Reports - Updated the Case Analysis Detail report:
- Added new Patient fields: Patient Gender, Patient Address: Line 1, Line 2, City, State, Zip Code
- Added new Tertiary Insurance fields: Tertiary Payer, Tertiary Plan, Tertiary Subscriber ID, Tertiary Member ID, Tertiary Group ID
- Added Case Type field
- Moved Emergency field after Physical Status Level
- Added the following fields: Diagnosis 1-6
- Added new search filter options: Provider Groups, Place of Service, ASA From/To, CPT From/To, Room Number
A new Check Eligibility: Errors tab was added to the Check Eligibility workflow for users to review and fix data errors in their eligibility request submissions.- This replaces errors previously being displayed in red text on the Submissions
Added Date Mode, with dropdown options of Date of Service and Request Date, to the search filters on the Charge Batches / Eligibility Modified logic to only present payers in the Check Eligibility window that TriZetto supports; this cuts down on the number of records being returned with a “Payer Not Supported” message.Updated functionality to default the Practice NPI into the Practice/Provider NPI column of the Check Eligibility window, allowing the user to update to the ProviderNPI as needed (only for non-Medicare eligibility requests).Fee Schedules - Added new Round to zero if the first time unit is less than ___ minutes classification to the Custom Time Unit Rounding Point section of the Fee Schedule / Anesthesia Billing Information tab for use with Expected Fee Schedules.
Payers & Plans - Added new dropdown option to Box 24J (unshaded) in the Plan / Paper Claim Options tab: Always Print Physician NPI if there is one.
Practices - Added Include Facility Name on statements/e-statements checkbox to the Practice > Statements > DMA/Statement Vendor
- Added Facility Name to DMA statement file to be populated if the checkbox is selected.
Providers - Added the ability to term Providers, or set them to inactive in Back Office.
- New Case error check logic added to display an error if the Date of Service is after the selected Provider’s Term Date.
Quality - Updated AQI Reports export to include both ASA and CPT codes.
Reports - Added new fields (columns) to the following reports:
- Account Adjustment Analysis Detail: Modifiers 1-4
- Charge Entry Productivity Detail: Submitted Date, Submitted By
- Deposit Analysis Detail: Check Date
- Financial Activity Summary - Payments to Line Items Detail: Modifiers 1-6, Facility Case Number, Tertiary Payer, Tertiary Plan
- Patient Responsibility Detail: Patient DOB
- Payment Entry Productivity Detail: Posted Date, Posted By
- Provider Details: Send to AQI
- Added new search parameters to the following reports:
- Charge Analysis Detail: Added Account Date option to the Date Mode search parameter
- Anesthesia Case Utilization – Performing Provider Output and Anesthesia Case Utilization – Case Output: Provider Group
- Made additional modifications to the following reports:
- Updated the Date of Service Group By output fields of the Practice Performance Summary report to display the date with MM/DD/YYYY format.
- Modified the Production Analysis Summary report:
- Updated the Group By option: CPT changed to Procedure Code.
- Removed the Group By option: ASA.
- If Procedure Code is selected for the Group By filter, then the Procedure Code – CPT Short Description will be populated in the Group By column of the generated report.
Rooms - Added new functionality to create and manage rooms from Back Office Admin.
- Added new permissions (View, Create, Update, Delete) to Back Office for granting access to Rooms admin functionality.
- Note: You must also give View Facilities permissions to any non-Admin user you'd like to give Rooms permissions.
- Removed Admin > Facility Rooms from Front Office, moving the functionality to Back Office.
Security - Updated the SSN search functionality within Back Office to allow a 4 digit or 9 digit search.
- If 9 digits are entered, the full SSN must match the search criteria in order for the record to be returned.
If 4 digits are entered, only records with the last 4 digits of the SSN matching the search criteria are returned.
To view the full release notes for the current Connect release, click here. |
