Release Notes

Back Office

Accounts

14834

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.

Charge Batches

15336, 15346

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.

15503, 15985, 16017

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.

15922

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

15697, 15824

Renamed View Rejection button to View Message for rejected claims.

When Status = Rejected, Rejected will display in red text.

15822, 15871

Added Rebill button to the Claims / Electronic Claims tab to allow users to rebill single claims as needed from this tab.

Eligibility

15314, 15338, 16048

Added new Create Payer Mapping window to create and add payers to the Eligibility > Payer List tab.

Added new Eligibility – Payer Mappings permissions to Back Office (View, Create, Update, Delete) for granting access to Payer Mapping admin functionality.

15315

Added new Eligibility > Payer List tab to view and manage the full list of TriZetto payers and their corresponding payer mappings.

15345

Modified logic to only present payers in the Check Eligibility window that TPS supports; this cuts down on the number of records being returned with a “Payer Not Supported” message.

15780, 15813

Added Date Mode with Date of Service and Request Date as dropdown options to the search filters on the Charge Batches / Eligibility tab.

16051

Updated logic to send all Medicare eligibility transactions to Payer ID: ELCMS and determine the NPI to include on the 270.

16081

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 Provider NPI as needed (only for non-Medicare eligibility requests).

16065, 16223

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

16269

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.

Fee Schedules

15128, 15983

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.

Note: Checkbox is only available on Expected Fee Schedules.

Payers & Plans

15181

Added new dropdown option to Box 24J (unshaded) in the Plan / Paper Claim Options tab:

• Always Print Physician NPI if there is one

Practices

15729, 15811

Added Include Facility Name on statements/e-statements checkbox to the Practice > Statements > DMA/Statement Vendor section.

Added Facility Name to DMA statement file to be populated if the checkbox is selected.

Quality

15529

Updated AQI Reports export to include both ASA and CPT codes.

16417

Modified AQI schema to meet 2023 submission requirements.

Reports

14969

Added new Posted Date and Posted By fields to the Payment Entry Productivity Detail report.

15072

Added Accounting Date option to the Date Mode search parameter field of the Charge Analysis Detail report.

15074

Added new fields to the FAS – Payments to Line Items Detail report:

• Modifier 1-6

Modifier 1 displays the concurrency modifier on the service line for solo cases.

Remaining procedure modifiers display in Modifier 2-6 columns.

• Facility Case Number
• Tertiary Payer
• Tertiary Plan

15075

Added new fields to the Account Adjustment Analysis Detail report:

• Modifier 1-4

Modifier 1 displays the concurrency modifier on the service line for solo cases.

Modifier 2 displays the concurrency modifier on the service line for team or teaching modifiers.

Remaining procedure modifiers display in Modifier 3 and Modifier 4 columns.

15170

Added the Patient DOB field to the Patient Responsibility Detail report.

15405

Added new Check Date field to the Deposit Analysis Detail report.

15534

Updated the Date of Service Group By output fields of the Practice Performance Summary report to display the date with MM/DD/YYYY format.

15555

Added new Submitted Date and Submitted By fields to the Charge Entry Productivity Detail report.

15620

Updated 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.

15772

Added new Send to AQI field to the Provider Details report to quickly identify providers set up to be sent to AQI.

15875, 15876

Added new Provider Group filter to the Anesthesia Case Utilization – Performing Provider Output and Anesthesia Case Utilization – Case Output reports.

Security

13385, 13398

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.

Rooms

15055, 15057

Added new functionality to create and manage rooms from Back Office Admin.

15058

Added new Rooms permissions to Back Office (View, Create, Update, Delete) for granting access to Rooms admin functionality.

15059

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.

Front Office

Facility Rooms

15061

Removed Admin > Facility Rooms from Front Office, moving the functionality to Back Office.

Back Office

Charge Entry

16033

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.

Claims

16347

Fixed performance issue causing the system to operate slowly when managing or pulling up claims.

Eligibility

16050

Fixed issue causing 270 to generate with incorrect NPI.

16171

Fixed refresh issue causing an updated Payer/Plan to not be immediately reflected correctly in an Eligibility check.

Health Dashboard

15975

Fixed issue preventing the Internet Download Speed value from displaying on the Health Dashboard. Internet Upload Speed value was removed.

Payment Batches

13551

Removed extra Close button at bottom of Payment Batch / Import Exceptions tab that was not working as expected.

15705

Fixed issue causing the total balance for the coinsurance amount (New Balance) to not display on the service lines.

Refunds

15506

Fixed issue causing the Reverse window to cut off on the right side when the payer name is too long. If name is too long, will now be truncated and display with an ellipses (…).

Reports

14586

Fixed the Anesthesia Case Utilization – Performing Provider Output report issue causing errant negative worked minutes to be displayed.

15732

Modified logic for Insurance Collection Action Detail report to pull claim numbers from their service lines, rather than the cases.

16003

Fixed the Payment Entry Productivity Detail report to display both “Yes” and “No” values in the Posted column, depending on if the payment has been posted or not yet posted.

16353

Fixed issue causing the Case Analysis Detail report to display cases multiple times when multiple procedures are in the case.