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February 2020 - Sprint 1

Immediately move chases upon creation of a New Address
 
Now whenever a new AID is created as part of an address edit/update, the application will automatically move all chase and address details over to the new AID in real time.



Removal of 3rd Party Pend Codes

Now that base functionality of our invoicing module has been released, we have REMOVED the ability to create new 3rd party pends using the following Pend Codes:

  • PC104 : Payment Required or Exceeds Threshold - Non 3rd Party
  • PC117 : Payment Required or Exceeds Threshold - 3rd Party Retrieval
  • PC120 : Chart Received, Invoice Included, Above Threshold
  • PC200 : PSR - Payment Required - Chart Fee - Awaiting Invoice
  • PC201 : PSR - Payment Required - Charge Per Pg Fee - Awaiting Invoice
  • PC501 : Invoice approved for payment
  • PC502 : Invoice paid, waiting for chart
  • PC505 : Invoice ready to be paid



Auto Close Chases on Member Compliance – Updated Logic
 
We modified our auto-close compliance logic/configuration to make sure chases get Overread by a senior coder before closing associated member chases. Now, If Project Configuration is set to On for "Chase Compliance Auto Close" and a compliant chase goes through OR1, then all associated chases should be auto-closed with the appropriate Pend Code - "PC1006 - Chase closed due to HEDIS Compliance on Another Chase"

 

AID: 3rd Party Grids columns
 
We added the following columns to our 3rd Party Retrieval Grid:

  • Address 1
  • Address 2 
  • City 
  • State 
  • Zip
  • Phone 
  • Group Name 
  • Address Group   


 

Clinical/Data Entry: Consolidate valid signature fields (HCC/HST/ATT)
 
In attempt to optimize our data entry process, we combined separate signature validation questions into one line withing HCC, HST, and ATT measures.

 

 

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