Service Organization
New Service Organization Setting – Doc Sync
New Service Org setting to allow Documents to sync for members across all Projects. If enabled, we will sync all documents associated to a member - regardless of what project they are in.
Project Setting
Provider Statements
Some minor formatting updates.
New Setting – Clinical GetNext
In addition to being able to being able to Enable/Disable Retrieval GetNext, you can now Enable/Disable GetNext for Clinical Assignment. We have also updated the logic to make sure we are pulling in chases with the oldest record attached.
Bot Settings – Bypass Overread based on Results
New Setting to allow for Full Automation or AI Assist for your HEDIS Overread NLP Project. When all results come back as Match and/or Partial-Match, we can automatically submit the chart for delivery unless you specify AI Assist. If AI Assist is selected, your Abstractors will get a chance to review all Bot findings prior to submission.
Full Automation: If the NLP results are all Matches and/or Partial matches the Chase will by-pass Overread and go straight to Delivery
AI Assist: All chases for that measure will go to Overread prior to chase submission for a person to review. This is the default setting.
New Document Request Line
We will be adjusting the "Document Description" Section to accommodate a more structured method of selecting and adding document request lines. We will support the ability to add per line document requests and time frame selection which will populate the provider packet with the provided information for each member. This update will only be applied to New Projects, existing Projects will not change.
Retrieval
Provider Statements
Some minor formatting updates.
Provider Packet - Member Pull List Updates
Includes Provider Gateway URL
Includes Provider PIN (this never expires)
Sorted alphabetically by Last Name
New Checkbox to confirm “Documents Submitted”
Open Field to provided additional information such as a reason they are unable to provide a medical record
AID in Footer (late add last season)
Document Requests will only show the measures you are requesting
Provider Packet – New Instruction Sheet
This update will only apply to New Projects created after today’s date and will not affect existing projects. In an effort to reduce the number of pages in the system as well as improve the experience for providers, a new format is to be created for the provider packet. We will no longer support single page chase document requests. This is a dynamically produced sheet that contains instructions ONLY for the measures being requested.
New custom fields for the Address Chase Table
Previous AID: This shows the previous AID a chase was at, if applicable. Column appears blank if chase has only been at current Address.
Outreach Request: This contains the latest request type made for given chase (Follow Up, Follow Up, Past Due)
Timeline Event Update
New timeline event in chase timeline when a chase is moved to a new address. Timeline will display: Old AID, New AID, Note, User, Time, Approved by (If user that moved chases was a manager or admin, then the move is auto approved and this field should say 'Auto-approved'), Approved by time.
Vendor Overview Page – User Access
Vendor overview grid will only display data for projects that the user has access to based on their permissions.
Document Intake
Added indicator if a chase is a pursuit in the intake search grid
(P) This identifier will indicate a Pursuit
Clinical
Measure Updates: CIS
Additional updates according to NCQA
Measure Updates: PDS
Updates according to NCQA
Measure Updates: PSS
Updates according to NCQA
Overread Feedback Challenges
Overread Feedback challenges have been moved from Chase Assignment to Overread.
Request Additional Documentation
Pop-up now displays Time frame for each document request - as defined in Project Settings.
Increased Visibility
To better support auditors, we have increased the width of the dropdowns for NRCs, Contras, and Exclusions - making it easier to read the values selected.
Reduce Chart File Size
In an effort to reduce latency and improve page load we have reduced our image files sizes from 200dpi to 100dpi.
Optimize Chart
From the Data Entry Screen, users can optionally perform a one-time page optimize. This will change the image files from 100dpi to 200dpi. Once optimized, the button will remain disabled.
Analytics
Project Status Report
The Project Status Report has now been updated to include measure-level segmentation for quick insight across individual measure levels.
HCC by Enrollee ID Report
The HCC by Enrollee ID Report has now been updated to include: # of Charts Chased, # of Charts Received, and % of Charts Received to easily measure chase retrieval progress.
Client Overread2 Report
FIlters have been updated from abstraction date to overread2 date to provider better usability.