Product Updates

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SecureClaim Version 2.0.47

Release Notes of SecureClaim version 2.0.47

Highlights

  • SecureClaim continue looking for ways to help you improve productivity! Now, you will be able to add procedures to a claim directly from the patient Procedures History.
  • Introducing “Work Queues” in the Claims Tracking. The new Work Queues will group the work by status and clearly show you what needs to be done based on due dates, so, you can prioritize to work more efficiently.
  • Your time is valuable! This’s why, you can be able to edit the Plan Fee from de service line in the claim.
  • Need to see all the payer payments for a patient? We got you! Check the new Payer Payments history category under the patient history module in the patient record.

IMPROVEMENTS

Front Office
  • A new category has been added to the patient history, to see all the Payer Patient Payments. The payment number will be a hyperlink that will allow you to open the payment in a new tab.
Claim Center
  • The Claims Tracking module have a new header that we have called the Work Queues, now you can better organize your work focusing on what’s most important. In there, you will find the count of the records that falls under the categories listed below, along with a new column named Due On, that tells you based on the Business Line timely filing configured value the remaining available days to submit the claim to avoid the claim to expire. The claims will now be ordered by the Due On column, with the claims closer to their timely filing date on top.
    • Rejected = Any claim for which the CH status equals a rejection it could be from the CH or the payer (277).
    • For Review = Any claim in a transitional status like: Waiting ACK, Processing, etc…
    • Ready to Send = Any claim in local status Ready to Send.
    • Pre-Claim = Claims that do not have diagnosis or procedures. Currently this is not allowed but keep an eye on the Release Notes, more changes are coming soon.
    • Missing Info = Claims manually flagged that are missing certain information. To support this change there are 2 new settings in the Application Settings module that will enable a validation to flag claims as missing info when there is no progress note attached to a claim or when the patient in the claim do not have an eligibility request between 7 days of the service date. There is also a new option in the claim screen that allows to do the same for another type of information like Pre-Authorization numbers, Referrals, etc. To easily group by MissingInfo category, there is a new Missing Info column available for selection in the Claims Tracking. Each category of the Work Queues is a predetermined view, when selected, the grid content will be updated to include the list of claims under the selected category.
  • Now, you can select all claims for specific grouping in the Claim Tracking.
  • Service codes from the patient procedures history can be added directly in the claim with the new Procedure History option in the claim screen.
  • The predetermination form in the Dental Chart will print the usual charge amount, if the usual charge is configured in the Business Line.
  • We added the payment number to the printed version of the electronic payer payment (Print 835).
  • The following columns were added to the available columns in the Claims Tracking: Referring Provider, Referral No. & Pre Auth No. to add them to your view, click on the three dots that provides access to the column list.
  • The ability to edit the plan fee from the service line in the claim was implemented by pressing the edit icon next to the procedure code. The icon will only be displayed if the plan fee is previously configured.
  • Plan fee notes were added to the Notes Alert in the Claim after an EMR or Superbill is converted.
Back Office
  • An image like an office logo, can now be added to patient’s letters and receipts. The image is uploaded in the office tab of the Provider screen.
  • A new search criteria is now available in the Advanced Search for the external providers module to allow searching by Secondary ID.
Analytics
  • The letter (E) or (P) were added at the beginning of the payer payment number to identify if the payer payment is an Electronic or Paper (manually registered) payment on the following reports; Adjustments in the Reconciliation Reports, EOP Adjustments Reports, Production vs Payment – Detailed, Mod Fees Reports, Dispute Claims List. For Payment by Business Line report the parameters were added in the beginning of the to the Check No.
Others
  • We have renamed some of the Dashboard counts categories labels to better reflex the values that are shown, like Open Payments, Tomorrow’s Appointments, Unread Eligibility, Open Tasks(P).

FIXES

Claim Center
  • The application allows the submission of multiple claims at the same time without restrictions based on the number of claims to submit.
  • We added the claim number to the header of the claim screen for the Dental and Institutional claims.
  • Diagnosis pointers are now saved when registered from the details area of the service line in the claim.
Analytics
  • The Charts in reports are aligned and can be printed after exporting to PDF.

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