release notes versions 3.12, 3.13 and 3 - consolo redmine .1… · consolo has enhanced the...

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Consolo Release Notes | Versions 3.12, 3.13 and 3.14 P a g e | 1

Release Notes – Versions 3.12, 3.13 and 3.14 Consolo Release - Version 3.14.0

May 16th, 2014

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Hospice Team Members Impacted by this Release:

All Team Members – Services Menu Enhancement

Offline Charting – Care Plan Bug Fix

Claims and Operations Teams – Medication Fill Table Enhancement and Non-Covered

Days on Claims Enhancement

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Services Menu | Enhanced

Consolo has enhanced the Services Menu and added a new area called External Accounts.

This new area will be used for better tracking of resources associated to Hospices. The

categories in the External Account Area are as follows:

Facilities

Pharmacies

DME

Funeral Homes

Private Insurance

Transportation Providers

Community Groups – New Category*

Medical Companies – New Category*

*Note: The New Categories will associate to Referral Sources in the future.

Updated Services Menu with the new External Accounts Section

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Services Menu | External Accounts

If External Accounts is selected from the Services Menu, an improved layout will display that

shows the most recent External Accounts that the User has visited under each header.

Category Details / Searching - To find details within a specific Category click the

header and it will open to the same screen that was available in the past

New Entries - To add a new Entry click the plus sign

Offline Charting | Care Plans

The Care Plans are now consistently displaying on Clinical Charting when Offline Charting.

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Medication Pharmacy Fills | Table Enhanced

The Pharmacy/DME column was changed to display the PBM name when medication

pharmacy fills are provided directly from a PBM. New filters were added to the Medication Fill

screen which can be used to identify when new fills have been uploaded and whether or not

they have been applied to claims:

Sent to Claims - Yes or No

Revenue Code - 0250, 0636, 0291, 0292, 0293, 0294

Reversal - Yes or No

Data Source - Manual Entry, CSV Upload, PBM Integration

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Claims | Billing Non-covered days on claims

To file some dates of service as non-covered, edit the claim and add a 77 occurrence code

span along with the dates that should be non-covered.

Then edit the revenue lines within that date range and add the non-covered dollar amount to

the ""Non covered amount"" field and check the box in the ""Non covered"" field. The Total

Charges should match the non-covered amount and will automatically default to that when

the screen is updated.

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Release Notes – Versions 3.12 and 3.13 Consolo Release - Version 3.13.3

May 10th, 2014

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Claims Team – 8XA and 8XC Enhancement

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Claims | Clarification on How to send 8xA and 8xC claims

In the past Zirmed, the Clearinghouse, Rejected all 8xA and 8xC claims and did not send them

on to Medicare. This was by design. A few months ago, Consolo added a status code to

these claims so that Zirmed would accept them. This worked for NGS and CGS, but Zirmed

continued to Reject 8xAs and 8xCs being sent to PGBA. In this release, Consolo has added 1

unit to the claims so that Zirmed will pass them through to all payers without stopping them.

This was done because many billers want to batch bill their Notice of Elections and then edit

the NOE once it gets to the DDE TB9997 status, removing the status code and resubmitting.

If you plan to continue hand-keying Notice of Elections directly into the Medicare system, then

use the "Mark As Sent" option instead of sending the claims as 5010. If you use the "Send 5010"

option Zirmed will no longer hold the claims and you will have duplicates in Medicare: one

that was Hand-Keyed and one that was sent to Zirmed. If you plan to send the claims to

Medicare in batches and then edit them in DDE to remove the status code, continue to use

the "Send 5010" option.

If you have questions please contact [email protected]

mailto:[email protected]

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May 3rd, 2014

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All Team Members – Patient Home Page Information Box Enhancement

Clinical – Care Plan Enhancement

Physicians – Dashboard Enhancement

Clinical and Operations Management – Report and Audit Trail Enhancements

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Care Plans | Discharges

“Discharge Event” was added as an option to the Patient/Family Engagement Field. This field

will be used when the system generates a Care Plan Update, due to a Discharge. The new

field will allow the Clinical Chart Entry to be more efficiently edited – Prior to this enhancement,

Users had to manually add a Patient/Family Engagement entry, for each Intervention, if the

system generated Clinical Chart Entry was Edited.

Physician Dashboards | Enhancement

The Physician Dashboards will now only display Certifications that are ready for Signatures.

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Reports | Office Association

Bug fixes were done to address proper Office associations in reporting for Multi-Office

hospices.

Audit Summary | Medication Kit

The Audit Summary now lists Medication Kit as an Audit Event Type

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April 25th, 2014

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All Team Members – Patient Home Page Information Box Enhancement

Clinical – Care Plan and Certification Enhancements

Claims and Operations – Medication Fill Enhancements Relating to CMS CR 8358

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Patient Home Page | Discipline Information Boxes

The Misc. Information Box was added to the Home Page for all Disciplines.

Certifications | Care Plan Updates

Updates to the selection of Care Plans within the Certification display all Care Plans Problems

Updated within 14 days of the Certification Date.

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Care Plan Problems | Historical Listing of Updates

A Historical Listing of Care Plan Updates is available in the Care Plan Problem Summary Page.

The current status of updates and history of all interventions is easy to access.

New Icon on the Care Plan Problems Summary Page to Display History:

Clicking the Book Icon will open up a history of all data entry for each problem for

review:

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Displays Care Plan Problems Updates from Clinical Charting:

The View Current Care Plan Area will only contain the global Care Plan Problem

updates and the latest intervention updates:

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Medication Fill | Clarification Related to CMS CR8358 (Requiring Medications on Claims):

Unit of Measure (UOM) Field Clarification- The UOM Field is required with revenue code

0250 for non-injectable drugs. It is not required with the other revenue codes because

the HCPCS identifies the Unit of Measure.

Identical Medication Fills Clarification - Identical fills in the same billing period will be

added together and reported as one line on the claim. The reason for this is two-fold.

Some pumps are billed twice per month, so the Medication Fill Table would show 2

identical fills with 0.5 quantity each, the dollar amounts and quantities would be added

together, and reported as one fill with quantity 1 on the claim. Also Inpatient units may

dispense medications daily, so 7 days of the same medication will be reported as one

fill with all 7 quantities added together. After summing identical fills, the quantities for

Pumps, Injectable drugs, and Infusion drugs are rounded to a whole number. But since

non-injectable drugs are reported differently on claims, identical fills will be added

together, but not rounded.

PBM Integration Exceptions | Delete Capability - The ability to delete medication fill

information received from a Pharmacy Benefits Manager (PBM) was added to the

system. This capability is controlled with Role Permissions.

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April 12th, 2014

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Clinical – Care Plan and Certification Enhancements | Auto-Save Feature

Claims – Automatic Payment Posting

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Clinical Charting |AutoSave Feature

A new button has been added within the Clinical Charting Screen to Enable a new AutoSave

feature. Click the "Enable AutoSave" button once and each new chart created by the same

user on the same device will auto-save every 60 seconds. It will be stored as a Draft and can

be recovered by going to "My Drafts" under Related Links. After this feature is turned on it will

continue to save new charts until it is turned off by clicking the "Disable" button just to the right

of the "Enable AutoSave" button. When a chart is manually saved or "Created" by the User,

the Draft will Auto-delete.

Enabling or Disabling Autosave

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Find AutoSaved Draft Documents in the Clinical Charts Summary Pages in:

Related Links / My Drafts

Or Click the Message “ You have # Clinical Chart drafts. Would you like to finish

them?”

Edit or Delete Clinical Chart Drafts

Notes About Draft Documents:

o Drafts are stored locally in this device's web browser

o Drafts cannot be accessed from a different Browser or Device

o Deleting Browser's Cookies or Offline data will Destroy any Drafts

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Care Plan Enhancements

eFaxing Care Plans

eFaxing is available for Care Plan Problems

Editing Care Plan Problems

Editing is available for Problem, Goal and Source fields after saving, as long as the Care

Plan has not been Updated in the Clinical Charting Area

Dashboard Alerts

If a Care Plan is Resolved, all Interventions associated will also be Resolved and

Dashboard Alerts will clear

Care Plan Associations to Certifications

Some Care Plan Problems were not associating to Certifications properly, this issue has

been Resolved

Certification | Enhancements

Care Plan Table within the Certification Edit Page | Sorting

Sorting is now possible in the Care Plan Area of the Certification

Certification PDF Notifications

When Creating a PDF the system will display a notification once a Certification PDF is

Created (similar to the IDG and Report functionality)

Claims | Automatic Payment Posting

An enhancement was added to Automatic Payment Posting to handle 2 CAS (Claim

Adjustment Segment) per line. This will improve the posting of Medicare secondary claims.

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Roles | Permissions – Certification Printing

In order to Print Certification PDFs, Users need to have the Certification PDF Role option, from

the Clinical Reports Area and Create Hospice Certification POT Role option, from the

Certification Area selected:

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Release Notes – Versions 3.12 Consolo Release - Version 3.12.1

April 5th, 2014

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All – PDF Formats and Patient Information Area

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PDF Documents

Formatting of PDF documents was improved throughout the system.

Care Plan | PDF

The length of the Care Plan Problem is reduced and the layout improved of the Printable PDFs.

Patient Home Page | Information Area

The Misc. Information Area on the Patient Home Page now contains Funeral Home

Information.

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Release Notes – Versions 3.12 Consolo Release - Version 3.12.0

March 22nd, 2014 ____________________________________________________________________________________

Please be aware the system will be unavailable on March 22nd, 2014, from 0200 AM ET until 0400 AM ET

while the Release is being deployed. Please Sync Offline Charting prior to the release.

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Clinical Team – Post Mortem Visits, Visit Note New Therapy Type, Classic Dashboard

Claims Team – Facility Zip Code and NPI Enforcement, GIP Billing in Units, Post Mortem

Modifier, Pre-Election Claims

Claims and Operations Teams – CMS Change Request 8358 Enhancements

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_ Release 3.12.0 focuses on CMS Change Release 8358 – Overview:

CMS Change Request (CR) 8358 requires Claims include more details relating to the following

areas of providing Hospice Care:

Medication Fill Data | Covered Medications Purchased by the Hospice

o Injectable Prescription Drugs and Costs

o Non-injectable Prescription Drugs and Costs

o Infusion Pumps and Infusion Drugs and Costs

Post Mortem Visits | Visits Completed on the Date of Death for the following Types of

Hospice Employees

o Nurses

o Hospice Aides

o Social Workers

o Therapists

Facility Details | NPI and 9 Digit Zip Codes

National Provider Identifier (NPI) and 9 digit Zip Code of the Nursing Facility, Hospital, or

Hospice Inpatient Facility where patient receives services

General Inpatient Care (GIP) Visit Details

Line item visit data for hospice staff provided under general inpatient care (GIP) in

skilled nursing facilities (SNF) or hospitals

Please see the CMS Change Request 8358 – User Guide for complete details.

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Classic Dashboard | Face to Face Alert

The Classic Dashboard Face to Face Visit Alert was updated to more clearly state what is

required:

“Patient needs a required face to face visit associated to the 03/22/2014 certification

(benefit period 4)”

Clinical Charts | Visit Note – New Therapy Type

"Devotional", a New Therapy Type is now included in the dropdown in the Visit Note Screen.

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Claims - New Feature | Pre-Election Evaluation Claim

In the past Consolo did not allow the entry of Physician Visits or Claims with dates prior to the

admission date. To file Pre-election Evaluation claims, billers had to change a regular claim in

Zirmed or in DDE.

Now it is possible to create a Physician Charge that falls on or between the first Referral Date

and the first Admission Date. When entering the Physician Charge, do the following:

Enter the Code G0337

Mark it as a "Pre-Election"

Go to the Generate Claims screen and create a claim for that one date of service

Note: The claim will be a special type of claim which contains that one visit only. If the visit falls

on the admission date, and the patient is admitted when you Generate claims, you will get 2

claims: the Pre-election evaluation claim and the regular claim.

Security - Role Changes | Medication Fill

A new Section appears in the Roles Screen for Medication Fills. These options handle the new

functionality relating to CMS CR-8358 which allow the Hospice to track Medication details and

costs associated with each patient.

G0337

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