Monthly Archives: November 2015

VBAGateway September 2015 Release Notes

PROVIDER TERMINAL

  • Enrollment POD – The Enrollment POD has been updated to be friendly for tablets and small desktop resolutions.

EMPLOYER TERMINAL

  • Tablet & Mobile
    • Open Enrollment Config – The Open Enrollment Config screen is now tablet (and small desktop resolution) friendly!
    • Census – Employee Information – The Employee Information screen is now tablet (and small desktop resolution) friendly!
    • Invoice – The Invoice screen is now tablet (and small desktop resolution) friendly!

VBAGateway Global (All Terminals)

  • Message Center
    • The Message Center can now be If hidden, a window appears in its place that shows contact information for your company. (Image 1)

VBA Software September 2015 Release Notes

ACCOUNTING SERVICES
  • Added additional configuration items:
    • ID Codes
    • Currency
AUTH SERVICES
  • Added additional configuration items:
    • ID Codes
    • Procedure Codes o Diagnostic Codes o Modifiers
    • Note Types
    • Note Category Types
BENEFIT SERVICES
  • When adding rates using the Quick Add wizard, the list of benefits that display will only be benefits offered by the plan previously chosen. If no plan is chosen, all benefits will appear as options to choose.
  • Added additional configuration items:
      • ID Codes
      • Currency
      • Coverage Type
      • Modifiers
      • Relationships
      • Networks
      • Note Types
      • Note Category Types
BILLING SERVICES
  • Added additional configuration items:
    • Payees
    • Note Types
    • Note Category Types
CALL TRACKING SERVICES
  • Added additional configuration items:
    • Note Types
    • Note Category Types
CARE MANAGEMENT SERVICES
  • Added additional configuration items:
    • ID Codes
    • Note Types
    • Note Category Types
CLAIM SERVICES
  • Fixed an issue where returning multiple claims to batch in a single process would not track that transaction in the Claim Timeline. This issue was also affecting Suspended Claims that were returned to batch. All instances of claims being returned to batch will now properly track in the Claim Timeline.
  • Added ProviderNetwork to the criteria options for Suspending claims. This allows the user to suspend claims by fee schedule.
  • Added a Filter option to Suspended Claims. This allows the user to further refine the list of claims within a specific Suspense Type.
  • Added the option to “Save As” on the Suspended Claims List. This will allow the user to export the list of suspended claims in the standard formats such as XML, Excel, Text, etc.
  • Fee_Sched to the suspended claim list for purposes of utilizing the Filter and to be displayed on the outbound “Save As” option.
  • Claim Status will now only show values appropriate to the search screen.
    • Claims in Batch:
      • Payable
      • Denied
      • Denied Partial
      • Pended
      • Error
    • Processed Claims:
      • Payable
      • Denied
      • Denied Partial
    • Claim and Claim Batch:
      • Payable
      • Denied
      • Denied Partial
      • Pended
      • Error
  • Claim Funded Status will now only show values appropriate to the search screen.
    • Processed Claims:
      • Candidate for Funding
      • Funded Claim
      • Ready for Funding
      • Funds Requested
      • Claim Suspended
    • Claim and Claim Batch:
      • Candidate for Funding
      • Funded Claim
      • Ready for Funding
      • Funds Requested
      • Claim Suspended
  • Added additional configuration items:
    • ID Codes
    • Note Types
    • Note Category Types
    • Currency
    • Error Codes
COMMISSION SEVICES
  • Added additional configuration item:
    • ID Codes
CREDENTIALING SEVICES
  • Added additional configuration item:
    • States
ENROLLMENT SERVICES
  • Added additional configuration items:
    • ID Codes
    • Note Types
    • Note Category Types
    • Ex Codes
    • Billing Cycle
    • Colleges
    • College Types
    • States
FEE SCHEDULE SERVICES
  • Added a new option for maintaining Fee Schedule records. The Fee Schedule Detail List will allow you to search any specific rate across multiple fee schedules for maintenance. For clients with extremely large fee schedules (1.5 – 2 million records) this approach to maintenance will be significantly more efficient. (Image 1)
GENERAL SERVICES
  • Added the ability to maintain EDI Code Map values under the Systems Services EDI Code Map menu option. These values are used on inbound and outbound EDI transactions for various mapped attributes. Changing these values can negatively affect your EDI data, please contact your systems administrator before manipulating these values.
GRIEVANCE SEVICES
  • Added the ability to track Patient Account # as part of a filed grievance. This is used for reporting and has no functional impact.
  • Added additional configuration items:
    • ID Codes
    • Note Types
    • Note Category Types
GROUP SERVICES
  • Added additional configuration items:
    • ID Codes
    • Note Types
    • Note Category Types
    • Accounts
    • Payor Accounts
    • Billing Cycle
    • Class
    • States
PROVIDER SERVICES
  • Added additional configuration items:
    • ID Codes
    • Suffix
    • States
REINSURANCE SERVICES
  • Added additional configuration items:
    • Note Types
    • Note Category Types
    • Insurance Carriers
    • Insurance Carrier Types
    • Tiers
    • Ex Codes
REPORT SERVICES
  • Fixed a performance issue when opening the Report Viewer. Clients who were attaching reports to specific security areas would experience a delay when opening the report list. The Report Viewer now opens more rapidly under that specific scenario.
  • Fixed an issue with some of the Reinsurance reports where diagnosis codes that are defined as both ICD-9 and ICD-10 would display as two lines on the reports. This caused duplicate values in the totals.
USER SERVICES
  • Added a sort to all User Restriction screens.
  • Added additional configuration item:
    • ID Codes
WORKFLOW SERVICES
  • Added the ability to specify a user who is responsible for managing a particular workflow. This allows the Claims Workflow Manager to be user specific. When no user is specified for a particular workflow, all users can see that workflow under Claims Workflow Manager.
  • Fixed an oversight where Workflow Criteria was editable directly on the Workflow Management screen. Workflow Criteria can only be set and modified through the “Set Criteria” button.
  • Changed how workflow assignment is done. Previously, all users who were attached to a task within workflow would be assigned that task. This caused some confusion as multiple people could potentially be working the same claim. The current process evenly distributes and assigns claims to the users attached to a task. This allows a single user to own a claim during a particular task until it is completed or rejected.
  • As part of creating specific assignments, the workflow definition is no longer dynamic. This means when a workflow is updated (users attached or removed), existing assignments need to be reevaluated. To do this you can use the “Reset” button on the Workflow Management screen which will reassign claims in that workflow based on the new user settings.
  • Fixed an issue with the Unassigned claims list in workflow. This list will now properly pull back all claims that are not currently assigned by workflow while still maintaining security for restricted group definitions.
  • Modified the “Assign” process on the Claims Workflow Manager screen. For any claim being assigned from the Unassigned list, the assign process will function as it does today by creating a new workflow entry for the user being assigned. For a claim that is currently assigned (part of workflow), the “Assign” process will act as a reassign by changing the user responsible for that entry. This change maintains the integrity of the workflow list by assuring a claim is only assigned to a single individual.
VBAdjudicate
    • Improved performance on Fee Schedule scans during adjudication. Fee Schedules with over 2 million detail records were not performing to our standard and have been significantly improved to alleviate burden on claims in the queue.
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