ADT / AR / Clinical 6.5 - Cantata Insider · General / System ... 652 SRs in Numeric Order ... •...

ADT / AR / Clinical

6.5.2

Release Notes

March 2017

What's New

© Copyright 2017 NTT DATA Long Term Care Solutions, Inc.

“NetSolutions” is a trademark of NTT DATA, Inc.

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Table Of Contents

1. What's New _______________________________________________________________ 1 NetSolutions Release Notes ...................................................................................................... 1

Release Notes features .......................................................................................................... 1 Feedback from our clients ...................................................................................................... 1

NTT DATA Long Term Care Solutions, Inc. Nationwide Support .............................................. 2

2. NetSolutions 652 __________________________________________________________ 3 652 Highlights ............................................................................................................................ 3 NS 652 Patch 1 and 2 .............................................................................................................. 10 ADT .......................................................................................................................................... 19

Enhancements ...................................................................................................................... 19 Revisions .............................................................................................................................. 26

Financial ................................................................................................................................... 28 270/271 ................................................................................................................................. 28 Accounts ............................................................................................................................... 30 Accounts Receivable ............................................................................................................ 39 Billing .................................................................................................................................... 45 Resident Funds ..................................................................................................................... 50

Clinical ...................................................................................................................................... 55 Care Plan .............................................................................................................................. 55 eAssignment ......................................................................................................................... 56 eCharting .............................................................................................................................. 56 eDocuments .......................................................................................................................... 63 ePrescribing .......................................................................................................................... 65 Interdisciplinary Progress Notes (IPN) ................................................................................. 69 Immunization Record ............................................................................................................ 74 MMQ ..................................................................................................................................... 74 Physician Orders .................................................................................................................. 75 Point of Care ......................................................................................................................... 80 Quality Assurance ................................................................................................................. 82 Resident Assessment - MDS 3.0 .......................................................................................... 85 User Defined Assessments .................................................................................................. 88 Vital Parameters ................................................................................................................... 90

General / System ..................................................................................................................... 91 Dashboard ............................................................................................................................ 91 Scheduling ............................................................................................................................ 92 Reports ................................................................................................................................. 93 Facility Setup ........................................................................................................................ 95 General / System .................................................................................................................. 98 Interface Manager ............................................................................................................... 103 Security Manager ................................................................................................................ 108 Setup / NS Management Console ...................................................................................... 110

Table Of Contents

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3. Appendix A: Database Changes ____________________________________________ 111 NetSolutions 652 DB Updates ............................................................................................... 111

4. Appendix B: Security Changes ____________________________________________ 114 Security Records 652 ............................................................................................................. 114

5. Appendix C: SRs in Numeric Order _________________________________________ 115 652 SRs in Numeric Order ..................................................................................................... 115

6. Index __________________________________________________________________ 127

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What's New NetSolutions Release Notes NTT DATA encourages you to carefully read the entire Release Notes package. Your success in taking advantage of new functionality is dependent on the time you spend in reviewing and understanding what this new functionality brings to you.

NetSolutions 6.5.2 contains many enhancements, regulatory updates, and revisions. There may be enhancements or revisions in this release that require setup changes for your facility to implement. If you need assistance, please work with your NTT DATA Long Term Care Solutions, Inc. Nationwide Support person to install and configure this release of the software.

Release Notes features

The NetSolutions Release Notes document the changes made to the full, integrated NetSolutions suite of products including both financial (RAM) and clinical modules. Smaller documents are also available covering the Financial and Clinical suites separately.

This document provides a Table of Contents, a Highlights page listing the major enhancements for the release, a main body providing details for each change, and typically one or more Appendices.

The Release Notes document is cumulative for each major release. Service packs for a release are added to the document, with the most recent service pack first. A release is denoted by a set of three numbers (6.5.2) while a service pack is indicated by an "spN" suffix (6.5.1sp4).

The main body of the Release Notes describes the changes that have been made to the system as a whole and to each NetSolutions product. The types of changes made to the software are grouped into two categories:

• Enhancements. These are new features that have been added to NetSolutions since the last release. Most enhancements to the software are either the product of suggestions and requests from our clients, or regulatory items.

• Revisions. These are minor modifications and corrections to the software. For NetSolutions, revisions also include additions of functionality that existed in previous versions. Like enhancements, many revisions are generated by requests from our clients as they use NetSolutions.

Feedback from our clients

NTT DATA appreciates the input and feedback we get from our clients about our software. It is only through this feedback that we are able to continue to improve and refine our software to make it the best in the long-term care industry.

Go to The Insider on nttdataltc.com to get the latest information on NetSolutions and to contact NTT DATA Product Support.

• To request a support call on The Insider, select the Services menu and choose Online Support Request. You can also request a support call by emailing us at [email protected].

• To request an enhancement to the software, select the Services menu and choose Software Enhancement. You can also enter requests for enhancements and bug fixes in the Nexus system.

• Send us feedback about the NetSolutions Help and training guides on The Insider at Services menu \ Documentation Feedback.

http://www.nttdataltc.com/insider

mailto:[email protected]

What's New

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NTT DATA Long Term Care Solutions, Inc. Nationwide Support [email protected]

Pacific 800-426-2680

Midwest 800-652-7719

Eastern 877-393-6965

https://nexus.americas.nttdata.com/nexuscp/login/login.aspx

mailto:[email protected]

https://nexus.americas.nttdata.com/nexuscp/login/login.aspx

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NetSolutions 652

652 Highlights This release of NetSolutions includes the following key new features and enhancements. For more information on each of these new features, see the product section later in this document.

Important Notes

• Upgrade to Adobe Reader DC

Be sure to upgrade your Adobe Reader software to the latest version "DC" on all servers and workstations that print NetSolutions reports. This is the required version for new NetSolutions installs. Some existing clients who have not upgraded their Adobe Reader have experienced report printing issues that have gone away once they upgraded.

• Turn off Compatibility View

Be sure to check your Internet Explorer Compatibility settings with this newest version of NetSolutions. IE compatibility view should not be turned on. Both check boxes at the bottom of the Compatibility View Settings screen should be unchecked, and all compatibility options removed. If you need to run other web sites in compatibility view, be sure that NetSolutions has not been added to the Websites Added to Compatibility View list.

ADT

• Cancel a discharge for apartments and assisted living

You can now cancel a discharge on an apartment or assisted living visit when a later visit has already been added.

• Census Days report now includes plan information

The Census Days report has been enhanced to now include plan information. The plan name and level have been added to the report.

• Disable the Health Record # field

Select the new Disable Access to HR# during Admit/Reg/Preadmit checkbox to gray out the Health Record # field on the Basic Information page during Registration and Pre-Registration.

• Resident Labels Report - Full Page per Resident

This new report prints a full page of labels - three across and 10 down - for all or selected residents.

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• Clinical Information ICD panel redesigned

The ICD-10 panel for the ADT Snapshot and Clinical Information pages has been redesigned to make it easier to view and add diagnoses for a resident.

Financial

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• Search for eligibility payors The Eligibility Payors page now has a Search area at the top of the page where you can enter a search value and have NetSolutions display a list of payors that fit that value.

Accounts

• Account Utility available on Snapshot pages

The Account Utility, which allows you to view detailed information about the resident's account, is now available on both the ADT Snapshot and Financial Snapshot pages.

• Calculate current month charges On the Account Payor/Plan Balances panel on the Financial Snapshot page you can now calculate current month charges and print the statement.

• Cash Receipts Listing report improvements

This report has been updated to show the deposit date associated with each receipt and additional deposit information.

• Copy orders from a previous visit Copy recurring ancillary charge orders from a previous resident visit to the current one using the Recurring Orders From Previous Visit dialog.

• Edit a cash receipt NetSolutions has been updated to allow you to edit all fields, including the receipt date and amount, on a receipt in the current period or a future period.

• Unapply a batch receipt NetSolutions now enables you to unapply a batch receipt applied in the current open period or a future period.

• Unpost an order batch with returns

The Process Batch Charge Orders page has been updated to allow current month order batches with matched and applied returns to be unposted.

• PIL Rate Change Utility for Ancillaries

This new utility is similar to the existing PIL Rate Change utility, except while that utility changes rates for bed items, the new one changes rates for ancillaries.

NetSolutions 652 Release Notes

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Accounts Receivable

• Aging by Month report improvements

The Aging by Month report has new options that enable you to include collection notes and insurance numbers on the report.

• Aging reports show months The AR aging reports have all been modified to show the calendar month of each aging bucket.

• Ancillary Charges Reconciliation report

This new report displays all ancillary charges for the processed month, separating current month charges from retroactive charges.

• Enter future adjustments You can now enter adjustments for the next month when the current month has not yet been closed.

• Routine Care Reconciliation report

New option enables you to show totals by retro period in the Summary section.

• Run Pre-Close as RQ Service The Pre-Close process has been modified to be run by the Remote Queue Service.

Billing

• Billing Error Log report updated The Billing Error Log report has been updated to include more information on each entry including the resident name when applicable.

• Commercial Log B report The Commercial Log B report displays information on speech, respiratory, occupational, and physical therapy charges based on the revenue codes on the items.

• Generate Bill Data process to RQ Service

The Generate Bill Data process now runs through the NetSolutions Remote Queue Service.

• View progress of Generate Bill Data

The Remote Queue and One-Touch Billing now show the percent complete as the Generate Bill Data process is running.

Funds

• Create custom layouts for printing checks

Use the new Check Layouts feature to create customized layouts for printing Resident Funds checks.

• Indicate the facility is resident's payee

NS Funds now enables you to indicate when the facility is a resident's representative payee. A flag then displays on Funds screens and reports.

• Use Fund Type alerts to monitor fund balances and resident discharges

NetSolutions now enables you to display alert icons when a resident account exceeds the defined parameters.

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Clinical eCharting

• Calculate and display PRN time intervals

NetSolutions eCharting can now display the minimum time interval required before administering the next dose of a PRN medication.

• eCharting Session report improved

The eCharting Session report has been enhanced to show more information about each session.

• Define when an order is considered Missed

Define how long an undocumented order should remain in eCharting until its status becomes Missed and it is removed.

• Upcoming Orders report improvements

The Upcoming Orders report has been enhanced with new options enabling you to exclude orders scheduled by shift and to print orders chronologically by time value.

• View a body graphic showing injection sites

View a body graphic showing the terminology and numbering used for injection sites in your facility.

eDocuments

• Import eDocuments utility available

Use the new Import eDocuments utility to import multiple electronic documents into the system at once.

ePrescribing

• Prescriber's Connection interface available

Use the Prescribers Connection electronic prescription service to process NetSolutions pharmacy orders.

• Reject a received order and save the Rx number

On the Receive Orders page, if the original and new order descriptions are the same, you can Reject the new order and save the Rx number sent by the pharmacy.

• Suppress CancelRx messages On the Organization Master page, there is a new option for pharmacies, Suppress CancelRx if Missing Required Pharmacy Data.

Immunization Record

• Import immunization records Import resident immunization data into the system using the new Immunization Import utility.


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Interdisciplinary Progress Notes

• Create an IPN session for a physician

Use the new Attending Physician field to create an IPN session that includes a single physician's residents.

• Electronically sign and co-sign progress notes

Set up users who require a co-signature on their progress notes and other users who can co-sign.

• Import NTT DATA's IPN Library The new IPNLibrary.xml contains a wealth of progress note statements, choice items, categories, guidelines, instructions, and Care Plan correlations.

• IPN Search Libraries dialog improved

The Fill-in Assistant panel now shows the current code that you are replacing in {*bold red} in the statement so you can easily see where you are.

MMQ

• Use the same provider number on multiple submission IDs

In the MMQ Submission Information dialog, the same provider number can now be used on multiple submission IDs if they have different service locations.

Physician Orders

• Append the prescribing physician's NPI to order text

Select a new option to append the prescribing physician's NPI number to the order text.

• Period Dates setup no longer required

You no longer need to set up period dates each month for printing the Care Plan and Physician Orders forms. You now select the period on the report pages.

• 2nd Quarter 2016 NDC update NetSolutions 652 includes the 2nd Quarter 2016 NDC update.

Point of Care

• Access eAssignment from POC kiosk

Point of Care now provides a link to eAssignment at the top of each page when accessed on the kiosk.

Quality Assurance

• Define Other selections more specifically

The QA modules now display a text field for manual entry when you select the Other option for the Incident Type and Lab Test Type.

• Set up QA product options Product options have been added to Quality Assurance to control when and how sections within a case are certified.

• Use the new body graphic to document locations

Quality Assurance now includes an interactive pair of body images, front and back, for documenting the location of injuries and infections.

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Resident Assessment

• Import Section GG information from OptimaRehab and Therapute

OptimaRehab and Therapute allow you to capture Section GG items in their software and NetSolutions now enables you to import this data into the MDS 3.0.

• RAI Manual/MDS 3.0 for October 01, 2016

The final version of the RAI Manual for the October update of the MDS is included in this release.

UDA

• New assessment templates available for import

Ten new assessment templates are now available for import in UDA.

• View the score for each assessment section

UDA has been improved to display the current score for each section beside the section link.

Vital Parameters

• Enter a pain scale value of zero When entering a resident's pain level in NetSolutions, you can now enter a value of 0 (zero) for no pain.

General / System

Dashboard

• Quality Assurance Key Performance Indicators added to Dashboard

Facilities using Quality Assurance can now define two KPI types for QA to identify incomplete reports.

Reports

• Export a page range from a report The PDF Report Viewer has been enhanced to allow you to export only part of a document.

Facility Setup

• Copy a bill specification within a facility

Make a copy of an existing bill spec and save it under another name within the same facility.

General / System

• NetSolutions popup dialog format updated

NetSolutions has been updated to use a new type of modal dialog that is compliant with the latest web


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browsers.

• Resident info bar now shows location

The resident information bar that displays at the top of the page just beneath the tabs now includes the resident's location in the facility.

Interface Manager

• Send only records with HIE consent marked

A new option enables you to specify that only records that have the HIE Consent option selected on the Basic Information page will be sent by the Interface Manager.

• Expanded Search options for Sent and Received Messages

The search functions for the Sent Messages and Received Messages pages have been improved.

Security Manager

• Link user-defined security items across facilities

User-defined security items of the same name can now be linked so the same security settings are copied to other facilities.

Setup

• Download and install Point of Care training videos

The NetSolutions Management Console (NSMC) now downloads and installs the Point of Care CNA training videos.

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NS 652 Patch 1 and 2 The following revisions were made during the beta process for NS 652.

Patch 1 includes the following hotfixes:

ADT

• Bed Hold - If two holds with leave info were entered back to back, with the second hold starting the day after the first one ended, the second hold displayed the leave info from the first hold. This problem has been fixed. (79151)

• Census Days report - This report sometimes did not count projected Medicare days correctly. The issue occurred when a resident was discharged and readmitted within the time frame being projected, and the earlier visit had at least one visitseg with the same start and end date. This problem has been fixed. (79108)

• Export C-CDA from Record Disclosure – The export function for Record Disclosure has been modified to include the Health Record Number and to remove the spaces and hyphens from Social Security Numbers in C-CDA files. These changes have been made for the MassHIWay interface. (79135)

• Zirmed eligibility checks - NetSolutions has been modified so that when an eligibility check is made to Zirmed, it no longer attempts to create an Eligibility Check report. Instead, the results now load directly into the browser. Previously, NetSolutions attempted to create a report, which caused an error. (79206)

Financial

Accounts

• Batch Receipt Transaction tab order - The tab order on the Batch Receipt - Entry page now works correctly. Pressing tab moves the cursor logically through the fields on the Batch Receipt Transaction panel. After you click Save, focus is placed back in the Last Name field so you can begin entering the next receipt. (79222)

• Review Assessments - The questions that display when you review an assessment with a care level change now work correctly. Previously, in some cases the resident's care level was changed even though you clicked No to one or more questions. Specifically, if you reviewed an assessment for a resident whose latest assessment had a date range with multiple care level changes in it, and the resident's level was different than the assessment level, clicking No to the questions did not work correctly. The program has been modified so that if you click No to the first question (or second etc.), no more care level questions are asked and the level changes stop at that point. If you say Yes to all the questions, the level change is from the start of the assessment to the end of the visit. (79133)


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• Unapplying a cash receipt - When a cash receipt was unapplied and then reapplied to another period, the period balances were not updated correctly. This issue was the result of an earlier enhancement (SR48657) that changed the way period dates are displayed on the Receipt Summary when receipts are applied. The changes for that SR have been removed and the request will be re-analyzed. (79230)

Accounts Receivable

• Aged A/R, Extended Aged A/R, and Insurance Aged Trial Balance reports - These reports have been modified so they now display the correct month heading above the aging columns. Previously, the heading above the last column would display the wrong month. (79207)

Billing

• 1500 claim form- Box 33a on this form has been modified to display up to 12 characters. Previously, this box only displayed 10 characters. The PDF mapping for this box has also been updated to accommodate the larger size. (77453)

• Generate Bill Data - The Generate Bill Data process has been modified to properly display all types of errors. In addition, the generate report process has been modified so that NetSolutions correctly creates the report when the button is clicked more than one. Previously, if you ran the report, closed it, then clicked the Generate Report button to run the report a second time, NetSolutions would display an NS Error. (79271)

• Rounding error– NetSolutions Billing has been updated to fix a rounding error that caused final balances to not match expected balances during Advance Billing. (79118)

Clinical

Care Plan

• Goal progress Paste Previous Note button - If you added a progress note and clicked Save, triggering a spell check, then saved again; then added another progress note and clicked the Paste Previous Note button, you could not save the note by clicking Save or Done. The program was not setting the flag to indicate that the note text had changed, activating the save buttons. This problem has been fixed. (79264)

eDocuments

• Resident photo- If you opened the eDocuments dialog for different residents successively, the resident photo in the Snapshot section at the top did not update, but continued to show the first resident. The program has been modified to get the current resident's photo each time dialog is opened. (79208)

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Physician Orders

• Orders by Order Type report - This report was not looking at the selection in the Order Status dropdown and printed only active orders. So if an order was auto-DC'd and renewed, when you printed the report and selected Discontinued in the Status dropdown, the active (renewed) order meeting the other report criteria printed instead of the discontinued one. This problem has been fixed. (78862)

• Prescriber: Sign link - When you clicked this link in the Order Detail dialog, nothing happened, even when the link was active and the user had the required security rights. This problem has been fixed. (79251)

• PRN Messages master - On the Time Codes and PRN Messages master page on the Facility tab, when you clicked the Edit button on a PRN code, the Number and Interval fields could not be edited. This problem has been fixed. (79252)

Point of Care

• Bowel Movement report – This report has been modified to ensure that correct data is reported. Previously, the report loaded incorrect data. (79050)

• Bowel Movement report - The report now correctly displays an N (No Bowel Movement) when any but not all of the four entries have an answer of No and there is no response of Yes. Previously, the report displayed U (Unknown) in these circumstances. (79050-391538)

• Show Incomplete checkbox - When de-selecting this checkbox, Point of Care no longer produces an error. Previously, when a resident had an admission status start date that was the same as the date selected on the Resident Criteria page, POC produced an error. (78951-391533)

• Req 3 Day Effective checkbox - Point of Care has been modified so that when the Req 3 Day Effective checkbox is selected for an item, POC no longer marks the resident's status as incomplete if it falls within the first three days after admission and the last three days before discharge. Previously, this requirement was ignored by the code used to populate the Resident list; however, all compliance reports were incorporating this checkbox correctly. (78951)

Resident Assessment

• Section A - The MDS has been modified so that it is no longer possible to click on a new section of the assessment before the current section has completed loading. Previously, users would sometimes click a new section of the MDS before Section A finished loading which resulted in the loss of data in Section A. The updated code no longer permits this to happen. (77760)


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UDA

• UDA next due date - The Next Due Date field on an assessment, when calculated based on the assessment type, now adds the Num Days entry on the assessment type to the current assessment's reference date. Previously, it was adding the number of days to the date the assessment was created. This was a problem for facilities that do not always enter their UDAs into the system on the day they are conducted. (78910)

• UDA signatures- If two users A and B created separate resident UDAs based on the same template, the user signatures were sometimes mixed up, with user A's signature recorded on the UDA created by user B. This problem has been fixed. (79048)

Vitals

• BP type - The vitals type for blood pressure was not saving on the first attempt. If you entered a blood pressure, chose one of the types from the dropdown and clicked Save, the type was not saved. If you then edited the vital record and entered the type again and saved, it worked. This problem has been fixed. (79043)

System

Interface Manager

• Received Messages - On this page, the Interface dropdown on the Search panel was recently improved to list only Receiving interfaces. Previously, it showed all interfaces including those of direction type Sending. However, sending interfaces can be set up with an event type of GetMessage, which is sent to retrieve messages. These interfaces, which could be selected from the Interface filter in NS651, were no longer available in 652. This issue has been corrected. The program has been updated to check each Sending interface for the GetMessage event mapping and if found include the interface in the dropdown. (79120)

• Received Messages - On this page, the new Resident filter on the Search panel now works correctly. Previously, if you used the lookup to select a resident, the Received Messages panel below displayed blank even when the resident had received messages meeting all the search criteria. (79154)

Reports

• Profile Reports modified - Three new fields—Direct Addr, Send PDF, and Send C-CDA—have been added to the Physician List and Local Organizations Profile reports. These fields indicate the Direct Exchange address, and whether the Send PDF and Send C-CDA checkboxes have been selected for the physician or organization. The fields only display on the Local Organizations Profile report for hospitals. Values for these fields come from the Clinician Master and Organization Master pages. (64873-388146)

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Patch 2 includes the following hotfixes:

ADT

• Reimbursement table -NetSolutions has been modified to only allow the resident’s guarantor payor to be added to the reimbursement table. Previously, under certain circumstances, without this check, the system was putting the standard guarantor payor in the resident's reimbursement table instead of the resident's guarantor payor. (79416)

• VA Disabilities– The VA Service Connected Disability section of the Clinical Information page now saves changes to the Percentage field when you click the Save icon. Previously, you were required to click the Save icon twice to save the modified data. The tab order for this section has also been modified so that after you tab over or click the Save icon, the focus is on the Diagnostic field. (79273)

Financial

Accounts

• Import 835/cash receipts - For both the 835 and cash receipt imports, the bank account selected on the screen was not being assigned to the receipt transactions in the batch as designed. This caused the batch to fail validation. This problem has been fixed for both functions. (79378)

• Period Date column in Receipt Summary shows latest applied date. On the Cash Receipt page, the Period Date column on the Receipt Summary panel has been updated to show the latest period date to which some or all of the receipt was applied. When a receipt is entered, the Period Date is set to the period you choose on the lower Apply to Period Balances panel. Previously, if you modified a saved and applied receipt (to un-apply and re-apply it to a different period, or apply a remaining amount), the Period Date in the Receipt Summary section did not update. The program has been modified to update the Period Date to the period that the receipt is applied to. If the receipt is applied to multiple periods, then the most recent period displays. If a receipt is not applied to any period, the Period Date column shows the receipt date period. (48657, 79230)

• Post order batch - If you imported an order batch containing an occurrence code with a null date, the batch could not be posted. The post process would freeze with out of memory errors. This problem has been fixed. (79396)

• Zero dollar cash receipts - On the Cash Receipt page, if you entered a receipt with an amount of zero, a "duplicate key" error was generated. This was an issue with the event tracking code for this screen. The issue has been corrected. Also, in fixing this problem, it was found that event tracking was not recording Edit events on cash receipts. This tracking has now been added. (79395)

Accounts Receivable

• Aging by Month report - When run with the Display All Notes option selected, this report sometimes did not show the collection notes. The issue occurred when the resident had a zero balance for the report period for the plan. The program has been updated to display the notes when the plan has a zero balance for the selected report period. (79379)


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Billing

• Colorado Medicaid - NetSolutions has a new Colorado billspec "CO Medicaid - UB04/ANSI 5010X223A2" for submissions to the new MMIS. (79461)

• Illinois Medicaid - NetSolutions has a new Illinois billspec "IL Medicaid - UB04/ANSI 5010X223A2" for submissions using the UB04. (77375)

• SR 74599 changes reversed – The changes made for SR 74599 (Auto-Apply KX) have been moved out of NetSolutions 652p2. These changes were erroneously added to 652. They will be included in the 653 release. (79367)

Funds

• Balance forward– Several issues related to pulling balances forward have been addressed:

o NetSolutions now just checks the date of a transaction to determine whether to carry the balance forward. Previously, NetSolutions checked whether the transaction had been marked to carry over or had been previously carried over.

o Pending interest is no longer added to transactions. Interest is not considered actual until the reconciliation has been posted.

o You cannot carry over a transaction that was previously carried over. (79295)

• Inactivate funds – The Recalculate button on the Inactivate Funds page now displays correctly. Previously, Once you added a resident to this page, the Recalculate button disappeared. Also note that the Attach and Check Request checkboxes have been modified so that they are consistently available for facilities that use check requests. (79298)

Clinical

Care Plan

• Duplicate Care Plan items - When adding problems, goals, and interventions, if the user quickly clicked Save multiple times or Save then Done, the item was duplicated in the database. The program has been updated to display a progress bar and hide the Save and Done buttons while the save is in progress. (79091)

ePrescribing

• PID on Receive Orders page - When processing an order on the Receive Orders page while using the Positive Identifier system, the program was automatically populating the user name, date, and time as signed or noted on the order before the user verified their PID. This problem has been fixed. The program has been updated so the PID feature works correctly on the Receive Orders page. (79471)

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IPN

• IPN session- If you created an IPN session and selected an IPN note in the summary grid, then clicked Next Resident, added a note and clicked Save, an error displayed: "IPNPUTXML: invalid mode (c)". Also, the user name and title from the viewed note was entered on the new note. These issues have been corrected. The program has been updated to properly reset to Add mode and clear all field data when you select another resident. (79313)

Physician Orders

• Auto-DC message- In the Order Detail dialog, if you entered a space in a field set up to trigger automatic order DC on a data change, the Auto-DC prompt dialog would just flash and then disappear. This problem was related to the new jQuery modal dialog format now used in NetSolutions. The problem has been fixed. (79250)

• Days Supply field - The Days Supply field has been expanded to three digits. Previously, the field only allowed up to two digits to be entered. (79383)

• PID signature- The Positive Identifier system using the iButton was not working in the dialogs where you discontinue, hold, or cancel an order, or add a standard order. When you clicked the Sign link and then clicked Done in the Enter PID dialog, the logged-in user's name and title were not saved. This problem has been fixed. (79459)

• VA Disability field – When adding a physician order, if you clicked the Search button for the VA Disability field, an error displayed : “Object reference not set to an instance of an object.” This problem has been fixed. (78169-393678, 393881)

Point of Care

• 7 Day Bowel report – This report has been modified so that residents with only responses of N and U display on the report. Previously, if the resident did not have a Y response, he or she was not included on the report. (79302)

• Kiosk login – Point of Care has been modified so that you can use the Search button on the Kiosk Login page. Previously, when you pressed the Search button, the Search dialog did not display. (79531)

Quality Assurance

• Audit Report- Both the Incident and Infection audits were failing if the sections had not been certified, even though the product option for certification was turned off. This issue has been corrected. If the QA product option for certification is turned off, the Audit Report no longer checks for completion of the Certification checkboxes. (79478)

Resident Assessment

• CAA Notes – NetSolutions has been modified so that it now correctly deletes a CAA note when the user deletes it after the note has been saved. Previously, NetSolutions displayed an error and did not delete the note in this situation. (79426)


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• M0800 - Section M of the MDS has been modified to incorporate edit -3596 for NPE (Nursing PPS Part A Discharge (End of Stay)) assessments. Previously, this edit was not incorporated and Section M was passing the audit even when A0310E=0 and M0210=1, and active items from M0800A through M0800C contained [^]. (78976)

• MDS 3.0 Case Mix reports – These reports have been modified so they no longer create a Range error when run for certain criteria. Previously, in some cases when NetSolutions sorted the database values in the range, it would read a string value as a numeric value and create the error. (79431)

System

Dashboard

• eCharting KPIs – The Dashboard has been modified so that eCharting KPIs now display results that include PRN Result Due starting at the time defined for the KPI up to 30 minutes before the KPI is run. This is how these results are displayed in eCharting. Previously, the KPI displayed information starting at the time defined for the KPI up to runtime. (79366)

• Prospects on KPIs - NetSolutions Dashboard has been modified so that it no longer includes prospects in KPIs. Previously, prospects were included on Skin Assessment KPIs. (79483)

• UDA KPIs - NetSolutions Dashboard has been modified so that you can no longer delete a UDA item that is used as a KPI trigger. Previously, after the item was deleted, NetSolutions could not locate the trigger item and generated an error. (79494)

Interface Manager

• C-CDA import- The C-CDA HL7 import has been updated to find the NDC rxnorm code when the imported allergy is a drug allergy that matches a drug generic or product name in the NDC Master table. Previously, the C-CDA was showing all allergies as code 9999999. (79376)

• Credentials for Direct Exchange - NetSolutions Sender now sends the account and user ID values correctly when posting a message. Previously, the Sender swapped the account number for the user ID and the user ID for the account number. (79457)

• Direct Exchange sending pdf - When a pdf file was sent through Direct Exchange, it was arriving as a text document instead of a pdf. It could not be downloaded, only opened as text. The NS sender service was sending the pdf as content-type text/xml instead of type application/pdf. This has been corrected. Also, the user ID and account have been fixed so they are stored to the correct fields. Those values will need to be swapped on the interface definition after installing this update. (79493)

• Tabular Pro - NetSolutions now interfaces with Tabular Pro via HL7. NetSolutions sends A01, A08, A02, A03, A11, A13, A12, A21, and A22 messages to Tabular Pro. (79412)

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• Vitals A08 messages - Any time a resident height or weight value was changed in Vital Parameters, eCharting, UDA, or POC, an A08 message was triggered to the resident's pharmacy. This functionality was added for the custom BDM pharmacy interface and should not occur for other interfaces. The program has been modified to send the A08 on a vitals change only when the interface ID is BDMHL7. (79277)

NSMobile

• Mobile Session Timeout setting - This setting on the User tab has been moved from the Groups page to the Application Settings page. It is found on the Session Settings panel at the top. The mobile session timeout value is now a single setting for all NSMobile users, instead of a setting that can be modified for specific user groups. The default is 60 minutes. (68953)

Security Manager

• Change PID – When you change a user's Personal Identifier code, NetSolutions now accepts and saves the changed code. Previously, when you used the Search dialog to select a new PID, NetSolutions did not save the newly selected PID. (79464)

• eSignatures PO/eCharting user signing options - On the Security Manager - Users page on the User tab, the "May sign..." and "May note..." options are now enabled regardless of whether the eSignatures product option is turned on. This allows the facility to set up their user rights before activating the feature in the facility. (79253)

• IPN electronic signing options - On the Security Manager - Users page on the User tab, the IPN options "Requires co-signature for all IPNs" and "May co-sign IPNs" are now enabled regardless of whether the IPN eSignatures product options are turned on. This allows the facility to set up their user rights before activating the feature in the facility. Please note that the IPN electronic signature options are not linked with the PO eSignatures feature. (79343)


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ADT Enhancements

• Cancel a discharge for apartments and assisted living. You can now cancel a discharge on an apartment or assisted living visit when a later visit has already been added. When canceling the discharge, NetSolutions changes the apartment or assisted living visit to become a Kept visit for the duration of the later visit. NetSolutions performs Retro from the period of the discharge date onward. This applies to in-patient visits only.

Note: Any ancillary orders that were voided by the original discharge are un-voided when the discharge is cancelled. The end dates for any recurring ancillary orders that were stopped by the original discharge are removed. (52784)

• Census Days report now includes plan information. The Census Days report has been enhanced to now include plan information. The plan name and level have been added to the report; where they appear on the report depends on how the report is sorted. The Census Days report can now be sorted by one of four values: Payor Type, Payor Name, Resident Name, or by the new Plan Name.

If the report is sorted by Plan Name, the data is organized alphabetically by plan, then level, then resident. Subtotals are calculated for level then plan.

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If the report is sorted by Resident Name, the data is organized alphabetically by resident, then chronologically by the From dates. The report contains a subtotal for the resident, but no subtotals by plan within the resident entry.

If the report is sorted by Payor Name, the data is organized alphabetically by payor, then plan, then level, and finally resident. Subtotals are calculated for level, then plan, then payor.

The report is unchanged when it is sorted by Payortype.

In addition to adding plan information to the report and how the report is sorted, NetSolutions also updated the Payor Selection panel. The options in this panel now also include payortypes and plans. What used to be the Selected Payors option is now called Some Payors.

No change has been made to the summary sections at the end of the report. (73937)


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• Consolidated Clinical Document Architecture (C-CDA) added to NetSolutions. The Consolidated Clinical Document Architecture (C-CDA) includes nine document types, one of which is an updated version of the Continuity of Care Document (CCD). CCD is an XML-based markup standard intended to specify a framework for encoding, structure, and semantics in patient summary clinical documents. The C-CDA adds specific architecture to the CCD that enables more accurate transmission of data.

NetSolutions sends C-CDA messages to other facilities or information systems through HL7 messaging in an MDM (Medical Document Management) message or using Direct Exchange. In the NetSolutions Interface Manager on the Interface Definitions page, set up a Sending interface. If such an interface is active, NetSolutions will generate an MDM-CCD event when specific events occur in the system. Messages can be optionally triggered by the following:

o Resident Basic Info update o Admit o Discharge o Diagnosis add, update, or delete o Allergies add, update, or delete o Physician order add, modify, discontinue, or auto-DC o Vital parameters add o Advance Directive add, update, or delete o Payer change (insert new plan) o Physician change (add, modify, or delete attending physician)

Messages can also be generated for specific recipients using the Record Disclosure feature.

When the CCD event is triggered, an MDM-CCD message is generated in the Outgoing Queue in the Interface Manager. It is then sent automatically by the KNS Sender. When a completed MDS exists for the resident, it is included in an MDM segment of the message.

Direct Exchange. Direct Exchange is a system for sending and receiving secure messages between healthcare providers. Direct Exchange uses secure SMTP to safely transfer encrypted email messages between systems. Each participating healthcare provider has a Direct Exchange address registered through a Direct Exchange administrator. NetSolutions uses the Exchange address to send the existing Disclosure documents (PDF report and C-CDA) to the appropriate healthcare provider. *NetSolutions can also receive incoming Direct Exchange messages, which are stored as eDocuments. NetSolutions uses eAssignments to notify staff of new incoming documents.*

Use the Clinician Master and Organization Master (for Hospital) tables to enter Direct Exchange addresses for individuals or organizations. These addresses are used to send Record Disclosure generated CCDs to specified providers. Enter generic Direct Exchange addresses on the MDM-CCD event to send CCDs to specific interfaces, such as an HIE. You must enter your facility’s direct address in the MDM-CCD event From Address field.

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In order to post the message directly to an Exchange, use a non-HL7 interface to control delivery of the message. Select the Interface Type "Direct Exchange" to create this kind of interface. Since Direct Exchange is not an HL7 interface, a Message header is not necessary for this type. The MDM-CCD event is the only event available for Direct Exchange interfaces.

NetSolutions also supports Direct XDR messaging. Direct Exchange XDR is a format for sending CCDs directly to another system, bypassing the Exchange. When this is used, NetSolutions delivers the CCD to a specified web service URL. Select the Direct Exchange XDR interface type to use XDR delivery. Currently, only CCDs are send via Direct Exchange XDR. PDF output is ignored by this interface type.

Record Disclosure. The new Send Via Direct field has been added to the Record Disclosure page. Selecting this checkbox indicates that NetSolutions should use the Direct Exchange address to send this disclosure record rather than the address set up in an interface in Interface Manager. NetSolutions still uses the interface to obtain the from address.

When you click Process Now to send a disclosure record, NetSolutions generates a PDF file of the disclosure report and/or a C-CDA output document, according to the Disclosure Criteria. If multiple recipients are chosen, a message is triggered for each recipient. If both PDF and C-CDA are selected in the recipient's record, a separate message is triggered for each type.

Discharge and Bed Hold. A new Send Discharge Summary panel has been added to the Discharge and Bed Hold pages. Selecting the checkbox in this panel enables you to send a discharge summary via the Record Disclosure feature each time a resident is discharged or put on bed hold and each time a hold or discharge record is updated.

Allergy Reactions. A new master page, Allergy Reactions, has been added to the ADT section of the task menu on the System tab. Create and maintain the allergy reactions that appear in the Reaction dropdown on the Allergies section of the Clinical Information page. If a reaction does not match one of the SNOMED values, use the Unknown SNOMED value 99999999. This information is also included in the Continuity of Care Document (CCD).


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In addition, the Reaction field in the Allergies section of the Clinical Information page has been replaced with a dropdown list. The values in the list are taken from the Allergy Reactions page.

Note: The initial values in this master are derived from existing free-text reactions entered in the Allergies section of the Clinical Information page.

Advance Directives Master. A new field, CCD Code, has been added to the Advance Directives Master page. Use this field to enter the CCD code for a directive. If the directive does not match one of the SNOMED values, use the Unknown SNOMED value 71388002.

Clinician Master. Three new fields have been added to the Clinician Master page in order to facilitate the direct exchange of C-CDA information. These fields are Direct Address, Send PDF, and Send C-CDA. Enter the address of the Direct Exchange in the Direct Addr field, then select whether to send a PDF file, the C-CDA file or both.

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Organization Master. The Direct Address, Send PDF, and Send C-CDA fields are also available on the Organization Master page. These fields are only available for Hospital organization types and are used for sending disclosure records to a hospital. (64873, 74916)

• Custom Daily Resident Census report. A new custom report has been created that pulls some resident information into an Excel spreadsheet and leaves blank columns for other information to be entered manually. The report displays resident information in the following fields:

o Date. o Business Unit. o Resident Name. o HRN. o Unit. o Away Location. o Away Date.

The report leaves the following columns in the spreadsheet empty so you can enter the information yourself:

o Care Level Change To/Date. o Internal Transfer Unit/Bed. o D/C Hospital/LOA To/Time. o Return Hospital/LOA From/Time. o Death/DC At/Time.

Please contact NTT Data support for assistance in adding the report to your Custom Reports menu. For more information about the report, search for "Daily Resident Census report" in the index of the online help. (76414 facility-specific item)

• Custom facesheet recadmit-10641.rpt. This facesheet has been created according to the client's specifications and is now available in NetSolutions. (77830 facility-specific item)

• Disable the Health Record # field when entering a resident or a prospect. A new checkbox has been added to the Facility-General Parameters page (Facility tab/Facility/Facility Profiles/General Parameters) which enables you to determine whether or not the Health Record # field is available when admitting a resident or registering a prospect.


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When you select the Auto Assign HR# checkbox, this new field becomes available. When you select the Disable Access to HR# during Admit/Reg/Preadmit checkbox, the Health Record # field on the Basic Information page for Registration and Pre-Registration is grayed out. Use the new option to prevent staff from entering an erroneous HR number when admitting a resident or registering a prospect. This option also prevents staff from inadvertently overwriting the assigned HR number when converting a prospect to an in- or outpatient.

This checkbox is only available when the Auto Assign HR# checkbox is selected. (74830)

• New Resident Label Report - Full Page per Resident. This new report has been added to the Census Reports/Census menu. It prints a full page of address labels, three across, for a resident. The previous Resident Label Report only printed a single label per resident; this new report prints an entire page of labels per resident. You can run the report for all or selected residents. (76842)

• Redesigned ICD-10 panel. The ICD-10 panel for the ADT Snapshot and Clinical Information pages has been redesigned to make it easier to view and add diagnoses for a resident. The Add bar has been moved from the bottom of the panel to the top, and the Add Previous Diagnoses link has been moved from the bottom of the page to the title bar. In addition, the Date/Time Resolved and Date/Time Recorded columns have been swapped.

By default, NetSolutions collapses the ICD-9 panel when you first enter the ADT Snapshot and Clinical Information pages. The panel remains collapsed unless you click the arrow to expand it.

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When you view the ICD-10 panel on the Clinical Information page, NetSolutions displays the first 14 ICD-10 codes; you can scroll to view any additional codes.

When you view the ICD-10 panel on a Snapshot page, the Add Previous Diagnosis link is replaced by the icon, which you can use to open the ICD-10 Diagnoses dialog and view all diagnoses assigned to the current resident. (71918)

Revisions

• Clients with Inactive Diagnoses report – This report has been modified so that it no longer includes diagnoses whose resolve dates are prior to the current report date. For the report, inactive diagnoses are defined as diagnoses that are not resolved, or that are resolved after current report date. (78060)

• Default reimbursement table - If during admission you selected a default reimbursement table for the resident, and this table was set up so that the first plan had a (valid) Over Limit Payor selection of a later plan in the table, an error displayed. This problem has been fixed. (70740)

• Diagnoses - If you updated a billing sequence or clinical rank number on the Diagnoses list, a timeout error sometimes occurred. The program has been updated to improve the efficiency of this process and prevent the error. (76424)

• Enroll in Imprivata link - This link now displays on the Basic Information page only if the Imprivata keys are entered properly in the NS web.config file. If the keys are invalid or missing entirely, the link does not display. (78491)

• Guarantor Labels report - If the guarantor first name included a space, the portion after the space did not print on the report. For example, if the guarantor's first name was "F. Ross" and last name "Ritchey" the report printed only "F. Ritchey". The program was incorrectly truncating the first name at the space. This issue has been fixed. (71710)

• ICD-10 validation - Several ICD-10 codes for a resident could not be removed because the visit code saved in the ICD-10 database table did not match the resident's system number (SNBR). How the mismatched codes were saved has not been identified. Additional validation has been added when a new ICD-10 is added for a resident. The program now verifies that the resident SNBR and visit code match and displays a message if they do not. (77613)


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• Record of Admission facesheets - If the resident's RCN field value was NULL, some facesheets produced an error. Facesheet3.rpt and Facesheet3-10641.rpt have been updated to correct this issue. (78347)

• Resident Roster report - This report was creating an error when it encountered a non-Medicare A level equivalent. The report has been modified so it no longer produces this error. (78507)

• Room reserves for expired residents - NetSolutions now enables you to reserve a room for a resident who has expired without receiving a warning that the date of the reserve is invalid. Now NetSolutions displays a message indicating that the resident is expired, but enables you to continue with the reserve. Previously, you could reserve a room for an expired resident as long as the facility did not charge for the reserve. However, if you wanted to put a reserve on a resident record for an expired resident, for example to charge the family until the room was cleared out, NetSolutions did not allow it. (73861)

• State and federal codes - The following changes have been made to ADT:

o The federal admission source is now saved for new admissions. o The federal discharge, state discharge, and destination codes are now set to

blank if these fields are not filled in during admission. Previously, these values were set to 0 which caused an error.

o NetSolutions no longer produces an error when you enter both federal and state admission source codes. (63271)

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Financial

270/271

Enhancements

• Search for eligibility payors. The Eligibility Payors page (Facility tab\Facility\Facility Profiles\Eligibility Payors) now has a Search area at the top of the page where you can enter all or part of a search value and have NetSolutions display a list of all payors that fit that value. In the Search area, select how you want the search performed, enter all or part of the value to search for, and click the Search button.

NetSolutions displays the matching payors in the Eligibility Payors panel. For the Eligibility Payors page to be available, your facility must have purchased the 270/271 module. (77688)

• State-specific eligibility reports available. Eligibility reports have been created for the following states: NM, CA. (72877)

Regulatory

• Error message for Eligibility checks - When an eligibility check is performed where the wrong NPI number has been entered, the following error message is now displayed by NetSolutions: "The NPI located at 2100B NM109 is not on file with HETS. Verify that the NPI is a valid FFS Medicare Provider and ensure that the NPI is added to your Submitter ID via HDT. An overnight update may be required before the NPI can be used with HETS." This change is in line with the changes to the HIPAA Eligibility Transaction System (HETS) scheduled for the third quarter of 2016. (76137)

Revisions

• Check Eligibility date - The Eligibility Check Date field is no longer required when submitting an eligibility request. Previously, an entry in the Eligibility Check Date field was required for all eligibility requests, though some vendors insisted that no plan dates be included in requests they received. (76315)

• Error message when checking eligibility – The error message received when checking eligibility in Collections on a plan that is not on the resident’s reimbursement table has been modified so that the problem is clearer to the user (74229)

• Medicare Eligibility report - This report has been modified to correctly report a Medicare spell of illness. Previously, the DOEBA and DOLBA dates were not reported correctly. (76504)


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• Oregon Medicaid - When checking eligibility for Oregon Medicaid, an error was generated. The error was caused by a change in the repetition separator in the 271 response. Oregon Medicaid was using "^" as the separator, but switched to "!". The program has been updated to handle a variety of repetition separators returned in the 271 response. (77645)

• Payor Name fields - All payor name fields for the eligibility check have been expanded to 200 characters. Previously, some of the fields were too small to hold the payor names returned and the names were truncated. (76946)

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Accounts

Enhancements

• Account Utility available on Snapshot pages. The Account Utility, which allows you to view detailed information about the resident's account, is now available on both the ADT Snapshot and Financial Snapshot pages. Click the Account Utility link at the bottom of either page to open the utility and view a summary of the resident's account and to access links to detailed info such as charges, bills, adjustments, receipts, and more. This utility is also still available on the Utilities page on the Facility tab. User access to the utility is controlled on the Utilities Security page on the User tab. The link to the utility in all three locations is grayed out if the logged-in user does not have rights to the utility. (60015)

• Ancillaries starting on day of bed hold. If an ancillary order is entered for a resident on the start date of a Hospital leave bed hold, and the resident's care level changes on that date to a non-Medicare A/Medicare Advantage level, Calculate Charges now writes off the order to the Medicare A/Medicare Advantage plan instead of passing it to the plan covering the hospital leave. This change applies only when the resident goes on a hospital leave, not a personal leave. (55599)

• Calculate current month charges and print the statement. On the Account Payor/Plan Balances panel on the Financial Snapshot page, a new link is available, Calculate Current Month Charges.

When you click this link, the system calculates charges for the resident (if not already calculated) and opens the Account Payor/Plan Balances Calculated Through [period end date] dialog. If billing errors occur when the charges are calculated, a message and the Billing Error Log will display. You must fix the errors before the calculated current month charges screen will display.


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For each payor/plan on the reimbursement table, this window shows the balance forward from the previous month, the total receipts and adjustments, the current month retro, current and advance charges, and the total ending balance. The first three columns provide links to account details as on the main Snapshot page. The links in the Curr Mo Retro column open the Retro Charges Information dialog, which shows the total net retro charges in each period for the plan. Zero balances do not display.

Print current month statement. Click this link to print a regular private statement (even if using Early Statements) for the current month. The statement is addressed to the resident's guarantor or, if the Print a Statement for this Resident option is selected in Basic Information, to the resident. The statement is produced using the default options from the Billing Statement screen, which cannot be modified here.

Current month statement setup. To print a current month statement, if your facility produces regular statements, no setup is necessary. If your facility produces Early Statements, the Statement Format and Early Stmt Format on the General Parameters page must be the same. If this format is Report Builder, you must also open the Format Options dialog for both and ensure that the checked items below (including sub-items) are set the same on both statements.

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When you close the Account Payor/Plan Balances Calculated Through dialog, the account is reset to the last close, unless charges were previously calculated through the end of the current period. Users must have security rights to calculate charges and print statements to access these new features. (67595)

• Cash Receipts Listing report improvements. This report has been updated to show the deposit date associated with each receipt. The Sort by Deposit Code option has been changed to Sort by Deposit Date. When this option is selected, the report sorts by deposit date, but also still sorts by deposit code so that if there is more than one deposit on the same day, the receipts for each deposit are grouped together. On the report, the Deposit Code column has been replaced by Deposit Date. Also, when Sort by Deposit Date is selected, the totals line now shows the Deposit Ref and Bank Account associated with the deposit. (61794)

• Copy orders from a previous visit. Copy recurring ancillary charge orders from a previous resident visit to the current one using the Recurring Orders From Previous Visit dialog.


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This dialog includes three panels: The Information panel at the top shows the resident's most recent previous visit and current visit admit and discharge dates. The Orders Processed By Price panel shows recurring orders that were processed without a cost override price. The Orders Processed By Cost panel shows recurring orders that were processed with a cost override price. Each panel shows the Item number, Description, Frequency, and Start and End dates on each previous order.

To copy previous orders, open the Enter Charge Orders page. On the Search panel at top right, select the Copy orders from previous visit link. (This link is available if the resident has at least one previous visit.) In the Recurring Orders from Previous Visit dialog, select the orders you want to copy to the current visit.

The New Order Start Date field defaults to the admit date on the resident's current visit. You can edit this entry. In the New Order Override Rate (price orders) and Cost (cost orders) fields, enter an optional override rate for each new order. You can also enter a markup percentage on cost orders. When finished, click Done.

o Each selected order is copied to the new visit with the same item number, frequency, and quantity as before.

o The End Date on the new orders is left blank, unless the latest visit is discharged; in this case the End Date on the orders is set to the visit discharge date.

o If the original order was marked to Advance Bill, so is the new order.

For more information, see the Accounts Help or Training Guide. (71291)

• Edit a cash receipt. NetSolutions has been updated to allow you to edit all fields, including the receipt date and amount, on a receipt in the current period or a future period. Changing the receipt date or amount voids the receipt and creates a new one. You cannot edit the date or amount on a receipt that is posted to a closed period, included in a bank deposit, paid from the resident's fund, or a multi-plan receipt. (You can void and recreate a fund or multi-plan receipt. Remove a receipt from the bank deposit to make it editable.) Once you have edited a receipt, you must click Save on the Receipt Details panel before you can re-apply the updated amount on the Apply to Period Balances panel. The program has been enhanced to provide additional messaging. For example, if you edit a receipt and change its date to a future period, a message will display, explaining that "The transactions for the receipt will not be posted until the Close of the period of the receipt date. Do you want to continue?". (51393)

• Period Date column in Receipt Summary shows latest applied date. On the Cash Receipt page, the Period Date column on the Receipt Summary panel has been updated to show the latest period date to which some or all of the receipt was applied. When a receipt is entered, the Period Date is set to the period you choose on the lower Apply to Period Balances panel. Previously, if you modified a saved and applied receipt (to un-apply and re-apply it to a different period, or apply a remaining amount), the Period Date in the Receipt Summary section did not update. The program has been modified to update the Period Date to the period that the receipt is applied to. If the receipt is applied to multiple periods, then the most recent period displays. If a receipt is not applied to any period, the Period Date column shows the receipt date period. (48657)

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• Unapply a batch receipt. NetSolutions now enables you to unapply a batch receipt applied in the current open period or a future period. On the Process Batch Receipts page, if you select the Edit button for an applied batch in the summary grid, the Apply button at bottom right changes to Unapply.

Click the button to unapply the batch. A confirmation message displays. Click OK. If any adjustments were created with the batch, a message displays "All receipts created on the residents’ accounts from this batch will be voided. Any adjustments that were created with this batch will need to be voided manually. Do you wish to continue?” Click OK to continue. If any receipts in the batch are associated with a bank deposit, another message displays, identifying the deposits. Click OK again. The batch is unapplied:

o All receipts created from the batch are voided.

o If receipts were attached to a bank deposit, the deposit amount is updated to reflect the voids. If deposit info was sent to NS General Ledger, this is updated as well.

o Denied charge and COB info records associated with the batch are deleted.

o The receipt batch is set back to not applied and not validated. The Unapply button returns to Apply.

After a batch is applied, the program now retains the batch receipt transactions in the database for two months. (Previously, they were deleted during the Apply process.) This allows the batch to be unapplied, if necessary, in the current open period and the previous closed period, if the close is reversed. During AR Close, batch detail transactions with a receipt date more than two months prior to the current AR period are deleted. Receipt batch header information is retained.

Batch Receipt report. Within the two-month time frame, the Batch Receipt report will now include the detail transactions. For older batches, only the batch summary info will print. (60450)


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• Unpost an order batch with returns. The Process Batch Charge Orders page has been updated to allow current month order batches with matched and applied returns to be unposted. The orders the returns have been applied to cannot have any non-retro'd charges calculated. You may need to reset the account back to the last AR Close before unposting. Previously, a batch containing returns could not be unposted.

To unpost, you click the Edit icon for a posted batch on the Batch Summary panel and then click the Unpost button at bottom right. The program unposts the charge orders in the batch, removing them from the accounts. It also now unapplies any returns in the batch that were matched and applied to orders.

A supply return reduces the quantity on an order. A pharmacy return reduces the dollar amount. If a return is applied to an order and the quantity or amount is entirely covered by the return, then the order is voided. When a return is unapplied, the order is updated by adding the return quantity or amount back to the order.

Also as part of this enhancement, the Match Returns By option on this page has been fixed. This option was not being used by the program when matching returns in the batch. (69890)

• Use the PIL Rate Change Utility for Ancillaries. This new utility is similar to the existing PIL Rate Change utility, except while that utility changes rates for bed items, the new one changes rates for ancillaries. The main page for the new utility is the same as the old one. You enter an effective date for the rate change and then select the payor or plan whose rates you want to update. When you click Continue, the PIL Rate Changes dialog opens, showing the ancillary items with a reimbursement method of Normal for the payor/plan.

The grid shows the item number, description, level, and current rate. Click a blue column heading to sort the list by that column's data. Hover the pointer over an item to view the plan for the PIL.

Use the New Rate column to enter an updated rate for one or more items. You can enter a new rate in the first row and click Apply to enter that rate in all New Rate fields. The button then changes to Unapply, and if clicked again the New Rate fields return to blank. Click Save to process the rate changes. The Report link provides a printed version of the information in the dialog. (48093)

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Regulatory

• Import 835 sequestration CARC - CMS previously assigned CARC (Claim Adjustment Reason Code) 223 to sequestration adjustments. This was a temporary code used for various purposes. This code has been replaced with code "253 - Sequestration - Reduction in Federal Spending." In 2013, NetSolutions Accounts was updated to import an 835 batch file containing either code. In this release, code 223 is no longer accepted and if found in an 835 import file, it is now saved and processed as code 253. (63684)

Revisions

• Adjustment Posting report – On this report, the offset GL and AR accounts were sometimes switched, each showing in the other's column. This problem has been fixed. (77455)

• Bank Account dropdown - On several screens where you enter receipts and deposits, you select the bank account for the deposit in the Bank Account dropdown. When a facility has multiple bank accounts, or multiple bank account/GL cash account combinations set up on the Facility GL Parameters page, these accounts are available in the dropdown list. Until now, the system was saving only the bank account number in this field, which sometimes led to problems if there were multiple GL cash accounts associated with the same bank account. The system has now been updated to save both the bank account number and the associated GL cash account for the selection in the Bank Account dropdown. This affects the Bank Account dropdown on the following screens: Bank Deposits, Cash Receipt, Misc Receipts, Batch Receipts, Import Cash Receipts, Import 835, and Billing Groups. On the Facility GL Parameters page, validation has been added to ensure that any bank account/GL cash account that has been used on a cash receipt, deposit, or billing group cannot be deleted from the system. Only editing of the description is allowed. (75488)

• Batch receipts bill cycle - If you added a batch receipt and selected a default payor that cycle bills and left the default period blank, the Bill Cycle dropdown did not display when adding the first transaction, and no bill cycle was saved. The program has been modified to save the bill cycle for the current period in this case. When editing an existing transaction, the Bill Cycle dropdown only displayed the previously saved cycle; it did not allow you to choose a different one. The program has been modified to re-populate the dropdown with all possible bill cycles for the selected payor/plan. (78404)

• Batch Receipt Validation report - When you validated a batch of receipts, the Validation report was opening underneath the NetSolutions browser window instead of on top. This problem has been fixed. (76788)

• Cash Receipt page - On this page, when you enter a receipt date and hit Tab, or if you select a date using the Calendar, the screen refreshes and focus now moves as expected to the next field (Amount). Previously, after the screen refresh, focus was lost on the page and the Calendar button disappeared. (73728)

• Cash Receipts help - On the Cash Receipt page, if you opened the page and then pressed F1 or selected Online Help from the Common Tasks menu, the correct help topic displayed. However, if you selected a payor using the Payor field search window, then selected help, a topic for Collection Notes displayed. This problem has been fixed. (78453)


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• Charge order batch import and post - NetSolutions has been updated to improve the charge order batch import and post process when there are retroactive changes. These functions in some cases were taking a long time to process and sometimes even resulting in a timeout error. The posting and retro processing has been modified to be more efficient. Both the creation of orders from the batch and the retro reversal of charges have been streamlined so they complete more quickly. (74104)

• COB Information - On the Coordination of Benefits page, the upper Search panel has been standardized to display the correct background color. On the lower detail panel, the Batch # and Seq # fields now display the numbers associated with the record. Previously, they were both showing 0 (zero) instead of the values in the database. (63023)

• Credit orders and split billworks - During calculate charges when there were multiple segments on the reimbursement table, credit orders were sometimes not split correctly, producing a leftover billwork. The program was not retaining the credit plan or credit indicator. The program has been modified to properly use the credit_order and credit_plan_code when splitting billworks. (72122)

• Deleting a charge order batch - If you delete a charge order batch that has been posted, only the batch header is deleted; the orders are not removed from the resident accounts. To delete the header and the orders, you must first unpost the batch. The warning message that displays when you delete a batch has been improved to clarify this. (71249)

• History Recap report – If a resident had two leaves of the same type in the same month separated by at least one day, the leaves were incorrectly combined into one, spanning from the first start date to the second end date. This problem has been fixed. The report now keeps the leaves separate with their own start and end dates. (77787)

• Import Charge Orders – When importing orders using the Match Resident by SS# option, if the import file included diagnoses, the diagnoses were not imported. This problem has been fixed. (77981)

• Import Charge Orders - When importing a file of orders from Rehab Optima, the diagnoses data in the file produced an error: "Min (7) must be less than or equal to max (-1) in a Range object." This problem has been fixed. (78569)

• New Resident link removed from Resident Account Selection dialog - The Resident Account Selection dialog, accessed from many pages in NetSolutions AR to look up a resident account, no longer includes the New Resident link. This link was a holdover from earlier versions of the software. In NetSolutions, new residents should be added through the Registration pages accessed from the ADT menu. This link was removed from most locations in NetSolutions version 650, but was still present in the resident account lookup accessed from the Batch Receipt Transactions dialog. It has now been removed there as well. (72838)

• Process Batch Charge Orders - On this page, the Process Past Orders As option defaults to Retro. However, if you clicked the Search button at the top, this option switched to Late, and remained there even if you then clicked Create New Batch. This problem has been fixed. This option now remains defaulted to Retro and can be changed manually to Late. (76654)

• Process Batch Credits - On this page, the Edit and Delete buttons on the Summary grid now work correctly. Clicking the Delete button now displays a confirmation message. The grid has also been standardized to provide a scroll bar instead of the paging links when there are more than five batch records. (76261)

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• Process Batch Receipts - When you applied a batch receipt, if the Received From field contained 22 or more characters and included an ampersand (&), a "data would be truncated" error displayed. The Received From field has a maximum length of 25 characters and the ampersand was converted into "&" in the xml. This issue has been resolved. The program has been updated to convert the xml string back into the "&" before saving to the database so the field length is not exceeded. (75274)

• Resident Ledger report - This report has been updated to properly reflect co-insurance write-offs and special Part B write-offs in the Adjustments column of the report. Previously, some write-offs were not included. (77886)

• Retro on Enter Charge Orders page - The Enter Charge Orders page was not allowing a user with security rights for retro to enter an order in the current period when the account had been calculated and billed. This problem has been fixed. The program was looking at the wrong screen ID when checking security access. Also, if the user does not have retro rights, both the Start Date and End Date fields are now grayed out, and the message that displays if they try to enter an order has been improved. (76618)

• Tab order on Process Batch pages - The Process Batch Charge Orders, Process Batch Receipts, and Process Batch Credits have been updated so that their tab sequences work consistently. In each case, when you add or edit a transaction, focus defaults to the first field (Resident or Last Name) and tabbing proceeds logically down the page. If you click Cancel, focus is placed back in the first field. (74054)

• Voided receipts with Enhanced Bank Reporting - If the Enhanced Bank Reporting option is turned on in NetSolutions (facility General Parameters), when you create a bank deposit it is sent to NS General Ledger for the Bank Account Inquiry feature. However, the deposit amount being sent was the amount entered manually on the deposit instead of the calculated amount. If you then voided a receipt attached to that bank deposit, the total deposit amount was lowered by the amount of the void receipt, but nothing was sent to GL to update Bank Account Inquiry unless you manually updated the Deposit Amount field. This issue has been corrected. The program has been updated to send the calculated deposit amount to NS General Ledger, so that if a receipt is voided, the calculated deposit amount is updated and sent automatically to GL. (76668)


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Accounts Receivable

Enhancements

• Aging by Month report - Add collection notes. The Aging by Month report has two new checkboxes in the Report Options section of the report criteria. These two checkboxes enable you to include collection notes on the report and to display all collection notes on the report.

When you select the Include Collection Notes checkbox, the report includes only the most recent note for periods with a balance.

When you select the Display All Notes checkbox along with the Include Collection Notes checkbox, the report includes all notes for all periods with a balance. If you select the Display All Notes checkbox without selecting the Include Collection Notes checkbox, NetSolutions automatically selects the other checkbox. When you select the Display All Notes checkbox, collection notes are displayed in the report in descending order.

Collection notes display beneath the payor plan with which they are associated. (55911)

• Aging by Month report - Show all insurance plan numbers. The report criteria page for the Aging by Month report has been updated to include the new Include All Insurance Plans #s checkbox. Select this checkbox to include all of a resident's insurance plan numbers on the report. By default, this checkbox is not selected. (51167)

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• Aging reports show months. The Aged A/R, Aged Accounts Receivable, Aging by Month, Insurance Aged Trial Balance, and Extended Aged Accounts Receivable reports have all been modified to include the calendar month of an aging bucket above the bucket label. Now, when you run these reports, the appropriate month (based on the AR period selected) displays above the listed bucket.

In addition, the Last Month column has been removed from the Aged A/R report as it was deemed redundant. (67183)

• Ancillary Charges Reconciliation report. NetSolutions now provides the new Ancillary Charges Reconciliation report. This report displays all ancillary charges for the processed month, separating current month charges from retroactive charges, and including GL numbers with amounts for the ancillary charges. The report is separated into Current and Retro sections. (45744)

• Blind Adjustments page updated. NetSolutions now displays all adjustments on the Blind Adjustments page. You can use the Blind Adjustments page to set an adjustment to blind (meaning that it will not print on a statement) or to set it back to a regular adjustment. You can set Transfer A/R adjustments to blind this way or on the Transfer A/R adjustment page. However, to be able to set Contractual W/O, Bad Debts, and Refunds to blind, you must first be granted the appropriate security rights.

Note: The Blind Adjustments page displays all adjustments performed in NetSolutions, whether you can set them to blind or not. You can use this page to get a quick view of the adjustments that have been made, even if you don't want to set any of them to blind. (72209)

• Cash Receipts Listing runs during month-end close. The new Cash Receipts Listing report has been added to the reports that are generated automatically during the month-end close process. (76106)


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• Collection Activity report improved. The report criteria for the Collection Activity report have been updated so that entries in the Period Date fields are no longer required. In addition, the dropdown lists for these fields have been replaced with a link to the Search for Period dialog box.

To include notes from a previous period on the report, enter values in the Note Date fields and leave the Period Date fields blank. To include notes for the next action, enter values in the Next Action Dates fields and leave the Period Date fields blank. (64675)

• Enter future adjustments in NetSolutions. NetSolutions AR has been modified to enable you to enter adjustments for the next month when the current month has not yet been closed using adjustment dates that are later than the current AR Period but not later than the current date. This can be done for Write-Off, Bad Debt, Refund, and Transfer adjustments. All transactions entered that are later than the current AR period will not be posted until the close of the AR period containing the transactions. The following changes have also been made:

o Reports. For reports that use a date range or period selection criteria, future adjustments are only included in the report if the adjustment dates fall within the date range or period selected for the report. For reports with no date selection, future adjustments are included in the balances.

o Financial Snapshot. Future adjustments are displayed in the Adjustments column in the Payor/Plan Balances section.

o Statements and Early Statements. Future adjustments are only included when they fall within the period for which the statements or early statements are run. Otherwise, they do not appear on either statements or early statements.

o Cash Receipts. For cash receipts entered with a receipt date after the current AR period, if a write-off is done, the adjustment created has the the same date as the receipt. Previously, the adjustment used the current AR period as the adjustment date. (40948, 52090)

• Include the period date for retro in the Routine Care Reconciliation report. A new checkbox has been added to the Routine Care Reconciliation report's Criteria page that enables you to include A/R period dates in the Retroactive section of the report and show totals by retro period in the Summary section. Retroactivity is listed for each resident on the report, detailing the amounts by rate, and including a sub-total for each payor. When you select the Include Period Date for Retro checkbox, NetSolutions also lists the A/R period, and separates the Summary section by period. (73101)

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• Run Pre-Close as RQ Service. The Pre-Close process has been modified to be run by the Remote Queue Service when one is available. In addition, a Run in Batch Mode checkbox has been added to enable you to submit Pre-Close to RQ for processing. When run in Batch Mode, the RQ Viewer displays all the reports generated during the Pre-Close process. (76459)

Revisions

• Adjustment Batch report - If a plan name or payor shortname contained a percent sign (%), the adjustment batch report generated an error. This problem has been fixed. The program has been modified to properly handle the percent sign. (76450)

• Adjustment Posting Report - This report was generating an error if both GL transactions associated with the adjustment had a GL account description of "A/R". This problem has been fixed. The program has been modified to properly handle this situation. (76633)

• Advanced Collections guarantor plan name - Advanced Collections was recently updated to show the plan name on the Outstanding Balances section of the Collection Notes page. However, for a guarantor payor/plan, it was only showing the word GUARANTOR and no plan. This issue has been corrected. The guarantor info now shows the specific payor and plan, such as: Smith, Jane / Priv pay Coins. (76839)

• Ancillary Balancing report - The SQL timeout value for this report has been increased to allow large queries to complete successfully. Previously, the report sometimes timed out when run for a month with a very large amount of data. The report has also been updated to work in batch mode. Select the Run in Batch Mode checkbox to send the report to the Remote Queue. (78918)

• AR Close in batch mode JE to NS GL. If your NetSolutions AR Close is sent in "batch mode" to the Remote Queue to be processed later, your GL journal entry is sent to General Ledger by the RQ Service (RQS). RQS builds the URL where it sends the GL import file from information in the NS/GA system. However, if you have an unusual setup for either the RQ Service or the GL web service, this transmission may fail. In this case, you can now specify the location of the GL web service in file NSRemoteQueue.exe.config. If when processing the batch RQS finds the following key in the config file, it sends the GL import file to the specified address:

<add key="GAWebServices" value="http://[localhost/]GeneralAccounting/GAWebServices/GAJournalEntries.asmx"/>

If this key is not found, RQS builds the URL in the standard way. (76523)

• AR reports exported to Excel - Since the upgrade to Crystal Reports 2013, some reports no longer displayed correctly when exported to Excel. The following reports have been updated to align columns properly when exported to the Excel or Excel Data Only formats. (76044)

o Aging by Month o Batch Orders o Insurance Aged Trial Balance o Journal Entries


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• AR reports exported to Excel - Some AR reports were not exporting to Excel correctly. The export was inserting extra rows and the row height was very small. In some cases two rows of data were produced for each resident instead of one. The Billing Line Worksheet, Medi-Cal Billing Line Worksheet, and Cash Receipts Listing reports have been updated to correct these issues. (78071)

• Billed Revenue report - This report was not clearing its data each time it was run. So if you ran the report multiple times for the same period the amounts were doubled, tripled, and so on. This problem has been fixed. (76820)

• Billed Revenue report - When running this report, an error was sometimes received: "BilledRevenueReport_BillRvnuXML: Arithmetic overflow error converting numeric to data type numeric. The statement has been terminated." This has been corrected. (78832)

• Collection Activity report - When you run this report from the Collections module with a resident selected, the criteria page defaults to the current resident and payor. However, if you changed the resident selection to All Residents and ran the report, it still printed for the previously selected payor. (For example, if the payor was the selected resident's guarantor, the report still printed just for that resident/guarantor payor.) This issue has been corrected. If you change the resident selection to All Residents, the Payor field is now cleared and you can select another payor. (76240)

• Contractual adjustments - On the Adjustment page, if you entered a contractual adjustment and typed an account number in the GL Offset Account number field, when you tabbed out of the field or clicked Save, the field was cleared. You had to use the Search to enter the account number. This problem has been fixed. You can once again type an account number in the field and the value is checked and retained if valid. (77078)

• Importing adjustments - The following changes have been made to the import feature: o The Adjustment Description field cannot be blank. o Quotation marks are necessary if the description contains a comma. If you put

quotation marks around the description in the first record, all the other records must have quotation marks around the description or those records will not import.

o When a file successfully imports, the batch header automatically calculates the hash amount and the number of lines. Previously, the hash amount was not calculated and you were required to manually press the Calculate button and then press Save to see the hash amount and validate against it.

o If you import an adjustment file containing all guarantor plans for the same resident, NetSolutions fills in the resident's specific payor on the header screen. If the batch transactions show a blank payor/plan in details, use the dropdown to correct or change the selection. Previously, the dropdown contained no data. (75453)

• Insurance Aged Trial Balance exported to Excel - When this report was exported using the Excel (data only) option, the totals did not line up under the correct aging columns. They were shifted three columns to the left because the resident info is not reported on those lines. This issue has been corrected. The totals for payors and the grand totals now display under the correct aging columns. (69692)

• Legacy AR Collection by Payor report - This report was blank if there were no Private collection balances. In this case, the payor summarized total report records were not being created. This problem has been fixed. If there are no Private balances, the report now displays the other payors that do have collection balances as expected. (78316)

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• Month-end close reports - A recent change to the program was causing several reports to fail during month-end processing. This problem has been fixed. (76106)

• Open Item Listing report - This report now correctly assigns the period, bill cycle, and balance amount to the report record when the billing cycle on a collection note does not match the billing cycle on the balance. Previously, the report was not selecting bill cycles. (75014)

• Open Item Listing report - When you select the Display All Notes checkbox on the Criteria page for the Open Item Listing report, the report now includes all collections notes for all included periods. Previously, only the note for the last period was included in the report (75560)

• Private Room Differential report - This report now prints amounts up to $999,999,999.99. Previously, it cut off amounts of eight or nine figures (tens or hundreds of millions). Also, days totals in the thousands or greater now use commas to improve readability. (75966)


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Billing

Enhancements

• Billing Error Log report updated. The Billing Error Log report has been updated to include the resident name on an error entry, as well as the plan description, item description, etc. when applicable.

For example, an old version of an Error Log entry might read:

Method C008 must find PIL for bed. account 5678

plan 216 item =8 LEVEL MODERATE start 6/5/2016

While the new entry for the same error on the updated Error Log report might read:

Method C008 must find PIL for bed. account 5678 Johnson, MaryJayne

plan 216 (MCD MD) item =8 (1001 Room and Board) LEVEL MODERATE start 6/5/2016

These changes have been implemented to make the report easier to understand and therefore more useful to the user. (67830)

• Commercial Log B report available. A new report (Commercial Log B) has been added to display information on speech, respiratory, occupational, and physical therapy charges, based on the revenue codes on the items:

o 041* - Respiratory Therapy o 042* - Physical Therapy o 043* - Occupational Therapy o 044* - Speech Therapy

This report includes only Commercial payors who have a payortype type of B. (48518)

• Generate Bill Data sent to RQ Service. The Generate Bill Data process now always runs through the Remote Queue Service. The Remote Queue service is now always installed and active in NetSolutions, and the Generate Bill Data process is sent there automatically. (76452)

• View progress of Generate Bill Data. In a large facility, the Generate Bill Data process can take a long time to complete. NetSolutions has been enhanced to show the percentage completed while the process is running. If Generate Bill Data is run in batch mode, it is sent to the Remote Queue. In the RQ Job Manager, if the process is currently in progress, the Status column will show the current percentage complete. Similarly in One-Touch Billing, the percentage complete now displays on the screen for Generate Bill Data as it does for Reset Accounts and Calculate Charges. (72679)

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Regulatory

• 1500 billspecs - All billspecs that use the 1500 bill type now validate correctly. Previously, the list of valid values used to compare the billspec was missing code 13 in Place of Service, which caused some bills to be rejected. (75124)

• Exclude admitting Dx from bills. Ohana MCD now requires that the admitting diagnosis be excluded from the bill when TOB is level 66x or x6x. (The 2nd digit of TOB contains the level billing code.) NetSolutions has been updated to allow you to automatically exclude the admitting Dx on both electronic and paper bills.

The following new billspec conditional dependencies have been added: "Type of Bill 66X", "Not Type of Bill 66X", "Type of Bill X6X", "Not Type of Bill X6X".

Edit Table 2, Seq 3100 on the billspec to change the dependency from its current setting (such as "Inpatient - no days check") to "Not Type of Bill 66X" (or "X6X" where applicable) to exclude the admitting diagnosis from the electronic bill.

To exclude the admitting diagnosis from paper bills, edit the admitting diagnosis field row 55, column 5 and change the Diagnosis # field from "Admitting" to either "Admitting Not 66X" or "Admitting Not X6X", without quotes. (78475)

• New billspec for Rhode Island. The new billspec "RI COM Neighborhood Skilled Net - UB04/ANSI5010" has been created. This billspec reports net charges and is used with the Commercial (skilled) plan. (76871)

• New York Medicaid - The Calculate Charges process has been updated to recognize Commercial B plans as part of Medicare Part B when calculating charges for New York Medicaid. Previously, the process did not recognize Commercial B plans as Medicare B plans and so used the C002 method instead of the W016 method. (77755)

• OH Medicaid RehabTherapy billspec - The "OH Medicaid RehabTherapy-1500(2/12)/ANSI5010X222A1" billspec has been modified so that its claim submissions are now successful. The following changes were made:

o Claims are now 50 per claim instead of 999.

o Charge orders now include the number of lines equal to the number of units in the order. For example, if a single charge order has four units, the order now contains four lines.

o Now includes the attending physician's NPI and the Facility as Rendering Provider. (77535)

Revisions

• Activity log - The activity log has been modified to now include the steps used to create bills, charges, and bill data. Previously, these steps were not included in the activity log. (77421)

• Ancillary charges for discharge bills - NetSolutions Billing has been modified so that when a discharge bill is created, all ancillary charges now appear on that bill. Previously, these charges appeared on a separate bill that was dated the first day of the month following the discharge. (48041)


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• Bed Rate Schedule report - This report has been modified so that it always processes the C code before the W code when run. Previously, the report would sometimes process the W code first which led to errors. (76733)

• Bed Rate Schedule report - The Bed Rate Schedule detail report was generating a "division by zero" error during its calculation of the paid rate when the resident number of days was zero. The program has been modified to skip this calculation when the divisor is zero. (77824)

• Billing Line Worksheet - When this report was run for Medi-Cal from the RQS using the Combined Bills option, totals on the last page over 99,999.00 were cut off. The Gross Amount, Res Liability, Other, and Net Amount fields on the report have been expanded to show larger totals. (76367)

• C008 method - This method has been modified to be used with plan maximum days. Previously, the method would reduce the number of days left rather than go to the maximum days. (76409)

• Calculate Charges - During the Calculate Charges process, if a resident had gone on bed hold during the month, an error was generated. This problem has been fixed. (74960)

• Calculate Charges for Early Statements - This process was generating an error if a resident's first name included parentheses. The payor selection for Calculate Charges for early statements displays the payor shortname in parentheses in the selection list. If the resident name included a parenthetical entry, the program took if for an incorrect shortname, producing the error. This issue has been corrected. The program now replaces any parentheses in the first name with spaces to avoid the error. For example, resident Smith with first name Catherine (Cat) will now show in the selection list as: Smith, Catherine Cat (Gua00000333). (77251)

• Calculate Charges for future period - When running the Calculate Charges process for a future period, NetSolutions now continues processing charges once OK has been clicked in the Confirm message dialog. Previously, clicking OK caused the process to shut down rather than continue. (71053)

• Calculate Charges for Medicare B - NetSolutions has been modified so that when a plan group has a Max Dollars/Period value set up for Medicare B, which should have the Max Dollars value set for Day or Year, the Calculate Charges process no longer displays an error but instead continues the calculations. (61439)

• Calculate Charges retro - The Retroactive processing feature has been modified to not reverse advance charges incorrectly. Previously, if charges or bills were calculated through the end of the current period, advance charges were created for the next month. If a change occurred that caused retroactive processing effective next month, the advance bill was reversed by retro, but because only the advance charge was reversed, retroactive processing did not change the billed through date on the order or the account. If you tried to calculate charges on the account again, the advance charge was skipped and you could not recreate the advance charge without resetting or retroing the account back to the current period. Retroactivity no longer reverses the advance charge when this occurs. (72568)

• CA Medicaid - The following changes have been made to California Medicaid (62750, 68105, 75910):

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o These fields have been modified to better line up with the pre-printed form when printed using a laser printer: Other Coverage, Medicare Type, Zip Code, Date Billed. When printing this report you should have the Actual Size option selected.

o The Private Portion error message has been updated to include more information and suggested remedies.

o NetSolutions now looks to see if a discharging resident is covered by Medi-Cal on the day of discharge and if they are not (for example, if they have changed their level of care to hospice on that same day) then the transaction is not marked as a discharge. This only applies when residents have changed their level of care on the day of discharge.

• Compare Bill Specification - In this dialog, accessed from the Bill Specifications page on the System tab, if you compared two billspecs and the difference was that a field in the second billspec had been blanked, an error displayed, "Conversion from type datarow() to type string is invalid." This problem has been fixed. (77261)

• Early statements - When running early statements, NetSolutions has been modified to check whether the time of a reversed charge is earlier than the time on the charge that is being reversed. If the reversed charge is earlier than the original charge, NetSolutions displays a message suggesting that the user check to make sure the time on the APP server is synchronized with the time on the server he or she is working from. When these times do not match, errors can occur with the charges. (74290)

• Error report notice more specific - The Error report notice in One-Touch Billing has been changed to be more specific. Previously, the initial notification directed you to the Error report; now the notification indicates that the Error report itself begins on the next page. (71092)

• Exclude Zero Bills - The Exclude Zero Bills checkboxes on the PA Bill Parameters page now work correctly. Previously, when running bills for Standard PA Medicaid Long Term Care Nursing Home billing (bills that contain "PA Custom"), the Exclude Zero Bills option did not work correctly and zero balances were not excluded. (77218)

• Hospital leaves of less than 24 hours - NetSolutions Billing has been modified to correctly handle leaves of less than 24 hours. Previously, Billing was treating patient status codes incorrectly. (61279)

• LA Rate and Audit Review - The Calendar selection feature for the Report Date field has been modified so that when you select a date, NetSolutions now displays the date in the mm/yyyy format. Previously, the year was displayed twice rather than once. (77616)

• Medicaid Pending payors on early statements - A chg_thru_date_time field has been added to the statement record so that when a reversal of prior month charges is done, the balance on early statements for a Medicaid Pending payor is correct. Normally the charge through date/time for a statement is the same as the create date/time of the bill associated with the statement, but if no bill is found because of retroactivity then the value in the new field is used. Previously, the reversals would not show on the pending payor early statement until the following month. (75249)

• Medi-Cal paper bills - All Medi-Cal claims submitted on the CMS-1500, UB-04, 25-1, 30-1, and 30-4 require the entry of an ICD Code indicator on the claim form specifying the submission of either ICD-9 or ICD-10 codes. A 0 prefix on the code indicates the claim was submitted with an ICD-10 code; a 9 prefix indicates an ICD-9 code. Previously, NetSolutions included the 9 code but did not include the 0 code. (78574)


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• Medi-Cal billing - NetSolutions has been modified to check the billspec for Day of Discharge options and to use the billspec's setting when found. Previously, the custom CA Medicaid coding overrode the billspec setting for extending the bill to the first of the following month. (78290)

• MSP bills - MSP bills now include revenue code descriptions. Previously, either no description or the incorrect description was included when the invoice line contained both charges and np_charges. (78222)

• One-Touch claims to eDocuments - When you create a One-Touch billing list and process it, the Release Claims button appears. When this is clicked, the button disappears and the data goes to Trans Set in Collections. However, the claims did not release to eDocuments. (Bills processed outside of One-Touch did release to eDocs.) This issue has been corrected. One-Touch Billing has been updated to release claims to eDocuments as designed. (76245)

• PDF Printing - The PDF Printing checkbox has been removed from Produce Bills and Paper Bills Only pages. NetSolutions does not have a Crystal Reports print option any longer and all printing is now done through PDF. The options previously activated by the PDF Printing checkbox (Print with Form to Plain Paper and Print Offset) are now available by default.(75905)

• Retro interest charges - The interest calculation in Calculate Charges has been fixed to rebook retro'd prior month interest charges for the same amount, but to recalculate the current month interest charges. (72540)

• Validation for P methods when calculating charges - Modifications have been made to the way error messages are displayed for P methods when calculating charges. Previously, since the following methods do not require a co-insurer (they write-off the co-insurance if a co-insurer is not specified) they were not validated during Calculate Charges: P002, P012, P018, and P028. Method P015 also does not require a co-insurer because the amount falls to the next payor in the table; it was also not validated. Methods P011, P014, P021, P022, P025, and P027 require a co-insurer and display an error during the Calculate Charges process if the plan doesn't have a co-insurer.

Now, if a plan uses S002 or any P method other than P002, P012, P015, P018, or P028 and if no co-insurer is specified, NetSolutions displays an error/warning message. However, if a plan uses P002, P012, P018, or P028 and if no coinsurer is specified but the indicator is either R (Required) or W (Warning), one of the following occurs:

o If the indicator is R, NetSolutions displays the This Plan Requires a Co-Insurer error message.

o If the indicator is W, NetSolutions displays the following message: Warning: no co-insurer has been specified. Co-insurance will be written off. (63192)

• W029 method - This method has been modified so that it does not cause a Divide by Zero error when Calculate Charges is run. Previously, this method would not skip processing when a bill did not have co-insurance days, which caused the Divide by Zero error. (71662)

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Resident Funds

Enhancements

• Create custom layouts for printing checks. Use the new Check Layouts feature to create customized layouts for printing Resident Funds checks. Print these checks on different types of pre-printed check forms on different printers. Use the Check Layout Profile page to create and adjust layouts for printing checks.

On the Facility tab, go to the Fund Profiles menu and click Check Library. On the Check Layout Profile page you can modify an existing layout or create a new one. To modify an existing layout, select the layout in the Check Layouts panel then make any changes necessary in the Check Layout Details panel. To add a new layout, enter the information for the new layout on the Add line, then add the details in the lower panel. To create a new layout based on an existing layout, click the Copy link in the Check Layouts title bar, then modify any details as necessary. (73011)

• Facility Name on Funds reports. NetSolutions has been updated to use the entry in the DBA Name as the facility name on the following reports:

o Import Fund Deposits o Import Fund Withdrawals o Batch Validation o Batch Worksheet o Batch Report


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o Sweep Worksheet o Sweep Validation o Sweep Report o Bank Transaction Reports o Edit Transaction Reports

If the DBA Name field is blank on the Facility Information page, the reports use the Facility Name as entered on the Funds Facility Profile page. (58220)

• Indicate when the facility is a resident's representative payee. A new checkbox, Facility is Rep Payee, has been added to the Fund Resident Maintenance page. Select this checkbox to indicate that the facility is the representative payee for the resident.

If the facility is listed as the resident's representative payee, the icon displays beside the resident's name on the Resident Fund Selection and Funds Transactions pages, and in the Fund Balances report, Resident Funds History report, and on Fund Statements.

In addition, a new report criteria field, Separate Rep Payee, has been added to the Fund Balances and Resident Funds History reports, as well as to Fund Statements to enable you to separate residents for whom the facility is the representative payee and display them at the top of the report. (65726)

• Update company information on 1099 forms. NetSolutions Funds has been modified to use Funds-specific company information where available on 1099 electronic forms and on paper 1099 forms as well. This information comes from the Funds Facility Profile page; however, you can enter the name, address, contact person, phone number, and email address of the company to be contacted directly in these fields if necessary, should the IRS/MCC encounter problems with the file or transmission. A second Address line has also been added and now all Company Information fields are available to edit when the Update File link is clicked. (75200)

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• Use Fund Type alerts to monitor fund balances and resident discharges. NetSolutions now enables you to display alert icons when a resident account exceeds the defined parameters. When you select the Show Fund Alerts checkbox, NetSolutions displays two fields beside the checkbox which require entries.

In the High Balance field, enter the maximum balance a fund can have before triggering a balance alert. When a resident's fund balance exceeds the amount entered here, an alert icon is displayed in the Resident Fund Selection dialog, in the Search panel on the Fund Transactions page, and in the Batch Fund Detail dialog.

In the Days Past Discharge field, enter the number of days after a resident's discharge that the discharge alert should display. When more than the entered number of days have passed since the resident was discharged, an alert icon is displayed in the Resident Fund Selection dialog, in the Search panel on the Fund Transactions page, and in the Batch Fund Detail dialog.

Hovering over these icons on any of these pages displays a message indicating what the alert is for.

Alerts are also included in the Fund Balances report. When you select the Only Show Funds with Alerts checkbox on the Fund Balances report criteria page, the report lists only those residents whose accounts have triggered a high balance or days past discharge alert.

If this checkbox is not selected, NetSolutions still displays high balance and days past discharge alerts for the appropriate residents on the report, but does not limit the report to only those residents with alerts. (73856)


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Revisions

• Activity Log report - The Funds Activity Log report now includes resident information as well as the fund code when the activity listed is for a single resident. Previously, only the fund code was included. (73869)

• Bank Transaction report - On the report criteria page, if under Selection Criteria you choose the default Date option, the fields in the Date frame are active and the Check Number frame is not; similarly, if you choose the Check Number option, the Check Number fields are active and required and the Date frame is now grayed out. (73118)

• Batch Transactions - When you click the Enter Trx button, focus is now in the Resident field in the Batch Fund Details dialog as expected. Previously, depending on what had been done before clicking Enter Trx, focus sometimes was on the SELECT button instead. (69015)

• Check requests - Fund Transactions has been modified so that the Check Request checkbox is not available when making a deposit. (73119)

• Deleting a resident - In a Funds Only site, you can delete a resident on the Fund Resident Maintenance page as long as there is no fund activity for the resident. In a facility that is not Funds only, you cannot delete a resident from Funds. If you attempt to do so, an appropriate message will display. (73130)

• Fund History report - This report generated a NetSolutions error when it was run by resident with the Show Internal Memos and Include Current Transactions options selected. A typo in a SQL statement was causing the error. This problem has been fixed. (77147, 77236)

• Fund Statements - If you run this report for one resident and then change the Fund Type, the Resident selection now defaults back to the All Residents option as expected. Previously, the Residents option remained showing the previously selected resident, but when you ran the report, it printed as if All Residents was selected. (64482)

• Fund Statements - When the statement From date was the same as the reconciliation date and there were transactions with that same date included in the reconciliation, those transactions were not included in the balance forward, resulting in an incorrect ending balance. This problem has been fixed. (76365)

• Generate Report button – When you are posting a batch of funds transactions, NetSolutions now displays the Generate Report button on the Batch Transactions page once the batch has been posted. This button now displays on two different pages: the Batch Transactions and the Batch Fund Detail dialog. On the Batch Transactions page, the button enables you to run the Fund Batch {Transaction} Posted report. In the Batch Fund Detail dialog, the button enables you to run the Fund Batch Deposit Worksheet, as usual. (76255)

• Guarantor name on Funds Statement - If the option to use the guarantor address for statements was selected and the guarantor had only a last name entered, the name did not print at all. It printed correctly on the AR statement, but not the Funds statement. When the guarantor is a company, the company name is typically entered as the guarantor last name. This problem has been fixed. The statement will now print the last name by itself. (73131)

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• Medicare # - On the Funds Resident Maintenance page, if you edited a resident record that had a Medicare number of less than 10 digits, a NetSolutions error displayed. The Funds page was expecting a 10-digit number in the (grayed out) Medicare # field, but the number entered in Registration \ Basic Info was less than 10 digits. This problem has been fixed. The Funds record can now be edited and saved with the short Medicare number. (75408)

• Reactivating a fund - You can now reactivate a resident who has had a final check cut even if the check has not been reconciled. If the final check has been printed and not reconciled, to re-activate a fund, remove and void the final withdrawal and void the bank transaction. If other transactions have been added to the same bank transaction, they need to be unattached. (75443)

• Reconciliation Worksheet – This report has been modified so that each time it is run it deletes the data from the previous run before compiling the new data. Previously, the worksheet did not delete the older data and replace it, but instead appended the new data to the old report. (76259)

• Reconciliation Worksheet and Reconciliation Worksheet History reports - The detail and carry-over total fields for these reports have been expanded to handle larger amounts. The detail fields now allow figures up to 99,999.99; the totals fields now allow figures up to 9,999,999.99. (76981)

• Resident Fund Info sort order - When you select this item in the task menu and open the Fund Resident Maintenance page, if you enter just the first letter of a last name and click Search, the Select Resident grid now displays the matching residents in alphabetical order by both last name and first name. Previously, if there were multiple residents with the same last name, the residents were not sorted correctly by first name. (70708)

• Resident Information report - When this report was printed with the Report By MR Number option selected, if a resident did not have an MR number, the report printed that resident over and over on multiple pages. This problem has been fixed. (70305)

• Resident Information report - This report has been modified to print the same address on this report as it does on the statement. If the Use this Address on the Statements checkbox is selected the alternate address will always be used, as long as the name and address are not spaces. Also, when Use this Address on the Statements is selected, an entry in the Last Name and Address fields is now required. (73108)

• Transaction report - If you printed this report with the Withdrawals option selected under Transactions and the Include History checkbox selected, the report was including interest transactions when it should not. This problem has been fixed. (71419)

• Trust funds - NetSolutions has been modified to always check to make sure when saving a fund type not labeled "Trust" that the Trust fund type already exists in the system. The first Trust Fund fund type created for a facility must be called "Trust". (68544)


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Clinical

Care Plan

Enhancement

• Period Dates setup no longer required. NetSolutions has been improved so that you no longer need to set up period dates each month for printing the Care Plan and Physician Orders forms. For more information, please see the Physician Orders section below. (52504)

Revisions

• Goal and intervention resolution - When resolving a goal or intervention, if the effective date or revision date was earlier than the associated problem date, a validation message displayed, prompting you to fix the dates. This message has been removed. The program now only validates the revision dates when revising an item, not when resolving it. (76723)

• Goal resolution - When you resolved a goal and clicked Save, an error message displayed, related to sending a resolution note to IPN. This problem has been fixed. (76722)

• Revision and Resolution History - In this dialog, if the history note in the Statement column exceeds the space provided, you can now hover the mouse pointer over the statement to view the full text. Previously, the text was cut off with no way to view it. (77877)

• Revision validation - If you clicked the Revision button on a problem, goal, or intervention and entered one or more carriage returns (by pressing Enter) in the statement, then clicked Save, a new revision with no data changes (except a revision date/time) was saved. This issue has been corrected. The program now ignores carriage returns when checking for changes. If you enter carriage returns only in revision mode and click Save, a message now informs you that there are no changes to save. (77874)

• Suggested problems from the MDS - If Care Plan problems are correlated to MDS responses, the suggested problems are now triggered when the response is selected on the MDS assessment. Previously, the MDS-suggested problems were not triggered until the assessment was audited; if you hadn't finished the entire MDS and completed the audit, the suggested problems were not available in Care Plan. The program now looks at the current MDS working record for suggested-problem correlations. (73711)

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eAssignment

Revisions

• UDA product options - If on the eAssignment Product Options page you added a trigger for UDA and selected a position in the Send To field, the position did not display in the field. When this trigger's event occurred, no message was sent because there was no Send To recipient. This problem has been fixed. When you select a position in the Search window for the Send To field, the position now displays in the field and works correctly. (77875)

eCharting

Important Note

• System outages with eCharting. When medication charting is performed electronically, it is important to have a backup plan in case of a power outage or system failure.

o Facilities whose NetSolutions system is hosted by NTT DATA should plan for both a backup power supply and a backup means of internet access. For example, an uninteruptible power source (UPS) should be in place as well as an alternative internet connection such as a cell phone hotspot or aircard or a secondary ISP. If in an emergency you must change the IP address from which you are connecting to the NTT DATA hosted environment, contact the Cloud Administrator to register the new address.

o Facilities hosting their own systems similarly need to ensure backup power and system access. Any facility whose system sends data over the internet should have a secondary internet connection plan in place.

o For a worst-case scenario, facilities should always print their eMAR/eTAR reports on a regular basis, or save them as pdf files, so they can be used as a medication list in an emergency. Temporary paper charting can then be entered into the system after power is restored.

For more information, see "Fault Tolerance and Disaster Recovery" in the NetSolutions Setup Help or Installation Guide. (52395)

Enhancements

• Access the Upcoming Orders report from the eCharting page. The Upcoming Orders report is now available in the Go To dropdown on the eCharting page. When you select Upcoming Orders from the dropdown, the report criteria page opens with the current resident and the next shift in the facility (after the current one) selected by default. This allows you to quickly see a list of the resident's scheduled medications for the next shift. You can change these selections and the other criteria as needed. The report itself is unchanged. The nursing shifts for the facility are maintained on the Facility Information page on the Facility tab. (62212)


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• Calculate and display PRN time intervals. NetSolutions eCharting can now display the minimum time interval required before administering the next dose of a PRN medication.

Setup

PRN codes. In the PRN Messages master on the Facility tab, you can now define a time interval for each PRN code as a number of minutes or hours. Enter the number of minutes or hours in the Number field and then select the units, Minutes or Hours, in the Interval field.

Calculate PRN Intervals. To turn on this new feature in eCharting, you select the Calculate PRN Intervals product option on the eCharting panel of the PO Product Options page.

In the Refresh Screen Every __ Seconds field, enter the number of seconds between refreshes of the eCharting page to recalculate PRN order time intervals. Please keep in mind that screen refreshes can be disruptive to users conducting an eCharting session, so the interval should be set at as large an interval as will adequately keep users informed of the PRN intervals.

Viewing PRN intervals

With this setup completed, when you conduct an eCharting session, the times of the Last Dose and Next Available Dose display in bold red text in the Medication field on the eCharting page.

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In NetSolutions 652, this new PRN interval messaging will display in eCharting for medication orders, but not treatment orders. Treatments will be addressed in a later release.

Report. The PRN Message Master report has been updated to include the new Number and Interval fields for each PRN code. For more information, see the eCharting Help or Training Guide. (55984)

• eCharting Session report improved. The eCharting Session report has been enhanced to show more information about each session. The report enables you to print summary data from one or more eCharting sessions. Each session's information starts on a new page. The report can be printed in two formats:

o Print a Summary report for one or more eCharting sessions that shows order totals in several categories; these are the same totals listed on the eCharting Summary page.

o Print a Detail report that shows the summary information plus the specific orders within each summary category.

For each session, the report shows the session date, start time, user, and number of residents at the top. It also now shows the session end time, if available. An end time is recorded if the session was completed by viewing the Session Summary. If the user closed out of the session without completing it, the Pass End Time field is empty or says "unknown".

The report now also shows the criteria that were used to create the eCharting session. These may include the resident name or location options chosen to select residents, the order selection criteria, and other options available on the eCharting Criteria page.

The Detail report now includes a Scheduled Date/Time column showing the time or shift value that placed the physician order in the eCharting session. Each column also now includes a header. (51862)


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• Define when an order is considered Missed. NetSolutions eCharting now enables you to define how long an undocumented order should remain in eCharting until its status becomes Missed and it is removed. On the Physician Orders Product Options page under eCharting, use the new # of Hours to Calculate Missed fields to define how long a med or treatment order will continue to display in eCharting.

Enter the number of hours after a medication or treatment order's scheduled administration time that it should continue to appear in eCharting sessions. Once this time has been reached, the order no longer displays in new sessions. It then prints as "M" for Missed on the eMAR/eTAR reports. If these fields are left blank, an undocumented order becomes Missed after 24 hours or when the same time value is reached on the next scheduled day. Until an order is Missed, its status is Late and it continues to display in eCharting sessions until documented as administered.

Defining a shorter Missed order time interval can prevent orders from displaying twice in the same session, once as Scheduled (for today's dose) and once as Late (for the previous day's missed dose), which could potentially lead to the dose being given twice. (66507)

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• Upcoming Orders report improvements. The eCharting Upcoming Orders report has been enhanced with two new criteria options. Select the new Exclude Shift Orders checkbox to exclude orders scheduled by shift value from the report. Orders with a time value of type Shift that places the order within the "upcoming" time range for the report are not included. Only orders scheduled with a regular time value or time range value print on the report. By default, this checkbox is not selected.

The Group By options have been updated to display as a dropdown list named Sort By. In this dropdown are the two previous options, Resident Name and Location and a new option, Time. Choose the new Time option to print orders chronologically by time value. The upcoming orders that are due soonest print at the top. (61081)

• View a body graphic showing injection sites. When you document an order in eCharting, if the "Site" descriptive text field is present on the order, the Injection Sites link is now available in the Documentation dialog.

Click this link to view a graphic showing the terminology and numbering used for injection sites in your facility. You then use this information to complete the Site field when documenting administration of the order.


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The injection site graphic is view-only; it is not a markable graphic like the UDA body graphic. In the Injection Sites dialog, click the History link to open the Medication Administration History dialog where you can view the documentation on past administrations so you can determine which site should be used for administering the current dose.

A default graphic showing standard injection sites (above) is provided with NetSolutions. Your facility can replace this graphic with another on the Injection Site Graphic page on the System tab. For more information, see the eCharting Help or Training Guide. (68949)

Revisions

• Descriptive Text Results report - This report was cutting off the results text at about 18 characters. This problem has been fixed. The report now shows the full results text. (78486)

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• eMAR report - This report was generating an error when an order with hourly time values had the same date as both the order start date and discontinue date. A comparison of date/time values was failing due to a missing time portion. This issue has been corrected. (78148)

• eMAR/eTAR reports - These reports now sort and insert page breaks properly based on the selected options in the Order Types setup dialog and the PO Product Options page. If the Print PRN Orders on a Separate Page option is selected, the report sorts by order type and starts a new page for each order type. Previously, the report was breaking on each order code, resulting in too many pages. The form option Routine Orders Precede PRN Orders is also now applied correctly. (74192)

• eMAR/eTAR reports - On these reports, PRN results entered for the resident were sometimes not printing in the Results and Documentation section at the end. This issue has been corrected. (78072)

• eTAR report - This report was generating an "invalid XML document" error if a resident meeting the report criteria had a single order that was active during the report date range but due to the Frequency options had no administrations scheduled within that date range. This problem has been fixed. The program has been updated to handle this condition and generate without error. (77803)

• eMAR/eTAR reports in Remote Queue - When you printed these reports and selected the Run in Batch Mode option then went to the RQS Viewer and generated the report, if you closed the report and clicked Generate again, an error displayed. The report file was deleted when closed, so was not available. The program has been updated to save a binary copy of the report file to the database so it can be restored later when needed. (76876)

• On/off orders on eMAR/eTAR reports - If an order's Frequency Options setting was Daily \ On/Off (such as On for 14 days and Off for 5 days) and you ran the eMAR/eTAR with a report date range that began within the On period, the order was not reported correctly. In one example, the report showed administrations on the wrong days and incorrect start and stop dates. The Admin History dialog and the regular MAR/TAR report showed the correct information. This problem has been fixed. (78771)

• Physician Orders accessed from eCharting - During an eCharting session, if you opened Physician Orders using the Go To dropdown and then attempted to add a time value, an error sometimes displayed. The error occurred when the eCharting session was created after the user logged in but did not first select a resident, so there was no value in the session variable for the current resident bed to which a time value could apply. This issue has been corrected by having the program set the current resident bed variable each time a resident is selected in the eCharting session. (78042)

• PRN order documentation - If you opened the PRN Documentation dialog to view or edit previously entered documentation, the documentation time in the history was updated to the time of this view/edit. This issue has been corrected. The time is no longer updated when you view or edit PRN documentation such as the Notes or Reason. Also, a Close Window button has been added to the dialog so that users have a clear path to close without saving any changes. (78220)

• Time range values applied to descriptive texts - When multiple time range values on an order were applied to different descriptive text items, in eCharting the correct descriptive texts did not always display in the Documentation dialog for each admin time. This problem has been fixed. (78902)


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eDocuments

Enhancements

• Import eDocuments Utility available. Use the new Import eDocuments utility to import multiple electronic documents into the system at once. This utility is available on the Utilities page on the Facility tab.

This utility is especially useful when setting up a new facility in NetSolutions or when adding the eDocuments module to the system. Instead of adding each e-document one at a time for each resident, you can bulk-import many documents in a single process.

The Import eDocuments utility accepts a zip file containing documents named using a strict naming convention, which allows the utility to identify the documents and associate them with the correct residents:

facNum_hrNum_docName_comment_eDoc type.ext

The file name contains the following elements, separated by underscores:

• facNum. The NetSolutions facility code. • hrNum. The resident's health record number. • docName. The document name. The import grid shows a row for each unique

document name. • docComment (optional). Comment to distinguish the document within

eDocuments. For example, if a resident has multiple copies of the same document with different dates, the date could be the comment.

• eDoc type (optional). You can supply the eDoc type in the file name, or select it during the import. If supplied, the type must be active in the eDocument Master.

Examples of valid import file names:

FC01_1234_CCD_12-24-2015_CCD.pdf – all items specified FC01_1234_CCD_12-24-2015.pdf – type not specified FC01_1234_CCD__CCD.pdf – comment not specified, type specified FC01_1234_CCD.pdf – comment and type not specified

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Security. To run this utility, the user must have security rights to the utility on the User tab \ Utilities Security page. To import specific document types, the user must have security rights to those types. For more information, see topic "eDocuments Security" in the eDocuments help or training guide.

Importing a zip file of eDocuments

1. On the Facility tab, in the task menu under Facility, choose Utilities.

2. On the Utilities page, scroll down and select Import eDocuments.

3. On the Import eDocuments page, click the Browse button beside the eDocs Zip File field and select your import file. The file path and name displays in the field.

4. If the zip file is password-protected, enter the password in the Optional Password field.

5. Click Upload.

o The program uploads the zip file to the server, extracts the files, parses the file names, and builds the grid for eDocument Type selection.

o The grid shows each unique document name, the default eDocument type if provided, and the number of files per file name.

6. In the eDocument Type column, select the type for each file name. The dropdown defaults to the type specified in the file name. If no type is specified, or if files of the same name have different types, the dropdown defaults to blank. You must select a type for each file name. You can select Do Not Import and the document(s) will be skipped.

7. Click Import.

o The e-documents are created in NetSolutions.

o A log displays showing all files imported and any errors preventing import of a document such as an HR number not found or missing user security rights to an eDocument type.

(55523)

Revisions

• Import By field - When a document was imported by one user and then viewed by another, the system changed the user name in the Import By field to the second user. This issue has been fixed. The program has been modified to retain the name of the user who imported the document. (76469)


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ePrescribing

Enhancements

• No Known Allergies (NKA) sent to Omnicare. While most ePrescribing interfaces receive allergy information in the Census transaction, Omnicare does not support the NCPDP script Census message, so allergy info is sent in the physician order (NewRx) message in the Note element. Previously, if the resident did not have any allergies, this element was left blank. As requested by Omnicare, if the resident has no known allergies, the Note element now contains the following. (76471)

<Note>[A]No Known Allergies[/A]>/Note>

• NotFilled messages from Frameworks recorded in RxHistory. RxFill messages with a status of "NotFilled" received from Frameworks are now recorded in the RxHistory table. The RxNumber sent in the message is also recorded, so it is available in the future if the medication is reordered. (74714)

• Use Prescribers Connection to process NetSolutions pharmacy orders. Prescribers Connection is an electronic prescription service that operates in the long term care field. Facilities can use Prescribers Connection (PC) as an intermediary for processing their electronic medication orders. NetSolutions has been updated to send pharmacy orders to PC in the required format. PC can process orders for several electronic pharmacy systems with which NetSolutions currently does not interface.

NetSolutions has been enhanced in several ways to meet the requirements for exchanging data with PC. Two general improvements have been made to the Order Detail dialog in Physician Orders:

o Pharmacy field. The Fill Options panel has been updated to show the resident’s pharmacy and to allow selecting a pharmacy for the order. See SR 61025 in this section for more information.

o Gender, Birthdate, and Location. This information now displays on the top title bar of the Order Detail dialog in addition to the resident name, HR #, account # and visit.

In the Interface Manager on the System tab, a new interface type has been added for Prescribers Connection. For this interface type, special programming has been added including the following:

o Stop Date. NewRx messages sent to Prescribers Connection (PC) do NOT include the order Stop Date, even if one has been entered, so that PC can recognize the order as an Open Ended LTC order. If a Stop Date is entered on the order, the program checks for a Days Supply entry and prompts the user for one if not found.

o Indication For Use. Data entered in this field is sent in the Medication Prescribed Notes field.

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o Additional NDC info. When sending an order to PC, NetSolutions includes the required RxNorm and Product Category codes associated with the NDC. These new fields have been added to the NS database for this purpose.

o Physician information. Messages can also be sent from NetSolutions to PC and then onto a separate physician system for review and electronic signature, then back to PC and onto the pharmacy. NetSolutions is being upgraded to exchange physician information with PC and such third-party physician systems.

For details on setting up an interface to Prescribers Connection, see the Interface Manager Help or Training Guide. If you need assistance, please contact NTT DATA Tech Support. (70707)

• Reject a received order and save the Rx number. When using ePrescribing, NetSolutions compares the order sent to the pharmacy to how it was filled by the pharmacy (based on GFC code). If there is a difference in generic equivalence, strength, or form, the order is sent to the Receive Orders screen. The Receive Orders screen displays the Original and New medications (original as sent to the pharmacy and new as filled by the pharmacy). When these descriptions are different, the user needs to accept the order and change to the new medication. Sometimes the difference (GFC code) is so minor the description in the Original and New columns are the same. In the past, if the Original and New appeared to be the same, and the user rejected the change, the system did not update the RxNumber sent for the order from the pharmacy, which meant the RxNumber would need to be manually entered when reordering. If the medication descriptions are the same, the user can now reject reject the change.

On the Receive Orders page, if you reject an order, the new Reject Received Order dialog asks, "Would you like to update the current order with new RxNumber from pharmacy?". You select either Yes or No and click Save.

o If you choose No, the order is rejected as before and is marked as Rejected in the Received Orders list, removing it from the default view.

o If you choose Yes, a new entry is added to RxHistory with a status of "Med Change Rejected." This entry saves the Dispensed Medication, Directions, and RxNumber in the RxFill. If you later reorder the medication, this saved RxNumber is provided on the Reorder Meds screen.

o If there is no matching original order based on the Rx reference number, the program searches the resident's active orders and displays all matching orders based on GFC code. If there is more than one, they all display in the Reject Received Order dialog and you select the option button for the order you want to update. If there are no matching orders, the "update the current order" option is not presented.

The program now also prevents repeats of the Reject process. When an RxFill message is received from the pharmacy and the GFC does not match the original order, the program checks if it is a repeat of a message that was processed as Med Change Rejected. If so, the RxFill is processed as if the GFC is the same as the original order's, and it is NOT sent to Receive Orders. The order status is updated to Filled. (63295, 78194)


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• Suppress CancelRx messages if the order is missing required pharmacy data. On the Organization Master page on the Facility tab, there is a new option for pharmacies, Suppress CancelRx if Missing Required Pharmacy Data.

If ePrescribing is in use, when a physician order is discontinued or deleted, a CancelRx message is sent to the pharmacy. If this checkbox is selected and any data required on pharmacy orders is missing, the CancelRx message is not sent and no alert is generated. The order is updated in the Medication Order Status dialog as "Suppressed." By default, this checkbox is not selected. This option is intended primarily for facilities that are cleaning up their orders to begin using ePrescribing. This prevents the pharmacy from receiving CancelRx messages that it cannot process. Such facilities will typically print and fax the canceled orders in communication with the pharmacy. (76391)

Revisions

• Auto-Fax Service - The NetSolutions Auto-Fax service is no longer supported for exchanging medication prescription information with pharmacies. Most pharmacies now are capable of exchanging Rx info electronically, so the ePrescribing messaging system is used for this purpose, while Auto-Fax is being phased out. The Auto-Fax service is still available for sending lab and x-ray order information to providers of these services. The ePrescribing, Physician Orders, and NS Setup Help and training guides have been updated with the latest information on using and setting up Auto-Fax for lab and x-ray orders. (76439)

• Census messages - NetSolutions was sometimes sending Census messages through interfaces for which the Census message in the Interface Manager was inactive or unmapped. Some ePrescribing interfaces, such as Omnicare, do not use the Census transaction but use a regular HL7 message for census information. This issue has been corrected. (73083)

• Descriptive text group correlations in Receive Orders - The descriptive text group correlations feature that is available when adding a physician order was not working for orders received from the pharmacy on the Received Orders page. This issue has been corrected. In the Order Detail dialog accessed from Receive Orders, if the order has an NDC number whose therapeutic class is correlated to a descriptive text group (on the Descriptive Text Group Correlation page on the System tab), that group is now selected by default on the order. (75258)

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• Pharmacy field on renewed orders - When renewing a physician order with ePrescribing, the Pharmacy field on the Fill Options panel was not defaulting to the resident's pharmacy. This issue has been corrected. (78858)

• Receive Orders - When you reject an order on the Receive Orders screen, NetSolutions no longer displays an error. (63295)

• Receive Orders - On this page, when you clicked Accept on an order, reviewed and completed the order in the Order Detail dialog, and clicked Done, the accepted order was not removed from the list because the page did not refresh. If you then clicked Accept on the same order again, the next order in the list opened in the Order Detail dialog. This problem has been fixed. After you accept an order, the Receive Orders page now refreshes and the order is removed. (78309)

• RxHistory link in eCharting - On the eCharting page, the RxHistory link now displays in the Reorder column on the far right for all medication orders. Previously, it displayed for scheduled orders, but not for PRN orders. This dialog shows the history of electronic pharmacy transactions for the medication. (76572)


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Interdisciplinary Progress Notes (IPN)

Enhancements

• Create an IPN session for a physician. The IPN Session Criteria page includes a new field, Attending Physician.

Select an attending physician from the Search window to create a session that includes a single physician's residents. This option is available only if the All Residents option is selected above. By default, the field is blank and all physicians are selected. This new field allows a physician (or a physician's nurse or assistant) to quickly call up all the physician's patients and enter progress notes. (74249)

• Electronically sign and co-sign progress notes. The NetSolutions eSignatures feature enables system users to electronically sign and co-sign interdisciplinary progress notes. An electronic signature is a data record that consists of the user name and title, plus the date and time that the signature is recorded. Only the currently logged-in user can sign or co-sign a progress note. The electronic signature is tied to the user through their user ID and profile established on the User tab.

Setup. To turn on eSignatures in IPN, you select the Enable IPN Electronic Signature option on the IPN Product Options page on the Facility tab. The checkbox is available only if the Enable Author Field... option above it is not selected (they are mutually exclusive). If the eSignatures option is turned on, the Enable IPN Co-sign option is available. Select this checkbox to enable the use of co-signatures in IPN.

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User profile setup. When these two product options are turned on in the facility, you can designate system users as requiring a co-signature when they sign an IPN or as authorized co-signers. On the Electronic Signing Options panel on the Users page, a security manager selects the Requires Co-signature for all IPNs checkbox or the May Co-sign IPNs checkbox. Only one of these options can be selected for a user.

Signing progress notes. When you enter and save a progress note, the electronic signature of the logged-in user is saved automatically by the system. If you first save the note in Pending status, the note is not considered signed. The e-signature is recorded when you change the Pending option to No and re-save the note. When the Enable IPN Electronic Signature product option is turned on, this electronic signature prints on the IPN Report as "Electronically signed by: [user name, title]".

Co-signing. On the IPN page, if the logged-in user is an authorized co-signer and the current note is awaiting a co-signature, the Co-signature field and Sign link display. You click the link to co-sign the progress note. The original note author is retained as the signer. The co-signature then displays onscreen beside the Author field and in the note text directly beneath the author's signature. It also prints on the IPN Report as "Electronically co-signed by: [user name, title]". The note's status then changes from Awaiting co-sig to Complete.


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Find notes awaiting a co-signature. Notes that are awaiting a co-signature display with "Awaiting co-sig" in the Status column on the IPN page's summary grid. On the Search panel at the top, choose "Awaiting Co-sig" in the Status dropdown to display only notes that are awaiting a co-signature. In the summary grid, if notes of All statuses are included in the search criteria, Pending notes display at the top, followed by Awaiting co-sig notes and then Complete notes. Notes that are awaiting a co-signature cannot be deleted.

Create a session of notes awaiting co-sig. When you choose the Session option from the task menu, the IPN Session Criteria page includes two options for co-signing progress notes. You can create a session of residents who have notes awaiting a co-signature or create a session of notes authored by a user who requires a co-signature.

When you select either co-sign option, the session pulls in only progress notes that are awaiting a co-signature. On the IPN page, the Status dropdown defaults to Awaiting Co-sig. You can change this selection if needed to view other notes for the resident. The session works like a normal multi-resident session. You select each note in the summary grid and then co-sign and click Save. You navigate through the residents in the session using the Next Resident, Previous Resident, or Specific Resident links.

IPN Report. The IPN Report prints electronic signatures and co-signatures as detailed above. The Include Awaiting Co-sign IPN Notes checkbox in the report criteria enables you to include or exclude awaiting co-sign notes on the report as needed.

Dashboard. In the Dashboard product options, add a KPI for IPN and select the Awaiting Co-sign IPN option to show progress notes that are awaiting a co-signature in the NetSolutions Dashboard. (67609)

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• Import NTT DATA's IPN Library. The IPN program enables you to create a library of progress note templates that you can select from when entering a note for a resident. Facilities are responsible for setting up their own IPN libraries based on their progress note documentation standards and procedures. The system allows you to save the notes you create for residents to the library for future use. NTT DATA provides two library files for import. These are found in the main \NetSolutions\ folder on the NS app server. On the IPN Library page on the Facility tab, click the Import/Export IPN Library link and choose the Import option to import a library file. IPN-SampleLibrary.xml is a small library containing four sample statements that you can use as a basis for creating your own library. The new IPNLibrary.xml is a larger library with a wealth of progress note statements, choice items, categories, guidelines, instructions, and Care Plan correlations. You can use these statements as they are or modify them to suit your facility's requirements. The IPN Library is also available for download on The Insider. (77047)

• IPN Search Libraries dialog improved. When adding a progress note for a resident, you have the option of choosing a progress note template from the IPN Library. When you click the Search Libraries link, the IPN Search Libraries dialog opens. You first use the Look For field to find and select a progress note statement. If the statement you select contains a field code {*} or a choice code {*Code}, the dialog displays the Fill-In Assistant panel where you can replace each field code with text and replace each choice code by selecting from the choice items set up for the code.


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This panel has been enhanced to display the current code that you are replacing in {*bold red} in the statement. Also, any carriage return/line breaks inserted in the statement in the library now display in this dialog. You replace each code and click Next each time. When all codes are replaced, click Done. The full statement then displays in the main note field on the IPN page, where you can edit it further before clicking Save. (64027)

Revisions

• Author field - If you entered a progress note and changed the Author field entry to another user, on save the author was reset to the logged-in user. This problem has been fixed. (76701)

• IPN accessed from eAssignment - When you open IPN from eAssignment, the Correction button no longer displays. The Correction button has been replaced by the Strike feature, but it was still showing up in the IPN dialog accessed from eAssignment. (78321)

• IPN Report - On the IPN paper report, if a Care Plan problem attached to a progress note contained the characters "{0}" in the problem description, the progress note would not print. The program has been updated to properly handle this condition. (78160)

• Late Entry progress notes - Some late entry progress notes were incorrectly showing 01/01/0001 00:00 in the Late Entry Note Date and Time fields, which made them hard to query for or print. The program was looking at the date/time saved in the database in the note text field (note_long_text) instead of the date field (sys_date) for the progress note. While it has not been determined why in some cases the incorrect date was saved in the note text, the program has been updated to look at the date field in the database to fill the late entry Date and Time fields. Also, a SQL statement will be run to update such records, so that the note text field entries contain the correct date. (76786)

• Save button - When adding a progress note, if you clicked Save multiple times while the note was being saved, the system added the IPN as many times as you clicked. This problem has been fixed. The Save button is now deactivated after the first click. (77625)

• Saving a progress note in Pending status - If the IPN facility product options Require Entry of Care Plan Problem Number and Require IPN Category were selected, these fields had to be completed to save the progress note, even if the Pending Note option was set to Yes. This problem has been fixed. If a note is saved in Pending status, these fields can now be left blank. (77022)

• Search Libraries dialog - If when adding a progress note you click the Search Libraries link and in the Look For field at the top enter three spaces, all library statements display in the grid below. However, if you then select a statement checkbox and click the Select button, the checkbox was cleared. You had to click it and the Select button again to select the statement. This problem has been fixed. (76533)

• Strike Reason - On the IPN summary page, if a progress note was struck, the Reason for Strike also displayed as struck with the line-through text. This problem has been fixed. (76777)

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Immunization Record

Revisions

• Influenza Vaccination report - This report was sometimes not including residents who had an immunization record within the entered date range. The program has been updated to correctly find all records that fall within the From and To dates in the report criteria. If a date range is not entered, the report prints all records that were administered during the current flu season defined in the facility product options. No change was made to the Include Active Residents with No Recorded Vaccinations checkbox; this option is used to show residents who still need a vaccination. (78180)

MMQ

Enhancements

• Use the same provider number on multiple submission IDs. In the MMQ Submission Information dialog, each EDS submission ID must be unique. This ID comprises the Provider # and the Service Location field entries. The same provider number can be used on multiple submission IDs. If the provider number is the same on multiple IDs, the service location (facility) code on each one must be unique. Previously, NetSolutions incorrectly required that each provider number was unique. (77065)


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Physician Orders

Enhancements

• Append the prescribing physician's NPI to the order text. On the Physician Orders Product Options page on the Facility tab, there is a new option available, Append Prescribing Physician's NPI to Order Text.

Select this checkbox to append the prescribing physician's NPI number to the order text. If you select this checkbox, the NPI appends immediately after the physician's name in the Order Text field. The NPI also prints on the PO reports and displays in eCharting. This checkbox is available if the facility has at least one order type with the Prescribing Phy field set up to Append to Order Text in the PO Fields dialog. By default, this option is not selected. (75810)

• Period Dates setup no longer required. NetSolutions has been improved so that you no longer need to set up period dates each month for printing the Care Plan and Physician Orders forms. The Start New Period page and the Period Dates panels have been removed from the Facility tab for both products. On the Physician Orders Product Options page, the Period Dates panel has been replaced by the Next Review Date panel.

Use the Number of Days until Next Review field, formerly on the Period Dates panel, to continue to define the time interval between physician order reviews in the facility.

Instead of changing the period dates on these pages, the current period is now chosen automatically when you print the periodic forms and reports. On the report criteria pages, the Period Start and Period End fields, which used to pull their dates from the removed Period Dates fields, have been replaced by simple From Date and To Date fields. These fields default to the first and last days of the current month. You can change these dates as needed.

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The From Date and To Date fields are now available for the following reports:

o Physician Orders: Behavior Monitor, Documentation Record, MAR/TAR, Restorative Record

o eCharting: eMAR/eTAR o Care Plan: Documentation Record, Charting Record

(52504)

• Use the original order date when renewing orders. The Physician Orders Product Options page now offers a new option, Use Original Order Date/Time for Renewing Orders.

Select this checkbox to use the original order date and time when renewing a discontinued order. If this option is selected, when you renew one or more DC'd orders using the Renew Orders link, the Order Date and Order Time fields on each new order default to the date and time on the original order instead of the current date/time. Selecting this option does not affect the order start date, which still defaults to the current date. This option is useful for facilities that are preparing to use eCharting, allowing them to update their orders so they work properly in eCharting while retaining the original order dates. Once this setup is complete, you will typically turn off this option. By default, this option is not selected. (76348)

Regulatory

• 4th Quarter 2016 NDC update. NetSolutions 652 includes the 4th Quarter 2016 NDC update. This NDC update is delivered when you install this release using the NS Management Console. (76825)


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Revisions

• Allergies on PO reports - If the resident had a long list of allergies that needed to wrap to a second line, the line break was sometimes inserted in the middle of a word instead of between words. Sometimes the last letter from a word would begin the next line. This issue has been corrected in the following reports: Physician Orders, MAR, TAR, Documentation, Kardex, eMAR, eTAR. (76669)

• Allergy Master info – A error was sometimes generated when NetSolutions attempted to connect to the Truven web site for allergy, diagnosis, and other clinical information. Truven has provided an updated dll to resolve these issues. (76350)

• Auto-DC - When an order was automatically discontinued and renewed, the Diagnoses field entry (if an ICD-10 code) and the Directions field entry from the DC'd order were not brought forward into the new order. This problem has been fixed. (79026)

• Clinical Teaching link in Quick Entry dialog - The Clinical Teaching link is now available in the Quick Entry dialog based on the same criterion as in the Order Detail dialog. It is available if the Clinical Decision Support module is purchased. (76290)

• DC orders to pharmacy - When a discontinue order entered and signed by the physician was noted by the nurse, it was not sent to the pharmacy. When the DC order had been signed, the screen was set to 'view' mode, which prevented ePrescribing from sending the order. This problem has been fixed. (76806)

• Directions field - In the Order Detail dialog, if a prescriber with signing rights enters an NDC order and signs it, or a nurse/user with noting rights enters an NDC order and selects Hard Copy Signed, if the Directions field is empty a message displays: "Orders with an NDC cannot be Signed and Saved without Directions". This restriction is now enforced only if the facility has purchased ePrescribing. (76725)

• Directions field on auto-DC - When you edit a physician order and trigger an auto-DC, if you have changed the Amount, Days Supply, Route of Admin, or Time Code field, on the new order the Directions field is now cleared along with the Order Text field. This forces you to rebuild and verify both of these important fields before sending the order to the pharmacy. (77648)

• Directions field on auto-DC - NetSolutions was recently updated to clear the Directions field when the order is discontinued and renewed due to a data change. However, this was not working when the Amount field was modified. This problem has been fixed. (77961)

• Discharge orders - If you selected discharge orders for the resident in the PO Discharge Orders dialog, when you saved your selections and closed the dialog, any discharge orders containing a future DC date did not display in the Discharge Orders list in the summary grid. This problem has been fixed. (75165)

• Discharge Orders report - This report has been updated to show orders with a future start date. Previously, these orders were incorrectly excluded. (77873)

• Drug Interaction report - A problem in the report sometimes resulted in a drug entered once being reported as a duplicate of itself. This issue has been fixed. (77337)

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• Drug Warnings masters - The Drug Warnings master pages on the System and Facility tabs have been updated to use the new NDCMst11 database table instead of the old NDCMst table of 9-digit codes. (78930)

• Hold order dates - When you enter a hold order, its start date and end date (if entered) must be before any future DC date on the original order. The system now validates the hold order dates for this requirement. Previously, you could enter a hold order with a start date that came after the original order's DC date, meaning the hold would never happen. (76349)

• Interaction checking IP authentication error - Drug and allergy interaction checking in NetSolutions requires connecting to the CKOServer web service, which only allows access to previously authenticated IP addresses. If you attempted to check drug interactions from an unauthenticated address, the Drug Interactions report came up blank with no explanation. The program has been updated to catch this condition and display a message to the user explaining the problem. (78833)

• Pharmacy name - When an order is edited or its status is changed from Pending to Active, on save the Pharmacy dropdown now re-displays the selected pharmacy. Previously, though the order data did contain the pharmacy name, the Pharmacy dropdown displayed as blank after the update. (77964)

• Prospect orders for former residents - When a resident was discharged and all physician orders discontinued, if later you added a new prospect visit for the resident, you could not add orders to it. An incorrect message displayed: "Order changes not allowed on inactive residents." This problem has been fixed. (76693)

• Quick Order Entry - When entering an order using the new Quick Entry feature, if you type in the Order Name field, you must use the auto-search feature to select, or fully type, a valid order name that matches an NDC in the library. If your entry does not match, a message displays: Order Name must match an item in NDC Library. (76331)

• Removing a DC date - If you attempted to remove a DC date from an order when the PO product option to 'use 24 hour clock' was selected, an error displayed. This problem has been fixed. The program has been updated to check the DC date format and handle it correctly. (76570)

• Report temp files cleaned up automatically - Some Physician Orders reports such as the Documentation Record produce a temporary file, which is saved to a subfolder under NetSolutions\POReports. The NS Polling Service has been updated to check the POReports folder each hour and delete any subfolders and report files that are older than one hour. (60757)

• Sign All Orders - When the physician clicked the Sign All Orders link, selected the orders to sign, and clicked the Sign button, when processing completed a message displayed, saying "No Records Found". The program was again searching for orders to sign meeting the criteria, but those orders were just signed, so no records were found. The program has been updated to close the Sign/Note Orders dialog after the Sign button is clicked, which eliminates the confusing message. (75090)

• Sign All Orders - When you selected this item in the task menu, the page was not showing orders to be signed that were created by a Hold Multiple or DC All order. This problem has been fixed. These unsigned hold and discontinue orders now display as expected on the Sign Unsigned Orders page. (77916)


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• Telephone Order report - On this report, the descriptive text items associated with each time value were not printing beside each value as they should, but individually in a descending row beneath the time values. The sort sequence that grouped the descriptive texts with their time values was broken. This problem has been fixed. (76720)

• Telephone Order Summary report - This report was showing a D/C date of 01/01/1900 on all telephone orders that did not have a stop date. This problem has been fixed. (76721)

• Time values on prospect orders - If you added a prospect, assigned them a location, and then added a physician order for the prospect, you could select a time code and its associated time values, based on the location, were properly added to the order. However, if you clicked the Time Values link to modify the values, an error was generated. This problem has been fixed. (76368)

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Point of Care

Enhancements

• Access eAssignment from within Point of Care. NetSolutions provides a link to eAssignment at the top of each Point of Care page when POC is accessed on the kiosk. The eAssignments link is next to the Resident Criteria link. Use the link to open your eAssignment page from anywhere within Point of Care. If you have messages in eAssignment, a yellow warning sign displays beside the link alerting you to this fact. (64341)

Revisions

• ADL 31 Day Look Back report – This report has been updated to correctly handle names that contain an apostrophe. Previously, when the report encountered a resident name that included an apostrophe, it would cause an error and only display part of the name. (76759)

• Bowel Movement report - This report has been modified so that when No is selected for the Small, Medium, Large or Ex-Large items in the Toileting event, the report prints an "N" value. Previously, the report incorrectly printed a "U" in these cases. (76372)

• Deleting an event - Point of Care has been modified so that when you click the Delete icon to delete an event, POC deletes the event without giving an Invalid Length Parameter error. (77573)

• Deleting an observation - Point of Care has been modified so that when you delete an observation, the observation and related records are now correctly deleted. Previously, exporting an observation then importing it with a new name, and attempting to delete an event or graphic caused an error. (76402)

• Functional Abilities - If the Functional Abilities observation was set up as required for Medicare but the resident had a different POC status in which Functional Abilities was not required, the program was still requiring Functional Abilities to be completed. If Functional Abilities was left blank, the resident did not display on the POC page in the Show Completed list, even though all their required observations were done. This issue has been corrected. (78247)


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• Functional Abilities icons - When you change an icon under the Functional Abilities Observation, only the icon for the Functional Abilities item is changed. Previously, this changed all the icons for similar items, even when those items were not under Functional Abilities. For example, if you changed the icon for the Eating item under Functional Abilities, Point of Care also changed the icon for the Eating item under ADLs. (77750)

• Functional Abilities observation – Point of Care has been modified so that it no longer automatically assigns the Functional Abilities observation to the CNA documentation type. The observation is installed, as before, but it is no longer assigned. If you want to document Functional Abilities, you must assign the observation to a documentation type on the Type Assignment page. (77945)

• MDS Correlations - When exporting and importing an observation, Point of Care now keeps all MDS correlations intact. Previously, this information was lost. (75514)

• Pain Location - When specifying pain location on a device where the screen size causes scroll bars to appear, Point of Care now scrolls correctly. Previously, when you selected a body part for the pain location and then scrolled to another location, the selected body part moved with the scroll to the new location. (62512)

• POC History report – This report now displays the date and month correctly when the Include Detail checkbox is selected. Previously, the date and month displayed correctly on the monitor but were truncated when the report printed. (75817)

• Response Qualifiers - Response qualifiers added out of sequence now display as sequenced when attached to a Yes/No response. Previously, the items displayed in the order they were added rather than how they were sequenced. (77266)

• Shifts - When two shifts were defined in Point of Care with the night shift crossing midnight (e.g., 7 p.m. - 7 a.m.), NetSolutions would erroneously disable the Night shift for 12 a.m. through 6:45 a.m. This has been fixed. (77903 )

• User-Defined Flow Sheet/CNA Flow Sheet - This report was timing out when run for all residents for the whole month for just the eating/drinking section. It could be printed by station or room without timing out. The report program has been updated to skip residents that have no data, along with other changes to improve the report's performance. (75577)

• User-Defined Reports response sort order - On the User-Defined Reports page on the Facility tab, if you selected the All responses option, the responses were added in alphabetic order instead of the sequence in which they were defined under User Defined Buttons. So after saving, you had to manually resequence the items. This has been corrected. The user-defined report items are now added in the sequence set up under User Defined Buttons. (76105)

• Viewing reports – When you select multiple residents on the Criteria page and then go to CNA and select to view a report, NetSolutions now uses the current resident’s data in the report. Previously, Point of Care used the first resident selected on the Criteria page rather than the current resident on the CNA page. (76422)

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Quality Assurance

Enhancements

• Define Other selections more specifically. The Incident Tracking and Infection Control Tracking modules in Quality Assurance have been updated to include a text field where you can enter a value to be associated with an Other selection for Incident Type and Lab Test Type. You can use up to 150 characters to describe the Other incident or lab test.

In Incident Tracking, you enter the new Other Type incident value on the Summary page. After selecting Other in the Incident Type dropdown, NetSolutions displays the Other Type field beside it.

In Infection Control Tracking, you can enter the Other Type on the Tests and Results page and the Follow-Up page. Once you select Other in either test Type field, NetSolutions displays the Other Type field beside it. On the Test and Results page, an entry in the Other Type field is required; however, on the Follow-Up page an entry is not required.

The Incident Case and Infection Control Case reports have also been modified to include the new Other Type information. (75025)

• Incident Log report now shows time of incident. The time an incident occurred has been added as a column on the Incident Log report. This column follows the Date column, which records the date on which the incident occurred. When you run this report, you can also choose to sort the report by incident time. (75024)

• Set up QA product options. Product options have been added to Quality Assurance to control when and how sections within a case are certified. A new QA Product Options page has been added to Facility Product Options to enable you to control certification.

When the Enforce Section Certification checkbox is selected, NetSolutions displays a Certified By checkbox at the bottom of each section for Incident Tracking and Infection Control Tracking. When you select this checkbox you are certifying only that you have completed the appropriate section; multiple signatures are required, one for each section, in order to complete the process. When the checkbox is selected, the logged-in user's name displays beside it. An Incident Tracking Case and Infection Control Tracking Case cannot be locked until all sections have been certified.


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Once a section has been certified, all answers in that section will be disabled and cannot be changed unless the Certified By checkbox is cleared.

When either the Tests and Results, Treatments, or Follow-Ups section has been certified, the Edit icon changes to a View icon and the Delete icon is removed.

When this product option is selected, the audit reports if the Certified By checkbox has not been selected for a section of the Incident Tracking or Infection Control Tracking.

Comments. Comment fields have been added to the Reporting section in Incident Tracking, and to the Signs & Symptoms, Tests & Results, Treatments, Follow-ups, Reporting, and Resolution sections in Infection Control Tracking. Any comments entered in these fields also appear on the various QA reports. (56222)

• Use the new body graphic to document locations for injuries and infections. Quality Assurance now includes a body graphic, an interactive pair of body images, front and back, which enables you to document the location of an injury or infection. When you click a point on the graphic, a dialog prompts you to enter a brief caption of 20 characters or less, where you number and label each site. A marked site on the body graphic displays as a red dot on the image with the caption beside it. Click a dot again to edit or remove it. Detailed information for each numbered site should be entered in the description field, using up to 500 characters.

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The new body graphic can be accessed on the Signs and Symptoms page in Infection Control Tracking and on the Major and Minor Injuries portions of the Observations page in Incident Tracking. The graphic also displays on the Infection Control Case report and Incident Tracking Case report. (73562)


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Revisions

• Incident Record - NetSolutions has been modified so that it no longer produces an error when an incident record has a eDocument attached and the user does not have access rights to eDocuments. (76260)

• Security - Security for Quality Assurance has been modified so that security settings for Incident Tracking no longer interfere with security for Infection Control Tracking. Previously, some security settings for Incident Tracking would override the security settings for Infection Control Tracking. (76079)

Resident Assessment - MDS 3.0

Important Note

• Use parentheses in Ad Hoc and MDS queries. When you create a query statement for Ad Hoc Reporting or the Assessment Item Analysis report that mixes AND, OR, and NOT operators, you may not get the results you want unless you group portions of the statement using parentheses. NetSolutions treats each statement inside parentheses as a single unit. Insert parentheses in your queries to ensure that the operators are applied correctly. (69955)

Enhancements

• Import Section GG information from OptimaRehab. OptimaRehab allows you to capture Section GG items in their software and NetSolutions now enables you to import this data into the MDS 3.0. Beside the Section GG fields, A2400B is required to indicate the start of the Medicare stay. On the MDS Product Options page, select the Enable Rehab Optima Import checkbox and click the Rehab Optima Import Settings link to enter the communications details. The values for the following fields should be obtained from OptimaRehab; they will be similar to, but not necessarily the same as, the OptimaRehab interface values:

o -Web Service URL o -External Facility ID o -Organization ID o -Facility ID o -User ID o -Password

For information on setting up an OptimaRehab interface for NetSolutions, see the OptimaRehab section of the Interface Manager training guide or help system. (77593)

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• Import Section GG information from Therapute. Therapute allows you to capture Section GG items in their software and NetSolutions now enables you to import this data into the MDS 3.0. To be able to import data from Therapute, you must have a Therapute interface set up in Interface Manager. Besides the Section GG fields, A2400B is required to indicate the start of the Medicare stay; if A2400C is also sent, Therapute returns both admit and discharge information. For information on setting up a Therapute interface for NetSolutions, see the Therapute section of the Interface Manager training guide or help system. (77610)

Regulatory

• RAI Manual/MDS 3.0 for October 01, 2016 – The final version of the RAI Manual for the October update of the MDS is included in this release. (75716)

Revisions

• Adding MDS records - NetSolutions now enables you to add MDS records for residents whose Preferred Language field on the Basic Information page is blank. Previously, this caused an error. (75135)

• ADL Index report - When you run this report for RUG IV, the report now formats the data correctly without causing an error. Previously, RUG IV data was displayed differently than RUG III data and would sometimes create an error. (77878 )

• Audit - The MDS audit feature no longer performs a date audit when a discharge assessment is being inactivated. Previously, the audit was causing an error for item A0310H. (78679)

• Check for Significant Change - When you select the Check for Significant Change link, NetSolutions no longer displays an error. The size of a field used by this function was increased in the database but not in the function itself, causing an error. (77761)

• Due Dates report - This report no longer lists a Death in Facility assessment requirement for residents who have been discharged (with or without return anticipated) and expired outside the facility. (74943)

• Due Dates report - The process that converts MDS 2.0 assessments has been updated to incorporate the changes CMS made that started on 10/1/2016, which means that the Due Dates report will now function correctly for this data. Previously, the process was not updated to incorporate version 2.00.01 of the MDS. (78040)

• Due Dates report – NetSolutions no longer includes residents on the Due Dates report after a discharge assessment for the resident has been included in a batch for submission. Previously, these residents were erroneously included on the report after being added to a batch. (78181)

• Due Dates report - The Due Dates report has been modified so that when a resident has a bedhold where the bedhold type is less than 24 hours, the report no longer suggests a discharge MDS and a new 5 day assessment. (78538)


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• End of Medicare stay audit - When a Medicare stay is ended, the Discharge Date can be either the day of discharge or the day before, and the value for A0310H (Type of Assessment: Is this a SNF Part A PPS Discharge Assessment) must be 1. The Audit now correctly looks for this. (77773)

• External Analysis with PointRight - As part of its ongoing security and vulnerability analysis processes, PointRight will be reconfiguring its MDS 3.0 Submissions Interface to only allow HTTPS connections that comply with the standard TLS 1.2 protocol specifications. The new protocol will start February 13, 2017. To comply with this, NetSolutions now uses the TLS protocol 1.2 to connect with PointRight. The new URL for external analysis using PointRight is: https://secure11.pointright.com/mds3/service.asmx (79078)

• Importing ICD-10 codes – The import process has been modified to now enable you to import an unlimited number of ICD-10 codes. (77893)

• Import Section E data from Caretracker - The import process has been modified to insert capital letters where necessary when data is imported from CareTracker. CareTracker data comes in in all lowercase letters; however, the Search for Short Labels process is case sensitive and expects mixed capitalization. (78046)

• Import Section GG - The Section GG import feature has been modified to enable the simultaneous importing of data from Point of Care plus any third party product. Depending on what is purchased, the Import Data dialog displays Point of Care at the top of the dialog, then a third-party source (e.g., OptimaRehab), then UDA at the bottom. Previously, only Point of Care and UDA could be imported if a facility had purchased Point of Care. (77593)

• MDS audit – The MDS audit has been modified to correctly handle assessment dates. Previously, the audit processed the dates incorrectly and created an error. (78055)

• MDS Audit - The Audit feature has been modified so that it no longer incorrectly insists that item M0300A is required for an ND assessment. M0330A is only required for NC, NQ, NP, and SP assessments. Also, item M0300D2 has been added to the NSD, NOD, and ND item subsets. (78069)

• S0123 (County) - A resident's county now correctly pulls into item S0123 from the Basic Information page. Previously, NetSolutions was looking for the wrong field for the county code for Section S. Note: NTT DATA recommends that you only enter three characters for the County Code on the County Profile page. The MDS truncates the county code to three characters. (77908)

• Section C audit - The audit program for Section C has been modified to work correctly when the section includes data that has been pulled forward from an earlier assessment. (74942)

• Section S carryover - NetSolutions now correctly pulls forward the NC for NQ and Section S settings into an updated 10/01 period. For example, a pre-Oct Options Period has "NC for NQ" selected and Section S turned on for NC. When you installed NS651sp4 NetSolutions automatically created a 10/01 period but did not carry over the "NC for NQ" and S settings; they were all unchecked. When 651sp4p3 or 652 is installed, this issue is corrected: the 10/01 period now has the same selections as the previous period. (77948)

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User Defined Assessments

Enhancements

• New assessment templates available for import. Ten new assessment templates are now available for import in UDA. To import these assessments, go to the Facility Defined Templates page on the Facility tab and click the Import/Export Templates link. Then in the dialog, choose the Import NetSolutions Default Template option. The templates provided by NTT DATA in file KNSAssess.xml display in the grid. Choose the templates you want and click Import.

The following templates are new in NetSolutions 652:

o Anti-Anxiety Assessment Tool o Anti-Depressant Assessment Tool o Anti-Psychotic Assessment Tool o Brief Cognitive Rating Scale (BCRS) o Daily Licensed Nurses Note o Daily Medicare Charting o Fall Incident COC Assessment o Patient Health Questionnaire PHQ-9 o Sedative/Hypnotic Assessment Tool o Suicide Risk Assessment

For a brief description of each template, see "Descriptions of the Pre-Loaded Templates" in the UDA Help or Training Guide. (76740)

• View the score for each assessment section. UDA has been improved to display the current score for each section of an assessment. On the Assessments page, if scoring is set up for a section, the score displays beside the section link.


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Previously, section scores were calculated and the total score for the assessment displayed in the assessment summary grid, but section scores did not display.

The UDA Assessment report has also been updated to display the score for each section. If a section has a score, it displays on the section title row at far right.

As before, the total score for the assessment and the scoring legend, if defined on the template, prints at the end of the assessment. (55622)

Revisions

• Assessment and signature times - In a facility where the application server is in a different time zone than the facility, the times saved on a UDA assessment now correctly reflect the facility's time zone. Previously, when you added a new assessment, its time defaulted to the server time. You could correct that on the Assessment page. However, the times saved with the electronic signatures, which print on the UDA report, were recorded as the server time. (77711)

• Assessment reference date - The assessment Ref Date field is again available for editing on the UDA Assessment Summary screen. This field was inadvertently removed in the recent redesign. (76363)

• Certified By checkbox - With the Enforce Section Certification product option turned on, if you selected the Certified By checkbox in a UDA section and clicked Save, an error displayed. This problem has been fixed. (78020)

• Facility Worksheet report - If you created a template with multiple choice items and entered long response choices in ALL CAPS, when you printed the template some of the characters were cut off. This issue has been corrected. The response field has been widened to accommodate all upper case character strings. (76446)

• Progress bar when adding an assessment - When you add a new assessment to a resident and click Save, a progress bar now displays to indicate that the program is working, until the process completes and the assessment displays in the resident's list. The program has also been updated to save the assessment more quickly. Previously, since there was no indication that the program was processing, users sometimes clicked Save multiple times, adding multiple copies of the assessment to the resident. (77812)

• Scoring for decision items - If you added score values for the responses to a decision item, these items were not available in the dialog when you clicked the Create Score Definitions link. If scores were created only for decision items in the template, clicking the link generated an error. This problem has been fixed. Decision item responses with scores are now properly handled by the Create Score Definitions feature. (76731)

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• Template import error - When attempting to import an assessment template, a facility received a Primary Key error. This issue was due to the facility already having a large number of templates in their system, so that the security ID numbers for UDA were used up. An additional block of system numbers has now been allotted to UDA templates so that more templates can be created and imported. (77810)

• UDA error - If you added an assessment containing at least one database field to a resident, when you clicked Save a "SigDate" error displayed. This error also displayed if you attempted to print an assessment. This problem has been fixed. (77910)

• UDA report - This report was generating an error if a field contained an unbroken character string too long for the field on the report. This problem has been fixed. The report now wraps the text as needed. (76181)

• UDA report - When you clicked the View Assessment link, the UDA report sometimes did not display because there was a signature on the report without a date. This occurred in one case when the template was set up to pull Vitals data into the report. The program has been updated to always fill in the signature date when a signature is recorded. (78409)

Vital Parameters

Enhancements

• Enter a pain scale value of zero. When entering a resident's pain level in NetSolutions, you can now enter a value of 0 (zero) for no pain. A pain level can be entered in several NetSolutions applications including Vital Parameters, Point of Care, eCharting, Record Disclosure, and UDA. Previously, these Pain fields only accepted values 1 through 10. In Vital Parameters, you select a value from the Pain dropdown, which includes a description of each level. (74837)


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General / System

Dashboard

Enhancements

• Quality Assurance Key Performance Indicators added to the Dashboard. Facilities using Quality Assurance can now define two different KPI types for QA to identify incomplete reports. Dashboard KPIs for QA Incomplete Incident Reports and Incomplete Infection Reports provide an easy way to see if there are any incomplete records in the system. With the drill-down capability to the resident list, you can quickly identify which residents have incomplete records. Previously in NetSolutions, the only way to find incomplete records in the Quality Assurance module was to open each resident visit and view the summary list of records for Incident Case reports and Infection Control reports.

Use the QA Product Options panel to define QA KPIs and indicate whether the KPI is active. You can define as many KPIs as necessary, each with a different look-back period, to track incomplete incident and infection reports. These KPIs will appear on the Dashboard when any resident has an incomplete report that falls within the KPI's defined look-back period. (75026)

Revisions

• eCharting from Go To dropdown - From the Facility Dashboard, if you selected eCharting from the Go To dropdown, the session criteria dialog displayed but when you clicked Continue, nothing happened. This problem has been fixed. eCharting now runs correctly when launched from the Dashboard. (77682)

• Destination column - This ADT column now displays the correct data, the destination code on the resident discharge record. Previously, it was displaying the Info/Reason field entry from the Hold or Discharge screen. (76005)

• Duplicate physician orders - The Dashboard was showing the same PO twice when its diagnosis was entered on two visits with different onset dates. The program has been modified to ignore the onset dates and display the order just once. (77681)

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• Held Orders KPI - The Clinical Dashboard KPI for held orders now shows the correct results when it is set up to display meds held for all reasons. Previously, no results were displayed in this case. (77510)

• Hospital Readmission KPI - On this KPI, for residents with a hospital admission but no discharge or bed hold, the Fac D/C or Bed Hold Start Date/Time column was showing an incorrect date of 01/01/1900 00:00 instead of blank. This problem has been fixed. (76018)

• MDS Past Due KPI - For a KPI set up to show past due MDS assessments for the last 7 days, the Dashboard was showing many assessments that did not meet the criteria, such as assessments with blank due dates or ARDs. This issue has been fixed. The program has been updated to show only past due assessments with a due date within the specified look-back period. (76606, 78383)

• Physician Orders KPI - A facility set up a KPI to check for residents who have been prescribed an antipsychotic medication but do not have a diagnosis accepted by CMS for antipsychotic drug use. The facility had a resident meeting the criteria but the KPI was showing zero. This problem has been fixed. (77776)

• PRN results KPI - A KPI set up to show PRN orders awaiting results documentation was also showing other documented orders. This problem has been fixed. (77632)

• PRN results KPI - When the eCharting PRN Waiting Results KPI was set up for the facility, the Dashboard did not display the PRN orders. The program was looking for orders with documented PRN results instead of undocumented. This problem has been fixed. (76661)

• UDA KPI for missing assessment - A KPI for UDA was set up to show new residents who had not had a specified assessment performed within 30 days of admission. Instead the Dashboard was showing residents who did have the assessment performed. This problem has been fixed. (78503)

• UDA KPI on inactive template - If a KPI is set up on a UDA template and later that template is inactivated in UDA, if you attempt to modify the KPI in the Dashboard product options, a message informs you that the template is inactive. (77835)

Scheduling

Revisions

• Opening an appointment - If you tried to open and view an appointment to which you (the logged-in user) were not assigned, an "incorrect syntax" error displayed. This problem has been fixed. (76799)


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Reports

Important Note

• Use parentheses in Ad Hoc queries. When you create a query statement for Ad Hoc Reporting or the Assessment Item Analysis report that mixes AND, OR, and NOT operators, you may not get the results you want unless you group portions of the statement using parentheses. NetSolutions treats each statement inside parentheses as a single unit. Insert parentheses in your queries to ensure that the operators are applied correctly. (69955)

Enhancements

• Export a page range from a report. The PDF Report Viewer has been enhanced to allow you to export only part of a document. When you generate a report and in the Viewer click the Export link, the Export Report dialog opens. This dialog now includes Page Range options. By default, the All Pages option is selected. If you select export formats XLS (not Data Only), DOC, or RTF, the Page Range fields are active and you can choose the Select Pages option and enter the range of pages you want to export. (76305)

• New user report available. A new user report (dischargedata.rpt) is now available. This report includes discharged resident information for your facility within the specified date range. The report consists of the following fields:

o Resident Name o Address o HR# o Date of Birth o Sex o Language ID o Discharge date

(77546)

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Revisions

• Ad Hoc reports advance directives - If you attempted to build an ad hoc query to print advanced directive effective dates, when you clicked to validate the query, an error displayed. This problem has been fixed. (75490)

• Current visit in Ad Hoc Reporting - The current visit functionality in Ad Hoc Reporting has been modified to find the most recent visit based on the discharge date and visit type. Open (non-discharged) visits are returned first, followed by discharged visits in most recent discharge date order. If more that one current visit is found, the following order determines which visit is returned: inhouse, kept, outpatient, pre-admit, reserve. Previously, Ad Hoc Reporting always determined which was the most recent visit based on admission date, which was not always the most recent visit. (75101)

• Custom reports in RQS Viewer - NetSolutions was updated recently to automatically remove viewed files in the Remote Queue from the server to keep disc space from being used up. Files are now saved to the database in binary format and restored from the database when users need to open them from the RQ. However, custom reports are not written to be saved to the database in this way. So the RQ Viewer has now been modified to retain the files for custom reports so they can still be viewed and printed. (76744)

• User Reports - In the Crystal Report Viewer, user reports displayed the forward and back buttons, but you could not go forward past page 2. This problem has been fixed. (76398)


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Facility Setup

Enhancements

• Change Payor Level and Change Plan Level utilities improved. These utilities have been modified to now display the list of all levels on the payor or plan on a single page. On the Change Payor Level utility, after selecting the payor, press the new Continue button and the utility displays a list of levels associated with the payor.

Enter the new level in the fields and click Save. The Change Plan Level utility works the same: after selecting a payor and a plan, press Continue and modify any of the displayed levels you need to. If a new value is not entered, the current level does not change. (69661)

• Copy a bill specification within a facility. NetSolutions now enables you to make a copy of an existing bill spec and save it under another name within the same facility. On the System tab, the Bill Specification page now includes a Copy link at the bottom. When you select a bill spec in the Bill Specification panel and click this link, NetSolutions displays the Copy Specification Dialog.

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In the Select the Bill Specification That You Want to Copy field, NetSolutions displays the description of the bill spec you selected. If you want to change the selected bill spec, you can click the Search icon and select another bill specification. In the Enter the New Bill Specification Description field, rename the selected bill spec to a new, unique name. You cannot save a copy of the bill spec under its current name.

When you're done, you can modify the new bill spec however necessary. (67781)

• Enter custom HCPC codes of up to 10 characters. On the Fee Schedule Profile page on the Facility tab, you can now enter custom HCPC codes of up to 10 characters. CMS HCPC codes are 5 digits in length. If you enter a new code or edit an existing one to a value exceeding 5 characters, a warning message displays. You can click Continue to save the longer code. All screens, reports, and database tables that contain the HCPC code have been checked and updated where necessary to accommodate the 10-character length. (60042)

• Merge Resident Data utility improvement. This utility has been updated to allow you to merge two resident records when the resident names or birth dates are different. Previously, you could only merge resident records when the names and birth dates matched. However, duplicate resident records are sometimes created precisely because the resident name or birth date was first entered incorrectly. The utility now allows you to correct this situation. (76479)

Revisions

• Change Admit/Discharge Date utility - When this utility (Facility tab/Tools) was used to change a discharge date, it did not end the bed order on the discharge date. A recent change to the utility was preventing it from finding the bed order. This problem has been fixed. (76810)

• Delete Newly Added Resident utility - This utility, available under Tools on the Facility tab, can now delete a resident who had physician orders entered as long as the orders have been deleted. Previously, the utility would not work in this case because the deleted orders remained in the ResOrder database table. The utility now looks at the status of the orders and if they are deleted, goes ahead with deleting the resident. (60575)


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• Item Number leading zeroes - On the Item Profile page on the Facility tab, if you add an item number that starts with one or more zeroes, those zeros are saved as part of the item number. However, while in some locations in the system the item number was displayed exactly as saved, in others it might be padded with leading zeroes so that it always displayed as 10 characters. This issue has been corrected. The system now always displays the actual item number, without any padding. This change also fixes an issue where, if you searched for an item by typing the item number with a leading zero, an "invalid item number" message displayed. (60111)

• Merge Resident Data utility with eSignatures - The Merge Resident Data utility has been updated to retain eSignatures data on merged physician orders. Previously, the eSignatures data was not brought across from the Resident B (deleted) record to the Resident A (kept) record. (78407)

• Payor revenue codes - On the Payor/Plan page on the Facility tab, if you selected a payor and clicked the UB Controls tab, then set the Service Date Printing Method to "Specific revenue codes only"; if you then selected more than 10 revenue codes and attempted to save, an error displayed. This problem has been fixed. The payor.ub_service_date_rev_codes field has been expanded to 500 characters to allow up to 100 revenue codes. (78796)

• Reverse Close utility - This utility has been modified to better handle a failure of the recalculate period balances process. The following improvements have been made:

o The utility now first checks whether charges are generating and if so will not run. o The utility now writes each step of the process to the log as soon as it happens

instead of waiting till the end. o The recalc period balances process has been moved to a better position in the

utility's processing steps. o Processing of radist records and the GL export have been moved to the end of

the reverse process to help prevent potential issues with the automatic GL export if the reverse fails. (68807)

• Reverse Close Utility - To run this utility, you select the checkbox to Reverse Close for MM/DD/YYYY, then click Process Now. A confirmation box displays and you click Continue, which now launches the utility, and a new progress bar displays. Previously, after clicking Continue, you had to click Process Now again, which some users did not do and so the utility did not run. (75342)

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General / System

Enhancements

• COMING SOON: Run NetSolutions on a mobile device. Use the new NSMobile app to view and update resident data on your smartphone or tablet. Select a resident and view their Charting Snapshot, view and enter physician orders and vitals, and send and receive eAssignment information. The first beta release of this new product is scheduled for mid-late February 2017. Please contact Client Support if you are interested in participating.

The NSMobile app runs on the Android, iOS (Apple), and Windows operating systems. The app provides a phone and tablet-friendly format for accessing key NetSolutions applications. The pages and features you access through the mobile app are the same as those available in the desktop application, and they update your NetSolutions database in the same way.

The first release of NSMobile includes several NetSolutions modules that facilitate tasks typically performed away from the computer station:

o eAssignment. Check for tasks assigned to you, or assign tasks to other staff members, from anywhere in the facility.

o Select Resident. Bring up the resident you are working with at any time.

o Charting Snapshot. View the resident's key census and clinical information whenever you need it.

o Physician Orders. View and enter med and treatment orders through your mobile device.

o Vital Parameters. Enter vitals directly into the system instead of writing them down for data entry later.

Additional NetSolutions modules will be added to the NSMobile app in future releases.

Using NSMobile

To access NetSolutions on a smartphone or tablet, you install the NSMobile app on your portable device. NSMobile will be available from the appstore. Once the app is installed, the NSMobile icon displays onscreen. Tap the icon to open the app.

When you first open NSMobile, the Residents page displays. Tap a resident to select him or her. On the applications ribbon at the top, tap a button to open a NetSolutions module.


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The screens and dialogs in NSMobile work essentially the same as they do on the desktop, with a slightly different interface. For example, when you select the Vitals button, the Vitals page opens for the resident.

The Vitals summary page displays the resident's recent vitals entries. The resident's picture, name, HR number and location display at the top. The next row provides a set of action icons that enable you to add a new record, select a different resident, and access other functions. Below that row begin the resident's vitals records.

When adding a new record, you tap in a field to display your device's soft keyboard. Many fields provide a Search button to look up valid entries, just as on the desktop. You swipe the screen up and down or side to side to view all fields and records.

For more information, see the NSMobile section of the Getting Started help or training guide. (68953)

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• Enhanced DB maintenance stored procedure available. A new stored procedure for database maintenance, NetSolutionsNightlyMaintenance, is now available in your NS database. This stored procedure is available as an enhanced alternative to the eChartingMaintenance stored procedure. It performs the eChartingMaintenance cleanup tasks and also clears some data stored by NS Billing and by the common Search window. It may also be enhanced in the future to maintain other database tables. To use this stored procedure, you create and schedule a SQL Server Agent job to run against your facility databases. For information on this setup, see topic "Database Maintenance Plans" in the NetSolutions Setup help or the NS Configuration Guide. (76468)

• NetSolutions popup dialog format updated. NetSolutions has been updated to use a new type of modal dialog that is compliant with the latest web browsers. A modal dialog is a popup window that sits on top of the current web page, which must be closed in order to resume working on the page. NetSolutions uses many modal dialogs, both for common windows such as the Search window and the Calendar, and for application windows such as the Order Detail dialog in Physician Orders or the Receipt Batch dialog in Accounts Receivable.

The old showModalDialog javascript function used by NetSolutions has now been replaced by the jQuery dialog function, which is compatible with most current browsers such as Microsoft Edge, Google Chrome, Firefox, and Safari, as well as Microsoft Internet Explorer. (NS 652 has been tested only in Internet Explorer; Edge testing will begin in the next release.) The new modal dialog displays slightly differently. The dialog itself is a simple white background, without any of the trim details of the old modal dialog. When a dialog is open, the underlying page is now grayed out, indicating that it is inactive. As before, you can drag the popup dialog around in order to view information on the underlying page. The fields and controls in each dialog work the same as before. When you save your changes and close the dialog, the underlying page is reactivated.


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The NetSolutions Calendar, which displays when you click the icon beside a date field, has also been updated. The new Calendar includes Today and Close buttons and an updated look. As before, select the month and year you want to find at the top, then click the calendar day to select that date and close the window. If the field already contains a date, when you click the icon the Calendar displays that date. Click the arrow buttons to move between months. Click the Today button to jump to today's month and year, then click the day to select it. Click Close or click outside the Calendar to close it without changing the selection. (69557)

• Resident info bar now shows location. The resident information bar that displays at the top of the page just beneath the tabs now includes the resident's location in the facility. When a prospect is selected, it shows the prospect's location if one has been assigned or reserved. If the selected resident visit has been discharged, the resident's last location in the facility displays. The location displays at the far right, after the resident's name, HR and account numbers, and visit type and admit date. The resident info bar displays on most pages and dialogs on the NetSolutions Resident and Prospect tabs. (56190)

• User ID and Name fields expanded. The User ID and User Name fields have been expanded to accept additional characters. On the Users page on the User tab, both fields have been expanded to 100 characters. The User ID field has also been expanded to 100 characters on the main NetSolutions login page and the Kiosk login. In the database, all user ID and name fields have been increased to accept up to 256 characters, which will accommodate the current changes and future expansions if needed. (76160)

Revisions

• Diagnosis search - In the Search for Diagnosis lookup, an error was generated if you entered a code in the Look For field (like M12.9) while the By Column dropdown was set to Description. Clicking the Search button then generated an unhandled exception error. This problem has been fixed. (76286)

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• eMAR report sent to SFTP site - When the eMAR report was run using the SFTP option, which uses the runxml utility to post the report to the facility's sftp server, the file was failing to copy if it was above 100kb in size. The system has been updated so that this process now completes for larger files. (76341)

• ICD-10 Update Utility – This utility has been updated to mark codes that are inactive as of 10/01/2016 as inactive. Previously, these codes were not flagged as inactive and had no end date in the database. The utility now checks to see if the 2017 ICD-10 update has been run previously. If it has, the utility only marks the inactive codes. If not, it runs the update and marks the inactive codes. The ICD-10 2017 update is run using the NS Management Console. The standalone utility is available on the NS app server in the NetSolutions\Utils\ICD10\ folder. (77914)

• Inactivated co-insurer plans - When you inactivate a plan for a co-insurer, the plan still appears on the Reimbursement Table's plan detail page. Previously, when the plan for the co-insurer was inactive, the plan did not display either in the grid or in the detail update section of the page. (76536)

• Paper bills in RQS Viewer - NetSolutions was updated recently to automatically remove viewed files in the Remote Queue from the server to keep disc space from being used up. Files are now restored from the database when users need to open them from the RQ. However, the system was not properly restoring the pdf files for paper bills, so for these files the Generate Report button did not display. This problem has been fixed. (76746)

• PBJ EDS Submission report - This report now excludes the day of expiration from the count unless the day is paid for by the plan. Previously, the report excluded the day of discharge but not the day of expiration from the count. (78115)


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Interface Manager

Enhancements

• CSLICO implementing a new ADT service. Citizens Security Life Insurance Company (CSLICO) is implementing a new service for receiving HL7 ADT transactions. Because this new service is rest based, NTT Data has implemented a custom client to accommodate it. For interface details, see the NetSolutions Interface Manager Help or Training Guide. (77437 facility-specific item)

• Integrate with dbMotion. dbMotion is used by some enterprises as part of their EHR (Electronic Health Record) system. NetSolutions sends ADT information as an HL7 message to dbMotion initially to set up the patient index, but dbMotion does not accept the C-CDA as an HL7 MDM message. Instead, dbMotion requires a web service interface and XDR wrapping (an XML structure that identifies the embedded C-CDA document by patient ID, and the sender by OID). Use NetSolutions' dbMotion interface to send the C-CDA to dbMotion.

Set up a Sending dbMotion interface by enter the following information in these key fields on the Interface Definitions page:

o Interface Identification. Enter dbMotion as the interface ID. o Transmission Protocol. Select Web Service. o Web Service Parameters. Enter the URL for the dbMotion web service. o Direction. Select Sending. This interface sends data from NetSolutions to

dbMotion. o Interface Type. Direct Message XDR.

Then, on the Event Mapping page, add the MDM-CCD (Send CCD) event.

Note: The Default To Address and From Address fields are not currently used in Direct Exchange XDR interfaces.

If you have a facility OID (Object Identifier) registered with HL7, enter it on the Facility Information page (Facility/Facility Profiles) in the Facility OID field. This value is sent in the C-CDA to identify the sending facility. If no value is entered, the system sends the facility NPI instead. Use the OID value with dbMotion whenever possible.

Notes:

o The Direct Message XDR interface type is licensed and only available when the InteHealth Exchange is licensed.

o NetSolutions creates the C-CDA XML document and embeds it in an XDR XML package to send it to the given web service address.

o Residents must have HIE Consent selected on the Basic Information page if the interface requires consent.

(78959 facility-specific item)

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• Send only records with HIE consent marked. A new checkbox has been added to the Interface Definitions page that enables you to specify that only records that have the HIE Consent option selected on the Basic Information page will be sent using Interface Manager.

If this checkbox is not selected, records are sent regardless of the setting on the HIE Consent option.

In addition to the new checkbox on the Interface Definition page, the following checkboxes have been added to Event Mapping:

o Add/Update Basic Information (Basic checkbox) o Add/Update Visit (Admit checkbox) o Add/Update Clinical Information (Clin Info checkbox) o Go on leave (LOA checkbox) o Return from leave (LOA Return checkbox) o Discharge (Discharge checkbox) o Add/Update reimbursement table (Reimb Table checkbox) o Add/Modify PO order (PO checkbox) o Add/Modify Vitals (Vitals checkbox)

Use these checkboxes to send information compliant with HIE consent when the Send Only with Resident Consent checkbox is selected on Interface Definitions. (77584)

• Use the expanded Search options to filter Sent and Received Messages. The search functions for the Sent Messages and Received Messages pages have been updated. You can now search by specific interfaces or events, status or control ID, resident or health record number, from and through dates, or HL7 message text.


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Note: The Control ID field is the same as the old Message ID field, just updated to better match the interface.

NetSolutions only displays the first 1000 messages on the Sent Messages and Received Messages pages. You can use the Search By criteria, including these new fields, to reduce the number of messages displayed if the message you want is not found. These parameters can be combined to narrow the messages that are displayed even more. (61241)

Revisions

• A01 message - When a default care level is not supplied in an A01 message (the ZP1 segment is missing), NetSolutions now derives the care level from the assigned bed. (76931)

• A08 messages from Import Charge Orders - If an import file had many rows for a resident with the same ICD codes, each of these rows generated event history and triggered A08 messages, regardless of whether the diagnoses were actually changed. This clogged up the interface and event history with redundant information. The import has been updated to generate only a single A08 per visit regardless of the number of transactions for that visit. (78190)

• A22 message - The A22 message sent when a hold is ended has been modified to now pull the correct end date for the hold. The A22 for canceling a hold has also been modified to send the correct hold start date for the hold. (74537)

• A38 messages - A38 (cancel pre-admit) messages sent by NetSolutions were incorrectly sending A11 in the EVN segment instead of A38. This problem has been fixed. (76395)

• CareTracker import – When importing data from CareTracker to NetSolutions, the interface no longer creates an error. The problem occurred when Vitals records were combined where the incoming observation date was the same as the records but the observation time was greater than an existing Vitals record. (77965)

• Continuity of Care Document – NetSolutions has been modified so that when the document is generated, NetSolutions sends it out correctly. Previously, NetSolutions caused an error when sending a CCD because the Painlevel field was missing. (78206)

• Cue Shift message import - The HL7 import was not handling messages with character sequence "MSH" in the message body. It caused an infinite loop in the listener service. This issue has been corrected. (76420)

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106

• DartChart MDM-POC interface - When creating a DartChart MDM-POC interface, NetSolutions no longer creates errant MDM-POC events. Previously, when there were pre-existing POC Resident Form records that were not submitted to DartChart, with no corresponding POC Submitted Doc records and no POC Last Shift record, NetSolutions created the events for those records and put them in the Outgoing queue. Now, the polling service looks to see whether no POC Last Shift record exists, generates POC Submitted Doc records for all existing forms, and marks them as submitted. This prevents these records from being sent as if they were late entries. So when you create the interface, all existing POC Resident Form records will be marked as already sent. New entries from that point forward will be sent as usual; however, new entries for the current shift will not be sent until the shift is over. Late entries will be sent immediately. (76360)

• Diagnosis import field DG1-15 - The HL7 Receiver was not adding the DG1-15 value to Diag10.Rank in the database if the DG1-6 value was 'F' (Final/Discharge). The field was left blank, which caused the Snapshot page to generate an error. This issue has been corrected. The program has been updated to assign the DG1-15 value to the Rank field if it has a value. If there is no value, it follows the rules for regular diagnoses and assigns a rank of 1 if it is the DG1 with the lowest sequence number, otherwise it assigns 2. (78256)

• DG-1 segment - The DG-1 segment sent in an A08 message is now ordered by billing sequence. If the visit has both ICD-9 and ICD-10 diagnoses, the ICD-10 diagnoses follow in order after the ICD-9 diagnoses. (75567)

• DG1 validation – NetSolutions no longer validates for the position of the "." in a DG1 segment for ICD-10 codes. Previously, the "." was required to be in the fourth position or the message was rejected. (78159)

• HL7 DFT message - HL7 DFT (Detail Financial Transaction) messages now process correctly even when the message does not contain a PV1 (Visit) segment. Previously, when no PV1 segment existed, the message failed. (77198)

• Importing a new allergy - If an allergy that did not exist in the Allergy Master was imported for a resident, it was added to the resident and the master successfully, but when viewed in the resident's clinical info it did not include the Date/Time Recorded or the User. This issue has been corrected. This information is now captured during the import and displays properly in the resident clinical info. (60810)

• New Visit MR and HR numbers - NetSolutions has been updated so that when an A01 message is received for a new visit, the Patient ID in PID-3 updates the Health Record Number and the Medical Record Number when these fields are blank. Previously, when a resident record existed but had no visits attached to it, the Medical Record Number was resident specific, and both the Medical Record and the Health Record Numbers were blank, NetSolutions updated the MR and HR numbers on the resident record with the value in the PID-3 segment but did not update the MR field on the new visit. (78109)

• OmniCare HL7 interface - The OmniCare HL7 interface has been modified to include a new URL, and new ID and Interface Name values. These changes must be incorporated into your facility's Omnicare HL7 interface by July 16, 2016. To make the necessary changes in your existing OmniCare interface, edit the OmniCare interface definition:

1. Enter the existing Interface ID (usually a number) into the Sending App Id field. 2. Enter the new Interface ID as OmniCareV2. 3. Enter the new WS URL: https://ows.omnicare.com/hl7/v2 4. Save your changes.


107

After performing ADT activity, check the Sent Messages page (Facility tab/Interface Manager/Sent Messages) to ensure a successful transmission to the OmniCareV2 interface has been sent. New OmniCare interfaces use the Security Key, and Facility Mapping values provided by OmniCare; these values will remain the same for pre-existing interfaces. (76615)

• PID segment - NetSolutions has been modified so that it now strips off any excess components in the PID-3 position. The system also now correctly handles empty PID-2 segments. Previously, excess components in PID-3 caused NetSolutions to create a duplicate record, and an empty PID-2 caused A08 messages to fail. (76931)

• Therapy Minutes from Therapute - When importing therapy minutes from Therapute, NetSolutions uses the correct parameters. Previously, if a TheraNotes interface existed as well as a THERA interface, NetSolutions would sometimes use the interface parameters from the TheraNotes interface instead of using the parameters from the THERA interface. (73712)

• Visit code - When an interface message is sent regarding a new visit, NetSolutions now includes the preadmit visit_code in PV1-50 (Alternate Visit Number). This is necessary because some facilities use the alternate PV1-50 location rather than the standard PID-18 location for visit codes. So, when converting a preadmit visit to an in-house or outpatient visit, NetSolutions now stores the visit code of the preadmit visit on the new in-house or outpatient visit so it can be sent in PV1-50. (77732)

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108

Security Manager

Enhancements

• Grant users view-only security rights for the Hold and Discharge pages. On the Security page on the User tab, functions "Hold" and "Discharge" (product "ADT") now allow you to choose the View Only option, in addition to Access and No Access. (51038)

• Link user-defined security items across facilities. Some NetSolutions modules enable you to create new security records. When you add a Dashboard category, eDocument folder, Point of Care doc type, or UDA template on the Facility tab, or a user report on the Reports tab, a security record is created for that item so you can control user access to it. If you create security records of the same name in more than one facility, by default these items are separate and you set security on each one. On the Security Options page, you can select the new Link Security option for each of these five record types to link the security items. Then if you set security on a user-defined item in one facility, the same security settings are copied to that security record of the same name in the other facilities. This option standardizes your security settings across the enterprise and speeds the setup process. For more information, see the Security Options section of the Security Manager Help or Training Guide. (56017)


109

Revisions

• eDocument type security - When an eDocument type is created on the eDocuments Master page on the Facility tab, a security record is created for that document type on the Security page on the User tab. These security records are given an internal ID number in the range between 40,000 - 49,999. However, if all these numbers were used up, no security record was created. The program has been updated to also use number range 300,000-324,999 to provide additional room for eDocuments security records. (72193)

• Group Master page with Optimum - When NetSolutions is integrated with Optimum, an error occurred when attempting to access the Group Master through Optimum. A new field added for NS Mobile was not included in the Group Master function, causing the error. This field has now been added. (78183)

• Security page - Recent changes made to this page for the UDA module were causing the page to load and respond slowly. It was determined that these changes were not needed but they were not fully removed. They have now been removed and the page again performs normally. (78123)

• Transfer Reports security - Security has been added for the Print Transfer Reports link on the Charting Snapshot page. Use the new Charting - Transfer Reports security item to grant users access to this link. If the logged-in user (or the user's group) does not have rights to this item, the link is grayed out. (75315)

• User report - This report, available on the Reports tab under Security Reports, was generating an error when you clicked Print if a group was selected in the Group criteria field. This problem has been fixed. (76264)

• User tab error - An error was generated when you opened the Enterprise Login page or the Groups page on the User tab. This problem has been fixed. (76332)

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110

Setup / NS Management Console

Enhancements

• Download and install Point of Care training videos. The NetSolutions Management Console (NSMC) now downloads and installs the Point of Care CNA training videos. Previously, you had to download these videos from The Insider and copy them to your application server manually. To download the videos, open the NSMC and in the Action menu, point to Software Updates and choose Check for Updates. If at least one of the facilities in your NS system has a license for POC and the videos have not yet been downloaded, the POC videos will be available for download. Select the checkbox for this item to download the videos. If downloaded, the videos are installed by the NSMC with the next full NetSolutions installation, either a full release or a service pack (not a patch). For information on using the POC training videos, see the Point of Care online Help. (73199)

• Uninstalling NetSolutions General Accounting. The NS Management Console enables you to remove a GA installation, or a single GA web site, from your NetSolutions system. These procedures remove the information from the Console only; the GA installation is not removed from the NS SQL or application servers. It can be added back into the NSMC using the Add Existing GA Install function.

A full uninstall of General Accounting currently must be performed manually on the NS SQL and application servers. If your facility has stopped using General Accounting and has received a new NetSolutions license file without a GA license, be sure to perform the Update License File procedure in the NSMC to remove the GA links from NetSolutions. If you need assistance, please contact your NTT DATA Technical Support specialist. (59469)

Revisions

• POC folder and services - The legacy Point of Care version 1 folder and services have now been removed from NetSolutions. In the main NetSolutions folder on the application server, the POC folder is removed by the NS 652 installation. The POC files now reside in the POC2 folder. The Windows services used by POC 1 are also permanently removed by the NS 652 install. POC 2 does not require any Windows services. (76821)

111

Appendix A: Database Changes NetSolutions 652 DB Updates

New Tables

FacProductOptionsQA InjectionSiteGraphic Lkp_MDS30CAATCategoryItems20161001 QA_BodyGraphic_Markings QA_BodyGraphic_Master QASectionCertification Rpt_CommBLog rptAgingCollnotePlan

rptAgingInsurPlans rptAncilRecon rptAncilReconTotal rptDB_IncidentInfectQA rptICD10InactiveReport RptPOC2ObsEventResidentData rptRugAncillaryBrowse rptTglAncil

Existing Tables - New Fields

[Format: Table.Column] BillGroup.bank_gl_account deposit.bank_gl_account DueDates30Assessment.AlertMsg Facility.disable_hr_access Facility.fund_address_1 Facility.fund_address_2 Facility.fund_city Facility.fund_fac_name Facility.fund_phone_ext Facility.fund_state Facility.fund_zip_code FacProductOptions.IPN_Co_sign FacProductOptions.IPN_Esign_Enable FacProductOptions.po_append_phy_npi FacProductOptions.PO_MissedMedHours FacProductOptions.PO_MissedTxHours FacProductOptions.PRNIntervalCalc

FacProductOptions.PRNIntervalSeconds FacProductOptions.ReUseOrderDate FacProductOptionsEChart.eSigEnableCoSign fundtype.days_past_discharge fundtype.high_bal_amt fundtype.show_fund_alerts ICT_FollowupsDetail.comments ICT_FollowupsDetail.OtherType ICT_FollowupsMaster.comments ICT_Reporting.comments ICT_Resolution.comments ICT_SignsSymptoms.comments ICT_TestsResultsDetails.comments

Appendix A: Database Changes

112

ICT_TestsResultsDetails.OtherType ICT_TestsResultsMaster.comments ICT_TreatmentDetail.comments ICT_TreatmentMaster.comments Infc_IncomingMessageQueue.seq_no IPNNote.Co_sign_Req IPNNote.CoSign_DateTime IPNNote.CoSign_Users_NameTitle IPNNote.CoSign_Users_Snbr IPNNote.Pending2FinalDate IPNNote.Waiting_CoSign job.notes Library_ver.icd10 organization.SuppressCanRxOnMissPharmData PRNMessage.AdminIntervalUnit PRNMessage.AdminIntervalVal QAIRT_IncidentReport.OtherLocal QAIRT_IncidentReport.OtherType QAIRT_Main.OtherLocal QAIRT_Main.OtherType QAIRT_Reporting.comments receipt.bank_gl_account receipt.btch_num receipt_batch.bank_gl_account receipt_batch.user_id receipt_batch_trx.bank_gl_account

receipt_mp.bank_gl_account receipt_mp.btch_num Resident.fac_rep_payee Resident.res_guid ResSnapshot.copy_to_photos rpt271EligibilityCommercial.industry_code_category rpt271EligibilityCommercial.industry_code_desc rpt271EligibilityCommercial.industry_message rpt271EligibilityMCDExtra.industry_code_category rpt271EligibilityMCDExtra.industry_code_desc rpt271EligibilityMCDExtra.industry_message rpt271EligibilityMCDExtra.url rpt271EligibilityMedicaid.id_num_desc rpt271EligibilityMedicaid.industry_code_category rpt271EligibilityMedicaid.industry_code_desc rpt271EligibilityMedicaid.industry_message rpt271EligibilityMedicaid.url rpt271EligibilityOther.industry_code_category rpt271EligibilityOther.industry_code_desc rpt271EligibilityOther.industry_message rpt271EligibilityOther.url rpt271EligibilitySupplemental.industry_code_category rpt271EligibilitySupplemental.industry_code_desc rpt271EligibilitySupplemental.industry_message


113

rptagedaccount.OptlabelCurrent rptagedaccount.OptlabelMonth1 rptagedaccount.OptlabelMonth2 rptagedaccount.OptlabelMonth3 rptagedaccount.OptlabelMonth4 rptagedaccount.OptlabelMonth5 rptagedaccount.OptlabelMonth6 rptagedaccount.OptlabelMonth7 rptagedaccount.OptlabelMonth8 rptagedaccount.OptlabelMonth9 rptagedaccount.OptlabelMonth10 rptagedaccount.OptlabelMonth11 rptagedaccount.OptlabelMonth12 rptAgingAccount.birthdate rptAgingAccount.medicaid_nbr rptAgingAccount.medicar_nbr rptAgingAccount.policy_id rptAgingPlan.intLayout RptBillWizLog.run_jobid rptCenResident.plan_desc RptErrLog.run_jobid rptFundBal.show_fund_alerts rptFundHistory.facRepPayee RptIPNPaper.CoSign_DateTime RptIPNPaper.CoSign_Name_Title RptIPNPaper.EsignOn

RptIPNPaper.Pending2FinalDate RptIPNPaper.WaitingOnCoSign rptPOC2BSFGetData.ppsEnd rptPOC2BSFGetData.ppsStart RptTblCashReceipts.deposit_bank_account RptTblCashReceipts.deposit_date RptTblCashReceipts.deposit_reference rpttempfundtype.days_past_dschg rpttempfundtype.facRepPayee rpttempfundtype.show_days_over rpttempfundtype.show_high_bal rpttempstatement.facRepPayee statement.chg_thru_date_time tblResponse.SigDate visit.POCDateDirty visit.POCDateDischargeEntry visit.POCDateLastForm visit.POCDateLastFormReceived visit.POCDateUpdated visit.POCDischargeEmployeeId visit.POCDischargeNote visit.POCDischargeReasonId visit.POCDischargeType visit.POCNULL visit.POCVersion visit.preadmit_visit_code visit.visit_guid

114

Appendix B: Security Changes Security Records 652 Security records for new NetSolutions functions are set to No Access for all users and groups. A security manager must grant user access to these new functions on the Security page on the User tab. When new security is added to existing functions, the default security settings may vary. See the release notes for each feature for specific information.

New security items for new and existing features in NS 652:

Abbreviation Product Function Name

DASH Dashboard QA KPI

FAC Facility POC - Delete Resident Data

QA Incident Reporting Incident Reporting - Signatures

QA Infection Reporting Infection Control - Signatures

RPT Reports AR - Ancillary Charges Reconciliation

RPT Reports Census - Resident Label Report - Full Page per Resident

115

Appendix C: SRs in Numeric Order 652 SRs in Numeric Order

SR Module Location/Feature

40948 AR Enter future adjustments

45744 AR Ancillary Charges Reconciliation report

48041 Billing Ancillary charges for discharge bills

48093 Accounts PIL Rate Change Utility for Ancillaries

48518 Billing Commercial Log B report

48657 Accounts Period Date column in Receipt Summary

51038 Security Mgr Hold and Discharge pages

51167 AR Aging by Month report

51393 Accounts Edit cash receipts

51862 eCharting eCharting Session report

52090 AR Enter future adjustments

52395 eCharting System outages with eCharting

52504 Physician Orders Period Dates

52784 ADT Cancel a discharge

55523 eDocuments Import eDocuments Utility

55599 Accounts Ancillary order

55622 UDA Assessment section scores


55984 eCharting PRN time intervals

56017 Security Mgr Link security items across facilities

56190 System Resident info bar

56222 Quality Assurance QA product options

58220 Funds Facility Name on Funds reports

59469 Setup Uninstalling General Accounting

60015 Accounts Account Utility

60042 Facility Fee Schedule Profile

60111 Facility Item Profile

60450 Accounts Unapply a batch receipt

60575 Facility Delete Newly Added Resident utility

60757 Physician Orders Report temp files

60810 Interface Mgr Importing a new allergy

Appendix C: SRs in Numeric Order

116

61081 eCharting Upcoming Orders report

61241 Interface Mgr Sent and Received Messages search options

61279 Billing Hospital leaves of less than 24 hours

61439 Billing Calculate Charges for Medicare B

61794 Accounts Cash Receipts Listing report

62212 eCharting Upcoming Orders report

62512 Point of Care Pain Location

62750 Billing CA Medicaid

63023 Accounts COB Information

63192 Billing Calculate charges validation for P methods

63271 ADT State and federal codes

63295 ePrescribing Reject received order and save Rx number

63684 Accounts Import 835 sequestration CARC

63861 ADT Room reserves for expired residents

64027 IPN IPN Search Libraries dialog

64341 Point of Care / eAssignment Access eAssignment from Point of Care

64482 Funds Fund Statements

64675 AR Collection Activity report

64873 ADT Direct Exchange

65726 Funds Indicate facility is resident's payee

66507 eCharting Missed orders

67183 AR Aging reports

67595 Accounts Calculate current month charges and print statement

67609 IPN Electronic signatures and co-signatures

67781 Facility Copy a bill specification

67830 Billing Billing Error Log report


68544 Funds Trust funds

68807 Facility Reverse Close utility

68949 eCharting Body graphic showing injection sites

68953 NSMobile Run NetSolutions on a mobile device

69015 Funds Batch Transactions

69557 System NetSolutions popup dialogs

69661 Facility Change Payor Level and Change Plan Level utilities

69692 AR Insurance Aged Trial Balance to Excel

69890 Accounts Unpost order batch with returns

69955 Resident Parentheses in Ad Hoc and MDS queries


117

Assessment, Ad Hoc reports

70305 Funds Resident Information report

70707 Interface Mgr Prescriber's Connection

70708 Funds Resident Fund Info sort order

70740 ADT Default reimbursement table

71053 Billing Calculate Charges for future period

71092 Billing Error report notice in One-Touch Billing

71249 Accounts Process charge order batch

71291 Accounts Copy previous charge orders

71419 Funds Transaction report

71662 Billing W029 method

71710 ADT Guarantor Labels report

71918 ADT ICD panels

72122 Accounts Credit orders and split billworks

72193 eDocuments eDocument type security

72209 AR Blind Adjustments page

72540 Billing Calculate Charges

72568 Billing Calculate Charges retro

72679 Billing Generate Bill Data

72838 Accounts Resident Account Selection dialog

72877 270/271 State-specific eligibility reports

73011 Funds Custom check layouts

73083 ePrescribing Census messages

73101 AR Routine Care Reconciliation report

73108 Funds Resident Information report

73118 Funds Bank Transaction report

73119 Funds Check requests

73130 Funds Deleting a resident

73131 Funds Guarantor name on Funds Statement

73199 Setup Point of Care training videos

73562 Quality Assurance Body graphic

73711 Care Plan Suggested problems from MDS

73712 Interface Mgr Therapy Minutes from Therapute

73728 Accounts Cash Receipt page

73856 Funds Fund Type alerts

73861 ADT Room reserves

73869 Funds Activity Log report

73937 ADT Census Days report


118

74054 Accounts Tab order on Process Batch pages

74104 Accounts Charge order batch import

74192 eCharting eMAR/eTAR reports

74229 270/271 Checking eligibility in Collections

74249 IPN IPN session for physician

74290 Billing Early statements

74537 Interface Mgr A22 message

74714 ePrescribing NotFilled messages from Frameworks

74830 ADT Disable the Health Record # field

74837 Vitals Enter pain scale value of zero

74916 ADT C-CDA

74942 Resident Assessment Section C audit

74943 Resident Assessment Due Date report

74960 Billing Calculate Charges

75014 AR Open Item Listing report

75024 Quality Assurance Incident Log report

75025 Quality Assurance Define Other selections

75026 Dashboard Quality Assurance KPIs

75090 Physician Orders Sign All Orders

75101 Reports Current visit in Ad Hoc Reporting

75124 Billing 1500 billspecs

75135 Resident Assessment Adding MDS records

75165 Physician Orders Discharge orders

75200 Funds Company information on 1099 forms

75249 Billing Medicaid Pending payors on early statements

75258 ePrescribing Receive Orders

75274 Accounts Process Batch Receipts

75315 Security Mgr Transfer Reports security

75342 Facility Reverse Close Utility

75408 Funds Medicare #

75443 Funds Reactivating a fund

75453 AR Importing adjustments

75488 Accounts Bank Account dropdown

75490 Reports Ad Hoc reports advance directives

75514 Point of Care MDS Correlations

75560 AR Open Item Listing report

75567 Interface Mgr DG-1 segment

75577 Point of Care User-Defined Flow Sheet


119

75716 Resident Assessment RAI Manual/MDS 3.0 for October 01, 2016

75810 Physician Orders Append prescribing physician NPI

75817 Point of Care POC History report

75905 Billing PDF Printing


75966 AR Private Room Differential report

76005 Dashboard Destination column

76018 Dashboard Hospital Readmission KPI

76044 AR AR reports exported to Excel

76079 Quality Assurance Security

76105 Point of Care User-Defined Reports

76106 AR Month-end close reports

76137 270/271 Eligibility check

76160 Security Mgr User ID and Name fields

76181 UDA UDA report

76240 AR Collection Activity report

76245 Billing One-Touch claims to eDocuments

76255 Funds Generate Report button

76259 Funds Reconciliation Worksheet

76260 Quality Assurance Incident Record

76261 Accounts Process Batch Credits

76264 Security Mgr User report

76286 ADT Search for Diagnosis

76290 Physician Orders Clinical Teaching link in Quick Entry dialog

76305 Reports Report Viewer

76315 270/271 Check Eligibility date

76331 Physician Orders Quick Order Entry

76332 Security Mgr User tab

76341 eCharting/System eMAR report to SFTP

76348 Physician Orders Use original order date on renewed orders

76349 Physician Orders Hold order dates

76350 Physician Orders Allergy Master info

76360 Interface Mgr DartChart MDM-POC interface

76363 UDA Assessment reference date

76365 Funds Fund Statements

76367 Billing Billing Line Worksheet

76368 Physician Orders Time values on prospect orders

76372 Point of Care Bowel Movement report


120

76391 ePrescribing Suppress CancelRx messages

76395 Interface Manager A38 messages

76398 Reports User Reports

76402 Point of Care Deleting an observation

76409 Billing C008 method

76414 ADT Custom Daily Resident Census report

76420 Interface Manager Cue Shift message import

76422 Point of Care Viewing reports

76424 ADT Diagnoses

76439 ePrescribing Auto-Fax Service

76446 UDA Facility Worksheet report

76450 AR Adjustment Batch report

76452 Billing Generate Bill Data process to RQ

76459 AR Run Pre-Close in RQ Service

76468 eCharting/System DB maintenance stored procedure

76469 eDocuments Import By field

76471 ePrescribing No Known Allergies to Omnicare

76479 Facility Merge Resident Data utility

76504 270/1 Medicare Eligibility report

76523 AR AR Close JE to NS GL

76533 IPN Search Libraries dialog

76536 ADT Inactivated co-insurer plans

76570 Physician Orders Removing a DC date

76572 eCharting RxHistory link

76606 Dashboard MDS Past Due standard KPI

76615 Interface Manager OmniCare HL7 interface

76618 Accounts Enter Charge Orders

76633 AR Adjustment Posting report

76654 Accounts Process Batch Charge Orders

76661 Dashboard PRN results KPI

76668 Accounts Voided receipts with Enhanced Bank Reporting

76669 Physician Orders Allergies on PO reports

76693 Physician Orders Prospect orders

76720 Physician Orders Telephone Order report

76721 Physician Orders Telephone Order Summary report

76722 Care Plan Goal resolution

76723 Care Plan Goal and intervention resolution

76725 Physician Orders Directions field


121

76731 UDA Scoring for decision items

76733 Billing Bed Rate Schedule report

76740 UDA New assessment templates available

76744 Reports Custom reports in RQS Viewer

76746 Billing Paper bills in RQS Viewer

76759 Point of Care ADL 31 Day Look Back report

76777 IPN Strike Reason

76786 IPN Late Entry progress notes

76788 Accounts Batch Receipt Validation report

76799 Scheduling Opening an appointment

76806 Physician Orders DC orders to pharmacy

76810 Facility Change Admit/Discharge Date utility

76820 AR Billed Revenue report

76821 Setup/Point of Care POC folder and services

76825 NDC 2nd Quarter 2016 NDC update

76839 AR Advanced Collections

76842 ADT New Resident Label Report - Full Page per Resident

76871 Billing Billspec for Rhode Island

76876 eCharting eMAR/eTAR reports in Remote Queue

76931 Interface Mgr A01 messages, PID segment

76981 Funds Reconciliation Worksheet and RW History reports

77022 IPN Saving a progress note as Pending

77047 IPN Import IPN Library

77065 MMQ Submission IDs

77078 AR Contractual adjustments

77147 Funds Fund History report

77198 Interface Mgr HL7 DFT message

77218 Billing Exclude Zero Bills

77251 Billing Calculate Charges for Early Statements

77261 Billing Compare Bill Specification

77266 Point of Care Response Qualifiers

77337 Physician Orders Drug Interaction report

77375 Billing Illinois Medicaid

77421 Billing Activity log

77437 Interface Mgr CSLICO ADT service

77453 Billing 1500 claim form

77510 Dashboard Held Orders KPI


122

77535 Billing OH Medicaid RehabTherapy billspec

77546 User Reports New user report Dischargedata.rpt

77573 Point of Care Deleting an event

77584 Interface Mgr Send records with HIE consent

77593 Resident Assessment Section GG import from OptimaRehab

77610 Resident Assessment Section GG import from Therapute

77613 ADT ICD-10 validation

77616 Billing LA Rate and Audit Review

77625 IPN Save button

77632 Dashboard PRN results

77645 270/271 Oregon Medicaid

77648 Physician Orders Directions field on auto-DC

77681 Dashboard Duplicate physician orders

77682 Dashboard eCharting from Go To dropdown

77688 270/271 Search for eligibility payors

77711 UDA Assessment and signature times

77732 Interface Mgr Visit code

77750 Point of Care Functional Abilities icons

77755 Billing New York Medicaid

77760 Resident Assessment Section A

77761 Resident Assessment Check for Significant Change

77773 Resident Assessment End of Medicare stay audit

77776 Dashboard Physician Orders KPI

77787 Accounts History Recap report

77803 eCharting eTAR report

77810 UDA Template import error

77812 UDA Progress bar when adding assessment

77824 Billing Bed Rate Schedule report

77830 ADT Custom facesheet

77835 Dashboard UDA KPI on inactive template

77873 Physician Orders Discharge Orders report

77874 Care Plan Revision validation

77875 eAssignment UDA product options

77877 Care Plan Revision and Resolution History

77878 Resident Assessment ADL Index report

77886 Accounts Resident Ledger report

77893 Resident Assessment Import ICD-10 codes

77896 NDC 2nd Quarter 2016 NDC update


123

77903 Point of Care Shifts

77908 Resident Assessment S0123 (County)

77910 UDA UDA error

77914 System ICD-10 Update Utility

77916 Physician Orders Sign All Orders

77945 Point of Care Functional Abilities observation

77948 Resident Assessment Section S carryover

77961 Physician Orders Directions field on auto-DC

77964 Physician Orders Pharmacy name

77965 Interface Mgr CareTracker import

77981 Accounts Import Charge Orders

78020 UDA Certified By checkbox

78040 Resident Assessment Due Dates report

78042 eCharting Physician Orders accessed from eCharting

78046 Resident Assessment Section E import from Caretracker

78055 Resident Assessment MDS audit

78060 ADT Clients with Inactive Diagnoses report

78069 Resident Assessment MDS Audit

78071 AR AR reports exported to Excel


78109 Interface Mgr New Visit MR and HR numbers

78115 System PBJ EDS Submission report

78123 Security Mgr Security page

78148 eCharting eMAR report

78159 Interface Mgr DG1 validation

78160 IPN IPN Report

78169 ADT, PO VA disability

78180 Immunization Record Influenza Vaccination report


78183 Security Manager Group Master with Optimum

78190 Interface Mgr A08 messages from Import Charge Orders

78194 ePrescribing Rejecting a received order

78206 Interface Mgr Continuity of Care Document

78220 eCharting PRN order documentation

78222 Billing MSP bills

78247 Point of Care Functional Abilities

78256 Interface Mgr Diagnosis import field DG1-15

78290 Billing Medi-Cal billing


124

78309 ePrescribing Receive Orders

78316 AR Legacy AR Collection by Payor report

78321 IPN / eAssignment IPN accessed from eAssignment - Correction button

78347 ADT Record of Admission facesheets

78383 Dashboard MDS Past Due KPI

78404 Accounts Batch receipts bill cycle

78407 Facility Merge Resident Data utility

78409 UDA UDA report

78453 Accounts Cash Receipts help

78475 Billing Exclude admitting Dx from bills

78486 eCharting Descriptive Text Results report

78491 ADT Enroll in Imprivata link

78503 Dashboard UDA KPI

78507 ADT Resident Roster report


78569 Accounts Import Charge Orders

78574 Billing Medi-Cal paper bills

78679 Resident Assessment Audit

78707 Interface Mgr Primecare Tech interface


78796 Facility Payor revenue codes

78832 AR Billed Revenue report

78833 PO Interaction checking IP authentication

78858 ePrescribing Pharmacy field on renewed orders

78862 Physician Orders Orders by Order Type report

78902 eCharting Time range values applied to descriptive texts

78910 UDA UDA next due date

78918 AR Ancillary Balancing report

78930 Physician Orders Drug Warnings master

78951 Point of Care Req 3 Day Effective checkbox

78959 Interface Mge dbMotion

78976 Resident Assessment M0800

79026 Physician Orders Auto-DC

79043 Vital Parameters BP type

79048 UDA UDA signatures

79050 Point of Care Bowel Movement report

79078 Resident Assessment External Analysis with PointRight

79091 Care Plan Duplicate Care Plan items


125

79108 ADT Census Days report

79118 Billing Advance Billing

79120 Interface Mgr Received Messages

79133 Accounts Review Assessments

79135 ADT Export C-CDA from Record Disclosure

79151 ADT Bed hold

79154 Interface Mgr Received Messages

79206 ADT Zirmed eligibility checks

79207 AR A/R reports

79208 eDocuments Resident photo

79222 Accounts Batch Receipt Transaction tab order

79230 Accounts Unapplying a cash receipt

79250 Physician Orders Auto-DC message

79251 Physician Orders Prescriber: Sign link

79252 Physician Orders PRN Messages master

79253 Security Mgr eSignatures PO/eCharting user signing options

79264 Care Plan Goal progress Paste Previous Note button

79271 Billing Generate Bill Data

79273 ADT VA Disabilities

79277 Interface Mgr Vitals A08 messages

79295 Funds Balance forward

79298 Funds Inactivate funds

79302 Point of Care 7 Day Bowel report

79313 IPN IPN session

79343 Security Mgr IPN electronic signing options

79366 Dashboard eCharting KPIs

79367 Billing Auto-Apply KX

79376 Interface Mgr C-CDA import

79378 Accounts Import 835/cash receipts


79383 Physician Orders Days Supply field

79395 Accounts Zero dollar cash receipts

79396 Accounts Post order batch

79412 Interface Mgr Tabular Pro

79416 ADT Reimbursement table

79426 Resident Assessment CAA Notes

79431 Resident Assessment MDS 3.0 Case Mix reports

79457 Interface Mgr Credentials for Direct Exchange


126

79459 Physician Orders PID signature

79461 Billing Colorado Medicaid

79464 Security Manager Change PID

79471 ePrescribing PID on Receive Orders page

79478 Quality Assurance Audit Report

79483 Dashboard Prospects on KPIs

79493 Interface Mgr Direct Exchange sending pdf

79494 Dashboard UDA KPIs

79531 Point of Care Kiosk login

127

Index

128

2

270/271 Eligibility Inquiry release notes 28

6

652 patches 10

A

Accounts release notes 30

Accounts Receivable release notes 39

ADT release notes 19

B

Billing release notes 45

C

Care Plan release notes 55

D

Dashboard release notes 91

Database changes 111

E

eAssignment release notes 56

eCharting release notes 56

eDocuments release notes 63

ePrescribing release notes 65

F

Facility Setup release notes 95

Funds release notes 50

H

Highlights 652 3

I Immunization Record

release notes 74

Interface Manager release notes 103

IPN release notes 69

M

MMQ release notes 74

N

Numeric list of SRs 652 115

P

Physician Orders release notes 75

Point of Care release notes 80

Q

Quality Assurance release notes 82

R

Release Notes 1 652 highlights 3

Reports release notes 93

Resident Assessment release notes 85

S

Scheduling release notes 92

Security Manager release notes 108

Security records 114 Setup

release notes 110 SR list in numeric order

652 115

U

UDA release notes 88

V

Vital Parameters release notes 90

Date post:	30-Aug-2018
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