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Friday, March 16, 2012

TCMS Version 4.7.7 – What’s New, What’s Fixed, etc

The Collections Module has a handful of new enhancements and modifications:
In the Setup screen for the Collection Module, there are now new options to further define the criteria for moving Insurance-Due claims into Collections. The user is now able to set the minimum number of aging days based on service date in addition to transaction date.

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On the “Move Claims” screen, the user will now be given the option to move claims by calculating the aging date from the service date or from the transaction date as in previous versions of TCMS.
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Additionally, the Agent work screen will now display each individual claim assigned to the selected agent rather than displaying the information on an account level. This allows the agent to work their assigned claims directly from this screen and eliminates the need to switch between screens. The detail grid will now also include the “Transaction Aging Days”, “Service Aging Days”, and “Date Assigned” columns to allow the user further flexibility to sort claims as desired.
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For Assigned and Worked claims, in addition to the existing ledger display at the bottom of the screen, new tabs have been added to give the user access to the Patient’s Demographic and Insurance information without having to switch screens or exit the Collection module.
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If the user ‘Right Mouse’ clicks and selects to jump to the patient’s Ledger from the Agent work screen, it will bring the user to the actual claim. This is a big time saver as the user will not have to search through claims.
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We have also added the “Agent Productivity Report” under the Collection reports menu.
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This Report can be run for selected agents in a selected date span.
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The Report can be run in Summary mode:
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Or in Detail Mode:
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Electronic Worker’s Comp is now updated with new iHCFA requirements
Electronic Worker’s Comp claim submissions, processed through the WCB certified clearinghouse iHCFA, are now updated to the latest compliance requirements.

No Fault claim form data adjustment
The No Fault claim form was only including the first claim modifier and cutting off any other existing modifier codes. The form will no longer cut off secondary modifiers when printed.

Workplace Health Statements now observe Practice PO Box addresses
The Workplace Health Statements will now utilize the Practice’s PO Box Pay-to address (if used for the practice in the Practice Setup screen).

Facilities can now be removed from claims by the user
In prior versions, the user was always able to change a claim’s facility from one to another; but there was a limitation on completely removing a facility altogether. The user can now remove a facility without the need to replace it with another.

The EMC Submissions report has 2 new indicators
The EMC Submissions report will now indicate if a claim has exceeded the Timely Filing Warning level assigned in the Insurance Carrier’s Setup screen; the report will also now indicate if a claim has exceeded the Timely Filing Allowance level, also assigned in the carrier’s setup screen.

A new option to claim acknowledgements
Until now, the user was unable to view the Medicaid 277 report, which offers information on claims that were rejected. There is a menu option available under the ‘Claims’ menu called ‘View Claim Acknowledgement’. Once launched, the user can select from downloaded 999 or 277CA files to view, save, or print.