2001 Release Notes

• 1.0.7 - 12/5/2001
  • "Requests by Submitter" screen in Statistics module now has the option to view requests by provider name as well as by user name for those requests entered by providers.
  • Dupe check threshold adjusted to 30 days.  (now, when entering a request, if the member has had a request in DRE in the past 30 days you will be alerted.)
  • Review Type adjusted.  Now only auth type Consultation and Eye Exam will result in a Review Type of RAF.  Everything else will export with a review type of TAR.
  • Requests containing a procedure code J3490 will now get 180 day expiration.
  • In the "Level of Care" section of the request summary screen for inpatient requests, the authorized days for each LOC are now displayed, and the column headers have been clairified.
• 1.0.6 - 11/20/2001
  • Member ID can no longer be edited from the request editor.  (jsonderm)
  • Search claims by day / member added to provider side of DRE.  This is an important final step in transitioning from the old provider site to DRE. (mtyler)
  • 30 Day Runnning Total added to the "Processing Time" statistics page (mjordan)
  • Known Errata removed from help screen.  It wasn't being updated, and most known issues are fixed on the fly. (demerson)
  • When entering a new request, the members eligibility is now re-checked for the requested DOS entered.  An alert dialog will popup if the member may not be eligible on the requested DOS. (jsonderm)
  • Pediatric Care 2001 Guidelines added to M&R Guidelines and refined Guideline selection frame (mtyler)
• 1.0.5
  • Bugfix)  Since CCS implementation dispostion code have not been saving to the database upon case discharge.  Logic Changed.  Bug Fixed.
  • Provider Alerts are now database driven.
• 1.0.4
  • Lines of Business are now completely database driven to facilitate possible aquisition of DRE by other Health Plans.  dbo.DRELOB now contains all lines of business, their internal code, short and long descriptions, and their current status.
  • Last name is now a like-search in Patient Search.  This means that if you're looking for someone with the last name smith you can enter 'smi' and you will get all members with a last name starting with 'smi'.  (lrhed)
  • Bug Fix) Common apostrophy problem plagued the member search tool.  Applied killapos( ) function to all search fields. (ccable)
  • Values for Auths-By-Month graph added to statistics page in chart format. (mjordan)
  • Month total added to current month view of Processing Time report as well as percentages to month total for all displayed values. (mjordan)
• 1.0.3
  • Request status notification will now be sent to facility in addition to pcp, requester, and service provider. (ssmith)
  • Search request will now return auths where user was the facility. (ssmith) 
  • Bug fix) Error message upon approving inpatient requests (jowens)
  • Bug fix) Discharged inpatient requests are not being removed from users inbox (demerson)
• 1.0.2 - 10/10/2001
  • Fix for edit screen not pre-loading provider / facility names which resulted in previouly edited values being displayed.
  • Patient History added to Patient Dossier.
  • Fixed a column alignment problem in the excel file created from the Request Listing script added in the last release.
  • Added some new quick-stats to the statistics page of DRE. These include a total count of request in DRE, and count of Inpatient reuqests in workflow, and a count of outpatient requests in workflow.
  • The discharge screen no longer sets the requests location to the referring providers ID when dicharging.  Location is only to be used for internal tracking, not provider notification.  All requests with a provider ID in the field had this field flushed.
  • Added zipcode to patient and provider detail screens (from patient and provider search) (dbowen)
  • Place of Service and Priority fields are now editable from the request editor. (vbatten)
  • Member roster on providers inbox will now download the user an Excel CSV file rather than a fixed width flat file.
  • Alert box will now popup to alert the user is the selected provider is not contracted, or par for the selected members line of business.  This is to supplement the default par criteria in the provider search screen.
  • Submit date on History screen replaced with requested service date.
  • Changes made on CCS Screen will now trigger a Diamond update of that request.  Based on the CCS Status selected in DRE, the following changes will be made in Diamond: 

    	Pend	Approved	Denied
    Status	H	C	O
    Disposition	CCSPND	CCSYES	[null]

• 1.0.1 - 9/19/2001
  • Bugfix - killapos( ) function was not being used on note entered on the  make-determination screen, and thus caused errors on the page not saving the notes and details to the Audit Trail table.  (pstuebne)
  • Request Listings by day added to Statistics module.
• 1.0.0 - 9/18/2001
  • I'm hereby removing Referral Express from beta status.
  • Auth Type is now an editable field. (vbatten)
  • Member eligibility, lob, and current pcp id now shown on member history screen. (dbowen)
  • When a user chooses to deny or cancel a case on the Make Determination screen, you will now get an "Are you sure?" dialog to verify the action you're about to perform. (jking)
  • CCS Tracking has been implemented. 
    • Use the new "CCS Details" button on the request summary screen to view / edit CCS information for that case. 
    • Currently you can record ccs request date, ccs acknowlegement, and current ccs status.
    • Requests flagged as CCS will show an alert banner on the top of their request summary page stating " - This request has been referred to CCS - "
    • When entering new requests, you will be alerted by a popup dialog if the request is for a prior CCS patient. (i.e. if any prior requests for that member which are in DRE have been flagged as a CCS case.)
    • Changes to CCS Details will be recorded in the Request Summary details displayed on the bottom of the request summary screen.
    • NOTE:  CCS Details entered into DRE will not be moved to Diamond yet!  You still must perform necessary changes to requests in Diamond. Until the exporter  is updated to includes CCS hold information in the exports.
• 0.7.1b - 9/5/2001
  • Authorized LOS is now editable for inpatient request from the auth editor.
• 0.7.0b - 9/4/2001
  • Listing of actual days on the request summary page for inpatient requests has been fixed.
  • Provider Speciality criteria is now working from the provider search screen.
  • New Participating Provider functionality added to provider search screen.  All provider searches now default to par providers.  "Par Only" select box added to search criteria, and Par flag now added to search results display.
  • Make determination screen has been implemented for inpatient cases, and is replacing the current "Update" screen.  You will now additionally use this screen to cancel cases.
  • Actual Admit Date has been moved to the "Level of Care" screen, and can still be updated at any time.
  • Discharge Screen error checking added.  You can no longer attempt to discharge a request if, 1. There is no level of care data, 2. if any levels of care for the request have zero actual AND zero authorized days, 3. if the case has not been approved yet, 4. an Actual Admit Date has not been entered yet, or 5. more then one sequential level of care has the same authtype.  A detailed screen will describe which combination of the above errors occured if you try to discharge a request where any of the above are true.
• 0.6.9b - 8-14-2001
  • The new unified make determination screen has been implemented for outpatient requests only for testing before being implemented for inpatient requests.  Aprove, deny, and cancel buttons have been replaced on the OP toolbar by a single make determination button.
  • Several, minor cosmetic updates to Benefit Dossier.
  • About five new 'reasons' have been added to the Appeal reason selection box.
  • Fixed some bugs in the delete user and delete request tools in the administration module.  The order that records were deleted from tables went against the new foreign constraints binding those tables.
  • When an inpatient request is canceled, the actual admit date is reset to blank.  This is to keep partially completed auths from transfering into diamond.
  • (Service) Provider name added to patient history screen.
  • 'Processing Time' is a new web-report added to the Statistics module.  It reports on the number of requests that have, or have not been processed in the globally acceptable time.
  • Actual Discharge Date is now editable from the Discharge screen.
• 0.6.8b - 7/25/2001
  • Implemented Cascading Style Sheets (CSS) to aide in having a uniform site.
• 0.6.7b - 7/6/2001
  • Milliman & Robertson 2001 Guidelines are now in place and search functionality should work now.
  • More work has been done to merge DRE with the current provider web, such as: 
    • Provider Information page,
    • Formulary Search
    • Send Feedback / Comments Page
    • Additional Help Notes
• 0.6.6b - 6/21/2001
  • Diabetes management option added to internal users inbox, and to external users homepage.  This is a project being developed by Alejandro Garay for the QI department to aide doctors and QI in tracking regular visits of known diabetes patients.
  • Small toolbar added to inbox screens of internal users to open Benefit Dossier, Eye Care Lookup, and Diabetes Manager.
• 0.6.5b - 6/4/2001
  • This release is a major notes update.  Now, any user may add notes to any open case, and providers can add notes to any case regardless of status. 
  • Notice: Adding notes to a request will not trigger a DRE export of that auth to Diamond, since Diamond will not contain these notes.
  • Initial history notes, and claims comment notes can now be edited from the auth editor and all changes will be journaled in the Auth Processing History on the Auth Summary page.
  • Once edited, the request will be refreshed to Diamond on the next scheduled export.
  • When providers attach new notes to a request, the last UM user to perform an action on the request will receive notification through Outlook of the note.  If no UM user has yet touched the request, the notification will be broadcast to the entire UM department via Outlook.
• 0.6.4b - 5/31/2001
  • Facility is now an editable field. (vbatten & lrhed)
  • Minor browser compatibility fixes. (mtyler)
  • Provider Training Documentation is now online in the help secion.  A clickable index was implemented to ease navigation.  (ssmith)
  • Displayed provider names are now editable in the Provider Groups Editor in the DRE Administration module. (ssmith)
• 0.6.3b - 5/30/2001 
  • Requests submitted by providers will highlight blue for internal users.  Note this only applies to the inbox screens.  Provider requests will not highlight in Search Request results.
  • Folder sorting has been implemented.  The column header for which the inbox is sorted by will highlight red.  Click any hyperlinked columns headers to sort by that column, click it again to reverse the sort. (i.e. ascending / descending)
  • Patient names displayed in the inbox are now shown in a lastname-first format.
• 0.6.2b - 5/24/2001
  • It appears that with some providers who are using older versions of web browsers that the client-site scripting is not keeping them from submitting incomplete requests.  Specifically we've seen requests missing Service Provider ID's and Primary Diagnosis codes.  To keep this from happening I've recommended all providers use the latest, most up-to-date version of Interner Explorer, and I've written further error checking code that will keep incomplete requests from being accepted.
  • There's a couple new statistics graphs comparing staff to provider output.  For the record, right now we only have a handful of providers online and we average about 5.5% of requests are entered by providers.
  • Patient search screen now allows you to press enter to submit (vbatten & others)
  • Patient search results now in alpha order. (ssmith)
  • Fixed some spelling errors. (ssmith)
  • Expiration date is now an editable field. (UM)
  • Major overhaul to the patient handout form.  requesting providers can now select which provider location / address to show on the handout, as well as edit the message to be displayed on the handout.
• 0.6.1b - 5/17/2001
  • Fixed bug with expiration date showing up as 1/1/1900.  This was an error from the 0.6.0b patch.
  • Fixed some wording on the password change screen. (ssmith)
  • Fixed bug on the "My Settings" screen.  Providers were getting an error
  • Added a user changable e-mail address to the My Settings screen in an effort to collect provider e-mail addresses.
• 0.6.0b - 5/15/2001
  • Inpatient status icon fixed:  Will show approved after being updated.
  • Fixing this icon required the creation of a new DRE status code.  Status 'I' has been implemented to distinguish between approved and discharged inpatient claims. 
  • Fixed some database connection issues related to the server change.  These occured when you performed a patient search, and clicked a member ID, for member information.
  • Expiration date is now derived from the requested admit (service) date rather than the date approved.  For inpatient requests, the expiration date will be applied once an actual admit date is given to the request. (claims dept)
  • New statistics screen added.  Internal Inbox Population screen will show the number of auths in each users inbox, and the number of requests in each group inbox.  Inboxes with no requests will not currently show up.  This screen inherently displays the total number of requests currently in workflow.
  • New provider notification code is now in place.  Both referring provider and specialist will be notified as to request determinations.  (pstubner)
  • Events:  Claims, Member Services, and Provider Services staff have been given a DRE overview.
  • Admit Yes/No radio button was not being reset to No after entering an auth. (vbatten)
  • Fixed a bug in provider search returning, "Error near keyword 'order'"
  • Fixed bug in transfer request options screen. This was related to the server change.(pstubner)
  • Fixed code removal bug in editor. (lrhed)
  • Added user and group management pages to the Administration secion. (demerson)
  • The last inbox you were at will be remembered.  When you complete an action, you will be returned back to the last inbox you were in, rather than always your home inbox. (shardy)
• 0.5.4b
  • Moving to dedicated server.  As of this version, DRE will be moving to a dedicated HP Netserver with lots of extra resources.
  • Changed logout behavior.  Originally, if you were an Internal user (HPSJ employee) it would sent you back the the Intranet, and if you were and external user (HPSJ provider) it would send you back to the HPSJ public website.  As some HPSJ employee's log into DRE over the Internet it appears to be more correct to send the user back to the www site if their connection was over SSL, and to the Intranet if not.
  • New Statistics menu, and screen were added which shows the number of auths submitted within the past 30 days by each user.  It also shows, during the same time window, the percentage done by internal users, and the percentage done by external users.
  • Database connection bug repaired in Search Provider detail screen.
  • Fixed bug in Level of Care screen which was overwriting the authorized days.
• 0.5.3b - 5/2/2001
  • DRE will begin populating DREProviderNotification which is part of the new method of notifying providers of request status.  There is more work to be done with this project that will be released in subsequent versions of DRE.
  • Inbox auto-refresh time changed to 120 seconds.
  • Fixed a security error in "Search Request".
  • Available inboxes are now shown on the left frame.  When one is selected, only that inbox will be shown in the work frame.  For now, all internal users will default to their personal inbox upon login, and all external will default to a provider alert page.
• 0.5.2b - 4/25/2001
  • Fixed Requested LOS / Requested Qty mapping bug.
  • Fixed bug in auth editor where edited auths weren't being flagged for re-export into Diamond.
  • Added CPT code Z2930, and Z2932 to DRE.  (per dbowen request)
  • Added logic so codes V2020, Z2930, and Z2932 would receive a 30-day expiration period. (per dbowen request)
  • ThruDate is now being recorded in DRE for export into Diamond.
  • After exiting level of care screen, or update screen, DRE will return to the auth summary page rather than the users inbox (per lrhed request)
• 0.5.1b - 4/24/2001 
  • Auth Editor is now available.
  • New requests will be given a diamond status of N, then once updated (INP) or approved (OUT), the diamond status will change to 'O' (ccable)
  • As of this release all UM is using DRE for data input.
• 0.5.0b
  • Added another new Expiration date profile.  All requests approved containing a 95117 procedure code will receive a 180 day Expiration date.
  • Significant work has been done on the Auth Editor module of DRE.  It's planned that this tool will initially only allow updates to the mem-id, dx, and proc codes.  This will be made available in this release.
  • A few bugs have been spotted in the inpatient data that is passed to Diamond.  Due to this Actual Admit data is now not required on the Update screen, but is still required for Discharge.
  • Additionally, an Actual Discharge Date column has been added to DREs database.  It was deemed inappropriate to move DRE's anticipated discharge date to diamond as this is not the acutal discharge date which is calculated upon discharge from DRE.
• 0.4.5b - April 18, 2001
  • New security, "Make Determination", implemented.  This is to facilitate read-only accounts for the claims department.  To create a read-only account, bestow only "DREUser", and possibly "Patient Dossier" permissions to the account.  A normal UM user will additionally have "Make Determination" and "Create Request" access.
  • ReviewedBy column added to DREAuths as is was necessary to differentiate between who created an auth and who made the determination.  VSI will be exported to Diamond if no determination has been made yet.
  • Fixed bug where requested admit date was not showing up on the Update screen.
  • Hard coded new expiration duration for any auth containing proc code 95115 to 120 days.
• 0.4.4b - April 17, 2001
  • Ordered the History listing by submit date.
  • Added a patinet activity alert to new request page.  If any auth has been entered in DRE within the past five days, an alert will popup upon entering the member-id telling user of such.
  • Began work on Auth Editor feature.  This will take some time to fully implement.
• 0.4.3b - April 16, 2001
  • We are live!  Today we have begun live internal production usage of DRE.
  • Patient Details table added to request summary (req. by trish)
  • Request summary now shows codes descriptions on the page rather than clicking each one.
• 0.4.2b - April 2, 2001
  • Clicking continue after entering an auth now returns user to the new auth screen to enter another auth.
  • Transfer combo in inbox now default to the current user.
  • ReviewType is now extrapolated from entered request information and saved to database for Diamond.
  • The Provider ID requirement when entering a new auth is now enforced.
  • Patient Handout option added to request summary page.
• 0.4.1b
  • Requested Admit / Service Date now defaults to today.
  • Fixed bug returning error when clicking a member id in member lookup.
  • Fixed bug returning incorrect elig status on member lookup page.
  • Fixed inbox, acknowlege bug for provider's accounts.
• 0.4.0b - 3/23/01
  • Simple member dossier implemented and secured on a user-by-user basis
  • Providers searching for members will now have unfiltered results since any member could be seen.
  • Authorized and Actual days broken down by level of care now.
  • Fixed login bug allowing non-"DRE Users" to login.
  • Fixed bug where "Patient Current Location" wasn't being saved.
  • Changed note fields to type text in DREAuths table.
  • Added basic eligibility information to member search results.
  • Current location, auth type, and claims notes now displaying properly in the request summary screen.
• 0.3.1b - DRE Released for internal, non-production, beta.
  • Current request status icon now shown on inbox and request lookup screens
  • Added submit date to request lookup results
  • Fixed bug where notes entered during transfers were not being saved.
  • Added many new request types:  Radiology, Speech Therapy, etc.
  • Now saving members current plan / group with ea. request. This is used for a more advanced group display on the inbox screen.  "Medi-Cal" shown for MCL requests, "Healthy Families" shown for CFK requests, and current group shown for ASO (previously TPA) requests, which include "CMCP2", "CMCP3", etc... 
  • HCHCP codes now integrated with CPT codes so either can be selected as "Procedure" codes.
  • Fixed bug where you couldn't enter more than one Procedure code.
  • Added submit date to "History" page.  Page also now includes Diamond auths.
• 0.3.0a - Fixes and updates made from last update to Mar 14, 2001.
  • Request Lookup - External users can only lookup auths for which the PCP, Provider, or Referrer of that auth is one to which the user is bound to.  i.e. Ones they can create auths for.
  • Request Lookup - You can now search auths by member id.
  • Request Lookup - Added current auth status column to lookup results.
  • Member Lookup - Added Eligibility Yes/No column to member lookup results.
  • New Request - Fixed bug that erroniously alerted "You've already entered that code"
• 0.2.0a - Fixes and updates made from last update to Feb 23,2001.
  • Level of care and Discharge pages have been created.  Unlike VSI2000, Levels of care can be edited at any time for any Admit case.  Doing this, only dispoistion and discharge notes must be entered at time of discharge. 
• 0.1.2a - Fixes made Wednesday 14 and Thursday 15, 2001.
  • Added error checking to patient and code search pages to show error message if no search criteria was entered.
• 0.1.1a - Fixes made Friday February 9, 2001.
  • Added "CCS Condition" to list of deny reasons per ccable. 
  • Added notes entry on the Denial Options page. 
  • Added patient's LOB to all inboxes, along with this addition I will be keeping a LOB snapshot of each case in the DREAuths table to improve performance and simplify reporting. 
  • Fixed bug where IE4.0 and early IE5.0 browsers couldn't open auths in the inbox.  This was due to a bug in javascript support in these browsers where the form.submit() function appears to do absolutely nothing.
  • Fixed similar bug where the toolbar wasn't working in IE4.0.  This time it was another javascript bug where IE4 refused to let a script change the location() of the frame the page / javascript is running in.
  • Fixed spelling error in Request Type list.
• 0.1.0a - DRE was released today in a "pre-alpha" state to be evaluated by the HPSJ UM department.  At this point I'd say that we are about 75% to an initial full release.  Beginning now I will begin to increment the version number in the 1.2.3 format with the following organization.  The first digit represents a major new release of software into the live production environment, be it a complete rewrite or major feature addition.  The second digit also represents a new update to the live production environment of a less-important scale.  For example bug fixes or minor feature modifications and additions.  The third digit in the DRE version number represents a change that has been documented but will not be released until the next minor release.