2005 Release Notes

• Inpatient Update - The Level of Care editor is now available even after a request is discharged.
• Inpatient Update - Daily Inpatient Census now available to all internal users from the Tools menu.
• Admin - The login monitor now accurately reports Opera browser.

• Admin - The login monitor will now report the following operating systems:
  • Windows Vista
  • Windows xp x64 Edition
  • Windows Server 2003
  • Macintosh (some newer non-PPC flavors)
  • Linux
• Admin - The login monitor will now report the following browers:
  • Internet Explorer 7.0
  • Safari (Macintosh)
  • Firefox 0.x/1.0/1.5
• Letters - If a deferred or denied request is approved before the letter is created, letters for the request will be removed from the workqueue.
• Letters - New 'Redo' button added to recently completed screen. This button will re-add the letter back to the workqueue so it can be recreated.
• New Request - Membership information and non-eligibility popup will now show if a member in not eligible, but has an imminent active eligibility periods.
• System - "Search Claims" will no longer show up for external users who are not linked to any providers. (ssmith)

• CENSUS - Annual and Quarterly Census reports have been removed. (rhill)
• CENSUS - New 'Custom Dates' Census now available. This is using a new days calulation routine adapted from the new monthly census report (only days during the month are counted). (rhill)
• LETTERS - Found a bug in the sorting routine when sorting numeric columns, namely the Lapse column was affected. (demerson)
• LETTERS - Loaded all existing status=Deferred requests in the Deferred requests folder into the workqueue. (vbatten)

• LETTERS - Consolidated MCL, HF, and HK letter templates.
• LETTERS - Deferring / Denying a request now only results in one letter workqueue item per request rather than 1 per recipient. (a copy is simply printed for each recipient) (shardy)
• LETTERS - Changed recipient column to 'Member' column in workqueue showing Member Name. (shardy)
• LETTERS - Added 'Lapse' column to workqueue noting the number of days lapsed since the action was performed. (shardy)
• LETTERS - Workqueue can now be sorted by any column in either direction.

• REQUESTS - Removed Appeal button from external providers.
• MAIL - Added envelope icons to DREMail inbox view.
• MAIL - Changed hue of open/unopen items in DREMail.
• MAIL - Added paging to DREMail. Pagesize determined by user pagesize preference.
• MAIL - Reading an unread message now updates the 'Unread' counter in the left-side menu.
• MAIL - Added mass deleteing from the inbox view.
• LETTERS - Added letter description column to DREReasonCodes table and populated it per UM xls file. (shardy)
• HELP - Created a placeholder file for the 2006 release notes.
• PROVIDER SEARCH - List of associated accounts now limited to active accounts.
• PROVIDER SEARCH - Current online/offline status now replaced the Active/Disabled column.

• Created a new CHDP Rate Editor which is available through Administration > Claims Manager. The new tool allows setting base rate (100%) of all codes, changing of CPT mapping, code description, and status of codes (selectable or not). It also shows provider rates (as a percentage of base rate) and allows changing of provider rates. (drogers)
• Provider Search Detail now offers a list of users tied to the provider being viewed. This list is only available to internal users and allow the sending of DRE e-mail to users appearing on the list. (akremer)
• Modified the Make Determination screen. Now expiration date is set to the requested date of service when a request is denied or cancelled. This is part of a bigger project to help close old requests in HealthTrio. (drogers)

• a631 - Error entering initial (intake) or claims notes with > 1,000 characters. I've expanded this to the Sql Server maximum of 8,000 characters allowable to be passed to a stored procedure from an asp script. Now if a user enters more than 8,000 characters, it will truncate the note to 8,000 characters and tell user the notes entered were truncated. (ssmith)
• a632 - CCS Quarterly Report - Added HTML output option for the report with additional functionality of poping open listed auths, and drilling into the member dossier. (mjordan)
• a615 mod - Few requests regarding census: remove extra authno column, add admit date, and add a bit column indicating (1) if admit occured during reporting period, or (0) if admit occured outside reporting period (so it can be summed in excel) (rhill)
• I've additionally renamed the census stored procedures. All are now prefixed sp_DRE_STAT_Census_ so that the daily, monthly, and quarterly sprocs all appear together alphabetically. (demerson)

• New Permission Created for access to the Baby Editor screen. Indicates if the 'Baby Editor' button will be available on the Patient Search Details screen, or the request summary screen (for OB requests).
• Added several more letters variables to the letter builder module such as $requesteraddress$, etc.
• Update to add CH25, and CH26 options to the PM160 entry form.
• Security update - NT Auto-Logon has been fortified. It now requires a user be connecting from a machine with an IP beginning "192.168.168.". (Memphis)
• Fixed SQL injection security hole in e-mail field of customize.asp. (Memphis)
• Added function Req(controlName,quoteHandler) to functions.asp. It should be used from now on whenever receiving variables from a form. It will automatically parse HTML, trim the input, and handle aspotrophies in various ways depending on context.
• Req() has been applied to the create new request form.
• Req() has been applied to the user settings screen.
• Req() has been applied to all searching functions (member,provider,forumulary,codes,pm160)
• Fixed a number of bad CSS links in /dre/edi/ and /dre/administration/.

• Approved Days fix
  • Level of Care: This screen no longer modifies approved days in any way.
  • Determination: This screen no longer forces you to approve specified approved days from LOC screen. Any value will be accepted.
  • Discharge: This screen will no longer allow you discharge unless approved days matches LOC approved days.
• Updated PDR Request form with new copy from Claims.
• Number of updated to the letter builder module:
  • Added 'Recently Completed' view to see recently completed letters (for reprinting or just referrence)
  • Added several new template variables such as $actiondate$, $actionby$, $provideraddress1$, etc.

• DRE's inpatient module has been changed to aide census reporting. We're removing the default bed day span that is created upon request submission. Bed day spans should only be created once UM know a patient has actually been admitted (through a face sheet):
• Request Summary Screen has been updated to support inpatient requests that are without any bed day spans.
• Bed days editor has been updated to support inpatnet requests that lack any bed day spans.
• Bed days editor has been updated to allow all bed day spans to be removed.
• The Make Determination screen has been updated. If no bed days have been entered, it will allow a reviewer to enter a number of authorized days. If bed days have been entered, the sum of the approved bed days will show-up as the approved days and will not be editable. As bed days are updated the number of approved days will automatically get updated based on bed days.
• Once this change is applied we will update the 'create request' stored procedure and no longer have it automatically create a default bed day span.
• Baby Editor - You can now edit eligibility spans for any newborns entered through DRE.

• Repaired bug in the provider Chart Sheet tool caused by the previous update.

• Security has been completely re-engineered in granting access to the Auth Summary screen as well as all the Patient Dossier screens. The rules for access are still the same, so users shouldn't see any difference, however some security vulnerabilities were discovered which provoked this patch. While nothing will be new on the user side, this is a pretty big patch so please let us know if you encounter any security errors in your daily utilization of DRE. Here's the new implementation...
• All the asp logic contained in CheckDossierAccess() in dre/functions.asp have been converted into the SQL Stored Procedure sp_DRE_COM_Check_Access
• All Patient Dossier pages and the Auth Summary page have been updated to properly interface with this coding change.

• Bonus Tool - Changed descriptions: numerator to completed and denominator to eligible.
• Admin - Created new Claims Manager administrative group.
• Admin - Created new 'Export Request' pages for claims to reflag requests to update HealthTrio Xpress.
• Contact Us - Phone extensions have been removed from the Contact Us page to promote use of ACD.
• Claim Comments - This functionality has been restored. Output has been cleaned up, and claim lines appear in html tables now. All output sent to lcarriker through dre mail.

• Bonus Tool - Added 'fiscal' to all year descriptions.
• Bonus Tool - Added 'Open in Excel' to denominator view.
• Bonus Tool - Added Current Eligibility column to denominator view.
• Bonus Tool - Module now only available to PCP's.
• Bonus Tool - 'All Providers' selection no longer available to provders. Summary defaults to first provider user has access to.
• Bonus Tool - Greatly tuned all queries and moved denominator selection query to a stored procedure.
• PM160 - Fixed three fields that were not saving properly (Second hand smoke, Smoking cessation counseling, and Initial Screening selection)
• PM160 - Added description to the form on how to 'clear' radio button selection in each area of the form.

• Added support for light case management tracking.
  • New Case Management request type
  • CM request will show up with a new CM icon in the inbox.
  • New CM requests will be automatically placed in the case management HMO folder
  • CM request will not be export to xpress.
• Added annual census report (rhill)
• Added printer friendly view to EDI History page.

submit button will 'disable' after being click on the validate claim page
• the save-pm160 page will re-check for a duplicate claim number. if found user will be redirected to the pm160 entry form
• claim number will always be upper case now.
• Completed 7/2004 - 6/2005 release notes.
• Restructured the release notes and added paging, and reorganized several files.

• Baby Editor - Apostrophes ( ‘ ) in baby’s names would cause errors. They now work okay. (shardy)
• CHDP – Any characters (namely X) in claim numbers will now be forced upper-case. This didn’t cause any problems but is just for consistency. (demerson)
• CHDP – New UI validation: You can no longer submit a claim with a received date less than it’s service date. (demerson / drogers)
• CHDP – The toolbar will now properly changes back to limited-mode after clicking the ‘Lookup PM160s’ toolbar button. It used to stay erroneously in PM160 mode showing save/discard though there is no PM160 in the work frame. (demerson)
• CHDP – You can only submit a PM160 if the selected member is LOB MCL. (lreynolds II)
• CHDP – All CHDP claims created after should start paying appropriate CPT for any CHDP procedure with any mark made in the “C” box of the form. (cmcalister – thanks for spotting the original code wasn’t paying appropriately. Please watch to make sure this works appropriately)

• Fix the typo in ‘chroinic’ on the new Milliman Guidelines,
• Implement usage tracking for the guidelines both from DRE Intranet.
• Remove the 7th and 8th editions of the guidelines.

• Mary, this publish of DRE will include the M&R Care Guidelines 9th Edition. I’ll send a note to UM letting them know it’s coming…

• Jerry this dre publish will include your change to the hedis projector (no complete column)
• Shelli this dre publish will include the UM Contact Us link (visible only to external users)

• This publish of DRE will include the modification of the Newborns report adding the OB Facility and OB Facility Name columns to the report.
• This publish of DRE will implement the change to provider contract verification that affected CMCP providers being alerted as Non-Par. As described in previous e-mails, now, if a provider has more than one open CMCP contract in HealthTrio, AND at least one is PAR, then the user will not be alerted upon provider selection.

• Shelli, this publish of DRE will add the claim header’s Billed Amount to the detail claim view.
• Cathy, this publish of DRE will add a claims Hospital to the claims detail screen.

• Once published, this update will make all pm160’s entered from now on, calculate the billed amount based on the providers rate. I’ve tested this and ran two pm160’s through successfully and got expected results, but if you run into any problems please let me know asap. Hopefully this wraps up an era. Enjoy! :o)

• This publish will fix the errors you’ve been getting on the Member History screen. The bug got in from the Sensitive Services Codes update from about a month ago.

• Shelli, this publish will include the no-linked-providers fix.
• Linda, this publish will include the “become user” function you requested.

• CHDP lines with column C selected will pay the associated CPT, and;
• A age 18-21 age band has been added for CH01A/B. You should notice the changes with CHDP claims entered into DRE after the web is published, and those claims are loaded into Xpress.

• Mary, this publish will include your report “DHS UM Audit Report”. The report is available from the Statistics page in DRE. –d

• Allen, this publish will eliminate the page errors with Rx quantities over 32,000 in the prescription view in Patient Dossier.
• Mary, this publish will allow filtering by LOB in the newborn report.
• Vicky, this publish will allow you to enter newborns for any female w/ person number < 90. Just do a Patient Search for the mom, select her, then click “Baby Editor” on the patient search detail screen.

• Updated default CHDP default year to current year();

• Jerry, this update will include the Advice Nurse table updates.
• Shelli, this update will show “Claim Deny Code:” on the claims detail page. Note, I DO need to load H3 deny codes into DRE. Not sure if Headers codes are different than line items deny codes.

• This publish will include your requested change to the Newborn listing report. Note: This report is currently not functional until the changes are published.

• This publish of DRE will allow searching providers by Specialty.

For more release history click here.