V2.54 (Apr 2024)

V2.54.8854 Released 04/05/2024

The notes below indicate changes and additions to the software. Please review these release notes carefully when deciding to apply a software update to an installation.

Each note is related to an issue tracking assignment number (starting with CACTWO) in the heading. Please refer to the change with this tracking assignment number when communicating questions or issues.

The heading also contains a parenthesized "Change Type", indicating the severity or importance of the change. The severities used are:

• Critical - Recommended that this application be upgraded as soon as possible at all sites running previous versions.
• Conditionally Critical - Recommended that this application be upgraded as soon as possible at all sites running previous versions matching the stated conditions.
• Important - Recommended upgrading the application if the customer is experiencing the issue denoted or currently applying a work-around for a specific non-functional feature.
• Enhancement - Recommended upgrading only if the specific functionality is desired.

CACTWO-5598 (Enhancement)

Include new accounts when autoloading

A new database setting has been created to allow a change to how auto- loading works.

When set to true, if an account is added to a workgroup currently being worked by a user with auto-load enabled and that new account has a discharge date before the date of the account being worked, the next account to autoload will be that new account, rather than the next account in the workgroup list.

CACTWO-5823 (Enhancement)

Create symbols to identify Auditor code changes on Audit Worksheet

The Audit Worksheet will display new symbols next to codes that were changed between the Coder and Auditor.

• A green ‘plus’ sign indicates the code was added.
• A red ‘minus’ sign indicates the code was deleted.
• A orange up or down ‘arrow’ sign indicates the code location has been changed (ex. a primary and secondary are swapped.)

CACTWO-5865 (Enhancement)

Allow Audit Subtypes to be context sensitive based upon what audit type was selected

A new column has been added to Mapping Configuration for the Auidt Type mapping. This new Audit Subtype column will allow Administration to limit the subtypes available for each Audit Type.

When an auditor then selects that Audit type in the Audit Worksheet, instead of getting the full list of subtypes, the user will only see the subtypes allowed.

In this example, the Audit Type CC/MCC only has a subtype of Coder available, so that is all that will show in the dropdown selection.

CACTWO-6030 (Enhancement)

Add a section for Rebills to the Audit Worksheet

The end of the Audit Worksheet has been changed to allow for an Auditor to ask if the audit requires a rebill.

When answered ‘Yes,’ the Auditor can additional record a date for a rebill.

CACTWO-6033 (Enhancement)

Allow auditor to submit and route to coder post audit

An Auditor can now submit an account and either 1) submit and close the audit, or 2) complete an audit on a chart, submit it as the auditor and then route it back to the coder without the need to go back into the chart and route it to the coder. This new box will appear when submitting an audit if the audit isn’t closed yet and when doing so, will receive this new query box:

CACTWO-6060 (Enhancement)

Allow Audit worksheet to be printed

A new print button at the top right of an audit worksheet will allow the worksheet to be printed.

CACTWO-6074 (Enhancement)

Change the way Forced Autoload works

Several changes have been made to how Forced Autoload lists to-do accounts for the user.

• When a Forced Autoload user logs off (and does or does not close the browser) and logs back in during the same calendar the application will remember where the user left off and start the autoload feed there.

• If a user has a chart assigned directly to them while they are working on an assigned list, that chart will be next in the autoload process. When completed, the user will be taken back to where they left off within the list they were working.
• If a support personnel re-assigns a chart to a workgroup that is currently being worked by a forced autoload user and the chart’s discharge date is older than the one the forced user is currently in, when the user cancels/saves the account, the earlier chart wll be next in the list. After the chart is completed, the list will resume where the user left of

CACTWO-6116 (Enhancement)

Add Privilege in Role Management to allow a user to add an account note or bookmark and worksheet

A new privilege, Edit Only Account Notes, Bookmarks, and Worksheets has been created in Role Management to disallow any code work. When this privilege, is checked, the role will be able to only add a Note or Bookmark to a document, add and edit new worksheets, and add a comment on an unassigned code. No coding work can be done.

CACTWO-6168 (Enhancement)

Allow lists to be attached to keys in Mapping Configuration

A new Mapping Configuration has been created called CriteriaFindAndReplace. Once that mapping is created, keys attached to lists of items can be added. In Account Search,Workflow, and Scheduled Account Searche, the key can be used after the operator of ‘In List’ or ‘Includes Any Of’ as applicable when creating criteria. The key will allow all items attached to it to be considered in the equation.

For example, if a user wants to create a key for Elixhauser to be used for the diagnosis codes within a group, they would add a key of Elixhuaser categories, with the description being the comma separated list of each of the different categories for example:

Then, in Account Search, Scheduled Account Search, or Workflow, the user would use a criteria as shown below. CAC2 will look at ‘ELIX_HF` and apply the criteria to all of the numbers listed in the Mapping description in the equation.

If an account had a diagnosis code of I50.20, this criteria would pick it up, since that code is associated with the key of ELIX_HF.

CACTWO-6170 (Enhancement)

Allow filtering of multiple documents in the Documents Viewer

On an account, the user can now select multiple documents from the Documents pane by using Shift+Left Click or Ctrl+ LeftClick, then right-clicking to choose ‘Filter Selected’.

This will hide all unselected documents. A filter button will show in the panel title showing the total number of documents along with what have been filtered. In the below example, the account had 14 documents and was filtered so that only 3 showed. When the filter button is clicked, hidden documents will reappear. The filter can also be canceled by clicking on any code in the Unassigned/All Code trees.

CACTWO-6203 (Enhancement)

Create error message when computing Solventum with dates prior to Oct 1 2015

Currently, TruCode™ displays a red error message if a user tries to compute a DRG when an account has an Admit date, Discharge date, or Procedure Date before October 1, 2015. This error has been extended to include computations using Solventum™.

CACTWO-6219 (Enhancement)

Allow banner bar to be customizeable for printing

The banner bar that is printed on the top of each of the document and/or forms can now be customized.. Your site must allow for printing.

CACTWO-6231 (Enhancement)

Change size of checkbox in Form Designer

When Checkbox is chosen as a field in a form in the Form Designer page, the checkbox will now appear much larger in the document or query.

CACTWO-6248 (Enhancement)

Do not show Trauma section if not configured in the E&M Config within the E&M viewer

If the “Trauma” section of E&M Configuration is configured with 0 or 1 options, then the Trauma section will not appear in the E&M Viewer for an account where “IsEmergencyRoomVisit” is set to true.

CACTWO-6251 (Enhancement)

Add new CDI fields to be used for Workgroup Management sorting

First and Last CDI Saver fields have been addedto the sort field options in workflow management per workgroup. These will now show in the dropdown of the Sort Field, under Properties of a Workgroup. This will allow for that column to be sorted ascending or descending.

CACTWO-6292 (Enhancement)

Create new columns for query draft totals

Three new fields have been created to show totals for queries in draft status. Users can add the fields via Grid Column Configuration as needed.

• Physician Query Drafts
• CDI Physician Query Drafts
• Coder Physician Query Drafts

CACTWO-6325 (Enhancement)

Allow Physician Query to be quick closed with manual entry

A new button has been added to the Physician Query viewer. After adding a manual query response, a user can click Quick Complete, to complete without having to send the query to the Physician.

CACTWO-6333 (Enhancement)

Allow mass editing of modifiers

When multiple CPT codes are selected in the mass edit window and all the CPT codes have a common modifier, it will now display in the modifier box so that it can be removed, if necessary, from all CPT codes.

CACTWO-6340 (Enhancement)

Allow Custom Workgroup to be retained upon reassignment

The Mapping Configuration ‘Workgroup Types’ now has a column called Used By. This column lists user types, which, when added to a workgroup type in a custom workgroup, will cause the workgroup to be retained IF the user that is assigning an account has a profile that matches what is contained in the Use By column.

As an example, for Workgroup ‘Cardiology Physician’, the Workgroup Type is set as Physician Coding. In Mapping, Workgroup Type, I have set the Used By column to Retain Always. If a user is a Hospital Coder and assigns an account to another user and that chart was also assigned to the Cardiology Physician Workgroup, it will be retained.

If the user is a Physicain Coder and assigns that account to another user, then the custom workgroup Cardiology Physician will be removed along with any other workgroup on that account.

To configure, examine the mapping for WorkGroupType in Mappings Configuration. A new column, “Used By,” is present.

CACTWO-6343 (Enhancement)

Allow Solventum™ to save position on second monitor

The software will now remember where you last placed the Solventum Coding and Reimbursement window(s) on your screen. When you reopen these windows, they will appear in the same position as before.

This new feature works by using the Windows Management API. The first time you log in after the update, you’ll see a message asking you to give permission for this API to run. It’s important that all users agree to this, no matter how many monitors you have or whether you use this feature right now. Saying yes will help us use this technology for more improvements in the future.

CACTWO-6350 (Enhancement)

Add Auditor Activity to several coder reports

The following user reports will now automatically contain auditor activity in addition to the coder activity:

• Coder Activity
• Global Productivity
• User Detail
• Weekly Coder Activity

CACTWO-6351 (Important)

Prevent the Search Document window from shrinking

When a Document Search window is used continually, each time the window is getting smaller. This has been corrected.

CACTWO-6378 (Important)

Prevent multiple pop up boxes from resizing themselves

If more than one pop box is open at once, like a Document Search box and a Physician Query box, when one is resized, the other is automatically resizing.

This has been corrected so that the second box is not resized.

CACTWO-6392 (Enhancement)

Allow Physician Query to show differences

A new button will now show under a physician (or manual) recorded answer of a Physician Query, allowing the user to see anything that was added to the query by the physician that received it.

Clicking the Show Diff button will show any additions or subtractions made to the query in the response in blue or red highlights.

In this example, the physician has marked a line and added text after it, and the Show Diff button now shows as Hide Diff since it was deployed to view the response:

CACTWO-6399 (Enhancement)

Add Total Charges to Validation Manager

The field Total Charges has been added to Validation Management as an account field.

CACTWO-6410 (Enhancement)

Add Calculated Date/Time as a field

A new field, Calculated Date/Time, has been added. This field shows the last time the encoder was run. If it’s blank, the encoder needs to be run. This can help the user find accounts that should have an APC, DRG, or if a coder clicked on the encode to run edits.

CACTWO-6422 (Important)

Send proper cancel message rather than blank HL7 to Epic FEWS

For Epic customers who switched from COM integration to FEWS, an issue that was causing errors in Epic has been corrected. Previously in the COM integration, when someone clicked “cancel” in Fusion CAC, an empty message was sent to Epic to close the communication. With FEWS these same blank messages cause errors. Now, canceling a chart in the latest version won’t lead to these errors in Epic for those using FEWS integration.

CACTWO-6458 (Important)

Update to Elixahuser codes

There has been an update to use Elixhauser v2024 for Elixhauser coding.