V2.59 (Jun 2025)

V2.59.9302 Released 06/20/25

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.

Allow Validation Rules for Query Details

CACTWO-6102 (Enhancement)

A Validation Rule can now be created to trigger based on physician query details. The option of ‘Queries’ has been added in the For Each selection to allow this to be possible.

Add Column to Tuning Dashboard Code drill down

CACTWO-6508 (Enhancement)

In the Tuning Dashboard, clicking on a code to open it will now display a new column ‘Submitted By’, with the submitter’s full name.

Add Document Date to hover over

CACTWO-6777 (Enhancement)

In the Document tree, the hover over on the document name provides a physician’s name if it exists. The date of the document will now also show in the hover over if it exists.

Change Mapping Values to Descriptions in Show History

CACTWO-6987 (Enhancement)

Show History shows the mapping value (key) in the Visual Difference column. This has been changed to use the description of the mapping (friendly name) so that the change is more easily understood.

Add Active CDI/Clinical Alerts as Selectable Criteria

CACTWO-7024 (Enhancement)

Active Alerts has been added as a Grid Column, and has been added to Workflow Criteria so that workflow can be created using Active Alerts as a property.

Add an Option to Factor in Estimated Reimbursement Differences During the DRG Reconciliation Process.

CACTWO-7055 (Enhancement)

A new configuration setting is now available that can require DRG Reconciliation when there is a discrepancy in the estimated reimbursement between the Working DRG and the Final DRG. When a CDI performs reconciliation, a prompt appears allowing them to select which DRG to accept. A new “Reimb.” column has been added to display the estimated reimbursement amounts, assisting in the decision-making process.

Add new Columns for Denial Drill Down in Account Search

CACTWO-7058 (Enhancement)

Two new columns have been added to the Denial drill down in the Account Search menu:

• Denial – Created Date
• Denial – Closed Date
  • will only populate if the “Denial Complete?” box is checked in the denial

Allow Workgroups with a ‘0’ Count to Show in Account List

CACTWO-7118 (Enhancement)

A new setting has been created for those users that want to see their assigned workgroups that have a ‘0’ count in their Assigned To dropdown list.

Remove CPT Codes on Inpatient Accounts With LOS >= 5 days

CACTWO-7127 (Enhancement)

If an inpatient account has a length of stay equal to or greater than 5 days, suggested CPT codes will be automatically removed. The only CPT codes that will show in documents will be those manually added by a user.

Add Shift Reason column to Account Search Criteria

CACTWO-7134 (Enhancement)

A new option has been added to the dropdown list when adding criteria for an Account Search: Query Shift Reasons. This will show all shift reasons per query, including ‘other’ reasons that are based on a Mapping Configuration setting.

Add Field for Appeal Received Date to the Denial Worksheet

CACTWO-7154 (Enhancement)

In Denial Management in the Navigation tree of an account, a new field has been added called “Decision Letter Received Date” to each denial appeal indicated. The name of this field will change depending on if it is the First, Second, or Third appeal.

General TruCode™ Edits are now Accessible in Custom Rules Scripts

CACTWO-7158 (Enhancement)

General edits from TruCode™ can now be provided to validation rule scripts.

Add Detail to the Hover Over of a Grayed out Submit Button

CACTWO-7160 (Enhancement)

When the submit button on an account is grayed out, hovering over gives data on that disabling; Errors exist on account. Added to that is that statement: Check Code Summary for Validation Results.

Add Columns to the Transfer Codes viewer

CACTWO-7191 (Enhancement)

Additional columns can been added to the Transfer Codes viewer when searching by MRN. If a user searches for an MRN and more than two accounts share that MRN, the MRN selection box will appear, now displaying the newly added columns.

Audit and Denial Workflow Criteria Does not Work for Multiple Instances

CACTWO-7193 (Important)

Audits and Denials workflow criteria previously did not support multiple worksheet instances. While multiple Audit and Denial worksheets could exist, the workflow criteria only evaluated the first worksheet, ignoring subsequent ones. As a result, if the first worksheet was closed and a newer one was open, the workflow would incorrectly interpret the status as closed. This has been corrected—workflow criteria will now evaluate the most recent worksheet when multiple instances are present.

TruCode™ Real-Time Edits Were not Using ASC Groupers When Applicable

CACTWO-7238 (Important)

Outpatient accounts using a primary grouper of ASC were not computing real-time edits. This has been corrected.

Audit Management Dashboard is not Allowing Facility Filter

CACTWO-7230 (Important)

The Audit Management Dashboard was showing as blank or as spinning circles when using the Facility Filter at the top of the page. This has been corrected.

Audits Were Missing from the Audit Dashboards

CACTWO-7231 (Important)

The Audit Management and Aduit Personal dashboards were not taking multiple audits into consideration in some instances. Secondary audits were only considered if the secondary audit occurred within 30 days of the first audit. This has been changed to a default of 6 months.

Incorrect Values Showing in Timeline of Show History

CACTWO-7234 (Important)

If certain fields were changed by the user, the timeline hover-overs in Show History was not showing the update value, instead showing the previous value. This has been corrected for the following fields: Admit Source, Admit Type, Discharge Disposition, Financial Class, Patient Type, and Payor.

Force Autoload is not Providing new Accounts After a Workgroup Change

CACTWO-7244 (Important)

If a workgroup assignment was changed for a Forced Autoload user while they were working their list, when they clicked ‘Get Next Account’, there was a chance that autoload was not finding anything. This has been corrected.

Add Coder ID to the Recurring Account Productivity Report

CACTWO-7251 (Enhancement)

A column to display the Coder ID has been added to the Recurring Account Productivity Report when it is exported as an XLSX.

Error Assigning Account to a Workgroup

CACTWO-7257 (Important)

When in Account Search and assigning an account to a workgroup, if the account did not have any prior workflow assignment, an error could occur. This has been corrected.

Visual Difference Column is Showing Coding Data

CACTWO-7261 (Important)

In Show History, if a workgroup name had a change after the 50th character, it would show in the Visual Difference column with coding data in it. This has been corrected.

Display Issues with Mappings Configuration and Scheduled reports

CACTWO-7268 (Important)

In smaller monitor resolutions, the delete buttons of mappings and scheduled user reports could overlap text. This has been corrected.

Edit All Codes not Displaying Admit Diagnosis Change

CACTWO-7277 (Important)

When in the Edit All Codes window, if the user edited the Admit Diagnosis by clicking the pencil to open the encoder’s code book, the change was not displaying correctly within the window. This has been corrected.

Prevent Coder From Closing Account With TruCode™ Codebook Open

CACTWO-7281 (Important)

To stop the possibility of a lockup, if a user tries to close out of an account when the TruCode™ code book is open, they will see the same red bar alert over the Cancel, Save, Release buttons that they would see if the encoder was open.

Audit Worksheet Leaving Escalation box Open When Audit is Closed

CACTWO-7282 (Important)

Once an audit is closed, all fields should be read-only. The escalation response box was not following that rule, remaining open to the addition of text. This has been corrected.

Days not Showing for Schedules That are Hourly

CACTWO-7287 (Important)

When creating a scheduled report, if it was set as hourly and days were chosen, the days were not showing in the report data on the left. This has been corrected. Because there are 2 days that start with T and S, Thursday shows as R and Sunday shows as U.

Scheduled Report Timing Changes Were not Displaying Properly

CACTWO-7288, CACTWO-7299 (Important)

After making a change to the timing of a scheduled report, the change was not showing on the report itself. This was happening whether the change was made via Account Search, or in the Scheduled Report page. This has been corrected.

Validation Rules are Showing Multiple Times When They Shouldn’t

CACTWO-7300 (Important)

A validation rule can show multiple times if it has a ‘For Each’ criteria in the rule. But when that For Each criteria was removed and the Validation Rule saved, it was still showing up multiple times in the Account. This has been corrected.

Correct Retrospective Followup Reviews Calculation

CACTWO-7301 (Important)

CDI reviews performed after a first submit when the DRGs match after reconciliation as retrospective follow up reviews on the CDI Activity and Detailed Activity reports were not being counted. This has been corrected so that they are now included in those calculations.

Show a Tertiary DRG if Applicable

CACTWO-7302 (Enhancement)

If there are 3 DRG’s on an account, all three will now show when printing the Code Summary page.

Add encoder computations from Baseline Working DRG to Account Search

CACTWO-7303 (Enhancement)

In Account Search, additional columns can be added to Account Search to provide information on Baseline Working DRG computations.

Improved Performance Processing Responses From Solventum™ CRS on Large Accounts

CACTWO-7307 (Important)

To improve application performance, the calculation of validation rules will no longer happen during the processing of a response from Solventum™. Validation rule computations will resume after the response is fully processed.

Medication evidence from CDI Alerts may not linking correctly.

CACTWO-7308 (Important)

Medication evidence, when clicked on from the Clinical Alerts viewer, may not show the medication in the Medications viewer. This has been corrected.

Add new Column to the CDI Financial Benefit Report

CACTWO-7312 (Enhancement)

A new column for ‘CDI Queries’ has been added just before the Baseline DRG Data block in the CDI Financial Benefit report.

Audit is Able to be Saved Without a Coder of Record

CACTWO-7320 (Important)

In the case of a CDI being the last user in and the owner of an account before it is audited, the Coder of Record was blank. The audit should not be saveable if a coder is not selected. This has been corrected so that if an Auditor attempts to save or route an audit without a coder of record, a red error message will occur stating the coder of record needs to be set.

Description change for the Coder DRG Summary report

CACTWO-7322 (Enhancement)

The description for the Coder DRG Summary report has been changed to read:

Display codes only present in physician queries in the Unassigned codes tree

CACTWO-7327 (Enhancement)

Codes that are added via the Pre and Post DRG computation within a Physician Query will now show in the Unassigned Codes Tree if the codes are not present elsewhere on the account. The codes will be identified with a question mark in front of them, and cannot be edited unless assigned to the account or added to a document.

User is unable to unassign account without the Router role

CACTWO-7330 (Important)

A user could not unassign an account if the user was not granted the privilege to route accounts from Roles Management. This has been corrected.

Dashboard experiencing slowness due to retrieval query

CACTWO-7332 (Important)

When the Admin Dashboard loaded, its performance was being slowed down due to how the discharged pended accounts data was retrieved. This has been updated for faster performance.

Number of discharged accounts is incorrect on CDI Query Scorecard reports

CACTWO-7334 (Important)

If multiple queries on an account fell in the same month, the number of the discharged accounts was being counted more than once. This has been corrected.

Update the description of the Physician Coding Activity report

CACTWO-7337 (Important)

The phrase “then the total number of Queries created” has been removed, since this report does not include the number of queries created by physician coders.

Default Search Field in Transfer Codes Viewer Updated to MRN#

CACTWO-7342 (Enhancement)

The default search field in the Transfer Codes viewer when accessed from the Navigation Pane within an account—has been updated to use the MRN# instead of the Account Number. If you prefer to revert the default back to Account Number, please contact Support to request a custom ticket.

Query Shift Reasons Now Display Mapping Friendly Descriptions

CACTWO-7343 (Enhancement)

Account Search, previously, when Query Shift Reasons were based on a mapping, the system displayed the mapping key instead of the user-friendly description. This has been updated so that the description from the mapping is now shown, improving clarity for users.

Audit Executive Summary Report is not Calculating Correctly

CACTWO-7348 (Important)

The number of Total Eligible Cases in the Audit Executive Summary report was being under counted. This has been corrected.

Physician Coder Manager Needs Access to the User Session Log report

CACTWO-7358 (Important)

The User Session Log has been updated to allow access to the physician coder manager as long as the privilege is checked in Role Management.

Denial Management is not Correctly Assigning the Coder Field

CACTWO-7365 (Important)

On a Denial, the coder field was not defaulting to the first submitting coder, or leaving as blank if not submitted. This has been corrected.

CDI Today’s Productivity Time in Chart Calculation

CACTWO-7371 (Important)

The time in the chart should be showing all the time spent, even if a working DRG is not calculated. It was not calculating time in chart that was worked and saved without a DRG. This has been corrected.

Change of Admit Source Should Clear DRGs

CACTWO-7386 (Important)

If a DRG is calculated and afterwards the Admit Source is changed, the DRGs should clear. This was not happening and has been fixed.

Physician Query Recipient is Being Overwritten by Responding Physician

CACTWO-7390 (Important)

When a different physician is set as the responder on a query, it was temporarily overwriting the recipient physician on the query. When saved, it was showing correctly in the physician query viewer, so the correct Physicians were being recorded. The appearance of the overwrite within the query has been corrected.

Changing Audit Type was not Clearing the Audit Subtype

CACTWO-7396 (Important)

With subtypes being attached to Audit Types through mappings, the subtype should be clearing in the audit if the type is changed. This was not happening and has now been corrected.

Pending Reason Historical Report is not Showing Correct Submitter

CACTWO-7392 (Important)

The Pending Reason Historical Report was showing the user that created the pending reason as the last submitter. This has been corrected.

Grid Column not Forcing a Save if a Title was Changed

CACTWO-7402 (Important)

If a user clicked in the Title field and made a change to the names, trying to move to another menu like Account List was not causing the ‘Do You Want to Save’ message to pop. This has been corrected.

The ‘Query For’ Checkbox is not Being Saved on the Template

CACTWO-7404 (Important)

When the ‘Query For’ box is checked on a query template worksheet, saving gave a green message, but if you went back into the template the checkbox was unchecked. This has been corrected.

Copy Row function for Flowsheet have ability to Copy to CDI/Clinical Alert

CACTWO-6767 (Enhancement)

Fusion CAC now supports copying an entire row of a discrete value from flowsheet viewer into CDI/Clinical Alerts, as outlined in the comment above. Any hidden columns will be excluded from the CDI/Clinical Alert evidence, enabling more precise control over which data is transferred.

Strike through Evidence if Document Code is no Longer Present

CACTWO-7132 (Enhancement)

Fusion CAC now enhances the CDI/Clinical Alerts experience by displaying evidence with a strike through in the viewer if the originally abstracted evidence is no longer present in the document. This typically occurs when a document has been amended and the evidence previously identified has been removed.

Use Friendly Document Name in Copy to CDI/Clinical Alerts Function

CACTWO-7241 (Enhancement)

When evidence is copied to a CDI/Clinical Alert from a document, the document type’s friendly name will be displayed instead of its interface name. Previously it was using interface name.