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📰 Summary This release was focused on supporting additional revenue cycle use cases as we continue to grow. 🚀
Enhancements & Filled Gaps
UPIN Support via Claim Edits
Claim edits can now be used to specify which value should be populated in Box 33b. This request was related to a payer-specific request that required the UPIN to be populated in Box 33b instead of the taxonomy code.
Added ability to submit claims $0 charges
Some providers may need to submit claims that have $0 in charges for many reasons. Previously, our product did not support this via automation but logic has been added to specific CPT codes that should be submitted with $0 in charges.
Retrieve and store insurance card copy from SimplePractice
If claims are rejected or denied due to invalid insurance RCM is now able to click the View Card link within the Insurance Policies tab to retrieve and view images of the insurance card stored in SimplePractice, if one is available.
Implemented /healthcareservice endpoint
When onboarding a new customer, the SimplePractice /healthcareservice endpoint is called to retrieve all CPT codes and charges associated with the practice. Those entries are then added to the charge master/fee schedule in the Gentem portal.
Update text for SimplePractice payment posting errors
When errors are received as a result of posting payments in SimplePractice information is saved for each claim. The text was sometimes cryptic and hard to interpret. To improve the RCM user experience this text was updated to be more descriptive.
Post write-offs with no description from SimplePractice as W21: Other write-off in Gentem
Logic was added to handle write-offs that are pushed from SimplePractice to Gentem and there is no description, the write-offs are posted as Write-OFF W21: Other.
SimplePractice Secondary Billing Enhancements
Due to secondary billing not being appropriately supported by SimplePratice some of the following issues were reported:
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Patient responsibility was overridden for secondary payments when posted by Gentem
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The ERA stated a larger write-off based on a full session fee. The ERA in SP was not taking the payment that was already posted from the primary claim.
In order to resolve these issues, the following logic was added:
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When a secondary claim is submitted in Gentem, the submission is created in SimplePractice via API
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Submission IDs are updated on the secondary claim
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When reimbursement is received for secondary claims, the payment is posted to SimplePractice to the secondary claim submission
Monthly AR Performance Updates
Several enhancements were made to the Monthy AR Performance Dashboard including:
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New values displayed
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0-30
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31-60
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61-90
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91-120
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120+
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When the AR over 90 days is greater than or equal to the total AR value, the graph column should be colored orange and all other buckets are in green
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Note added to the bottom of the graph “AR over 90 days is more than 20 percent of the total AR”
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All AR buckets are shown on the dashboard (previously the buckets were only shown if there was data to present)
Resolved Bugs
AR report units displayed incorrectly
The AR report was displaying a $ instead of a percentage. This has been corrected to display the percentage.
Practice Admins group resetting
After the practice admin group was set, the entries were removed. The admin group feature is now functioning as expected.
Failed Stripe transaction prevents subsequent charge attempt
Added logic to ensure that payment attempts after a payment attempt fails are successful. ✅