We recently shared with you an upcoming change to the way homebound status will be documented in our next update. We hope that you had the opportunity to digest this information. There’s one more important change that we would like to let you know about. It pertains to the 30-day reassessment alerts.
Presently, the reassessment mechanism in therapyBOSS relies on clinicians scheduling their patient appointments in advance in order to alert about the upcoming 30-day reassessments. While this approach enables us to tell therapists the exact day when a reassessment needs to be completed, its shortcoming is that it requires therapists to schedule ahead. Everyone recognizes that scheduling ahead is extremely important for several other reasons but not everyone is doing it. For this reason and to generally enhance the way in which the 30-day reassessment events are calculated, we’ve worked very hard to implement an improved mechanism.
When the new version of the therapyBOSS clinician app is released next week, therapists will notice that we’ve renamed the alert to “Due for 30-day reassessment”. Under Compliance on the admin side, the name will be the same. therapyBOSS will examine the last 60 days for each patient where the episode’s type calls for 30 day reassessments finding what’s called “clock setting” / “clock resetting” events such as evaluations, reassessments, and discharges (separate for each discipline). The logic will consider the number of days between consecutive events making sure that it’s no more than 30 from one event to the next. With these events possibly separated across episodes, therapyBOSS will properly judge them continuing the same treatment as long as the next episode is a recertification from the previous. therapyBOSS will also calculate the number of days from the last event appropriately alerting up to 7 days in advance when the reassessment is coming up.
There may be circumstances where two consecutive events are separated by more than 30 days for legitimate reasons, for instance, hospitalization. Even though the alert will still be displayed, therapy companies will have a mechanism to easily ignore it which will also remove the alert for the therapist. This mechanism of ignoring alerts has been much improved. When ignoring, only the “clock setting” event being ignored will be excluded with normal calculation resuming with the next qualified event.
One final note to make is regarding how plan of care standalone documents will impact reassessment alert calculation. Therapists use the plan of care in therapyBOSS to establish patient’s care plan when evaluation is completed outside of therapyBOSS (for instance, referring agency’s own therapist gets it done). Even though in this scenario there’s no evaluation in therapyBOSS, we would still want to be able to calculate the 30-day reassessment alerts correctly. Our implementation accounts for this and will include the plan of care in the calculation as long as there’s no documentation prior to it. This ensures that the pan of care truly is the beginning of the treatment. Keep in mind that the date of the plan of care should reflect the original evaluation’s date.
Please feel free to contact our support at firstname.lastname@example.org with your pertinent questions.