This release, scheduled for December 9, 2017, contains numerous improvements, including exciting new capabilities and changes to certain aspects of the existing functionality. There are many important updates to become familiar with. These changes are conveniently outlined below.
Separate visit types for Resumption + OASIS and Recertification + OASIS
In addition to the current Assessment + OASIS, two additional OASIS types will be included, one for resumption and another for recertification. This will provide for the added flexibility of enabling how each is billed and reimbursed. The update will automatically set the two new visit types to have the same effective bill rate and pay rate as the existing Assessment + OASIS type.
Establishing visit frequency automatically for new episodes when recertifying
Home health patients are recertified to continue treatment in the next episode. The next episode’s visit frequency is ordered in the evaluation completed just prior to the end of the current episode. Presently, clinicians have to manually establish the frequency when the new episode became available to them. With the update, the new episode will automatically have projected frequency applied in it, saving clinicians time. The office, including your referral sources if they are the ones extending, will be clearly informed of this.
Note that the recertification evaluation needs to have been submitted prior to extending treatment into the next episode. Although therapyBOSS would allow you to proceed anyway, the next episode’s frequency cannot be set without the completed interim evaluation.
Reestablishing projected frequency automatically when restarting service
Services can get discharged prior to episodes ending or expected conclusion of treatment. It may be due to patients being hospitalized and not anticipating a return in their current episode. Sometimes the discharges are mistakes. Of course, it is easy to re-refer patients in therapyBOSS. Unfortunately, the episode’s previously established projected frequency needs to be reestablished manually. It is not the most intuitive aspect of therapyBOSS, leading to time spent needlessly figuring it out. This update changes that for good. therapyBOSS will automatically reestablish the projected frequency, informing you and your referral sources, if they are the ones re-referring, of the impending action.
Revamped user interface for intervention and goal templates
The new accordion-style UI not only looks great but is considerably more intuitive and simpler to work with.
It’s super easy to add new categories and entries within them as well as change their sorting order. What’s even more powerful is that goals can have linked interventions which will be inserted automatically into the care plans for your clinicians when they choose these goals.
Disallowing submission of a visit if it overlaps another
therapyBOSS has long had safeguards in place preventing clinicians from documenting overlapping visits on their devices if not allowed so explicitly (as is the case for certain types of activities). While this helped prevent most mistakes, some clinicians have managed to submit conflicting entries by using two different devices and submitting from them more or less simultaneously. We have strengthened the checks in place to make it impossible.
Indicating clinical note revision
When listing visits and non-visit documents, therapyBOSS identifies if they have been revised. What it does not do is indicate which of the visit’s notes specifically might have been changed. This information will be included for each visit’s revision, making it clear which note has changed from one revision to the next.
Even through multiple revisions, therapyBOSS will correctly show for each clinical note if it has been changed from before. Keep in mind that updating activity’s date/time will be considered as a note revision applicable to electronic notes.
Designating parent episode
When continuing treatment into the next episode, therapyBOSS internally connects related episodes. This is important as it defines a single patient admission. When documenting, therapyBOSS looks for the established plan of care in the current episode as well as in its “parent” episode. Although protections already exist to guide office users to correctly establish the next consecutive episode, certain flexibility remains to accommodate sometimes legitimate situations. This update will make it easy to correct a mistake.
It will not only be possible to connect an episode to another but also separate the two if necessary after they are connected.
Compliance screens for “Frequency compliance” and “Active patients without a visit” do not have a separate column for assigned clinicians due to space constraints. However, this information will be conveniently included in the Excel export. In case of multiple clinicians on the care team, they will be separated with a semicolon.
The option to enforce frequency compliance has been available for some time now. It can be explicitly chosen when entering referrals and also set up as your default under Configuration->Services.
Your referral sources do not have the same ability to have it as their default and need to intentionally choose it when entering new patients from their end. We are making it simpler for your referral sources and more reliable for everyone by defaulting whether to enforce frequency compliance based on your own default setting.
therapyBOSS will support electronic admission consents as another note that clinicians can add to certain types of visits. For therapy-only cases, this will help reduce the paperwork that your clinicians and office have to handle. The content for the admission consent is set up from under Configuration->Admission consent. When established, it will automatically apply to patients from all referral sources. However, it can also be overwritten per referral source by choosing Admission consent form for the desired referral source.
Notice of Medicare Non-Coverage
Notice of Medicare Non-Coverage (NOMNC) will be available for electronic completion directly within the therapyBOSS clinician app by your clinicians. It will be listed as its own type when adding a non-visit document. At this point, there is no alert to complete NOMNC, however, such an alert may be introduced in future updates.
Progress Note will be called Visit Note
Relevant to all home health patients, what has been known in therapyBOSS as a “Progress Note” is being renamed to “Visit Note”. The new name will more intuitively reflect the nature of what it is for newer users.
Clinical note validation
The therapyBOSS clinician app already ensures that all required responses are supplied before documentation can be submitted. Clinical note validation is about to get a lot smarter and more powerful. therapyBOSS will be able to check across all notes within the visit’s documentation, alerting to inconsistencies and conflicting responses. The mechanism that enables this sophisticated capability is included in the release and our upcoming updates to the therapyBOSS clinician app will begin to take advantage of it.
therapyBOSS clinician app
If you would like to learn more about the updates specific to the therapyBOSS clinician app, please check out the accompanying therapyBOSS clinician app release notes.