ICANotes Updates for August 10, 2020

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ICANotes Updates for August 10, 2020   Changes made to ICANotes in our August 10, 2020 release are described below. Please call ICANotes Support at 443-569-8778 if you have any questions or visit our HIPAA-compliant Support Portal at help.icanotes.com.   Practice Management Updates     New Therapy Progress Note A new simplified version of the Therapist (Non-Prescriber) Progress Note is now available to ICANotes users via a group rule. The basic set of buttons in the Classic version have been preserved and duplicated in the New version, which is less cluttered and includes other advantages that will become apparent with use. Users can easily switch between the Classic and New version of the note within the note's work areas. A Security Administrator must reach out to ICANotes Support to have this note enabled for your account. For more information on the new Therapy Progress Notes, please review the Knowledge Base article.     Progress Notes A "Replace Text" button has been added to the Dietitian Note and Play Therapy Note work areas. The button in the Dietitian Note replaces text in the Current Dietary Orders/Meal Plan, Session Notes and Instructions/Recommendations fields. The button in the Play Therapy note replaces text in the exam field.      Patient Portal Additional antidepressant, antipsychotic, and ADHD medications have been added to the Patient Portal in Patient History under "Past Psychiatric History." These changes are visible to patients accessing Patient History within the Profile section.      Reports The Audit Log Report now includes logging for instances where the "Refresh All From Note" button is utilized within Patient Accounts. This button, located in the bottom left corner of individual Patient Accounts, updates all of the patient's existing charges, as well as any new charges for services that currently do not have one, within the itemized listing of service charges.    The Patient Copays Received report in both the New and Legacy Calendars now displays both the Copay Due and Amount Received, along with totals for each.     Electronic Billing A new field has been added to the Insured Party entry in Insurance Information within Demographics to allow for the input of the insured party's suffix. When used in conjunction with electronic billing, the suffix will populate in ANSI 837 Loop 2010BA segment NM107.      Also within electronic billing, the functionality of the 'Use Last Claim Number' has been updated when prepping claims for electronic resubmission within the Billing/Productivity Report to use the Posted Internal Control Number (ICN). When prepping the claim as a Replacement, you will now have the option to use either the ICANotes ICN or Posted ICN (from the payer).      Patient Accounts Superbills will now include charge amounts for each listed charge. This change is visible within the itemized listing of service codes and their accompanying descriptions and modifiers.    Join us in August for all new webinars presented by the ICANotes Training team!  Clinical Updates   MAR The MAR lockout checkbox has been updated to display as "Locked/Stopped" and will now display (when hovered over with your mouse) the user identity and timestamp of when the medication was stopped. Previously when this function was utilized, no information was captured about who entered the stop or a timestamp of when it occured.     Additionally, we have added a cross-check mechanism during note compilation to detect (1) MAR entries that are missing a Stop date, and (2) Rx orders that failed to create a new MAR entry. The cross-check runs whenever a note for a MAR patient becomes the new source note for medications. For MAR entries that are missing a Stop date, the cross-check loops through the current MAR's entries that have no Stop date and finds any that have no active Rx order in the current source note for medications. Any MAR entry that should have been stopped triggers a message to ICANotes, as well as a user-facing dialog to inform the nurse/provider. For Rx orders that failed to create a new MAR entry, the cross-check loops through the note's Rx orders and finds any that are missing the MAR entry the Rx order should have created. Any missing MAR triggers a message to ICANotes, as well as a user-facing dialog to inform the nurse/provider.  When the note's Rx orders are being processed we already have a system in place to detect a failure to set the Stop Date of a MAR record. This mechanism has been altered to make an exception when the originating Rx order verb is "Refill." The verbs "External Provider Rx," "Then Stop," and "Refill" are exceptions because they are not meant to create a MAR record, so there is no originating medication that can be Stopped when the Rx order is changed. From now on, this process will only alert the nurse/provider if the reason the MAR record could not be Stopped was because the MAR record was locked.      Clinical Content The workflow to add Allergies and/or Adverse Drug Reactions via progress notes has been updated to include a combined workflow, which is now accessible in the Complete Assessment, Prescriber Progress Note, Nursing Progress Note, and within the Medication Reconciliation review. Allergies/ADRs entered are color-coded by type (blue for allergies, yellow for adverse drug reactions) within the Allergy/ADR input window and combined ADR/Allergy Log. Both types likewise appear within the Chart Face in the Adverse Drug Reactions/Allergies Active List. For more details on this new workflow from each note type, please review the Knowledge Base article.     The Suicide/Violence Risk Assessment has been updated to now include new content for "Access to Lethal Means".      Date of Admission Within patient Demographics and the Telephone Intake Form, the "Date of Current Hospitalization" field has been updated to now display as "Date of Current Admission."     Rating Scales The PHQ-9: Modified for Teens total score will now display within the Rating Scales log.    The ICANotes Team help.icanotes.com 443-569-8778

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