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Tebra Help Center

Release Notes August 2024

Updated: 08/21/2024|Views: 1707

On August 22, 2024, your Tebra account will be upgraded to the latest version.

Billing

Billing General Improvements

  • The claim level adjustment code sets, Claims Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC), were updated.

Billing Resolved Issues

  • Fixed an issue where users received an error message when attempting to export the A/R Aging report as a PDF

Clinical

Enhancement: New Decision Support Interventions

Tebra now offers two new evidence-based Decision Support Interventions (DSI). In addition to the new DSI, providers can review the DSI Input details on the intervention to see which attributes triggered the specific DSI and provide feedback on individual DSIs.

System Administrators can define which user roles has access to the new DSI and export the practice's CDS Feedback to review whether certain DSIs are helpful or not.

New DSI:

  • Implantable Devices: Complications with Cardiac Implantable Electronic Device (CIED)
  • Procedure: Preventive Care and Screening: Colorectal Cancer Screening
Configure Clinical Decision Support

System Administrators can define which user roles has access to the new DSI.
  1. Hover over the User icon and click on Practice Settings. The Practice Settings page opens.
  2. Click Clinical. Additional setting options expands.
  3. Click Clinical Decisions Support. The Configure Clinical Decision Support Permissions page opens.
  4. By default, all user roles are selected. To remove the permission, click to clear the selection.
  5. Click Save when finished.
Clinical_CDS.png
View DSI

The DSI displays on the patient's facesheet when the patient meets the following criteria:
  • Complications with Cardiac Implantable Electronic Device (CIED): If patient has a procedure code documented for Cardiac Implantable Electronic Device (CIED) in Hospitalizations/Procedures within the last 180 days.
  • Colorectal Cancer Screening: If the patient is between 45-75 years of age as of December 31st of this calendar year and patient does not have a Colonoscopy order or procedure documented in Hospitalizations/Procedures with Admission Date in the past 9 years.
  1. Access the patient's facesheet.
  2. Click on an intervention. The CDS Alert pop-up opens.
  3. Review the Preventive Care and Screening and Diagnostic and Therapeutic Reference Resources.
    • If applicable, click Edit to add any relevant or supplemental information for the recommendation. Then, click Save when finished.
  4. Click the DSI Inputs tab to display what attributes were used to trigger the specific DSI.
    • If applicable, click Edit to add any relevant or supplemental information for the recommendation. Then, click Save when finished.
Clinical_CDSAlert.png
  1. Optionally, click the Feedback tab to indicate if the recommendation was helpful and add comments. The practice can export this feedback for review.
  2. Add feedback:
    • To indicate the recommendation was helpful, click to select the thumb up icon.
    • To indicate the recommendation was not helpful, click to select the thumb down icon.
    • If applicable, enter Comments.
  3. Click Done to save feedback and close the window.
Clinical_CDSFeedback.png
Export CDS Feedback

System Administrators can export the practice's CDS Feedback to review whether certain DSIs are helpful or not.
  1. Hover over the User icon and click on Practice Settings. The Practice Settings page opens.
  2. Click Clinical. Additional setting options expands.
  3. Click Clinical Decisions Support. The Configure Clinical Decision Support Permissions page opens.
  4. Select the Start Date and End Date.
  5. Click Export as CSV to save the file.
Clinical_CDSExport.png
  1. Open the CSV file to review the Intervention, Action Taken, User Feedback, User, Date, and Location.
Clinical_CDSExportFile.png

Clinical General Improvements

  • The Notes AutoSave feature has been enhanced to increase the frequency of automatic saves, reducing the risk of documentation loss. The note will now automatically save after:
    • 30 seconds of inactivity (if a change is made)
    • A text shortcut is used
    • A template is used (click menu items)
    • Clicking anywhere outside of note section (e.g., CC, Subjective) being documented
    Feature will be deployed to customers in phases and completed by end of August 2024.

Clinical Resolved Issues

  • Fixed an issue where the diagnosis code for Binge-Eating Disorder (F50.81) in the DSM-5 Feeding and Eating Disorder template is incorrectly listed as F50.8
  • Fixed an issue where users received an error message when attempting to print a clinical note with special characters in the body of the note or the addendum
  • Fixed an issue where the lab order status did not update when marked as Mark Ready for Review
  • Fixed an issue where users on some versions of Chrome was unable to access the Templates or Drug Favorites page from My Settings
  • Fixed an issue where users intermittently received an error message when attempting to create a new lab order
  • Fixed an issue where users were unable to add the Meningococcal (Penbraya) vaccine to the patient's immunizations
  • Fixed an issue where a comma was incorrectly displayed before a lab test name on the Lab/Studies page

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Engage

Engage Resolved Issues

  • Fixed an issue where recall message sent by the practice was not delivered to patients

Platform

Multiple Time Zone

Tebra enhances multiple time zone and telehealth practice management by introducing time zone settings for clearer scheduling and appointment reminders, ensuring alignment of patient expectations and streamlining the scheduling flow for an improved patient experience. Enable multiple timezone support to set a specific timezone for a service location and send appointment reminders based on the service location's time zone.

Note: The calendar will continue to display appointments based on the default practice time zone in Calendar Settings. Appointment reminders sent to patients will display the time/date based on the appointment's service location time zone.

Enable Multiple Time Zone
  1. Hover over the User icon and click on Practice Settings. The Practice Settings page opens.
  2. Click Service Locations. The Service Locations page opens.
  3. Click to select "Enable multiple timezone support for appointment communications and online scheduling".
  4. Click Save. A confirmation message displays.
Platform_EnableTimezone.png
Set Location Time Zone

Set a different location time zone for every applicable service location. If a Location Timezone is not set for the service location, the time zone will default to the practice time zone set in Calendar Settings.

  1. Click on the service location name to edit. The Edit Service Location pop-up window opens.
  2. Select the timezone from the Location Timezone drop-down list.
    Note: If the Location Timezone option is not available, click Ctrl+Shift+R on the keyboard to refresh the page. Then, click on the service location name to edit.
  3. Click Save when finished.
Platform_SetTimezone.png

Message Center Enhancements

Tebra’s Message Center layout has been redesigned and expanded to streamline communication by enhancing usability and clarity. The feature updates allow healthcare providers and staff to quickly identify, read, and respond to messages, significantly improving their efficiency and patient interaction quality.

Messages Preview

Enhancements includes:
  • Preview window displays up to six messages to determine if there is any pressing message the user should focus on
  • Improved interface to better display sender/recipient of each message
  • Double click on the envelope icon to go directly to the Message Center
Platform_MessagePreview.png
Message Center

Enhancements includes:
  • Updated left navigation bar and the new message button to reduce clutter and improve accessibility
  • Resized message inbox for better visibility and prioritization of messages
  • Larger viewing window for opened messages, reducing the need to scroll and improving message composition
  • Improved interface to better display sender/recipient of each message
Platform_MessageCenter.png

Platform Resolved Issues

  • Fixed an issue where users with did not receive a 2FA code for authentication
  • Fixed an issue where user accounts were locked due to 2FA codes expiring before the code can be validated
  • Fixed an issue where users received and error message when attempting to upload a profile photo to the provider profile
  • Fixed an issue where the patient's name displayed as NULL in the message center
  • Fixed an issue where users were unable to access their Sent folder in the message center

Telehealth

Telehealth Visit Meeting Diagnostics

A meeting diagnostics is now available during the telehealth visit to detect video, audio, and network issues. This feature allows participants/providers to detect issues and displays actionable tips for a smoother visit.

Example Network Connection
  1. When the system detects issues, a diagnostic icon displays on the window.
  2. Click the diagnostics icon. The Meeting Diagnostics panel opens.
  3. Review diagnostic details and tips.
Telehealth_Diagnostics.png

Breakout Group Settings

The new Breakout Group Settings allow providers more control to improve the experience for participants joining breakout sessions.

Note: Saved changes to the breakout settings only applies to the current telehealth visit.

Access Breakout Settings
  1. In the telehealth visit, hover over the People icon and click on Breakout Groups. The Breakout Groups panel opens.
  2. Click the settings icon. The Breakout Settings panel opens.
  3. Available options:
    • Participants can choose their groups: By default, this options is selected to allow participants to join any group once the breakout session starts.
      • To only allow participants to join the group they were assigned to, click to clear the option.
    • Automatically move assigned participants into groups: By default, this option is deselected and participants must click Join to enter their breakout group.
      • To move all participants into their breakout groups automatically after a set time, unless they joined a group on their own, click to select the option. By default, 10 seconds is set as the selected time. If necessary, select a different time: 0, 10, 20, 30, 40, 50 or 60.
    • Automatically return participants to the main room: By default, this option is deselected and participants need to return to the main room on their own.
      • To automatically return participants back to the main room after the selected time when the breakout sessions end, click to select the option. By default, 30 seconds is set as the selected time. If necessary, select a different time: 0, 10, 20, 30, 40, 50 or 60.
  4. Click Save when finished.
Telehealth_BreakoutSettings.png

Telehealth Visit File Sharing

A HIPAA compliant file sharing feature is now available in the teleheath visit chat. With this enhancement, all participants in the visit can exchange media files (e.g., images, documents, audio, video) up to 15 MB. These files will be available for download throughout the visit, making it easier to collaborate and share resources in real-time.

All files are encrypted and securely stored for the duration of the visit. Once the visit ends, files are automatically deleted permanently from the system within 1 minute from the end of the session. For maximum privacy, files cannot be recovered once the visit has ended.

Max file size is 15mb and supports these file formats:

  • Images: JPEG, PNG, GIF, WEBP
  • Documents: PDF, DOCX, TXT, RTF, CSV, XLSX
  • Audio: MP3, WAV
  • Video: MP4, MOV, MKV, WEBM

icon_warning.png Important Notes:

  • All participants in the telehealth visit can view and download shared files.
  • If a participant joins the telehealth visit after files are shared, they cannot view or download the files.
Share File
  1. In the telehealth visit, click the Chat icon. The Chat panel opens.
  2. Click the attachment icon to browse and upload a file or drag and drop the file into the chat panel.
  3. Click Send to share the file with all participants.
  4. All participants in the visit can download the file by hovering over the more options icon and clicking Download file.
    Note: The option to remove the file is only available to the participant who sent the file.
Telehealth_FileShare.png
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