Release Notes May 2024

Problems Search Enhancements

The add problem / ICD-10 workflow has been streamlined with several updates to help reduce clicks and documentation time. The enhancements include:

• Removing the use of ICD-9 codes
• Data cleanup resulting in more accurate ICD-10 search results
• Search for ICD-10 codes without entering a period (i.e., J018 vs J01.8)
• Making ICD-10 the primary search field
• Updated SNOMED field name for more accurate representation
• Automatically save users' ICD-10 to SNOMED mappings to eliminate the need to select a SNOMED code each time
• Automatically populate the SNOMED code based on the ICD-10 code selected and previously mapped SNOMED code
• Hiding low usage fields such as the Problem Type, Start/End Date, and Comments by default

Feature available for all customers by the end of May 2024.

Add Problem The new problem search will be available when documenting the patient's problem on the Problems page and in the clinical note. Add an ICD-10 diagnosis code using a favorite ICD-10 code, searching by keyword or code, or using the ICD browser. Details menu to expand additional options: Problem Type: Click to select "Acute" or "Chronic" to indicate the Type of problem. Start Date: Click the calendar icon and select the Start Date when the problem began. End Date: If applicable, click the calendar icon and select an End Date for the problem. Comments: Enter any applicable notes.

Clinical General Improvements

• Tebra has completed the updates for the 2024 MIPS quality measures and promoting interoperability:
  • Promoting Interoperability
    1. The minimum performance period has increased from 90 to 180 continuous days within the calendar year. Make sure that the dates in the period fields encompass 180 continuous days.
    2. The review of the SAFER Guide is now a mandatory requirement, along with the Security Risk Analysis. Both measures must be completed before the overall score of Promoting Interoperability will be calculated.
    3. The second and third exclusions for the PDMP measure have been replaced with the following: “Does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.”
    4. Providers who report “Reportable Conditions” to public health agencies should contact Tebra for an integration that will automatically report the conditions.
  • Quality Measures
    1. The following measures have been removed by CMS for the 2024 reporting period:
       • CMS 69: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Plan
       • CMS 125: Breast Cancer Screening
       • CMS 130: Colorectal Cancer Screening
       • CMS 75: Children Who Have Dental Decay or Cavities
    2. The removal of the above measures required changes to the Care Checklist.
       • Removal of the BMI Screening checklist
       • Removal of the Alcohol Screening checklist
    3. Tebra continues to support the remaining 16 quality measures.

Clinical Resolved Issues

• Fixed an issue where providers were unable to access eRx Change Requests
• Fixed an issue that prevented users from saving updates to a patient's family history when a large number of custom items were added
• Fixed an issue where providers in Utah was unable to prescribe Gabapentin as a controlled substance
• Fixed an issue where the incorrect manufacturer was displayed for Japanese Encephalitits (JE) and Oral Typhoid vaccines

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Two-Factor Authentication

As data breaches become increasingly common, it is important to do everything you can to protect your information. To boost this commitment, Tebra will soon add additional security layers to your account through two-factor authentication. Two-factor authentication is a simple, yet effective, way to help improve the security of your practice and patient data against cyber attacks by requesting that users provide two pieces of evidence when signing into the Tebra Platform, including entering their login credentials (username/password) and an additional authentication step to their email address or phone number.

This feature will be deployed to customers in phases and will be completed by end of September 2024.

In anticipation of the release, System Administrators must take a few steps to prepare their users: Verify the email and phone number for all providers and users in the web platform and/or users in the Desktop Application (PM). E-Mail: The user must have a valid unique up-to-date email address to which they can only access to receive a confirmation code Phone: The user must have a mobile phone number to which they can receive a confirmation code via text message Authorize users who are not a System Administrator to request Emergency Access in the event a System Administrator is unavailable to unlock a user. Grant access to the users by selecting "Allow emergency access for (Practice)" in the user's account settings.

Invoice History

Account administrators can now download up to 12 of the account's past invoices in the web platform.

View Invoice History Hover over the User icon and click on Practice Settings. The Practice Settings page opens. Click Tebra. Additional setting options expand. Click Invoice History. The Invoicing History page opens. Review the account's past invoices. Click the download icon to download and view the invoice.

Platform General Improvements

• The Provider Profile will be updated with the following enhancements for all customers by the end of May 2024:
  • The provider's subspecialty now displays on their Care Connect profile by default
  • Providers can override their default specialty by selecting a different specialty in their Provider Profile
  • Warnings will display in the Provider Profile when provider has incomplete profile (e.g., missing NPI)
• The Edit Insurance Case page now displays the Patient Name, Date of Birth, and the patient's current age.

Platform Resolved Issues

• Fixed an issue where users received an error when attempting to login
• Fixed an issue where users were able to collect a payment when accessing the charge capture from the appointment card

Tebra Payments Terminal

Tebra is thrilled to announce the launch of Tebra Payments Terminal - a gateway to a world of effortless and efficient transactions. Tebra offers 2 state-of-the-art Terminal Point of Sale devices that boasts a range of features and benefits designed to cater to the dynamic needs of a healthcare practice:

• Set-up for Apple, Google, and Touchless Payments
• Easy to set-up, manage, and use
• Accept payments in person, online and over the phone
• Seamlessly integrated into Tebra Billing
• Unifies your online and offline payments
• Industry-certified with end-to-end encryption

Available for all Tebra Payments activated practices by mid-June 2024.

Order Terminal Device Hover over the User icon and click on Practice Settings. ThePractice Settings page opens. Click Tebra Payments. Additional setting options expands. Terminal Settings. The Terminal Settings page opens. Click Order New Device to purchase a terminal. Once the terminal is received, setup the device to begin collecting payments.

Mobile Resolved Issues

• Fixed an issue where users received an error message when attempting to access a document