NikoHealth News

We want to make you aware that this Sunday, November 3rd,  between the hours of 4:30-7:30 AM ET there will be scheduled down time for up to 3 hours.

We will be using this time to do system maintenance to our infrastructure in order to continuously improve system performance, ensure uptime and stability of the platform. During this maintenance window, NikoHealth will be inaccessible.

Check out some of the latest features and updates released.

What’s New?

Playbooks

• With the playbook feature, your team now has an easy way to capture and organize the knowledge in your business process to help guide end users workflows when processing orders. Create SOPs by payers and products to streamline, centralize, organize and delegate responsibilities. Document processes, assign out tasks, and manage required documentation to track your order lifecycle to completion.  Learn more

New fields added to the following reports:

Patient Details Report

• Patient Inactive Date
• Inactive Reason
• Care Team Member

Service Maintenance Report

• Care Team Member

Claim Submission Report

• Last Report Date

Custom Purchase Order Statuses

• You can now create and manage custom statuses which can be used to manage purchase orders.

Inventory Par Level Rules

• You now have the ability to automatically add items triggered by par level rules to update existing open purchase orders by toggling on “update open purchase orders” within your par level rules settings.

Updated Notes Functionality

• With added functionality and an updated design to improve the end user experience, you now have the ability to pin notes, manage custom note subjects, and more.  Learn more 

Custom Note Subjects 

• You can now create and manage custom note subjects which can be used when adding notes in the patient, order or invoice record.

Payer Submitter ID

• A submitter ID field is now available under the payer management setup. This submitter ID should only be used when the payer requires a client specific sender submitter ID to be sent in the 837 in order to process claims electronically.

API Updates

• Inventory Items group of APIs is now available to allow you to work with inventory enabling the ability to receive and transfer items.
• Purchase Order Audit APIs is now available to allow you to return purchase order details and activity.
• Purchase Order Statuses API is now available to allow you to return custom purchase order statuses.

Tweaks 

• Hospital Discharge Date is now an optional field.
• Added the name of the signer to the delivery documentation footer when completing delivery paperwork either on the web application or mobile app.

This latest update brings improvements to the way your teams work.

What’s New?

Updated New Patient Create & Edit

• Redesigned workflow to create and edit a patient record. This updated functionality improves the user experience and allows a user to navigate and save changes easily with enhanced functionality. Learn More

Task Categories

• Create custom task categories and assign tasks to your teams in order to group and manage across functions and departments. Learn More

Care Team Member  

• Assign a user as a care team member to a patient record to associate a teammate in your system to patients. Learn More

New Permissions

• A new permission allowing you to add a restriction on the Order View/Edit/Delete to limit users who are added as sales rep on an order to only see orders associated with them. You can go to the user field associated with these permissions and select the user(s) either based on roles created or on a specific user permission.
• A new permission allowing you to add a restriction on the Patient View/Edit/Delete to limit to users who are assigned as a Care Member on the patient record. You can go to the user field associated with these permissions and select the user(s) either based on roles created or on a specific user permission.

Ring Central Fax Integration

• Ability for customers to connect a Ring Central fax account to be used for inbound and outbound faxing.

Unit of Measure Product Selection on Resupply Programs 

• When adding an item to a patient’s resupply program you can now select the Unit of Measure (UOM) with which you wish the future order to be generated.

New Form and Documents Functionality 

• Forms and documents have been combined to live within the documents tab of a patient record. The forms tab will be deprecated in a future release but for the time being previously generated forms are still accessible under the forms tab. New forms added will be stored within the documents tab of a patient record. Learn More
• Creating and editing form templates is now available under management/application settings / forms.
• To upload documents to a patient record or generate a form for a patient click on “Add Documents” on the + blue button action dropdown. This will bring you to a redesigned workflow where you can upload documents or add forms. Forms generated will now require you to select a document type.
• Share functionality has been added within the documents tab of the patient record. This allows you to select a document to share outbound via fax or email. There is a share icon available next to the document for this action.

New Fields added to the following report:

Refund Reports

• Patient Address (Line 1)
• Patient Address (Line 2)
• Patient City
• Patient State
• Patient Zip
• Responsible Party Type
• Responsible Party Name
• Responsible Party Address (Line 1)
• Responsible Party Address (Line 2)
• Responsible Party City
• Responsible Party State
• Responsible Party Zip

Invoice Detail Report

• Patient Zip Code
• Patient City
• Account Primary Payer (GL Account of the primary payer on the invoice)
• Account Current Bill To (GL account of the current Bill TO on the invoice
• Price Option Group (from price option)
• Patient Location
• Patient Tags

Tweaks 

• When creating purchase orders automatically from par level rules an update has been made to exclude items that are in a reserved status for available stock.
• Fixed the “unsaved changes” popup that is displayed when trying to navigate through tabs within management/corporate setup/inventory locations.
• Customers who drop ship items such as CPAP through VGM – we have added the ability to pull back in the serial # of the item that was shipped.
• Resupply limit notification updates.
• The plan selection field on a patient insurance record has been updated to allow for autocomplete and drop down selection.
• Modifiers have been added as an autofill field to forms.

 

We want to make you aware that this Sunday, April 28th between the hours of 5:00-7:00 AM ET there will be scheduled down time for up to 2 hours.

We will be using this time to do system maintenance to our infrastructure in order to continuously improve system performance, ensure uptime and stability of the platform. During this maintenance window, NikoHealth will be inaccessible.

Built for you – that’s our focus. While our customers are busy with running their business, we are working hard to deliver more and more features and functionality.

What’s New?

Payer Rule for Service Facility Location

• A new payer rule has been added to allow you to customize how the service facility location is reported on the CMS 1500 and EDI 837 electronic claim transmission.  Learn More

New Permission

• A new permission has been added to restrict a user from being able to add a new tag in the system. Within the permissions management you can now choose to enable or remove the “Tags Create” permission. Learn More

New Fields added to the following reports:

Order Financials Report

• Price Option ID

Claim Submission Report

• Clearinghouse

Invoice Detail Report

• Invoice Balance

Revenue Summary Report

• Invoice Tags
• First Submission Date

Provider Adjustment Report

• Patient and Posted Date filter

New Integration Page 

• An integrations page has been added under Management/Application Settings/Integrations. We will be expanding integration configuration settings for services used by our customers moving forward in this section. At this time, Shippo integration credentials have been moved here.

New Insurance Verification Functionality 

• A new feature has been released allowing to verify insurance eligibility benefits for a prior service date. On the insurance page within a patient record, you will notice a calendar icon next to the benefits button of an insurance record which you can click. Here you will be able to indicate a prior service date to check for benefit coverage details.
• An alerts section has been introduced when doing an electronic insurance eligibility verification. These alerts will indicate information including whether other payer coverage has been identified or if a Medicare member is a Qualified Medicare Beneficiary.

New Report

• A new user report is available where you can report on users in the system.

Medicaid as Secondary – Carrier Codes 

• When billing Medicaid as secondary payer, a Carrier Code for each primary insurance may need to be reported on electronic and paper claims. The Carrier Code reported is used as an identifier for Medicaid to recognize the primary payer. Additional functionality has been added to support this for Illinois Medicaid. Learn More

Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Electronic Claims Support 

• State Medicaid’s such as in Alabama require that when an EPSDT qualified service is provided, the related condition code is transmitted on electronic claims. This information is now available to report on the insurance record of a patient which will transmit on the 837 claim.

Bypass Claim Submission

• We have added the ability to submit an electronic claim directly to a secondary or other payer when the destination payer’s cost avoidance policy allows providers to bypass claim submission to the otherwise prior payer identified in Loop ID-2330B on the 837 claim. When submitting a bypass claim, the 837 claim submission will report to the payer that it is Noncovered Charges from the prior payer.

Tag Functionality added to Document Management  

• The ability to add tags to documents uploaded into the my documents and all documents pages is now available. Learn More

Ordering Provider on an invoice 

• The ordering provider field has been added to the invoice. No user selection is required unless otherwise applicable. When transmitting electronic claims the referring provider on the claim is reported as the ordering provider on each service line. In the event an ordering provider should be reported different than the referring provider you can indicate it as needed.

API Updates 

• A new Tasks group of APIs have been added Learn More
• Get/v1/invoices/{id} – the Name field within the service lines block has been depreciated and replaced with Service to match the field name on the user interface.

Tweaks 

• Provider adjustment selection has been sorted to display in alphabetical order.
• Plan section within a patient insurance record has been sorted to display in alphabetical order.
• Menu action buttons on the patient, order and invoice have been sorted to display in alphabetical order.
• Reports within the billing, revenue and payment categories have been updated to reflect the display invoice id (Invoice) and the unique invoice id (Invoice Id).

We want to make you aware that this Sunday, March 10th between the hours of 5:00-7:00 AM ET there will be scheduled down time for up to 2 hours.

We will be using this time to do system maintenance to our infrastructure in order to continuously improve system performance, ensure uptime and stability of the platform. During this maintenance window, NikoHealth will be inaccessible.

Change Healthcare has provided an update regarding the intended timeline to restore medical claims services as follows:

• Medical claims: We expect to begin testing and reestablish connectivity to our claims network and software on March 18, restoring service through that week.

For additional information please visit: https://www.unitedhealthgroup.com/changehealthcarecyberresponse

At NikoHealth, our teams have been working tirelessly to make sure that we support our clients business continuity through our alternate clearinghouse Availity. We will continue to support multiple clearinghouse options for our customers moving forward.  We thank you for your patience during this time and if we can provide additional assistance please contact your account manager.

Upon being notified of the Change HealthCare outage reported as of Feb 21st in response to a cyber security incident, NikoHealth enacted our incident response and risk assessment protocols. We proactively engaged multiple clearinghouse vendors to identify the right solution partner in an effort to enable our customers ongoing business continuity. As a result, we have expanded our relationship to include Availity as a clearinghouse.

Next Steps

Our teams will be in contact with our customers over the next few days and coordinate necessary steps needed in order to enable the transition  for electronic claims transactions. There will be no change to the existing  NikoHealth workflows as part of this transition.

We understand the disruption that this event has caused and appreciate your patience.

 

The Change HealthCare outage reported as of February 21st in response to a cyber security incident they experienced continues to impact our customers ability to submit claims, receive electronic remittances, and process electronic insurance eligibility transactions. At this time there is no timeline provided from Change HealthCare as to when these systems will be operational. There is no indication that any of our client’s data has been compromised. We’re committed to ensuring our customers business continuity and are actively working to establish alternate clearinghouse routes.

For status updates and additional information on this Change HealthCare enterprise wide outage please visit https://status.changehealthcare.com/

What You Can Do

• When possible please utilize payer portals to submit and process claims
• For Medicare, reference the CEDI claims portal as an option to submit DME claims : https://www.ngscedi.com/cedi-claims-portal

As additional information is made available we will notify our customers.

2024 is shaping up to be an incredible year where NikoHealth customers are leveraging more and more functionality to enable better business outcomes.

What’s New? 

Management Redesign 

• In this release we went ahead and gave the management page a facelift. You will notice that within the management page we introduced new categories, renamed existing ones and reorganized access to different  sections according to the logical related system functionality.

New Permissions 

• We added the ability to get even more granular with how permissions are managed for your teams. Within user and user roles permissions, you can now give access to certain areas of the management page of the application without giving users access to everything. Learn More

New Fields added to the following reports:

Fee Schedule Report

• Created Date
• Modified Date

Order History and Order Fulfilment Reports 

• Primary Payer
• Secondary Payer
• Ship Date
• Delivery Date
• Patient Email
• Patient Home Phone
• Patient Work Phone
• Patient Cell Phone

Updated Patient Financial Page 

When accessing the financial page within a patient record, a new unapplied payments button is now available. Payments that are posted against invoices will appear on the payments page while unapplied payments on an account will appear under the unapplied payments section. Previously, unapplied payments were located under the payments page.

Sales Rep Selection on an Order 

The sales rep if assigned to a referring provider has traditionally auto populated on an order. While this automation makes life easier, in certain cases a sales rep may need to be modified for a specific order. With this enhancement you can now manually add or edit the sales rep associated with an order.

Tweaks and Updates 

• Updated most recent available HCPCS library.
• Removed a legacy add inventory functionality from the product catalog.
• The deposit report and deposit functionality has been updated to reflect the sum of the payments within the deposit removing any PLB adjustments from the total deposit amount calculation.
• Review required hold logic has been updated to no longer put invoices in a review required status when the service line quantity submitted is equal to 1.
• Corrected a validation error when receiving items against purchase orders in certain cases of serialized products.
• Addressed an inconsistent font size when printing a CMS1500.

API Updates

• A new Management/Users API has been added. This GET/v1/users/list endpoint allows you to return users in NikoHealth.