Care Management Platform (CMP)
Build 0.0.0.3687 | April 12th, 2019
These are the highlights of the changes available in this week’s Care Management Platform (CMP) release. It should be noted that this week’s release contains several Voice of Customer items that deliver on recent requests from customers that are actively using CMP to operate their practices.
Electronic Claims Attachments
This week’s release includes workflow support for uploading electronic claims attachments. This has been a significant request from current CMP customers, which we are happy to be rolling out in this release. We have partnered with NEA and have integrated with their FastAttach service to allow the electronic submission of supporting claim documentation. Once the CMP practice is configured as an NEA FastAttach customer, users will start to get notified in CMP when claims require attachments, what those requirements are, and will be able to add claim attachments when needed. This will help to ensure that claims coming from CMP will be more efficiently processed and less likely to be rejected by payers.
When a user creates a new claim in CMP, if the payer accepts electronic attachments, then the claim record is flagged as “Awaiting Attachments”. The initial notification of claim creation indicates that additional action may be needed and these claims are clearly marked in the Claims Management UI. As previously mentioned, if there are defined payer rules for the claimed procedures, then the claim record will also provide information on the type(s) of attachment required.
From here, the basic workflow is…
Currently, users can add any patient radiograph available in CMP as well as adding any narrative text necessary for the claim. We are also working on support for adding perio exams as claim attachments directly through CMP. Currently, for perio exams - or for any other types of supporting documentation not in CMP - users can add these items directly though the FastAttach service and, when the attachment records are sent via FastAttach, the attachment record number will be added to the claim record in CMP and queued for submission to the clearinghouse.
In order to help ensure that practices do not end up with claims sitting in a pre-queued purgatory, awaiting the addition of attachments, CMP will now send all admins a nightly email notification. If there are any claims requiring action, such as claims in a pre-queued state that need attachments, the practice admins will receive an email containing the count of affected claims. Users can then visit the Claims Management UI in CMP and, following the aforementioned workflow, process any problematic claims.
We are excited to provide CMP users with support for this claims-related workflow. Electronic claims attachments are a key piece of the overall insurance workflow suite that we are building in CMP. Support for submission of claim pre-authorizations will also be released shortly. We look forward to hearing how this latest release helps support our customers’ claim-based workflows.
CMP Mobile v1 Now Available
This week’s release also includes access to the initial version of our CMP Mobile application, which provides CMP users with a limited, read-only view of their practice data on mobile devices. CMP users can now view their schedule, review patient appointments and limited clinical history and notes, as well as contact patients to complete follow-up tasks. CMP Mobile is already enabled and ready for CMP users. Just go to https://cmp-mobile.csdental.com (using the Google Chrome browser) or search for “CMP Mobile” in the Apple App Store or Google Play and install the app on your chosen mobile device. Current CMP users can use the same login credentials that they use to access CMP - no need to establish any new user accounts.
Optimizations and Fixes
The following fixes and optimizations have been added to CMP this week.