eclipse® v8 additions & changes - eclipse practice management

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v 2011 Additions & Changes Copyright © 2007 - 2013 MPN Software Systems. No part of this document may be reproduced, transmitted, transcribed, or translated by any means without the prior written consent of MPN Software Systems, Inc. February 22, 2013 Bulk text messaging has been enabled everywhere bulk email is available. Please remember the following when sending bulk text messages from form letter templates: o Text messages have character limits. Keep it short or your message will be cut off. o Depending on the plan, theres a per text charge for each text your patient receives. Dont alienate your patients. Updated “print capture” files and CMS 1500 forms to include primary phone #, as opposed to home # only. Appointment recalls have been updated to allow filtering by case. February 14, 2013 Fixed a problem introduced 2/8/2013 that affected group form letter printing. February 11, 2013 Updated the ECLIPSE HELP menu to reflect website changes that rendered the “Contact Us” page inoperable. When sending a text message from the patient’s folder (added 1/6/2013), the cell phone# would become corrupted, and if the data was saved, lost. This has been corrected. February 8, 2013 FTP capabilities have been built-in for offices that use this functionality to send & receive files (e.g. for billing) to/from remote web servers. You can optionally edit form letters to add custom information before the merged document is printed. Simply check the Launch to editor checkbox on the Print options dialog’s Other tab before pressing the Select & Print button. Additionally, you can add the form letter to the patient’s Documents folder by pressing the Save Document button within the editor. Fixed a rare issue that caused ECLIPSE to crash when editing ROM for the next Encounter. ANSI 837 updates for secondary billing. February 3, 2013 ECLIPSE · version 2011 · CC-1112- 353010-3 · 7/28/2011 This Complete EHR is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT®), an ONC-ATCB, in accordance with the applicable certification criteria for Eligible Providers adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Read our blog for more information. Email Note: If you are using a free email account such as those provided by Yahoo or Gmail, these companies specifically turn off the features needed by ECLIPSE (and other programs) to send email. These features are (in our experience) provided when you convert to a paid account for a small annual fee (e.g. $19.95). Did you know… that ECLIPSE can automate your credit card processing inexpensively with X-Charge? Visit www.eclipse-x-charge.com or call 1.888.412.8819.

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Page 1: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

v 2011 Additions & Changes

Copyright © 2007 - 2013 MPN Software Systems. No part of this document may be reproduced, transmitted,

transcribed, or translated by any means without the prior written consent of MPN Software Systems, Inc.

February 22, 2013

Bulk text messaging has been enabled everywhere bulk email is available. Please remember the following when

sending bulk text messages from form letter templates: o Text messages have character limits. Keep it short or your message will be cut off.

o Depending on the plan, there’s a per text charge for each text your patient receives. Don’t alienate your patients.

Updated “print capture” files and CMS 1500 forms to include primary phone #, as opposed to home # only.

Appointment recalls have been updated to allow filtering by case.

February 14, 2013

Fixed a problem introduced 2/8/2013 that affected group form letter printing.

February 11, 2013

Updated the ECLIPSE HELP menu to reflect website changes that rendered the “Contact Us” page inoperable.

When sending a text message from the patient’s folder (added 1/6/2013), the cell phone# would become

corrupted, and if the data was saved, lost. This has been corrected.

February 8, 2013

FTP capabilities have been built-in for offices that use this functionality to send & receive files (e.g. for billing)

to/from remote web servers.

You can optionally edit form letters to add custom information before the merged document is printed. Simply

check the Launch to editor checkbox on the Print options dialog’s Other tab before pressing the Select & Print

button. Additionally, you can add the form letter to the patient’s Documents folder by pressing the Save

Document button within the editor.

Fixed a rare issue that caused ECLIPSE to crash when editing ROM for the next Encounter.

ANSI 837 updates for secondary billing.

February 3, 2013

ECLIPSE · version 2011 · CC-1112- 353010-3 · 7/28/2011 This Complete EHR is 2011/2012 compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT®), an ONC-ATCB, in accordance with the applicable certification criteria for Eligible Providers adopted by the Secretary of Health and Human Services. This

certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments.

Read our blog for more information.

Email Note: If you are using a free email account such as those provided by Yahoo or Gmail, these companies specifically turn

off the features needed by ECLIPSE (and other programs) to send email. These features are (in our experience) provided when

you convert to a paid account for a small annual fee (e.g. $19.95).

Did you know… that ECLIPSE can automate your credit card processing inexpensively with X-Charge? Visit

www.eclipse-x-charge.com or call 1.888.412.8819.

Page 2: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

Encounter lock notices can display more often than required depending on your Windows version. Notices are

now displayed on the status bar for 10 seconds and you will no longer be required to acknowledge the message.

It’s expected that you recognize the lock icon and what it means.

Review your HELP for more information on the new KIOSK software.

February 1, 2013

Updated Encounter to exclude resolved items on a patient’s problem list when such items are included in the

Encounter.

The “backbone” is now in place for our KIOSK software – which is currently undergoing live alpha testing and

will be available as beta pre-release software within the next week or so. Here are some highlights:

o It’s FREE and can be used as long as you maintain a current ECLIPSE subscription.

o There’s no limit to the # of copies you can use simultaneously in your waiting and/or treatment rooms.

o It runs on any inexpensive Windows laptop, tablet, or PC and doesn’t require much computing power.

o It’s impossible for anyone to compromise existing HIPAA protected information in ECLIPSE.

o It will import data from new or existing patients (and create a new patient folder in ECLIPSE for new

patients – which reduces data entry for staff).

o It will create documents for OSWESTRY and Neck Disability forms with patient entries and their scores.

o Subjective Encounter data is displayed and can be imported/merged in a variety of ways.

o Staff can configure & lock the software before each use based on a variety of factors – including whether

or not new outcome assessments are desired.

o It requires a network but doesn’t require a multi-user version of ECLIPSE. The moment a patient presses

the KIOSK’s Finish button, data is immediately available at every ECLIPSE workstation in your clinic.

o New patients are imported with a comprehensive intake document that includes a printable Review Of

Systems.

January 27, 2013

Updated an Encounter issue introduced on 1/6/2013. If you started a new Encounter from a prior Encounter, any

template that only held grid data would not display unless the template was manually re-selected to show the data

(which was not lost).

January 16, 2013

ANSI 837 electronic billing changes.

January 6, 2013

Cell phone #’s have been added to the patient basic information printout.

Added button to patient’s Personal tab to send text messages.

Some payers ignore national standards and strip the patient control # we provide in electronic claims. We have

substituted the letter Z for hyphens and hope that this will prevent further issues with 835 remittance files.

“No charge” services that are allowed to appear on bills will now show up on billing preview reports.

When editing existing Encounter data within the field selector after pressing the Next/New button, sliders within

grids didn’t work properly.

December 21, 2012

Pending Encounters can no longer be accidentally locked.

Additional UNC path handling changes (see 11/6/2012).

Guarantor middle initial added for ANSI 837 claims.

Group codes have been added to the 835 remittance report.

December 7, 2012

Fixed a problem introduced 11/10/2012 that affected the “To:” field for local email handlers when sending email

from the patient’s Personal tab.

November 29, 2012

Updated “Print Capture” settings for offices using this outdated clearinghouse interface.

Page 3: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

Added a utility to allow you to automatically set HIPAA related patient contact fields to “allowed” for all patients

in the event you’ve neglected to update this item on the Personal tab (as required by law). A password from the

GalacTek HELP Desk is required.

November 15, 2012

Fixed a problem introduced 10/8/2012 which could result in the first word of an Encounter paragraph

disappearing when the standard headings were hidden. CMS 1500 changes for KY & NE Medicaid. Fixed a problem introduced 11/10/2012 that affected generating email from the scheduler.

November 10, 2012

A new field was added to the patient Personal tab by request. This field – labeled External PCP – is linked to

your referral database and is intended to store a patient’s Primary Care Physician if external to your practice.

Two years ago, we introduced our own email editor to address the fact that 64 bit Windows versions no longer

support a widely used Microsoft protocol known as MAPI. However, you may now want to use this feature

regardless of your Windows version! Reports generated from a patient folder will now automatically contain

email addresses (when available) for the patient, primary care physician, referral sources, and attorney that can be

directly selected from the To menu button in the email editor. o Check the “Email: Use internal editor…” box in the Import / Export / Email tab in the Configuration. o Please note that – until you update the other settings to the same settings as your email client (e.g. Microsoft Outlook) – simply changing the

setting above won’t work! (ECLIPSE won’t know anything about your email account).

November 6, 2012

ANSI changes for Medicare billing in IL.

Corrected a typo defining max range for Active Right Ankle Plantarflexion ROM from 50 to 40. Our current

reference guide is: Guides to the Evaluation of Permanent Impairment, 6th Edition, Rondinelli et al., AMA Press

2008.

Updated A/R report heading to include provider comments.

Though we don’t recommend this for performance reasons, UNC paths can be now be used to set environment

variables for database access. o A new environment variable (“ECLIPSEPATH”) can be created to designate the Server and Share where the MPN folder exists.

o The format is Server\Share. Thus, if your database resides on the C-DRIVE share on a server named MyOfficeServer, the

value of ECLIPSEPATH should be MyOfficeServer\C-DRIVE.

October 22, 2012

Internal updates to Encounter.

Internal updates to audit trail.

October 18, 2012

Updated Dashboard additions from 10/3 for clinical summary & electronic copy meaningful use criteria.

October 17, 2012

Free form text areas of the Encounter do not reflect hard carriage returns (i.e. new paragraphs) when clinical

documentation is generated/printed. In deference to those who use dictation, new paragraphs are now recognized

& included directly in the generated note.

October 16, 2012

New grouping features have been enabled for grids in the patient folder including appointments, history, and

documents. At the top of each grid, text prompts you to: Drag a column header here to group by that column.

See the 9/29/2010 README entry if you need instructions.

ANSI 837 changes.

Reversed KY Medicaid changes implemented 10/3/2012.

October 10, 2012

Fixed Encounter issue introduced 7/2/2012 which affected ECLIPSE custom variable naming for Upper & Lower

Extremity templates.

Page 4: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

October 8, 2012

Encounter print options have been added to the configuration by request for users who employ dictation or for

other reasons want to adjust the look of the Encounter. You can separately hide SOAP headings (e.g.

“Subjective”) and tab headings (e.g. “Cervical”). o You can access Configuration options (which are password protected) from the File | Utilities menu. On the General tab, review

the new options at the bottom of the Basic Options list.

October 5, 2012

Added new data filters for check number and unapplied payments. An “unapplied payment” has not been assigned

to a bill#.

October 4, 2012

Meaningful Use Dashboard options added 10/3/2012 reported Smoking status as missing if both possible areas of

the program didn’t have the information updated.

October 3, 2012

Meaningful Use has been added to the Dashboard. When you retrieve the patient’s folder, missing items will

appear in a list at the top of the History section. o This feature is turned OFF by default and must be enabled from your Configuration. You can access Configuration options

(which are password protected) from the File | Utilities menu. On the General tab, check Automate Dashboard Meaningful Use

readiness at the bottom of the Basic Options list.

o This feature can affect performance. We suggest leaving it OFF unless you’re making a specific attempt to handle Meaningful

Use requirements.

Updated CMS 1500 form for KY Medicaid.

September 30, 2012

Updated secondary ANSI for BC/BS of FL when Medicare is primary. The Medicare Report Number should be

entered into the Payer Control# field when editing the bill.

Updated data filters to handle an issue with the Lab Results filter.

September 26, 2012

Added an Edit button to Alerts. Please note that Alerts aren't designed to be edited. In fact, if you're editing alerts

other than to correct a typo, you're using them in an unintended manner.

Updated BCG control library.

Automatic searches through ICD codes now take place in reverse chronological order.

Encounter templates have been updated. Subjective aggravation of symptoms has been updated to exacerbation

of symptoms as per our reference guide: Guides to the Evaluation of Permanent Impairment, 6th Edition,

Rondinelli et al., AMA Press. Prior verbiage was from the 5th edition of the book.

September 12, 2012

Fixed Encounter grid date copy issue introduced 8/2/2012.

Updated miscellaneous ANSI 837 items.

Updated HELP menu.

August 29, 2012

Updated ANSI 837 claims for KY Medicaid to allow for multiple taxonomy codes.

o The 1st (standard) 5010 taxonomy code for any provider is the provider’s taxonomy override field.

o The 2nd

5010 taxonomy code, which is applied to the 2000A segment loop can be added as a standard ID

where that ID is set to Taxonomy II (2000A).

o In the event the payer simply prefers a 2000A claim segment, the presence of a value for Taxonomy II

(2000A) will indicate to ECLIPSE that this segment should be created.

August 22, 2012

For Krames users, ICD codes in the 739.x range now substitute 724 for searches to handle the library changes

made by Krames for 3M Corporation.

August 17, 2012

Page 5: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

CMS 1500 form CPT comment overrides added 1/17/2012 have been extended to ANSI claim submission.

August 14, 2012

Updated ANSI 837 claims to allow for an authorization delay reason code. These must be selected when creating

an individual claim under General Options on the Billing tab by checking: Authorization Delays (ANSI 837 only).

Updated ANSI 837 claims for MN.

August 6, 2012

Fixed issue created 8/2/2012 with regard to marking the 1st column in an Encounter grid.

A new option has been added to the patient ledger’s Print / Other tab. Basic patient information printouts can

now be restricted to the current condition.

August 2, 2012

Pop-up Encounter grids have column based buttons which allow time saving operations to be applied to an entire

column. The behavior of the Mark All & Set All to 1st buttons has been improved as follows based on user

feedback:

o For the first column in a grid the Mark All button still marks all the checkboxes.

o For all subsequent columns, the Mark All button marks checkboxes that are in use (e.g. are marked as “In

Use” or “Tested” in the first column of each row).

o The Set All to 1st button now gets data from the first checked / marked row and applies it to columns for

subsequent rows that are currently in use. This allows you to copy data (e.g. “moderate”) from row 2 to

rows 3, 4 and 7 when rows 2, 3, 4 and 7 are the only rows that are checked and in use.

When all the standard items from an Encounter dropdown list were hidden, ECLIPSE would no longer recognize

the row as a dropdown to allow any item status to be updated (hidden/displayed).

July 10, 2012

Updated Encounter additions made 7/2/2012 to fix a problem hiding rows for a template that had no existing

hidden rows.

July 9, 2012

Encounter additions made 3/24/2012 didn’t reflect custom changes made during the current session.

Hidden data could propagate to a new Encounter if left as “selected” when creating a new Encounter from an

existing Encounter.

July 3, 2012

Documents displayed within the EHR's Document tab can now be instantly sorted by clicking any column header.

July 2, 2012

When we originally added options to allow you to hide rows in the Encounter, our expectation was that you

would hide rows you don’t use. In practice, it seems that some of you choose to use rows for a while… and then

hide them. Others treat the Encounter as an “experiment in progress” and randomly add custom rows, use them a

few times, and then abandon them. In all cases, everyone seems to ignore the HELP. So, with that in mind: o Any data from hidden (not deleted) rows is now always included on all generated reports. o Custom rows can be hidden. o Please note that the more you “experiment” by routinely adding & hiding rows, the more you impact

Encounter performance. ANSI 837 history encryption issues are now recorded in the audit log in lieu of displaying them on the screen. ANSI 837 history data is now placed in appropriate sub-folders for multi-database clinics.

June 26, 2012

ANSI 837 changes for drug units.

A new ANSI History folder automatically generates an encrypted copy of each ANSI file.

When the context sensitive menu was employed to edit Encounter dropdown text in an edit box, the text wasn’t

marked internally as updated.

Page 6: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

June 20, 2012

When bills were manually deleted and charges were deleted automatically as part of the process, inventory wasn’t

properly updated.

When Encounters are printed with reported (lab) tests, results are now included.

Encounters can now be copied to alternate cases from the context sensitive menu.

ANSI 837 changes for G codes comments.

June 13, 2012

ANSI 837 changes for both institutional & professional claims.

June 12, 2012

ECLIPSE currently imports lab data via the HL7 standard. ECLIPSE has now been updated to allow external

history data to be imported to the EHR via our standard specifications for seamless import.

June 4, 2012

Itemized statements now use NPI in place of provider’s SS#.

Fix for 6/2 ANSI 837 update.

June 2, 2012

ANSI 837P 5010 changes to allow up to 80 characters of comment to accompany non-specific CPT codes. Use

the EDI/ANSI button during service entry/edit to add this information in the event that the available 34 character

field is insufficient.

Changes to ODBC exposure for facility database.

Existing columns in custom Encounter grids can now be edited if data hasn’t been stored. Press the Enable

Existing Column Edits button within the editor to begin the process.

May 24, 2012

Fixed issue printing legacy S.O.A.P. (from SOAP tab).

May 23, 2012

CMS 1500 changes for KY Medicare/Medicaid.

Encounter headers after the 1st page on printed reports have been updated to include today’s date as well as the

date of the topmost Encounter on each page.

May 17, 2012

Added a mild “beep” to the Office Chat when a message is received. You can turn this on from the General tab of

your Configuration by selecting System or Workstation from the File | Utilities | Configuration menu.

When attempting to annotate a PDF launched from the Documents tab, annotations would not save because the

document was simultaneously open in two viewers.

May 16, 2012

Updated Office Chat to properly display first name of sender.

Updated Office Chat to avoid creating new columns when cleared.

Updated Encounter “Custom 3” template added 5/9 to ensure text inclusion.

May 15, 2012

Removed EDI option added 5/9/2012. All 837I claims are now converted to upper case (837P claims have always

been handled this way.)

ANSI EDI 837 Institutional changes for 5010 claims.

May 14, 2012

Though sophisticated/free chat software is widely available, we repeatedly receive requests to provide chat

software within ECLIPSE.

Page 7: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

o We have created a simple Office Chat tab that anyone in the office can launch… and join or leave at any time by pressing a

button. The tab can be launched from the ECLIPSE toolbar on the left side of your screen:

o Each message can be up to 255 characters in length and will display as one row in a grid.

o Each message will show the time the message was received & the user’s name followed by the message text.

o All messages received will be displayed in a different color than messages sent by the currently logged in user.

o Since you may not be viewing the Office Chat tab, popup alerts will always display incoming messages.

o The first time you launch this copy of ECLIPSE on any machine, it’s highly likely that Windows Firewall will display a popup

dialog prompting you to allow or disallow messages from ECLIPSE. If you disallow these messages on any PC, the chat won’t

work on that computer. Once Windows Firewall saves a rule, the message shouldn’t re-appear. However, if the chat still doesn’t

work on your network, you may have to manually delete the ECLIPSE rule. If you use alternative software such as Windows

Terminal Services, this feature may not work at all.

May 9, 2012

When Encounter data is saved, date information is now immediately updated in the selection tree on the left side

of the screen. Three new customizable Encounter templates have been added (Custom1,2,&3). The first two provide SOAP

sections. The third is empty. When you change an Encounter template title (e.g. Other Complaints to Traumatic Injuries), the updated title is

now displayed when you launch the tab. Additionally, for the new Custom tabs, as well as the Other Complaints

tab, such changes are also reflected in the tree on the left side of the screen. CMS 1500 form changes for KY Medicaid. A new option has been added to the EDI Recipients database to allow ANSI submissions to be converted to

upper case characters for EDI recipients that require it. You can update this option by editing the appropriate EDI

Recipient in Databases Tables.

May 6, 2012

Select Suppress blank lines & separators when printing your schedule to suppress rows with time slots but no

appointments when generating a report of scheduled appointments.

ANSI EDI 837 Institutional changes for 4010 & 5010 claims.

May 1, 2012

For years, ECLIPSE has allowed you to create custom PDF form templates and automatically insert data into

those forms. Well, now you can use this same technology to create custom billing templates. So, in the event

payer XYZ doesn’t accept the standard CMS 1500 form, you can now customize XYZ’s bill and print it directly

from ECLIPSE. o During billing, select Custom Form Template from the Select claim form dropdown list.

o We suggest you save custom templates to the \MPN\Forms folder on your computer.

o As always, GalacTek can create such templates beginning at $150 and up depending on the form’s complexity.

o The form cannot request information that ECLIPSE doesn’t currently provide.

April 24, 2012

Added service line comments & condition date to Dashboard by request.

April 18, 2012

Fixed option added 2/2/2012 to rename Encounter tab titles for printing.

Attorney statements are now reflected in the ledger’s comments column with itemized statements. Both statement

types now update the same field to indicate the most recent date either statement included a specific service.

ANSI 277 Acknowledgement updates.

April 17, 2012

Updated patient bills to allow units display by trading space from CPT descriptions.

Updated ANSI 5010 Professional processing for J code handling.

Updated CMS 1500 form for TX Worker’s Comp.

Page 8: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

April 14, 2012

A custom variable added after the last variable in a sub-section (e.g. Cervical Changes in this condition) would

precede instead of follow its expected placement.

Updated ANSI 5010 Institutional claim processing.

Updated ANSI 5010 Professional processing for J code handling.

April 5, 2012

Google calendar seems to have made changes that occasionally result in server errors during appointment

creation/updates. We traced this to hard carriage returns between alerts when multiple alerts (at least 4) exist. We

have substituted semi-colons (;) between alerts.

Updated Dashboard tab to reflect case changes.

April 4, 2012

An issue handling deprecated code in the Encounter’s Lower Extremity template could cause a program crash.

ANSI 277 Acknowledgement updates.

Updated receipt printing to include better spacing between ICD codes.

April 1, 2012

Over the years, the tremendous # of requests we receive has forced us to add more functionality… often on new

“tabs.” The new Dashboard tab consolidates much of that information in one place. o The leftmost windows show multiple 3D charts detailing the patient’s financials. o The first patient window to the right contains the patient’s name & nickname, age, alerts, authorizations, next appointment

information, contact preferences & allowed contact types, primary & secondary coverage, and deductible info. o The next window displays last visit information including the date and office/CPT codes used, ICD codes & descriptions from

the permanent condition, along with allergies, problems, and abnormal lab results. o The next window contains the patient’s last Encounter as formatted text. o You can hide the Dashboard by turning permission off in a user’s Patient Permits. Otherwise, as long as each user has permission

to access the Personal & Ledger tabs, it will be displayed. Encounters will display only if EHR access is permitted. Deleting documents from the Documents tab has been updated by request to make it more difficult to avoid

accidentally deleting documents. ANSI 5010 changes.

March 27, 2012

In some versions of Microsoft Windows, ECLIPSE screens that used a variety of dropdown lists (e.g. the Provider

PINS tab) might take 20 – 30 seconds to display.

March 26, 2012

Fixed issue introduced 3/26 to 3/25 Encounter update.

March 25, 2012

When Guarantor coverage is set to Apply patient copayment by visit + payer %, the patient responsibility can

be miscalculated for high copayments.

ANSI 837 5010 changes for CPT codes in range 78800-79999.

March 24, 2012

When we introduced the Encounter in September, 2010, you could select which fields to copy to a new

Encounter from the most recent Encounter. We later updated that capability to let you choose from any existing

Encounter. Now, you can edit any of these fields as you review them. The selection grid that allows you to check

fields for inclusion now has a new column with an Edit button. Simply press Edit to edit any field in place and

save even more time as you complete SOAP in seconds. Though we have tested this thoroughly, it’s brand new,

so we suggest you check it over a period of days or weeks before taking it for granted.

Fixed option added 2/2/2012 to rename Encounter tab titles for printing.

March, 19, 2012

Page 9: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

Some users have complained that the Del button on the Encounter – even with the current confirmation

requirement – makes it too easy to accidentally delete an Encounter. This has now been updated to require that

you physically type in the letters “YES” to confirm the deletion.

March 12, 2012

More Encounter fixes to continue March 6th changes.

Added guarantor’s policy ID# to Encounter headings.

March 8, 2012

ANSI 837 5010 changes for CPT codes 97039 & 97139.

March 6, 2012

Encounter fix for electronic billing as PDF.

March 2, 2012

ANSI 5010 SBR changes.

February 29, 2012

Fixed grid data verification issue in Encounter after data is copied from a prior Encounter.

The Statement of Account was altered on request to move the patient’s name farther to the right. Apparently,

when statements shift within some window envelopes, the patient’s name may be revealed.

February 23, 2012

ANSI changes for CLIA.

Specialty info included when exporting referral data.

February 15, 2012

Audit log reports can now display deletions separately from other items.

Fixed intermittent Encounter problem with hiding existing text selections.

February 8, 2012

Updated 2/3/2012 NY NF-3 changes to handle PIN issue in box 16.

Updated dynamic grid handling within the Encounter to better handle blank rows.

February 7, 2012

Additions to ANSI 277 acknowledgments provide service level information.

February 3, 2012

Additional changes have been made for HL7 lab import following changes made 1/31/2011. Reference ranges are

now imported and displayed for non-specimens and a fix ensures proper import of the ordering provider.

By request, the imaged NY NF-3 billing form has been updated. If the treating provider is a PT: o This information is automatically used as an override and placed in box 16 on page 2 of the form. o The degree type of the provider assigned to the bill for box 21 on page 3 is checked. If the degree type is

PT, the patient’s assigned provider at the case level is substituted in box 21.

February 2, 2012

ANSI 5010 changes.

You can now control how Encounter tab titles such as “Other Complaints” appear when printed. Right click on

any tab (e.g. Cervical) and select Edit current tab’s printed title. Your changes will not appear on your

monitor/display; they will appear only on printed versions of the note.

CA Worker’s Comp requires additional information in fields 10D and 22 on the printed CMS 1500 form when re-

submitting “duplicate” or “appeal” claims. You can now enter this information independently on each bill by

editing the bill and pressing the UB-04 / CMS extras button.

January 31, 2012

Page 10: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

ECLIPSE now imports patient lab results from Dynacare Laboratories. Additional columns have also been added

to the Reported Tests grid to handle various flags (e.g. “Low normal”) as well as the ordering provider. In order

to import lab results, simply press the Import HL7 button on the patient’s History tab. Don’t forget to ensure

that the Reported Tests grid is displayed. Otherwise, it may appear that no data has been imported.

January 24, 2012

Fix for changes made 1/18/2012 could cause a program crash during simultaneous editing by multiple users.

January 23, 2012

ANSI 5010 changes. CMS 1500 changes.

January 18, 2012

CMS 1500 “print capture” changes for CA Worker’s Comp. Conditions added via an Encounter will now prompt you to copy associated data (e.g. authorizations). Simultaneous editing of patients by multiple users can re-initialize an unsaved Encounter. Encounter updates are

now saved automatically during this process.

January 17, 2012

ANSI 5010 changes. CMS 1500 changes for CA Worker’s Comp. Added a History button to the patient’s Educational tab that allows you to review the audit history for utilization

of Krames resources.

New options have been added to the CPT code database.

o A 50 character permanent comment on the CPT Advanced tab can be used in conjunction with an

override on the General tab: Override service comment during billing. This field is longer than the

comment field attached to each service and allows use of repetitive comments on bills.

o Each office code can be independently marked as an “exam” by checking Consider this an exam when

calculating alerts on the CPT General tab.

A new Alerts option allows services that you mark as an “exam” in your CPT database to be recognized by the

Alerts system in order to calculate visits since the last exam.

January 13, 2012

ANSI 4010 & 5010 changes for institutional claims.

ANSI 277 changes for 5010 acknowledgment reports.

January 3, 2012

ANSI 5010 changes.

December 31, 2011

The inventory Status report has been updated to include values of current inventory items along with total current

inventory value. Updated an issue which affected IHCFA billing for older 32 bit operating systems.

December 29, 2011

ECLIPSE now handles ANSI 5010 277 type acknowledgment reports in addition to types 997 & 999.

Attempting to delete an appointment from a patient’s folder when none was selected caused ECLIPSE to crash on

32 bit Windows versions.

Fixed potential errors in legacy notes when using Previous/Next SOAP buttons.

Added Cellcom as a carrier for text messages.

December 20, 2011

Changes for CMS 1500 form in CA & WI.

Customization of Encounter grids via additions & hidden items could cause the pop-up dialog to freeze or crash

ECLIPSE.

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December 15, 2011

Incorporated NY C4.3 January 2012 revision.

December 11, 2011

In order to better calculate Meaningful Use NQF measures for offices that use a variety of creative ways to handle

their billing, the NQF Audit report has been updated to allow you the option of using the Managing Provider field

on the patient’s Case tab in lieu of the patient’s assigned provider. o NQF calculations require the patient/provider relationship to be handled as a 1:1 association. If health care providers in your office all treat all

patients, this assignment allows you to create a concrete relationship for measure calculation. o The calculation will ignore patients with managing provider assignments of provider (s) with an ID# of 0.

PDF consolidation of multiple scanned documents is a technical challenge across the broad range of PDF & OS

types. ECLIPSE has a new configuration option (Override primary PDF consolidation method on the

Configuration dialog’s General tab) that provides technically different primary & secondary methodologies for

consolidating such documents. The primary method is faster and results in smaller files. However, if a problem

occurs, the secondary method ensures that there’s no interruption in billing when SOAP needs to accompany

services.

CMS 1500 form update for CA Worker’s Comp.

December 5, 2011

Diagnosis descriptions didn’t propagate to new conditions added from the Encounter.

ANSI 837 & 999 changes.

The internal email editor now starts a new paragraph when you press Enter.

November 18, 2011

A new view has been added to the scheduler. Click on the Queue tab to see the current patient queue in arrival

order. ANSI 837 changes for 5010.

November 15, 2011

Attachments can be added to email using the Reports | Form Letters feature. Keep in mind that large

attachments and/or email containing extensive graphics require a high bandwidth internet connection.

November 8, 2011

When we implemented the X-Charge credit card interface in 2009, we hadn’t anticipated that some of you would

be using a single ECLIPSE database to handle multiple business entities. Nor did we realize that some of you

would pursue multiple Merchant ID’s (MID) with X-Charge to handle factors such as differing rates for stored

(vault) vs. retail (swiped) CC transactions. You can now update each provider in your database to handle two

MID’s. The Retail (swipe) ID is for swiped or hands-on CC transactions. The Stored CC is for use when you’ve

stored CC information in the ECLIPSE Credit Card Vault (commonly referred to as MOTO – Mail Order Phone

Order transactions). o Overrides for Merchant ID’s can be added on the General tab for each provider. o You must enter data in both fields. If you only plan to use one Merchant ID override, enter the same value in each field. o If you don’t have multiple Merchant ID’s for your practice, leave these fields blank. o The ECLIPSE CC vault is designed to store data for a single card. This data is stored with a Merchant ID if you utilize overrides. Keep this in

mind if you intend to use stored cards with a variety of Merchant ID’s. o If you use the “CC Vault” with a Merchant ID and then attempt to use the stored information with either no Merchant ID or a different Merchant

ID, you’ll receive a message that includes the information as “Unrecognized.”

ANSI 837 changes.

November 2, 2011

Contact info for the patient now displays in the same manner on both the patient’s Personal tab and the

scheduler’s Views tab. CPT entry via the Encounter bypassed ECLIPSE security. This has been corrected.

November 1, 2011

EDI changes for ANSI 4010 & 5010 claims.

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October 31, 2011

Add custom text to dropdown lists in existing Encounter grids. From the context-sensitive menu, select Add/Edit

custom text selection(s). This option has been updated to allow you to select and add text to appropriate grid

columns.

October 25, 2011

As of 1/18/2011, the Encounter allowed you to define & place your own custom rows anywhere in an existing

template. It’s now possible to add custom grids containing as many as 10 columns. You can add grids with a fixed

# of rows or dynamic grids.

October 21, 2011

PDF changes from 10/16/2011 might not properly handle a situation where only one document exists in the

consolidated set.

October 16, 2011

ICD descriptions can optionally be added to Encounter data along with ICD codes. Hide existing Encounter selections in dropdown lists, grids, and checklists that you don’t expect to use in your

clinical documentation. Right click for the context-sensitive menu and select Hide/show standard text selection(s). Updated “Meaningful Use” calculation for patient reminders measure to automatically account for patient age

without use of a data filter. NQF measures have been updated to coincide with the latest guidelines (which have been in a state of flux for

months): NQF 0013 & 0018 now check for a single instance of a valid BP during the year and additional 402,

403, and 404 level ICD codes to determine eligibility. When multiple users simultaneously access patient folders, changes made 8/10/2011 allowed the Encounter list to

temporarily appear to double for a secondary user once the primary user exited the folder. Changes for ANSI 837 4010 & 5010 billing formats. Microsoft WORD documents are now included when various documents are consolidated to a single PDF

document. Updated PDF technology recently provided by AMYUNI caused issues with document consolidation from the

ledger or during billing. We are now using an alternative method to image each document file and add to a new

PDF. Note that even with maximum compression, this results in a larger PDF file.

October 6, 2011

Fixed issue when double-clicking [to the left of] any grid adjacent to 1st column.

September 30, 2011

ANSI 837 changes for TX Worker’s Comp.

AMYUNI has provided updated PDF technology to correct a problem with “empty” pdf documents that caused

ECLIPSE to crash during operations such as sending a report to Preview/Print.

Data from the most recent Encounter is now available when using PatientCalculated->LastEHRSOAPNoteText and related

variables in form letters & fee slips.

September 23, 2011

The Add button in the form letter designer had become disabled by changes made 9/21.

September 22, 2011

Documents can now be scanned in color without using the Custom option in the dropdown. ECLIPSE

automatically requests what we consider to be optimal settings to ensure high quality while minimizing file size.

September 21, 2011

ECLIPSE can now email form letters that contain graphics. Any existing form letter containing graphics must be

edited and saved in order to ensure proper formatting.

Added a “unit price” column for the CPT database.

The most recent Precautions (added under Assessment) for an Encounter are now located and displayed, along

with the date, when you press the Notifications button on the Encounter tab.

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Permission to delete appointments was automatically granted after using the patient tab’s context-sensitive menu

to save data. This has been corrected.

IHFCA bills that had no notes to accompany each patient generated an error in ECLIPSE versions dated after

9/2/2011.

September 16, 2011

ECLIPSE is now able to handle graphics (e.g. letterhead) in your printed form letters.

Well under 1% of you use Windows Remote Desktop to run ECLIPSE. A Microsoft defect related to the

WTSQuerySessionInformation API caused ECLIPSE to crash directly after moving to the latest Microsoft

development environment two weeks ago. We have replaced this call with a Microsoft recommended alternative.

September 15, 2011

Annotation & form capabilities previously restricted in various versions of ECLIPSE are now available in all

versions.

September 14, 2011

A custom fix provided by AMYUNI on 8/16/2011 and first distributed after 9/2/2011 caused an issue when

converting images to PDF for annotation. AMYUNI has provided updated technology.

September 9, 2011

You’ve been able to send text messages directly from the scheduler for years via the context sensitive menu.

Now, you can send email as well.

September 8, 2011

Scanned files in TIF format could be misinterpreted as PDF files by the image previewer on the patient’s

Documents tab.

September 7, 2011

Depending on your physical screen size, it can be difficult to keep track of the current row when editing an

Encounter. This has been addressed via tooltips that follow your cursor.

“894” errors courtesy of a FairCom library upgrade have been handled by moving back to the prior version.

Client/Server users should prepare themselves for a FairCom Server upgrade in coming months. Their pricing will

be dependent on your user licensing.

September 6, 2011

PDF documents created by ECLIPSE are automatically password protected. The preview window on the

Documents tab prompted for a password [to open the document] after the 9/2 changes. This has been corrected.

September 2, 2011

ECLIPSE has been ported from Microsoft VS 2008 to the VS 2010 development environment. Due to issues with

licensed technologies that have not been updated by the respective manufacturers, some capabilities have been

updated: o The imaging capabilities have been replaced. Though everything should basically appear the same, PDF documents will now be included when

documents are previewed in the patient’s Documents tab. The context sensitive menu (right-click on the image) contains numerous

enhancements. Image screens now appear black when no image is displayed. Images scanned in “Single document mode” will no longer display as separate pages.

o Also, the old SpellEditor technology was replaced everywhere in ECLIPSE with one exception several years ago. The legacy 2007 SOAP Notes

now uses the same editing technology as the rest of ECLIPSE but the two windows cannot be resized. Also, use the context-sensitive menu for print or spell check operations.

o Some functionality has been dropped from the legacy 2007 SOAP system. ECLIPSE no longer allows diagrams to be created or drawn on and

does not allow imaged signatures (which have no legal use) to be added to notes.

Encounters can be locked to prevent further edits. o There are two new buttons on the Encounter tab that relate to this feature.

o The Lock button allows the current user (if appropriate permissions exist) to actually lock the current Encounter. Once you press the button, you

must confirm by checking a checkbox and entering your ECLIPSE login password. o The Addendum button allows you to create and edit an addendum to the note. It’s up to you to date the addendum.

o Icons have been updated to show which Encounters are currently locked.

o You can attempt to edit a locked Encounter. However, if/when you attempt to save the data, a message will be displayed and the data will not be saved. Nor will you be able to modify and then print a locked note. ECLIPSE will revert to the original before printing.

o Once a lock is in place, there is no way to undo it aside from restoring a backup. This protects you in the event that your ability to edit locked

notes comes into question at a later time.

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o Once you lock an Encounter, the following type of verbiage will appear on printouts directly below the header (containing the date & provider

name) for each note: “Electronically signed on 9/2/2011 @ 10am.” The date and time reflect the last date you edited this Encounter – not the date you locked it.

o Note that locking Encounters is NOT a legal requirement. However, it is recommended by malpractice insurers that such procedures are

implemented.

o In order to change permissions to allow locks, you must access Database Tables from the File menu and select the Users database. Then, on the

Permits tab for each user, select Patient Permits in the tree, followed by EHR tab, and check the last item labeled Lock Encounters.

Fixed an Encounter issue when using the Next/New button to create a new Encounter and copy from a previous

Encounter.

A new view has been added for the NQF/PQRI Measures report. This report now displays to the screen the

information that has been saved in the report file.

ECLIPSE has been updated to read ANSI 5010 claim acknowledgement (999) files.

Fixed an issue when creating EHR documents from the ledger tab. If “SOAP” and “Notes” were checked, but no

other documents were included, the printout was aborted.

August 19, 2011

Updated various ANSI 5010 protocols in response to testing.

Fixed configuration issue introduced 8/1 and available for download on 8/4.

August 10, 2011

By request, we have relaxed some of the locking requirements in effect when multiple users simultaneously

access patient files. Secondary users can add, edit and update documents, history information, and encounters.

August 3, 2011

Fixed screen update issues.

August 1, 2011

ECLIPSE is now fully certified as a Complete EHR by CCHIT to meet ONC-ATCB Meaningful Use

requirements.

o Our ID# is CC-1112-353010-3. The 15 digit number you enter into the CMS system when prompted is

30000004S9VAEA0.

o To sign up for incentive payments with CMS, visit https://ehrincentives.cms.gov/hitech/login.action.

o From the Reports menu, select Patient List. Press F1 for HELP and read about Automated Measure

Calculation. This section contains extensive instructions on each and every Meaningful Use measure,

how you can meet the requirement in ECLIPSE, and how you can check which patients meet the criteria

for that measure for high percentage measure requirements.

o If you intend to pursue incentive payments, we strongly urge you to purchase a Krames subscription to

help you meet the requirements for educational resources. Medical practices must subscribe to our

electronic prescriptions module to handle multiple measures.

Numerous updates have been made to the Encounter templates.

You can now access the developers’ blog directly from the ECLIPSE HELP menu for information on current

topics.

June 23, 2011

CMS-1500 changes for FL Medicare box 11.

June 14, 2011

On the patient’s Personal tab, when you setup an alternate recipient for statements, the “Copy” button has been

modified to allow copying either the patient address or assigned attorney information from the current case.

The “Patient data has been modified. Save changes?” prompt is familiar to all ECLIPSE users. History data is

now included in this automatic check – in the event you neglected to press the Save button.

Statistics report headers have been modified to include provider ID#’s.

June 10, 2011

The data filters have been updated in order to help you better determine which patients don’t meet “Meaningful

Use” requirements. Checking the following filters without entering filter text will return patients who do not meet

the requirement that filter represents. The affected filters are Allergies, Lab Results, Medication and Problem.

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This makes it easier for you to update the main requirements for Meaningful Use. We suggest that once you

identify a patient, you ensure all additional measures (where applicable) are properly updated simultaneously (e.g.

smoking status). We suggest you use these filters with a patient list.

June 8, 2011

Fixed an issue that specifically affected tablet pens when clicking checkboxes to select individual fields to

migrate to the next Encounter.

June 7, 2011

ECLIPSE was modular certified by ONC-ATCB for 20 of 35 tested measures for “Meaningful Use” on January 4,

2011. As of today, ECLIPSE has been certified for 11 additional measures. 4 measures remain and we’re working

on them now.

o Note that measure 170.302n – Automate measure calculation – is now done & certified. See the

1/10/2011 README entry for additional information. Note that when you print a patient list to calculate

this data, press F1 from the Patient List tab on the Report menu to view how each measure is calculated.

The calculation always appears as the last page on the report with its own header.

May 16, 2011

Searchable, web based patient education resources are now directly available from the patient’s EHR tab.

According to the ECLIPSE clients who evaluated these resources: “This would be PERFECT. They also do

chiropractic pamphlets, so many of the doctors will already be familiar with them” and “It looks

FANTASTIC. Excellent descriptions and simple enough to understand for a layperson yet includes all the data

and information to be scientifically accurate! I am going to start using this immediately!!!!!”

o Krames is the market leader in patient education and consumer health information solutions. Over 85

percent of American hospitals, as well as leading health plans, employer groups, private practices and

pharmaceutical companies use Krames’ solutions to improve quality of care, streamline workflow and

lower healthcare costs. GalacTek has partnered with Krames to bring you this content via an annual

subscription fee. Ample education resources exist for chiropractic, medicine, and physical therapy.

o The new tab within the EHR is labeled Educational. From this tab you can access the following over

your internet connection.

Krames content. You will be prompted to sign-up for the service when you press the button if

service has not been activated. Offices that intend to use ECLIPSE to demonstrate “Meaningful

Use” will need to activate a subscription for this content in order to meet federal requirements.

Medline Plus for drug information.

In order to comply with updated HITECH EHR rules (170.304.e), the Encounter tab’s Problem List button has

been renamed Notifications. In addition to problems, it now displays abnormal lab tests and vitals readings (i.e.

BP and/or BMI) within the past 12 month period. It may also advise you – based on demographic and history

information – of associated risks such as diabetes.

May 3, 2011

When you enter contact information (e.g. phone, email, etc.), the patient’s contact preference and allowed contact

types are now tracked. The contact preference is available as a dropdown list and optionally displayed on patient

lists rendered to the screen. Checkboxes next to contact fields (e.g. Home phone) allow you to indicate if this is an

allowed contact method.

An issue created 12/11/2010 prevented patient’s smoking status from appearing on related reports & printouts.

Appointment templates can be updated to ignore provider information, thereby allowing a single template to be

used for multiple providers.

April 27, 2011

ECLIPSE is now INGENIX/Claredi® certified for both ANSI 5010 Professional & Institutional claims.

April 23, 2011

When selecting a prior Encounter to copy, the list now displays the provider assigned to the Encounter.

Three new tabs have been added to the Encounter. Each was designed to be customized by you and has simply

been initialized with one or more free form edit controls.

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o Other Complaints has Subjective, Objective and Assessment areas and will be included within the

appropriate sections. o Data added to the Preface will precede all the other tabs & headings in your note. o Postscript follows all the data and history information added to your note.

The Encounter’s popup text edit box is now resizable and can be maximized.

April 20, 2011

For the past two years, you’ve been able to toggle various editors (e.g. daily reminders, patient notes) between

two views by pressing the rightmost “Page View” tool button. Neither view allowed text to scroll horizontally

past actual page margins (e.g. 8.5” horizontally) on your screen. Now, you can toggle among three options by

repeatedly pressing the button. The new view simply scrolls text across the entire control on your screen. Note

that we cannot modify the default view.

April 14, 2011

Page numbering added 3/17/11 affected form letters.

Excel 2010 documents can now be imported via the Documents tab.

In order to comply with updated HITECH EHR rules (170.302.l), right clicking directly on a patient’s name tab

for a context-sensitive menu allows HL7 export of public surveillance diagnostic information.

April 6, 2011

In order to comply with updated HITECH EHR rules (170.302.k), the History tab’s Immunization section has

been updated. Among other things you can select immunization & manufacturer info directly from CDC tables.

Right-click to export immunization data to the clipboard in the HL7 format.

April 1, 2011

Added anesthesia minutes to ANSI 837 electronic claims.

On some computers, changing the font size for the Encounter resulted in an incorrect page numbering scheme.

March 29, 2011

The Item History link in the Encounter was not operating properly for grid data.

March 24, 2011

In order to comply with updated HITECH EHR rules (170.302.i), new data filters have been added for patient age,

lab results and problems. The problem filter accepts ICD codes or text (e.g. diabetes). Multiple lab filters can be

created using either a range, low or high filter value, along with Boolean logic. Thus, you can search for patient

with Total cholesterol > 200, HDL < 40, and Triglycerides > 150 based on either all or any of your criteria being

met.

Custom row capabilities added 1/18/2011 could be adversely affected when a new row was first added directly

after another custom row, and then later edited after the original was saved. The edited row variable seems to

disappear – but is simply out of order within the file.

New capabilities have been added to patient lists generated to the screen as a print destination.

o Right click the [sorted/ordered] grid to create a PDF in landscape mode when using Preview as your next

print destination. Screen views wider than about 10.5” may force columns past this “page size” to appear

on a new [extension] page. It’s up to you to ensure your columns don’t pass this limit by resizing.

o Some data filters that are likely to have disparate values (e.g. age) automatically create new columns to

allow the report to be sorted by simply clicking on the column header.

March 17, 2011

Page #’s have been added to the base of all formatted/printed Encounter pages.

March 14, 2011

Before today, Encounters have been chronologically listed under the Encounters folder on the left side of the

Encounters tab. This has been updated to include a second level of folders that separate Encounters by year.

In order to comply with updated HITECH EHR rules (170.304.j), we’ve added a new report for NQF & PQRI

measures. This report appears within the Audit folder in the Reports tree.

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March 12. 2011

When initiating a new Encounter, you can now select any previous Encounter in the patient’s current case to

copy data from. If more than one Encounter exists, you’ll be prompted with a list in chronological order. The first

column will display the date, with a second column to indicate whether this was an Exam, Re-exam, or SOAP,

and a third column that displays which tab templates (e.g. Cervical & Plan) were in use for each Encounter.

March 9, 2011

Unassigned payments (i.e. bill 0) are now displayed in the Current Status box on the right-hand side of the Add

services/credits dialog. Deposit slips were (and still are) intended for reconciliation… not submission. However, we have added an

additional checkbox to allow de-identification of PHI for those of you who elect to provide these to your bank.

March 4, 2011

Fixed issue when multiple users were accessing a patient and the user with full rights to the folder released it.

We recently spent so much time troubleshooting AMYUNI issues (see 1/26/2011 entries), we introduced an issue

with proper printing of continuation forms as part of the troubleshooting process. This has been corrected.

February 22, 2011

Spell check has been added to the pop-up free form dialog in the Encounter.

February 9, 2011

Current medications have been included automatically in Encounters. This has been changed by user request to a

checked item in the Attach History list. Prior Encounters must be updated to include this information.

February 1, 2011

Updated ANSI 837 institutional electronic claims for secondary billing. Updated appointment options added 1/26/2011 to include appointment that are manually marked as completed… Included custom fix from AMYUNI for PDF form problem noted 1/26/2011.

January 26, 2011

If you use the Arrived option to mark appointments, when you print Completed appointments, the list will now

show a new line with check-in and completion times as well as the duration of the visit. Note that completed times

will not be generated before this update has been installed.

The daysheet has been updated to include a separate total for non-EFT payer payments.

In order to generate and edit forms in the pdf format, we license technology from AMYUNI. This technology is

also licensed by companies as diverse as Intuit (for the Quicken series of products), and Microsoft. Though we

attempt to carefully test updates provided by AMYUNI, we regret to report that an error in the way checkboxes

are marked on forms has become apparent in their latest release. Thus, this update returns ECLIPSE to a prior,

more stable release. Providers in NY who fill out myriad Worker’s Comp forms should check with the HELP Desk

if they’ve been using interim updates between 1/10/2011 and 1/26/2011.

January 21, 2011

In order to handle a recent request by doctors who are placing computers in treatment rooms, a new tool button

has been added to the ECLIPSE toolbar. It allows the current user to instantly logout with a single button press.

You can hide rows in Encounter templates by right-clicking within the Encounter for the menu and selecting

Hide/show rows. A list of all the variables in the current template (e.g. Cervical) will be displayed. Simply check

the variables (rows) you want to hide – the variable names are self-explanatory and appear in the same physical

order in which the rows are displayed during data entry. You can uncheck rows (to re-display them) at any time

by repeating the process. Note that existing data for hidden rows will not be included in any reports. Your changes

are stored separately and will not be affected if you download updated templates.

Added a new option to the Daysheet to allow reconciliation of services and Encounters. If you check the

Reconcile with Encounters option before you run the report, a list of patients with services (that count as visits)

but no Encounters will print at the end of the Daysheet report. A new field has been added to the patient’s case tab by request to assign a Managing Provider. This provider

assignment is not used anywhere in ECLIPSE, but can be accessed by programmers for custom report creation.

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Fixed a problem with the Encounter introduced on 1/7/2011. Updates using the popup dialog instead of the slider

control did not save along with other modified data. Fixed a problem with custom row editing introduced 1/18/2011.

January 18, 2011

When the Encounter was introduced in September, 2010, it was possible to add custom text to existing rows, but

you couldn’t add new rows with data defined completely by you. The Encounter now allows you to define &

place your own custom rows anywhere you want in an existing template. Your definitions are stored

separately and should not generally be affected by future updates with updated templates. Currently, you can

create 4 different types of data rows: add a free form text field, a drop down list (from which you will select

one item), a list of items with checkboxes (from which you’ll select one or more items), or add a slider to

store a value. o Select the row after which you want to insert your custom row/data.

o Right click for the menu.

o Select: Add a custom row after the currently selected row.

o Assign a variable name, such as MyCustomData. Each variable must be assigned a unique name. (Think of it as an address for

the information you’re adding.)

o Enter separate prompts for the report/note and your screen prompt.

o Choose the type of row you want to create. If you’re not sure, look at existing rows in the template for guidance.

o If this is a dropdown list or list of checkboxes, enter as many lines of text as you need on the right. For sliders, enter a range.

o Click Save & Exit.

o The variable is available immediately for data entry.

You can also edit & delete the custom Encounter rows you’ve created via the same right click, context sensitive

menu. You must have appropriate permissions to edit templates in order to access any of these capabilities.

During editing, you cannot change variables names or data types (e.g. a slider to a dropdown list). However, all

the data pertinent to your S.O.A.P. can be edited. Note that repeated editing of text selections in variables such as

checklists will affect the template’s ability to properly access and re-display your data. Thus, once you’ve created

a text entry for a checklist, do not change individual lines after you’ve begun using them.

If you import 835 remittance files, ECLIPSE has been updated to allow you to select the date (usually today) that

will be used for each credit applied prior to processing.

January 10, 2011

Fixed problem with pdf form creation whereby the Properties dialog failed to display.

In order to comply with updated HITECH EHR rules (170.302.n), we’ve added new functionality to the patient

list to calculate percentages for meaningful use objectives. A new checkbox: Automated measure calculation,

adds a page to the end of printed reports with specific objective use measures. This page will be submitted by you

to demonstrate that you’ve met meaningful use objectives and qualify for payment. Filter by provider for different

health care professionals in the practice. Here’s how each measure added thus far is calculated: · o “Problem List,” “Medication List,” “Medication Allergy List” and “Vital Signs” counters are incremented for each patient in the search with at

least one History tab entry for the tested measure. o The “Smoking Status” counter is incremented if a History entry exists for Social History or Vital Signs. The denominator for this item only

increments for patients 13 and older. o “Record Demographics” (e.g. ethnicity, language, race) is incremented if at least one of ethnicity, race, or language fields on the patient’s

Personal tab have been filled out. o “Provide patients with an electronic copy of their health information” is tallied through the audit history when you use the Export CCR button

on the History tab or the Basic patient information printout from the ledger Print button’s Other tab. o We will be adding more items in the coming months as we seek further certifications.

January 7, 2011

In the Encounter, you can now double-click on the value in any slider control to get a popup dialog so you can

enter a value manually, via spin buttons, or via push buttons.

January 5, 2011

Updated Google calendar interface to synchronize multiple appointment creation operations from the patient tab.

Updated CMS 1500 form for NY BC/BS to include taxonomy codes.

January 4, 2011

A user requested that we allow manual editing of automated credit card processing transactions during the posting

process. Though this technically defeats the purpose of automation (and we recommend that you handle such

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situations manually), ECLIPSE now allows you to edit the amount to be charged after processing pending

transactions. This amount can be edited for any row in the grid of pending transactions. o The amount stored in patient’s case will be assumed to be a maximum allowed value. o Once you press the Process button, the amount in the grid will be compared with the amount stored for this patient.

o If the amount you entered is greater than the maximum, it will be reverted to the maximum (i.e. original value).

o If the amount is less than or equal to $0, it will also be reverted to the maximum (i.e. original value). The comments field will reflect this as the transactions are posted.

In order to comply with updated HITECH EHR rules (170.304.i), we’ve added a new import option to the EHR’s

Documents tab. Select Create a document… by importing supporting document files to import a Continuity

of Care Document from another healthcare system. ECLIPSE will attempt to launch your default browser to view

the file. o In the event, xml files are not associated with your browser (e.g. Internet Explorer) in Windows, the file association must be changed on your

computer. o This document is different than the Continuity of Care Record added on 11/15/2010.

December 23, 2010

ECIPSE automatically uses your email client (e.g. Microsoft Outlook) when you’re sending a single email. (We

handle bulk email differently.) Unfortunately, 64 bit versions of Microsoft Office won’t function using the

existing Microsoft interface. o If you’re running a 64 bit version of Office, check the box in the Import / Export / Email tab in the Configuration.

A new Copy from… button on the patient’s Personal tab allows you to copy the last name, address, home phone,

and fax from another patient.

December 22, 2010

The “Patient data has been modified. Save changes?” prompt is familiar to all ECLIPSE users. Encounters are

now included in this automatic check – in the event you neglected to press the Save button.

A new type of popup alert that fades on its own (without any interaction from you) has been added to ECLIPSE.

The first place you’ll see it is within the Encounter, where it’s been added to the Save button. (A transparent

window that fades over several seconds will appear in the lower right-hand portion of your screen when you press

Save.)

Additional columns have been added for a variety of History tabs. These tabs are relevant to the Continuity of

Care Record (CCR) document added 11/10/2010.

Preprinted statements were not included in the statements types subjected to configuration overrides for 18+ year

olds. This has been updated. The History tab’s Delete button has been updated to simultaneously handle multiple entries. Separate Copy & Paste buttons have been added to the History tab. These buttons can copy & paste the entire

patient history or selected history items between patients. These buttons have been added to facilitate ONC

certification testing by us. The Delete button in the patient Appointments tab has been updated to show a progress indicator on the status

bar in the event the Google calendar is being updated during multiple appointment deletions. During Encounter editing, an internal “modified” flag is set when data you’ve entered has changed. Under very

specific conditions, the flag was not properly reflecting modification of the data for a row. This has been

corrected.

December 11, 2010

Updated Encounter features added 11/23/2010 to include ICD descriptions when adding or updating Conditions

(selected from the ICD database).

Updated Google calendar interface to synchronize cut/copy/paste operations in the scheduler.

Updated Encounter to ensure Social History smoking status was displayed properly on reports.

Updated Problem List to auto-populate associated ICD description field with the selected ICD description.

November 29, 2010

Updated Google calendar interface to improve search performance when appointments are being edited or

deleted.

Updated CCR (Continuity of Care Record) export options added 11/11/2010 to attach CCR to an email.

November 23, 2010

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Diagnoses have been coordinated with Condition tab updates when added or edited in the Encounter tab (under

Assessment). Simply use the new Condition button on the Assessment… Diagnosis dialog when adding ICD

codes. You can continue to add ICD codes using the ICD button as well.

CPT entry for an Encounter now works in precisely the same way as daysheet entry on the Ledger tab. o Press the Save / Close button to add entries to the ledger and CPT codes to the Encounter. o Press the Close button to add CPT codes to the Encounter only.

o Other actions (e.g. pressing the Close box at the top right edge of the dialog) clear the CPT entries in the Encounter.

o Prior CPT entries are not retained if you open & close the daysheet dialog unless they correspond to services in the displayed grid.

Standard versions of ECLIPSE with the Apply prior ICD codes by service option selected in the Configuration

retained prior ICD assignments when a new Condition was added.

November 17, 2010

A new option has been added to allow services to be excluded when generating patient receipts.

CMS 1500 form changes for GA Medicare/Medicaid PT.

If you use the Google calendar, you can now optionally configure the scheduler to add & delete appointments

directly to/from each provider’s main calendar. In the event you’re unaware, your Google calendar can be

synchronized with – or accessed from – your iPhone, smartphone, etc. o You must have broadband internet access. (A slow connection will have a significant impact on performance.)

o From the Configuration dialog, check Automatic export to Google calendar by provider on the Import / Export / Email tab.

o Edit relevant providers, and enter the email address and password each provider uses for his/her Google calendar. Check the Enable Google calendar updates checkbox on the lower right of the General tab in the Provider dialog.

November 15, 2010

In order to comply with updated HITECH EHR rules (170.304.i), we’ve added a new import option to the EHR’s

Documents tab. Select Create a document… by importing supporting document files to import a Continuity

of Care Record from another healthcare system. ECLIPSE will attempt to launch your default browser to view the

file. o In the event, xml files are not associated with your browser (e.g. Internet Explorer) in Windows, the file association must be changed on your

computer.

November 10, 2010

For automatic credit card processing, you can optionally create a finite interval during which automatic billing

will occur (e.g. 3 payments and then stop). In order to comply with updated HITECH EHR rules (170.304.i), we’ve added a new button to the EHR’s

History tab. Select Export CCR to export a Continuity of Care Record for import to another healthcare system

such as Google Health or Microsoft’s Health Vault.

November 4, 2010

Though statistics reports have always been restricted based on permissions, stats have never been restricted as part

of the daysheet. (The original daysheet – circa 1985 – could only print data for a single date.) Changes made in

1999 allowed daysheets to span date ranges. As a side-effect, this allowed statistical data for any date range to be

printed along with the daysheet. By request, when daysheets span a range of dates, this update prints statistical

data if and only if users have permission to print statistics reports. (The statistical data is exactly the same on both

reports.)

November 1, 2010

New additions have been made to the Encounter templates. o Balance & Change in movement (hypo & hypermobility) can now be addressed under Objective. o Transfers, Job Description, Catheters & tubes, and Devices can now be added under ADL. o Types has been added in ADL under the heading Exercise. o Location/Devices/Interruptions has been added in ADL under the heading Sleeping. o Strength in all templates has been modified to include alternate options (lifting in lbs. and pain level). o Other changes have been added throughout.

In order to comply with updated HITECH EHR rules (170.302.d), and to further prepare for our upcoming

prescription drug interface, we’ve added new columns to the History tab’s Medication list. These new fields

have been added to more precisely identify specific prescription drug information. Note: The RxNorm column

will only be editable until we conclude ARRA testing.

In order to comply with updated HITECH EHR rules (170.302.e), we’ve added new columns (e.g. Reaction) to

the History tab’s Allergy list. Note: SNOMED CT column will only be editable until we conclude ARRA testing.

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Calendar based grid dates on the History tab have been updated to allow the up & down arrow buttons to

individually spin the day, week, and month when the calendar is not displayed.

October 21, 2010

A new option has been added to the Encounter’s context sensitive menu. Select Remove Current Tab to remove a

tab that you launched inadvertently. Note the following: o A launched tab (e.g. Cervical) isn’t saved unless you place data into that tab and then save it. o When you remove a tab, any existing data for that tab remains intact in the database. If you re-launch the tab, the data will become available

again.

October 18, 2010

Encounters have been updated to use the point size set on the Defaults tab in your Configuration settings. The

setting is used for text size. Headings are automatically scaled based on your text setting.

Fixed problem sending printouts to a legacy destination of File introduced 9/29/2010.

October 14, 2010

In order to comply with updated HITECH EHR rules (170.304.b), we’ve added a new PIN type. In anticipation of

prescription capabilities that we are currently in the process of adding, DEA license #’s can be added for

dispensing controlled substances. Updated ANSI 837P handling of property & casualty #’s and “corrected/voided” claim status.

An error was introduced to CPT entry via the Encounter on 10/1/2010 for anyone who backdates their entries.

Though the date was set to the Encounter date, the “thru” date would reflect the current system date. Existing data

can be repaired by selecting Reset service “Thru Date” to match “Date” on the File | Utilities| Repair menu.

October 11, 2010

ECLIPSE can now automatically handle credit card processing for offices with multiple merchant ID’s. o The eclipse.ini file in each ECLIPSE data sub-directory must be updated with a new parameter: XCHARGE_MID=xxxx, where xxxx is the

Merchant ID.

October 7, 2010

Added a separate daysheet total for payer payments made via EFT.

Fixed problem introduced 8/5/2010 that affected data alignment on patient lists.

October 5, 2010

In order to comply with updated HITECH EHR rules(170.302.f.1), the Vitals list has been updated. Right click on

the list for a menu that allows you to display a growth chart.

Updated CMS 1500 form, box 6 for CO Medicare.

October 1, 2010

Automated CC processing began splitting credits to the oldest bills based on your ECLIPSE configuration in

updates after 8/12/2010. Deleting these transactions could be problematic because of built-in safeguards. Voiding

any split CC item now removes the entire set of related ledger entries for that credit card transaction.

CPT entries made directly from the Encounter tab now reflect the provider & date assigned to the current

Encounter.

September 30, 2010

In order to comply with updated HITECH EHR rules (170.302.r), the User Audit report has been updated. o A time range can be selected. o Sending this report to a Screen destination now uses the new report grid technology discussed on 9/29/10. o Additional rows exist in the grid which can all be independently sorted.

In order to comply with updated HITECH EHR rules (170.302.c), the Problem List has been updated. The

Resolved column has been replaced with a Status column that allows settings of Active, Inactive, and Resolved.

Existing data will not be affected. o Right click the Problem List for a menu that allows you to apply filters based on current status.

In order to comply with updated HITECH EHR rules (170.302.e), the Allergies list has been updated. New

columns have been added to record reactions and whether the allergy is currently active. o Right click the Allergies list for a menu that allows you to apply filters based on current status & allergy type.

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In order to comply with updated HITECH EHR rules (170.302.d), the Medications list now has a context

sensitive menu to filter data. o Right click the Medications list for a menu that allows you to apply filters based on current status.

September 29, 2010

CPT & ICD entry in the Encounter’s Assessment sections was inadvertently opened to manual editing. This has

been corrected.

In order to comply with new HITECH EHR rules (170.302.g), we have updated smoking status options added

2/27/2010.

In order to comply with new HITECH EHR rules, we are introducing new capabilities for reports generated to a

destination of Screen. The first report to be affected is the patient list.

o These reports initially appear as a grid and can be sorted in ascending or descending order on all columns.

o Processing overhead is much lower than a Preview, so time to screen is much faster for lengthy reports.

o At the top of the grid, text prompts you to: Drag a column header here to group by that column. Drag any column to this section and a rectangle will appear and the grid will sort. For instance, with a patient list, drag the patient’s

balance column here and the list will display headings by balance & sort in balance order.

Then, drag the last name column and drop it on the recently created Balance rectangle. Your report will now be sorted by last name within balance.

Change the sort order by clicking on a column header or the rectangles displayed at the top of the report.

Remove any rectangle you dragged by dragging it back to the grid.

o New reports and features will be added to this format in upcoming months.

September 26, 2010

Fixed problem with billing preview when errors only were generated for IHCFA claims. In the Plan section of the Encounter, Adjustments are now initialized from the Subluxation levels you entered

under each Objective section. o You must select the ellipsis button for Adjustments, or no assignments are made. o If data was previously added to the Adjustment section, no changes are made. o The pre-loaded rows will be “checked” (first column) in the pop-up grid. You must press OK to accept

them. Otherwise, they will be abandoned. Updated Encounter storage of grid based data to use significantly less disk space. New Encounter templates contain additional options.

September 23, 2010

Tweaked the CPT entry dialog updated 9/22 to allow you to zero-in with your keyboard.

Corrected mislabeled sides for diastolic BP on the History tab.

September 22, 2010

Pop-up grids in the Encounter now instantly respond to your first click to begin editing.

New Encounter templates contain additional options.

CPT entry for Encounters has been updated to be more “tablet friendly.” It’s now easy to make multiple selections

without using a keyboard.

September 20, 2010

Updated Upper & Lower Extremity Encounter templates as follows:

o Replaced variables for Subjective Shoulder/Elbow/Wrist Motion/Pain & Subjective Hip/Knee/Ankle

Motion/Pain.

o Template updates allow side selection (left, right, bilateral) in dynamic grids.

o Any previously entered data for these variables since release on 9/14/2010 will appear on

printed/displayed summations only.

September 17, 2010

Updated circumstances for displaying an Encounter’s Custom Text Selection dialog.

September 14, 2010

In order to comply with new HITECH EHR rules, we have made additional changes to the EHR tab…

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o We have introduced new Encounter technology on the patient’s EHR tab. This technology tracks all

aspects of each patient encounter individually (e.g. cervical ROM flexion is tracked separately from the

patient dermatome levels within the same “encounter” or “SOAP”) as opposed to simply including all

subjective & objective data in a “progress note.” You can view the latest (9/12/2010) 15 minute training

video on the web by selecting Training Videos from the ECLIPSE HELP menu or visiting

http://www.galactek.com/tutorials/ and viewing the Encounter / SOAP video. Please note that this video

was updated several times during the design process. As a result, some screen elements are not always

visible in the tutorial.

o The EHR’s History tab has been updated with new grid technology introduced 2/25/2009. New tabs have

been added for Surgeries, Hospitalizations, Major Illnesses, Reported Tests, Family History, Social

History, and Occupational History. All data from the History tab is fully integrated with the new

Encounter technology.

o On the Reports tab, open EHR and select Pending Encounters to view a list of encounters that have been

marked as pending by user.

o If you generate bills and select options to include S.O.A.P., any pending encounters included in the billing

run will generate an error which will be noted on your error report.

September 9, 2010

Fixed ANSI secondary billing issue with BC/BS in MN processing amounts below $1.

September 1, 2010

Fixed CC processing issue introduced 8/5/2010.

August 27, 2010

Fixed issue when editing comments for a user-defined appointment template via the pop-up scoller.

You can now set the History and Encounter tabs as default tabs on your configuration screens. Note that the new

Encounter tab will not be released until early September.

To view a 15 minute demo/tutorial of the new Encounter, select Training Videos from the HELP menu (you must

have an active internet connection) and select the Encounter video. Directly from your browser, visit:

http://www.galactek.com/tutorials/

August 12, 2010

Automated credit card processing now splits credits to the oldest bills based on your ECLIPSE configuration.

Changes for printed EC-4NARR form substitute assigned provider when treating provider is a PT.

Tax ID#’s can now be excluded from itemized statements along with social security#’s.

August 5, 2010

Printed patient lists have been updated to include primary & secondary phone selections. Data export to comma-delimited ASCII has been updated to include cell phone & work email. A new column has been added during automated credit card processing to reflect patient responsibility.

August 2, 2010

Fixed issue introduced 6/15/2010 that affected automatic credit card processing when using the bill on or after

feature. Internal changes to patient alerts grid display.

July 28, 2010

Fixed issue with primary & secondary phone #’s on trace patient visit report.

July 22, 2010

NY Worker’s Comp form updates automatically translate variable information as necessary in a seamless manner

(if this failed, information simply wouldn’t appear on the form). This process was apparently interrupted on

5/5/2010 when we updated a 3rd

party library and has been corrected. A Refresh button was added to the patient Alerts tab.

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July 9, 2010

Internal changes made for iHCFA corporation.

Internal changes for Docs Plus.

July 1, 2010

Expanded features added 2/14/2010 to allow electronic ANSI 837 claims to be voided. Specialty payer control #’s

for this feature (if required in your state) can be added on the bill editing dialog.

June 30, 2010

Fixed an issue introduced 5/26/2010 that caused hidden controls for features such as the Appointment Recall

report to remain hidden – even after options that required them were selected.

June 23, 2010

Extended email port range to handle port values up to 9999.

Added a new variable to access provider information for the current appointment:

PatientAppointmentCurrentProvider.

June 22, 2010

Updated ANSI electronic billing changes made 6/7/2010.

June 15, 2010

It’s now possible to implement payment plans using stored credit card information. Payment information can be

entered directly from the patient’s Ledger – including the $$ amount and # of days in the billing cycle. This

information can differ from case to case within a patient file. A new item has been added to the Billing menu.

Select Apply Credit Card Charges and a new tab will be added to the desktop:

o Optionally press the Filters button to apply data filters.

o Press the Find pending transactions button to display an interactive grid of pending charges. You can

selectively include/exclude individual rows (patient cases) from processing.

o Remember that you can click on column headers in the grid to re-sort the data.

o Press the Process button to process the displayed CC transactions. Note the Status column to determine

whether individual charges were approved or denied, or whether other circumstances prevented the

charges from going through.

o If you want a hard copy printout, press the Print button after you’ve obtained your results.

June 10, 2010

A change has been made to ANSI 835 (Electronic Remittance Advice) import to handle inherent ambiguities in

the format. If you have checked Assign balances as patient responsibility (claim status dependent) during

processing, and ECLIPSE determines internally that either no secondary insurance exists or that this credit is

likely to be from a secondary carrier, ECLIPSE behavior will remain unchanged. Otherwise, payer responsibility

will reflect the value returned in the ERA.

June 9, 2010

Credit card information can now be stored for recurring payments. A new dropdown button – Credit Card Vault

has been added to the Ledger’s Payment dialog. You can store, delete, or view CC info and update expiration

dates for stored CC information.

o No credit card data is ever stored on your computer. All data is retained on the processor’s servers using

methods dictated by current government guidelines.

o You cannot actually view a swiped credit card value. ECLIPSE has access to and displays the last 4 digits

of the card #.

June 8, 2010

The Override form background (digital signature) billing option added 10/24/2008 has been extended to the NY

PT4 form.

Added date stamps with current user name to EHR notes & SOAP.

June 7, 2010

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Changes made for secondary ANSI billing in MN.

May 19, 2010

With regard to NY PT C4 form additions made 3/6/2010: we have removed the NY C4.1continuation billing form

due to print alignment issues. Updated Mass Health changes made 5/7/2010.

May 7, 2010

For bulk email, a growing percentage of ISP’s (Internet Service Providers) seem to expect SSL (Secure Socket

Layer) security capabilities. This update includes SSL & TLS security protocols – which must be turned on via

the configuration. (Do not turn this on if you are currently sending bulk email successfully.) o Select System or Workstation from the File | Utilities | Configuration menu.

o Select the Import / Export / Email tab and check the last item labeled Email…

When Mass Health is secondary, the third-party 7 digit liability code can now be placed in the guarantor’s group

ID field.

April 27, 2010

If you filter specific charges & payments when creating a CMS form for an individual patient, under very specific

circumstances that required both date of service payments & multiple services per visit date, if an amount paid

was displayed on the form, the amount paid could be incorrect.

April 22, 2010

Updated MediNotes export to handle prefixes for multiple directories.

Updated the Clipboard tab (select Print from a patient’s Ledger) to add appointment times when copying a

patient’s next appointment to a label printer.

Updated group billing related options that affect performance to allow you to selectively turn them off during

billing.

April 14, 2010

Fixed problem introduced 3/6/2010 to NY PT Comp form for C4.1 continuation billing.

April 8, 2010

Fixed issue created 9/2/2009 importing account entries from 3rd

party programs to a patient’s default case (when

this configuration option is in use). The Condition based UB-04 & PI/Comp/State grids now show updated data in bold during an edit session. Added referral information to the NY Phase II Medicaid form. Updated default when no secondary phone is selected. The patient’s cell phone is now the default when ECLIPSE

is looking for a secondary phone and you haven’t prioritized phone #’s.

March 23, 2010

In order to comply with proposed HITECH EHR rules: o New data filters have been added for Allergy & Medication. o A new grid has been added to the History tab on the patient’s EHR tab. The new grid handles a Problem

List and complements the Allergies, Medications, Immunizations, Vitals, and Referrals tabs already

present. You can add an onset date, primary diagnosis, description, designate a provider from your

referral database if applicable, and indicate if/when an issue has been resolved. Though no changes have been made to the database, if you’re using a Client / Server version of ECLIPSE, the

FairCom Server must be upgraded to version 9 in order to retain compatibility with this executable. Contact the

GalacTek HELP Desk for details.

March 18, 2010

Updated the daysheet Clear button (added 2/23/2010) to fix intermittent issues.

March 17, 2010

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Updated daysheet date button added 3/10/2010 to display a message if the appropriate configuration options have

not been checked.

March 15, 2010

When the scheduler was configured to show a single day instead of the week, the Sunday column didn’t display.

If you have internet access, training and other videos can be viewed from the HELP menu. We expect to add new

videos regularly. If you would like to see videos on certain subjects, let us know.

March 10, 2010

Added a new date button to the daysheet (“Add services/credits”) entry dialog.

In order to comply with proposed HITECH EHR rules, the ECLIPSE database can now be directly encrypted by

users of the Client/Server version of ECLIPSE. Note that this will result in performance degradation and we do

not recommend it. Encryption is available in most backup software and your Windows operating system has

extensive security protocols that you can take advantage of to ensure PHI integrity.

March 6, 2010

Added the NY C4.1continuation billing form (which must first be initialized & saved in the patient’s Condition

tab) to the NY PT C4 form.

March 4, 2010

In order to comply with proposed HITECH EHR rules, the patient’s Personal tab has been updated to include

fields for Race, Language, and Ethnicity. Enter items as you need to in each list and they’re stored for future

selection. Fixed the pop-up dialog for EHR SOAP entry that allows interactive condition updates. New conditions couldn’t

be saved. This has been fixed.

February 27, 2010

In order to comply with proposed HITECH EHR rules, the Vitals section of the EHR History tab has been

updated to display whether a patient is a smoker. The new column appears to the far right as a checkbox. The Medications section of the EHR History tab has been updated to display the date a specific medication was

discontinued. Locked update for CD to be mailed.

February 23, 2010

The daysheet (“Add services/credits”) entry dialog already contains a button to delete the currently selected row.

A second Clear button has been added to clear all entries. ECLIPSE has a variety of interfaces to seamlessly import services from and export patients to a variety of

products. These services have been extended and ECLIPSE now supports seamless import of EHR documents (of

any type) and can export appointment arrival & completion information.

February 22, 2010

Added columns to CPT database viewer to display expected reimbursement amount.

February 14, 2010

For ANSI electronic claims submission, claims can now be marked as “corrected” in the Billing tab’s General

Options checkbox list.

February 11, 2010

For Medicaid electronic billing: Date of last menstrual period has become a required field. This information can

be entered under the patient’s Condition tab on the Medicare / Medicaid tab.

February 4, 2010

The appointment scheduler Print / Export tab’s reports now work in conjunction with changes made 3/26/2009

that allow primary & secondary phone# designation.

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January 30, 2010

Internal changes to ANSI 837 EDI processing for assignment indicators.

We have further “relaxed” the requirements necessary in order to automatically mark an appointment as

Completed. These changes have been made by request as follows: o First, ECLIPSE attempts to match service to appointments based on date, patient ID#, patient case#, and provider. o If the matching process fails, it attempts to match as above without regard for provider assignment. o In all cases, once it finds a match, it ends the search process and marks the appointment as completed (if it hasn’t already been

marked).

January 14, 2010

Updated NY Worker’s Comp handling routines to automatically convert some older form version data for use

with current incarnations of the newest form. A new global configuration option: Use unit values to calculate visit authorizations allows authorization

calculations to use the total units over a date range rather than total visits.

January 11, 2010

Patient receipts have been added to audit tracking by request. Drop edit fields (e.g. patient guarantors) weren’t signaling updates after changes were made. Screens now update

properly. Data was unaffected.

January 6, 2010

Updated statements by bill to reflect payer/patient adjustment responsibility for unbilled items. Added new PatientCurrentHistory variable to allow current vitals to be pulled into form templates.

January 5, 2010

In order to comply with proposed HITECH EHR rules, the Basic patient information report now includes all

listed allergies, immunizations, medications, and physical exam vitals. o To access this report from the patient’s ledger, press Print, select the Other tab, and press the Print button in the Basic patient

information section. o In the event that you’re unaware that ECLIPSE has tracked this information for years, visit the History tab in any patient folder

under the EHR tab. o Remember, any report can be previewed to the screen and emailed as an encrypted or unencrypted document.

January 4, 2010

In order to comply with proposed HITECH EHR rules, the Vitals section of the EHR History tab has been

updated to display an automated BMI (Body Mass Index) calculation. The new column appears to the right of the

Height & Weight columns and adjusts automatically.

December 17, 2009

Updated preview reports to include hospitalization dates. Updated patient’s Contact Info dialog to display selected primary phone# against a yellow background for quick

reference purposes. The patient window displays this data in red text.

December 14, 2009

Updated right-click menu option in editors to print selected text with headers.

December 10, 2009

Fixed problem introduced 11/28/2009 saving PDF documents during email creation.

ECLIPSE was the first program nationwide to handle electronic attachments for NY WC claims by compiling

PDF files directly from the EHR. ECLIPSE now creates & attaches EHR SOAP documents directly to ANSI 837

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electronic claims. All you need to do is check a box:

November 28, 2009

Updated embedded PDF technologies that produce forms, pdf versions of reports, etc.

Updated ANSI 837 electronic billing for IL Medicaid.

November 16, 2009

Re-configured FL MediPass behavior for CMS 1500 forms.

November 12, 2009

Updated NY OT/PT-4 (7-07) field 4 to automatically display bill from/to dates.

November 10, 2009

Added MediPass “ID” for CMS 1500 Medicaid referral billing. Create an authorization with an assigned referral

and set the payer’s expected referral ID to MediPass.

November 4, 2009

Fixed problem that occurred during group billing runs when simultaneously generating bills & notes.

October 28, 2009

Fixed sales tax initialization error introduced 10/27/2009 to statements by bill.

October 27, 2009

Added sales tax info to pre-printed patient statements & statements by bill.

Corrected configuration editing issues introduced 10/18/2009 which affected global vs. workstation editing.

The appointment reminder report now works in conjunction with changes made 3/26/2009 that allow primary &

secondary phone# designation.

October 25, 2009

Authorizations with linked referral sources could result in display of an empty window during service entry.

A new billing option has been added that allows a hold to be placed on billing for services for a specific provider.

o Each provider has a new option on the provider’s General tab labeled Hold (do not create) new bills.

o The automatically generated billing report will note by both bill & service (whichever is applicable) items

that haven’t been billed during bill creation.

October 18, 2009

With some new configuration additions (select System or Workstation from the File | Utilities | Configuration

menu) you can:

o Apply the first authorization to remaining services during service entry. (Handle this on the

Configuration’s Ledger tab.)

o Use the expected reimbursement amount (from your CPT database) instead of the actual service charge

when determining accrued totals for an authorization. (Handle this on the Configuration’s General tab.)

Added new Payer Source of Payment for “Automobile Medical.”

October 16, 2009

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Fixed patient appointment printing issue introduced 10/9/2009.

Fixed payment source data filter to accurately interpret Commercial.

October 14, 2009

Changes for ANSI institutional secondary claims.

Fixed MediNotes export.

Updated History printing & tree on patient ledger to include payer name for bills. ECLIPSE was updated to store

this information in 2008.

October 9, 2009

The patient Appointment tab now has a new filter to allow selection & printing of future scheduled

appointments. This filter excludes cancelled appointments and those for today or earlier – regardless of the date

range setting.

Authorization checks & assignments have been made more restrictive.

A new column has been added to the authorization list which appears on the Authorization sub-tab of the patient’s

Condition tab. The new tab displays Current Visits for active authorizations. Note that if unassigned services

meet the criteria for multiple authorizations, the visit count will reflect this.

Mailing labels have been adjusted to ensure that long names & addresses can’t run onto & affect the layouts of

adjacent labels.

October 6, 2009

Alerts are now displayed automatically when a patient is marked as Arrived on the scheduler.

October 1, 2009

As GalacTek has updated NY WC forms with newer variables that we’ve developed, it has become difficult to

reprint older forms. This is now handled automatically in the background for common items such as billing

provider information.

Changes have been made to the comments database introduced 9/14/2009 for electronic billing in the ANSI

format. Comments will need to be re-entered.

September 23, 2009

A new option on the context sensitive editor menus allow you to print selected text only. This is available

anywhere the new editor is currently in use (see README entries on or after 6/16/2009 for more information).

Alerts marked as Scheduled for deletion are now deleted automatically when ECLIPSE exits. The first time you

use an updated copy of ECLIPSE, it may take some time to delete inactive records.

Changes for ANSI electronic billing in MN.

o For Property & Casualty claims, the Agency Control # can be added from the patient’s Guarantor dialog

on the Billing tab.

September 21, 2009

ECLIPSE now stores, displays, and exports arrival times for appointments. If you use the smaller cell size on your

appointment grid, simply hover the mouse to display the time.

September 16, 2009

Changes have been made to the dialog that allows specific authorization selection & assignment:

o The Visits column has been replaced by a Visits Completed column.

o Both the Visits Completed & Max Visits columns now display for active authorizations only.

On 3/27/2007, a variable (PatientCalculated->LastEHRSOAPNoteText) was added to pull the last EHR SOAP

note into form letters. A new variable has been added to pull the same data as plain text into pdf documents

(LastEHRSOAPNotePlainText).

September 14, 2009

Fixed problem with 2007 style application “looks” and enabled themes not originally available as per the 2/25/09

README.

Added new comments database.

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o Currently, this database is specific to ANSI electronic claims submission & only allows one comment per

service, per case, per bill.

o Each ANSI comment allows up to 80 characters (as per the specification) to be attached to each billed

service and a single comment to be attached to the claim.

o To attach a comment to a service, edit the service and press the new button labeled EDI / ANSI

Comment.

o To attach a comment to a case, when editing comments on the patient’s Case tab, press the new button

labeled EDI / ANSI Comment.

o Bill comments have not yet been enabled.

September 2, 2009

Updated ANSI remittance 835 handling of secondary payer payments.

The Scheduler’s By Provider view has been updated (when Show Available is checked) to automatically withhold

column display when the provider has neither allowed times nor scheduled appointments for the selected day.

Many programs that interface with ECLIPSE do not handle cases. When services are exported by 3rd party

software, ECLIPSE always defaults case values to case 1 when unspecified. You can now change this to the

default case internally as follows:

o Select System or Workstation from the File | Utilities | Configuration menu.

o Select the Import / Export / Email tab and check the top item labeled DDE: Import services to default

case when unassigned by 3rd party software checkbox.

o Note that this will only work if your 3rd

party software leaves the assigned case value at 0 (zero) for each

service.

August 31, 2009

Updated NY OT/PT-4 form to 9/09 revision.

August 26, 2009

Patient telephone #’s are no longer sent electronically via the ANSI standard. So, phone # error checks have been

removed from billing.

August 23, 2009

Fixed an issue with editing services & credits introduced 8/5/2009 which affected whether edited items were

saved.

ANSI 837 changes to remove trailing zeroes from some values.

August 7, 2009

The NY EC-4NARR form (see 3/16/2009 README entry) can now be printed as well as created for direct

electronic submission. Please note that although the form image we are printing was provided to us directly by

the NY Worker’s Comp Board, it does not correspond exactly to the electronic form.

August 6, 2009

Removed “NONE” as an automatic addition for Medicare secondary claims in OH.

Fixed issue with editing legacy SOAP database.

August 5, 2009

We have added integrated credit & debit card processing in partnership with X-Charge. (X-Charge offers

competitive rates.) The new Process Credit Card via X-Charge button appears on the same Add/Edit

Payments/Adjustments (Credits) dialog where you currently enter payments. Simply enter the amount, press the

button, and swipe the card. (You don’t need to change the credit type – it’s automatic.)

o If you don’t have X-Charge installed, simply press the button to view the enrollment form.

o Over an internet connection, validations take less than 3 seconds in the test environment we’ve been

using.

o Obviously, any CC transactions can be individually reversed or voided.

o The X-Charge software provides a variety of reports.

o Note that this capability has not been duplicated on the bill editing screen to avoid inadvertent multiple

charges when line item payments are made.

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July 28, 2009

Updated 7/20/2009 changes for TX Medicaid.

A Copy button has been added to the appointment templates.

The Office Code field in the CPT database can no longer be edited after the data is saved.

July 20, 2009

Added the ability to reference attachments in electronic (ANSI 837) claims.

o Default information templates can be created for each patient by right clicking on the patient’s bill grid to

view the menu and selecting Setup default ANSI claim attachment information.

o Specifics can be added for any bill using the new EDI Attachment button that appears on the bill editing

dialog.

o Some payers (e.g. TX Medicaid) have hijacked the Attachment Control Number field. A counter displays

the current cursor position to help you place claim data the payer may want positioned in a specific way.

July 8, 2009

Added percentage loss of use & employer info checks to Billing Preview report when the relevant electronic WC

forms are selected.

Patient legacy SOAP & Notes tabs now auto scroll to the end of the document using the new edit controls added

6/16/2009.

July 6, 2009

Various fixes have been added for issues relating to the new text editing controls. These issues include printing

SOAP notes in group runs.

July 1, 2009

New spell checking software has been merged with ECLIPSE everywhere except the EHR S.O.A.P. Currently,

spell checking is performed on the entire document by pressing the spell check button on the toolbar, This will be

updated soon with additional options:

June 26, 2009

In order to combat SPAM, various ISP’s (Internet Service Providers) have begun creating blockades that

automatically limit or disable bulk email. For those of you experiencing this issue:

o We’ve created a flexible solution that allows you to add an adjustable delay which automatically handles

this in the background.

o Call the GalacTek HELP Desk to get further information with regard to fine-tuning our solution with a

simple configuration change.

Since no documentation exists for the NY EC-4NARR form, we’ve added Physical Therapist as an automatic

printable degree option by request.

June 24, 2009

The Previous S.O.A.P. viewer was not automatically destroyed when the currently edited S.O.A.P. note was

closed.

Adding a note to the EHR corrupted the main toolbar images.

June 23, 2009

Removed spell checker test from form letter editor.

June 17, 2009

The EHR has always handled Microsoft Word files with Microsoft Office 2003 & earlier). You can now handle

docx files (produced with Microsoft Office 2007).

S.O.A.P. headers were inadvertently affected during the transition to a new editor.

Further corrected ANSI sales tax changes made 6/17/2009.

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June 16, 2009

Multiple appointment changes introduced on 5/1/2009 created a problem with appointment duration assignment.

This has been corrected.

Changes have been made for sales tax submission via ANSI 837 electronic claims.

We are now mostly finished migrating text editing sections of ECLIPSE to libraries from a more robust vendor.

Please note additions & caveats below:

o You now have right click menu capabilities that are more extensive than those previously available.

Additionally, you can now ensure the system (Cut/Copy/Paste/etc.) menu appears by using the Shift or

Ctrl keys with your mouse. The Alt key invokes the spell checker and the default operates by giving

priority to the spell check menu.

o The old editor is still in use for EHR based SOAP notes.

o Spell checking has been temporarily removed from the form letter editor while we research alternative

spell checking methods. Since spell checking in other parts of ECLIPSE is in the process of being

updated, it’s not necessary to call the HELP Desk if you encounter a problem.

May 16, 2009

The Billing Preview report has been updated to include missing documentation dates for service dates on “forms”

that require associated documentation (currently the NY EC-4NARR & iHCFA forms).

As part of our user interface migration begun 2/25/2009, we will be replacing the technology used for editing

various types of notes including the Daily Reminders & S.O.A.P.:

o The new technology is being introduced in the Daily Reminders tab.

o New toolbars allow different functionality than before. Overall, you now have more control over

functions such as page margins & font attributes.

The NY NF3 form has been modified to accommodate additional services/pages. The maximum # of services on a

single bill has been increased from 55 to 208.

May 6, 2009

Provider assignments for EHR documents would be re-assigned to the patient’s current assigned provider when

the data (not the document) was edited, giving the appearance that changes weren’t actually saved (they were).

This has been corrected.

May 1, 2009

Appointment templates can now be invoked during multiple appointment scheduling via the new User Defined

button.

April 30, 2009

Fixed problem with invoking context sensitive help with the F1 key for popup windows.

April 29, 2009

For context menu created 4/28/2009, added options to copy/paste individual fields.

Fixed an issue editing numeric values on the UB-04 grid.

Fixed an issue retrieving data for forms printed from the patient’s Print options EHR tab (as launched from the

patient’s Ledger tab).

April 28, 2009

Restored context sensitive menu to new PI/Comp/State grid interface to allow copy & paste operations.

Changed defaults for some EC-4NARR questions based on request.

April 23, 2009

The PI/Comp/State grid interface on the patient’s Condition tab has been updated (press F1 during editing or

review the 4/14/2009 README entry for navigation information).

The new C4 series of editable PDF forms now display the case & condition # in the tab.

The patient’s appointment tab now always displays the checks in checkboxes with a text color of black.

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Due to a miscommunication with IT staff at iHCFA during the design phase of the NY C4 interface, a coding

change was made today to properly match NY WC data to NY WC notes files.

April 21, 2009

Changes made 3/31/09 to allow C4 secondary carrier printing affected the way variables were retrieved for other

parts of the program that use these variables.

On 3/27/2009, we fixed NY WC attachments which could be created with active password protection. However,

documents were still labeled as being secured – which was enough to still cause a problem with the WCB. This

has been addressed.

April 17, 2009

The UB-04 interface updated 4/14/09 now automatically limits characters in text fields to the maximum allowable

length of the field during data entry.

Updated Cash Practice® interface to distinguish between CC & direct debit bank transactions (now labeled as

“Check” as per CP suggestion).

Updated C4 interfaces to distinguish among attached claim documents by provider.

April 16, 2009

A new menu item allows you to delete electronically submitted NY WC claims from the My Stuff folder. Select

Delete Submitted Files from the Billing | Worker’s Compensation menu.

April 15, 2009

Changes to NY Worker’s Comp forms to ensure ID’s (generally your zip code) are properly attached to all new

form versions as line of service PIN’s.

April 14, 2009

Fixed side-effects from changes made 3/31/2009 to allow NY C4 secondary printing.

The UB-04 grid interface on the patient’s Condition tab has been updated (press F1 during editing for the

navigation information below):

o Data is grouped under headings which can be expanded or collapsed by clicking the +/- sign that precedes

any group name.

o Edit data by typing in a cell or tabbing to it from the adjacent description in column 1). To exit the edit

mode for a given field in the grid, press the Enter key to commit your changes or Esc to abandon them.

You can then navigate to other fields using the arrow keys.

o Once in “Edit” mode, you can change the option in a combo box by using the up & down arrow keys. For

dates, you can use these keys to separately “spin” days, months, or years – all in addition to typing.

o For fields that contain optional drop down calendars, combo boxes, etc., click on the far right corner of

the grid cell to display the arrow & appropriate control.

o For dates, the checkbox is now available in the grid. You can click on it with your mouse or use the right

& left arrow keys to navigate and the spacebar to toggle it (e.g. for deletion).

Cash Practice® has updated their interface to accommodate patient cases.

April 2, 2009

Changes to 3/27/2009 update for ANSI 837 NDC information to handle NDC units separately from the units data

for the CPT code.

April 1, 2009

User-defined ID#’s have been disabled for the NY WC EC-4NARR & iHCFA batch “forms” in order to prevent

illegal file name characters that may exist in user defined ID#’s from compromising file names and preventing

data from being saved.

The CPT code rolodex now displays a new Status column that shows whether the code is active / inactive.

March 31, 2009

Updated NY WC for EC-4NARR & iHCFA to handle PIN’s for the rating code in the same automatic manner as

older forms using the “Special” PIN.

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Updated ECLIPSE to ensure that various new C4 forms could be printed to the secondary carrier. This capability

is specific to the form once it’s saved and not to ECLIPSE. Forms generated today or earlier require editing or

manual updates to the xml data.

March 27, 2009

Updated NY WC for EC-4NARR & iHCFA to handle EHR pdf documents as well as the image and ECLIPSE

SOAP documents that were part of the original design.

Fixed NY WC attachments which were automatically created with active password protection if a report had been

run prior to creation of the file.

Added new fields to CPT Inventory / NDC tab to handle NDC data for ANSI 837P electronic billing.

Updated form NY OT/PT-4 (6-04) to NY OT/PT-4 (7-07).

March 26. 2009

A change has been made which affects how all filtered reports function. Sort by Filter options currently include:

o Filter by patient checks all cases to determine if any pass the filters. If they do, the patient (as a whole)

gets past the filters and can be included in whatever report you’re running.

o Filter by patient case checks which cases pass the filters and returns each successfully filtered case to the

report which is being run.

o Filter by default case is a new option that only looks at data in the patient’s default case to determine

whether the patient meets the filter criteria, and returns that case if the criteria are met. Remaining cases

are not examined. In the event that no default case is assigned, the filter uses case #1.

On CMS 1500 forms in FL, the state license # now prints if the condition tab’s Employment related checkbox is

marked & a state license PIN exists.

When group printing EHR items from the patient’s Print options dialog EHR tab, PDF based forms weren’t

printing properly.

Updated 2420 loop for ANSI 837 provider ID submission.

ECLIPSE now allows you to designate up to two patient’s phone #’s as primary and/or secondary.

Phase III of our NY WCB approach is now done. In partnership with iHCFA, we can now provide batch

submission capabilities of WCB forms. Please note that the WCB forces you & us to use approved clearinghouses

to submit WC claims. Thus, whichever clearinghouse we had selected would process these claims on a charge-

per-claim basis. You can visit www.iHCFA.com or call the GalacTek HELP Desk for more information. You can

also submit the web-based EC-4NARR forms (see the 3/16/2009 entry for instructions) or print the various C4’s

directly (see the 12/17/2008 entry for instructions) from ECLIPSE free of charge.

o You must have an internet connection.

o You will use the grids that you’ve used for years to add WC information (e.g. rating code) in ECLIPSE.

Since only a small subset of fields must be filled in, they have been color coded with a light blue

background.

o When you generate a bill for the new type (NY C4 IHCFA (Batch)), ECLIPSE will create the necessary

data files.

Just like the EC-4NARR form, your notes are required. SOAP or image files from your EHR that

have been assigned to the dates of service on the bill will be exported for submission separately

from claim data – which is formatted to iHCFA specifications.

These files will all be placed in an ECLIPSE sub-directory (usually MPN) named My Stuff. If you

print the report after billing, the full path name will appear for created files.

You will be able to highlight and submit all files to iHCFA simultaneously via their user interface

& instructions.

As of this date the iHCFA interface has not been tested live. Call the HELP Desk to ensure you

have most recent software.

March 20, 2009

Added additional view scaling to allow larger fonts when using the manual overrides. This can be set by selecting

System or Workstation from the File | Utilities | Configuration menu, marking the Override automatic window

scaling… checkbox, and setting the Window scaling factor. Note that this may cause some text to run off the right

edge of buttons, etc.

A “trial” message may have appeared when the NY EC-4NARR form was generated with attached scanned

documentation. This has been corrected.

Page 35: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

Updated the EHR tab by consolidating the document creation functions into one button.

During prior SOAP review, the actual service date assigned to the SOAP is now displayed.

March 19, 2009

Re-created v10 (and earlier) behavior that allowed grid navigation with up/down arrow keys during edits (instead

of Esc) when processing line item credits (subject to future removal in the event of interference with other

additions/changes).

The Find Next Available appointment button in the scheduler has been repaired.

CashPractice® (see 3/4/2009 entry) apparently provided us with an improperly formatted sample file as an

oversight. The import routines have been revised to reflect the corrected files we received today.

March 17, 2009

Column swapping issues with the Scheduler’s By Provider tab have been resolved. Hints or double-clicks on

appointment cells after swaps would display provider data based on the original column setups.

Using the Shift key with your mouse to select a range of appointments for deletion on the patient’s Appointment

tab has been enabled.

Fixed an issue where the patient’s Print dialog didn’t close automatically with the patient folder.

March 16, 2009

Fixed column & date display issues in Patient Alerts grid.

Updated new color selection controls to allow custom color selection.

Phase II of our NY WCB approach is now done (Phase III will come next). We are the only software vendor to

currently provide either of these capabilities in NY (printed or online submission with WCB forms):

o The EC-4NARR form was designed by the WCB to allow electronic submission of a “simple” billing

form. In order to run this form, you must have an internet connection and Adobe Acrobat Reader®. The

form created by the WCB has buttons to allow you to load & save data, as well as submit the form, along

with required attachments.

o The WCB designed the form so that you must enter patient, diagnostic & billing data by hand. We have

automated this process for both individual & group billing runs.

o You will use the grids that you’ve used for years to add WC information (e.g. rating code) in ECLIPSE.

Since only a small subset of fields must be filled in, they have been color coded with a light blue

background.

o When you generate a bill for the new type (NY EC-4NARR 12/08), ECLIPSE will create the necessary

data files for you to load into the form.

For each patient bill, two files are created.

The first ends in the extension xml, and contains the data (e.g. the patient’s name, address, and

billing info) for the form.

The second ends in the extension pdf, and contains any SOAP or image files from your EHR that

have been assigned to the dates of service on the bill.

These files will all be placed in an ECLIPSE sub-directory (usually MPN) named My Stuff. If you

print the report after billing, the full path name will appear for each file.

You will need a user id and password from the WCB to use this form.

When you run the online form, press the Load previously saved EC-4NARR data button to

populate the form with xml data from a specific bill.

The instructions for item F: Attach Detailed Narrative Report(s) will prompt you to use

Acrobat’s paper clip icon to attach your SOAP. Load the file of the same name with the extension

pdf as noted above.

You can now press the Submit button. We suggest you thoroughly review any directions with

regard to this form provided by the WCB.

Finally, note that data must be formatted properly. For example, the form expects your EIN to be

formatted as XX-XXXXXXX. You must make sure that such data is properly formatted in

ECLIPSE.

March 13, 2009

The Select an Additional body part menu item within the SOAP was disabled in v11.

Page 36: ECLIPSE® v8 Additions & Changes - ECLIPSE Practice Management

March 12, 2009

Statics reports can now be filtered specifically for taxable services.

March 11, 2009

Editing and/or deleting patient appointments from the patient’s Appointments tab was compromised and is once

again working correctly.

March 10, 2009

Within the patient’s EHR tab, the History tab displays allergy, immunization, and other information which

should be case independent. Each case now displays all data recorded across all cases.

Fixed Alerts problem that occurred when deleting multiple sets of alerts one after another.

Updated buttons on patient document scan dialogs.

Incorporated FDF capabilities to import data from iMatrix (www.imatrix.com) for a web-based patient intake

form. The form is filled out directly by the patient online. ECLIPSE automatically imports this data, creates a new

patient, adds the document to the patient’s EHR, and sets up a system alert. To enable this interface, you need a

separate application (it’s free) from us to handle the import seamlessly in the background.

March 4, 2009

Added interface to import credit card transactions from Cash Practice®. Access this option from the File | Data

Import | Export menu. Files are deleted automatically after import. An error report will note import problems.

Imported CC payments will appear on your daysheet.

When choosing report destinations, the Preview/Print option has been renamed to Preview: Print/Email.

Functionality has not changed. We’ve simply discovered that some of you remain unaware that email capabilities

were always available here.

March 3, 2009

The SOAP drawing toolbar was rendered non-functional in v11. All toolbar commands have been restored.

Change for ANSI electronic billing to ensure line item credits are applied properly based on responsibility during

secondary claim submission.

March 2, 2009

Added NY PS-4 (Attending Psychologist’s) report.

Changes to SRS interface now export data whenever appointments are added or modified.

February 26, 2008

Minor screen painting fixes for split windows such as the Design Tools.

Restored proper messaging between a SOAP and the floating Previous Notes display window to ensure the

window properly displayed as you navigate tabs.

Fixed messaging problem which could result in a SOAP crash during template entry.

February 25, 2009

Version 11 introduces an updated user interface:

o New main menu & toolbar are now customizable…

Simply click on the arrow at the base of the toolbar for the customization dialog.

You can “float” the main menu or toolbar by double-clicking the gripper icon at the far left of the

menu or top of the toolbar. Double click again to restore the menu and/or toolbar to its previous

position.

Note that you can reset the toolbars at any time by selecting Reset Toolbars from the Window

menu.

o The “Look & Feel” of the program can now be selected from the Window menu. Select Application

Look and make a choice. Note that of the Office 2007 styles presented, any selection currently results in a

blue theme.

o Individual tabs now have their own Close buttons. Their relative positions can also be changed by

dragging any tab to a new position on the tab bar.

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o In version 10, we introduced a tabbed interface so you couldn’t “lose” windows. However, some of you

still wanted to be able to view multiple windows simultaneously. We’re now introducing tabbed groups:

Once you’ve launched multiple tabs (e.g. a patient rolodex & a patient), simply go to the

Window menu, select Tab Groups, and choose either New Vertical… or New Horizontal…

The currently active tab will automatically be placed in the new group and you’ll now be viewing

the contents of both tabs simultaneously.

You can simply click on any tab (e.g. scheduler, daily notes, reports, etc.) and drag it to another

tabbed group. Yes, it’s that easy.

o New grid technology has been introduced. Currently, the Alerts tabs, Patient Appointments tab, and Line

Item Credits dialog contain the only grids that have been updated. Though they look almost identical to

the old grids in terms of column data, you can click on the header of any column to re-sort the list. Also, a

new vertical “bar” appears to the left of the grid. Click on the bar to highlight the adjacent row or click on

a row, column position to highlight an individual cell. We will be updating the remaining grids as time

allows this year to provide even more features.

From v10…

February 6, 2009

ANSI 837 changes for service codes local to WA.

February 3, 2009

Added NY C4.1 form for continuation billing. This form provides 25 additional service lines for bills. The top of

this form requires manual editing before ECLIPSE can generate the form during billing (it can be edited along

with other C4 forms). If form data is located, the C4.1 form will be generated (as necessary). Otherwise,

additional copies of the C4, C4.2, etc. will be generated as necessary.

The NY WCB has segmented billing into multiple phases. In order to avoid generating the “wrong” form during a

group billing run, we have added new logic to ECLIPSE. In the event you initiate a group billing run of C4

(Initial Report) forms, ECLIPSE checks each patient for a C4.2 (Progress Report) form. If a C4.2 form exists, a

bill is not generated.

An additional CPT RDX field was created to accommodate 12/29/2008 ANSI changes for NDC’s that must

accompany CPT J codes. Data entered in these two fields will be separated by a single space when added to the

ANSI 837 file.

January 21, 2009

Temporarily removed the Default & Custom buttons from the drop down color selection box due to problems with

the new Microsoft development environments that cause a problem with OS versions below Vista.

January 19, 2008

Updated responsibility calculations to take non-covered charges (from the CPT database) into account when

determining deductible involvement for copays by visit. This capability had been added to % calculations in

January, 2005.

Arrived data in the appointment scheduler wasn’t being marked on the By Room grid.

Moved release version of ECLIPSE to current Microsoft Visual Studio 2008 development environment after

testing on Vista & Windows XP Pro.

January 14, 2009

A new button on the Narrative Editor’s Create Report tab allows legacy narrative reports to be directly added to

the EHR tab.

ANSI 837 changes for CPT code 97139.

More automation added to C4 forms for examination dates to more closely mimic older forms.

January 12, 2009

Two of the forms (C4 & C4.2) added 12/17/2008 have been modified to more current versions (from 9/08 to

10/08).

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January 8, 2009

Updated appointment export to include data for new patients that were automatically added to the patient database

during appointment entry.

January 7, 2009

Updated J code changes from 12/29/08 to also print on CMS 1500 forms when service line comment printing is

turned on.

Added C-4AMR form for NY Worker’s Comp.

On some computers, checkboxes on the new NY C4 forms were not printing correctly. This has been corrected.

December 29, 2008

CMS 1500 changes for TN Medicare.

ANSI 837 changes allow NDC’s added on the CPT code’s Inventory tab to the NDC / RDX / Description field to

be included during electronic billing when a “J” code is in use. If no data exists in this field then ECLIPSE

defaults to [including] the service comment as in prior versions.

December 17, 2008

Aged receivables reports now include limited history information from the audit log. If you have billed a patient’s

secondary carrier, this will be noted along with the date(s) in the report.

AVI files could be imported but not launched.

The New York C4, C4.2 & C4.3 forms have been incorporated into ECLIPSE. Please read the information below

in its entirety:

o To edit these forms, first access the PI/Comp/State tab within the patient’s Condition tab. A new menu

button has been added titled Launch a specific form for editing. Select the appropriate form and the

actual PDF provided by the NY WCB will be launched for editing. Note that you cannot enter billing

data into the form. Leave such fields blank.

o To save the form you are editing, simply press the “Save” (floppy disk) icon on the toolbar that appears

on top of the PDF. This is the same editor you have used to interactively edit forms within ECLIPSE for

years.

o To print the form, follow the same procedure(s) you would for any other bill. The new forms are labeled

NY C4 10/08 1. Initial, NY C4 10/082. Progress & NY C4 10/08 3. MMI in the Select claim form drop

down list on billing dialogs.

o When you add a new condition, you will be separately prompted to copy data from existing Initial &

Progress reports. Data cannot however, be copied from an initial report to a progress report automatically.

o We had intended to use another form – the “C-4NARR” form. Unfortunately, as of today, this form is still

being tested by the WCB. We expect to enable a third option that creates a WCB formatted XML file for

electronic submission in the near future. We believe the XML route will ultimately be the most efficient

method for you to send bills. In order to utilize this method, your progress notes will need to be added to

the ECLIPSE EHR. That step will relieve you of the tedium involved with regard to filling in these new

multi-page forms.

December 11, 2008

Updated how taxonomy codes are handled for ANSI 837 referral billing. These changes are now specific to NC

Medicaid.

December 5, 2008

Updated how taxonomy codes are handled for ANSI 837 referral billing.

Archiving of bills has been password protected for access by HELP Desk personnel only. Restoration of archived

data has not been affected.

December 3, 2008

Added cell phone to data export when transferring to other applications.

Changes for IL Medicaid in ANSI 837 direct submission.

November 24, 2008

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Changes made 10/24/2008 for CMS image backgrounds have been extended to NY C4 forms. Note: though the

new 10/2008 C4 & C4.2 forms now appear on menus, they cannot be selected. If you select one of the new forms,

an error message will appear after a bill is generated. These forms will be made available on or after January 1st,

2009 – when the NY WBC finalizes certain aspects of these forms.

November 18, 2008

On the Billing tab – accessed from the patient’s Ledger tab via the Print button – the Suppress printer selection

dialog checkbox was randomly checked/unchecked after recent changes. This option has been re-defaulted to off

(unchecked).

CMS 1500 changes for AZ Medicare.

November 12, 2008

Average Reimbursement Analysis report issues occurred when multiple reports were generated sequentially

without leaving the report tab.

November 11, 2008

Changes for ANSI 837P 2300 loop (to include comments) for Medicare claims by D.C.’s in MN.

November 4, 2008

Changes made to our import formats allow greater flexibility for programs that export charges to ECLIPSE.

Facility assignments from the facility database can now be assigned to individual services.

November 1, 2009

CMS 1500 changes for WI Medicaid.

October 31, 2008

Updated CMS 1500 NC Medicaid changes made 10/29/2008. If no Medicaid ID exists for the assigned provider,

forms print as per Medicaid “NO MPN” specs. Otherwise, forms print as per “NPI Transition” guidelines. For this

to work properly, the Restore legacy ID’s to pre 5/23/2008 CMS NPI mandate must be unchecked in your

configuration.

October 29, 2008

A new EHR option has been added for each user that allows the previous SOAP window to be launched

automatically (as opposed to using the menu) for review & copy operations when you begin a new note. Select

Database Tables from the File menu and then select Users from the tree to update this option.

Removed all references to HCFA/CMS 12/90 form revisions.

CMS 1500 changes for NC Medicaid.

October 24, 2008

CMS 1500 update for WI Medicaid boxes 24 & 33.

ECLIPSE has used image files as a background for forms such as the CMS 1500 for years. Recently, it has come

to our attention that some practices prefer to use digital electronic signatures as part of the bitmap (rather than

sign individual forms) – and have manipulated the files supplied with ECLIPSE. Thus, we have added an option

when you print bills individually from a patient’s ledger or begin a group billing run.

o This new option – Override form background (digital signature) – allows you to choose a specific

background image that may contain a different signature imprint.

o Once selected, you will be prompted for a file to use as a substitute.

o This option is not available for a Reprint Bills / Notes run.

o File names (files should be stored in the main MPN folder) and actual image manipulation to include

your digital signature is up to you.

o If use of this option becomes widespread, we’ll consider adding a database to map various forms to

specific Health Care Providers.

October 22, 2008

Updated ledger to unlink automatic adjustments during billing when outstanding credits take precedence.

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Changes made 10/9/2008 could affect batch runs of custom forms or form letters with regard to condition specific

information. This has been corrected.

ANSI 837 update to ensure sales tax data is sent properly.

October 20, 2008

Added a new CPT category on the CPT Advanced tab to keep the CPT from being billed to any payer, ever.

October 18, 2008

Added taxonomy code checks to ANSI 837P electronic claims checks for referring providers.

CMS 1500 box 24J changes for PA Medicaid as secondary.

Added fields to Guarantor’s Billing & Statements tab to handle contract information for ANSI 837P billing for

OK Medicaid.

October 9, 2009

We built the EHR SOAP capabilities on the same platform we developed for form letters & form templates

several years ago. Unlike those items – which are populated with patient data “on demand,” the SOAP note may

be populated while you’re simultaneously working in several patient folders. This update corrects a problem

which allowed patient specific data (e.g. name, sex) to get confused when bouncing back & forth between

multiple patients while creating a note. It now works like the rest of ECLIPSE and can handle unlimited patients

simultaneously.

October 6, 2008

ANSI changes for electronic billing.

October 3, 2008

A problem with inaccurate renaming of main tabs (e.g. patient name, appointments) has been resolved.

September 30, 2008

CMS 1450 changes for TX Medicare box 80.

Cancelled appointments were affecting scheduler room assignments.

September 24, 2008

A new contractor seems to be processing claims for multiple payers using different criteria. Thus, for ANSI

electronic billing, a new field has been added to the provider database. The new Provider Code field appears on

each provider’s General tab after entity type. Those offices who need to use this field have received claim

rejections.

September 23, 2008

Locked master for September CD mailing.

S.O.A.P. updates including phrasing for risk management..