eclipse® v8 additions & changes - galactek if you have multi-file dicom images, you must either...
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v2015 Additions & Changes
Copyright © 1985 - 2014 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.
November 20, 2014
Added additional error checking to portal to ensure visits aren’t posted prior to setting up providers.
Reverted Stage 1 clinical summary count to certified count within date range.
Removed logo placeholder from AMR patient welcome letter.
November 19, 2014
Dashboard photos are now proportionally scaled & centered within the display area.
Display error message if Meaningful Use reporting period is undefined when report is generated.
November 18, 2014
Corrected the MU counting mechanism following an 11/12/2014 update to properly reflect denominators based
on patients that meet the visit criteria for the reporting period.
November 17, 2014
Appointments created through the portal can now be directly edited and updated manually from the AMR Portal
Pending message grid with immediate updates to both the portal & ECLIPSE. Appointments that were attempted past office hours are automatically backed to a prior available time on the same
date if the patient has checked the appropriate search criteria (e.g. “Evening”).
November 12, 2014
Version update to 2015.
ECLIPSE now imports DICOM imaging (e.g. x-ray / CAT scan / etc.) files (with a DCM extension) that conform
to the DICOM “Single File Standard” to any patient’s Documents tab. Review this NLM article online:
Managing DICOM images. for an explanation of DICOM.
o You must have a DICOM viewer installed on your computer. Santesoft Medical Imaging Software has
viewers available including this one which is free of charge.
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.
This certification period ended by law as of 12/31/2013 and was reinstated for the period 10/1/2014 thru 12/31/2014
for attestation purposes. We expect to seek certification under Stage 2 guidelines in 2015.
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.
o If you have multi-file DICOM images, you must either use a tool to convert them to a single DICOM file
prior to import or upgrade the system that creates your DICOM image files.
Stage 2 Meaningful Use: The Patient Portal is now ready for use. Step-by-step instructions for practice setup &
use are in your HELP Contents under the Patient Portal topic. Please read them carefully to avoid time-
consuming problems & HELP Desk calls.
o The patient portal is FREE and should be used by everyone (whether or not you’re interested in
MU) to ensure better HIPAA compliance. o Patients can send secure messages and initiate appointment requests. You can reply to messages directly
from the queued message grid. Messages that you respond to manually are displayed on a teal
background. Those handled automatically by ECLIPSE are displayed in yellow.
o You can respond to messages manually by simply clicking the ellipsis button in the Message column.
o Configuration options allow you to automate scheduling requests. The portal allows requests based on
date ranges, specific days of the week, specific times, as well as morning afternoon, and/or evening
intervals. ECLIPSE will attempt to accommodate these requests. If this isn’t possible, it will leave the
message queued for you to handle manually.
o This is an online service that remains available as long as you maintain your ECLIPSE subscription.
o We have already requested additional services from the portal providers which you may see in the near
future.
o In order to meet MU guidelines, encourage patients to contact you via the portal.
The Clipboard tab available from the Ledger’s Print options now includes social security# as an option.
Stage 2 Meaningful Use: The Orders tab has now been exposed on the patient’s EHR tab. This tab exists to
fulfill MU data entry requirements only. It allows you to create a database of medication, lab & radiology orders
as required for some menu based objectives.
Stage 2 Meaningful Use: Updated Infobutton links & display parameters for Clinical Decision Support keyword
searches.
Stage 2 Meaningful Use: Updated HELP for Stage 1 & Stage 2 objectives.
Stage 2 Meaningful Use: Added tracking & reporting for signed electronic notes (Encounters).
Stage 2 Meaningful Use: Added tracking & reporting for imaging. Documents now have a checkbox that allows
you to indicate whether they’re “imaging” documents.
Stage 2 Meaningful Use: Added tracking & reporting for secure messaging.
Stage 2 Meaningful Use: Date ranges in your configuration are now active for MU reports. All reports include
patients who have visits within the date range you set.
Meaningful Use: The Patient List report has been updated as follows:
o It automatically defaults to the configuration options you’ve entered for reporting stage & date range.
o The date range is used to specifically include patients with actual visits during the date range.
o The above details are now printed (as required) on the report.
Updated to FairCom 10.3 library.
October 20, 2014
Fixed Problem List issue resulting from required SNOMED additions.
October 17, 2014
Meaningful Use: By request, we’ve improved performance for auto-generated clinical summaries by sending a
CDA document to a browser window on your screen (which can optionally be printed) rather than automatically
generating a PDF of patient information. Meaningful Use: By request, we’ve updated CDS notifications to include abnormal BP & BMI. If you want to
take advantage of this, you must check the Automate CDS checkbox on the General tab of your Configuration.
You can access your configuration from the File | Utilities | Configuration menu.
October 16, 2014
Updated “Add Services & Payments” dialog title to reflect patient case.
Updated Infobutton links for BP & BMI related Encounter Notifications.
Corrected a patient update & retrieval issue when a patient’s folder is released by one networked ECLIPSE user
while it’s simultaneously in use by another (for non-RTDF ECLIPSE setups).
October 14, 2014
Corrected an Encounter issue introduced 3/4/2014. With certain combinations of Microsoft Windows &
computers, ICD data didn’t save when codes were deleted. (Messages would display & indicate that data wasn’t
saved during attempts to save the data.)
October 10, 2014
Right-clicking your mouse on grids without context sensitive menus could crash the program in executables dated
on or after 10/1/2014.
Medicaid changes for UB-04 field 81.
October 4, 2014
Microsoft changes in Windows 8 derailed ECLIPSE context sensitive menus during touchscreen operations. We
have re-enabled those menus for all ECLIPSE grids by directly handling all touch/gesture related messages.
Simply tap & hold your finger position for at least 1 second and the menu will appear when you lift it. All other
touchscreen operations will continue to work as before.
October 1, 2014
ECLIPSE will now display birthday reminders on the scheduler with the comment “Is xx today!!!” where xx is
his/her age. This change will only be effective for appointments created on or after the date you load this update.
September 18, 2014
Updated Krames license renewal checks for software based licenses.
Updated audit searches to ensure the most recent date is always returned when using data to evaluate whether
statements should be generated.
Updated screen refresh routines.
September 14, 2014
Updated ChiroMatrix import program to import to the main database following the 9/9/2014 & 9/14/2014 index
updates.
Extended new grid capabilities added 9/12/2014 to the scheduler’s provider tab. Grid arrangements can be saved
separately for each day of the week.
Added an additional index to the patient file for an upcoming patient portal to match patient data.
September 12, 2014
New functionality has been added to the patient ledger & document grids. New context sensitive menu options
allow you to save (or clear) the current state of each grid. In other words, you can relocate columns, sort and/or
group by specific columns and save the layout separately for each user on your system. Until you clear it,
whenever you retrieve a patient, ECLIPSE will automatically use these settings. o This functionality is specific to the computer – not the user.
o The layout is generic and applies to all patients you view on that computer in ECLIPSE.
o If the currently logged-in Windows (not ECLIPSE) user doesn’t have appropriate permissions, this may not work on your
computer.
Fixed issue introduced 9/9/2014 which caused some windows (e.g. legacy audit view, EHR pending documents)
to crash.
September 9, 2014
Added an index to the patient file for the soon-to-be-released AMR patient portal to match incoming secure
messages to patients. Updated an existing EHR index for extended MU Stage 2 data entry. Added 2 new indexes to the legacy SOAP phrase database now that it’s being used for free form Encounter entry.
The new indexes allow direct searches by either key phrases or text.
Added CPT code 95999 to ANSI 837 electronic billing. Updated screen refresh features. Added MN & WI specific payer control# for 837 claims.
August 14, 2014
CMS 1500 box 14 change to condition screen to add a third option (date first consulted) for chiropractors
submitting Medicare claims.
Fixed an issue with seamless background coloring of the ledger.
August 7, 2014
Multi-Document options on the Documents tab didn’t work properly after column headers were dragged to re-
sort rows.
August 6, 2014
Updated the way Encounters print with CMS forms: Previously, the provider assigned to the bill (i.e. box 33)
determined whether Encounters were matched to billed services. Now, Encounters are matched directly to treating
providers.
Adverse allergic reactions in the History tab can now be matched to CDC data tables.
July 21, 2014
Added new reprint option to allow all claims (printed & electronic) to be sent to the ECS file for electronic
submission.
July 16, 2014
Encounter page headers that follow page 1 (i.e. pages 2, 3, etc.) have been updated to include patient date of birth
& the last 4 digits of the social security#.
“Finger” has been added as a pulse source in the History tab.
ANSI 837 changes for billing.
ICD-10 databases are now available as per the 1/16/2014 README entry. These ICD-10 codes can be imported
& merged directly with your existing ICD database:
o Import will not affect your current ICD-9 database (unless your existing file is corrupt).
o When you import the ICD-10 database, you’ll be prompted to select the chiropractic version (the default –
which contains about 2800 ICD-10 codes) or the full 90,000+ code version. The full version – including
an ICD-9 crosswalk – comes directly from the CDC as-is. To import the ICD-10 codes to your existing
database, select ICD-10 from the File | Data Import/Export | Import submenu. You will then be
prompted to enter your System Administrator password.
Select a database version and press OK to begin the import process.
This may take anywhere from a few seconds to 15 minutes depending on your computer &
selection. (The 90,000 ICD-10 code database merge will display two separate progress bars
during the import process. The 2800 code chiropractic database will not display progress.)
A message will appear when import is complete.
o It’s important that you familiarize yourself with ICD-10 concepts before 10/1/2015. A good place to start
is right here. Please make sure you don’t use ICD-10 before it’s mandated.
o The “chiropractic” version contains both chiropractic & common physical therapy codes. This table has
been carefully categorized by our team of D.C.’s to make it even easier to quickly locate the code you
need.
Please note that myriad mistakes exist in some ICD-10 books for sale to D.C.’s. Our physicians
have spent considerable time carefully cross-checking such codes against the official USA CDC
data. If you believe you have located an error, please check it against an official (e.g. National
Library of Medicine) online data source before reporting the error to us.
Given the fact that no 1:1 correspondence exists between ICD-9 and ICD-10 codes, it’s
imperative that you familiarize yourself with both the actual codes & choices ultimately made by
Dr. Walters as she closely supervised construction of the ECLIPSE ICD-10 database. In fact, our
experience with errors in commercially released materials should serve as a lesson to all: You are
ultimately legally responsible for the codes you place in your clinical documentation & on bills.
Please make sure you pay careful attention to your choices.
How we determined which ICD-10 codes to include:
The team reviewed existing chiropractic ICD-9 office data in different areas of the
country (based on different scopes of practice) as well as ICD-9 data from multi-
disciplinary offices that employ physical therapists.
An attempt was made to balance the total # of codes with the ease of scrolling through
them. For example: There are 27 different codes for various locations of Brown-Sequard
syndrome in the spine (depending on visit type initial, subsequent encounter and sequela
and exact location). Many practices have very few of these patients, so we opted to
exclude them from the ICD-10 database. Additional codes can be entered by you as
needed.
How we created categories:
Most diagnoses were categorized by region, excluding subluxation.
Subluxations were kept in their own category. Rationale: they’re generally used for
specific payers (e.g. Medicare) and would be more likely to be looked up together. (If
you want to change the category, simply access the ICD Database and change the
categories.)
If a diagnosis relates to multiple areas (e.g. cervicothoracic) we placed it in the category
that appears first in the name.
We balanced the sheer number of categories and necessity to scroll through either too
many categories or too many items in a category.
July 10, 2014
A new payment type of Payer Credit Card has been added to handle payer issued CC #’s as a payment alternative
to direct deposit or checks.
o For manual CC entries, simply use the new type.
o For X-Charge processing, you must manually select this type. Otherwise, the standard patient CC type is
always assumed.
CMS 1500 field 11 changes for VT.
A CC processing defect introduced on 6/19/2013 voided a split X-Charge transaction w/o deleting the full amount
of the original transaction.
Tweaked screen refresh routines.
Tweaked folder retrieval performance for patients with multiple cases.
June 24, 2014
Fixed issue with EDI 835 Remittance Adjustment/Remark code retrieval & interpretation.
Stage II Meaningful Use: New History tab columns for additional required immunization observation data &
data tables. The Observations button allows you to add required data from required CDC and LOINC data tables.
Up to 12 diagnosis codes will now print on receipts.
June 18, 2014
CMS 1500 form changes of 6/17/2014 could affect form alignment.
June 17, 2014
Stage II Meaningful Use: New demographic based data filters have been added for preferred language, race and
ethnicity. Stage II Meaningful Use: New data filters for patient contact preferences. Stage II Meaningful Use: New default sort order for filters by date/time of last visit. The time element requires
that an appointment can be matched to the service date. Stage II Meaningful Use: Infobuttons in the Lab Tests tab have been revised to work for KRAMES subscribers.
The National Institutes of Health Medline Plus service (which is free) does not currently work for > 99% of lab
tests we’ve researched. The Notifications button within the Encounter has been updated as well. Stage II Meaningful Use: New History tab columns for additional required immunization data & data tables. A
variety of existing columns have been updated to reflect new government criteria. Note that since the government
has changed the criteria for some columns (e.g. “Administered By” and “Units”), existing data may no longer
appear but will not affect Meaningful Use attestation for Stages 1 or 2. New buttons (Mark All Bills and Clear All) have been added to the patient’s Billing tab within the Ledger’s
print options dialogs.
Stage II Meaningful Use: Incorporated 73,000 term LOINC (Logical Observation Identifiers Names and Codes)
database.
Fixed potential “Amount Paid” miscalculation for bills with filtered services that included service linked
adjustments.
Updated ANSI 837 billing of disability dates.
Added additional Encounter abbreviations.
Fixed a conditional index that didn’t display deactivated users. If affected, an extended rebuild is required to
attempt to repair the issue.
Stage II Meaningful Use: Race, Ethnicity & primary language defaults can now be set in your configuration.
Updated CMS-1500 form for Excellus BC/BS PIN fields 24, 32 & 33. Payer ID field must reflect “00806” to
differentiate payer from other NY BC/BS payers.
May 28, 2014
Updated KIOSK subscription check to handle software license values over 100,000.
CMS 1500 form changes for TX Worker’s Comp.
May 21, 2014
Fixed issue that caused a program crash when launching a patient from the scheduler’s dropdown menu.
Ordering providers have always been included in ANSI 837 claims. They are now included on paper & print
capture claims as well in box 17.
Fixed issue created 4/21/2014 whereby information about previously scheduled room #’s didn’t display on the
scheduler.
The lock confirmation dialog displayed when locking Encounters will now appear at the cursor position.
Some types of legacy EHR based SOAP document edits could lose case associations. This has been rectified.
May 8, 2014
CMS 1500 BC/BS taxonomy changes for box 24I in WA.
Non-Client/Server rollback to pre-4/21/2014 FairCom library build.
May 6, 2014
Fixed Encounter Plan template issue introduced 4/7/2014.
A secondary attempt to activate ECLIPSE disabled the existing activation.
May 1, 2014
Fixed issue with UNC paths that could affect FAC sub-directory databases.
Changed authorization visit checks by CPT to include a date check as well. Thus, multiple CPT codes on the same
date of service that fit the criteria will now be counted as “1” in the totals.
April 24, 2014
Repaired issue introduced 1/19/2014 with regard to recording pulse origin in vitals.
Repaired an issue introduced 3/20/2014 with regard to filtering scheduler providers.
Repaired software licensing server addressing issue introduced 4/2014.
April 21, 2014
Updated itemized statements to handle more than 4 ICD codes.
Voiding a CC payment from the Add Services/credits… dialog could crash ECLIPSE following successful
voiding of the transaction.
If a stored CC is processed during manual service entry and isn’t approved, it will now automatically pop-up the
X-Charge dialog to allow manual data entry.
Updated to v10.3 libraries from FairCom, v9 libraries from \n software, and v5 AMYUNI libraries which have all
been incorporated into ECLIPSE.
Comments & non-standard appointment durations now appear on the scheduler when you hover your mouse over
the grid.
April 9, 2014
Email generated from the scheduler now automatically includes the appointment date & time in the subject/title.
Fixed an issue with ledger grid positioning when adding credits to bills.
Updated Google Calendar interface by request to remove canceled appointments in ECLIPSE from the Google
Calendar.
April 7, 2014
Fixed Encounter Plan template issue introduced 2/2014.
April 2, 2014
Added HELP menu support to take you directly to GalacTek’s new online ticketing system for HELP Desk
related issues. Added a new Copy license info to clipboard button to the About dialog to allow you to copy &
paste some info into the online system.
Fixed issue introduced 3/25/2014 with case assignments for documents.
For the Encounter, Medicare subluxations now appear automatically in Plan adjustments in the same manner as
spinal subluxations.
Fixed an issue with ledger grid positioning adding new data.
March 28, 2014
The Import Image button on the Scan/Import Documents button now supports multiple file selection.
Added Document Control # to ANSI 837 Institutional claims.
Fixed an issue with case assignment to documents.
March 25, 2014
Any EHR document can be re-assigned to a different case during editing.
Fixed an issue with ledger grid positioning after data edits.
Two new options have been added for payers.
Two Condition tabs have been combined. The Medicare/Medicaid & Disability Dates tabs have been combined
into a tab labeled Dates / Specialty / CMS to more accurately reflect content. The new tab has dropdown boxes to
allow you to override boxes 14 & 15 on the new 02/12 CMS 1500 form (printed & print capture) from their
default values on a per patient basis to handle all possible variations. Defaults are based on expected standard
behavior for these forms.
The payer Printed Claim Options tab has been updated with four new values to control whether CMS-1500
02/12 boxes 14 & 15 should be displayed along with qualifiers. This allows you, for example, to globally remove
the box 14 & 15 qualifiers for your local Medicare carrier. These fields affect printed and print capture forms.
March 22, 2014
The Payer Paid & Patient Paid ledger columns have always reflected ALL line item credits, so these columns
have been renamed. An issue with the immediate display of payer adjustment credits has been resolved. A new menu button has been added to the EHR Documents tab to separate document options that affect single
documents vs. those that affect multiple documents as determined by the Select checkbox.
March 20, 2014
Added a new option to the EHR Documents tab. Selected documents in the grid can be consolidated for export to
a single PDF document. Remember, not all document types (e.g. video) can be exported to the pdf format.
The Documents tab grid layout has been adjusted to accommodate modern monitors, and now provides more
horizontal space for the grid.
Fixed an issue with scheduler’s ability to filter columns by provider.
Removed “recently” introduced Windows API calls that don’t exist in Windows XP.
Updated CMS 1500 box 17 to automatically handle qualifiers for supervising [referral] providers.
March 19, 2014
Updated CMS 1500 boxes 14 & 15 for printed and “print capture” claims.
ECLIPSE now supports online licensing & activation via your internet connection.
March 6, 2014
Updated ledger view to ensure that added items are visible w/o scrolling.
Updated CMS 2/12 print capture to handle NUCC/CMS -> ANSI translation issue. This may be a typo in the
NUCC documentation.
March 4, 2014
Multiple changes for new CMS 1500 2/12 form.
Corrected an Encounter issue introduced 2/18/14 where some types of data for blank templates added using the
new data button didn’t save.
February 26, 2014
ECLIPSE now passes address & zip code information to X-Charge when processing credit card transactions.
Updated CMS 1500 “print capture” files to exclude ICD descriptions even when the override is on.
Added a new payer source of payment: HMO Medicare Risk.
Updated ECLIPSE spell check behavior in the Encounter .
The Encounter’s Review Note button has been updated with Previous & Next buttons to allow you to quickly
traverse formatted Encounter text.
Updated ledger to ensure current scroll positions remain after editing (e.g. updating a payment).
February 18, 2014
A new button has been added to each Encounter row and appears at the far right edge of the 1st column – just prior
to any data in column 2 (i.e. at the approximate center of each row). Pressing this button will have the same effect
as pressing the existing button at the far right edge of the data column.
February 17, 2014
Stage II Meaningful Use: We’ve updated data entry of patient smoking status to conform to new SNOMED
requirements. (Prior entries are automatically mapped to their CDC -> SNOMED specified equivalents.)
Stage II Meaningful Use: The behavior of the Encounter Notifications button has been updated as we continue
our move to support both the InfoButton standard and Clinical Decision Support Meaningful Use objectives.
Problem list items are now displayed in a browser as direct links to related information at NIH websites such as
Medline.
Added new “forwarded payer” capabilities for some 835 remittance files.
Updated ICD code report layout for printing.
Fixed potential issue with “print capture” files when bills are reprinted.
The Encounter Edit box has been substantially enlarged when initially displayed (you’ve always been able to drag
or maximize it to enlarge it) to accommodate users who dictate notes into free form Encounter fields.
February 3, 2014
Stage II Meaningful Use: Clinical Support Decision Interventions now have individual permissions associated
with them based on problem list, vital signs, demographics, etc.
January, 29, 2014
Info buttons have been added to the Medications and Lab Tests tabs in the EHR. Please note that Medline may not
always have more information on the topic as searched – especially for lab tests.
January 28, 2014
As part of our Stage 2 preparations, we are introducing functionality which will allow you to perform context
sensitive lookups on the internet with the click of a button. (The standard itself is known as the HL7 Infobutton
standard.) Our first implementation of this standard is with ICD-9 and the MedlinePlus Connect service (which is
free). Currently, when you select an ICD code from the list, you do so with a standard ellipsis button recognizable
throughout the ECLIPSE user interface. A new & separate Info “ ” button will now appear to the right of the
ellipsis. Clicking the Info button will launch your default browser with an automatic request for available
information on that diagnosis. Medline Connect has not yet implemented this behavior for ICD-10.
January 23, 2014
To complement the 1/20/2014 update, ECLIPSE will now maintain the current grid position as a reference point
as you move through Encounters.
o Grid positions will match if the template you’re viewing is of the same type (e.g. daily note vs. exam) & has the same # of rows as
that template in the prior Encounter you were viewing. So, if you move, for instance, from an exam to a daily note, and you’ve
hidden a variety of exam-specific rows, the grid position will not be exact.
Tabs could be manipulated for locked Encounters.
January 20, 2014
If you’re reviewing a specific tab (e.g. Plan) as you progress through a patient’s Encounters, that tab now remains
in view as long as it’s attached to the next Encounter selected.
January 19, 2014
Stage II Meaningful Use: We’ve updated data entry of patient vitals (e.g. weight, height, BP) to make it more
efficient. The dropdown lists created for Stage 1 ensured that each line displayed then unit of measure for
certification purposes. We have updated these to allow for direct data entry of values (e.g. weight) along with a
spin button control that can be used as desired. Popup alert duration on the scheduler has been increased from 5 to 8 seconds. Hint: Move your mouse cursor
over a popup hint to freeze it in place.
January 16, 2014
Automatic service import has been updated: automatic write-offs now reflect the corresponding service date.
Payer assignment can be edited for existing payer payments.
ICD-10 import setup is complete. ECLIPSE can import one of two databases for your office. Use the ICD-9 to
ICD-10 index until you become familiar with ICD-10 codes. o See our blog here for more information about ICD-10.
o The full 79,000+ ICD-10 [2014 version] database is available now. It is imported along with a CDC provided crosswalk to match
ICD-9 codes to ICD-10 comparable codes where applicable. Since ICD-10 descriptions can be over 125 characters in length, the
codes are imported with alternate [official from the WHO] descriptions that are under 35 characters in length.
o The chiropractic specific ICD-10 database currently has over 400 codes and will be available in updates by this coming summer
(well before any October 1st deadlines). Our team has had to review the original WHO & CDC source ICD-10 data due to the
high error volume we’ve encountered in chiropractic specific reference books. Thus, if you note discrepancies, please confirm
them with the official CDC data before contacting us. (Our doctors have notified vendors of these products with regard to
specific errors.)
o When you import a database, it will add the ICD-10 codes to your existing ICD-9 database. Use the indexes to view the codes
you want.
o Our recommendation: Do not import ICD codes until instructed to (likely by July) by us. Why? Simple, we’re not giving you
the custom chiropractic list yet because it’s still a work in progress. And the full CDC list may be updated before then by CDC.
(Once a code is imported to ECLIPSE, the data won’t be overwritten unless you create a new file.)
o ICD-10 codes can be imported by selecting ICD-10 from the File | Data Import/Export | Import menu. Your system
administrator password is required.
January 10, 2014
Service specific ICD selection (in the standard version or Plus/Advanced versions using standard ICD selection
configuration) has been updated to provide a list that displays ICD descriptions as well as ICD codes.
January 8, 2014
If you have X-Charge installed, your daysheet will now automatically list CC payments that were entered
manually as opposed to being processed through the X-Charge system. X-Charge must be installed on the
computer from which you run the report. Note that if you use a date range which includes dates prior to your
X-Charge installation, the new report section will include all recorded CC transactions.
January 6, 2014
The Encounter free form edit dialog now allows you to save & recall phrases with a new button. So, you can add
categorized phrases to a database and then recall them into any Encounter area that uses the free form edit control.
If there are existing phrases in the database when you first attempt to use it, have the HELP Desk delete the
existing database to wipe out its content. Note that any WYSIWYG attributes added (e.g. bold) will be
automatically removed once the text is actually selected into an Encounter.
ICD description length has been extended for ICD-10.
January 2, 2014
The new CMS 1500 02/2012 form has been implemented for pre-printed forms, as a form image to print on blank
paper, and as a “print capture” format for clearinghouse use. o We do not recommend print capture for electronic billing. Electronic billing should always be managed via ANSI 837 compliant claims
submission.
o If you use “print capture,” you must coordinate mapping of the 02/12 compatible file with your clearinghouse. Otherwise, any changes you make will likely result in rejected files.
Updates to our SRSsoft EHR interface by request of SRSsoft.
The daysheet report option that allows you to include missing Encounters has been amended to include unlocked
Encounters as well.
The Billing Preview report has been updated to display all service assigned ICD codes.
Updated visit count calculation for authorized visit restrictions by CPT code.
A programming error was introduced to the user database on 11/13/2013 and affects anyone who has added new
users since that date. We apologize for any inconvenience, but user databases created on or after that date and
before today must be re-created.
December 11, 2013
Stage II Meaningful Use: The new federal standards for Ethnicity & Language require standardized databases.
This update includes files which can be imported to your existing database and include appropriate codes. We
have disabled the ability to add, edit or delete your own codes as per Stage II requirements. In order to import the
attached file to any existing database: o Be prepared to use your administrator password.
o From the File | Data Import/Export | Import submenu, select Language & Ethnicity.
o Enter your password at the prompt. Messages will appear as each database is imported (a few seconds). o You can begin using the new additions immediately.
o If you made have made additions to this database in the past, those entries will remain and cannot be deleted. You can differentiate them from
imported entries using the new code column. o ECLIPSE counts all entries for Meaningful Use.
Added CMS-1450/UB-04 box 15: Admission Source to printouts. This field is already sent via ANSI.
On 10/31/2013, ICD-10 changes were implemented. We have added an additional ICD-9 to comparable ICD-10
index for chiropractic ICD-10 codes so you can directly review ICD-9 codes in ICD-9 order and see the
corresponding ICD-10 code in the next column. We have begun the process of creating the new databases which
you will be able to import directly into your existing database from the ECLIPSE menu. (You will also be able to
import the entire ICD-10 list if you choose.)
December 4, 2013
Stage II Meaningful Use: The patient demographic requirements have changed subtly but substantially from
Stage 1. In order to document a patient’s race, we must now track multiracial traits based on an approved list from
the CDC. In other words, if a patient has mixed heritage (e.g. White & Asian), each must be separately recorded. o The existing Stage 1 field has been retired and can no longer be accessed by you. If you have placed data
in that field, ECLIPSE will still count it for Meaningful Use purposes. o Once you begin using the new field, it will supersede the old field for documents that include relevant
PHI. o The list cannot be edited by you. It’s now standardized – like ICD. Items in the list have unique “concept”
codes (which are never displayed). Fixed issue with printing alerts.
November 27, 2013
Specific, rarely used operations such as recalculating a patient balances from the ledger could crash ECLIPSE on
32 bit systems because the Encounter tab wasn’t re-synchronized.
Updated policy id# filter to handle partial string searches in addition to exact matches.
Updated DrFirst Rx downloads to updated the date last confirmed when a prescription is renewed.
Corrected an extremely rare Encounter issue that wouldn’t display the 1st word of a section in a generated note if
that section had no header and did not begin with a space.
November 19, 2013
Encounters forced prompts indicating there was updated data when exiting a patient’s folder even though no
(Encounter) data was added or updated.
Peripheral Encounter data (e.g. provider, exam assignment) could be updated even if the Encounter itself was
locked.
November 15, 2013
Added multiple bill# display to [split payment] totals from 11/14/2013.
Updated stats reports to include payer EFT/other breakdown with totals.
November 14, 2013
Added further protection to avoid inadvertent Encounter locking by authorized users. Users can be assigned to a
specific provider and can only lock Encounters for that provider.
The patient’s ledger display has been updated to automatically show split payments in a new way. A single
“master” row is displayed which can be expanded to display the individual credits by clicking the “+” sign to the
left of the row. This row cannot be edited or deleted. You can turn this behavior off by setting the “No packing”
checkbox on your Configuration’s Ledger tab.
Patient ID #’s have been added to the rolodex.
November 12, 2013
Fixed a problem introduced 11/4/2013 for Stage II Meaningful Use that affected patient comment edits.
Updated data filters to allow birthday filters to select month & day (and thus ignore the year).
Updated Encounter checklists by request to disable multiple (simultaneous) highlighted selections.
Patient assigned alerts can optionally be declared case independent during creation or editing.
November 5, 2012
The scheduler’s print tab has a new check option: generate a report that reconciles patients marked as arrived [but
not completed] with actual visits (i.e. services that correspond to CPT visit codes) to ensure all patients marked on
the scheduler have had services entered. Practice management tip: the smartest way to handle this is to
reconcile your sign-in sheet with your daysheet printout. Patient visit totals should match sign-in totals
November 4, 2013
Stage II Meaningful Use: ECLIPSE CDA documents (with some modifications from 10/31/2013) have been
tested against the NIST validator and run without errors or warnings for all CDA document types. Box 22 change for Medicaid print capture. If you’re using print capture, it’s time to switch to ANSI and move
away from 1970’s era concepts!
October 31, 2013
Add & display patient photos to the Dashboard with the new Add Photo button.
o Photos are stored with other patient documents and can be viewed or deleted from the Documents tab.
Since even inexpensive cameras can create images that are 10,000,000 bytes (10MB) or larger,
we automatically resize your photos and maintain their aspect ratios during import.
ECLIPSE will NOT erase your original image.
o Photos are not case specific and are not stored by case.
o You can import standard camera image types such as JPG, BMP, and PNG. We recommend JPG.
Since documents within the patient’s EHR have always been assignable to both bills & service dates, we have
limited viewing to case related documents within a patient’s case tab. However, as we’ve added other data (e.g.
Medications) to the EHR, such data has been case independent. New checkboxes now appear where appropriate to
allow you to view or select from all case related documents simultaneously.
o In the patient’s EHR Documents grid, documents will always be ordered first by case, and then by date.
You can change that order at any time by clicking the various column headers.
o When consolidating and printing documents associated with bills automatically, documents must still be
associated with the same case as the bill to be considered for inclusion.
Locked Encounters copied between cases did not have the locks removed.
Fixed Encounter message display issue introduced on 10/12/2013 that affected custom text editing.
Removed ODBC control characters from file headers for better FairCom v10 compatibility.
Updated provider filters for alphabetical searches.
Enabled up & down arrows in Encounter pop-up grids.
Stage II Meaningful Use: ECLIPSE has been updated to export CDA documents from the patient’s History tab.
(The CCR document type specified for Stage I is still exported as well.) Both types are recognized within the
EDocuments tab. The document is simply a summary of care document that can be recognized universally by
internet browsers such as IE, Firefox, and Chrome.
ECLIPSE is now fully ICD-10 ready. We will soon provide partial and extended ICD-10 databases for import.
However, you can now enter ICD-10 codes directly into your existing database. If you bill electronically, you
must check the ICD-10 checkbox to indicate an ICD-10 diagnostic code.
o New indexes are created automatically when you first launch this update. These new indexes allow
separate views of ICD-9 vs. ICD-10 codes in ICD or category order. Report any errors to the HELP Desk
so a HELP technician can help you manually rebuild your ICD files.
o An additional new field can display [where appropriate] an ICD-9 comparable field for ICD-10 codes. We
will be using this field when we create ICD-10 data for you to import.
o Currently, ECLIPSE defaults to the generic ICD code index during ICD selection. As of 10/1/2014, when
you select a code, the default index will automatically change to ICD-10.
o If you use ICD-10 codes before they’re mandated, your claims will be rejected.
o In some states, certain state agencies or payers may insist you continue to send ICD-9 codes. You must
ensure that you’re compliant with the requirements of any entity you submit to.
October 16, 2013
New form letter & template variables have been added for ICD codes and separate parts of an Encounter.
Custom 4 Encounter tab added 10/7/2013 wasn’t displaying automatically with saved data.
Manual responsibility changes could be overwritten automatically during ledger entry as new services and credits
were added.
October 12, 2013
The Encounter now allows you to create separate daily note & exam views for your templates. The ability to hide
individual rows has been updated to allow you to optionally hide rows for a daily note, exam, or re-exam.
Additionally, once you have entered data for a given row, that row will appear for any Encounter that contains
data – regardless of whether it was marked as hidden.
o Use the existing Hide/show rows option on the Encounter’s context sensitive menu. Simply make
selections on the grid to determine which rows you want to hide for each type. For example, you might
choose to hide Present for History during a Daily Note or Re-Exam. This allows you to completely
customize the view to the type of note you’re working with.
o Simply check or uncheck the Exam or Re-Exam Options checkboxes on the lower right-hand side of the
Encounter to instantly change the view.
o If you decide during a daily note that you need to enter additional data (e.g. you decide to update
dermatomes after the patient says her thumb is numb today), simply click the Exam checkbox (which
presumably contains this information) to alter the view, and update the data. Then uncheck Exam. When
the view changes back to the daily note, it will include the single row of information you entered in the
Exam view.
o Don’t forget, as you move from an exam to a daily note, if you transfer all your exam information to the
note, that data will continue to appear as new information for the current note.
October 10, 2013
Updated Launch option on scheduler’s drop down waiting room menu to handle Windows 8 issues where context
sensitive menus are not properly displayed.
October 8, 2013
Multiple updates to data filters for alphabetical searches.
October 7, 2013
X-Charge CC Transaction ID#’s and approval codes now appear in the ledger under Check# and Authorization
respectively.
A new Custom4 template that mirrors templates Custom1 & Custom2 has been added to the Encounter upon
request.
October 1, 2013
Stage II Meaningful Use: ECLIPSE has been updated to use government specified servers to get the current date
& time and set them on any computer it’s running on. This is done at regular intervals.
ANSI-837 institutional electronic billing updates.
As appropriate based on your configuration, the KIOSK Queue is now launched any time you logon.
September 28, 2013
Fixed issue with filtering a report alphabetically by profile.
Added Launch option to scheduler’s drop down menu to handle Windows 8 issues where context sensitive menus
are not properly displayed.
Updated Encounter note text to refrain from printing height & weight along with vitals if no data was entered.
Updated some pop-up Encounter dialogs (e.g. check lists) to be resizable.
ANSI-837 institutional electronic billing updates.
September 23, 2013
Fixed issue with filtering a report by phone #.
Fixed issue introduced 9/12/2013 which affected responsibility when adding credits to the ledger.
September 12, 2013
A new Encounter [context sensitive] menu option allows you to change the order of existing tabs as well as delete
them. This replaces the prior delete only capability.
Document type editing is now password protected under Database Permits.
Fixed Copy/Paste & Import issues with the History tab.
Updated automated date changes when posting services & payments to fix lingering issues with matching
behavior to prior grid structures.
September 10, 2013
G codes can now be printed on UB-04 forms.
EHR documents consolidated from a patient’s Ledger to email on 64-bit systems now display same email options
available in the patient’s Personal folder.
September 4, 2013
Fixed issue created 8/19 (see entry below) with Encounters.
August 19, 2013
A specific sequence of events (starting a new Encounter, switching to the Ledger tab and adding services,
updating & saving the Encounter) could cause two copies of the new Encounter to be saved. This has been
corrected.
After using the drag & drop sort capabilities on the History grid, attempting to exit the patient folder would abort
or crash the program. This has been corrected.
HL7 import changes for lab data.
August 13, 2013
Fixed sales tax issue when multiple sales tax levels were in use and a taxable service with a level 2 tax was edited. Fixed issue affecting copayment distribution during ledger entry as items were deleted or dates were changed.
August 9, 2013
Locked Encounters are printed with the notation: Electronically signed. Last edited on xx/xx/xxxx. This has been
updated to: Electronically signed on xx/xx/xxxx.
The default sort order in the Scheduler for the Waiting/Treatment Room grid is now automatic by arrival time in
the Arrived column. You can change this by clicking on another column.
The Plan template has been updated. The Additional column in the Patient given grid is now a dropdown and you
can add your own custom text to it.
A checkbox was inadvertently introduced to dates added during daysheet entry with the new grids. This has been
corrected.
August 7, 2013
Older appointment grids automatically snapped to row & column boundaries. Newer grids show partial rows &
columns – making it difficult to precisely re-align grids following updates that don’t add rows. After a great deal
of experimentation, we have devised a way around this obstacle to allow absolute positioning within the same
parameters as the old grids (i.e. when the total # of rows and columns remains the same after a refresh).
August 5, 2013
Fixed issue when using payer filters with an alphabetical range.
August 1, 2013
When appointments were updated (e.g. marked as complete or otherwise changed), global update messages were
sent across the network, but the local instance of ECLIPSE didn’t receive messages to update the display. Ledger grids used in ECLIPSE prior to the DB2 version did not display through dates for credits such as cash
payments (which have no purpose). The DB2 version now works in the same manner. Despite the fact that our busy beta sites definitively demonstrated that the F4 key is as fast as the up & down
arrow keys when entering line item payments, some of you prefer the old arrow keys. So, for the line item
payment grid only (since that grid doesn’t host affected controls such as calendars) you can now use the up &
down arrow keys. However, if you’re editing data, you must press the up/down arrow key twice. The first press
ends the edit session for the current cell. The next press moves you to the next (higher/lower) cell. Please see the
6/10/2013 entry for more information.
July 30, 2013
Case balances have been added to the Dashboard tab above the Charges pie chart.
Dashboard users can now scroll Encounters with two new buttons below the Dashboard’s Encounter window.
July 29, 2013
An EFT checkbox has been added to the bill editing dialog.
A context sensitive menu has been added to the scheduler’s waiting room.
A new column has been added to the patient’s Appointment tab to display the last edit date.
July 28, 2013
Bulk finance charges can now be calculated based on patient responsibility.
Printing “Future appointments scheduled today” from the Scheduler was not functional due to an index error.
Following today’s date, this will work automatically. For prior dates, a simple re-index will correct the problem.
July 24, 2013
Since the new scheduler was released, an issue which affected how the times display (on the left side of the
scheduler) has appeared when Show Available is on. We reported the issue to BCG and it has been resolved.
The scheduler’s context sensitive menu is once again fully available.
July 23, 2013
Added new scheduler icons for reminders, blocked appointments and patients who have been marked “Arrived”
but never complete the appointment.
July 21, 2013
Updated scheduler so arrow buttons advanced the calendar a day (vs. a week) at a time when the week view
wasn’t a display option.
July 19, 2013
Fixed printing issue with Alerts.
July 17, 2013
Fixed scheduler messaging issue that affected screen updates after copy/paste and other functions.
Added service/payment/adjustment colors back to the “Add services/credits” grids.
As you change dates in the “Add services/credits” grids, based on your configuration settings, this option will
now work in the same manner as prior versions of ECLIPSE… once you change the date of any row, any new
rows will reflect that date until it’s changed again.
Using the Force edit on double-click configuration option for the scheduler could result in Arrived patients
appearing as double entries in the waiting/treatment room grid.
July 16, 2013
Fixed issue when using payer filters with an alphabetical range.
Fixed configuration issue with scheduler tab display.
July 12, 2013
Fixed scheduler issue introduced 7/11/13 which could intermittently affect 32 bit Windows versions when
changing providers.
1:25PM: RTDF was turned off for this morning’s update and is once again operational.
July 11, 2013
The scheduler has been expanded to handle icons for treatment rooms 1 through 12.
Responsibility edits during daysheet entry were nullified by recalculations. This has been corrected.
New Appointments & updates have been added to the RTDF messaging system.
A new approach to scheduler screen updates limits grid deviation from the existing view & keeps prior selections
in place where possible. Additionally, new RTDF updates ensure that changes made by other users don’t refresh
your view if you’re not currently viewing the affected date range.
July 7, 2013
A new Functional Goals section has been added to the Encounter’s Plan template to handle documentation for
Physical Therapy G code requirements.
During service entry, the patient owed amounts once again reflect changes by date.
July 3, 2013
Manually deactivated alerts are now immediately deleted and can no longer be retrieved following deactivation.
When using the Limit views to selected date configuration option for the scheduler’s Week view:
o Double-clicking to create a new appointment would pre-select a different date during the week.
o Extended appointments weren’t marked on the scheduler.
July 2, 2013
Fixed issue with Source of payment data filter.
July 1, 2013
Fixed issue with alerts grid when permissions disallowed alert deactivation.
Fixed scheduler issue that only displayed an update icon in the waiting room grid when updated at another
workstation.
June 30, 2013
Where applicable, appointments are now displayed on multiple lines in the scheduler so comments are visible
without hovering your mouse.
An issue with Encounter updates triggering a program crash during RTDF has been addressed.
June 27, 2013
Fixed issue with regard to editing blocked appointment times.
Removed automatic “through date” processing during ledger/daysheet entry when “through date” column is
displayed.
Updated Encounter Condition dialogs to handle 12 diagnoses.
Fixed grid issue introduced 6/26/2013 that affected Encounters.
June 26, 2013
Added Available tab to scheduler views. Fixed an issue with deactivating alerts. A new column indicates alert status after deactivation.
The Add Services & Credits grid has been updated to reflect column settings (e.g. Thru Date & Units) based on
your configuration.
Updated ledger & scheduler grids to zero-in on prior data during refreshes.
June 24, 2013
Fixed issue updating scheduler’s Waiting / Treatment room grids from Provider tab.
Fixed issue with legacy ANSI 837 4010 Professional electronic billing for ASHN.
Fixed scheduler issue that affected selected appointment cell visibility following a refresh of the grid.
June 21, 2013
Following passionate requests from a few users who felt restricted by the inability to print times when using the
grid’s built-in print capabilities, we contacted BCGSoft (the Russian vendor that authored the code libraries) to
see if there were any possible solutions. They kindly provided an internal code change to accommodate us.
Fixed issues with blocked appointments.
June 20, 2013
Using the legacy context sensitive menu to mark patient as “Arrived” updated the data on screen, but didn’t save
the update to the database. This has been corrected.
Reminders & blocked appointment groups were displayed with icon. The icon has been disabled for these items.
New appointments initiated via the Provider tab’s Edit menu selection (instead of the preferred double-click
method) didn’t select the columns provider.
Patient Ledger’s Bill tab now remains on the currently selected bill after editing.
June 19, 2013
Updates to professional 837 claims for Horizon BC/BS of NJ. Payer ID must be 22099. Then, ECLIPSE will
insert provider’s Blue Cross PIN.
FairCom database update.
Fixed a scheduler issue that could result in extra rows appearing on the Provider tab.
Updated column alignments in the Ledger tab grids to streamline the views.
Voided CC transactions could result in deletions of ledger data that were not part of the CC transaction. This has
been corrected.
June 18, 2013
Updates to institutional electronic 837 claims for physical therapy.
An obscure Windows messaging issue which we developed a workaround for last week inadvertently affected
Real Time Data Flow messages. The problem has been corrected.
Spaces (blanks) could be added as ICD codes on the Condition’s General tab.
Fixed a scheduler issue that allowed new patient appointments to be retrieved via the context sensitive menu.
Fixed a scheduler issue with available appointment display on the Provider tab.
Editing the amount of a payment or adjustment (from the ledger) that had previously been applied to a bill would
result in an incorrect balance on the bill. This has been corrected.
June 17, 2013
ECLIPSE once again exports (based on your configuration) the scheduler’s “arrived” information.
Grid checkboxes were set on 6/15/2013 so they were in “read only” mode. This has been corrected.
June 15, 2013
Added a configuration option to suppress the scheduler’s waiting room enhancements.
Fixed a scheduler issue on the Provider tab which forced over booked appointments to appear to be scheduled for
a subsequent time slot.
Fixed a scheduler issue on the Provider tab when “Show Available” is OFF that affected proper column display.
In the event the scheduler is configured to reinstate legacy double-click behavior, the Arrived option now appears
on the context sensitive menu.
June 10, 2013
Database updated to ECLIPSE DB2 version with conversion utility.
New patient index for cell phone #’s allows you to do quick lookups when patients respond to text messages.
Conditions now support up to 12 ICD codes each. Use the arrow or tab keys to navigate the grid with the same
functionality you had before (e.g. enter an ICD code and press TAB to get the description). o Note that though each service also “supports” 12 ICD codes internally for the future, you can only apply 4 of the 12 condition
codes to a specific CPT code. This is not an ECLIPSE limitation. This is as per government specification for both paper and
electronic billing formats. Anyone who believes otherwise is misinformed. Please feel free to contact us for documentation.
o If you currently use a “print capture” format, that’s not the same things as sending ANSI formatted claims. To use 12 ICD codes,
you must send ANSI formatted electronic claims to your clearinghouse.
o A new CMS 1500 form has been designed and is currently awaiting approval by CMS. Once approved, it will be added to
ECLIPSE.
ECLIPSE has new fields to allow a suffix such as “Jr.” to be added for patients & guarantors.
Real Time Data Flow™: ECLIPSE now offers unrestricted access by an unlimited # of simultaneous users to all
the data in any patient chart (provided they have permission). Everyone instantly sees changes saved by anyone
else. o ECLIPSE has always provided full privileges to the first user who retrieved a patient’s chart. Secondary users were restricted
with regard to their ability to make changes.
o A new configuration option allows you to bypass the ECLIPSE locking scheme and use a new paradigm. As data is saved by any
user on your network, messages are broadcast to identify which patients and data types have been updated. First, implement the ECLIPSE Chat feature (see 5/14/2012 entry) on your network and send messages from each PC to ensure that
messages are not being blocked on your network. If there’s a problem, review the Chat HELP for troubleshooting.
In order to turn RTDF ON, the ECLIPSE and ECLIPSENet32 executables must both be running & launched from separate
computers on your network. To enable this new feature, select System from the File | Utilities | Configuration menu and check Override default record locks with
ECLIPSE Multicast.
o In the event an affected patient’s folder is currently in use, ECLIPSE will automatically save data where appropriate and display
the changes. Here are some examples for a 7 user system where Jane Doe’s file is currently viewed on two different workstations.
No “timers” are involved. All changes take place in under 1 second. User 1 adds a service… The Ledger tab for users 2&3 is updated immediately to show the new entries and balances.
User 2 updates the patient’s address… The Personal tab for users 1&3 immediately reflects the changes.
User 1 is updating Condition 3… User 2 makes a simultaneous update to Condition 4. Data being edited by both users is saved and the updated information is available to each of them and user 3 immediately.
The receptionist marks the patient as arrived. The doctor, in a treatment room, notes this on her tablet and retrieves the EHR in-
between patients. She enters the treatment room, begins an Encounter, and enters services. While she’s adding a few Encounter notes,
the patient moves to the check-out desk, where the chart on the screen has already been updated with the new services added by the
doctor. Payments are entered and the next appointment is scheduled. The doctor notes this before closing the chart on her way to a
subsequent patient.
The ledger grids have been updated and can be sorted or grouped on any column. For example, drag the Bill#
column header to the Group by area over the grid and watch it instantly sort by bill# with headers separating each
bill.
Multiple services & credits can be selected simultaneously and then deleted as a single action.
The “Add services/credits” dialog now has more room to view services without maximizing the view. And the
Apply 1st provider to all rows option now includes automatic adjustments.
The scheduler grids have been updated as well. o A new Waiting / Treatment Room grid remains in view and always displays current data – regardless of the week you’re
viewing. A splitter control allows you to adjust the viewing area between the scheduler and room grid.
o Individual appointments are accompanied by a variety of colorful icons to provide even more “at-a-glance” information about the
appointment. For example, the icon indicates an appointment was not marked as completed. indicates the patient is in room
3.
o Each appointment cell for today now has a dropdown to allow you to instantly change that appointment’s status and assign the
patient to either the waiting room or a specific treatment room.
o Alerts now display in pop-up windows for 5 seconds when a patient is marked as arrived and disappear on their own.
o When waiting or treatment room information is updated, every copy of ECLIPSE on your network will instantly reflect the
change… so everyone can follow the flow in real time.
o In order to improve performance, only the Week of and Provider grids have been made available. The By Room and Available
grids have been removed since they are used by fewer than 0.01% of clients. The Queue is no longer relevant.
o Configuration Options: Appointments have always been marked as completed automatically. You can optionally turn this feature off in your configuration to
allow manual sign-in & sign-out of the patient.
In the past, double clicking an appointment brought you to the edit tab. Appointments for today’s date now have dropdown lists for
immediate assignments (e.g. Arrived or Room 3). However, you can override this behavior by changing the configuration to force double click edits for all.
We have finished replacing & updating all grids in ECLIPSE. This process took several years and was necessary
in order to keep current after our prior Canadian vendor stopped supporting their code libraries (which are no
longer compatible with current Windows versions). The new Russian vendor is a Microsoft partner & has had
their code integrated directly into Microsoft products (which hopefully guarantees better longevity).
o The old grids had limited functionality for edits and thus had simpler requirements for navigation.
o Existing grids that allow editing (e.g. Patient History) can now be navigated using TAB (to move
forward) and shift TAB (to move backward).
o F4 can be used to initiate or end editing for dropdown lists, dates, and pop-up dialogs. Esc can be used to
end editing.
o Due to the extensive options now available to edit grid based data, up & down arrow keys are no longer a
navigation option. (Otherwise, editing of fields such as date, time and dropdowns becomes severely
restricted.)
o Printing a grid as it appears on the screen has always been a feature of the grid provided by the grid
vendor – not ECLIPSE. (As an example, appointments have a tab in ECLIPSE where we provide a wide
variety of print features.) Where such technology is exposed in ECLIPSE, expect such printouts to
change. Since we have no control over the code and don’t support these printouts, we cannot make prior
versions match current versions.
Patient folders launched from the scheduler were not locked properly. This has been corrected.
Updated text messaging domain for Verizon from vtext.com to vzwpix.com.
Updated 835 remittance reports to ensure adjustment codes don’t get cut-off at the edge of the page. Added
remark codes.
KIOSK has been updated to: o Prompt user for a date of birth on startup screen if one isn’t entered.
o Prompt user to opt out after pressing the Cancel button on any page.
o Provide staff a new checkbox that allows you to limit pages to outcome assessments only. A new button in ECLIPSE then
handles this when merging data.
o Automatically scale to different resolution devices (e.g. tablets, laptops, etc.)
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
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.
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.
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
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.
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.
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.
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
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
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.
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.
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.
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.
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.
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.
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.
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.
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
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
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.
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.
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…
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.
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
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
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.
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
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
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.
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.
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.
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.
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.
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.
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.
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.
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).
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
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.
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..