These release notes describe the most important changes/fixes in version 6.4.0 of the CS R4 software.
We have implemented a new monitoring process on the CS R4+ Server which will watch the CS R4+ backup application on a polling interval of 10 seconds, if at any point the backup application is no longer detected as running it will immediately be restarted to ensure all scheduled backups continue as normal.
We have added the following new tooth surface treatment codes which come into effect from 1st July 2018 for all new courses of treatment:
1405: Composite, glass ionomer or resin fillings in permanent or retained deciduous teeth in patients aged under 15 years or to pregnant or breast-feeding women (1 Surface).
1406: Composite, glass ionomer or resin fillings in permanent or retained deciduous teeth in patients aged under 15 years or to pregnant or breast-feeding women (2 or more Surfaces).
1407: Composite, glass ionomer or resin fillings in permanent or retained deciduous teeth in patients aged under 15 years or to pregnant or breast-feeding women (2 or more surfaces with MO or DO).
1408: Composite, glass ionomer or resin fillings in permanent or retained deciduous teeth in patients aged under 15 years or to pregnant or breast-feeding women (3 or more Surfaces with MO or DO).
We have added the following new tooth surface treatment codes which come into effect from 1st July 2018 for all new courses of treatment:
1428: Retained deciduous teeth. Filling including any dressing, pulp capping & pin or screw or acid etch & other prep work (Tooth specific code, not a surface code).
4301: Resin filling, including acid etch in permanent teeth. Patient under 15 Years of Age - Per Tooth (including Buccal and/or lingual).
4302: Resin filling, including acid etch in permanent teeth. Patient under 15 Years of Age - Per Tooth (where the MO &/or DO surfaces are involved).
Support for Sidexis 4 (v4.2) has now been introduced in CS R4+, this can be activated via the Clinical Chart – Tools window by enabling the new ‘Sidexis4’ option from the X-Ray software list and setting the application path to the Sidexis4.exe location.
Recently an issue was introduced where we stopped producing EDI Claims for courses of treatment only containing a 9999 treatment, this has now been addressed. Any affected courses of treatment that have prompted no claim to be produced should be re-opened and closed to have the claim generate and transmitted as normal.
Previously if a family group dependant had an outstanding debt it was allocated to the group head, if that dependant was made financially independent then the debt would stay with the group head. Following insight gained by talking to our customers the outstanding debt will now be transferred to the patient being made financially independent.
Activities like viewing a patient’s finances through the patient record or a receptionist responding to a checkout prompt could adversely slowdown in situations where treatment involving charges had been completed in the same session.
This slowdown has now been improved and will only happen in 2 specific scenarios where some background checks are necessary. These are when a patient has a partial exemption and where the maximum patient charge has been exceeded.
There was a confusing workflow which could end up in a credit being applied incorrectly when uncompleting a paid treatment item and then cancelling the financial credit for it.
The Patients Financial window already has functionality that blocks incorrect cancellations; this prompt will now display if a user tries to cancel this form of credit transaction and provides corrective guidance to the user.
We have made general improvements to optimise the efficiency of load times when accessing the patient record.
In order to streamline workflow, we have removed the existing Imaging Toolbar and instead embedded the functionality into the CS R4 Chart’s own Application Toolbar. This means fewer clicks to complete imaging workflows.
This was found to be too restrictive by practices using this functionality as it was stopping users from making late corrections to a Course of Treatment, to compensate we have adjusted this behaviour further to provide some ability to make corrections while still blocking automatic completion as follows.
Users are now able to mark treatment items as 'Done' from the add/Edit Code window via Treatment Tab.
If the add treatment item window is opened to add a new treatment item, then the 'Done' checkbox will be unticked.
If an existing incomplete treatment item is opened (for editing), then the 'Done' checkbox will be unticked.
If an existing completed treatment item is opened (for editing), then the 'Done' checkbox will be ticked.
If a user marks a new item as 'Done' and presses the 'Apply' button to create the treatment item, when the window refreshes, the 'Done' checkbox will untick itself.
When a new user permission was added to control user roles who can undertake an Online Referral for practices using the Online Referral system, it also disabled the existing Refer Out ability even if the practice had yet to transition across to using the Online Referral system. This has been addressed to allow the existing referral option to still be used up to when a practice has been activated for Online Referral use.
We have been notified that TLS1.0 support by Denplan for DEPPA is ending soon so are immediately moving over to using TLS 1.2. Users should see no change in DEPPA functionality however additional Microsoft windows security patches will be deployed by CS R4+ if detected as required to help make the transition as seamless as we can.
TLS1.0 support by our Post Code lookup provider is ending on the 31st July 2018 meaning we are updating it to use TLS 1.2. Users should see no change in post code lookup functionality however additional Microsoft Windows security patches will be deployed by CS R4+ if detected as required to help make the transition as seamless as possible.