The following is a list of enhancements included in R4+ v8.1.14. All fixes are cumulative (each new release contains all new fixes as well as all fixes from the previous release).
A new application is available in the R4+ Program Group called ‘R4+ Database Connection Manager’ this allows R4+ to use more recent Microsoft Connection Drivers if found on each Workstation or provide an easy way to install the latest version for use if not. This can also provide the ability to TLS encrypt your R4+ database connections if suitably configured in your Microsoft SQL Server installation, please contact your Support Representative for further assistance on this feature.
GDP number has been added to the R4+ Users window, where specified for Therapists, Hygienists, Nurses or Clinical technicians it can now be selected under the DCP field to comply with recent regulatory changes for NHS England. The functionality was implemented as an adaptation of the existing functionality implemented for NHS Wales.
The latest version of R4+ implements changes specified in CCN 50 for NHS England. The changes will be implemented on October 1, 2022.
NICE Recall Interval will become mandatory on all adult English banded claims (Bands 1, 2 and 3) if the Date of Acceptance is on or after October 1, 2022, this will remain optional on claims for patients aged under 18 or on non-English claims. Where NICE Guideline Recalls are used requiring Oral Health Reviews then this continues to be automatically set however if other Recall Styles are in use then you will be required to specify this in each claim before submission.
NHS England now requires that a BPE be recorded adult banded claims, but will only require the highest sextant score in the mouth be transmitted, if a BPE is captured on course acceptance as part of a clinical examination it will be automatically set, if no suitable BPE is recorded then Not Possible will be specified, users can override and change this on the Claim before submission where necessary.
A new Capture field has been added to the Claims Clinical Tab to record the total number of Untreated Decayed Teeth for the Patient. This is the number of teeth which are decayed into dentine (excluding arrested decay), this includes teeth which have recurrent decay around fillings. We will deduce a count based the charted conditions and treatments present on the Patient, users will be able to adjust this in the claim the same as the DMF values if necessary before submission.
Two New endodontic CDS captures have been introduced in claims from October 1st:
Molar Endodontics
Non-Molar Endodontics
These have already been implemented for NHS Wales and will replace the single endodontic code previously in use for NHS England.
To comply with regulatory changes to accommodate existing orthodontic appliances from newly arrived overseas patients, the new assessment result “Debond for Overseas Patient” has been added to Orthodontic Start of Treatment Claims . It will only be accepted on claims that have a Date of Assessment on or after October 1, 2022, and is only expected to be used with patients who are fully exempt from dental charges. The patients must also have no previous history of orthodontic work carried out under the NHS.
R4+ has implemented NHS Revision 9 of the NHS Patient Registration Form for England, changes include:
Addition of supporting Evidence to the Consent Disclaimer
Addition of a Disclaimer to Provided Contact Details
Patient opt-out for Contact Method if they do not want to share contact info with the NHS
Addition of the Patient's NHS Number
Adjustment to the Free Entitlement Text
NHS has issued Revision 10 of the Patient Registration Form. The Notified Record Retention period in the Patient Signature Disclaimer has been changed to 8 years (from 10).
After November 1, 2022, staff will be able to display the GP17PR (1122) Form on-screen for the patient to review and sign electronically.
The following is a list of issues addressed in R4+ v8.1.14.
A defect which caused R4+ to incorrectly add 5p to charges each of the tooth boundaries 2 through 10-16 has been fixed in the latest version of R4+.
R4+ has added Code 3291 Suffixes 91,92 & 93 into the Historic SDRs 27-30 to correct problems with applying the Payment Recovery Codes for certain long standing Orthodontic Courses with Paper Interim Payments which started in 2017/2018.
Code 4502’s price was incorrect against the current SDR, this has now been corrected.