What's New in R4+ Version 6.5.2

Version 6.5.2 of the R4+ software includes the following features and enhancements:

NHS Scotland - Fee Update from November 2018NHS Scotland - Fee Update from November 2018
We have added the following code and fee changes which come into effect from November 1^st, 2018 for all accepted new courses of treatment for all Scottish NHS Sites.
- NHS Fee Increase of 2.55% across all applicable Treatment Codes.
- Correction to Treatment Code 3222 which was incorrectly set as a discretionary code.
NHS Scotland - Prior Approval Limit Increase from November 2018NHS Scotland - Prior Approval Limit Increase from November 2018

The board have updated the prior approval limit from £390 to £410, this change takes immediate effect on accepted courses from November 1^st, 2018. We also check and update any individual tiered limit actively below this to ensure the new base limit is adhered too from this date forwards.
NHS Scotland eDental - Sites Containing Invalid Contract List Numbers would Result in Claim Reconciliation Files not Being Fully ProcessedNHS Scotland eDental - Sites Containing Invalid Contract List Numbers would Result in Claim Reconciliation Files not Being Fully Processed

An issue was recently identified where if a site has any non-numeric list number when a reconciliation file is received, and a user chooses to process it would start processing but error due to the invalid list number and stop but still report the file as processed.

This would leave claims in statuses like Sent or Rejected due to already been processed if reset, we have addressed the issue and will automatically mark all previously received reconciliation files for re-processing in this release.

Please be aware due to this fix when accessing your EDI search screen, you will be prompted you have Reconciliation responses for processing as this contains all previously received Reconciliation files to-date this may take some time to complete during which that workstation will be unusable so plan accordingly.

Do not interrupt this process when started during which time CS R4+ may become unresponsive but will return to normal once completed. Finally, you may see a sudden increase in ‘Adjusted’ claims that may require manual settlement due to this reprocessing activity.
NHS Scotland eDental - Paper Based Prior Approval Authorisation not Being Included in the eDental Prior Approval Payment Claim and Being RejectedNHS Scotland eDental - Paper Based Prior Approval Authorisation not Being Included in the eDental Prior Approval Payment Claim and Being Rejected

An issue was recently identified in the recently added Prior Approval tab implemented in v6.5.0 which affects only paper-based approvals, Prior Approvals granted on paper require only the Date of Approval to be provided in the Final Payment claim as no Reference code is provided.