General Practice Settings
Two Factor Authentication Options
The following options allow a practice to determine if they want their users to use two forms of identification when logging into ThoroughCare. Practices may select one of the below:
None - Does not allow users to set up two factor authentication for their ThoroughCare logins (Enabled by Default)
Allow - Gives users the option to set up two factor authentication for their ThoroughCare logins
Enforce - Requires users to set up two factor authentication for their ThoroughCare logins (Suggested)
Patient Info Field Requirement Options
The following options are demographic fields a practice can require for all patient records. Practices may select any combination of the below fields that users must enter before saving a patient record:
Address (Street, City, State, and/or Zip Code)
Contact Information (Home Phone, Mobile Phone, Work Phone, Preferred Phone, and/or Email)
Primary Language
EHR ID
Department
Care Team (Primary Care Manager and/or Primary Physician)
Place of Service
Risk Level
Patient Messaging Options
The following options provide messaging capabilities that can be sent directly from ThoroughCare to patients. Practices may select either or both of the below:
Portal Messaging - Enables direct messaging between ThoroughCare users and patients with access to the Patient Portal through the Messages module.
Text Messaging - Enables direct messaging between ThoroughCare users and patients who agree to receive text messages through the Message module.
Call Assignments Performed by Non-Administrators - This option allows non-administrative users to assign calls to other users. If disabled, administrative users can still grant non-admins this access through a Permission Set.
Video Calls - This option allows practices to perform Telehealth visits directly through ThoroughCare.
Require ICD10s - This option restricts users from saving a condition without a documented ICD10 code.
Reconcile Diagnoses - This option identifies ICD10 codes that are not recognized by ThoroughCare and attempts to locate a code that closely aligns with the condition.
User Time Zone - This option allows a practice to determine if documentation should be timestamped according to the timezone used by the user’s machine instead of the time zone associated with the practice.
Care Management Settings
The following options determine practice settings for all Care Management programs
(CCM / PCM, RPM, BHI, CCO)
Sync Care Team - This option determines if the users entered in the Patient Info tab’s Primary Care Manager and Primary Provider should automatically get added as the program-specific Care Manager and Provider. When enabled, these fields can still be manually updated when needed.
Admin Only Care Team Reassignment
This option determines if non-administrative users have access to the ‘Reassign Care Team’ worklist bulk actions.
Automated Identification of Gaps in Care - This option creates ‘Suggested’ Care Plans based on patient data and assessment responses that indicate potential gaps in care for the Care Team to evaluate. Example: Patients aged 66 and over are automatically assigned a ‘Gaps in Care’ Care Plan along with goals related to Advance Care Planning, Medication Review, Functional Status Assessment, and Pain Assessment.
Include ‘Logged By’ column in Time Logs Table - This option adds a column to each patient’s Time Log table that displays the name of the user associated with the time logged actions.
Include ICD10 Codes on Care Plan Report - This option determines whether or not documented ICD10 codes display on patient Care Plan Reports alongside their corresponding Conditions.
Provider Sign Off
The following options relate to the patient Care Plans and determine the capabilities around obtaining provider signatures.
Allow Initial Provider Sign Off - Enables sign off functionality for the Care Plan’s Initial Monthly Workflow. Includes both individual and bulk patient options.
Require Initial Provider Sign Off - If the Allow Initial Provider Sign Off option is enabled, a practice can require that the sign off be performed.
Allow Monthly Provider Sign Off - Enables the ability to capture monthly provider sign-offs on patient Care Plans for each Care Management program. Only available with ‘Allow Provider Sign Off’ option above.
Transitional Care Management Settings
The following options determine practice settings for the TCM program
Discharge Summary Requirement - This option determines whether or not a practice requires the acknowledgement of a Discharge Summary in order to meet the TCM ‘Review Discharge Info’ requirement.
ICD10 Diagnosis Requirement - This option determines whether or not a practice requires a documented diagnosis in order to meet the TCM ‘Review Discharge Info’ requirement.
TCM 30 Day Hold - This option allows practices to restrict TCM claim submissions for 30 days.
Annual Wellness Visit Settings
The following options determine practice settings for the AWV program
Use Ability API - This option allows practices to perform eligibility checks on patients directly through ThoroughCare.
Allow AWV Override - This option allows practices to override AWV ineligibility and proceed with a patient’s annual wellness visit.
Skip Vision Test on IPPE Exam - This option allows practices to complete an IPPE exam without documenting a vision test.
Billing & Claims Settings
The following options determine practice settings for claim generation and program billing requirements
General
G0136 Claims - This option allows practices to generate G0136 claims for patients once every 6 months when the Health Risk Screening is completed through the standalone HRSN or through an annual wellness visit.
Allow Custom Claim Quantity - This option allows practice users to adjust a claim’s quantity directly through the claim.
CCM
Maximum 99437 Claims - This option sets the maximum number of 99437 claims that can be generated for a patient during a calendar month. (Default = 99 Claims)
Maximum 99439 Claims - This option sets the maximum number of 99439 claims that can be generated for a patient during a calendar month. (Default = 2 Claims, Maximum Value = 2 Claims)
Maximum 99489 Claims - This option sets the maximum number of 99489 claims that can be generated for a patient during a calendar month. (Default = 99 Claims)
Complex CCM Billing (60 Minutes) - This option allows practices to generate a 99487 claim after 60 minutes of billable CCM time has been logged for the month, and an additional 99489 code for each 30 minutes logged after that.
Complex CCM Billing (90 Minutes) - This option allows practices to generate a 99487 claim after 90 minutes of billable CCM time has been logged for the month, and an additional 99489 code for each 30 minutes logged after that.
Custom CCM Claim Modifier - This option allows practices to enter any modifier to be added to their CCM claims.
RPM
Minimum Days with Readings - This option allows practices to determine the number of UNIQUE days with readings required to generate a 99454 claim for an enabled measurement. (Default = 1 Day)
Minimum Readings for 99453 - This option allows practices to set the minimum number of device readings needed to generate a 99453 claim. (Default = 16 Readings)
G0511 Claims - This option allows practices to generate G0511 claims based on days with readings.
Minimum Readings for G0511 - This option allows practices to set the minimum number of UNIQUE days with readings required to generate a G0511 claim. (Default = 16 Readings)