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Welcome to the New Criterions Blog!

Welcome to the New Criterions Blog!

The Criterions team is excited to unveil our new website and blog to our customers and friends! In our blog, you'll find TCMS product updates and articles on the topics you care most about-- from patient engagement to regulatory compliance.To subscribe, simply fill out the form here.

 

Please reach out to the Criterions team if you have any questions:

 

2019 Criterions BAA Compliance Required

2019 Criterions BAA Compliance Required

In compliance with HIPAA regulations we are updating our Business Associate Agreement with all Criterions ‘Covered Entities (clients).  This is mandatory for us to service your account.

To simplify this requirement and eliminate any question for conformity, we have reproduced the latest sample template provided on the Health and Human Services’ website. 

To update your BAA with Criterions, please complete the form at: https://form.jotform.com/criterions/hipaa

There is no need to print this form as it will be electronically signed with a copy emailed to you upon completion. Thank you.

Questions? Contact our team:

Criterions & Application Service Provider Invoicing Changes

Criterions & Application Service Provider Invoicing Changes

All New York State clients will be charged NYS sales tax for all support services.

  • EHR fees, if not already adjusted for reference libraries, are billable at $135.00/month/provider.
  • eRx will now be invoiced annually by Criterions (previously invoiced by Application Service Provider). It will continue to be billed at our net cost.  There will be no sales taxes collected as these fees are for service transmissions received by the RxHub which is out of state.
  • EDI, Clearinghouse fees, previously invoiced by Application Service Provider (if applicable), will be added to your monthly Criterions invoice.  There will be no sales taxes collected as these fees are for service transmissions received by the Clearinghouse which is out of state.
  • We will be transitioning for all invoicing to be done by email or ACH withdrawals.  If you wish to have mailed invoices there will be an additional fee. Please contact our office if you wish to discuss this option.

Questions? Contact our team:

Upcoming Feature Limitations in TCMS

Upcoming Feature Limitations in TCMS

Upcoming Feature Limitations in TCMS

Effective March 31st 2019, TCMS users will NOT be able to perform EDI functions.  You will need to use our Browser interface to perform any EDI functions (ex: claim submission, ERA or eligibility).

As part of our aggressive path towards best practices, performance, redundancy and security we must enable additional security protocols and ciphers to further protect and insulate PHI and as recommended by HIPAA.

Once enabled, the following features will not work in TCMS:

  1. ALL EMC/EDI features like:
    • creating claims
    • sending a file
    • retrieving reports
  2. Retrieving ERN files
  3. Eligibility Submission and result processing will not work
  4. Creating e-Track

Criterions is required to use AES (Advanced Encryption Standard) and TLS 1.2.

The executable version of TCMS cannot support these encryption protocols and ciphers

These requirements come from HHS, https://www.hhs.gov/hipaa/for-professionals/breach-notification/guidance/index.html

As per NIST requirements for HIPAA http://dx.doi.org/10.6028/NIST.SP.800-52r1

Browser access, cloud or self-hosted, has always supported these.

Sample article on HIPAA requirements:

https://www.vmracks.com/resources/hipaa-compliant-hosting-insights/choosing-the-right-type-of-encryption-for-hipaa-data/

 

If you believe your office will be adversely affected please contact Criterions using the form below:

Time to Update to TCMS Version 4.9.3

Time to Update to TCMS Version 4.9.3

Please update to TCMS version 4.9.3 as soon as possible. There are many enhancements, additional security provisions and some bug fixes for minor issues.

If you need any assistance or have any questions on how to update, please call us.

What’s included; enhancements to Patient Receipts, the Payment Analysis report, Workers Comp forms, Favorites in the Documents Tab, Eligibility checking on secondary and tertiary insurance carriers, Closing report, Referral Source report, and New HP1 forms.

Minor tweaks to: internal NDC tables, Referral Source report, the Fax Queue, No Fault batch management, Workers Comp Case management, reported allowed amounts of self pay payments, ERN posting, Debits display in ledger history, adding write-off reasons, auto-write-offs on zero-payments, Payment Analysis report, and the patient balance display in the Patient Search screen.

Questions? Contact our team:

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