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1 Pega Foundation for Healthcare COMMON CODES SOLUTION BUSINESS CASE USE CASE GUIDE 7.31
2 2017 Pegasystems Inc., Cambridge, MA All rights reserved. Trademarks For Pegasystems Inc. trademarks and registered trademarks, all rights reserved. All other trademarks or service marks are property of their respective holders. For information about the third-party software that is delivered with the product, refer to the third-party license file on your installation media that is specific to your release. Notices This publication describes and/or represents products and services of Pegasystems Inc. It may contain trade secrets and proprietary information that are protected by various federal, state, and international laws, and distributed under licenses restricting their use, copying, modification, distribution, or transmittal in any form without prior written authorization of Pegasystems Inc. This publication is current as of the date of publication only. Changes to the publication may be made from time to time at the discretion of Pegasystems Inc. This publication remains the property of Pegasystems Inc. and must be returned to it upon request. This publication does not imply any commitment to offer or deliver the products or services described herein. This publication may include references to Pegasystems Inc. product features that have not been licensed by you or your company. If you have questions about whether a particular capability is included in your installation, please consult your Pegasystems Inc. services consultant. Although Pegasystems Inc. strives for accuracy in its publications, any publication may contain inaccuracies or typographical errors, as well as technical inaccuracies. Pegasystems Inc. shall not be liable for technical or editorial errors or omissions contained herein. Pegasystems Inc. may make improvements and/or changes to the publication at any time without notice. Any references in this publication to non-pegasystems websites are provided for convenience only and do not serve as an endorsement of these websites. The materials at these websites are not part of the material for Pegasystems products, and use of those websites is at your own risk. Information concerning non-pegasystems products was obtained from the suppliers of those products, their publications, or other publicly available sources. Address questions about non-pegasystems products to the suppliers of those products. This publication may contain examples used in daily business operations that include the names of people, companies, products, and other third-party publications. Such examples are fictitious and any similarity to the names or other data used by an actual business enterprise or individual is coincidental. This information is the property of: Pegasystems Inc. One Rogers Street Cambridge, MA USA Phone: (617) Fax: (617) Pega Foundation for Healthcare Document: Common Codes Solution - Business Case Use Case Guide Software Version: 7.31 Updated: July 2017
3 CONTENTS Healthcare Common Codes Solution... 1 Business overview... 1 Using and creating code sets and code groups... 1 Code sets... 1 Code groups... 2 Code manager portal... 3 Overview... 3 Personalized dashboard... 3 Code Manager Portal Dashboard... 4 Code Manager Portal Code Groups... 4 Code Manager Portal Code Sets... 5 Code manager portal - search use cases... 6 Code searches... 6 Use case 1: Search code sets... 6 Use case 2: Search code groups... 8 Use case 3: Search ICD mapping... 9 Code manager portal - code sets use cases Use case 1: Search codes in a code set Steps: Use case 2: Update metadata Steps: Use case 3: Manage code sets Use case 3.1: Manage code set add code Use case 3.2: Manage code set edit code Use case 3.3: Manage code set edit (in Excel) Use case 4: Uploading code files Steps: Use case 5: Accessing audit trail, attachments, and notes Steps: Use case 6: Create a custom code set Dynamic Class Referencing in Code Management Layer Configuration Code manager portal - code group use... 27
4 Cases Use case 1: Configure code group ruleset Use case 2.1: Create code group Steps: Use case 2.2 Approve or reject code group Steps: Use case 3.1: Update code group metadata Steps: Use case 3.2: SaveAsNewVersion for CodeGroup Steps: Use case 3.3: Create a copy from a code group Steps: Use case 4: Import Code Groups Steps: Use case 5: Accessing audit trail, attachments and notes Steps:... 41
5 Healthcare Common Codes Solution Business overview The solution described in this document addresses the creation and maintenance of healthcare codes that you can leverage in business processes. It also describes the ability to create and save custom code groupings that you can use in business processes, for example, definition of benefits. The Pega Product Composer for Healthcare solution leverages the code group capability. The key features include: Manage commonly used healthcare code sets. Manage custom code groups to support business objectives such as creation and management of benefit terms and definitions. Using and creating code sets and code groups Code sets The Healthcare Common Codes solution supports the following code set types. You can create additional code set types as needed. Admission Type Bill Type CDT CPT Condition codes DRG DSM Facility Field Qualifier Frequency GCN HCPCS ICD 10 to 9 Dx ICD 10 to 9 Pcs ICD 9 to 10 Dx ICD 9 to 10 Pcs ICD 9 Dx ICD 9 Pcs ICD 10 Dx ICD 9 Pcs Modifier NDC Product/Package Occurrence Date Occurrence Span Place of Service Patient Relation Patient Status Point of Origin Provider Taxonomy Revenue Service Types Value Codes Provider Type BETOS Event Codes Provider Specialty The solution contains a small sample set of codes for each of these sets. The expectation is that Pega s customers will use their licensed code sets to populate the database tables shipped with the solution. Healthcare Common Codes Solution Business Use Case Guide 1
6 TITLE of INTERNAL DOCUMENT Arial Bold 12 pt To load your licensed versions of the code sets to the corresponding database tables, follow the steps provided in the Use Case 4: Uploading code files section. Code groups The code management solution provides a Code Group Manager Portal that provides the ability to create and maintain custom code groups. Once you establish the code sets and populate the corresponding data tables with code set data, you can build the code groups as outlined later in this guide. Healthcare Common Codes Solution Business Use Case Guide 2
7 Code manager portal Overview The Common Codes solution in the Pega Foundation for Healthcare provides a pre-configured portal for the code managers to perform their daily tasks. The solution also comes with a preconfigured sample operator ID and role. Additional details on the access group, access role, and privileges are available in the Pega Foundation for Healthcare 7.31 Implementation Guide on the PDN. The following are the login details of the code manager portal. Login: CodeManager@PegaHealthCodes Password: install Portal Name: CodeGroupManagerPortal Personalized dashboard Pega Foundation for Healthcare provides the ability to personalize the dashboard with preconfigured widgets as desired by the user. This feature allows the code manager to configure the layout of the dashboard on the portal by organizing the pre-configured widgets that are available for their use. In addition to the common work management and other operational widgets available in Pega Platform 7.3, the Pega Foundation for Healthcare also provides the following specialized widgets configured expressly for the code manager role: Total Code Groups by Category shows the count of total code groups by category created in the application. Total Code Groups by Purpose shows the count of total code groups by purpose created in application. Code Manager Worklist current worklist for logged in user. Search Codes in Code Sets widget to search for codes. Healthcare Common Codes Solution Business Use Case Guide 3
8 TITLE of INTERNAL DOCUMENT Arial Bold 12 Code Manager Portal Dashboard Code Manager Portal Code Groups The Code Groups space of the code manager portal displays a list of configured code groups. You can sort and filter the listing by any of the available columns. Clicking on the code group for any of the code group listing will open the code group instance (described later in this document). Healthcare Common Codes Solution Business Use Case Guide 4
9 TITLE of INTERNAL DOCUMENT Arial Bold 12 Code Manager Portal Code Sets The Code Sets space of the code manager portal displays a list of available code sets that are being managed in the solution. You can click on the code sets to open the code set object (described later in this document). Healthcare Common Codes Solution Business Use Case Guide 5
10 Code manager portal - search use cases Code searches This section describes the search capabilities around code sets, code groups, and ICD (International Classification of Diseases) General Equivalence Mapping that are included in the application. The following are the use cases described in this section: Use case 1: Search Code Sets Use case 2: Search Code Groups Use case 3: Search ICD Mapping Use case 1: Search code sets This functionality performs a search of selected code sets type using specific search criteria (as code only) and displays the results. Steps: Log in to the Code Manager Portal using: User name: CodeManager@PegaHealthCodes Password: install Go to Code Sets > Search >Code Set. Select the desired code set type. Healthcare Common Codes Solution Business Use Case Guide 6
11 Search with code. Click the gear icon to display additional available metadata for the selected code. Healthcare Common Codes Solution Business Use Case Guide 7
12 Use case 2: Search code groups This functionality performs a search of selected code group type using specific search criteria (matching string in code group name) and displays the results. Steps: Log in to the Code Manager Portal using: User name: CodeManager@PegaHealthCodes Password: install Click Code Group > Search. Leave the Code Group Category unselected and search for ambulance. The system displays a list of code groups matching the search criteria. Healthcare Common Codes Solution Business Use Case Guide 8
13 Click the hyperlink for any code group name to view the details of the code group including the code set and the range of codes included in the grouping. Use case 3: Search ICD mapping This functionality performs a search of diagnosis or procedure (either ICD9 to 10 or ICD 10 to 9) general equivalence mappings (GEMs) using specific search criteria (either code or description) and displays the results. The following GEMs mapping code files need to have been loaded and available: ICD 10 Diagnosis and Procedure ICD 9 Diagnosis and Procedure ICD 10 to 9 Diagnosis and Procedure ICD 9 to 10 Diagnosis and Procedure Steps: Log in to the Code Manager Portal using: User Name: CodeManager@PegaHealthCodes Password: install Click Code Sets > Search >ICD Mappings. Healthcare Common Codes Solution Business Use Case Guide 9
14 On the default dropdown selected item is (ICD-9 to ICD-10), click Diagnosis, and enter the code or description to display the results. Click on expand row in the listing to see the value of the mapping flags and additional metadata as defined in the GEMs mapping tables. Healthcare Common Codes Solution Business Use Case Guide 10
15 Code manager portal - code sets use cases This chapter contains business use cases to aid in searching of specific codes of a code set, update of code set metadata, managing code sets, loading codes, and creating your own custom code set. Use case 1: Search codes in a code set Use case 2: Update metadata Use case 3: Manage code sets Use case 3.1: Add code Use case 3.2: Edit code Use case 3.3: Edit in Excel Use case 4: Uploading code files Use case 5: Accessing audit trail, attachments, and notes Use case 6: Create a custom code set Use case 1: Search codes in a code set This functionality performs a search of selected code sets using specific search criteria and displays the results. Steps: Log in to the system. User Name: CodeManager@PegaHealthCodes Password: install Click Code Sets. The system displays a pre-configured list of code sets included in the release. Healthcare Common Codes Solution Business Use Case Guide 11
16 Click the Bill Type code set. Filter and Search options. Filter code set: To filter the search results, click the column level filter list, and provide the filter criteria, for example, episode, and click Apply. Healthcare Common Codes Solution Business Use Case Guide 12
17 The system displays codes matching the filter criteria. Search code set: Enter code or description in textbox provided for search and click the Search button. The system displays codes matching the search criteria. Healthcare Common Codes Solution Business Use Case Guide 13
18 Use case 2: Update metadata This functionality allows you to update the metadata of a code set. Steps: Repeat steps 1 through 3 of Use case 1: Search codes in a code set. Select Other Actions > Update Code Set metadata. Make your changes and click Submit to save the changes related to metadata. Healthcare Common Codes Solution Business Use Case Guide 14
19 Use case 3: Manage code sets The following subsections describe the use cases under Manage code sets. Use case 3.1: Manage code set add code This functionality allows you to add a code to a code set. Steps: Repeat steps 1 through 3 of Use case 1: Search codes in a code set. Click Add new Code and click Submit to persist data in the system. Use case 3.2: Manage code set edit code This functionality allows you to edit code. Healthcare Common Codes Solution Business Use Case Guide 15
20 Steps: Repeat steps 1 through 3 of Use case 1: Search codes in a code set. Click gear icon on the grid rows, and make necessary changes. Click Save to persist the data in the system. Use case 3.3: Manage code set edit (in Excel) This functionality allows for updating multiple codes using the Edit (in Excel) feature. This feature is available with 32-bit version of Excel. Steps: Repeat steps 1 through 3 of Use case 1: Search codes in a code set. Review code set data. Select Other Actions > Edit > Export to download the file to be edited in Excel. Healthcare Common Codes Solution Business Use Case Guide 16
21 Make necessary data changes to the rows of data in the downloaded file without making any changes to columns and column formats. Save the file locally for importing back into the application. Maintain the csv format. Select Other Actions > Edit > Import to upload the updated file. Healthcare Common Codes Solution Business Use Case Guide 17
22 Select the updated file and click Upload. The system prompts to upload the data records with a summary of updates. Healthcare Common Codes Solution Business Use Case Guide 18
23 Click OK to submit the updates to the system. The system saves the changes to the code set file. Use case 4: Uploading code files This functionality allows you to upload set of codes. For more information on the supported file formats for each of the code sets, refer to the HCIF Common Codes Supported File Formats document available on the PDN. The following example shows the functionality in the context of UB04 Frequency code set. Steps: Log in to the system using User Name: Password: install Click the Code Sets link on the navigation panel to view a list of all code sets available in the application. Healthcare Common Codes Solution Business Use Case Guide 19
24 Select the desired code set to open the object and Click on the Other Actions link on the header to view the options. Click on Upload code set file option. In the Upload code set file window, click Choose File to browse for and select the desired code set file. Healthcare Common Codes Solution Business Use Case Guide 20
25 Click Upload. The system loads the code set data and displays the newly uploaded codes. Review the information and click Submit to save the codes to the respective database table. Note: Every code set work object maintains a history of uploaded files. For additional information, refer to the Managing supported code sets in foundation application guide on the Pega Foundation for Healthcare Application. The Application guide can be referenced from Records > Application Guide > Managing supported code sets in foundation. Healthcare Common Codes Solution Business Use Case Guide 21
26 Use case 5: Accessing audit trail, attachments, and notes This functionality allows you to view the audit details of updates to the code set, attachments, or updated notes. Steps: Log in to the system using: User Name: Password: install Click on Code Sets in the navigation pane on the portal and click on the desired code set (example shows Frequency Code Set). Click Actions > View history. Healthcare Common Codes Solution Business Use Case Guide 22
27 The system displays the Case Audit Details. Expand the History section to review the audit history details. Expand the Attachments section to review the attachments to the case including the code file used for uploading the codes. Optionally, you can click the Add button under the Attachments section to add any desired attachments to the case. Click Close to close the Case Audit Details window. Healthcare Common Codes Solution Business Use Case Guide 23
28 Use case 6: Create a custom code set This section illustrates the creation of a custom code set. To configure a custom code set, you must create or modify the rules listed in the following table. Rule type Name Details Data Class PegaHealth-Codes-Data-XXXX Create a data class that extends the abstract class PegaHealth-Codes-Data-. Create the necessary properties. DB Table <database table name> Create a table in the database. Database Table <PRPC database mapping rule> Map the data class to the DB table using an instance of mapping Data-Admin-DB-Table. Parse Delimited Name space: ParseCode Record Type: ParseCode Create parse delimited rule, in lines with the format of the incoming data in the code set file. Decision Table GetCodeSetClass UPDATE this decision table by adding a row, to return the code set class. Decision Table GetCodeSetDateFormat UPDATE this decision table by adding a row, to return the format of the effective and expiration dates in the codes. Property CodeSetType UPDATE this property, present in the code set work type PegaHealth-Work-CodeSet, to have the appropriate value and label for the custom code set. The following rules are optional and are for configuring additional features such as add a single code, delete a code, and Save edited code. Modify these rules for your custom code set depending on the functionality that you want. Rule type Rule name Create or Update Details DataTransform AddSingleCode Create Create this DataTransform in the code set data class, which sets the properties of the new code. (Refer to the DataTransform, with the same name, in other code set classes.) Activity DeleteCode Create Create this activity in the code set data class, to delete a single code. (Refer to the activities, with the same name, in other code set classes.) Activity SaveEditedCode Create Create this activity in the code set data class, to update an existing code. (Refer to the activities, with the same name, in other code set classes.) Data Page D_XXXX Create Create a data page in code set class, which will data source as Activity named as PrepareQueryString. Parameters passed as Code and CodeSetType. Healthcare Common Codes Solution Business Use Case Guide 24
29 Rule type Rule name Create or Update Details Report Definition AllCodes Create Create a Report Definition in the Code set class, to fetch the codes from the DB. (Refer to the Report definition, with the same name, in other code set classes.) Data Transform pysearchmodel Create Create a data transform to set all properties to which all needs to be fetch through report definition and display on listing. Section ReviewAllCodes_XXXX_InSe Create arch Create a section with repeat Grid layout to show the codes fetched using the source as data page created in above step as D_XXXX. Section ReviewAllCodes_XXXX Create Create a section with repeat Grid layout to show the codes fetched using the source as data page created in above step as D_XXXX. Section ReviewAllCodes Update Include the section ReviewAllCodes_XXXX, to show conditionally, when the CodeSetType is the custom code set. Section ReviewAllCodesInSearch Update Include the section ReviewAllCodes_XXXX_InSearch, to show conditionally, when the CodeSetType is the custom code set. Activity PrepareForEditableDisplay Update Update this activity to create a page, which is used to show the parsed codes. (Refer the other steps, which are created for other code sets.) List EditList Create Create a list rule, with the properties of the code set. This rule will be used during Edit in excel. (Refer to List rules, with the same name, in other code set classes.) Data Transform RemoveCodeListPages Update Update to remove the Page that has the codes of the code set. This page was created in PrepareForEditableDisplay and OpenDefaults activities. Activity ParseCodeSet Update This is the main activity that handles the parsing. If the custom code has any other dates, apart from effective and expiration dates, edit the java step (with label Format the Dates ) in this activity. Control OpenWO Update Update this control, which displays the label for the code set. Healthcare Common Codes Solution Business Use Case Guide 25
30 For additional details, refer to the Managing new code sets in foundation application guide on the Pega Foundation for Healthcare Application. The Application guide can be referenced from Records > Application Guide > Managing new code sets in foundation. Dynamic Class Referencing in Code Management Layer Dynamic Class Referencing (DCR) is a pattern to avoid hardcoding of class names, flow names, workbasket names and so on at an application level so that the implementation layers can easily extend the application. Pega Foundation for Healthcare has implemented the DCR approach using a data page and data transforms. Using this approach, any specialized layer that is built on the PegaHealthCodes layer, need to only Save- As the data transform rules in the specialized layer ruleset to update the class names, flow names and add any additional property mappings. This approach will dynamically set the specialized layer s class names, flow names and any other values to the appropriate clipboard pages at run time. Configuration Complete the following steps to configure Dynamic Class Referencing: Search for the Data Page: D_AppExtension and copy the above data page into your implementation ruleset. Enter the field details as per your configuration settings. Enter Object type as PegaHealth- Codes-Data-AppExtension class or implementation class in the specialized layer extended class from PegaHealth-Codes-Data-AppExtension. In the Data sources section: a. Select Source type as Data Transform from the drop-down list. b. Select Data transform AppExtension from above selected or its parent classes. Update the properties in the Data transform as per your implementation layer settings. Note: As a best practice, you can create a new class extending from PegaHealth-Codes-Data- AppExtension in the implementation layer and configure Data Transfer in the implementation layer with only required properties to easily consume base layer settings coming in future releases. Healthcare Common Codes Solution Business Use Case Guide 26
31 Code manager portal - code group use Cases This chapter contains the business use cases to aid in configuring a code group ruleset; creating code groups; managing code groups; and performing bulk updates to code groups. Use case 1: Configure code group ruleset Use case 2: Create code group Use case 2.1: Create code group Use case 2.2: Approve/reject code group Use case 3: Manage code groups Use case 3.1: Update metadata Use case 3.2: SaveAs New Version for CodeGroup Use case 3.3: Create a copy from code group Use case 4: Import code groups Use case 5: Accessing audit trail, attachments and notes Use case 1: Configure code group ruleset Note: An open ruleset version must be available to create and maintain custom code groups. The Solution includes a MyCustomRules locked ruleset which contains pre-configured sample code groups. To use the sample code group instances in your application, add the MyCustomRules ruleset to the PegaHealthCodes application stack as shown below: To create new code group instances in your implementation, configure an open ruleset version. Log in to the system as: Administrator@PegaHealthCodes / install. Create a new rule set, for example: MyCodeGroups version Add MyCodeGroups ruleset to the PegaHealthCodes application stack as shown with the MyCustomRules example above. Select DesignerStudio > Healthcare > Configuration to navigate to the landing page. Healthcare Common Codes Solution Business Use Case Guide 27
32 Select MyCodeGroups ruleset and its version in the Code Group Settings as shown below, and click Save. You are now ready to create and save custom code groups. Use case 2.1: Create code group This functionality allows you to create a code group. Steps: Before you begin, configure a custom rule set to hold the groups as illustrated in the above Use case 1. Log in to the system as: CodeManager@PegaHealthCodes / install Click the Create link from the header. Healthcare Common Codes Solution Business Use Case Guide 28
33 Create Code Group: Enter Metadata. Click Next to display the Select Codes step. Select the desired Code Type and click appropriate option to search and add codes. Search for and add one or more code ranges or individual codes. Click Submit when done with the selection of codes. Healthcare Common Codes Solution Business Use Case Guide 29
34 The system displays the newly added codes and code ranges. Click Next to review the configured codes. Click Finish to send the code group for approval. Healthcare Common Codes Solution Business Use Case Guide 30
35 Use case 2.2 Approve or reject code group This functionality is a continuation to Use case 2.1, to either Approve, Reject, or Send To Originator. Steps: Click Submit. The system takes you to an approve screen (or Reject or Send To Originator ). Alternatively, the user can reject or send to originator by choosing the appropriate option from the Other Actions menu. The code group instance is saved to the database and the system displays a confirmation screen. The code group is listed with a status Resolved-Available. Healthcare Common Codes Solution Business Use Case Guide 31
36 Use case 3.1: Update code group metadata This functionality allows you the user to update metadata of a code group. Steps: Log in to the system as: CodeManager@PegaHealthCodes / install Click the Code Groups link in the left navigation pane to see the list of pre-configured code groups. Click on the code group name to open the instance. Healthcare Common Codes Solution Business Use Case Guide 32
37 Click Modify and we get two options to Update (Metadata) and Save as new version. Click Update Metadata. Make the necessary changes, and click Submit. Use case 3.2: SaveAsNewVersion for CodeGroup This functionality provides the option to modify a code group and save a new version. Steps: Log in to the system as: CodeManager@PegaHealthCodes / install Click the Code Groups link in the left navigation pane to see the list of pre-configured code groups. Healthcare Common Codes Solution Business Use Case Guide 33
38 Click on the desired code group name to open the instance. Click Modify and select Save as new version. Update desired metadata (for example, effective dates), add appropriate Update Note and click Next to advance to the code ranges. Healthcare Common Codes Solution Business Use Case Guide 34
39 Make desired updates to existing codes and code ranges (add / delete codes or ranges) and click Next to submit the new code group version for approval. See Use case 2.2, for approve/reject/send-to-originator. Once the new code group version request is approved, the system saves the new version to the database. Use case 3.3: Create a copy from a code group This functionality allows you to create a copy (SaveAs) from an existing code group. Steps: Log in to the system as: CodeManager@PegaHealthCodes / install Healthcare Common Codes Solution Business Use Case Guide 35
40 Click the Code Groups link in the left navigation pane to see the list of pre-configured code groups. Click on code group name to open the instance. Click Actions and then Create a Copy. The system opens a new instance with metadata of parent code group. Healthcare Common Codes Solution Business Use Case Guide 36
41 For the next steps, refer to Use case 2.1 and Use case 2.2. Use case 4: Import Code Groups This functionality allows you to bulk import the code group instances. This provides the flexibility to organize code group metadata and code ranges in external tools like Excel and bulk import into the system. You can download preconfigured templates available for the process. Steps: Log in to the system as: / install Click the Code Groups menu on the top to see the list of pre-configured code groups. Click the Import button the on the menu panel pane to see the list of pre-configured code groups. Healthcare Common Codes Solution Business Use Case Guide 37
42 There are two pre-configured templates provided. One is specifically configured for uploading code groups for BETOS (Berenson-Eggers Type of Service) code type. For all other code types, select the CodeGroup template. Select the appropriate template type and click the Download template button. Follow the Code Group Import Guidelines shown above to complete and save the downloaded template with code group data. See example below: Healthcare Common Codes Solution Business Use Case Guide 38
43 Click on Import button to continue the import process. In the first step, choose the file you want to upload. Click Next. On the Map Fields screen, ensure appropriate Template type is selected. Preserve the default mapping and click Next to proceed with the upload. On the Finish screen, leave the default selections as seen below and click Import. Healthcare Common Codes Solution Business Use Case Guide 39
44 The system starts the import process and shows the progress of the import. Depending on the number of rows in the import file, this can take some time. Click Finish after the rows are successfully imported. You can review the newly uploaded code groups by clicking on the Code Groups navigation link of your portal. NOTE: Based on the dynamic system setting, the elastic search re-indexing may take some time before the code group instances are visible on the portal. Healthcare Common Codes Solution Business Use Case Guide 40
45 Use case 5: Accessing audit trail, attachments and notes This functionality allows you to view the audit details of updates to code groups, attachments, or updated notes. Steps: Log in to the system as: / install Open any code group, and click Actions > View History. You can also view an existing attachments and use the option to add attachments and screen shots. Healthcare Common Codes Solution Business Use Case Guide 41
46 Healthcare Common Codes Solution Business Use Case Guide 42
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