Compliance Assessment Tool setup

Estimated reading: 14 minutes

Modify provided protocols or create custom protocols linked to your invoice items in accordance with your practice’s standard of care to generate compliance results and reports to look for missed opportunities at a practice and provider level. 

Before you start

Security

Setup

Set up a new protocol

You can navigate the protocol setup wizard by either the Next and Back buttons or use the left navigation pane. The navigation pane also provides basic instructions per step. 

Navigate to Reports > Compliance Assessment Tool > Protocol Setup Wizard.

  1. Enter a name for the new protocol and click Add.
  2. Click Next.
  3. Select Species by doing one of the following:
    • Use the default selection of ALL, if the protocol does not apply to a specific species.
    • Select specific species by clicking each applicable one. Note: Click a selected (highlighted) species to remove it.
  4. Click Next.
  5. Select Breeds, by doing one of the following:
    • Use the default selection of ALL, if the protocol does not apply to a specific breed.
    • Select specific breeds by clicking each applicable one. Note: Click a selected breed to remove it.
  6. Click Next.
  7. In the Age Range field, set a general age range or apply different ranges based on the selected species/breeds. Do one of the following:
    • If age does not apply, click Next to continue to the next step.
    • Enter a specific range in months or years for the selected species/breed(s).
      • Press the Tab key and click Add age range.
      • Click Apply to all species/breeds, if appropriate.
      • Repeat as needed for each species/breed added from previous steps. Note: Only one range can be entered per species/breed selection.
    • Select the applicable age ranges to apply to the protocol or click Select all.
      • Click Remove age range(s), if needed.
      • Reenter a different range following above steps, if appropriate.
  8. Click Next.
  9. In the Weight Range field, set a general weight range or apply different ranges based on the selected species/breeds. Do one of the following:
    • If weight does not apply, click Next to continue to the next step.
    • Enter a specific range with the appropriate unit of measure for the selected species/breed(s).
      • Press the Tab key and click Add weight range.
      • Click Apply to all species/breeds, if appropriate.
      • Repeat as needed for each species/breed added from previous steps. Note: Only one range can be entered per species/breed selection.
    • Select the applicable weight ranges to apply to the protocol or click Select all.
      • Click Remove weight range(s), if needed.
      • Reenter a different range following above steps, if appropriate.
  10. Click Next.
  11. Select Diagnosis codes and do one of the following:
    • If diagnosis does not apply, click Next to continue to the next step.
    • Select (click to select/deselect) specific diagnoses for the selected species/breed(s).
      • Click Add diagnosis.
      • Click Apply to all species/breeds, if appropriate.
      • Repeat as needed for each species/breed added from previous steps.
    • Select the applicable diagnoses to apply to the protocol or click Select all.
      • Click Remove diagnosis, if needed.
      • Reenter a different diagnosis following above steps, if appropriate.
        Note: Patients with a diagnosis status of Ruled Out or Voided will be excluded from report results, even if the diagnosis matches compliance protocol criteria.
  12. Click Next.
  13. Select Services. At this step, the Protocol Setup Wizard branches to complete the setup for either a regular or an alternative compliance search.
    • The regular search is the most common.
    • This popup box will be displayed every time you click Select services in the navigation pane.
    • If you chose the wrong compliance search type, click Select services in the left navigation pane to reselect the search type.

Regular compliance search

Indicate all tests/services to use for the protocol and link your invoice items accordingly to determine compliance and financial opportunity.
Example: An annual health protocol could include wellness exams, core vaccines, parasite check and adult bloodwork.

Watch the left navigation pane for guidance during these steps. 

  1. In the Test selection/entry window:
    • Add a new test to the list, if needed, by entering its name in the New test field and click Add.
    • Select the test in the list to assign invoice items to and click Next.
  2. Select which invoice items correspond to this test by doing either of the following in the Search for descriptions containing field:
    • Enter all or part of the description in the field. Tip: The field uses a built-in search for word function.
    • Press F2 in this field to select by ID. Note: Inactive items are displayed in red
  3. Click an item to select from the displayed items to assign to this test.
    • Use the Ctrl key to select multiple items.
    • Selections appear in the Invoice items selected pane below.
  4. Repeat above steps to search for and select additional items as needed. Use Ctrl + click to remove a previously selected item as needed.
  5. For each item in the Invoice items selected pane, set the number of months in the Hx search (months) column by clicking the number and entering a new number. 6 is entered by default. This number is used to determine if the item is up to date in the patient’s history when the Compliance Assessment Tool checks a patient’s history for billed invoice items.
  6. Designate one item to use for missed and opportunity revenue calculations by clicking the check box to the right of the item. Only one default item can be selected per test.
  7. When all items have been added to the test, click Back to select another test from the Test selection/entry window to add invoice items to. Example: Once all invoice items that may satisfy the Senior Panel test are added, go back and select Urinalysis. Click Next to add all potential items to Urinalysis.

  8. When all invoice items have been added to all tests in the Tests column, Click Finish to return to the Tests/Services list.
  9. Click Next to view the Protocol Summary to review patient and item settings for accuracy.
  10. If you want to generate compliance results at this time, Click Finish and click Yes.

Alternative compliance search

Indicate the primary service and related dependent to use for the protocol and link your invoice items accordingly to determine compliance and financial opportunity. The tool will look for the primary service in patient history, and if found, will then search for the dependent service.
Example: A thyroid compliance protocol could include thyroid medications as the primary service and then look for a thyroid test as a dependent. This will search for patients that are on thyroid medications and determine if they had a thyroid test.

Watch the left navigation pane for guidance during these steps.

Service selection

  1. In the Select service window, do one of the following:
    • Select an existing service/dependent that applies to this protocol and click Maintain services/dependents. This will be the primary service searched for when measuring compliance.
    • If the service/dependent is not displayed, Click Maintain services/dependents to add a new service.
      • In the Service selection/entry window, Add a new primary service to the list, by entering its name in the New service field and click Add.
  2. Select the primary service in the list to assign invoice items to and click Next.
  3. Select which invoice items correspond to this service by doing either of the following in the Search for descriptions containing field:
    • Enter all or part of the description in the field. Tip: The field uses a built-in search for word function.
    • Press F2 in this field to select by ID.
      Note: Inactive items are displayed in red.
  4. Click an item to select from the displayed items to assign to this test.
    • Use the Ctrl key to select multiple items.
    • Selections appear in the Invoice items selected pane below.
  5. Repeat above steps to search for and select additional items as needed. Use Ctrl + click to remove a previously selected item as needed.
  6. When all invoice items have been added, click Next.

Dependent selection

  1. Add a new dependent to the list, if needed, by entering its name in the New dependent field and click Add.
  2. Select the dependent service in the list to assign invoice items to and click Next.
  3. Select which invoice items correspond to this dependent service by doing either of the following in the Search for descriptions containing field:
    • Enter all or part of the description in the field. Tip: The field uses a built-in search for word function.
    • Press F2 in this field to select by ID. Note: Inactive items are displayed in red
  4. Click an item to select from the displayed items to assign to this test.
    • Use the Ctrl key to select multiple items.
    • Selections appear in the Invoice items selected pane below.
  5. Repeat above steps to search for and select additional items as needed. Use Ctrl + click to remove a previously selected item as needed.
  6. Designate one item to use for missed and opportunity revenue calculations, by clicking the check box to the right of the item.
  7. When all invoice items have been added and a default item designated, click Next.
  8. In the Assign dependents window, match your primary service with the appropriate dependent service:
    • Select the primary service in the Services pane.
    • Select the dependent service in the Dependents pane.
    • Select Prior to date or After date to use for the search direction when the primary service is located in patient history.
    • Set the number of months to search for the dependent service prior to or after the date you will select when you run compliance results.
  9. Click Finish to return to the Select services window and click Next to view the Protocol Summary to review patient and item settings for accuracy.

Protocol summary

The Protocol Summary displays the details of the protocol. Do any of the following:

  • Click the Back and Next buttons to move backward and forward through the steps of the wizard to make changes to the protocol. You can also click the steps in the gray navigation pane on the left side of the wizard.
  • Click Print Summary to print the summary to your default printer.
  • Click Finish to save your changes and exit the wizard. Click Yes or No to generate results.
  • Click Protocol selection/entry at the top of the gray navigation pane to set up another new protocol.

Once a regular search type protocol is created, you can set it as a patient alert.

Modify an existing protocol

Navigate to Reports > Compliance Assessment Tool > Protocol Setup Wizard.

  1. Select the protocol you want to customize and click Next.
  2. In the wizard’s navigation pane, select any patient parameter setting(s) you wish to modify and click Next.
    Example: Species, Age, Diagnosis, etc.
  3. To make changes to tests, services, or dependents, click Select services in the wizard’s navigation pane.
  4. At the popup box, click the appropriate compliance search type: Regular or Alternative.

Regular compliance searches

  1. To modify associated service(s):
    • Add additional service(s) by selecting from the list.
    • Add a new service not on the list by clicking Add/update tests and services and create in next step.
    • Remove existing service by deselecting from the list.
  2. To modify linked items:
    • With associated service selected in the Test selection/entry window, click Next to add, remove, or update or linked items.
    • Add item(s) by searching/F2 in search for descriptions field. Use the Ctrl key to add items to the Invoice items selected pane.
    • Remove items by referencing the Invoice items selected pane. Search for the item in the search field and use Ctrl key to deselect item from the Invoice item search results pane.
    • Modify item Hx search setting and default item designation as needed.
  3. Click Finish to return to the Select services window.
  4. Repeat above steps for additional item changes to other selected services.
  5. To exit:
    • Click Next to review the Protocol Summary. Print, as needed.
    • Click Finish to exit the window and click Yes or No to generate compliance results.

Alternative compliance searches

To modify linked items on the primary service or dependent:

  1. Select the primary service from the list and click Maintain services/dependents.
  2. With the primary service selected in the Service selection/entry window, click Next to add, remove, or update or linked items.
    • Add item(s) by searching or using F2 in the search for descriptions field. Use the Ctrl key to add items to the Invoice items selected pane.
    • Remove items by referencing the Invoice items selected pane. Search for the item in the search field and use the Ctrl key to deselect item from the Invoice item search results pane.
  3. Click Next to continue to dependent service item linking. Make any needed changes using the same steps.
  4. Click Finish.
  5. To exit:
    • Click Next to review the Protocol Summary. Print, as needed.
    • Click Finish to exit the window and click Yes or No to generate compliance results.

Delete a protocol

Navigate to Reports > Compliance Assessment Tool > Protocol Setup Wizard.

  1. Select the protocol you want to remove and click Delete.
  2. Click Yes or No to confirm.
  3. Repeat as needed to remove additional protocols.
  4. Click Finish to exit the wizard.
  5. Click Yes or No at prompt to generate results.

Set up protocol groups

Individual protocols can only have one weight and/or age range specified per species. Grouping individual and related protocols based on weight and age allows for a broader protocol, such as canine senior care. Example: Individual protocols based on weight and age for toy, medium and large breeds all using the same tests and services, can be placed in a group protocol. Compliance results can be compiled by group or by individual protocol.

Navigate to Reports > Compliance Assessment Tool > Protocol Group Setup.

  • Enter a name for the new protocol and click Add.
  • Click Next.
  • Select the protocols to add to the group. To clear the protocols from the group, click the Reset button.
  • Click Finish when you are done adding protocols to the group.
    Note: All protocols in a group must have the same tests. Once a protocol is added to a group, only protocols with the same tests may be added.

Additional information

General

Compliance search types

Test/services/dependents

Related reports

These Cornerstone reports provide information from the actions outlined in this article. Each report has its own security access under the Reports tab of the Security Setup window. 

  • Animals Without Birthdates 
  • Animals Without Weights 
  • Client and Patient Report Builder 

Resources

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