Answer a payer reply as a new round: When a payer responds to an ADR submission, for example with a denial, a finding, or an HMO cut, you can now add the reply to the existing case as a new round instead of starting a separate ADR. Each round has its own requests, cover draft, and finalized submission, builds on the rounds before it, and can carry citations forward from earlier rounds.

See where each case stands: The audit queue now includes a Stage column, and the case page shows stage cards and a round header. Earlier rounds are read-only, so the record of what was already submitted does not change.

Copilot: Continue Button Now Explains Why It Is Disabled: When no resident was selected, the Continue button was disabled and the reason appeared only in a hover tooltip that did not show reliably. A "No resident selected" message now displays inline with the button.

Status column and filters removed: The Resolved and Needs review status, along with its column and filters, has been removed from Pulse incident tables and review panels on every page. The status was confusing and did not reflect a review by your staff. Use the incident dates to see how recent an incident is.

Open a resident's timeline from the patient page: For accounts where it is enabled, a Timeline button on the patient detail page, next to the MDS view, opens a chronological view of the resident's stays, Pulse incidents, and vital signs. You can see how incidents line up with admissions and vital sign changes without moving between screens.

Admissions and discharges in order: Admission and discharge events appear on the timeline, including for residents with more than one SNF stay.

Pulse incidents placed by start date: Incidents appear on the date they started. Choose which incident types are shown, and select an incident to open its details.

Vital signs with abnormal values highlighted: Temperature, oxygen saturation, weight, blood pressure, heart rate, respiratory rate, and blood sugar appear with their units, grouped by observation date, with abnormal values highlighted.

Show or hide each type of event: Admission and discharge events, incidents, and vitals can each be turned on or off so a busy history stays readable.

Go to the timeline from an incident review: Pulse incident review now links to the resident's timeline with that incident already selected.

Panels no longer cover the timeline: Incident and document panels no longer overlap the timeline or cut off the page edges, and review panels stack on narrower screens.

Sign in without another username and password: Copilot now supports sign-in with a pairing code from the watch, so staff do not need to remember another set of credentials and type less at the cart. Code entry advances automatically as you type, repeated attempts are limited, and you stay signed in after pairing.

Delete a Copilot note: You can now delete a Copilot note directly. A confirmation step appears before the note is removed. This was one of the most frequent requests we heard from nursing staff.

Item-specific details move to the side panel: The MDS-IPA incident table now shows only the columns that apply to every MDS item. Details specific to one item, such as the highest temperature for Fever, now appear in the side panel. This keeps the table consistent as more MDS items are added.

Fever is now detected from notes and vitals: Pulse MDS-IPA incidents track Fever (J1550A). A fever documented in a progress note or recorded in vital signs now raises an incident, so a temperature charted outside the notes is less likely to be missed. A fever followed by new treatment can be the basis for scheduling an Interim Payment Assessment. Fever documented in progress notes is also considered by the Infection trigger as a possible sign of infection.

MDS-IPA available in email notifications: MDS-IPA can now be selected in Settings > Notifications.

One Pulse in the sidebar: The earlier version of Pulse has been retired, and the navigation item formerly labeled Pulse v2 is now labeled Pulse.

Weekly activity summaries report from the current Pulse: Your weekly activity summary email now draws from the current Pulse instead of the retired version.

Updated notes list, transcript, and generated note screens: The Copilot notes screens have a new design with updated filtering.

Pulse: PointClickCare Links Hidden for Residents Not on PointClickCare: The resident chart and incident report links added on October 28th also appeared for MatrixCare residents, where they led to an unavailable message. The links now appear only for residents at PointClickCare facilities.

Links to PointClickCare from the incident view: Pulse incident tables and side panels now include links to the resident's chart in PointClickCare and to the incident report. Links confirm you have access to the facility before opening. This restores the ability to move from a Pulse incident to the resident's record in PCC, for example to check a fall against your risk management documentation, without searching for the resident separately.

See the Tabular notes for a code: When you look up a code, a CMS coding conventions block now lists its ICD-10-CM Tabular notes, grouped as Excludes1, Excludes2, Code first, Use additional code, and Code also, with the source of each note. Codes named in a note are links that open Look up on that code.

See which referenced codes are already on the chart: When Look up is opened for a resident, each note shows whether the code it references is on that resident's chart. An Excludes1 match is flagged in red as a reminder that both codes are reported together only when the conditions are unrelated, and that the provider should be queried if it is unclear.

Code first badge in Suggests: Suggested codes that the Tabular sequences after another code now carry a Code first badge. The order of suggestions does not change.

Reference only: The conventions inform your coding decision. They do not block, replace, or select a code. Official Guidelines rules are not included in this release.

Updated dictation list layout: The dictation list toolbar now fits on a single line, dictation cards have a cleaner layout, and timestamps are more compact.

Pulse: IV Therapy Now Shows All Types by Default: Opening IV Therapy filtered the list to Fluid incidents only, so the list could appear empty while the sidebar count showed incidents. The list now shows all IV therapy types by default and matches the count. The Type filter is still available to narrow results.

Pain incidents are now visible to customer accounts: Pain is now available as a Pulse incident category.

Pain and Condition Change in email notifications: Pain and Condition Change incidents can now be included in the Pulse email notifications you configure in Settings > Notifications.

See who completed a UDA follow-up: When a UDA is the evidence behind a follow-up in a Pulse incident, the incident detail now shows its author. If the UDA was revised, the person who revised it is shown; otherwise, the person who created it.

Clearer post-fall monitoring labels: Post-fall monitoring follow-ups in the incident detail have been relabeled so they are easier to recognize.

Every search hit is highlighted in the document text: On the Search tab, matching documents now open in the Insights View with each hit highlighted, and you can step from one hit to the next. The Original PDF view is one click away and follows the hit you are on.

Select up to three diagnoses when starting a query: Diagnoses can now be selected with checkboxes at the start of a provider query instead of being added one at a time.

Cite a supporting document that is not in the list: In Clinical indicators, you can now enter a source manually when the document that shows the indicator is not already in the system, so the indicator no longer has to stay Unsourced.

Updated interface: The Regional list and Data views now use the same interface design as the rest of the application.

Work provider documents from the Provider Forms tab: For accounts where it is enabled, the resident's Provider Forms tab supports diagnosis queries to the physician, physician notes, and certification and recertification schedules.

One page for everything still outstanding: A new Outstanding provider documents page, linked from the Admissions list header, lists across your facilities every drafted or printed document still awaiting signature and every unsigned certification that is overdue or due within 7 days. Count chips filter the list (Certification overdue, Certification due in 7 days, Awaiting signature, Draft not printed), overdue items sort to the top, and selecting a line opens that resident's Provider Forms tab. Built so a Director of Nursing can see what is outstanding without opening each resident.

Sidebar links are now grouped: The left navigation groups links under Clinical and MDS headings. A group is hidden when none of its items are enabled for your account.

Admissions: Notes Panel, Evidence Links, and Search Tab Layout: The Notes panel no longer opens by itself every time a patient is opened. Condition document links now open the document at that condition's evidence, and clicking an already selected link, document row, code chip, or medication brings the viewer back to its evidence on both the Conditions and Medications tabs. On the Search tab, keyword search is back on the page beside the document viewer instead of behind a button, and the top box is labeled "Search by document name."

Choose the generated note or your original dictation: Copilot now shows the generated note and the original note as separate blocks, each with its own Copy and Add to PCC actions. Once one is added to PointClickCare, the other block locks.

Copy original note: A Copy original note button sits next to the assessment note, so you can take your dictation as spoken without generating a new note.

Note preview stays current: The generated note preview now refreshes when assessment values change, such as after you fill in a gap, so it no longer shows outdated content.

Newer Pulse alert emails now match the original format: The triggering sentence is highlighted in the note text, the note author is shown, and each email includes an Open note in PCC link and a link to the incident in Pulse. Links ask you to sign in and confirm you have access to the facility before opening.

Select hourly and daily schedules: Pulse notification configurations in Settings > Notifications now support hourly and daily schedule selection, with recipients shared across the schedules.

More respiratory sources in Section J: Some facilities document respiratory status in a respiratory UDA and in a MAR physician order rather than in progress notes. Section J previously pulled from progress notes only. Those respiratory UDAs and MAR orders now appear as Section J evidence.

Readable UDA originals and openable MAR documents: Respiratory UDAs open as a question and answer table with readable answer labels instead of internal codes, and original respiratory MAR documents can be opened for the observation date.

Value and comment in one field: Assessment fields now show the value and its comment together inside the field box, instead of a separate line of text below it.

Copilot: Filled-In Fields No Longer Listed as Gaps: Fields that contained documentation, such as Tolerance and complications or Orders and response, could still be listed under Gaps. These items now display with the other assessments, and the gap count reflects the change.

Keep the follow-up checklist in view: Opening the evidence for a follow-up, such as a Neurological Assessment, previously slid a panel over the follow-up list, clinical summary, and severity. Evidence now opens beside the incident review, so you can move from follow-up to follow-up without backing out each time.

Copilot: First-Login Email No Longer Says the PIN Was Reset: New staff accounts received a first-login email stating "Your Anthuria login PIN has been reset." New-account emails and PIN reset emails are now sent as separate message types.

Reset a password from Settings > Team: Account admins can now issue a team member a standard temporary password from Settings > Team, without contacting Anthuria support. The team member sets their own password at next sign-in. Resets are limited to your own organization and are recorded with the admin who performed them.

CSV uploads support one row per facility: When adding team members in bulk, a person who works at more than one facility can be listed on one row per facility. The preview combines those rows into a single person showing all of their facilities.

Patient pages in a single scrolling layout: The patient list and patient overview are now combined into one scrolling workspace.

Pulse incident review updated: The Pulse incident review uses the updated interface design. Filters, the incident table, the timeline, and the card layout work as before.

Read the full note in the email: Pulse notification emails now include the complete progress note in its own full-width row below each trigger, instead of a short snippet inside the table. Staff read these emails on their phones, where the table column was hard to read.

Note author and a direct link to the note in PointClickCare: Each note shows who wrote it, and a link opens the note directly in PointClickCare after you sign in and your access to the facility is confirmed.

Documents keep their structure: The Insights View on the Conditions and Medications tabs now shows headings, tables, lists, and bold text from the source document instead of plain unformatted text. Evidence highlights and notes work as before.

Add team members from a CSV: Settings > Team now accepts a CSV upload with each person's facility, permission level, and MDS access, and returns a downloadable CSV with each new member's PIN.

Create accounts for staff without an email address: Team accounts can now be created without an email. The PIN is shown on screen so you can hand it to the staff member directly.

MDS access is now an explicit choice: MDS access is a checkbox for each person when adding or editing a team member, rather than granted by default.

Faster search with page-level results: The Search tab now searches all of a resident's admission documents at once and lists the hits by document. The PDF viewer shades the pages with hits and lets you move between them.

MDS Section C: Cognitive Screens Now Limited to the Lookback Window: The Cognitive Screens panel could show BIMS scores from outside the 7-day lookback, including scores dated before the current admission, directly beneath an empty C0500. CMS requires the BIMS interview to be conducted during the 7-day lookback ending on the ARD. Cognitive screens are now limited to the assessment's lookback window.

Psychotropic Medication is now a live incident category — Psychotropic Medication incidents are now visible to all accounts. The incident captures documented medication changes alongside the associated conditions and order history.

Order description visible in the side panel before expanding — The order name and description now appear in the Pulse incident side panel document header before you click to open a document. Previously you had to expand the document to see which order was involved.

Staff can now sign in with email and a five-digit PIN — Copilot supports PIN-based login for shared cart devices. Each staff member receives a unique PIN issued at account creation and delivered by email. First-time users sign in with their email and PIN and are prompted to set a password on first access.

Admins can reset PINs from Settings > Team — Facility admins and directors of nursing can reset a team member's PIN from Settings > Team without contacting Anthuria support.

Copilot blurs when PCC is hidden — When a nurse uses PCC's built-in screen-hide, the Copilot panel blurs and blocks interaction. Any draft in progress is preserved. The session resumes when PCC is unlocked.

Export incident reports across multiple facilities at once — From the incident report view, select multiple facilities, set a date range, and generate a combined PDF or per-facility Excel sheets. The combined PDF sorts unfinished follow-ups to the top. Useful for regional directors reviewing incidents across a campus or portfolio.

Orders now display as grouped, collapsible sections — Physician orders in the incident and document detail view now show as labeled grouped sections with plain-language schedule summaries, replacing the previous flat field/value table. Route, frequency, and schedule detail are easier to read without cross-referencing the raw order.

Annotate evidence directly in the document viewer — On the Conditions and Medications tabs, highlight text in a document and add a note anchored to that evidence. Notes support a title, body, tags, visibility (private or organization-wide), and a follow-up flag. All notes for a patient appear in a docked panel alongside the document viewer, with filters for timeframe, status, and tag.

Section K — Swallowing Disorder accuracy improved — Fixed a false positive where blanket admission orders to crush medications were being counted as Swallowing Disorder evidence, resulting in an incorrect CMG change for affected residents. Also fixed: physician orders without a MAR start date (standing orders, PRN orders without a recorded administration) now appear in the Section K evidence panel instead of leaving it blank behind a "Found" result.

New accounts use a standard temporary password — Staff who receive a new Copilot account now sign in with a standard temporary password and are prompted to set their own on first access. This removes the previous step of coordinating a random credential with each new user.

Respiratory is now a live incident category — Respiratory incidents are released to customer accounts alongside IV Therapy, Bowel/GI, and Mental Health. The incident captures a documented respiratory status change together with the treatments ordered in response.

Ordered treatments show as tags, and you can filter on them — Oxygen, ventilator, head of bed elevated, and the other ordered treatments now appear as a single row of tags in both the incident table and the side panel, replacing one column per treatment. Respiratory incidents can be filtered by the treatments that were ordered.

Copilot now signs you out after 15 minutes of inactivity — A warning countdown appears first, and signing back in is required to continue. This is built for shared cart laptops, where a session left open under one nurse's login can carry into the next shift and attribute documentation to the wrong person.

Admissions review has moved into the main application — Rolled out through September for accounts where it is enabled. Admissions now includes a searchable, paged patient list with ICD-10 and note exports; a Conditions tab listing recommended ICD-10 codes with the supporting document and highlighted evidence sentence behind each one, thumbs up or down feedback, and an Add in EHR action that opens the PointClickCare add-diagnosis flow; a Search tab for keyword search within admission documents and for applying saved searches; and a Medications tab showing what the resident arrived on, which documented ICD-10 conditions each medication supports, and the evidence behind it. Conditions and documents default to a 14-day window, which you can turn off to see every document.

Pulse — Incident Report Now Opens From Its Follow-Up — Clicking the "Incident Report Filed" follow-up did not open the report in the side panel, and the document was titled "Note" rather than "Incident Report." The report now opens automatically with its full text highlighted, and documents are labeled by their type.

Admissions — Search Tab No Longer Crashes on Older Documents — The Admissions Search tab could crash when opening documents carried over from the legacy tool that were missing a file name or upload date. Those documents now open normally.

Insulin is now a live incident category — Insulin incidents surface residents whose physician orders indicate insulin use approaching the PDPM N0350 criteria, which require insulin injections on all 7 days of the lookback along with 2 or more order changes. The incident table shows whether PDPM criteria are met, and internal tracking identifiers have been removed from both the table and the side panel.

The side panel states which half of the criteria is met — Each criterion now carries its own status. Insulin days and insulin order changes are reported separately against their thresholds, so a resident at 9 of 7 days with 0 of 2 order changes reads as one criterion met and one not met, rather than as an overall near miss. Field labels use plain wording in place of the internal qualifying-window terms.

Verify administration against the eMAR or TAR — The day count is inferred from physician orders and their status, not from the eMAR. Orders record what was ordered, while N0350 counts days administered, so the panel now carries a warning to confirm administration in the eMAR or TAR before coding.

Note previews now work from the transcript alone — When no assessment was found for a dictation, the Generate Note Preview button did nothing and there was no way to move forward. Copilot now builds the preview from the transcript instead, and replaces it with the assessment-based version once assessment processing finishes. Previews and edits you have already made are preserved.

Take the incident view into your morning meeting on paper — You can now export Pulse incident reports to PDF or Excel with your chosen date range and filters applied, instead of working only from the screen.

Self-harm is its own Mental Health status change type — Non-suicidal self-injury, self-mutilation, and deliberate self-injury were previously grouped with suicidal ideation. They are clinically distinct and carry a different intervention, so self-harm now has its own status change type and its own badge, and can be selected separately in the Mental Health type filter.

Copilot — Side Panel Prompt No Longer Reappears After You Close It — The Copilot side panel prompt now appears once on the PointClickCare login page and stays closed once dismissed, instead of reopening on every refresh or new tab.

One incident per condition being treated, not one per order change — Psychotropic Medication incidents previously tried to classify each individual order change as a switch, dose increase, dose decrease, route change, or schedule change, which produced false positives such as a switch flagged while the outgoing order was still active. An incident now represents a condition being treated with a psychotropic medication and groups every physician order tied to that condition, with the date of the most recent order shown and sortable. The incident stays open while there is an active order for that condition and resolves when there is not.

Filters now follow the column — Filter options are generated from the incident data itself rather than a fixed list, so categorical columns such as Agent and Access Type on IV Therapy are filterable alongside the ones that already were. New incident categories now arrive with their filters working.

Copilot — Dictations Tab Now Appears for Facilities With MDS Access — The Dictations tab was hidden for users whose access came through an MDS grant, and its absence could collapse the tab strip. The tab now follows actual facility entitlement.

All, Audit & Risk, IPA, and Quality Metrics tabs — The Pulse dashboard now has a tab row above the incident cards so you can narrow it to the work in front of you. Audit & Risk covers every category except Insulin, IPA covers the categories that can support an interim payment assessment (Wound/Ulcer, Weight Change, IV Therapy, and Insulin), and Quality Metrics covers Fall, Rehospitalization, Wound/Ulcer, and Infection. A category that belongs to more than one appears under each. Your facility, date, and search filters carry across tabs, and All behaves exactly as the dashboard did before.

Filter the dictation list by date range — The transcribed notes list can now be narrowed to the dates you are working through.

Move a dictation to a different patient — If a dictation was captured against the wrong resident, you can now reassign it rather than re-recording it.

Settings — Accounts We Create for You Now Appear in Team and Usage — Users created for an account by the Anthuria team did not appear in Settings > Team and produced no rows in usage reporting, so there was no way to see whether newly onboarded staff had signed in. Those accounts now register in both.

MDS Section K — NetHealth Speech Notes Now Respect the ARD Lookback Window — NetHealth speech and SLP notes were shown as Section K evidence without the ARD date filter already applied to the other Section K sources, so notes from well outside the lookback window appeared against an assessment, in one case notes from April against a July ARD. Evidence is now filtered by clinical date relative to the ARD, and weights require an observation within the preceding 30 days, with missing values shown as a dash rather than an out-of-window figure.

Pulse — Full Physician Order Detail on Infection Incidents — Infection incidents created from a physician order now show every order field in the side panel and document viewer, matching what the MDS application already displayed.

Notifications — Recipients Are Now Required Before a Configuration Can Be Activated — A notification configuration could be left active with no recipients, which quietly produced no email. Settings > Notifications now shows the recipient count, guides you through finishing the setup, and requires at least one recipient before the configuration can be turned on.

Pulse — Psychotropic Medication Details No Longer Fail to Display — Opening a Psychotropic Medication incident could fail when the medication change detail held more than one entry, and the change dates could display a day off. Both are resolved.

The newer Pulse incidents now send email — Detection for the newer Pulse incident categories has been running for some time, but only the original Pulse categories could send email. Those incidents now deliver through the same Settings > Notifications configuration you already use: enable a category per facility, choose recipients, and set as-it-happens or daily summary delivery. Email recipients follow the same trigger visibility rules that apply in the application.

The two Pulse sources are listed separately in Settings — Several category names appear in both the original and the newer Pulse, so Settings > Notifications now groups them under their source. Existing configurations were not changed, and the two are configured independently.

Turn a voice dictation into a formatted progress note — Copilot now produces a professional note from a dictation rather than only a transcript. The result is editable in place and can be added to PointClickCare or copied out.

Correct an assessed item from the side panel — Where Copilot has assessed an item from your dictation and got it wrong, you can now correct the value directly in the side panel instead of working around it.

Pulse — Infection Incidents From Physician Orders Now Show Their Source — Infection incidents created from a physician order had no viewable document, so there was no way to see what the incident was based on. The order description and content now display.

Weekly activity summaries are now yours to configure — The weekly summary is now a standard notification configuration in Settings > Notifications, with its own recipients and schedule, and is partitioned by facility so regional staff receive only the buildings they cover. It reports activity counts; the detailed delivery diagnostics that used to travel with it are now a separate internal report.

Two additional incident categories are now live — Bowel/GI and Mental Health incidents are now released to customer accounts alongside IV Therapy. Bowel/GI covers documented changes in bowel and gastrointestinal status. Mental Health covers documented status changes including confusion or delirium, depression or anxiety, mood change or withdrawal, lethargy or somnolence, hallucination or paranoia, and suicidal ideation.

Copilot — Gaps Section Header Now Displays in Dictation Review — A styling conflict was hiding the header above the gaps section in Copilot's dictation review view. The header now displays as intended.

Progress Notes — Placeholder Assessment Entries No Longer Returned — Opening a progress note could return placeholder assessment entries that were not present in the source record. Notes now return only the assessment data that actually exists upstream.

See what a dictated note will flag in Pulse — Copilot's dictation review now shows Pulse trigger tags for a dictated voice note and highlights the passage in the transcription that produced each one, so you can see which clinical signals the note raises without leaving the review screen.

Email notifications extended beyond the original five categories — Pulse email notifications previously went out only for Abuse, Neglect, Unwanted Behavior, Elopement, and Elopement with AMA. They now also cover Condition Change, Fall, Foley Catheter, IV Fluids, Psychotropic Medication, Rehospitalization, Weight Change, and Wound/Ulcer. Detection for these categories was already running; only email delivery was limited.

Each new category can be assigned per facility — The added categories appear in Settings > Notifications, so you can enable them and choose recipients building by building.

Set up Pulse notifications yourself — Settings > Notifications now lets you choose which Pulse categories send email, for which facility, and who receives them. An "apply to all facilities" action is available when you want the same configuration across every building on the account.

Choose how often notifications arrive — Each configuration can be set to send as it happens or as a daily summary.

Access follows your existing permissions — Owners can manage notifications for every facility on the account; a facility admin can manage only the facilities assigned to them. Staff do not have management controls. Recipients can be searched rather than typed in by hand.

Multi-select type filter on Mental Health incidents — You can now narrow Mental Health incidents by status change type: confusion or delirium, depression or anxiety, mood change or withdrawal, lethargy or somnolence, hallucination or paranoia, and suicidal ideation. The filter matches any selected type, since most incidents carry more than one. This follows the Type filter already available on IV Therapy.

Original document is the default view — When you open a progress note or physician order in the side panel, the original document now opens first, with the Insights view one tab away. This applies to both the web application and Copilot, so you start from the chart as written rather than from the summary.

Settings — Team Search Now Returns Results — The search box on the Settings > Team roster did not filter the list. Searching now filters the roster as expected, which matters most on accounts with a large number of users spread across many facilities.

Manage your own users — Settings > Team now lists everyone on your account with their permission level and facility access. Owners and admins can add a new user, update someone's facilities and permission level, or remove access for someone who has moved on. Our team is still happy to make these changes for you; this simply means you no longer have to wait on us. Full walkthrough: Adding and Managing Users in Your Account

Permissions are set per facility, not per account — Admin and Staff can be assigned separately for each building, so a coordinator covering two facilities gets the access each one requires instead of a single blanket role across the whole account. Any admin can grant Admin access at any facility on the account.

One team roster instead of separate admin and staff lists — Adding a team member, changing which facilities they can see, and removing their access all happen in a single people list, replacing the earlier split between administrator and staff screens.

New users receive a temporary password — When you add a user, Anthuria generates a temporary password and displays it once. Copy it before closing the window and pass it to the new user through a secure channel. They set their own password at first sign-in. If the password is lost, contact us and we will issue a new one.

Choose which product opens when you sign in — Settings > General lets you pick which product opens when you sign in — MDS, Pulse, Audit/ADR, or Regional — instead of always starting on MDS. Only products your account holds are offered, and if access to your chosen product changes you are routed to the next one available to you rather than to an error. Full walkthrough: Choosing Your Landing Page

See how your team uses Anthuria — A Usage tab in Settings shows one card per product your account holds, with the date it was last used, how many users were active this month, and a monthly activity heatmap. Select a card to expand a per-user breakdown showing each person's email, last use, and time in the product. Available to account administrators.

Notifications tab added to Settings — Settings now includes a Notifications tab, and the Settings back button returns you to your home page instead of stepping back through browser history. Notification preferences themselves are coming soon.

Evaluations scored on a therapy scale now appear as evidence only — Some facilities' therapy evaluations are scored on a therapist assist-level scale rather than CMS Section GG labels. Those evaluations now appear as their own evidence document on the Section GG panel with no score attached, and they never contribute to a GG value, because the two scales are not interchangeable. GG scores for these patients continue to come from the NetHealth GG outcome data, unchanged.

Open the therapist's evaluation from the Section GG evidence panel — For patients with NetHealth therapy documentation, the Section GG "view docs" panel now lets you open the captured therapy evaluation, progress note, or discharge summary as a source document alongside the structured GG scores. The evaluation carries what the CMS codes do not: the therapist's own assist-level wording, additional items such as wheelchair mobility and ambulation distances, and the narrative rationale behind the score.

Every captured evaluation is listed, not just one — When a patient has more than one evaluation captured on the same date, all of them now appear as separate evidence rows. Previously only one was shown and the others were dropped.

No More "Not Authorized" Message Before Facilities Are Assigned — Users who signed in before any facility had been assigned to them, including immediately after a password change, saw a "Not Authorized" error instead of the application. They now see a placeholder dashboard.

MDS Section GG — Evidence Panel No Longer Fails to Load — The Section GG evidence panel could return an error and fail to open for a patient when a single CNA task had been recorded without a value. One blank entry blocked the entire GG panel for that patient, not just that one item. Blank entries are now skipped and the panel loads normally.

Patient Search Now Works With a Full Name — Searching for a resident by full name, such as "John Smith," returned no results; only a first name or a last name on its own would match. Full names now work in the MDS list, Regional View, and Pulse, in either order and with or without a comma.

Cognitive screens now appear on the patient timeline — When a NetHealth note documents that a cognitive screen was completed (BIMS, SLUMS, MoCA, or GDS), a timeline entry now shows the screen was done and links to the source note, so you can confirm it occurred without searching through NetHealth documentation. This surfaces that a screen was performed; it does not extract or code a score.

See who wrote each note — Pulse notes now display who wrote each note, matching what the previous Pulse view already showed, so you no longer need to open PointClickCare to identify the author.

IV Fluids renamed to IV Therapy, plus a new filter — The "IV Fluids" incident category is now called IV Therapy to reflect that it covers fluids, medications, and access issues. A new Type filter lets you narrow results to Fluid, Medication, Access, or Undetermined.

Evidence review built into the Copilot panel — Copilot now shows MDS evidence review directly in the side panel, with separate Insights and Original Document tabs, instead of opening a separate webview. The panel header also now names the specific item you're reviewing rather than just the section.

A dedicated view for transcribed notes — Copilot now shows a list of transcribed, unreviewed progress notes with patient name, room, and timestamp. Select a note, edit the text, and copy it directly into PointClickCare, then mark it reviewed so it drops off the list. Search and an "unreviewed" filter let you find or revisit a note if it's marked reviewed by mistake.

ARD View — Assessment List No Longer Times Out — The ARD assessments list could take longer than 30 seconds to load and time out for facilities with a large number of assessments. The list now loads reliably regardless of assessment volume.

Copilot — Clearer Message When Multiple Assessments Match — When Copilot found more than one assessment matching a resident, it previously showed the same "check back later" message used when an assessment isn't in Anthuria yet. Copilot now shows a picker so you can select the correct assessment.

Payer-mix percentage now on the Data tab — Regional View's Data tab now shows the percentage of patients by payer type (Medicare, Medicaid, Managed Care) for each month, so regional directors can track how payer mix is shifting across the network instead of relying on a single blended CMI average.

Regional View — Payer Type No Longer Missing for Discharged Patients, More Accurate Monthly Trends — Payer-mix and other Regional View metrics could show a discharged or readmitted patient's payer as unresolved, inflating the "Unknown" category; payer type is now correctly resolved for these patients. Monthly trend charts also now use the assessment that was valid for each month rather than only a patient's most recent assessment, so earlier months no longer drop patients when they are reassessed later.

NTA points in their own column — Section I now shows each diagnosis's NTA point contribution in a dedicated column, alongside the nursing component point badges added earlier this month, so you can scan for reimbursement-relevant diagnoses without counting points by hand.

Regional View — Diagnosis Chart No Longer Duplicates Bars — The PDPM/diagnosis distribution chart on the Regional View data tab no longer repeats the same clinical category as multiple bars. You can now also choose whether PT/OT and Nursing function scores display split by band or combined.

Copilot Recovers More PointClickCare Assessment Pages — Copilot now pulls the patient and assessment identity it needs directly from the page when PointClickCare presents an assessment using its newer opaque URL format, restoring insights on pages that previously showed a permanent spinner. This extends the fix released July 9th to more PointClickCare pages.

Pulse — Fixed Display Error for Incidents With Multiple Values in One Field — Some Pulse incidents with more than one value in a single field, such as multiple wound locations, could fail to display or throw an error. These now render correctly as separate badges.

Batch export for fax — You can now export an ADR packet as page-limited batches instead of manually splitting large packets before faxing. Built for packets that run into the hundreds or thousands of pages.

Notes and tasks on packets — You can now add private notes and @mention-based tasks directly to an ADR packet to track follow-ups such as carrier outreach or a pending fax, instead of tracking that separately. Packets show a badge for unseen mentions and assigned task counts.

NTA category labels and sort order — Section I now labels each diagnosis with its NTA category and sorts entries by payment function, making it easier to see which diagnoses are driving reimbursement.

Shortness of breath extracted from NetHealth notes — Shortness of breath documented in NetHealth therapy notes, both at rest lying flat and with exertion, is now extracted and shown as supporting evidence for Section J, so you can see where a J1100 response is coming from without opening the therapy note directly.

Note dates in the document review dropdown — The document review dropdown now shows the note date next to each NetHealth document, making it easier to tell entries apart when a patient has multiple notes.

Payer filter added to Regional View — Regional View now supports filtering by payer type — Medicare, Medicaid, or Managed Care — so regional directors can isolate results for a specific payer instead of viewing blended totals across all payers. Use it to check a facility's Medicare average for a given month or compare payer mix across your network.

McGeer criteria in the incident side panel — When an incident is classified as an infection, the side panel now shows the specific McGeer criteria that supported that classification, so you can see the clinical basis for the flag without leaving the page.

MDS View Docs — Sections C and D No Longer Stuck Loading — The View Docs side panel no longer hangs on an infinite loader when opened from Section C or D. It now loads the linked documentation as expected.

Sweep Stay button added to the Audit Packet view — You can now sweep a stay for supporting documentation directly from the audit queue, the packet-build step, and the finalize step, instead of switching to the patient view to run a sweep.

Filter and sort by auditor — The audit queue now supports filtering and sorting by requestor or auditor (for example, Noridian, WellSky, Performant, or RAC), so you can work your queue the same way you already track it outside Anthuria.

Medicare A Certification Documents Now Recognized in Audit Search — Medicare A certification and recertification documents pulled from PointClickCare's C-module were not being recognized by audit document search, so valid certifications could be missed during an audit response. These documents are now correctly categorized and searchable.

Finalize Now Surfaces Specific Packet Errors — Finalizing an audit packet now returns the specific reason a packet can't be finalized instead of a generic failure, and the packet wizard correctly resumes with the right stay in scope.

Copilot No Longer Stalls on Some PointClickCare Pages — Copilot could get stuck on a permanent spinner when PointClickCare presented a resident's assessment using its newer URL format. Copilot now recovers the information it needs in more cases; a small number of fully migrated pages may still show a specific "couldn't open this assessment" message while this work continues.

NetHealth observations now appear in the Section GG evidence panel — Alongside CNA and UDA documentation, the Section GG "view docs" summary now shows NetHealth-sourced GG observations, each labeled with its source, date, and time, so you can trace where a GG score came from without leaving the page.

Regional View — Facility Selection Now Carries Into Audit/ADR — Your facility selection in Regional View now stays applied when you move into the Audit/ADR tool, so you no longer have to reselect facilities when switching between the two.

Regional View — Submitted Assessments No Longer Flagged as Overdue — Assessments with a Submitted or Done status no longer display an incorrect Overdue flag.

Regional View — Concurrent Assessments Now Show as Separate Rows — When a patient has two assessments in different statuses, such as a completed 5-Day and a submitted Admission assessment, both now appear as separate rows instead of one being hidden.

Assessment lists now sort by urgency by default — The list sorts by ARD ascending, so overdue and due-soon assessments surface first instead of being buried under assessments with a far-future ARD.

More sortable columns — Status, Type, and Room are now sortable, in addition to Facility, Payer, and ARD.

Filter by ARD date range — Scope the list with preset ranges (Overdue, Next 7 Days, Next 14 Days, Next 30 Days) or a custom date range, and combine with your other active filters.

Incident type shown before you select one — When you search incidents by patient or facility name without first picking an incident type, the table now shows an Incident Type column instead of category columns that don't apply yet. Once you select a type, the relevant category columns, such as wound location and stage or rehospitalization visit type, display in its place.

Network-wide dashboard — Regional directors can now see every facility in one view instead of clicking into individual patient charts. Summary metrics at the top show total patients, Medicare CMI, assessments due today, and completion rate compared to last week, with a per-facility snapshot of Medicare and Medicaid CMI and assessment counts.

Every active assessment, sorted by urgency — Assessments across the network are listed with ARD and submission due dates color-coded red (past window), amber (due today), or green (upcoming), along with the estimated Medicare Part A rate per day and an IPA flag when clinical indicators suggest an interim assessment could increase the HIPPS code.

Filter by coding gap across the network — Filter by status, IPA-only, or a specific PDPM coding gap, including GG not coded, NTA opportunity, HIPPS incomplete, SLP pending, or IPA trigger.

Assessment detail panel — Click into any assessment for alert rationale, full section-coding status, a PDPM component breakdown comparing your EHR's coded value against Anthuria's calculated value, and a side-by-side comparison with the resident's prior assessment.

Reimbursement tracking — A Data tab tracks HIPPS and GG completion rates and surfaces NTA points not yet captured in MDS coding, showing where reimbursement opportunities exist across your network.

Gaps badge on Patient and MDS views — Each row now shows a color-coded badge when required documentation is missing. Section GG is flagged if it isn't documented by day 4; Sections C and D are flagged until they're completed, since both must be done before the ARD.

See exactly what's outstanding — Hover or expand the badge to see which specific sections are flagged, so you know what to chase while there's still time in the window.

Filter by calculated values — Incident tables now support filtering on calculated attributes, such as infection control metrics, in addition to the standard columns.

ARD View — Full Assessment Type Names — Assessment cards now show the full assessment type name, such as 5-Day PPS or Quarterly, instead of abbreviated labels, matching how the MDS view already displays this information.

Pulse 2.0 — Infection Details Display — Infection incident details now display correctly in the Pulse 2.0 incident table.

Search bar added to Pulse — You can now search Pulse by patient name or facility name instead of scrolling through the full incident list. Search works across all trigger categories, including Fall and Abuse, and respects your active time filter (24 Hrs, 72 Hrs, Last Month) and any active category filter, so results stay scoped to what you're already reviewing. This is especially helpful if you manage multiple facilities and need to locate a specific resident or building quickly.

ADR Audit Tool — Resident Names Now Display Correctly — The patient list in the ADR audit tool previously showed internal system identifiers instead of resident names, and name-based search returned no results. Both are resolved. You can now locate residents by name in the audit tool and proceed with ADR packet review.

Set a custom date range for incident results — You can now choose any date range when viewing incidents in Pulse 2.0, replacing the fixed preset filters. Use it to pull results that match your review cycle or align with a specific audit window.

Selected facilities carry over when you navigate between pages — Your facility selection now stays in place when you move between the All Patients, ARD, MDS, Pulse, and Pulse 2.0 views. You no longer need to reselect facilities each time you switch pages.

Nursing triggers now listed for each patient — The PDPM page now shows the specific clinical conditions that placed a patient in their nursing category, such as Septicemia or Ventilator dependency. Each trigger displays the MDS items that activated it, so you can confirm the basis for the classification without leaving the page.

NTA comorbidity breakdown — The NTA section now lists each qualifying comorbidity with its individual point contribution, so you can see how the NTA score was built rather than just the total.

Anthuria-suggested CMI and HIPPS code — The PDPM page now displays Anthuria's calculated CMI and HIPPS code based on its assessment, which may differ from what is currently coded in your EHR. When they differ, both values are visible side by side so you can compare and take action.

All record types are now labeled in the MDS view — Entry and discharge records previously appeared as unlabeled rows when a patient had multiple records, making them difficult to distinguish from assessments. Each record now displays its type — Entry, Discharge, 5-Day, Admission, and others — so you can navigate a patient's record history at a glance.

Eastern login restored — Login access for Eastern users was temporarily unavailable and has been restored.

Wound incident location display — In Pulse 2.0 wound and ulcer incidents, the body site location now displays as plain text instead of a formatted tag.

Incident categories now display as readable tags — Category labels in incident records, such as fall type and rehospitalization reason, now appear as formatted tags instead of raw system codes. The display matches the clinical terminology you expect to see.

Initial alert document now highlights trigger text — When you open the source document for an incident's initial alert, the passage that generated the alert is now highlighted, so you can confirm why the incident was created without reading the full note. This extends the highlighting already available for follow-up items to the root trigger.

ARD and Date Display — Timezone Fix — Dates including ARD, admission, and lookback dates were displaying one day earlier than expected for users in US timezones. The ARD in the patient card, the ARD tracking page countdown, the MDS patient list, and the All-Patients view now all show the correct date regardless of your timezone.

Manual follow-up completion — When Anthuria cannot automatically detect that a follow-up has been addressed, for example when the supporting documentation is in a record the system does not have access to, you can now mark the follow-up as complete directly from the incident view.

ADR intake wizard — When you receive an Additional Documentation Request from a federal payer (CMS, MAC, RAC, or SMRC), you can now open a new ADR directly in Anthuria. The intake wizard walks you through selecting the Medicare stay, uploading the ADR letter, and identifying the specific documentation requests.

Evidence packet viewer — Anthuria assembles the clinical documentation tied to the Medicare stay, including progress notes, therapy records, and other source documents, into a reviewable packet with an in-app PDF viewer, so you can pull records without navigating to a separate system.

PDF highlight annotations — Mark the specific passages in clinical documents that respond to each auditor ask. Highlights can be placed, moved, resized, and deleted, and persist with the packet throughout the review process.

Editable cover narrative — Draft and revise a cover letter narrative in a rich-text editor with autosave. An AI-generated draft is provided as a starting point and can be edited before the packet is finalized.

Finalize and download — When the packet is ready, finalize it to lock the document set and highlights, then download a compiled PDF with all clinical documentation and highlight annotations included.

Completed and submitted MDS records in the auditing view — The MDS view now displays completed and submitted assessments alongside in-progress records. Auditors and regional consultants can review finalized MDS documentation without navigating to a separate system.

Text highlighting in evidence documents — Clicking a follow-up item in a Pulse 2.0 incident now opens the supporting note with the relevant passage highlighted, so you can confirm the evidence at a glance instead of reading the full note.

Evidence panel stays open between follow-ups — Moving from one follow-up item to another updates the highlighted passage in place, so you don't need to reopen the panel each time you review a new item.

PDPM Clinical Page — Stability Fix — Resolved a crash that could prevent the PDPM page from loading for some patients. Nursing triggers, NTA comorbidity breakdown, and Anthuria-suggested CMI and HIPPS code are now reliably available for all patients.