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Changelog

Stay up to date with our latest changes and improvements.

December 22, 2024

GDS reimbursement for paramedics

From January 1, 2025, the Generic Declaration Standard (GDS) will be implemented for paramedical care. This means that all paramedics must submit their claims in the GDS format. Even invoices sent directly to patients must comply with this format.

Flux fully supports this transition. For care provided from January 1, 2025, Flux will automatically adjust the invoice format to the new standard. For treatments that took place before December 31, 2024, the old declaration standard will remain in effect. As a result, both standards will temporarily coexist.

Flux users do not need to take any action. The system automatically detects which standard applies and processes claims and invoices accordingly.

  • New
    • GDS reimbursement for dietetics
    • GDS reimbursement for podiatry
    • GDS reimbursement for speech therapy"
  • Improvements
    • Flux now handles outages of the SBV-Z service for retrieving BSN numbers more effectively.
    • Added the ability to adjust the body location within the treatment plan.
    • Missing body locations in active treatment plans from the GDS have been added to the worklist.
    • To prevent billing issues, the following actions have been added to the worklist: missing diagnosis code and missing referral for chronic treatments.
    • Labels with the status unplannable have been added.
    • Only available practitioners are now selected when navigating between days in the calendar.
    • NPRS is now prioritized over VAS.
    • Different types of practitioners can now be included in bookkeeping, specifically for the Exact integration.
    • Products are now better handled in the Exact integration.
    • Various improvements in information security.
    • When invoicing, items can now be processed not only per line but also in batches.
    • Emails for questionnaire and recall requests can now be customized.
    • Various tooltips have been added to the medical feed.
    • Invoice settings have been improved, and documentation has been added.
    • Documentation for subscription settings is now available.
    • Treatment plans are now available within consultations under policy.
    • Payment options have been renamed for clarity.
    • Improvements have been made to the Twinfield integration.
    • The COV check will now remove incorrect health insurance entries in January 2025.
    • Warnings for health insurer CZ have been added.
    • Data imports for migrations have been adjusted for the GDS.
    • Data export functionalities have been improved.
    • Automatic CSI codes are now selected based on the GDS as of January 1, 2025.
    • Performance codes and performance code lists have been updated based on the GDS.
    • Performance code 1200 can no longer be used for children.
    • The creation of new contracts for 2025 has been improved.
    • The worked-hours overview has been improved and can now be easily exported.
    • More time is now available for 2FA during login.
    • The PREM request process now runs automatically based on applicable inclusion and exclusion criteria, but it can also be explicitly initiated from the final evaluation.
    • Minor color adjustments in the calendar for dark mode.
    • The intake workflow for the first consultation has been improved for speech therapy.
  • Bugs
    • Resolved: Agenda slots were sometimes displayed even when a practitioner was unavailable.
    • Fix: PDF preview was not displaying.
    • Resolved: In some cases, the intake process created a second intake.
    • Fix: Bug with online scheduling.
    • Fix: Issue with subscriptions.
    • Resolved: Navigation through practitioners in the agenda.
    • Fix: External links in the medical feed.
    • Resolved: COV check is now performed after entering a BSN number.
    • Fix: VAS for the Nivel integration.Various technical bugs resolved.
    • Fix: Bug with tabs on the patient page.
    • Fix: Patients could not schedule an appointment if their birthdate was in the future.
    • Fix: Spelling errors.
    • Fix: Adjustments to the treatment plan.
    • Fix: Header and footer of letters were sometimes missing when generating a PDF.Various data import issues for migrations resolved.
    • Minor fix: Dark mode adjustments.
    • Fix: Bug where a credit could be consumed without an appointment.
    • Fix: Text size in the medical feed.
    • Fix: Email template sometimes loaded incompletely.
    • Fix: Export of invoice items from the financial overview.
    • Resolved: Occasionally, a deleted treatment plan still appeared in the financial overview.
December 20, 2024

Dark mode

Flux now supports dark mode, a visual setting that adjusts the interface to darker tones. This feature is designed to make working with Flux more comfortable and reduce eye strain by limiting blue light exposure.

  • Dark mode gives a modern, calm appearance that is easier on the eyes.
  • By default, Flux follows your system settings and switches automatically between light and dark modes.
  • You can also enable or disable dark mode manually through the account menu.
  • New
    • Dark mode added for a calmer visual theme, ideal for use in the evening or low-light environments
    • Documentation added for better support and ease of use
    • SKF questionnaire schemas added, allowing easy integration into the treatment process
    • Subscriptions can now be adjusted for more flexible management
    • PREMs are now sent automatically after closing the treatment process, further automating the workflow
    • The patient registration form can now be easily reset
    • The billing period is now automatically shortened for more efficient processing
    • Label checks added to improve accuracy
    • The primary healthcare provider can now be selected
    • The Reply-to field can now be set for recalls and emails
    • Multiple email templates can now be customized for personalized communication
    • Patients can now be searched by phone number for easier lookup
    • The 4DKL questionnaire can now be completed directly by the patient
    • LDF data submissions can now be automated.Location icons updated for greater clarity
    • Week numbers added for improved planning overview
  • Improvements
    • Price suggestions for contract rates of paramedical disciplines outside physiotherapy are now displayed, simplifying billing
    • Appointment names must now be unique for online patient scheduling to prevent confusion
    • The type of healthcare invoice is now determined by the discipline rather than the user, ensuring more accurate processing
    • Users can now manage multiple disciplines under certain conditions, adding flexibility to practice management
    • Appointment reminders have been updated for improved communication with patients
    • The CSI code field on invoices has been enhanced for physiotherapists to ensure accurate representation
    • Improvements made to handle incoming appointment requests from the online planner more efficiently in Flux.You can now add an authorization to a treatment plan without adding a referral
    • The Qualiview integration now supports multiple types of healthcare providers, e.g., physiotherapists and speech therapists no longer need separate Qualiview accounts.Patient recalls have been improved
    • Added a preview to patient recalls.Minor improvements made to the billing process
    • Technical improvements made to our infrastructure.Enhancements made to the Nivel export functionality
    • The mobile version of Flux has been improved.Updates applied to the Twinfield API integration
    • the Nivel now also receives questionnaires completed by the patient, marked accordingly
    • The AGB declarant can now be set per contract.Labels added for the non-billable patients list
    • Warnings for direct debit payments can now be configured
    • Synchronization of appointment types added to the calendar for appointment suggestions
    • The modal for package appointments has been improved
    • Added a "My Patients" list within the patient overview
  • Bugs
    • Fixed an issue where appointments could not be scheduled if the insurer was unknown
    • Restored access to the patient invoice creation page.Resolved a problem with an unknown UUID
    • Fixed an issue with AGB codes of referrers in the treatment plan not functioning correctly
    • Addressed an issue where patient photos were sometimes not displayed.Various technical bugs resolved
    • Fixed an issue with HealthTrain functionality
    • Resolved a problem with the Nivel export concerning diagnosis codes
    • Restored proper questionnaire score trends, even when only one score was entered
    • Fixed a bug where no patient was linked to an online scheduled appointment
    • Addressed an issue preventing patients from booking online appointments under specific conditions
    • Fixed a problem with AGB codes for specialists/referrers in the treatment plan
    • Resolved an issue with Flux's self-service import service, which prevented certain files from being uploaded
    • Fixed a scheduling issue when reassigning an appointment to a different provider
    • Improved handling of incomplete data messages from the SBV-Z service. Fixed recalls now being sent after an appointment is removed
    • Resolved an issue where manually creating an invoice for a patient suggested outdated prices
    • Fixed the selection of insurers when manually creating a patient invoice
    • Resolved an issue where splitting a partial invoice from a batch invoice for an individual patient added a date to the draft invoice
December 13, 2024

Generic Claim Standaard (GDS801) 2.0

The Generic Claims Standard (GDS801) 2.0 simplifies and improves healthcare claims. Starting January 1, 2025, this new standard will be mandatory for paramedical care. Older claims will still be processed via the PM304 standard.

Flux ensures a seamless transition and provides support to align your processes fully with the new requirements. This guarantees smooth and uninterrupted claims processing. As a healthcare provider, several changes have been introduced with the new GDS standard:

  • Treatment Information
  • Treatment Plan
  • Reimbursement Note
  • Administration
  • Claim Date
  • Healthcare Provider Identification
  • Claim Codes
  • Performance Lists
  • Modules

Distinctions such as left, right, or bilateral are now included where relevant for conditions in the GDS. These distinctions can now be recorded within a treatment plan, as this information is required for claims.

The treatment plan has become significantly more important for claims under the GDS. To clarify which services are associated with a specific treatment plan, Flux assigns each plan a unique care plan number. This number is automatically included in every GDS claim, ensuring consistent identification of the plan.

Flux now includes the following information in the claim file:

  • Unique treatment plan number
  • Treatment plan start date (first appointment within the plan)
  • Diagnosis code
  • Location indicator (left/right/bilateral)

If any of this information changes, all services within the plan must be credited and resubmitted.

With the introduction of the GDS standard, all invoices for patients follow a fixed format. This format is designed to ensure uniformity and accelerate processing by insurers. The standardized design enables easier automatic processing, resulting in fewer rejections and fewer questions from patients.

Significant adjustments to these invoices are not possible. However, certain elements, such as logos and payment texts, can still be customized.

For patients with chronic care plans, managing the first 20 sessions has been simplified. Practices can now send a secure email detailing the number of sessions performed, which is useful when transferring a care plan from another practice.

Additionally, counting the first 20 sessions, which are billed directly to the insured, is now easier. These sessions can be invoiced directly to the patient without first submitting them to the insurer.

Claim Date

If a healthcare request continues while a patient transitions to a new provider, the original claim remains valid. The second provider must adopt the start date of the original care plan when opening a new plan.

To ensure compliance and validity of the claim duration, insurers must be informed of the original claim start date. The second provider is required to include this original date.

The AGB code of the actual healthcare provider is always included in the invoice line, with exceptions for interns or occasional substitutes, for which the responsible user’s code is used.

Claim Codes

The CSI code has been renamed to claim code. The following changes are automatically implemented in Flux:

  • Pediatric physical therapy and exercise therapy: Codes 004 to 007 are replaced by code 003.
  • COPD: A single new code (022) covers all COPD claims.
  • COVID-19 recovery care: The scheme is discontinued; new claims can only be submitted through supplementary insurance (code 009).
  • Rheumatoid arthritis: Claim code 022 for long-term exercise therapy.

Each type of care now has a specific Performance Code List (PCL) for claims. Flux automatically processes these codes and generates the correct claim based on your appointment type.

For patients with the supplementary insurance "Basis Plus Module" from Zilveren Kruis, care under this module must be claimed specifically according to the GDS. This includes care such as physical therapy for cancer, cardiovascular diseases, and strokes. Additional conditions apply to ZorgTopics and the Fitkids care product from Zorg & Zekerheid.

October 18, 2024

Subscriptions

Streamline your practice with patient subscriptions. Offer recurring services to your patients with ease. Subscriptions allow you to automate invoicing and payment processing for ongoing care, including:

  • Monthly invoicing for recurring services
  • Flexible start, pause, or cancellation options
  • Automated payment processing for hassle-free collections
  • Ability to schedule rate changes
  • Customizable email templates for subscription invoices

You can easily manage subscriptions through the patient dashboard. Use the intuitive interface to start, pause, or cancel subscriptions as needed. Learn more in our documentation.

Subscriptions make it simple to focus on what matters most: providing excellent care while ensuring seamless administrative processes.

  • New
    • Added subscriptions
    • Added the PSK to questionnaires to patients
    • Added the HIT-6 and CSi questionaires to questionnaires to patients
    • Added the HV14 questionaire
    • Added advanced options to appointment types for online scheduling
    • Added product code to the invoice tables
  • Improvements
    • Added additional support for speech therapy referrals
    • We made is easier to change the type of the intake
    • Improved the LDF data export
    • Increased the calendar contrast
    • Taking photo’s and uploading has been improved
    • The questionnaires to patients are now also send to the Nivel and LDK
    • Improved filtering for periods in the claims
  • Fixes
    • Fixed several bugs in the import tooling
    • Fixed a bug with old invoices
    • Fixed a bug with the Twinfield settings
    • Fixed a bug where the invoice filter would stay active while changing invoices
    • Fixed a bug with the date on the invoice
    • Fixed a bug with the invoice state where a credit invoice would inherit the status of the debit invoice
    • Fixed a bug where COV checks would be performed to often
    • Fixed a bug with blocked appointments
    • Fixed a bug with the declarant AGB code
    • Fixed a bug with the referral on a claim entry
    • Fixed a bug where a user could create a payment for a collection invoice
    • Fixed a problem where not a maximum of 8 users could be selected in the calendar
    • Fixed a bug where bullet points where not rendered in the medical feed
    • Fixed several technical bugs
October 4, 2024

HealthTrain for exercises

Flux X HealthTrain integration

With HealthTrain (formerly the Huiswerkoefeningen.nl app), you can provide patients with exercises and training schedules while remotely monitoring their treatment progress. HealthTrain encompasses care solutions such as MijnZorgApp, AfsprakenApp, Huiswerkoefeningen.nl, Join2Move, and e-Exercise.

By integrating HealthTrain with Flux, healthcare providers can effortlessly create exercises and schedules during the treatment process. You can share exercises directly with patients and monitor therapy adherence directly from the patient record.

  • New
    • Medikad has been added to our import tooling
  • Improvements
    • Added a chronic condition selector to the intake process, enabling easier identification and registration of chronic conditions
    • Added support for additional healthcare provider invoices, expanding billing capabilities for diverse disciplines
    • Introduced an export feature for all claim items, enhancing financial reporting and analysis
  • Bugs
    • Removed the referral requirement from product invoices
    • Restored the data view for invoice entries
    • Fixed a bug in the Medikad import tool
    • Resolved an issue where the Nivel export returned a 504 error
    • Fixed a bug with the ledger account in Twinfield
    • Addressed several technical bugs
September 20, 2024

Patient Questionnaires

In this release, we introduce a new feature that allows healthcare providers to send questionnaires directly to patients. This functionality allows practitioners to gather valuable patient feedback and insights using standardized questionnaires.

The following questionnaires are implemented at launch which can be sent to the patient:

  • VAS
  • NPRS
  • PSK
  • Quick DASH
  • HOOS
  • KOOS
  • STarT MSK
  • STarT Back
  • GPE-DV

More questionnaires will be added in the coming weeks to expand our offerings.

Here’s how it works:

  1. Request and Send Questionnaires: Healthcare providers can request a single questionnaire or a set of questionnaires tailored to specific treatment plans. These questionnaires are then automatically sent to the designated patients.
  2. Self-Administration by Patients: Patients receive and email with a secure link where they can complete the questionnaires at their convenience, promoting higher response rates and more accurate data collection.
  3. Integrated Responses and Scores: The patients’ answers and the calculated scores are automatically displayed in our medical feed, providing immediate access to this information to inform treatment decisions at the next clinical visit.

We are continuously expanding our questionnaire library to cover a broader range of conditions and specialties. Stay tuned for updates and new additions in the coming weeks!

  • New
    • Added additional revenue overview
    • Added the HOOS, KOOS, PRWHE-DLV, Start-Back to the questionnaires to patients
    • Added filters for user, location and invoice status to the invoice entry table
    • Added autofill to the ZorgMail address service
  • Improvements
    • Added payment methods to product invoices
    • Added indication accident and machtiging back to the behandeltraject
    • Added closed at for the behandeltraject to the data explorer export
    • Improved our QA environment
    • Added additional exports for data portability
    • Improved support for credits revenue per location
    • Set SAOP consultations as the default for medical note taking
    • Improved the LDF app page
    • Improved the search for invoices
  • Fixes
    • Fixed a bug where the invoice would not be send as an attachment
    • Fixed a bug where a email would not save
    • Fixed a bug with the Intramed import
    • Fixed a bug where tasks would not show properly
    • Fixed a big where a soft-deleted appointment would be fetched
    • Fixed several front-end bugs
    • Fixed several technical bugs
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