Case Instructions

Case Instructions

📘 Instructions

Main Tab
Additional Information
Comments Tab
Advance Buttons
Main Tab
  • Complete required and relevant fields

    • Fill out all required fields and any additional fields that are applicable to the issue so the case is actionable.
  • Hold Results

    • Use this check box to prevent automatic release/distribution of results for orders linked to the case.
    • When to use: awaiting additional order information, provider clarification/approval, add‑on/reflex decisions, result correlation/verification, or other special circumstances.
    • Best practice: document the reason and an expected review date in the case notes; clear the hold as soon as the condition is resolved.
  • Hold Billing

    • Use this check box to temporarily suppress invoice/claim creation for associated orders.
    • When to use: pending insurance details, ABN review, prior authorization, bill‑to decision (client vs. patient vs. insurance), coding/ICD‑10 clarification.
    • Best practice: record the reason and follow‑up date; release the hold promptly once billing can proceed.
  • Category and Subcategory

    • Use Category/Subcategory to classify the case for easy filtering, queue routing, and reporting.
    • Examples: Pre‑analytic → Missing Demographics; Post‑analytic → Distribution Failure; Billing → Medical Necessity.
Additional Information
Fill all required fields and any optional fields that help someone else act without context-switching.

“Share Only With” - private cases

Use the Share Only With field to restrict visibility of a case to selected users. This is useful for sensitive topics (e.g., legal inquiries, employee health, complaints, internal investigations) where minimum‑necessary access is required.

What it does

  • Limits who can view the case and its contents (notes, attachments, activity).
  • Hides the case from general queues, searches, and dashboards for non‑selected users.
Notes
Note: Depending on your organization’s configuration, system administrators or compliance officers may still have access for oversight.

Best practices

  • Be deliberate: restrict only when needed; otherwise keep cases visible to enable handoffs and continuity.
  • Avoid single‑point failure: include at least two users (e.g., primary + team lead) to prevent stalls during PTO or turnover.
  • Keep it current: if the case becomes routine or non‑sensitive, remove the restriction to restore normal visibility.

Common pitfalls to avoid

  • Over‑restricting access and blocking needed collaboration.
  • Forgetting to add a backup user, causing delays when the owner is out.
  • Using private cases for routine operational issues that should remain shared.
Info
By completing all applicable fields and using Share Only With appropriately, you balance operational efficiency with privacy, ensuring sensitive work progresses without unnecessary exposure.
Comments Tab

Every case comment is automatically stamped with the author, date, and time, creating a chronological activity trail that shows progress and supports audit and compliance needs.

Why it matters

  • Transparency and continuity: Anyone can see what happened, when, and by whom, enabling smooth handoffs.
  • Accountability: Clear ownership and decision history reduce errors and rework.
  • Compliance: Immutable activity history simplifies internal audits and external reviews.
  • Dispute resolution: Objective record of communications, attempts, and outcomes.

Best practices for comments

  • Be objective and concise: State facts, not opinions.
  • Include the 4Ws + next step: Who you contacted, what was discussed/decided, when it occurred, why it matters, and what happens next.
  • Time-stamp interactions: Record call times, messages sent, and acknowledgements received.
  • Close the loop: Add a final “Resolution” comment summarizing outcome and evidence.
By keeping comments structured and complete, the system’s user- and time-stamped audit log becomes a reliable, end-to-end record of case progress and decisions.

Advance Buttons

Associating all relevant records with a Case creates a single source of truth so anyone can retrieve context and act with one click.

What you can link

  • Orders/Accessions.
  • Requisitions.
  • Standing Orders: Schedules and fulfillment history for recurring testing.
  • Transactions: Claims, invoices, payments, adjustments.
  • Documents: Consents, payer letters, fax confirmations, emails (as PDFs). OCL LIS does not limit the type of files.
  • QC/QA Records.
  • Patients.
  • Physicians/Providers: Ordering or receiving clinicians involved in the issue.
  • Sales Reps/Client Owners: Commercial point of contact for client-facing follow‑ups.
  • Destinations: Report endpoints (fax numbers, secure emails).
  • Tests/Panels: Specific analytes or panels when the issue is test‑specific.

Why link them

  • One-click retrieval: Open the order, view/print the report, or preview a document without leaving the Case.
  • Continuity and audit: A complete chain of evidence—who, what, when-across clinical, distribution, and billing.
  • Faster triage: See all impacted items, assign owners, and prioritize by risk.
  • Better reporting.

How to link (quick steps)

  • From the Case:
    1. Add Related → choose record type (Order, Patient, Transaction, etc.).
    2. Search, select and attach.
    3. Repeat for additional records; use Bulk Add for multiple accessions.
  • From a record:
    • Click on More Options to display all available actions.

Behavior and governance

  • Holds:
    • Hold Results and Hold Billing apply only to the orders you link and toggle-not globally to all linked items.
  • Privacy:
    • If the Case is restricted via “Share Only With,” the Case is private; the underlying records remain governed by their own permissions in their native screens.
  • Notifications:
    • Watchers receive updates when linked records change (per your notification settings).
  • Security:
    • Role-based access controls still apply; users without rights to a record won’t see its details even if linked.

Best practices

  • Be precise: Link only records that truly pertain to the issue; avoid over‑linking.
  • Include identifiers: In Case notes, reference accession IDs, claim numbers, and destination names for clarity.
  • Use tags and categories: E.g., “Distribution Failure,” “ICD Clarification,” “QC Investigation.”
  • Keep it current: Unlink records once they’re resolved if they clutter the workflow; summarize resolution in the Case.
  • Add a backup: Include a team lead as watcher/owner to prevent stalls during PTO.
  • Attach proof: Requisitions, payer letters, and delivery logs—note “see attachment” in comments.

Common use patterns

  • Multi-order recollect: Link all impacted accessions, the patient, and the ordering provider; place Hold Results until recollection.
  • Payer audit/denial: Link the order, claim/transaction, payer letter (document), and client account; Hold Billing until coding is finalized.
  • Destination outage: Link the destination endpoint and all affected orders; requeue sends when service restores; document attempts and confirmations.
  • QC investigation: Link QC runs, instrument logs, affected tests/orders; capture corrective actions and supervisor sign-off.

Pitfalls to avoid

  • Assuming linking triggers actions: Linking doesn’t resend reports or create invoices—use the appropriate actions.
  • Mixing unrelated incidents in one Case: Creates noise and complicates reporting; use one Case per distinct issue.
  • Missing chain-of-custody: If it wasn’t linked or attached, it’s easy to miss in audits-capture artifacts promptly.
  • Single-point visibility: For private Cases, add at least two permitted users.

Quick checklist

  • Linked all relevant records (orders, documents, transactions, destinations)?
  • Set Category/Subcategory and tags for filtering/reporting.
  • Applied/released any necessary holds on the affected orders.
  • Added watchers/owner.
  • Attached evidence and logged next actions with timestamps.

Linking the right records to a Case turns scattered context into an actionable workspace-everything you need is one click away, with a complete audit trail.

 


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