11.20 Release Notes

 Release Dates 
Lighthouse:  4/5/26   11.20.0
GA:                 4/19/26 11.20.3
Hotfix:            5/10/26 11.20.4

Feature Enhancements:

Release 11.20.4


Include other Roles in Cases By Location report

Main Menu > Reports > Administrative Reports > Cases by Location

The Cases By Location Report now includes 3 new columns for the remaining main roles that may appear on the Face Sheet.


Issues Resolved:

Release 11.20.4


Scheduler List View button

There was an issue where clicking the List View button raised an error. There was also an issue where clicking on Setup, making a change to a Template, and clicking Save raised an error.  These issues have been addressed.

Private Pay not auto-applying client's Ability to Pay By Activity Code setup

When manually adding a self pay insurance from the Clinical Insurance widget, that has a Private Pay Insurance ATP By Activity Code setup in billing, then the codes in the setup didn’t automatically apply to the client's Ability to Pay record. This has been fixed.

"Upload failed. Retry?" error for AI Sessions

Main Menu > Treatment Planning > Sessions

There were some issues where, when submitting an AI Session for processing, the error "Upload failed. Retry?" occurred. This issue has been addressed. Please contact NextStep support if this issue persists.

Issues with new Client Account dashboard

Main Menu > Reports > Client Report > Client Account

This dashboard could sometimes raise an error or run slowly.  These issues have been addressed.

Conditional rules issue with Dropdown Templates

After saving and reopening a form with a conditional rule based on a Dropdown Template, the rules were not always working.  This issue has been addressed.

Observation Journal "Connection Lost" error

Main Menu > Progress Notes > Observation Journal

Opening an item to seal in Observation Journals could sometimes raise an error. This issue has been addressed.

Race Demographic Field not saving when admitting new client

Main Menu > Admissions > Face Sheet

There was an issue where the Race demographic field was not saving when admitting a new client.  This issue has been addressed.

Consecutive Appointments Missed dashboard issue

Main Menu > Reports >Administrative Reports >Consecutive Appointments Missed 

Some records in the Consecutive Appointments Missed were merged and not reporting correctly.  This issue has been addressed

IBHRS Provider Client performance

The IBHRS Provider Client report performance has been improved.

Feature Enhancements:

Release 11.20.0


AI Scribe for Progress Notes

Main Menu > Treatment Planning > Sessions✨

The new NextStep AI Scribe can join a Session with a client, and create a draft Progress Note containing a summary of the session and completed Chart Notes for each Treatment Plan objective.  For details on use and administration, see NextStep AI for Progress Notes

Observation Journal

Main Menu > Treatment Planning > Observation Journal

The new Observation Journal provides users in a residential type facility an easy way to document where clients were observed, at specific intervals during the course of the day, for safety reasons and to meet state and accreditation guidelines. This tool has been built so that it can easily be used in a browser running on a tablet.

Billing Health Dashboard

Main Menu > Practice Management > Billing Reports > Billing Health

This clinical dashboard integrates billed amounts, collected amounts, and open balances into a single report. Consolidating this data improves efficiency for agencies during month-end reporting and provides a valuable resource for users who need to monitor an agency's billing health without having direct access to the billing module. The report can be filtered by Date of Service, Posted Date, or both. The dashboard features Summary and Details tabs and allows users to group data by any column including Location, Program, User and Payer.

Deleted Services report

Main Menu > Practice Management > Billing Reports > Deleted Services

This new report lists Services that have been deleted from NextStep Billing for a selected date range. If a Service that was deleted needs to be restored and sent back to NextStep Billing, select the checkbox for the line you'd like to restore, then click the Restore button. To use the Restore capability, you must have a user permission, Restore Deleted Services, enabled. This list can also be exported.

Add "Select One Only" field type to Face Sheet

Main Menu > Admin Tools > Form Setup

You are now able to add a “Select One Only” field type to the Face Sheet.

Set activities that appear on each billable form

Main Menu > Admin Tools > Form Setup

Using the Form Builder, you can now identify which activities appear in the billing box for a form. This feature was already available for Notes. It helps to limit the activities that a user can select.

Add Demographics to Pre-Admit Forms to prefill Face Sheet

Main Menu > Admin Tools > Form Setup

Face Sheet Standardized Demographics may now be added to Pre-Admit forms and used to initialize values in the Face Sheet.

Create an archive of the face sheet as a PDF when a client is discharged

Main Menu > Reports > Document Center

When you seal a Discharge Form for a client, a PDF snapshot of their Face Sheet is created and placed in the Document Center under Face Sheet History (which used to be called Face Sheet Change Log). The snapshot is an archived version that will not change when future changes to the Face Sheet are saved. There are some limitations including not recording items that are not set to print, like Medication List, Insurance Widget and fields with Not print enabled in the field definition, and also the appearance of a "Loading" icon on the snapshot.


Note: There is no longer a Face Sheet button on the Document Center.  To view the client's current Face Sheet, select Face Sheet from the Main Menu. You can also always open the current Face sheet by clicking the View button on the Client Details Panel (see below) at any time. To view the Archived Face Sheet associated with an episode of care, open the case.



Note: Face Sheet snapshots are only created for clients discharged in v11.20 and later.

Client Account Dashboard

Main Menu > Reports > Client Reports > Client Account

The Client Account Dashboard displays all charges and payments, including unapplied private payments, for the selected client. This dashboard is useful for checking client balances when checking in a client for a scheduled appointment.

Note, this dashboard is only useful if your agency is using NextStep Billing.

Dashboard - Missing 2 Consecutive Appointments

Main Menu > Reports > Reports > Consecutive No-Show Appointments

This new dashboard lets you identify clients who have missed 2 or more consecutive appointments over a specified time frame.

Make the grid in Billing Services Dynamic respond to resizing

Main Menu > Reports > Admin Reports > Billing Services Dynamic 

Updated this report to better fit and scroll in the browser.

Draft Note warning

Main Menu > Progress Notes

Your NextStep instance can be configured so that, if a user opens a Custom Note page or the Misc Note page for a client, and that client already had a Draft Note, the user would get a warning. This warning now works for all note types, except Group Notes.  If you would like to be warned of an existing draft note, please contact support or your Customer Success Manager to have this enabled.  


Known issue: after saving a draft of some note types, after the note has been saved, that same note section is reopened and will display the warning that a draft note, the one you just saved, exists.  

Issues Resolved:

Release 11.20.0


Do Not Display Custom Face Sheet Roles Upon Discharge

Main Menu > Admissions > Face Sheet

There was an issue where, after clients are discharged, all custom roles added to the Face Sheet remain filled out. This issue has been addressed.

Note overlap warning for custom Notes

Main Menu > Admin Tools > Note Setup > Note Configuration

There was an issue where, when you set a custom note to have Time Overlapped checked, after clicking Update Configuration, the checkbox is no longer selected. This issue has been addressed.

Display of Field Reference Only for Standard Demographics

Main Menu > Admin Tools > Form Setup

There was an issue where if you created a field reference to a Standard Demographic value, and that value had sub values, the field reference showed all the subvalues. This issue has been addressed

Medications marked "as needed for pain" in DrFirst

Main Menu > Treatment Planning > Medication Plan

There was an issue where medications marked "as needed" in DrFirst were not populating as PRNs in NextStep. This issue has been addressed.

"Select One Only" Required field type billing message

Main Menu > Treatment Planning > Notes

There was an issue where “Select One Only” fields on a note would sometimes create a pop-up about required Billing fields on that note. This issue has been addressed.

Discharge print paper size

There was an issue where printing a discharge was using a default paper size of A4 instead of standard sizes. This issue has been addressed