'Add First Ever Diagnosis Check' Registry Setting
Registry Setting 'Add First Ever Diagnosis Check' is added to Avatar Cal-PM.
Value Added: Introduces 'Add First Ever Diagnosis Check' Registry Setting to Avatar Cal-PM
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Topics
• Diagnosis
• Web Services
• Registry Settings
• NX
• Modeling
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Edit Service Information - Inhibited Billing services
Modifications have been made to functionality to ensure that the inhibit billing records are retained when an open service is edited in the 'Edit Service Information' form.
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Topics
• Inhibit Billing
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837 Institutional - Resolved diagnosis for discharge claims
The 837 Institutional claims evaluates the principal diagnosis segment (2300-HI) based on the claim statement date (2300-DTP).
Value Added: Logic associated with diagnosis population on the 837 Institutional bill is updated to use the claim statement through date for discharge claims.
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Topics
• Diagnosis
• 837 Institutional
• NX
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Eligibility Inquiry (270) Submission
The 'Eligibility Inquiry (270) Submission' form has been updated to add the 'File From Date' and 'File Through Date' fields. This will enable users to select a smaller date range of files to remain under the maximum number of files available for selection. The maximum is 5000.
Value Added: Date range selection is added for file selection.
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Topics
• Eligibility Inquiry (270) Request
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274 - Site Definition
Modifications have been made to the 274 Site Definition functionality.
Value Added: The labels have been updated and the zip code output will not contain a hyphen.
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Topics
• 274 - Provider Directory
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Task Scheduler Widget
The 'Task Scheduler Status' widget is added. This widget is enabled in the 'View Definition' form.
Value Added: Provide the ability to view scheduled tasks status of completed or errors.
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Topics
• Widgets
• System Task Scheduler
• NX
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'File Import' - Program Maintenance
The 'File Import' form is updated to support the 'Associated Service Programs' field for 'Program Maintenance'.
Value Added: Support for the 'Associated Service Programs' field for the program maintenance 'File Import'
Program Maintenance - 'EVV Provider Organization ID' field
The 'EVV Provider Organization ID' field is added to the 'Program Maintenance' form. The program maintenance web service and file import are updated accordingly.
Value Added: Support for Mobile CareGiver+
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Topics
• Program Maintenance
• File Import
• Web Services
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Copyright notice is added to forms where CPT content is displayed.
Per the AMA, all forms will contain a copyright notice. The notice: "CPT copyright 2021 American Medical Association. All rights reserved." will be added to the bottom of forms via a display only text field. The trademark symbol will be displayed following the first appearance of 'CPT' in each form section.
Value Added: AMA License copyright notice is added to all CPT content.
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Topics
• NX
• Program Maintenance
• Service Authorizations
• Eligibility Inquiry (270) Request
• Eligibility Response (271)
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Cal-OMS Submission
The logic for 'Cal-OMS Submission' has been updated to review the most recent submitted data for the Cal-OMS Annual Update first, instead of reviewing it after reviewing all other submitted data.
Value Added: Improves the processing time for Cal-OMS submissions.
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Topics
• Cal-OMS
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'Call Intake' is enhanced to add additional fields.
Registry Settings are added to enhanced 'Call Intake':
* 'Disallow Call Intake for Program Types'
* 'Add Demographics to Call Intake'
* 'Add SSN to Call Intake'
Value Added: Improved data capture in the 'Call Intake' form
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Topics
• Registry Settings
• NX
• Call Intake
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'Team Assignment' is enhanced to no longer display inactive teams.
When a 'Team' is marked as inactive in the 'Team Definition' form, the inactive teams will no longer display in the 'Team Assignment' drop down in the admission forms.
Value Added: Enhanced 'Team Assignment' display and SQL table contents.
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Topics
• Team Definition
• Team Assignment
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File Import - 'Claim Follow-Up Notes' Support
The 'Claim Follow-Up Notes' file type has been added to the Avatar Cal-PM 'File Import' form.
Value Added: 'Claim Follow-Up Notes' File Import is added
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Topics
• File Import
• Claim Follow-up
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Program Maintenance - Substance Abuse Program (Cal-OMS)
The 'Program Maintenance' field, 'Substance Abuse Program (Cal-OMS)' has been updated. The updated field selection options are: 'No', 'Yes (Reportable)' and 'Yes (Not Reportable)'.
Value Added: Allows users to choose to report or to not report Cal-OMS data.
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Topics
• Cal-OMS
• 837 Professional
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'Guarantors/Payors' Form 'Treatment Plan Requirements' Fields
The 'Requirement Start Date' and 'Requirement End Date' fields are added to the Avatar Cal-PM 'Guarantors/Payors' form 'Treatment Plan Requirements' section.
Value Added: Adds Start Date/End Date for Guarantors/Payors 'Treatment Plan Requirements' settings
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Topics
• Electronic Billing
• Treatment Plan
• Guarantor
• NX
• File Import
• Registry Settings
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Support is added for other products and modules
The 'Delete Last Practitioner Termination Date' form is enhanced to support other products and modules.
Value Added: Support for other products and modules
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Topics
• Practitioner
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Practitioner Enrollment - The 'Office Location ID, 'Staff EVV ID', 'Staff EVV Type' and 'Email Address' fields
The 'Office Location ID', 'Staff EVV ID', 'Staff EVV Type' and 'Email Address' fields are added to the 'Practitioner Enrollment' form. The 'SYSTEM.staff_current_demographics' SQL table, 'SYSTEM.staff_enrollment_history' SQL table and the Clinician web services are updated accordingly.
Value Added: Support for Mobile CareGiver+
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Topics
• Web Services
• Practitioner
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Spreadsheet Edit Service Information - saving data
The functionality for 'Spreadsheet Edit Service Information' is updated to create one job when data is saved.
Value Added: The creation of one job prevents additional license usage in the Management Portal.
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Topics
• Edit Service Information
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Program Maintenance - Cal-OMS Provider No Activity Submission Status
An issue has been resolved to include the 'Cal-OMS Provider No Activity Submission Status' field on the 'Program Maintenance' form when the 'Enable LA County Reporting Requirements’ registry setting has a value of 'YC'.
Value Added: Program Maintenance is updated to allow the 'Cal-OMS Provider No Activity Submission Status' field on the form.
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Topics
• Cal-OMS
• NX
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A new report: 'CPT License Count Report' is added to Avatar PM.
A new report called 'CPT License Count Report' is added to list active Avatar Users and Practitioners that have used CPT Codes in Avatar PM. The report needs to be run for each facility in the system. Inactive User and Providers are not included.
Value Added: Ability to track CPT usage by User and Provider.
CPT Code copyright notice is added to Avatar forms.
The AMA copyright notice: "CPT copyright 2021 American Medical Association. All rights reserved." will be added to the bottom of the following forms via a display only text field.
* CPT Code Definition
* CPT Place of Service Override
* Service Fee/Cross Reference Maintenance
* Service Fee/Cross Reference Maintenance (Guarantor Definitions)
Value Added: Added copyright notice for CPT content to select forms.
Avatar PM is enhanced with updated CPT codes.
Avatar PM is updated with the AMA provided list of CPT codes for 2021. Only codes that do not already exist in the system will be added. Existing CPT Codes will not be overridden. No start or end dates are added. Any CPT codes that already exist within Avatar PM will remain unchanged.
Value Added: CPT codes are updated with current AMA CPT Code content.
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Topics
• NX
• CPT License Count Report
• Service Fee/Cross Reference Maintenance
• CPT Codes
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Avatar Cal-PM is prepared for future functionality
Updated Routines for future functionality.
Value Added: Updated Routines for future functionality
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Topics
• Bed Assignment
• CareFabric Monitor
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Web Services - Clinician Services
Resolves an issue to ensure that the Clinician Services 'putClinicianUpdate' web service request files successfully.
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Topics
• Web Services
• NX
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Quick Actions - Update Client Data
The following issues have been resolved: 1) In the NX Quick Action 'Update Client Data', the registry setting 'Update Financial Eligibility Data' is respected. 2) In the NX Quick Action 'Update Client Data', the 'State' and 'County' fields display available drop down list options correctly. 3) In the NX Quick Action 'Update Client Data', the 'City' and 'State' fields populate automatically if a 9-digit zip code is entered. 4) In the NX Quick Action 'Update Client Data', changing a client's name may result in incorrect data for the 'Client First Name' and 'Client Last Name' fields.
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Topics
• Quick Actions
• Site Specific Section Modeling
• Update Client Data
• NX
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Electronic Billing / Quick Billing
Functionality for Electronic Billing and Quick Billing has been modified to prevent the following error when billing a service that has a co-practitioner, and the co-practitioner service falls to the default guarantor:
"[UNDEFINED]SvcIncluded+7^EB837Utils04"
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Topics
• Progress Notes
• 837 Professional
• NX
• 837 Institutional
• Quick Billing
• Quick Billing Rule Definition
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Site Specific Section Modeling - Practitioner Enrollment
Resolves an issue to ensure that the system prevents the submission of the 'Practitioner Enrollment' form when 'Site Specific Section Modeling' has been used to require a field, and the field contains no data.
Edit Service Information - Validating To-Do's after editing 'Open' service
Resolves an issue to ensure that the open service can be modified successfully using 'Edit Service Information' form.
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Topics
• Practitioner
• NX
• Edit Service Information
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'CANS/PSC35 Submission' And 'CANS/PCS File Import' Forms
An issue is resolved to ensure that the Avatar Cal-PM 'CANS/PSC35 Submission' and 'CANS/PCS File Import' forms/processes do not default the 'Client Index Number' as '00000000' if no 'Client Index Number' is found in the Client's Financial Eligibility record.
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Topics
• CANS/PSC35 File Import
• NX
• CANS/PSC35 Submission
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Financial Eligibility - Subscriber Sex
The issue is resolved when the 'Subscriber Sex' field may be cleared on the 'Financial Eligibility' form.
Registry Setting - Exclude Services If No Treatment Plan
The functionality for the 'Exclude Services If No Treatment Plan' registry setting is updated to remove fields/sections from forms when the registry setting value is modified.
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Topics
• Financial Eligibility
• Update Client Data
• NX
• Treatment Plan
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Database Management - SQL Query
An issue has been resolved where the 'SYSTEM.billing_tx_xref_table' could reach an infinite loop error during 'File Import' for 'Service Fee/Cross Reference'.
Cal-OMS Submission - Deletion of submitted Discharge
The 'Cal-OMS Submission' functionality has been updated to correctly process a Discharge Deletion after the Discharge was submitted.
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Topics
• Database Management
• NX
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Interim Billing Batch Creation
An issue is resolved to ensure that Interim Billing Batch creation is completed in a timely manner.
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Topics
• Interim Billing Batch
• NX
• Liability Update
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Diagnosis - 'SearchDiagnosisCodes' web service
Ensure the 'Diagnosis' - 'SearchDiagnosisCodes' web service returns diagnosis codes as expected.
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Topics
• Diagnosis
• Web Services
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