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Disclosure Management - Site Specific Section Modeling fields
An issue has been resolved when a disclosure management request is deleted and site specific section modeling fields on the next form are not clearing out from the previous disclosure filed.
Included Updates
None
Product Update Form Description
The following issue is resolved where the 'Disclosure Management' form would not clear out 'Site Specific Section Modeled' fields, but instead auto-populate them with previous entries.
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Topics
• Site Specific Section Modeling
• Disclosure
• NX
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Outside Provider Cal-OMS Annual Update - Annual Update Date
Resolves an issue to ensure that the 'Outside Provider Cal-OMS Annual Update' submits successfully when the 'Annual Update Date' is more than one year after admission date.
Included Updates
None
Product Update Form Description
An issue is resolved where the error message 'Annual Update Date: Annual Update Date must be at most 60 days earlier than one year after admission date.' may incorrectly display after submitting an 'Outside Provider Cal-OMS Annual Update' form.
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Topics
• Cal-OMS
• NX
• Outside Provider Cal-OMS Annual Update
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Avatar Cal-PM Cal-OMS Web Services
The Avatar Cal-PM 'Cal-OMS Admission', 'Cal-OMS Annual Update' and 'Cal-OMS Discharge' Web Services are updated to ensure correct filing of LA-specific dictionary values.
Included Updates
None
Product Update Form Description
Updates are made to the Cal-OMS web services to support LA-specific dictionary values.
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Topics
• Web Services
• Cal-OMS
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837 Professional Rendering Provider (2310B/2420A) Information
The Avatar Cal-PM 'Electronic Billing' form/functionality is updated to support Guarantor/Program information for Rendering Provider (2310B/2420A) loops/segments.
The following fields are added to the Avatar Cal-PM 'Guarantor/Program Billing Defaults' form (837 Professional section):
* 'Rendering Provider Entity Type Qualifier...'
* 'Rendering Provider Last Or Organization Name...'
* 'Rendering Provider First Name...'
* 'Rendering Provider Middle Name...'
* 'Rendering Provider Name Suffix...'
* 'Rendering Provider Identification Code Qualifier...'
* 'Rendering Provider Identification Code...'
* 'Rendering Provider Taxonomy Code...'
* 'Rendering Provider Reference Identification Qualifier...'
* 'Rendering Provider Reference Identification...'
* 'Rendering Provider Reference Identification Qualifier-2...'
* 'Rendering Provider Identification Code-2...'
* 'Specify How Rendering Provider Information Should Be Populated'
The 'File Import' form/process is updated to support the fields above for the 'Guarantor/Program Billing Defaults' file type.
The 'Electronic Billing' form/837 Professional file is updated to support reporting of Guarantor/Program information for Rendering Provider (2310B/2420A) loops/segments from the 'Guarantor/Program Billing Defaults' form where defined.
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48
Product Update Form Description
The 'Guarantor/Program Billing Defaults (837 Professional section)' form is updated to support Rendering Provider (2310B) fields. The 837 Professional and the File Import processes are also updated to support the new fields.
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Topics
• Guarantor/Program Billing Defaults
• File Import
• Electronic Billing
• NX
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'Electronic Billing' - 837 Institutional 2300-DTP Statement Dates
The Avatar Cal-PM 'Electronic Billing' 837 Institutional process is updated to set 2300-DTP-03 statement dates to the date(s) of service included in claim for Inpatient and Outpatient bill types.
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48, 58
Product Update Form Description
The Electronic 837 Institutional process is updated to set statement dates to the date of service in the 2300-DTP-03 segment.
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Topics
• Electronic Billing
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File Import - Client Charge Input
The functionality for 'File Import - Client Charge Input' has been updated to allow the user to utilize additional 'Site Specific Section Modeling' fields in the imported file.
The additional fields are:
SS Treatment Integer 7
SS Treatment Integer 8
SS Treatment Integer 9
SS Treatment Integer 10
SS Treatment ICD-10 Code 1
SS Treatment ICD-10 Code 2
SS Treatment ICD-10 Code 3
SS Treatment ICD-10 Code 4
SS Treatment ICD-10 Code 5
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48, 56, 58, 59
Product Update Form Description
File Import for 'Client Charge Input' is updated to support the following fields: 'SS Treatment Integer' (7 through 10) and 'SS Treatment ICD-10 Code' (1 through 5)
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Topics
• Client Charge Input
• Site Specific Section Modeling
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Included Updates
None
Product Update Form Description
The following issues are resolved: 1) An issue where a '[MAXNUMBER]DIS^HIBAR' error may occur when running the Bed Availability Report: 2) An issue where a '[MAXNUMBER]B+8^HICENR' error may occur when running the Official Census Report.
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Topics
• Bed Assignment
• Bed Availability Report
• Official Census Report
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Personal Pronouns may be included on client demographic forms and in client headers.
The field 'Personal Pronouns' is supported on the 'Update Client Data' form and the 'Demographics' sections of the forms 'Admission', 'Admission(Outpatient)', 'Discharge', Discharge (Outpatient)', Call Intake', 'Pre Admit' and 'Pre Admit Discharge' when added using a registry setting. Note: RADplus 2022 Update 109 is required to support 'Personal Pronouns'.
The field 'Personal Pronouns' are available for addition to the 'Demographics' section on the above forms, as well as the 'Client Header', based on a field being added for selection in the Registry Setting 'Avatar PM->Client Information->Client Demographics->->->Client Demographics - Additional Fields'.
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 58
Product Update Form Description
The following enhancements are included: 1) The 'Client Demographics - Additional Fields' registry setting is updated to include a selection for 'Personal Pronouns'. 2) The field 'Personal Pronouns' is supported on the 'Update Client Data' form and the 'Demographics' sections of the forms 'Admission', 'Admission (Outpatient)', 'Call Intake', 'Discharge', 'Discharge (Outpatient)', 'Pre Admit' and 'Pre Admit Discharge' when added using the registry setting. 3) The 'Personal Pronouns' field is supported by the Web Services associated with the forms listed in the previous item. Note: RADplus 2022 Update 109 is required to support 'Personal Pronouns'.
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Topics
• Admission
• Update Client Data
• Admission (Outpatient)
• Pre Admit
• Web Services
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Claim Support - Create Interim Billing Batch File
The functionality for supporting claims created from an 'Interim Billing Batch File' has been updated to ensure that a claim created by the interim batch is only displayed in the interim batch it was claimed it. It will not erroneously display in other interim batches throughout the system, such as in ‘Re-Print Bill’ or ‘Delete Claim’.
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Eligibility Inquiry (270) Submission
An issue has been resolved where processing any of the 'Options' would output an error message indicating that the 'File From Date' and the 'File Through Date' fields were missing when they contained data.
Included Updates
29
Required Updates
Avatar Cal-PM 2022 Update 29
Product Update Form Description
The following issues are resolved: 1) Claims not associated to the selected interim batch is displayed in the 'Re-print Bill' and 'Delete Claim' forms. 2) The 'Eligibility Inquiry (270) Submission' form prevents processing of any option except "Compile" with missing 'File From Date' and 'File Through Date' error even though they are filled in the form.
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Topics
• Print Bill
• Eligibility Inquiry (270) Submission
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CPT Place of Service Override
The ability to override the 'CPT Place of Service' has been added to the 837 Professional (2300 loop-CLM05; 2400 loop-SV105) and the paper HCFA (form locator 24-B).
Set the following registry setting to 'Y' to enable the functionality: Avatar PM->System Maintenance->Service Code Maintenance->->->Allow CPT Place Of Service Override.
The following tables are added: 'table_cpt_place_override' and 'table_cpt_pos_template_def'.
Included Updates
3, 9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 58, 59, 65
Required Updates
Avatar Cal-PM 2022 Update 40
Avatar Cal-PM 2022 Update 58
Product Update Form Description
Support of 'Place Of Service' overrides is added to the system via new registry setting 'Allow CPT Place Of Service Override'.
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Topics
• Print Bill
• 837 Professional
• Database Management
• File Import
• NX
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Included Updates
4
Product Update Form Description
Avatar Cal-PM is enhanced to support future functionality.
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Topics
• Practitioner
• NX
• Client Charge Input
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Included Updates
39
Product Update Form Description
An issue is resolved where editing previously filed records in the 'Diagnosis' form to have 'Add To Problem List' set to 'Yes' would sometimes fail to file problems to the Problem List.
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Topics
• Diagnosis
• Problem List
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Service Fee/Cross Reference Maintenance
An issue has been resolved to ensure that no error is received when selecting a fee with an inactive 'Location' dictionary code.
Inactive dictionary could will not be available for selection.
Included Updates
None
Product Update Form Description
An issue is resolved in the 'Service Fee/Cross Reference Maintenance' form where the error '[INVALID OREF]DefaultData+7^HRADFEEEDIT1' could occur when selecting a Service Fee with an Inactive 'Location' dictionary code.
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Topics
• Service Fee/Cross Reference Maintenance
• NX
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Included Updates
None
Product Update Form Description
Avatar Cal-PM is enhanced to support future functionality.
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Topics
• Site Specific Section Modeling
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The 'CareConnect HIE Configuration' and 'Query For External CCD' forms
The 'Within N Miles of Zip' field is added to the "Carequality Configuration" section of the 'CareConnect HIE Configuration' form and the 'Query For External CCD' form. This allows users to search for organizations based on a specific distance from a zip code.
Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 48, 50, 58, 72
Additional Requirements
Avatar CareFabric 2022 Update 30
Product Update Form Description
The 'Carequality Configuration' section of the 'CareConnect HIE Configuration' form and the 'Query for External CCD' form are modified to support searching the organizations by using the new field 'Within N Miles of Zip'. Please note: Avatar CareFabric 2022 Update 30 is required for full functionality.
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Topics
• Query for External CCD
• CareConnect HIE Configuration
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Avatar Cal-PM 'Require Authorizations At Guarantors/Payors Level' Registry Setting
The 'Require Authorizations At Guarantors/Payors Level' Registry Setting is added to Avatar Cal-PM.
The 'Require Authorizations At Guarantors/Payors Level' Registry Setting allows end-user the ability to optionally require an authorization for particular guarantor, date, and service code combinations. Where enabled, the 'Require Authorizations At Guarantors/Payors Level' Registry Setting adds the 'Authorization Group Definition' form to Avatar Cal-PM, and updates fields in the following Avatar Cal-PM forms:
* 'Guarantors/Payors'
* 'Managed Care Authorizations'
* 'Payor Based Authorizations'
Included Updates
3, 9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 50, 56, 58, 59, 62, 65, 68, 72, 76
Product Update Form Description
The Registry Setting 'Require Authorizations At Guarantors/Payors Level' is added to the system. This Registry Setting gives an end-user the ability to optionally require an authorization for particular guarantor, date, and service code combinations.
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Topics
• Service Authorizations
• Registry Settings
• NX
• Guarantor
• Client Charge Input
• Scheduling Calendar
• Electronic Billing
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System Task Scheduler
The 'System Task Scheduler' for 'Close Charges/Update Liability' has been updated to complete the process.
Processing the 'System Task Scheduler' for 'Close Charges/Update Liability' will no longer stop processing during the task.
Included Updates
None
Product Update Form Description
An issue is resolved where system locks are not removed after the processing of liabilities is completed.
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Topics
• System Task Scheduler
• NX
• Client Ledger
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Included Updates
9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 50, 58, 59, 65, 72, 76
Product Update Form Description
Avatar Cal-PM is enhanced to support other products and modules.
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Topics
• Client Charge Input
• Client Ledger
• Managed Care Authorizations
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Included Updates
39
Product Update Form Description
An issue is resolved in the 'Diagnosis' form that may prevent the 'Problem Classification' field from populating when defaulting rows.
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Topics
• Diagnosis
• Problem List
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Avatar Cal-PM is updated to capture additional information
Avatar Cal-PM is enhanced with the following:
* The 'Encounter Code (FHIR)' extended dictionary is added to the 'Treatment Service' dictionary in 'Dictionary Update'.
* The 'Facility Defaults' form is updated to support audit information which will be filed into the 'SYSTEM.table_facility_defaults' SQL table.
* The 'Office Address - Start Date' field is added to the 'Practitioner Enrollment' form. The web service is updated accordingly. In addition, the 'office_add_date' field is added to the 'SYSTEM.staff_enrollment_history' and 'SYSTEM.staff_current_demographics' SQL tables to capture this information.
Included Updates
3, 9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 50, 56, 58, 59, 65, 68, 72, 76, 81
Additional Requirements
Avatar CareFabric 2022 Update 85
Product Update Form Description
The following is included: 1) The extended dictionary 'Encounter Code (FHIR)' is added to 'Treatment Service'. 2) The 'Facility Defaults' form is updated to support audit information. 3) The field 'Office Address - Start Date' is added to 'Practitioner Enrollment' form.
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Topics
• Facility Defaults
• Query/Reporting
• Web Services
• Practitioner
• Dictionary
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Dictionary Update - 'Pregnancy Status' dictionary
The 'Clinical Status - Pregnancy (FHIR)' and 'Verification Status (FHIR)' extended dictionaries are added to the 'Pregnancy Status' dictionary in 'Dictionary Update'.
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Dictionary Update - 'Diagnosis Status' dictionary
The 'Clinical Status - Diagnosis (FHIR)' and 'Verification Status (FHIR)' extended dictionaries are added to the 'Diagnosis Status' dictionary in 'Dictionary Update'.
Included Updates
3, 9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 50, 56, 58, 59, 62, 65, 68, 72, 76, 81, 85
Additional Requirements
Avatar CareFabric 2022 Update 91
Product Update Form Description
The new extended dictionaries 'Clinical Status - Pregnancy (FHIR)', and 'Verification Status (FHIR)' off of the 'Pregnancy Status' dictionary (Client File, field# 357), 'Clinical Status - Diagnosis (FHIR)', and 'Verification Status (FHIR)' off of the 'Diagnosis Status' dictionary (Client File, field#1800) are added.
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Topics
• CareFabric
• Women's Health History
• Dictionary
• Diagnosis
• CareFabric Monitor
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Included Updates
3, 9, 10, 14, 15, 19, 21, 25, 28, 30, 37, 38, 40, 43, 48, 50, 56, 58, 59, 62, 65, 68, 72, 76, 81, 85
Additional Requirements
Avatar CareFabric 2022 Update 93
Product Update Form Description
The 'Provider Country' field is added to the 'Facility Defaults' form.
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Topics
• Facility Defaults
• Query/Reporting
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