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Avatar Cal-PM 2022 Update 12

Product Requirements / Recommendations

Avatar Cal-PM required
RADplus required

Recommended Update Level

Avatar Cal-PM 2021 Update 44

Product Update Form Description

An issue is resolved where providers marked as inactive were not being excluded from the 274 submission file.

Included Updates

None

Required Updates

None

Details

NEW0 CHANGED0 FIXED1
Fixed (1)
274 - Provider Directory Definition - inactive provider
The '274 - Provider Directory Definition' has been updated to correctly process inactive providers, including providers that are inactive at one site, but active at a different site. KB0068905 v0.01
Topics
• 274 - Provider Directory
 
Acceptance Tests

AV-78337 Summary | Details
274 - Provider Directory Definition - inactive provider
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • 274 - Provider Directory Submission
  • User Definition
  • 274 - Provider Directory Definition
  • Site Specific Section Modeling (PM)
Scenario 1: 274 - Provider Directory Definition - Provider Definition
Specific Setup:
  • Tester has been given access to the ‘274 - Provider Directory Definition’ form in ‘User Definition’ under ‘Avatar PM / System Maintenance / System Definition / Health Care Provider Directory (274)’.
Steps
  1. Open ‘274 - Provider Directory Definition’.
  2. Validate that the form opened to the ‘Group Definition’ section.
  3. Select the ‘Provider Definition’ section.
  4. Validate that ‘Provider’ is the only required field on the form.
  5. Select a ‘Provider’.
  6. Validate that ‘Associated Site’ and ‘Active’ are now required fields.
  7. Click [X].
  8. Open 'Site Specific Section Modeling' for Avatar PM.
  9. Select 'TABLE27400 (274 = Provider Directory Definition) Provider Definition’ in 'Site Specific Selection'.
  10. Click [OK].
  11. Select ‘Site Specific Section’ option.
  12. Click on row ‘84’ in ‘Prompt Order’.
  13. Click [Edit Selected Item].
  14. Validate that ‘Label’ is disabled and contains ‘Provider Identifier - Secondary (2140EA-REF-02)’.
  15. Validate that ‘Initially Enabled’ = ‘Yes’.
  16. Validate that ‘Initially Required’ = 'No'.
  17. Select ‘Yes’ in ‘Initially Required’.
  18. As desired, set other ‘Prompt Order’ rows to a value of ‘Yes’ in ‘Initially Required’. Note the values of the other fields, specifically the ‘Label’.
  19. Click [Submit].
  20. Click ‘Refresh Forms’ icon.
  21. Open ‘274 - Provider Directory Definition’.
  22. Select the ‘Provider Definition’ section.
  23. Validate that ‘Provider Identifier - Secondary (2140EA-REF-02)’ is now required.
  24. Validate that all other rows that were updated to be required display as required. The 'Label' that was noted is the field name.
  25. Add desired data to the form.
  26. Click [File Provider Details].
  27. Select the ‘Provider’ that was submitted in ‘Provider’.
  28. Select a new value in ‘Associated Site’.
  29. Validate that a ‘Provider-Site Records On File’ items displays the message ‘Record to default Information From’ and contains a drop down list of ‘Sites’.
  30. Select a site and click [OK].
  31. Validate that the data defaulted into the fields.
  32. Click [File Provider Details].
  33. Create additional desired ‘Provider Definitions’ for the same provider for another site and then inactivate the provider in one of the three sites. The provider will not display in the submission for the inactive site.
  34. Create additional desired ‘Provider Definitions’.
  35. Click [X].
Scenario 2: 274 - Provider Directory Submission - form validation
Specific Setup:
  • An output directory has been defined in ‘Facility Defaults’ field ‘Output Path On Server For State Reporting Files’.
Steps
  1. Open ‘274 - Provider Directory Submission’.
  2. Validate that the ‘Options’, ‘Reporting Period (MM/YY)’, and ‘File Description’ fields are required.
  3. Select ‘Compile File’ in ‘Options’.
  4. Enter the desired value in ‘Reporting Period (MM/YY)’.
  5. Enter the desired value in ‘File Description’.
  6. Click [Process File].
  7. The ‘Health Care Provider Directory’ report will open. The report can contain the following links: ‘274 Submission’, ‘Required Data Missing/Invalid - Directory Defaults’, ‘Required Data Missing/Invalid - Group’, ‘Required Data Missing/Invalid – Site’, ‘‘Required Data Missing/Invalid – Provider’, and ‘‘Required Data Missing/Invalid – Other’.
  8. Click on the link for any ‘Required Data Missing/Invalid’ links and review the data in the sub report. Correct the data as desired.
  9. Click on the link for ‘274 Submission’ and review the data in the report. Providers will not display for the sites in which they are inactive.
  10. Close the report.
  11. Select ‘Dump File’ in ‘Options’.
  12. Validate that ‘Select File’ in now required.
  13. Select the file compiled above in ‘Select File’.
  14. Click [Process File].
  15. The ‘Health Care Provider Directory’ report will open and display the data that will be included in the dump file.
  16. Close the report.
  17. Select ‘Create File On Server For Submission’ in ‘Options’.
  18. Select the file compiled above in ‘Select File’.
  19. Click [Process File].
  20. The ‘Create File’ item is received with the message ‘Process Completed’.
  21. Click [OK].
  22. Select ‘Run Report’ Select ‘Create File On Server For Submission’ in ‘Options’.
  23. Select the file compiled above in ‘Select File’.
  24. Click [Process File].
  25. The ‘Health Care Provider Directory’ report will open and contain the same links the previously opened.
  26. Close the report.
  27. ‘Options’ contains ‘Delete File’. If deleting a file is desired, select ‘Delete File’.
  28. Select the file compiled above in ‘Select File’.
  29. Click [Process File].
  30. Close the form.
Topics
• 274 - Provider Directory

 

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