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Avatar Cal-PM 2023 Update 59

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Product Requirements and Recommendations

Avatar Cal-PM required
RADplus required

Recommended Update Level

Avatar Cal-PM 2023 Monthly Release 2023.02.02
RADplus 2023 Monthly Release 2023.02.02

Product Update Description

The issue where the 'Electronic Billing' error report was showing a program that the client is not admitted to is resolved.

Required Updates

None

Included Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
Electronic Billing - Error Report
The 'Electronic Billing' error report functionality has been modified to ensure that programs a client is not enrolled in do not display. KB0074348 v0.01
Topics
• Electronic Billing • NX
 
Acceptance Tests
AV-74738 Summary | Details
Electronic Billing - Error Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Admission
  • Admission (Outpatient)
  • Client Ledger
  • Create Interim Billing Batch File
  • Crystal Report Viewer
  • Electronic Billing
  • Financial Eligibility
  • Program Maintenance
  • Service Fee/Cross Reference Maintenance
Scenario 1: 'Electronic Billing' report - validate data in error report.
Specific Setup:
  • Client A:
  • Note the client’s program.
  • Has closed, unclaimed services that can be billed on the 837 Institutional. Note the guarantor the liability distribute to.
  • The client does not have an active diagnosis record. This will cause an error report to generate in electronic billing.
  • If desired, create an interim billing batch to use in electronic billing.
  • Client B:
  • Note the client’s program.
  • Has closed, unbilled services that can be billed on the 837 Professional. Note the guarantor the liability distribute to.
  • The client does not have an active diagnosis record. This will cause an error report to generate in electronic billing.
  • If desired, create an interim billing batch to use in electronic billing.
Steps
  1. Open 'Electronic Billing' form.
  2. Compile an unclaimed bill for Client A.
  3. Validate that a message is received stating: No Valid Information Found. Please Check The Error Report.
  4. Click [OK].
  5. Select 'Run Report' in 'Billing Options'.
  6. Select 'Print' in 'Print Or Delete Report'.
  7. Select the 'File'.
  8. Click [Print 837 Report].
  9. Validate that the report launches and contains a link to 'Required Data Missing: Patient Claim Data'.
  10. Click the link.
  11. Verify that the error is that the diagnosis is missing and that the listing does not contain a program that the client is not enrolled in.
  12. Repeat steps above for Client B.
Topics
• Electronic Billing • NX