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Avatar Cal-PM 2023 Update 65

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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 file import process for 'Client Charge Input' is updated to support multiple add-on codes.

Required Updates

None

Included Updates

3, 5, 7, 8, 11, 13, 16, 17, 21, 26, 28, 32, 38, 39, 43, 45, 52, 54, 56, 61

Details
NEW1 CHANGED0 FIXED0
New (1)
File Import - Client Charge Input
Functionality for File Import - Client Charge Input has been modified to allow multiple Add-On service codes.
Value Added: Users can add multiple add-on service codes the Client Charge Input - File Import.
Topics
• 837 Professional • Client Charge Input • File Import • NX
 
Acceptance Tests
AV-77641 Summary | Details
File Import - Client Charge Input
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Client Charge Input
  • Create Interim Billing Batch File
  • Dictionary Update (PM)
  • Dynamic Form - Dictionary Update - Locked Dictionary
  • Electronic Billing
  • Registry Settings (PM)
  • Service Fee/Cross Reference Maintenance
  • App Dashboard
  • Client Ledger
  • Crystal Report Viewer
  • File Import
Scenario 1: 837 Professional billilng when 'Enable Multiple Add-On Code Per Primary Code Functionality' = Y.
Specific Setup:
  • The following registry setting has a value of 'Y': Avatar PM->System Maintenance->Service Code Maintenance->->->Enable Multiple Add-On Code Per Primary Code Functionality.
  • Dictionary Update has been used to update 'Other Tabled File, 291, Service Code Type' to have a value of 'Yes' in the extended dictionary 'Allow Multiple Add-On Code Definition' for all dictionary codes.
  • A 'Service Code' identified with a 'Service Code Category' of 'Primary Code' has at least two values selected in 'Select Multiple Add-On Code'.
  • An outpatient client is identified. Note the program. The client has an active diagnosis record, and an active financial eligibility record, noting the financial class.
  • A service has been created for the above 'Service Code'. Note the date of service. The service has been closed.
  • Use 'Client Ledger' to note the fee for the 'Service Code' and for each 'Add-On Code'. Note the total fee.
Steps
  1. Open 'Electronic Billing'.
  2. Create an '837 Professional' bill for the service.
  3. Review the dump file to validate that the amount in the 'CLM' is equal to the total fee and that the amounts in the 'SV1' segments is equal to the total fee.
  4. Close the dump file.
  5. Close the form.
  6. Query the SYSTEM.billing_tx_master table. Locate the 'Service Code' selected in Setup.
  7. Validate that the 'multi_addon_svc_code' displays all add-on service code numbers selected in the primary service code.
  8. Validate that the 'multi_addon_svc_value' displays all add-on service code descriptions selected in the primary service code.
Scenario 2: File Import - Render service to the client using multiple add-on codes
Specific Setup:
  • The following registry setting has a value of 'Y': Avatar PM->System Maintenance->Service Code Maintenance->->->Enable Multiple Add-On Code Per Primary Code Functionality.
  • Dictionary Update has been used to update 'Other Tabled File, 291, Service Code Type' to have a value of 'Yes' in the extended dictionary 'Allow Multiple Add-On Code Definition' for all dictionary codes.
  • A 'Service Code' identified with a 'Service Code Category' of 'Primary Code' has at least two values selected in 'Select Multiple Add-On Code'.
  • An outpatient client is identified. Note the program. The client has an active diagnosis record, and an active financial eligibility record, noting the financial class.
  • A 'Client Charge Input', 'File Import' file has been created import the primary service and add-on services.
Steps
  1. Open the 'File Import' form.
  2. Select the 'Client Charge Input' from the 'File Type' field.
  3. Upload the 'Multiple Add-Ons' file created in the setup section.
  4. Compile the file.
  5. Verify the information message : 'Compiled'.
  6. Click [OK].
  7. Post the file.
  8. Verify the file posted successfully.
  9. Close the form.
  10. Open the Client Ledger.
  11. Validate the Primary service code display with Multiple Add-on codes.
Topics
• 837 Professional • Client Charge Input • File Import • NX
Table Changes
Table Column Change
file_import_tx add_on_service_code_1 ADD
file_import_tx add_on_service_code_2 ADD
file_import_tx add_on_service_code_3 ADD
file_import_tx add_on_service_code_4 ADD
file_import_tx add_on_service_code_5 ADD
file_import_tx add_on_service_code_6 ADD
file_import_tx add_on_service_code_7 ADD
file_import_tx add_on_service_code_8 ADD
file_import_tx add_on_service_code_9 ADD
file_import_tx add_on_service_code_10 ADD
file_import_tx add_on_duration_1 ADD
file_import_tx add_on_duration_2 ADD
file_import_tx add_on_duration_3 ADD
file_import_tx add_on_duration_4 ADD
file_import_tx add_on_duration_5 ADD
file_import_tx add_on_duration_6 ADD
file_import_tx add_on_duration_7 ADD
file_import_tx add_on_duration_8 ADD
file_import_tx add_on_duration_9 ADD
file_import_tx add_on_duration_10 ADD
file_import_tx add_on_notes_1 ADD
file_import_tx add_on_notes_2 ADD
file_import_tx add_on_notes_3 ADD
file_import_tx add_on_notes_4 ADD
file_import_tx add_on_notes_5 ADD
file_import_tx add_on_notes_6 ADD
file_import_tx add_on_notes_7 ADD
file_import_tx add_on_notes_8 ADD
file_import_tx add_on_notes_9 ADD
file_import_tx add_on_notes_10 ADD