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Avatar Cal-PM 2024 Monthly Release 2024.00.01 Details

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Product Requirements and Recommendations

Avatar Cal-PM required
RADplus required

  • CPT Code Definition
    The 2024 Annual CPT Code Update is added to the system.
Included Updates
None
Product Update Description
Avatar Cal-PM is enhanced with the AMA provided list of CPT codes for 2024. Any CPT codes that already exist within Avatar Cal-PM will be updated only if no client customization has been done.
Topics
• CPT Codes • NX
  • RADPlus - Family Entity Modeling
    Avatar Cal-PM is enhanced to support a new "Family Member(s)" type column available in the 'Table Definition' form called "Family Member(s)". This column will be available for Modeled forms created using the "Family" Entity Database. Family member "PATID's" are associated to a family in the 'Family Registration' form. The column will display for selection, all the PATID's associated to the "Family" in a multi-select field called "Family Member(s)". Please Note: "RADplus 2022 Update 96" is required for full functionality
Included Updates
None
Product Update Description
Avatar Cal-PM is enhanced to support the "Family Member(s)" 'Type of Column' in 'Table Definition' (Column Definition) which is introduced via RAD 2022 Update 96.
Topics
• Modeling • Change MR# • Family Registration
  • Eligibility Response (271) - Compile Eligibility Inquiry (270) Request
    Resolves an issue to ensure that the Eligibility Inquiry (270) Request compiles successfully using 'Eligibility Response (271)' form.
Included Updates
None
Product Update Description
An issue is resolved where an undefined error may occur when running the 'Eligibility Response(271)' report.
Topics
• Eligibility Response (271) • NX
  • Client Lookup - Sub-System Codes
    The Registry Setting: 'Exclude Non-Episodic Clients From Sub-System Code Client Lookup' has been added to the system.
    A value of 'Y' in the registry setting prevents non-episodic client from being accessed in the sub-system code. A value of 'N' in the registry setting allows non-episodic clients to be accessed in the sub-system code.
Included Updates
None
Product Update Description
The 'Exclude Non-Episodic Clients From Sub-System Code Client Lookup' registry setting is added to the system. This registry setting will affect all client lookups in the system with the exception of the following forms: 'Admission', 'Admission(Outpatient)', 'Pre-Admit', 'Call Intake', and 'Manual Member Enrollment'.
Topics
• Sub-System Code • NX
  • 274 Provider Directory Submission
    Functionality for the 274 Provider Directory Submission has been updated. The field 'Healthcare Plan Code' can no longer be selected prior to selecting a value in the 'Plan Type' field. In addition, the value for fields 'Percentage of FTE Serving Children' (2100EA-N2-01) and 'Percentage of FTE Serving Adults' (2100EA-N2-01) is
    In addition, the value for fields 'Percentage of FTE Serving Children' (2100EA-N2-01) and 'Percentage of FTE Serving Adults' (2100EA-N2-01) is no longer padded the three zeros form for DMC submissions.
Included Updates
None
Product Update Description
The following provider directory (274) issues are resolved: 1) Field 'Healthcare Plan Code' shows duplicate entries in form '274 - Provider Directory Defaults'. This can occur when entering the form and prior to selecting a 'Plan Type'. 2) The value for fields 'Percentage of FTE Serving Children' (2100EA-N2-01) and 'Percentage of FTE Serving Adults' (2100EA-N2-01) is padded out to 3 zeros for DMC submissions instead of being left null. The zero padding should only be done for MHP submissions. Said fields are a part of the 'Provider Definition' tab of the '274 - Provider Directory Definition' form.
Topics
• NX • 274 - Provider Directory
  • 837 Professional bill - Re-Bill Claims - Discharge Date Segment
    Resolves an issue to ensure that the 837 professional bill correctly includes or excludes a DTP-096 segment based on the selection made in the ''Select Segments To Suppress' field of the 'Guarantor Program Billing Defaults' form.
Included Updates
None
Product Update Description
The issue is resolved where the Related Hospitalization Discharge Date (2300-DTP-096) segment is not produced on a re-bill 837 Professional submission.
Topics
• 837 Institutional • Re-Bill • Electronic Re-billing Service Assignment
  • Quick Billing - Workscreen
    Resolves an issue to ensure that the content of the 'Quick Billing' work screen can be updated and deleted successfully.
Included Updates
None
Product Update Description
The issue is resolved where the error "[SUBSCRIPT]ReadInNew+130^BIQuickBillingGripProc" is produced when a client is deselected from the 'Client' filter in the Quick Billing 'Launch Workscreen' display.
Topics
• Quick Billing • NX
2023 Update 75 Summary | User Acceptance Tests
  • Registry Setting
    The registry setting 'Restrict Coverage Effective Date Edits Too Prior Dates Only' is added. This setting allows users to prevent a date from being entered in the 'Coverage Effective Date' field that is later than the date currently on file.
  • Registry Setting
    The registry setting '837I-Dates To Populate 2300 DTP' is added. This setting allows users to override the Statement From and To Date (2300-DTP-03) in the 837 Institutional file with the first and last date of service on the bill or with the 'Coverage Effective Date' and 'Coverage End Date' fields on the 'Financial Eligibility' form.
  • Registry Setting
    The crystal report and the file import for the 837 Institutional are updated to show the new field value 'Include Discharge Date In Statement To Date (2300-DTP)' added by the new registry setting '837I-Dates To Populate 2300 DTP' valued as '1'.
  • Registry Setting
    The registry setting '837I-Dates To Populate 2300 DTP' is added. This setting allows users to override the Statement From and To Date (2300-DTP-03) in the 837 Institutional file with the first and last date of service on the bill or with the 'Coverage Effective Date' and 'Coverage End Date' fields on the 'Financial Eligibility' form.
Included Updates
3, 5, 7, 8, 11, 13, 16, 17, 21, 24, 26, 28, 32, 38, 39, 43, 45, 46, 47, 48, 51, 52, 54, 56, 61, 63, 65, 66, 67, 69, 70, 71
Product Update Description
The following modifications have been made: 1) The registry setting '837I-Dates To Populate 2300 DTP' is added. This setting allows users to override the Statement From and To Date (2300-DTP-03) in the 837 Institutional file with the first and last date of service on the bill or with the 'Coverage Effective Date' and 'Coverage End Date' fields on the 'Financial Eligibility' form. 2) The registry setting 'Restrict Coverage Effective Date Edits Too Prior Dates Only' is added. This setting allows users to prevent a date from being entered in the 'Coverage Effective Date' field that is later than the date currently on file.
Topics
• Electronic Billing • Guarantor/Program Billing Defaults • File Import • Registry Settings • Financial Eligibility • Web Services
2023 Update 93 Summary | User Acceptance Tests
  • Cal-OMS Admission
    An issue is resolved in the "Cal-OMS Admission" form process where clearing the field "What is your Principal Source of Referral?" creates an "Unexpected Error" message that kicks the providers out of the CalOMS Admission form.
Included Updates
None
Product Update Description
An issue on form 'Cal-OMS Admission' is resolved where selecting and clearing an option for field 'What is your Principal Source of Referral?' results in "An Unexpected Error".
Topics
• Cal-Oms Admission • NX
2023 Update 94 Summary | User Acceptance Tests
  • Client Demographic forms - 'Time Zone for Appointment Reminders' field
    The 'Time Zone for Appointment Reminders' field is added to the demographic section of the following forms: * 'Admission' * 'Admission (Outpatient)' * 'Update Client Data' * 'Discharge' * 'Call Intake' * 'Pre Admit' * 'Pre Admit Discharge' The web services associated with the forms are updated accordingly.
Included Updates
3, 4, 5, 7, 8, 11, 13, 16, 17, 21, 24, 26, 28, 32, 38, 39, 43, 45, 46, 47, 48, 51, 52, 54, 56, 61, 63, 65, 66, 67, 69, 70, 71, 75, 79, 81, 82, 83, 84, 87, 88, 89
Product Update Description
The field 'Time Zone for Appointment Reminders' is added to the 'Update Client Data' form and the 'Client Demographics' section of the 'Admission', 'Discharge', 'Pre-Admit', 'Pre-Admit Discharge', and 'Call Intake' forms. The Web Services associated with these forms are updated.
Topics
• Admission • Update Client Data • Discharge • Pre Admit • Call Intake • Pre Admit Discharge • Web Services • Admission (Outpatient)
  • 'Electronic Billing' Support for Services Originating in Avatar MSO
    An issue is resolved in the Avatar Cal-PM Electronic Billing 837 compile process to ensure that 2320/2330 SBR information is included in claims where present for services originating in Avatar MSO with Other Healthcare Coverage information where Avatar Cal-PM Registry Setting 'Add Policy Number Override' is enabled.
Included Updates
None
Product Update Description
An issue is resolved where SBR segments would not generate for MSO originated services if the 'Add Policy Number Override' registry setting is enabled.
Topics
• Electronic Billing • Claims Processing
 

Avatar_Cal-PM_2024_Monthly_Release_2024.00.01_Details.csv