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Avatar Cal-PM 2024 Monthly Release 2024.01.00 Details

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Product Requirements and Recommendations

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  • Cal-OMS Submission - Cal-OMS Annual Update
    An issue with 'Cal-OMS Submission' is resolved where opening the 'Cal-OMS Annual Update' form displays an incorrect message.
Included Updates
None
Product Update Description
An issue with 'Cal-OMS Submission' is resolved where opening form 'Cal-OMS Annual Update' displays an incorrect message "A Cal-OMS Admission has not been submitted for this episode."
Topics
• Cal-Oms Admission • Cal-OMS • NX
  • Compile/Edit/Post/Unpost Roll-Up Services Worklist
    The section 'Select Roll-Up Services to Unpost' is added to the 'Compile/Edit/Post/Unpost Roll-Up Services Worklist' form that allows the selection of individual roll-up service(s) to unpost.
  • Roll-Up Services Definition - Roll-Up Add-On Codes If Present
    A new field 'Roll-Up Add-On Codes If Present' is added to the 'Roll-Up Services Definition' form.
  • Roll-Up Services Definition
    The registry setting 'Prevent Roll-Up From Happening If There Is Only One Component Service' is added.
Included Updates
None
Product Update Description
The following enhancements are made to Roll-Up Billing functionality: 1) The registry setting 'Prevent Roll-Up From Happening If There Is Only One Component Service' is added. 2) The new field 'Roll-Up Add-On Codes If Present' is added to the 'Roll-Up Services Definition' form. 3) The section 'Select Roll-Up Services to Unpost' is added to the 'Compile/Edit/Post/Unpost Roll-Up Services Worklist' form. This section allows the selection of individual roll-up service(s) for unposting.
Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist • NX • Roll-Up Service Definition • Registry Settings
  • Avatar Cal-PM 'Electronic Billing' 837 Professional
    Avatar Cal-PM 837 Professional optional suppression of 2310C/2310D and 2420C loops is updated.
    The Avatar Cal-PM 'Electronic Billing' 837 Professional is updated to support the Place of Service value of '10' ('Telehealth – Patient in Home') when optionally suppressing 2310C/2310D and 2420C as it would when Place of Service's value is '12' ('Home') in conjunction with Registry Setting 'Service Facility Location 2310D/2420C'.
Included Updates
None
Product Update Description
The Electronic Billing 837 Professional is updated to support the Place of Service value of '10' when suppressing 2310C/2310D and 2420C as it would when Place of Service's value is '12'.
Topics
• Registry Settings • Guarantor/Program Billing Defaults • Electronic Billing • 837 Professional
  • Web Service - Cal-OMS Admission
    Resolves an issue to ensure that the 'Cal-OMS Admission' web service defaults the value for the 'Medication Prescribed As Part Of Treatment' and 'Pregnant At Admission' fields when those fields are empty while submitting the web service request.
  • Web Service - Cal-OMS Discharge
    Resolves an issue to ensure that system defaults the value of the field PregnantDuringTreatment to 0 when the WEBSVC CalOMS Discharge is submitted with the blank value for the field if the patient is male and LA County Reporting is set to 'N'.
Included Updates
None
Product Update Description
The following issues are resolved: 1) Cal-OMS Admission web service will not default 'Medication Prescribed As Part Of Treatment' field to "None (0)" if no option is selected. 2) Cal-OMS Discharge and Admission web services will not default the 'Pregnant At Any Time During Treatment' and 'Pregnant At Admission' field respectively to "No (0)" if 'Enable LA County Reporting Requirements' registry setting is not enabled. 3) Cal-OMS Discharge and Admission web services will not default the 'Secondary Drug Frequency', 'Secondary Drug Route' and 'Secondary Drug Age First Use' fields to "99902" when 'Secondary Drug Code' field is set to "None (0)".
Topics
• Cal-Oms Admission • Web Services • Cal-OMS
  • Enable Co-Practitioner Services From Progress Notes - Edit Service Information
    Resolves an issue to ensure that the add-on services can be added for the practitioner and co-practitioner correctly through 'Edit Service Information' form.
Included Updates
None
Product Update Description
The issue is resolved where adding multiple add-ons to a service in the 'Edit Service Information' form could result in the loss of Co-Practitioner services.
Topics
• Progress Notes • Delete Service • Edit Service Information • Service Codes
  • Client Demographic forms - 'Address Type' field
    The 'Address Type' field is added to the 'Client Alternate Addresses' form and the demographic sections 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.
    In addition, an issue is resolved where the 'Do you have family members that are agricultural workers?' and 'Are you an aged and disabled former migratory agricultural worker?' fields are not saved in the 'SYSTEM.patient_demographic_history' SQL table when the 'Discharge' form is submitted.
Included Updates
None
Product Update Description
The following changes are made: 1) The new field 'Address Type' is added to the 'Admission', 'Discharge', 'Pre Admit', 'Pre Admit Discharge', 'Call Intake' and 'Update Client Data' forms. The SQL tables 'SYSTEM.patient_current_demographics', 'SYSTEM.patient_demographic_history', Client Admission, Client Discharge, Client Demographics, and Pre Admit web services are updated accordingly. 2) The new field 'Address Type' is added to the 'Client Alternate Addresses' form. The SQL tables 'SYSTEM.client_alternate_address' and 'SYSTEM.client_alternate_address_audit' are updated accordingly. 3) An issue is resolved where the fields 'Do you have family members that are agricultural workers?' and 'Are you an aged and disabled former migratory agricultural worker?' are not saved in the 'SYSTEM.patient_demographic_history' table when the 'Discharge' form is submitted.
Topics
• Admission • Web Services • Update Client Data • Discharge • Pre Admit • Call Intake • Admission (Outpatient) • Pre Admit Discharge
  • 837 Billing - Primary / Add-On Services
    The 837 bills are modified to always include primary and associated add-on services in the same claim.
Included Updates
None
Product Update Description
The issue is resolved where the primary and add-on services might not be included in the same claim on an 837 Professional bill.
Topics
• 837 Professional • NX
  • File Import - Service Guarantor Definitions
    The following registry setting has been added: 'Disable Full Table Backups Prior To File Import'. The registry setting default value is null. It will allow users to optionally disable the backups on the following tables during file import.: 'SYSTEM.billing_tx_master_fee_table' 'SYSTEM.billing_tx_max_liab_by_guar'
Included Updates
None
Product Update Description
The 'Avatar PM \ System Maintenance \ File Import \ Service Fee/Guarantor Definitions \ Disable Full Table Backups Prior To File Import' registry setting is added to the system that will allow users to optionally disable the backups on 'SYSTEM.billing_tx_master_fee_table' and 'SYSTEM.billing_tx_max_liab_by_guar' tables during file import. Additionally, performance improvements have been made to the Service Fee and Guarantor Definition file import posting process.
Topics
• Service Fee/Cross Reference Maintenance • File Import • NX
  • Avatar Cal-PM Registry Settings
    The 'Enable Override MSO COB Service Charges and Line Adjustments' Registry Setting is added to Avatar Cal-PM.
    The Avatar Cal-PM 'Enable Override MSO COB Service Charges and Line Adjustments' Registry Setting allows for 'Electronic Billing' 837 Professional/837 Institutional files to override service charge and line adjustments for Avatar MSO-originating services that contain Other Healthcare Coverage/Coordination of Benefits information. Note - Avatar MSO 2024 Update 10 is required for support this functionality. Note - Avatar Cal-PM Registry Setting 'Enable Override MSO COB Service Charges and Line Adjustments' may only be enabled by Netsmart; please contact Netsmart representative/associate for more information.
  • Avatar Cal-PM 'Electronic Billing' for Avatar MSO Services
    Avatar Cal-PM 'Electronic Billing' file generation is updated to support the 'Enable Override MSO COB Service Charges and Line Adjustments' Registry Setting.
    Avatar Cal-PM 'Electronic Billing' 837 Professional/837 Institutional file generation is updated to support the 'Enable Override MSO COB Service Charges and Line Adjustments' Registry Setting. Where enabled, 'Electronic Billing' 837 Professional/837 Institutional files will override service charge and line adjustments for Avatar MSO-originating services that contain Other Healthcare Coverage/Coordination of Benefits information. Note - Avatar MSO 2024 Update 10 is required for support this functionality. Note - Avatar Cal-PM Registry Setting 'Enable Override MSO COB Service Charges and Line Adjustments' may only be enabled by Netsmart; please contact Netsmart representative/associate for more information.
Included Updates
5, 7, 10, 23, 28, 32
Product Update Description
The 'Enable Override MSO COB Service Charges and Line Adjustments' registry setting is added. Note: Avatar MSO 2024 update 10 must be installed for this functionality.
Topics
• Registry Settings • Guarantor/Program Billing Defaults • File Import • Electronic Billing • Client Ledger • Claims Processing • 837 Professional • 837 Institutional
  • California Required EDI - CSI
    A registry setting is added that allows users to make the 'Referral Source’ field required or not required on the 'CSI Assessment' and 'CSI Assessment (Call Intake)' forms. The setting is: ‘Avatar PM->California Required EDI->CSI->>>Require Referral Source’.
  • California Required EDI - CSI
    The 'Referral Source’ field on the 'CSI Assessment' and 'CSI Assessment (Call Intake)' forms can be required or not required based on the ‘Avatar PM->California Required EDI->CSI->>>Require Referral Source’ registry setting.
  • California Required EDI -CSI
    The 'CSI Submission' data submits successfully when the new registry setting is enabled: ‘Avatar PM->California Required EDI->CSI->>>Require Referral Source.
  • California Required EDI -CSI
    The ‘WEBSVC.CSIAssessment’ web service has been updated to respect the value of the ‘Avatar PM->California Required EDI->CSI->>>Require Referral Source’ registry setting.
Included Updates
None
Product Update Description
Added the registry setting 'Require Referral Source' that will require the "Referral Source" field in the 'CSI Assessment' and 'CSI Submission' form when enabled.
Topics
• NX • CSI Assessment (Call Intake) • CSI Assessment • Web Services
  • 'Client's Email Address' validations
    Forms with the 'Client's Email Address' are updated to validate the format of the email address that is entered. The associated web services are updated accordingly.
    The email address should contain '@' that separates the name and address. The name should be the first piece and the address should be the second piece. The address must have a '.' which separates the domain name.
Included Updates
5, 7, 10, 23, 28, 32, 33
Product Update Description
Forms with the field 'Client's Email Address' are updated to validate the format of the email address that is entered. The associated Web Services will also perform the validation on this field.
Topics
• Admission • Update Client Data • Discharge • Pre Admit • Call Intake • Admission (Outpatient) • Pre Admit Discharge
 

Avatar_Cal-PM_2024_Monthly_Release_2024.01.00_Details.csv