Skip to main content

Avatar MSO 2022 Update 26

  1. Last updated
  2. Save as PDF

Product Requirements / Recommendations

Avatar MSO required
RADplus required

Product Update Form Description

The 'Enable Service Times' registry setting is updated to require 'Service Start Time' and 'Service End Time' fields in the Claim Processing forms if the 'Require Service Time' field in the CPT/Revenue Code Definition forms is set to 'Yes'.

Included Updates

8, 11, 20

Required Updates

None

Details
NEW1 CHANGED0 FIXED0
New (1)
Avatar MSO 'Enable Service Times' Registry Setting
The 'Enable Service Times' Registry Setting is updated to require the 'Service Start Time' and 'Service End Time' fields in Claim Processing forms.
The Avatar MSO 'Enable Service Times' Registry Setting is updated to require the 'Service Start Time' and 'Service End Time' fields in the following Avatar MSO Claim Processing forms if the 'Require Service Time' field in the 'CPT Code Definition'/'Revenue Code Definition' forms is set to 'Yes':
* 'Claim Processing (CMS 1500)'
* 'Claim Processing with Override (CMS 1500)'
* 'Claim Processing (UB-04)'
* 'Claim Processing with Override (UB-04)'
* 'Fast Service Entry'
* 'Fast Service Entry Submission'
Value Added: Allows requirement of 'Service Start Time' and 'Service End Time' fields in Claim Processing forms.
Topics
• Claims Processing • CPT Code Definition • NX • Registry Settings • Revenue Code Definition
 
Acceptance Tests
AV-82239 Summary | Details
Avatar MSO 'Enable Service Times' Registry Setting
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Claim Processing (CMS 1500)
  • Claim Processing with Override (CMS 1500)
  • CPT Code Definition (MSO)
  • Registry Settings (PM)
  • Claim Processing (UB-04)
  • Claim Processing with Override (UB-04)
  • Revenue Code Definition (MSO)
  • Fast Service Entry
  • Fast Service Entry Submission
Scenario 1: 'Claim Processing (CMS 1500)' - Verification Of Service Time Fields
Specific Setup:
  • Avatar MSO Registry Setting 'Enable Service Times' must be enabled
  • CPT Code Definition where 'Require Service Time' is set to 'Yes' (via Avatar MSO 'CPT Code Definition' form)
  • Client record(s) valid for Service Entry/Claim Processing
Steps
  1. Open Avatar MSO 'Claim Processing (CMS 1500)' form (or 'Claim Processing (CMS 1500) With Override' form).
  2. Select claims processing batch for service entry/edit.
  3. Open existing claim or create new claim for service entry/edit.
  4. Enter/select value for 'Member Name or ID' and 'Provider' fields in claim level section of form.
  5. Navigate to 'Service Detail' section of form.
  6. Click 'Add New Item' button (or select existing service and click 'Edit Selected Item' button).
  7. Enter/select 'Date of Service' field value.
  8. Enter/select 'Procedure Code' field value.
  9. If 'Require Service Time' is set to 'Yes' for CPT Code entered/selected in 'Procedure Code' field, ensure that 'Service Start Time' and 'Service End Time' fields are enabled and required in form.
  10. If 'Require Service Time' is set to 'No' for CPT Code entered/selected in 'Procedure Code' field (or no value is defined), ensure that 'Service Start Time' and 'Service End Time' fields are disabled (and not required in form).
  11. Enter/select values for all required/desired fields in form (including 'Service Start Time' and 'Service End Time' fields if applicable).
  12. Click 'Submit' button to file 'Claim Processing (CMS 1500)' form (or 'Claim Processing (CMS 1500) With Override' form).
Scenario 2: 'Claim Processing (UB-04)' - Verification Of Service Time Fields
Specific Setup:
  • Avatar MSO Registry Setting 'Enable Service Times' must be enabled
  • Revenue Code Definition where 'Require Service Time' is set to 'Yes' (via Avatar MSO 'Revenue Code Definition' form)
  • Client record(s) valid for Service Entry/Claim Processing
Steps
  1. Open Avatar MSO 'Claim Processing (UB-04)' form (or 'Claim Processing (UB-04) With Override' form).
  2. Select claims processing batch for service entry/edit.
  3. Open existing claim or create new claim for service entry/edit.
  4. Enter/select value for 'Member Name or ID' and 'Provider' fields in claim level section of form.
  5. Navigate to 'Service Detail' section of form.
  6. Click 'Add New Item' button (or select existing service and click 'Edit Selected Item' button).
  7. Enter/select 'Date of Service' field value.
  8. Enter/select 'Revenue Code' field value.
  9. If 'Require Service Time' is set to 'Yes' for Revenue Code entered/selected in 'Revenue Code' field, ensure that 'Service Start Time' and 'Service End Time' fields are enabled and required in form.
  10. If 'Require Service Time' is set to 'No' for Revenue Code entered/selected in 'Revenue Code' field (or no value is defined), ensure that 'Service Start Time' and 'Service End Time' fields are disabled (and not required in form).
  11. Enter/select values for all required/desired fields in form (including 'Service Start Time' and 'Service End Time' fields if applicable).
  12. Click 'Submit' button to file 'Claim Processing (UB-04)' form (or 'Claim Processing (UB-04) With Override' form).
Scenario 3: 'Fast Service Entry' - Verification Of Service Time Fields
Specific Setup:
  • Avatar MSO Registry Setting 'Enable Service Times' must be enabled
  • CPT Code Definition where 'Require Service Time' is set to 'Yes' (via Avatar MSO 'CPT Code Definition' form)
  • Client record(s) valid for Service Entry/Claim Processing
Steps
  1. Open Avatar MSO 'Fast Service Entry' form (or 'Fast Service Entry Submission' form).
  2. Enter/select value in 'Date Claims Received' and 'Close Batches' fields (if applicable).
  3. Navigate to 'Fast Service Detail' section of form.
  4. Click 'Add New Item' button to enter new service.
  5. Enter/select client for service entry in 'Member Name or ID', field.
  6. Enter/Select value in 'Funding Source' field.
  7. Enter/select value in 'Provider' field.
  8. Enter/select 'Date of Service' field value.
  9. Enter/select 'Procedure Code' field value.
  10. If 'Require Service Time' is set to 'Yes' for CPT Code entered/selected in 'Procedure Code' field, ensure that 'Service Start Time' and 'Service End Time' fields are enabled and required in form.
  11. If 'Require Service Time' is set to 'No' for CPT Code entered/selected in 'Procedure Code' field (or no value is defined), ensure that 'Service Start Time' and 'Service End Time' fields are disabled (and not required in form).
  12. Enter/select values for all required/desired fields in form (including 'Service Start Time' and 'Service End Time' fields if applicable).
  13. Click 'Submit' button to file 'Fast Service Entry' form (or 'Fast Service Entry Submission' form).
Topics
• Claims Processing • CPT Code Definition • NX • Registry Settings • Revenue Code Definition

 

  1. Back to top
  • Was this article helpful?

Recommended articles

  1. Page type
    Reference
  2. Tags
    1. content:release
    2. llm-no-index
    3. role:sysadmin
    4. search:ready