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Avatar MSO 2023 Monthly Release 2023.01.02 Details

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Product Requirements / Recommendations

Avatar MSO required
RADplus required

  • Avatar MSO 'Enable Fee Override in PM' Registry Setting
    The Avatar MSO 'Enable Fee Override in PM' Registry Setting is updated to support an additional setting that will allow user-defined Type Of Override entries based on the date of service.
    The 'Enable Fee Override in PM' Registry Setting is updated to support an additional/new value of '4'; this will allow definition of Fee Override Type by date ranges/service dates, via an additional 'MSO to Parent System Integration Mapping' form 'Enable Fee Override In PM' sub-section.
Included Updates
None
Product Update Form Description
The 'Enable Fee Override in PM' Registry Setting is updated to support an additional setting that will let users define the type of override based on the date of service.
Topics
• Close Batch • MSO To Parent System Integration Mapping • NX • Registry Settings
  • MSO Approve/Pend/Deny Rule – 837 Health Care Claim Professional
    The A/P/D rule has been updated to count the service as one service when a primary service has add-on add/or interactive complexity services.
  • MSO Approve/Pend/Deny Rule - Claim Processing Forms
    The A/P/D rule has been updated to count the service as one service when a primary service has add-on or interactive complexity services.
Included Updates
2, 11, 12
Product Update Form Description
Updated the 837 Healthcare Claim Professional Compile and Post logic to skip the Number of Services Allowed Per Claim APD rule for CPT codes that are defined as Add-On or Interactive Complexity.
Topics
• 837 Health Care Claim Professional • Claims Processing • NX
 

Avatar_MSO_2023_Monthly_Release_2023.01.02_Details.csv