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Avatar MSO 2023 Update 30

Product Requirements and Recommendations

Avatar MSO required
RADplus required

Recommended Update Level

Avatar MSO 2023 Monthly Release 2023.02.01
RADplus 2023 Monthly Release 2023.02.01

Product Update Description

The registry setting 'Send units to Avatar PM' is updated to accept a new value '1'. This will update the 'Service Filing' tab in the 'MSO to Parent System Integration Mapping' form to now include the ability to configure a 'Send Units' definition by an effective date range.

Required Updates

None

Included Updates

4, 19, 28

Details

NEW1 CHANGED0 FIXED0
New (1)
Registry Setting - Send units to Avatar PM
The registry setting is updated to include a new value of '1'. When '1' is selected the 'Service Filing' section of the 'MSO to Parent System Integration Mapping' form allow the user to configure a 'Send Units' definition by an effective date range.
New fields added to 'service_unit_override' table.
Value Added: Adds the ability to send services to PM based on the date of service.
Topics
• MSO To Parent System Integration Mapping • NX
 
Acceptance Tests

AV-90917 Summary | Details
Registry Setting - Send units to Avatar PM
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Admission (Outpatient)
  • App Dashboard
  • Authorization Listing
  • Batch Creation
  • Batch Creation - Assign ID
  • Claim Processing (UB-04)
  • Client Ledger
  • Close Batch
  • Dynamic Form - Admission - Client
  • Fast Service Entry
  • Fast Service Entry Filing Confirmation
  • Financial Eligibility
  • HomeView - 'My Day' view
  • Member Specific Information
  • MSO to Parent System Integration Mapping
  • Registry Settings (MSO)
  • Service Authorization
Scenario 1: MSO To Parent System Integration Mapping - Service Filing
Specific Setup:
  • Registry Setting: Send units to Avatar PM = '1'.
  • MSO to Parent System Integration Mapping:
  • 'File Services On Closing Of batch Or Creation of EOB' = Yes.
  • 'Service Filing' has been used to create an 'Enable Fee Override in PM' record.
  • Select 'Create New' in 'Send Units to Avatar PM'.
  • Enter an 'Effective Date'.
  • Enter an 'End Date'.
  • Select desired values in 'Send Units to Avatar PM'.
  • Click [File].
  • Clients are identified that are eligible for service creation.
  • CPT Codes and Revenue Codes are identified for use in claim processing,



Steps
  1. Open ‘Batch Creation’ and create desired batches.
  2. Use desired ‘Claim Processing (CSM 1500)’, ‘Claim Processing with override (CSM 1500)’, ‘Claim Processing (UB-04) or ‘‘Claim Processing with override (UB-04)’ form to enter and submit the services.
  3. Open 'Close Batch' and close the desired batches.
  4. Open ‘Client Ledger’ to verify that the services were pushed to myAvatar PM.
  5. Create a new batch and a new service that is not the the 'Effective Date' - 'End Date' range.
  6. Open 'Close Batch' and close the desired batch.
  7. Open ‘Client Ledger’ to verify that the services was not pushed to myAvatar PM.
  8. Query the SYSTEM.mso_to_service_failed' table.
  9. Validate that the 'BATCHID' field contains the correct value. Validate that the 'error_message' field contains: Service Not Eligible for Push to PM due to date of service not covered by the service unit override.alidate
  10. If desired, update the 'Enable Fee Override in PM' record and perform additional testing.
  11. If desired, update the ‘Send units to Avatar PM’ registry setting and perform additional testing.
Topics
• MSO To Parent System Integration Mapping • NX
Table Changes

Table Column Change
service_unit_override FACILITY ADD
service_unit_override start_date ADD
service_unit_override end_date ADD
service_unit_override service_unit_override_type ADD
service_unit_override data_entry_by ADD
service_unit_override data_entry_by_option ADD
service_unit_override data_entry_date ADD
service_unit_override data_entry_time ADD
service_unit_override data_entry_user_id ADD
service_unit_override data_entry_user_name ADD
service_unit_override data_entry_utc ADD
service_unit_override data_entry_timezone_short ADD
service_unit_override data_entry_time_j ADD
service_unit_override data_entry_user_offset ADD
service_unit_override data_entry_timezone_short ADD