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Avatar MSO 2023 Update 38

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Product Requirements and Recommendations

Avatar MSO required
RADplus required

Recommended Update Level

Avatar MSO 2023 Monthly Release 2023.03.01
RADplus 2023 Monthly Release 2023.03.01

Product Update Description

Performance improvements are made to the 'Service Authorization' and 'Service Authorization Request' forms.

Required Updates

None

Included Updates

2, 3, 4, 7, 8, 11, 12, 13, 17, 19, 20, 25, 26, 27, 28, 29, 30, 31, 33, 34, 36, 37

Details
NEW1 CHANGED0 FIXED0
New (1)
Service Authorization
Performance improvements in Service Authorization and Service Authorization Request forms.
Value Added: Service Authorization and Service Authorization Request forms are updated to improve performance upon loading
Topics
• NX • Service Authorizations
 
Acceptance Tests
AV-92039 Summary | Details
Service Authorization
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Registry Settings (MSO)
  • Service Authorization Request
  • Admission (Outpatient)
  • Service Authorization
Scenario 1: 'Service Authorization Request' - Form Verification
Specific Setup:
  • Avatar MSO Registry Setting: 'Display Requested Units Fields' must be enabled
  • Avatar MSO Registry Setting: 'Require Current Authorization Status Reason' has desired value to make the 'Current Authorization Status Reason' to be optional or required. Note the value selected.
Steps
  1. Open Avatar MSO 'Service Authorization Request' form.
  2. Enter/select client for Service Authorization Request entry.
  3. Enter/select value for 'Funding Source Authorization Is For' field (if value not defaulted in form).
  4. In case where user is logged into sub-system code, including use of Avatar ProviderConnect NX - Ensure that the 'Provider To Be Authorized' lookup/selection/entry field allows selection of only Contracting Provider(s) applicable to/allowed for current sub-system code (as defined in 'ProviderConnect NX Defaults' form 'Associated Contracting Providers' field); ensure that the 'Provider To Be Authorized' lookup/selection/entry field is automatically populated with Contracting Provider applicable to/allowed for current sub-system code and disabled/read-only in case where only single 'Associated Contracting Provider' value is defined for sub-system code.
  5. Ensure that the 'Contracting Provider Program' field is populated with Contracting Provider Program(s) defined for/applicable to Contracting Provider selected in the 'Provider To Be Authorized' field, including case where 'Provider To Be Authorized' value is defaulted in form; select value in 'Contracting Provider Program' field.
  6. Enter/select values for 'Benefit Plan', 'Begin Date Of Authorization' and 'End Date Of Authorization' fields (and any other 'Service Authorization Request' form fields as required/desired).
  7. Validate that the 'Current Authorization Status Reason' works as selected in the 'Require Current Authorization Status Reason' registry setting.
  8. Select value in 'Authorization Grouping Or Individual Authorizations' field (and enter/select one or more CPT/Revenue Codes for authorization if applicable).
  9. Click 'Submit' button to file 'Service Authorization Request' form/record.
Scenario 2: 'Service Authorization' - Verification of Form and SQL Data Filing
Specific Setup:
  • Client record(s) eligible for Service Authorization entry/filing.
  • Crystal Reports or other SQL reporting tool.
Steps
  1. Open Avatar MSO 'Service Authorization' form.
  2. Note - Acceptance testing may also be confirmed via Avatar MSO 'Service Authorization Request' form.
  3. Select Client ID for 'Service Authorization' entry.
  4. Click 'Add' button in 'Service Authorization' form pre-display to enter new record or select existing row/record and click 'Edit' button to view/update existing record.
  5. Enter/select values for 'Funding Source Authorization Is For', 'Benefit Plan', 'Provider To Be Authorized', 'Begin Date Of Authorization', 'End Date Of Authorization' and 'Current Authorization Status' fields (and any other 'Service Authorization' form fields as required/desired).
  6. Select value in 'Authorization Grouping Or Individual Authorizations' field (and enter/select one or more CPT/Revenue Codes for authorization if applicable).
  7. Click 'Submit' button to file 'Service Authorization' form/record.
  8. Open Crystal Reports or other SQL reporting tool.
  9. In Avatar MSO SQL table 'SYSTEM.service_auth_detail', ensure that row is filed/present in table for Service Authorization record, including user name information/values in fields 'data_entry_by', 'data_entry_user_name' and 'original_data_entry_person' (truncated to 50 characters if user name description exceeds this length).
Topics
• NX • Service Authorizations