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Registry Setting - Allow Roll-Up Rule Selection During Compile
The 'Allow Roll-Up Rule Selection During Compile' registry setting is modified to allow users to choose to which type of Roll-Up Services Definitions to include in the 'Compile/Edit/Post/Unpost Roll-Up Services Worklist' form.
The options are to include only single definitions, or only group definitions, or both single and group definitions.
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Roll-Up Services Definition - Roll-Up Group Definition
A new section 'Roll-Up Group Definition' has been added to the 'Roll-Up Services Definition' form. This section permits setting the compile order of the single definitions within the group definition.
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File Import - Roll-Up Services Definition
File Import functionality has been modified to add the ability to import Roll-Up Services Definitions.
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Compile/Edit/Post/Unpost Roll-Up Services Worklist - Unpost Selected Roll-Up Services
The 'Unpost Selected Roll-Up Services’ section has been added to the ‘Compile/Edit/Post/Unpost Roll-Up Services Worklist’ form.
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Registry Setting - Default Write Off Posting Code
The 'Default Write Off Posting Code' registry setting is modified to allow the option to prevent an end user from selecting a different code.
Prevention occurs when the posting code is followed by a '#' at the end of the code. The posting code can be changed if there is not a '#' at the end of the code.
Included Updates
3, 9
Product Update Form Description
The following modifications are made to roll-up billing functionality: 1) The registry setting 'Allow Roll-Up Selection During Compile' is modified to allow both single roll-up and roll-up group selection during the roll-up compile process. 2) The 'Roll-Up Group Definition' section is added to the 'Roll-Up Services Definition' form to allow roll-up rules to be added to a group in a specified order of execution. Note: This section is visible only when the registry setting 'Allow Roll-Up Selection During Compile' includes the value '2'. 3) The 'Roll-Up Services Definition' file format is added to the 'File Import' process. 4) The 'Default Write Off Posting Code' registry setting is updated to allow the option of preventing users from changing this code during the roll-up worklist posting process. 5) The 'Unpost Selected Roll-Up Services' section 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.
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Topics
• Registry Settings
• Compile/Edit/Post/Unpost Roll-up Services Worklist
• Roll-Up Services Definition
• NX
• File Import
• myAvatar/myAvatar NX
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837 Professional - Billing CCBHC Enumerated service
Resolves an issue to ensure that the current billing logic is updated to not enforce the presence of the component/enumerated services in the same bill as associated PPS charge when the 'CCBHC Claim Grouping' is set to "Separate Claims: Hold PPS Charges for Remittances from Private Insurance and Include Component Services on Separate Claims".
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837 Institutional - Service diagnosis when the 'Include Services with and Without Diagnosis Entry' option is selected
Resolves an issue to ensure that the 837 Institutional bill includes the diagnosis associated with the service when selecting the 'Include Services With and Without Diagnosis Entry' in the 'UB/837I Billing Options' field on the 'Electronic Billing' form.
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Functional or Implementation Acknowledgment (997/999) - loading an Implementation Acknowledgment (999) file
Resolves an issue to ensure that an Implementation Acknowledgment (999) file loads successfully in the 'Functional or Implementation Acknowledgment (997/999)' form.
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837 Institutional - CCBHC Bill for the updated Component/Enumerated service
Resolves an issue to ensure that an 837 Institutional CCBHC bill displays correct total claim charge amount if the enumerated service is updated after the 'CCBHC PPS Compile' process.
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CCBHC Billing – Transferring services to a secondary guarantor
The 837 electronic billing logic is updated to support secondary billing to CCBHC guarantors with claim grouping.
Included Updates
None
Required Updates
Avatar PM 2021 Update 136
Product Update Form Description
The following issues are resolved: 1) When billing a CCBHC guarantor on an 837 Professional bill, the "PPS service [service description] cannot be billed until all associated enumerated services are ready to bill." is erroneously reported on the bill. 2) When selecting "Include Services With and Without Diagnosis Entry" in the 'UB/837I Billing Options' field on the 'Electronic Billing' form, diagnosis associated with the service might not be included on the 837 Institutional bill. 3) When loading an Implementation Acknowledgment (999) file in the 'Functional or Implementation Acknowledgment (997/999)' form, the "Missing required segment. Unable to determine loop information. Please contact Netsmart. Loop: 0 Seg: ISA" error message might be reported. 4) Total Claim Charge Amount (2300-CLM-02) might not be correct on an 837 Institutional CCBHC bill if the Component/Enumerated service is edited after it has an associated PPS charge rendered via the 'CCBHC PPS Compile' form. Additionally, the 837 electronic billing is updated to support secondary billing to CCBHC guarantors with claim grouping.
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Topics
• 837 Professional
• NX
• 837 Institutional
• Functional or Implementation Acknowledgement (997/999)
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Included Updates
None
Product Update Form Description
An issue is resolved where team caseload assignments may be generated when they shouldn't be.
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Topics
• NX
• myAvatar/myAvatar NX
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Allow For Number of Days Since Last Claim - Option added to Inhibit services
The registry setting 'Allow For Number of Days Since Last Claim' is updated with a new value to inhibit services. A new form for progressive dunning messages is added to the system.
A new form 'Progressive Self Pay Dunning Messages' is added for progressive dunning messages so that the message that goes out on self pay bills can change based on the number of bills that have gone out instead of just the number of days since the last claim which is how the system dunning messages work currently.
Included Updates
3, 55
Product Update Form Description
The following is included: 1) The registry setting 'Allow For Number Of Days Since Last Claim' is updated to support inhibiting self-pay services. 2) The registry setting 'Enable Progressive Self-Pay Dunning Messages' is added and allows the use of dunning messages based on the amount of self-pay claims created.
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Topics
• Registry Settings
• Inhibit Billing
• NX
• 837 Professional
• Crystal Self Pay Bill
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The SQL file 'data_entry_by' in the 'History_Bed_Assignment' table is updated.
The file 'data_entry_by' in the 'SYSTEM.HistoryBedAssignment' table is changed from (Change Admission Date) to (CAD). This change is to prevent any truncation of the description within the parenthesis on various reports.
Included Updates
None
Product Update Form Description
The appended text '(Change Admission Date)' on the 'data_entry_by' table has been updated to '(CAD)' for the option 'Change Program/Admission Date'
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Topics
• Change Program/Admission Date
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Prevent 'staff only' appointments from being opened by multiple users at one time.
Avatar PM is enhanced for future functionality. This update needs to be installed with Avatar Appointment Scheduling 2022 Update 9. This will resolve an issue where a 'staff only' appointment could be opened and edited by multiple users at the same time.
Included Updates
None
Product Update Form Description
Avatar PM is enhanced to support future functionality.
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Topics
• Scheduling Calendar
• NX
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Included Updates
None
Product Update Form Description
An issue is resolved where the 'Claim Follow-Up Entry' section of the 'AR Console' may not default data correctly.
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Topics
• Accounts Receivable Management
• NX
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Avatar PM 'Payment/Adjustment Report'
The 'Payment/Adjustment Report' is updated to allow detail information to be displayed in CSV format.
The 'Export Detail Information to CSV' field has been added to the Avatar PM 'Payment/Adjustment Report' form. When a value is selected, report result data will be rendered in a .CSV (comma-separated value) format, allowing user to export/save 'Payment/Adjustment Report' results for external use.
Included Updates
63
Product Update Form Description
The 'Payment/Adjustment Report' is updated to allow detail information to be displayed in CSV format.
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Topics
• Payment/Adjustment Report
• NX
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Avatar PM 'Earned Income Report'
The 'Earned Income Report' is updated to allow information to be displayed in CSV format.
The 'Export Detail Information to CSV' field has been added to the Avatar PM 'Earned Income Report' form. When a value is selected, report result data will be rendered in a .CSV (comma-separated value) format, allowing user to export/save 'Earned Income Report' results for external use.
Included Updates
63, 71
Product Update Form Description
The 'Earned Income Report' is updated to allow detail information to be displayed in CSV format.
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Topics
• Earned Income Report
• NX
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CCBHC PPS Compile – CCBHC PPS Service Definition
The CCBHC PPS Compile functionality has been updated to resolve an issue where the incorrect CCBHC PPS Service Definition could be selected if the client has more than one guarantor assigned to CCBHC services, and only one definition included a guarantor selection.
Included Updates
None
Product Update Form Description
An issue is resolved where a guarantor specific PPS-1 service definition might not be utilized when compiling PPS charges via the 'CCBHC PPS Compile' form.
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Topics
• CCBHC
• NX
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Default 'Add to Problem List' field on 'Diagnosis' form.
A Registry Setting 'Default 'Add to Problem List to "Yes" is added. This setting will set the 'Add to Problem List' field to 'Yes' on all new diagnosis entries. In addition, the 'Problem Classification' field will automatically be enabled.
Included Updates
None
Product Update Form Description
The following changes are made: 1) The new registry setting 'Default 'Add To Problem List' to "Yes" on New Diagnosis' is added. 2) The 'Diagnosis' form is modified to populate the 'System Notes' column in the 'Problem List' form. Please note: Avatar CWS 2022 Update #69 is required to use the new functionality.
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Topics
• Diagnosis
• NX
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Patient/PCP Association - Search Results
An issue is resolved where the results for searches on the PCP field may not return the primary care physicians associated to the programs the client is enrolled in.
Included Updates
None
Product Update Form Description
Fixes for searching the PCP field for a provider in the 'Patient/PCP Association' form sometimes failed (either Program matching issue or too many providers found (there is a limit of 50 in the search result)).
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Topics
• NX
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