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Incident-To Practitioner Daily Log - Validating overlapping entry for the practitioner
Resolves an issue to ensure that the 'Incident-To Practitioner Daily Log' form is updated to allow overlapping time entries for any given Practitioner on any given date when only one of the location in question has the 'Is this a Telehealth location' extended dictionary set to "No" and the other locations has the 'Is this a Telehealth location' extended dictionary set to "Yes".
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Incident-To Practitioner Daily Log - Edit Daily Log Entry section
The 'Edit Daily Log Entry' option in the 'Incident to Practitioner Daily Log' form allows user to edit multiple locations for the same time range if one is telehealth.
The 'Incident-To Practitioner Daily Log' is enhanced to give the ability to edit multiple locations with the valid overlapping time range based on the Telehealth Extended Dictionary. Edits are permitted if it meets the telehealth criteria.
Included Updates
None
Product Update Form Description
The 'Incident-To Practitioner Daily Log' form is updated to account for more than three locations with the 'Is this a Telehealth Location' dictionary value set. The 'Edit Daily Log Entry' tab is enhanced to support the telehealth logic that allows overlapping entries.
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Topics
• Incident-To-Practitioner Daily Log
• NX
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Electronic billing - Split services workflow
The 837 billing logic is updated to allow all split service(s) in the bill.
The 837 billing logic is updated to allow the service to split into two services if the units remaining in an authorization does not cover the total service units. Both split services need to be associated with the Progress Note for billing and reporting purposes.
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Edit Service Information - Editing split services
Resolves an issue to ensure that all the split services are included in the bill after updating through 'Edit service Information' form.
Included Updates
None
Product Update Form Description
The following changes are made: 1) The authorization distribution logic is modified to assign units from the parent service's authorization record to split service when there are no other authorizations available. 2) The new column 'JOIN_TO_PARENT_TX' is added to the SQL table 'SYSTEM.billing_tx_history'. 3) The service entry and edit logic are modified to suppress progress notes ToDos for split services. 4) The 'Edit Service Information' form is updated to support split service functionality. 5) The 'Spreadsheet Edit Service Information' form is modified to suppress the split services.
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Topics
• 837 Professional
• Managed Care Authorizations
• NX
• 837 Institutional
• Edit Service Information
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Avatar PM 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' Forms
The Avatar PM 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' forms are updated.
The 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' forms are updated to include the 'Secondary Provider Identifier Number' and 'Fax Number' fields. In addition, the 'Practitioner Enrollment (Brief)' form is updated to support the 'Enable Practitioners Link to Performing Providers' Registry Setting. Note, Avatar MSO 2022 Update 11 is required for updated 'Enable Practitioners Link to Performing Providers' Registry Setting support.
Included Updates
3, 9, 18
Additional Requirements
Avatar MSO 2022 Update 11 is required for updated 'Enable Practitioners Link to Performing Providers' Registry Setting support
Product Update Form Description
The 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' forms are updated to include the 'Secondary Provider Identifier Number' and 'Fax Number' fields. In addition, the 'Practitioner Enrollment (Brief)' form is updated to support the 'Enable Practitioners link to Performing Providers' registry setting.
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Topics
• Practitioner
• Performing Provider
• NX
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Managed Care Authorizations - Authorization Group
Functionality for the 'Authorization Group' has been updated to process the selected 'Associated Service Program(s)' when the client is admitted to a program that has a Usage Type' of 'Admission.
Included Updates
None
Product Update Form Description
The issue is resolved where service codes would not appear when selecting an 'Authorization Group' for an 'Admit Only' program in the form 'Managed Care Authorizations'.
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Topics
• Managed Care Authorizations
• NX
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'Team Assignment' is enhanced to no longer display inactive teams.
When a 'Team' is marked as inactive in the 'Team Definition' form, the inactive teams will no longer display in the 'Team Assignment' drop down in the admission forms.
In addition, when a team is deleted or a client episode is removed from a Team, the 'SYSTEM.admission_data_other' SQL table will be updated to clear the 'team_assignment_code' field for the client.
Included Updates
16
Additional Requirements
RADplus 2022 Update 58 is required for full functionality.
Product Update Form Description
"Client Team Assignment" is enhanced as follows: 1) Inactive Teams will no longer display in the 'Team Assignment' drop down lists. 2) When an 'Episode' is removed from a 'Team' or a 'Team' is deleted, the 'team_assignment_code' field is cleared on all associated client admission rows in the 'SYSTEM.admission_data_other' SQL table. Note that Avatar RADplus 2022 Update 58 must also be installed to support this functionality.
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Topics
• NX
• Team Assignment
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Payment Acknowledgement - form
The 'Payment Acknowledgement' form is added to the system and is enabled when the 'Enable Payment Acknowledgement' registry setting has a value of 'Y'.
The user must be given access to the form in 'User Definition'.
Included Updates
3, 9, 18, 41, 55, 59, 62
Required Updates
Product Update Form Description
The 'Payment Acknowledgement' form is added. This form can be enabled using the 'Enable Payment Acknowledgement' registry setting.
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Topics
• NX
• Payment Acknowledgement
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A new report: 'CPT License Count Report' is added to Avatar PM.
A new report called 'CPT License Count Report' is added to list active Avatar Users and Practitioners that have used CPT Codes in Avatar PM. The report needs to be run for each facility in the system. Inactive User and Providers are not included.
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CPT Code copyright notice is added to Avatar forms.
The AMA copyright notice: "CPT copyright 2021 American Medical Association. All rights reserved." will be added to the bottom of the following forms via a display only text field.
* CPT Code Definition
* CPT Place of Service Override
* Service Fee/Cross Reference Maintenance
* Service Fee/Cross Reference Maintenance (Guarantor Definitions)
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Avatar PM is enhanced with updated CPT codes.
Avatar PM is updated with the AMA provided list of CPT codes for 2021. Only codes that do not already exist in the system will be added. Existing CPT Codes will not be overridden. No start or end dates are added. Any CPT codes that already exist within Avatar PM will remain unchanged.
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Copyright notice is added to forms where CPT content is displayed.
Per the AMA, all forms will contain a copyright notice. The notice: "CPT copyright 2021 American Medical Association. All rights reserved." will be added to the bottom of forms via a display only text field. The trademark symbol will be displayed following the first appearance of 'CPT' in each form section.
The following forms will display the copyright notice:
* Program Maintenance
* Single Program Maintenance
* Modifiers By Practitioner Categories
* Payor Based Authorizations
* Eligibility Inquiry (270) Request
* Real-Time Inquiry (270) Request
* Eligibility Inquiry and Response (270/271) Report
Included Updates
3, 9, 18, 41, 55, 59, 62, 67
Required Updates
Product Update Form Description
The following is included: 1) Avatar PM is updated with the AMA provided list of CPT codes for 2021. Any CPT codes that already exist within Avatar PM will remain unchanged. 2) CPT trademark/copyright labels are added to the following forms: 'CPT Code Definition', 'CPT Place of Service Override', 'Service Fee/Cross Reference Maintenance' (tabs 'Service Fee Maintenance' and 'Guarantor Definitions'), 'Program Maintenance', 'Single Program Maintenance', 'Modifiers By Practitioner Categories', 'Payor Based Authorizations', 'Eligibility Inquiry (270) Request','Real-Time Inquiry (270) Request' and 'Eligibility Inquiry and Response (270/271) Report'. 3) 'CPT License Count Report' is added to list active Avatar Users and Practitioners that have used CPT Codes in Avatar PM. The report needs to be run for each facility.
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Topics
• NX
• CPT License Count Report
• CPT Codes
• Service Fee/Cross Reference Maintenance
• Program Maintenance
• Single Program Maintenance
• Eligibility Inquiry (270) Request
• Eligibility Response (271)
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Included Updates
3, 9, 18, 41, 55, 59, 62
Product Update Form Description
The 'Default Guarantor Assignment' form is enhanced to allow the assignment of more than one default guarantor.
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Topics
• NX
• Default Guarantor Assignment
• Default Guarantor Order Setup
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Avatar PM 'Client Call Intake' Web Service
An issue is resolved to ensure that the Avatar PM 'Client Call Intake' web service successfully/auto-assigns the next available Client ID on successful filing of Call Intake record (where Avatar PM Registry Setting 'Auto Assign Next ID' is enabled). In addition, properties for the fields 'Divide Sliding Fee Scale Amount by Number of Family Members Receiving Services' and 'Sliding Fee Scale - Number of Family Members Receiving Services' are added to the 'Client Call Intake' web service.
Included Updates
3, 9, 18, 41, 55, 59, 62, 67, 77, 87
Product Update Form Description
The following issues are resolved: 1) The 'Client Call Intake' web service does not successfully auto assign the next Client ID when it should. 2) The 'Client Call Intake' web service does not support properties for the fields 'Divide Sliding Fee Scale Amount by Number of Family Members Receiving Services' and 'Sliding Fee Scale - Number of Family Members Receiving Services'.
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Topics
• Call Intake
• Web Services
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Included Updates
None
Product Update Form Description
Avatar PM 2021 is prepared for future functionality.
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Topics
• HL7
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