Avatar PM 2022 Monthly Release 2022.04.00 Summary
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NEW5
CHANGED2
FIXED6
New (5)
NCPDP Enhancements
Medicare Part D processing is enhanced as follows:
1) The electronic billing sort process will flag as an error any service where the associated Order Entry order was not active as of the date of service.
2) Support is added for NCPDP field 'Quantity Dispensed' (460-ET) but limited to DEA Schedule II drug claims only. The value of this field will always match the value included for NCPDP field 'Quantity Dispensed' (442-E7).
3) Support is added for NCPDP fields 'Intermediary Authorization Type (463-EW) and 'Intermediary Authorization ID' (464-EX). This is made possible by the introduction of new form 'NCPDP Intermediary Authorizations' to the menu. Please note: Support of NCPDP fields 'Quantity Dispensed' (460-ET), 'Intermediary Authorization Type' (463-EW) and 'Intermediary Authorization ID' (464-EX) also requires that Netsmart update the CE2000 data map.
Value Added: Support is added for NCPDP.
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Topics
• HL7
• NX
• NCPDP
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Guarantor/Program Billing Defaults - Select Segments To Suppress
The Situational Segment 2420E-N3 can be successfully suppressed from the 837 Professional bill.
Value Added: An 837 Professional billing process is enhanced to suppress the correct information from the bill based on the 'Select Segments To Suppress' set up in the 'Guarantor Program Billing Defaults'.
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Topics
• 837 Professional
• Guarantor / Program Billing Defaults
• NX
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* This update also contains items in the Fixed section(s)
Dictionary Update - 'Pregnancy Status' dictionary
The 'Clinical Status - Pregnancy (FHIR)' and 'Verification Status (FHIR)' extended dictionaries are added to the 'Pregnancy Status' dictionary in 'Dictionary Update'.
Value Added: Additional extended dictionaries added for 'Pregnancy Status'
Dictionary Update - 'Diagnosis Status' dictionary
The 'Clinical Status - Diagnosis (FHIR)' and 'Verification Status (FHIR)' extended dictionaries are added to the 'Diagnosis Status' dictionary in 'Dictionary Update'.
Value Added: Additional extended dictionaries added for 'Diagnosis Status'
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Topics
• CareFabric
• Women's Health History
• Dictionary
• Diagnosis
• CareFabric Monitor
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Data Management
The system is prepared for future functionality.
Value Added: ‘Other’ text fields for both Gender Identity and Sexual Orientation have been added to the system.
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Topics
• Demographics
• NX
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Facility Defaults - 'Provider Country' field
The 'Provider Country' field is added to the 'Facility Defaults' form. The 'SYSTEM.table_facility_defaults' SQL table is updated accordingly.
Value Added: The ability to capture additional information
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Topics
• Facility Defaults
• Query/Reporting
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Changed (2)
"Enable Multiple Add-On Code Per Primary Code "
The 'Enable Multiple Add-On Code Per Primary Code Functionality' registry setting is enhanced to support future functionality.
Value Added: Provides additional support needed to ensure functionality in "GA ASO" progress note enabled systems
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Topics
• Site Specific Section Modeling
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Guarantor/Program Billing Defaults - Select Segments To Suppress
The 2310A-PRV segment can be successfully suppressed from the 837 Institutional bill.
Value Added: The 'Select Segments to Suppress' option of the 'Guarantor/Program Billing defaults' form is modified to suppress the correct information from the bill.
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Topics
• 837 Institutional
• NX
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Fixed (6)
Accounts Receivable Management Widget - Financial Classes, Guarantors and Claims
An issue is resolved where a hardcoded facility of 98 can cause the Financial Class filter to incorrectly exclude guarantors which may exclude a claim within the 'Accounts Receivable Management Console' widget.
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Topics
• Accounts Receivable Management
• NX
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* This update also contains items in the New section(s)
Diagnosis - 'SearchDiagnosisCodes' web service
Ensure the 'Diagnosis' - 'SearchDiagnosisCodes' web service returns diagnosis codes as expected.
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Topics
• Diagnosis
• Web Services
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Call Intake - Demographic fields - Add Demographics to 'Call Intake'
Resolves an issue to ensure that the 'Call Intake' form does not contain the 'Demographics' section when the registry setting 'Add Demographics to Call Intake' is set to "N".
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Topics
• Site Specific Section Modeling
• NX
• Call Intake
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AR Console User Defaults Setup
An issue has been resolved to ensure that 'Financial Classes' that are removed from a user definition remain removed when the form is submitted.
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Topics
• Accounts Receivable Management
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Spreadsheet Charge Input - Form validation
Resolves an issue to ensure that the 'Spreadsheet Charge Input' form opens and submits successfully when the 'Allow Only Active Diagnoses' and the 'Hide Medical Diagnosis Fields' registry setting are set to "Y".
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Topics
• NX
• Spreadsheet Charge Input
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Payor Based Authorizations
The 'Payor Based Authorizations' functionality has been modified to ensure that selecting a 'Location' does not cause an error for overlapping authorizations.
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Topics
• Client Charge Input
• Payor Based Authorizations
• NX
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Avatar_PM_2022_Monthly_Release_2022.04.00_Summary.csv
