Electronic billing - Split services workflow
The 837 billing logic is updated to allow all split service(s) in the bill.
Value Added: The split service(s) functionality is enhanced to link all the split service(s) to the Progress Note through a table column 'JOIN_TO_PARENT_TX' in the 'SYSTEM.billing_tx_history' SQL table.
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.
Value Added: Electronic billing logic is enhanced to allow all the split service(s) in the bill after editing service information.
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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.
Value Added: Adds new fields and functionality to 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' Forms
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Topics
• Practitioner
• Performing Provider
• NX
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The 'CareConnect HIE Configuration' and 'Query For External CCD' forms
The 'Within N Miles of Zip' field is added to the "Carequality Configuration" section of the 'CareConnect HIE Configuration' form and the 'Query For External CCD' form. This allows users to search for organizations based on a specific distance from a zip code.
Value Added: The ability to search organizations using the 'Within N Miles of Zip' field
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Topics
• Query for External CCD
• CareConnect HIE Configuration
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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.
Value Added: 'Associated Service Program(s)' are now able to be used with 'Admission' programs.
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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.
Value Added: Enhanced 'Team Assignment' display and SQL table contents.
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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'.
Value Added: Allows the user to use the Payment Acknowledgement form to enter/edit/post/reverse acknowledged payments.
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Topics
• NX
• Payment Acknowledgement
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Avatar PM is modified for future functionality.
The system is prepared for future functionality.
Value Added: Modifications in prep for future functionality.
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Topics
• NX
• Widgets
• Spreadsheet Batch Remittance Posting
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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.
Value Added: Ability to track CPT usage by User and Provider.
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)
Value Added: Added copyright notice for CPT content to select forms.
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.
Value Added: CPT codes are updated with current AMA CPT Code content.
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.
Value Added: AMA License copyright notice is added to all CPT content.
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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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Registry Setting - Enable Payment Acknowledgement
The 'Enable Payment Acknowledgement' registry setting is enhanced to support the 'Payment Acknowledgement', 'General Ledger Payment Acknowledgement Interface Components' and 'General Ledger Payment
Acknowledgement Account Numbers' forms.
Value Added: The 'Enable Payment Acknowledgement' registry setting is updated to support new GL interface forms.
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Topics
• NX
• Payment Acknowledgement
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Default Guarantor Assignment - multiple default guarantors
The 'Default Guarantor Assignment' form is updated to allow the selection of multiple default guarantors.
Value Added: Allows entry of more than one default guarantor
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Topics
• NX
• Default Guarantor Assignment
• Default Guarantor Order Setup
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835 Health Care Claim Payment/Advice - Check / EFT #
The 835 posting process initiated from the ‘835 Health Care Claim Payment/Advice’ form is modified to post the transactions associated with the checks/EFTs selected.
Value Added: An updated 835 posting process gives the user the ability to post the individual checks/EFT as needed.
835 Health Care Claim Payment/Advice - Registry Setting 'Posting Date for Automated 835s'
The automation feature of an 835 is enhanced to enter desired posting date through one of the options available in the new registry setting 'Posting Date for Automated 835s'.
Value Added: The registry setting 'Posting Date for Automated 835s' is added to the system to determines the value used for the posting date for automated 835s.
835 Health Care Claim Payment/Advice - ‘Check/EFT #’ drop down
The existing ‘Check/EFT #’ drop down field is updated to include 'Acknowledged', 'Unacknowledged' and / or 'zero dollar' check/EFT#.
Value Added: The '835 Health Care Claim Payment/Advice' process is modified to display acknowledged, unacknowledged and zero dollar amount payments in the 'Check/EFT#' field.
Batch Cash Posting - Payment Acknowledgement
The registry setting ‘Prevent Posting Payments Unless Payment has been Acknowledged’ is added to the system to only apply acknowledged payments against client accounts.
Value Added: The 'Batch Cash Posting' process is enhanced to restrict the ability to post payments to only payments that have been acknowledged in the ‘Payment Acknowledgement’ form.
Registry Setting - Prevent Posting Payments Unless Payment has been Acknowledged
A new registry setting 'Prevent Posting Payments Unless Payment has been Acknowledged' is added to the system.
Value Added: The '835 Health Care Claim Payment/Advice' functionality and 'Batch Cash Posting' functionality are modified to support payment acknowledgement.
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Topics
• 835 Health Care Claim Payment/Advice
• NX
• Registry Settings
• Batch Cash Posting
• Payment Acknowledgement
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835 Crossover Logic - CCBHC guarantors
The 835 Crossover Logic has been updated to process CCBHC guarantors.
Value Added: 835 Crossover logic will be used with CCBHC guarantors
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Topics
• 835 Health Care Claim Payment/Advice
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Avatar PM is modified for future functionality.
Avatar 'Client Charge Input' forms are enhanced for future functionality. No changes will be evident in this form until the future functionality is completed.
Value Added: Modifications in preparation for future functionality.
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Topics
• Client Charge Input
• NX
• UTC Fields
• Recurring Client Charge Input
• Web Services
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Enhanced 'Address' information in several forms.
The field 'Address Start Date' is added to the following forms:
* 'Update Client Data'
* 'Demographic' section of the 'Admission', 'Admission (Outpatient)', 'Discharge', 'Pre Admit', 'Pre Admit Discharge', and 'Call Intake' forms.
The column 'address_start_date' is added to the SQL tables 'SYSTEM.patient_current_demographics', and 'SYSTEM.patient_demographic_history'
Value Added: Improved tracking history of client address changes.
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Topics
• Admission (Outpatient)
• NX
• Discharge
• Call Intake
• Admission
• Update Client Data
• Web Services
• Pre Admit
• Pre Admit Discharge
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File Import - Payment/Adjustment Posting
File Import functionality for the Payment/Adjustment Posting option has been updated to include a new field, 'Payment Acknowledgement Transaction Number'.
Value Added: Users can allow or deny posting payments to client accounts if the payment has not been acknowledged.
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Topics
• Registry Settings
• NX
• Payment Acknowledgement
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Personal Pronouns may be included on client demographic forms and in client headers.
The field 'Personal Pronouns' is supported on the 'Update Client Data' form and the 'Demographics' sections of the forms 'Admission', 'Admission(Outpatient)', 'Discharge', 'Call Intake', 'Pre Admit' and 'Pre Admit Discharge' when added using a registry setting. Note: RADplus 2022 Update 109 is required to support 'Personal Pronouns'.
Value Added: Personal Pronouns in client demographic forms and Client Header information are supported as options.
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Topics
• NX
• Admission
• Update Client Data
• Admission (Outpatient)
• Pre Admit
• Pre Admit Discharge
• Call Intake
• Web Services
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Practitioner Enrollment - The 'Staff EVV Type' and 'Email Address' fields
The 'Staff EVV Type' and 'Email Address' fields are added to the 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' forms. The 'SYSTEM.staff_enrollment_history' SQL table and the 'Practitioner Register' and 'ClinicianServicesV2' web services are updated accordingly.
Value Added: Support for Mobile CareGiver+
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Topics
• Practitioner
• Web Services
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Registry Setting - Enable Payment Acknowledgement
When "Y" is selected the 'Payment Acknowledgment', 'General Ledger Payment Acknowledgment Interface Components' and 'General Ledger Payment Acknowledgment Account Numbers' forms will be added. Additionally, the 'Posting/Adjustment Codes Definition' form will be updated to include a new field called 'Payment Acknowledgement Type' and the 'Compile General Ledger Payment/Adjustment Interface File' will be updated to include a new field called 'Include Payment Acknowledgments'.
Selecting "N" will remove the new forms and field. Note: Selecting "N" will remove all selections from the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting.
Value Added: The registry setting 'Enable Payment Acknowledgement' is updated to allow the inclusion of Payment Acknowledgements in the 'Compile General Ledger Payment/Adjustment Interface File'.
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Topics
• NX
• Payment Acknowledgement
• 835 Health Care Claim Payment/Advice
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Extended dictionaries are added to 'Type of Discharge' (970).
Extended dictionaries 'Encounter Discharge (FHIR)' off of the 'Type Of Discharge' dictionary (Client File, field# 970), 'Program (FHIR)' off of the 'Treatment Service' dictionary (Client File, field# 101), and 'Service Type (FHIR)' off of the 'RRG' dictionary (Client File, field# 1141) are added.
Value Added: Additional extended dictionaries are added to allow for mapping to the standard encounter discharge list.
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Topics
• Dictionary
• NX
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Support is added for other products and modules
The 'Delete Last Practitioner Termination Date' form is enhanced to support other products and modules.
Value Added: Support for other products and modules
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Topics
• Practitioner
• CareFabric
• Electronic Visit Verification
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Quick Billing - Auto Upload to RevConnect
Resolves an issue to ensure that the system prevents to upload the file to RevConnect when the quick billing rule has "No" selected for the prompt 'Auto Upload to RevConnect.
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Topics
• NX
• Quick Billing
• RevConnect
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Client Account Services Report
The 'Client Account Services Report' report has been updated to display the full payment amount without truncating.
Avatar AM - Front Desk Service Information - Deposit Entry
Avatar AM - Front Desk Service Information - Deposit Entry has been updated to include valid information on the receipt.
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Topics
• Billing
• Front Desk
• NX
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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".
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.
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Topics
• Incident-To-Practitioner Daily Log
• NX
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System Task Scheduler - processes
An issue is resolve with the" System Task Scheduler" where 'Hourly' task processes could get kicked off multiple times while they were still running
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Topics
• System Task Scheduler
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'Create Interim Billing Batch' Quick Billing Batch Deletion
An issue is resolved to ensure that using the Avatar PM 'Create Interim Billing Batch File' form to delete an Interim Billing Batch created via 'Quick Billing' also deletes the associated Quick Billing Batch.
'Quick Billing' File Name
An issue is resolved to ensure that all billing files generated while running/filing the Avatar PM 'Quick Billing' form follow the file naming convention that is defined in the Quick Billing Rule Definition.
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Topics
• Quick Billing
• Interim Billing Batch
• NX
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Chart Review - Attached forms from child namespaces
An issue has been resolved where cross namespace forms may cause an error when added to the patient chart.
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Topics
• RADplus Utilities
• NX
• Leaves
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Quick Billing/Electronic Billing - Natural Disaster added to the Delay Reason Code data dictionary
An issue is resolved where the delay reason code 'Natural Disaster' (15) was not available in 'Electronic Billing' and 'Quick Billing'.
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Topics
• Quick Billing
• Electronic Billing
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Accounts Receivable Management – Guarantor has an ‘&’ in name
The ‘AR Console User Defaults Setup’ and the ‘Accounts Receivable Console’ functionality has been updated to process the 'Guarantor Name' & the 'Guarantor Name For Alpha Lookup' fields when they contain an '&'.
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Topics
• Accounts Receivable Management
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'Current Unit Census' report is modified to omit Units flagged as inactive.
An issue is resolved where Units which are flagged as inactive will no longer display in the 'Current Unit Census' report.
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Topics
• Verify Unit Census
• NX
• Current Unit Census
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'Maintain Hospital Bed File' - 'Bed' field
Ensure a proper error message is displayed stating "Please select a bed first" when attempting to change a bed name without a 'Bed' selected in the 'Maintain Hospital Bed File' form.
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Topics
• Maintain Hospital Bed File
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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.
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Topics
• Call Intake
• Web Services
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Edit Service Information - Editing billing inhibited 'Open' service
Resolves an issue to ensure that the service that is marked as billing inhibited updated successfully through 'Edit Service Information' form when it is in 'Open' status.
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Topics
• Edit Service Information
• NX
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Edit Service Information - Admission vs. Service Program
Edit Service Information functionality is updated to ensure the successful editing of an open service when the client was transferred from an admission program to another program after the date of service.
835 Crossover Logic - Posting Code = Transfer Type - Redistribute (Close)
The 835 Crossover Logic has been updated to ensure that the amount not paid on a service is correctly transferred to the next eligible guarantor when the posting code = Transfer Type - Redistribute (Close).
Web Service - Edit Service Information - Practitioner Disciple
The Edit Service Information web service has been updated to display the following message when the services being edited does not contain a discipline assigned to the service Practitioner.
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Topics
• Edit Service Information
• Program Transfer
• Practitioner
• 835 Health Care Claim Payment/Advice
• NX
• Web Services
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837 Institutional - Claim Frequency Code, Patient Status Code and Discharge Hour
An issue is resolved where claimed 837P services on day of discharge could affect subsequent 837I claims causing incorrect Claim Frequency Code, Patient Status Code, and omission of the Discharge Hour segment (DTP*96).
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Topics
• 837 Institutional
• NX
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Select reports are modified to prevent overlapping data displays.
An issue is resolved to ensure that data in the following Crystal reports does not overlap with other data fields when being displayed in an Avatar NX environment:
* Client Ledger
* Service/Fee Cross Reference Definition
* Claim Follow-Up Productivity Report
* Unbilled Services Report
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Topics
• Client Ledger
• NX
• Service Fee/Cross Reference Maintenance
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PM UTC functionality
An issue has been resolved that may occur when UTC is enabled and the Data Entry Local Time field value is after midnight.
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Topics
• Practitioner
• NX
• Client Charge Input
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