Enhanced internal utilities
Internal File Import utilities are updated.
Value Added: Provides enhanced internal file import functionality
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Topics
• Appointment Management
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Follow Up Entry (Edit) - Follow Up Notes report
The 'Follow Up Notes Report' option of the 'Follow up Entry (Edit) form displays correct data that is filed through the 'Follow Up Entry' form or updated through the 'Follow Up Entry (Edit)' form.
Value Added: The 'Follow Up Notes Report' option of the 'Follow up Entry (Edit) form is updated to display follow up entries filed through the 'Follow Up Entry' form.
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Topics
• Follow Up
• NX
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Prevent use of certain special characters in the 'Financial Eligibility' form.
Validation has been added to subscriber address and guarantor address fields in the 'Financial Eligibility' form to prevent entries with certain special characters. Special characters which are not allowed are: ` ! $ % * ^ ~ @
Value Added: Prevent entry of invalid special characters in Guarantor and Subscriber fields within Financial Eligibility form.
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Topics
• NX
• Financial Eligibility
• Web Services
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File Import - Client Charge Input group services
Importing a Client Charge Input file via the 'File Import' form will no longer enforce the presence of a group number for group services.
Value Added: Client Charge Input - consistency between Client Charge Input and File Import
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Topics
• Client Charge Input
• File Import
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myHealthPointe Payments
Payments received from myHealthPointe will include two selection options:
1) ‘Apply to Self-Pay Balance’
2) ‘Apply to Deposit Entry Service in Most Current Open Episode’
Value Added: enhancements for payments received From myHealthPointe
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Topics
• Credit Card Processing
• CareFabric Monitor
• CareFabric
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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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Crystal Self Pay Bill - Support 'System Financial Class' extended dictionary
The 'Crystal Self Pay Bill' works correctly for guarantors that do not have a financial class of 'Self Pay' in the 'Guarantors/Payors' form, and the extended dictionary 'System Financial Class' (1500) for the selected class is set to 'Self Pay'.
Value Added: • The 'Crystal Self Pay Bill' process is enhanced to support the 'System Financial Class' extended dictionary data element (1500) in the ‘Payor’ File, ‘Data Element - (1000) Financial Class’.
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Topics
• Registry Settings
• Inhibit Billing
• NX
• Crystal Self Pay Bill
• Database Tables
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* This update also contains items in the Fixed section(s)
Service Entry - After Treatment Plan Intervention Assigned Services
An issue has been resolved where service entry doesn't restrict service entry by program in the Treatment Plan Intervention Services when the registry setting 'Enable Service Entry Restriction by Client Treatment Plan' is set to 'E'.
Value Added: Service Entry - Enable Service Entry Restriction by Client Treatment Plan
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Topics
• Treatment Plan
• Client Charge Input
• NX
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Payment Acknowledgment
The 'Payment Acknowledgment' form is updated to include a new section named 'Post Front Office and myHP Payments'. The 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting has been enabled with desired values.
Value Added: Allows users to acknowledge payments from myHealthPointe or the Front Office.
Deposit Entry
Deposit Entry functionality is updated to store payment information in a temporary table if the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting has a minimum value of '5'.
Value Added: Functionality for Deposit Entry payments is updated to work with the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting.
SQL - 'SYSTEM.unacknowledgement_payments’ table added to system.
The 'SYSTEM.unacknowledgement_payments’ table will contain payments that have not been acknowledged in the 'Payment Acknowledgement'. The 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting has been enabled with desired values.
Value Added: User can validate that the table contains an entry for payments that have not been acknowledged.
myHealthPointe payments
Functionality for myHealthPointe payments is updated to store payment information in a temporary table if the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting has a minimum value of '6'.
Value Added: Functionality for myHealthPointe payments is updated to work with the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting.
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Topics
• Payment Acknowledgement
• Deposit Entry
• Web Services
• File Import
• Registry Settings
• 835 Health Care Claim Payment/Advice
• Database Tables
• Client Management
• CareFabric Monitor
• CareFabric
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Avatar PM is modified to increase length of client name and allow spaces to be included.
The client middle name in Avatar has been updated to allow 25 characters. In addition, a new registry setting 'Allow Spaces in Client Name' is introduced. When used in conjunction with the 'detailed name' functionality, spaces will be allowed in the client first and middle names.
Value Added: Extends the allowable length of client middle name and adds ability to include spaces in the client name.
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Topics
• Registry Settings
• Admission (Outpatient)
• NX
• Update Client Data
• Financial Eligibility
• Cross Episode Financial Eligibility
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Dictionary Update - 'Location' dictionary
The "Time Zone" extended dictionary value is added to the 'Location' dictionary in order to support future functionality.
Value Added: Support for future functionality
Program Maintenance - 'Time Zone' field
The 'Time Zone' field is added to the 'Program Maintenance' form in order to support future functionality.
Value Added: Support for future functionality
Avatar PM is enhanced to support future functionality
Avatar PM is enhanced to support the 'Time Zone Determination for UTC Service Entry' hidden registry setting in order to support future functionality.
Value Added: Support for future functionality.
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Topics
• Dictionary
• Program Maintenance
• Registry Settings
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Support is added for other products and modules
Avatar PM is enhanced to support other products and modules.
Value Added: Support for other products and modules
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Topics
• Client Charge Input
• Client Ledger
• Managed Care Authorizations
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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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Avatar PM is enhanced to capture additional information
Avatar PM is enhanced with the following:
* The 'Encounter Code (FHIR)' extended dictionary is added to the 'Treatment Service' dictionary in 'Dictionary Update'.
* The 'Facility Defaults' form is updated to support audit information which will be filed into the 'SYSTEM.table_facility_defaults' SQL table.
* The 'Office Address - Start Date' field is added to the 'Practitioner Enrollment' and 'Practitioner Enrollment (Brief)' forms. The web service is updated accordingly. In addition, the 'office_add_date' field is added to the 'SYSTEM.staff_enrollment_history' and 'SYSTEM.staff_current_demographics' SQL tables to capture this information.
Value Added: The ability to capture additional information.
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Topics
• Facility Defaults
• Query/Reporting
• Practitioner
• Web Services
• Dictionary
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Payor Based Authorizations
The 'Location' field is added to 'Payor Based Authorizations' functionality. The field will be added to the 'Payor Based Authorizations' form and 'File Import' - Payor Based Authorizations.
Value Added: Allows 'Payor Based Authorizations' authorizations to be defined by 'Location'.
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Topics
• Payor Based Authorizations
• File Import
• NX
• Client Charge Input
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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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SYSTEM.billing_guar_table_270 - fields added
The 'single_file_isa_code' and 'single_file_isa_value' fields are added to the 'billing_guar_table_270' SQL table.
Value Added: The value of 'Create Single File Per Interchange Control Header (ISA)' from the 'Guarantors/Payors' form is stored to the 'SYSTEM.billing_guar_table_270' for auditing purposes.
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Topics
• Database Tables
• NX
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Consent For Access - Consent For Network / Organization
The 'Consent to Query' field needs to be disabled while adding a new consent for the Carequality network or organization and the consent is set to 'Query' on the 'CareConnect HIE Configuration' form.
Value Added: The 'Consent For Access' form is updated to display correct state of the 'Consent to Query' or 'Consent To Opt In/Opt Out' fields based on the option selected in the 'Consent Model' field of the 'CareConnect HIE Configuration' form.
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Topics
• Consent for Access
• NX
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"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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Site Specific Section Modeling - Demographic fields
Resolves an issue to ensure that the 'Call Intake' form updates successfully when the site specific fields are updated through 'PATIENT 510 (Admission) Demographics' item of the 'Site Specific Section Modeling' form.
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Topics
• Site Specific Section Modeling
• NX
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Client Charge Input - Prolonged services
An issue has been resolved where the prolonged add-on service can be filed without meeting the primary service's duration threshold.
Disclosure Management - Discharge data
An issue has been resolved where contents from the 'Discharge Remarks/Comments' field on the 'Discharge' form are not included on disclosure document generated from the 'Disclosure Management' form.
Disclosure Management - Request Information Specify Other
An issue has been resolved where contents from the 'Request Information - Specify Other' field on the 'Disclosure Management' form (Request section) might be copied over to other disclosures.
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Topics
• Client Charge Input
• Disclosure
• Discharge
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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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Key Performance Indicators widget
Resolves an issue to ensure that the 'Key Performance Indicators' widget displays information successfully when there is no data in WIDGET.collection_values table where Collection_Type ='TotalPaymentsByServiceDate' or 'TotalLiability' and Collection_Freq ='M'.
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Topics
• Widgets
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Internal Client Referral - Internal Referral Type Category
Resolves an issue to ensure that the ‘Internal Referral Team’ field is not required on the ‘Internal Client Referral’ form, when the ‘Internal Referral Type Category’ is not selected.
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Topics
• Referral
• NX
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* This update also contains items in the New section(s)
Advanced Billing Rules - Site Specific Section Modeling integer fields
The issue has been resolved where advanced billing event rules defined based on the Site Specific Treatment History table in the 'Advanced Billing Rule Definition' form are not properly evaluated for transferred services.
Compile and Post Partial Hospitalization/Day Treatment
An issue has been resolved where a change in attending practitioner isn't reported correctly while posting a partial hospitalization worklist via the 'Post Partial Hospitalization/Day Worklist' form.
Service Code Upload - Error Handling
An error has been resolved in the "Service Code Upload" where invalid data is encountered in the import file and an error occurred when trying to complete a service code upload.
Electronic Billing - 837 Institutional Non Covered Days
An issue has been resolved with the "Electronic Billing" form when an 837 Institutional file is created, where non covered days room and board step down detox to rehab are calculating incorrectly.
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Topics
• Advanced Billing Rule Definition
• Inpatient Worklist
• NX
• Registry Settings
• Service Codes
• Service Code Upload Process
• Electronic Billing
• Leaves
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Client Ledger - Re-billed claims
Resolves an issue to ensure that the 'Claim', 'Crystal' and 'Simple' type of the client ledger correctly displays the re-billed claim information.
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Topics
• Client Ledger
• NX
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Dictionary Update - Client file
Resolves an issue to ensure that the new dictionary is added or an existing dictionary is updated for the data element 'Clam Follow-Up Status' successfully.
Quick Billing Rule Definition - Include "errors.txt" File
Resolves an issue to ensure that the 'File Location for "errors.txt" File' field allows a file path that contains more than 40 characters in the 'Quick Billing Rule Definition' form.
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Topics
• Dictionary
• Quick Billing
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Avatar PM 'Summary Trial Balance Report'
An issue is resolved to ensure that correct 'Grand Total' values are returned in the Avatar PM 'Summary Trial Balance Report'.
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Topics
• Summary Trial Balance Report
• NX
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Validate the 'Problem Classification' field in 'Diagnosis' form populates with selections.
An issue is resolved in the 'Diagnosis' form to ensure, that when defaulting a previous diagnosis where the diagnosis had been previously marked to include in the 'Problem List', the 'Problem Classification' field will display all code selections in the drop down list.
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Topics
• Diagnosis
• 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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