Accounts Receivable Management Widget - Financial Classes, Guarantors and Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Console Configuration
- AR Console User Defaults Setup
- Dynamic Form - NX View Definition
- Dynamic Form - View Definition - Select Views
- NX View Definition
- Registry Settings (PM)
- System Task Scheduler
- User Definition
- View Definition
- Admission (Outpatient)
- App Dashboard
- Client Charge Input
- Client Ledger
- CPT Code Definition (PM)
- Diagnosis
- Dictionary Update (PM)
- Dynamic Form - Admission - Client
- Dynamic Form - Non-Caseload Access
- Dynamic Form - staff auto assign
- Electronic Billing
- Failed Authentication - Input Dialog
- Financial Eligibility
- Guarantors/Payors
- Practitioner Enrollment
- Program Maintenance
- Revenue Code Definition (PM)
- Service Codes
Scenario 1: Accounts Receivable Console - AR List - Search Filters
Specific Setup:
- Agency uses the 'Accounts Receivable Console'.
- 'AR Console User Defaults Setup' has been used to give the test access:
- Select All 'Financial Classes', All 'Guarantors', All 'Treatment Settings', All 'Programs', All 'Client Last Name Initials to be Worked'.
- The 'Accounts Receivable Console' widget has been added to the tester's home view.
- Client 1, note the following: The clients last name initial, Note the client’s program, has three unpaid claims,
- Use 'Client Ledger' to note the 'Guarantor', 'Claim Numbers', 'Date' (service date), 'Date Billed', 'Total amount due for each claim'.
- A 'Claim-Follow-Up' record has been created for the first claim in the Accounts Receivable Console. Add values to the following fields, noting the values 'Follow-Up Date', 'Next Follow-Up Date', 'Follow-Up Status', 'Comments', 'Followed-Up' = Yes.
- Client 2, note the following, clients last name initial, the client’s program, has three unpaid claims.
- Use 'Client Ledger' to note the 'Guarantor', 'Claim Numbers', 'Date' (service date which should be after the service date for Client 1), 'Date Billed', 'Total amount due for each claim'.
- The 'System Task Scheduler' has been used to process the 'Auto AR Batch Update' after the claims were created.
Steps
- Access the 'Accounts Receivable Console'.
- Verify that 'User Defaults' is the signed in user.
- Verify that 'Financial Classes' has all items selected.
- Verify that 'Treatment Settings' has all items selected.
- Verify that 'Client Last Name Initials to be Worked' has all items selected.
- Verify that 'Guarantors' has all items selected.
- Verify that 'Programs' has all items selected.
- Verify that 'Aged over # Days' is null.
- Verify that 'Claim #' is null.
- Verify that 'Client' is null.
- Verify that 'Service Date From' is null.
- Verify that 'Service Date From' is null.
- Verify that 'Service Date To' is null.
- Verify that 'Next Follow-Up Date From' is null.
- Verify that 'Next Follow-Up Date To' is null.
- Verify that 'Exclude Claims with Last Follow-Up Date Within Past # Days' is null.
- Verify that 'Claim Follow-Up Record Exists' is null.
- Verify that 'Claim Follow-Up Status' is null.
- Verify existence of 'Reset Default' button.
- Verify existence of 'Search' button.
- Deselect the 'Financial Class' for the guarantor of Client 1.
- Validate that 'Guarantors' does not contain the guarantor of Client 1.
- Deselect the 'Treatment Setting' for the program of Client 1.
- Validate that 'Programs' does not contain the program of Client 1.
- Click [Reset Default].
- Verify that 'Financial Classes' has all items selected.
- Verify that 'Treatment Settings' has all items selected.
- Verify that 'Guarantors' has all items selected.
- Verify that 'Programs' has all items selected.
- Deselect the 'Client Last Name Initials to be Worked' for Client 2.
- Click [Search].
- Verify that no claims for Client 2 are included in the 'Claims with Outstanding Receivables' grid.
- Click [Reset Default].
- Enter a value in 'Aged Over # Days' that would allow the oldest claim for the test clients to display. The 'Date Billed' determines the number of aged days.
- Click [Search].
- Validate that the claims for client 1 and the claims for client 2 are included in the 'Claims with Outstanding Receivables' grid.
- Click [Reset Default].
- Set 'Claim #' to a claim number for Client 2.
- Click [Search].
- Verify that only that claim for Client 2 is included in the 'Claims with Outstanding Receivables' grid.
- Click [Reset Default].
- Set 'Client' to Client 1.
- Click [Search].
- Verify that no claims for Client 2 are included in the 'Claims with Outstanding Receivables' grid.
- Click [Reset Default].
- Set 'Service Date From' to the fist service date for 'Client 1'.
- Set 'Service Date From' to the second service date for 'Client 1'.
- Click [Search].
- Verify that only claims 1 and 2 are included for Client in the 'Claims with Outstanding Receivables' grid.
- Click [Reset Default].
- Enter the 'Next Follow-Up Date' from Setup.
- Click [Search].
- Verify that the first claim for Client 1 is included in the 'Claims with Outstanding Receivables' grid.
- Click [Reset Default].
- Enter a value in 'Exclude Clients with Last Follow-Up Date Within the Past # Days that would include the 'Follow-Up Date' from Setup.
- Click [Search].
- Verify that the 'Claims with Outstanding Receivables' grid does not include the first claim for Client 1.
- Click [Reset Default].
- Set 'Claim Follow-Up Record' Exists' to 'Yes'.
- Click [Search].
- Click [Reset Default].
- Set 'Claim Follow-Up Record' Exists' to 'Yes'.
- Click [Search].
- Verify that the 'Claims with Outstanding Receivables' grid includes the first claim for Client 1.
- Click [Reset Default].
- Set 'Claim Follow-Up Status' to value from SETUP.
- Click [Search].
- Verify that the 'Claims with Outstanding Receivables' grid includes the first claim for Client 1.
- Click [Reset Default].
- Verify that the following fields are null: 'Aged over # Days', 'Claim #', 'Client', 'Service Date From', 'Service Date To', 'Next Follow-Up Date From', 'Next Follow-Up DateTo', Exclude Claims with Last Follow-Up Date Within Past # Days', Claim Follow-Up Record Exists' and Claim Follow-Up Status'.
- Click [Reset Default].
- Set "Claim Balance From" to a minimum claim balance amount to filter on.
- Set "Claim Balance To" to a maximum claim balance amount to filter on.
- Click [Search].
- Validate the "Claim Balance" columns in the "Claims with Outstanding Receivables" table contains balances that are between the "Claim Balance From - Claim Balance To" range.
- Double click on the column heading for "Claim Balance" column.
- Validate the rows are sorted in "Claim Balance" order.
Scenario 2: Accounts Receivable Console - Multi System Codes
Specific Setup:
- This update should be tested in systems where there are multiple root system codes.
- Must designate 2 root systems codes. One of the root system codes must be a system code of 98. The other system code must be something other than 98.
- Each system code must have a guarantor with the same Guarantor ID but with different names, and different financial classes than the other system code.
- The Accounts Receivable Console must be enabled by enabling the registry setting "Enable Accounts Receivable Management Functionality".
- The Accounts Receivable Console must be placed on the user's home view.
- The Accounts Receivable Console must be configured using the "AR Console User Defaults Setup" and "AR Console Configuration" forms.
- Admit a test client into each system code, and in financial eligibility, assign them the guarantors with the same IDs, but different names and different financial classes.
Steps
- Log into the 98 system code.
- Using the "Client Charge Input" form, create charge(s) for this system code's test client.
- Using "Client Ledger", validate the charge is affiliated with the guarantor from setup.
- Using the "Close Charges" form close charges for that client.
- Using a program such as "Electronic Billing", turn the charge into a claim for the test client.
- Using "System Task Scheduler", schedule an "Auto AR Batch Update" for today in a few minutes.
- Sign out of the 98 system code.
- Log into the non 98 system code.
- Using the "Client Charge Input" form, create charge(s) for this system code's test client.
- Using "Client Ledger", validate the charge is affiliated with the guarantor from setup.
- Using the "Closed Charges" form, close charges for that client.
- Using a program such as "Electronic Billing", turn the charge into a claim for the test client.
- Using "System Task Scheduler", schedule an "Auto AR Batch Update" for today in a few minutes.
- Using the Accounts Receivable Console, validate the guarantors appear as appropriate when the financial class for the guarantor is selected/not selected.
- Validate the claims appear in the "Claims with Outstanding Receivables" if the financial class and/or guarantor is selected in the filters.
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Topics
• Accounts Receivable Management
• NX
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