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Avatar PM 2023 Monthly Release 2023.01.00 Details

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Product Requirements / Recommendations

Avatar PM required
RADplus required

  • Avatar PM 'Enable Submitter Identification Definition' Registry Setting
    The 'Enable Submitter Identification Definition' Registry Setting is updated to allow for inclusion of additional fields in the 'Submitter Identification Definition' form and support in 'Electronic Billing' 837 file generation.
    The following fields will be added to the Avatar PM 'Submitter Identification Definition' form where Avatar PM 'Enable Submitter Identification Definition' Registry Setting includes value '3': * 'Authorization Number' * 'Program Taxonomy 2000A-PRV-03' * 'Billing Provider Primary Identification Code Qualifier (2010AA-NM1-08)' * 'Billing Provider Primary Identification # (2010AA-NM1-09)' * 'Billing Provider Secondary Identification Number (2010BB-REF-02)' * 'Facility Identification Code Qualifier (837P-2310C / 837P-2420C / 837I-2310E-NM1-08)' * 'Facility Identification Code (837P-2310C / 837P-2420C / 837I-2310E-NM1-09)' * 'Facility Reference Identification Qualifier (837P-2310C / 837P-2420C / 837I-2310E-REF-01)' * 'Facility Reference Identification (837P-2310C / 837P-2420C / 837I-2310E-REF-02)' Avatar PM 'Electronic Billing' 837 Professional and 837 Institutional file compilation/generation is updated to use these Submitter Identification Definition values where dictated by Guarantor/Program Billing Defaults setup. For more information, please refer to the updated details/description for Avatar PM 'Enable Submitter Identification Definition' Registry Setting.
Included Updates
None
Required Updates
Avatar PM 2022 Update 153
Product Update Form Description
The 'Enable Submitter Identification Definition' registry setting is updated to include new fields in the 'Submitter Identification Definition' form. The 'Electronic Billing' 837 Institutional and 837 Professional are updated to pull the values from those new fields where appropriate.
Topics
• Registry Settings • Electronic Billing • NX • 837 Professional • 837 Institutional
  • Spreadsheet Batch Remittance Posting
    Functionality for 'Spreadsheet Batch Remittance Posting' has been updated. Note: A future Middleware update (RADplus Client Update 2023.01.00) will be required for full functionality.
    • The registry setting 'Distribute Claim/Service Level Adjustments (2100/2110-CAS) Across All Services' is updated to function with the 'Spreadsheet Batch Remittance Posting' form. • The registry setting 'Allow User To Continue Filing With Mismatch In Amounts To Post' is updated to allow filing with mismatch based on 'User Security Level'. • The registry setting 'Allow Posting of Zero Dollar Payment' is added and allows zero dollar payments to be entered in the 'Spreadsheet Batch Remittance Posting' form. • The logic associated to the 'Allow Adjustment Reversals' field in the 'Guarantor/Payors' form is updated to function with the 'Spreadsheet Batch Remittance Posting' form. • The 'Spreadsheet Batch Remittance Posting' form is updated to allow entry of claim adjustment group and reason codes along with adjustment amounts. • The 'Batch Remittance Posting Report' form is added and will launch a report of claim information from both the 'Spreadsheet Batch Remittance Posting' form and the 835.
Included Updates
None
Additional Requirements
A future Middleware update (RADplus Client Update 2023.01.00) will be required for full functionality.
Product Update Form Description
The following is included: 1) The registry setting 'Distribute Claim/Service Level Adjustments (2100/2110-CAS) Across All Services' is updated to function with the 'Spreadsheet Batch Remittance Posting' form. 2) The registry setting 'Allow User To Continue Filing With Mismatch In Amounts To Post' is updated to allow filing with mismatch based on 'User Security Level'. 3) The registry setting 'Allow Posting of Zero Dollar Payment' is added and allows zero dollar payments to be entered in the 'Spreadsheet Batch Remittance Posting' form. 4) The logic associated to the 'Allow Adjustment Reversals' field in the 'Guarantor/Payors' form is updated to function with the 'Spreadsheet Batch Remittance Posting' form. 5) The 'Spreadsheet Batch Remittance Posting' form is updated to allow entry of claim adjustment group and reason codes along with adjustment amounts. 6) The 'Batch Remittance Posting Report' form is added and will launch a report of claim information from both the 'Spreadsheet Batch Remittance Posting' form and the 835. Note: A myAvatar update or upgrade is required for full functionality.
Topics
• Spreadsheet Batch Remittance Posting • Claim Follow-up
  • Claim Follow-Up
    An issue has been resolved to ensure that the 'Data Entry By' field on the 'Claim Follow-Up' populates correctly.
Included Updates
None
Product Update Form Description
An issue has been resolved in the form 'Claim Follow-Up' where 'Data Entry By' field does not display.
Topics
• Claim Follow-up
  • SQL Table - SYSTEM.billing_tx_master_table
    Resolves an issue to ensure that the 'SYSTEM.billing_tx_master_table' table is updated to increase the maximum character length on the 'discipline_code' field.
Included Updates
None
Product Update Form Description
An issue is resolved where the 'discipline_code' field within the 'billing_tx_master_table' may show incomplete data.
Topics
• Database Tables • NX
  • Program Transfer & Program Transfer (Outpatient)
    An issue has been resolved to ensure that the transfer completes in the Program Transfer & Program Transfer (Outpatient) forms.
Included Updates
None
Product Update Form Description
An issue in form 'Program Transfer' is resolved where the default unit for program is not available for selection.
Topics
• Edit Service Information • Program Transfer
  • Default Guarantor Assignment - Cross Episode Financial Eligibility
    An issue is resolved to ensure that the Cross Episode Financial Eligibility record is not duplicated if the client has existing values and a new admission is filed.
  • Financial Eligibility - Web Services
    An issue is resolved to ensure that the Financial Eligibility and Cross Episode Financial Eligibility web services file successfully.
Included Updates
None
Product Update Form Description
The following issues are resolved: 1) Duplicate guarantors could be added to 'Cross Episode Financial Eligibility' when using the 'Default Guarantor Assignment' form to assign multiple guarantors during filing of admission. 2) The WEBSVC.FinancialEligibility and the WEBSVC.CrossEpisodeFinancialEligibility web services could result in the error "[UNDEFINED]checkDictionaryCodes+19_HRADWebServiceAPI2_B(0,100002)" when the registry setting 'Enable Default Guarantor Assignment' is enabled.
Topics
• Registry Settings • Financial Eligibility • NX • Default Guarantor Assignment • Web Services • Cross Episode Financial Eligibility
  • Admission - 'Activate Program/Service Code Filter' registry setting
    Ensure the 'Admission' form respects the 'Activate Program/Service Code Filter' registry setting in the 'Daily Charge Codes', 'Admission Charge Codes', and 'Room and Board Billing Codes' fields.
Included Updates
None
Product Update Form Description
The 'Daily Charge Code', 'Admission Charge Code', and 'Room And Board Billing Code' aren't being populated when assigning a bed during Admission based on the selected/assigned services in Program Maintenance.
Topics
• Admission • Registry Settings
  • Women's Health History
    An issued has been resolved to ensure that data is being correctly saved to the 'SYSTEM.client_condition_preg' table and the 'SYSTEM.patient_demographic_history' table.
Included Updates
None
Product Update Form Description
The following issues on form 'Women's Health History' were resolved: 1) Episode Number, Select Para Entry, Para Filed Records, etc. on form not populating correctly. 2) Para Entries in sub-tab 'Para and Gravida' not filing correctly. 3) Textbox field, Para Filed Records in same sub-tab, not displaying correctly.
Topics
• Women's Heath History
  • Disclosure Management - Filter document images
    The "Disclosure Management" form is enhanced to filter document image requests/authorizations by episode and date.
  • Disclosure Management - Items for Disclosure with no data
    An issue has been resolved where under certain circumstances items with no data are added to the 'Items For Disclosure' portion of disclosure management after hitting disclose in the Disclosure tab. 
Included Updates
None
Product Update Form Description
The following changes are made: 1) The 'Disclosure Management' form is enhanced to allow filtering of Requested Chart Items by Episode and by Request Information Date Range. 2) An issue in the 'Disclosure Management' form where chart items with no information would not appear in the warning dialog upon clicking 'Process' in the 'Disclosure' section is resolved.
Topics
• Disclosure
 

Avatar_PM_2023_Monthly_Release_2023.01.00_Details.csv