-
Electronic Billing - 837 Professional
'Electronic Billing' has been modified to suppress the '2330A-N3 Other Subscriber Address' segment when the 'Guarantor/Program Billing Defaults Template' is set to suppress it.
Included Updates
10, 57, 62, 66, 79
Product Update Description
The 837 Professional bill is updated to allow for suppression of 'Other Subscriber Address (2330A-N3)' segment via the 'Select Segments To Suppress' field on the 'Guarantor/Program Billing Defaults' form (837 Professional section).
|
Topics
• 837 Professional
• NX
|
-
Quick Billing - CCBHC Claim Grouping
Functionality for Quick Billing has been modified to ensure that the value of the 'CCBHC Claim Grouping' field on the 'Guarantor/Program Billing Defaults' form is respected.
Included Updates
33, 58
Product Update Description
An issue is resolved where CCBHC PPS charges were being claimed even when there were enumerated services still waiting for remittance from other insurance. This could occur when the 'CCBHC Claim Grouping' field on the 'Guarantor/Program Billing Defaults' form is set to 'Separate Claims' and 'Quick Billing' is used to generate the claims.
|
Topics
• 837 Institutional
• Quick Billing
• CCBHC
• 837 Professional
|
-
Edit Service Information
The functionality for 'Edit Service Information' has been modified to allow the form to properly handle a service code that is not assigned to the program.
-
Financial Investigation - Web Services
The web service functionality for Financial Investigation has been updated to allow future dates in the 'Financial Investigation Effective Date' field.
-
Disclosure Management - Site Specific Section Modeling
The functionality for Disclosure Management has been updated to correctly process multiple Site Specific Section Modeling fields that have multiple iteration tables.
-
Bed Management
The functionality for 'Bed Management' is updated to respect the 'User Definition' access to social security numbers.
-
Disclosure Management
Resolves an issue to ensure that the requested chart items only include items within the specified date range.
Included Updates
10, 16, 17, 18, 21, 25, 29, 35, 39, 44, 56, 57, 62, 63, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 88, 89, 93, 94, 96, 98, 101, 102
Product Update Description
The following issues are resolved: 1) Users are not allowed to change a service code in the 'Edit Service Information' form if the new service code is not assigned to the original service program. 2) Financial Investigation web service will not allow a future date in the 'Financial Investigation Effective Date' field. 3) 'Disclosure Management' form will not display data from a user modeled form on the disclosure document if the modeled form has multiple sections consisting of multiple iteration tables. 4) 'Bed Management' grid will display the social security number for clients when the user is only allowed for initial data entry of social security number. 5) 'Disclosure Management' form may include a requested chart item with a data entry date outside of the authorization date range in the final disclosure packet.
|
Topics
• Edit Service Information
• Financial Investigation
• Web Services
• Modeling
• Disclosure
• Site Specific Section Modeling
• Bed Management
• Client Management
• Maintain Hospital Bed File
|
-
Guarantors/Payaors form-Claim Order section-Multiple iteration table.
A new multiple iteration table section (‘837 – LX Order’) is added to the ‘Guarantors/Payors’-Claim Order section. On filing, this data is saved into an SQL table.
-
Electronic Billing - Registry Setting
The registry setting 'Specify LX Order On A Claim' is added and gives the ability to specify the order in which services should be displayed on an 837 Institutional or Professional.
In addition, the following table its added to the system: SYSTEM.billing_guar_table_order
-
Guarantors/Payors form-Specify LX Order-Electronic Billing 837 Sort
The LX order specified in the Claim Order section of the Guarantors/Payors form is followed in the Electronic Billing 837I and 837P files.
Included Updates
10, 11, 17, 18, 21, 25, 33, 35, 39, 44, 56, 57, 58, 62, 63, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 88, 89, 93, 94, 96, 98, 101, 102, 109
Product Update Description
The registry setting 'Specify LX Order On A Claim' is added and gives the ability to specify the order in which services should be displayed on an 837.
|
Topics
• Guarantor/Payors
• Web Services
• NX
• Registry Settings
• 837 Institutional
• 837 Professional
|
-
All Documents Widget - Risk Level Update
An issue has been resolved where COMMAND errors return for the Risk Level Update form whether the client has data in the form or not. NOTE: After this update the Risk Level Update form may not show Episode data when 'All Episodes' is selected, or permit form entry, until RADplus2023 Update #067 is installed.
-
All Documents Widget - Managed Care Authorizations
Performance of the return for the Managed Care Authorizations form when launched from the "All Documents Widget" is improved.
Included Updates
46, 75
Product Update Description
Two issue with the myAvatarNX All Documents Widget are resolved: The performance of the return for the Managed Care Authorizations form is improved; this only applies to the Managed Care Authorizations form. COMMAND errors return for the Risk Level Update form, whether the client has data in the form or not. NOTE: After this update the Risk Level Update form may not show Episode data when 'All Episodes' is selected, or permit form entry, until RADplus2023 Update #067 is installed.
|
Topics
• Risk Level Update
• NX
• Console Widget
• Managed Care Authorizations
• Widgets
|
|
Included Updates
7, 31, 32, 34, 59, 64, 65, 86, 104, 105
Product Update Description
The "Program Maintenance" option in the 'File Import' form is modified to include the 'Assign Services To Program' and 'Assign Units To Program' sections.
|
Topics
• Program Maintenance
• File Import
• NX
|
-
Guarantor Fee Definition: File Import
The system allows users to add a new guarantor definition or edit the existing one through file import.
-
Payment/Adjustment Overpayments: File import
The system allows the users to post the full payment/adjustment amount even if it is more than the remaining liability by using File import.
-
Service Fee/Cross Reference Maintenance: Allows users to edit service fee
An issue has been resolved where the system did not allow users to edit the existing service fee without throwing an error.
Included Updates
7, 10, 17, 18, 21, 25, 31, 32, 34, 35, 39, 44, 56, 57, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 85, 86, 88, 89, 93, 94, 96, 98, 101, 102, 104, 105, 109, 115
Product Update Description
The following changes have been made: 1) The 'Avatar PM \ System Maintenance \ File Import \ Service Fee/Guarantor Definitions \ Disable Full Table Backups Prior To File Import' registry setting is added to the system that will allow users to optionally disable the backups on 'SYSTEM.billing_tx_master_fee_table' and 'SYSTEM.billing_tx_max_liab_by_guar' tables during file import. Additionally, performance improvements have been made to the Service Fee and Guarantor Definition file import posting process. 2) The 'Avatar PM \ System Maintenance \ File Import \ Post Full Amount When Processing Payment Adjustment Posting File Import File' registry setting is added that will allow posting of full amount specified in the 'Payment Adjustment Posting' import file regardless of the remaining liability. 3) The issue is resolved where editing a fee definition in the 'Service Fee/Cross Reference Maintenance' form might result in the incorrect display of "An existing fee definition must be selected in order to continue" error message.
|
Topics
• Service Fee/Cross Reference Maintenance
• File Import
• Service Fee/Cross Reference and Guarantor Definition Export
• NX
|
-
File Import - Room Definition
'Room Definition' file type is added to the 'File Import' form.
-
File Import - Resource Definition
'Resource Definition' file type is added to the 'File Import' form.
Included Updates
7, 10, 11, 16, 17, 18, 21, 25, 29, 31, 32, 33, 34, 35, 39, 44, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 86, 88, 89, 93, 94, 96, 98, 100, 101, 102, 103, 104, 105, 109, 110, 115, 119, 120
Product Update Description
The options "Resource Definition" and "Room Definition" are added to the 'File Import' Form.
|
Topics
• File Import
|
-
SYSTEM.billing_tx_history - SQL table validation after edit service information
Resolves an issue to ensure that the 'number_of_clients' field in the 'SYSTEM.billing_tx_history' SQL table is calculated correctly when an individual or group service for the client is updated.
Included Updates
7, 10, 11, 17, 18, 21, 25, 31, 32, 33, 34, 35, 39, 44, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 86, 88, 89, 93, 94, 96, 98, 101, 102, 104, 105, 109, 110, 115, 120, 125, 129
Product Update Description
An issue is resolved where the field 'Number Of Clients' can be greater than one for an 'Individual' type of service. This occurs after editing a group service in the 'Edit Service Information' form when the registry setting 'Enable California Billing' is set to "Y".
|
Topics
• Edit Service Information
• NX
• Database Tables
|
-
Registry setting - Enable Program Search
Resolves an issue to ensure that the 'Enable Program Search' registry setting submits successfully with any value, and the 'Program', or 'Program(s)' field are successfully changed from a dictionary field to a dictionary search field in the selected forms.
-
Registry setting - Enable Program Search
Resolves an issue to ensure that the 'Enable Program Search' registry setting submits successfully with any value, and the 'Program', or 'Program(s)' field are successfully changed from a dictionary field to a dictionary search field in the selected forms.
Included Updates
7, 10, 11, 16, 17, 18, 21, 25, 29, 31, 32, 33, 34, 35, 39, 44, 48, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 86, 88, 89, 93, 94, 96, 98, 100, 101, 102, 103, 104, 105, 109, 110, 115, 119, 120, 122, 125, 129, 130
Product Update Description
The following issues are resolved: 1) '[UNDEFINED]MRU+11^GUIMAKEK^CSM(1,INDIRECT,;)' may occur when changing the value of the 'Enable Program Search' registry setting. 2) The 'Enable Program Search' registry setting may not change the program field in the 'Service Fee/Cross Reference Maintenance' form.
|
Topics
• Service Fee/Cross Reference Maintenance
• NX
• Program Maintenance
• Admission
• Admission (Outpatient)
• Print Bill
• Practitioner
• Re-Print Bill
• Guarantor / Program Billing Defaults
|
|
Included Updates
7, 10, 11, 16, 17, 18, 21, 25, 29, 31, 32, 33, 34, 35, 39, 44, 48, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 86, 88, 89, 93, 94, 96, 98, 100, 101, 102, 103, 104, 105, 109, 110, 115, 119, 120, 122, 125, 129, 130, 134, 135
Product Update Description
Internal utilities are updated.
|
Topics
• Guarantor/Payors
• Guarantor
• NX
• Financial Eligibility
• File Import
|
|
Included Updates
None
Product Update Description
An error "GetTRASvcData+5^EB837Utils01 ^H(1,PATID,SERVICEDD)" produced on 'Task Scheduler Status Widget' is resolved.
|
Topics
• System Task Scheduler
• Unbilled Services Report
|
|
Included Updates
None
Product Update Description
An issue is resolved where the 'Claim Follow-Up Productivity Report' may display 'Follow-Up Note' information under the 'User' column.
|
Topics
• Claim Follow-up
• NX
|
-
Electronic Billing - 837 Dental Bill
Resolves an issue to ensure that the 837 Dental process respects the value selected for the 'Use Billing Guarantor to determine Provider Accept Assignment Code (2300-CLM-07)' registry setting and the 2300-CLM-07 segment on the bill displays correct value.
Included Updates
7, 10, 11, 16, 17, 18, 21, 25, 29, 31, 32, 33, 34, 35, 39, 44, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 86, 88, 89, 93, 94, 96, 98, 100, 101, 102, 103, 104, 105, 109, 110, 115, 119, 120, 125, 129, 130, 135
Product Update Description
An issue is resolved where 837 Dental may not respect the 'Use Billing Guarantor to determine Provider Accept Assignment Code (2300-CLM-07)' registry setting.
|
Topics
• 837 Dental
• 837 Institutional
• NX
|
-
Facility Defaults - CarePathways Configuration
Resolves an issue to ensure that the 'CarePathways Configuration' section gets hidden or shown properly based on the value selected in the 'Enable CarePathways Benchmarking and Analytics' registry setting.
Included Updates
None
Product Update Description
An issue in the 'Facility Defaults' form is resolved where the 'CarePathways Configuration' section still displays on the form when disabling the 'Enable CarePathways Benchmarking and Analytics' registry setting.
|
Topics
• Facility Defaults
• NX
|
-
Payment Acknowledgement - Post Payment Accounting Entry
Functionality has been modified to allow users to access the Post Payment Accounting Entry section of the form when the transaction includes a 'Client'.
-
Future Functionality
The system is prepared for future functionality.
-
Payment Acknowledgement -
Functionality has been modified to prevent the entry of negative numbers in the amount field in the 'Payment Acknowledgement' and 'Post Payment Accounting Entry' sections of the form.
-
Payment Acknowledgement - Post Payment Accounting Entry
In the Post Payment Accounting Entry form/grid edit a row, or delete a row and only the selected row is affected.
-
Payment Acknowledgement - Post Front Office and myHP Payments
Functionality has been modified to display the system generated receipt number in the 'Post Front Office and myHP Payments' grid.
-
Payment Acknowledgement - Comments
Functionality has been modified to allow the comment field in the 'Payment Acknowledgement' section to be edited or deleted.
-
835 Health Care Claim Payment/Advice
Functionality has been modified to indicate that an 835 has been partially posted when selecting a file. The file will now contain 'Status: [Posted-Partial]'.
Included Updates
10, 11, 17, 18, 21, 25, 35, 39, 44, 56, 57, 62, 63, 66, 67, 72, 73, 76, 77, 78, 79, 85, 88, 89, 93, 94, 96, 98, 101, 102, 109, 115, 125, 129, 135
Required Updates
Avatar PM 2023 Update 115
Product Update Description
The system is prepared for future functionality. Additionally, the following issues in the 'Payment Acknowledgement' form are resolved: 1) Allowing negative amounts to be entered. 2) Updating the wrong row in the 'Post Payment Accounting Entry' grid when values are entered. 3) When "1" is selected in the 'Prevent Posting Payments Unless Payment has been Acknowledged' the '835 Health Care Claim Payment/Advice' form is modified to not flag a file as "Posted-Partial" unless something is actually posted. 4) The 'Comments' field in 'Payment Acknowledgement' is now enabled upon "Edit". 5) The 'Receipt Number' will now default in the 'Post Front Office and myHP Payments' section. 6) The 'Post Payment Accounting Entry' section is now enabled when a client is selected.
|
Topics
• NX
• Payment Acknowledgement
• Remittance Processing
• 835 Health Care Claim Payment/Advice
|
|
Included Updates
60, 99
Product Update Description
An issue is resolved where 'Client Suffix' and 'Client Prefix' may not correctly file in the client's name.
|
Topics
• Registry Settings
• Admission
• Update Client Data
|
-
Registry Setting - Define Alternate Values for 837P-2300-NTE-02 (HCFA-1500 Form Locator 19)'.
When the registry setting is enabled, the functionality has been modified to no include 'XX' in the '837P-2300-NTE-02' field, or the 'HCFA-1500 Form Locator 19' field when the value of '9999999999' exists in the 'Practitioner Numbers By Guarantor and Program' form.
Included Updates
None
Product Update Description
The functionality that is enabled using the 'Define Alternate Values for 837P-2300-NTE-02 (HCFA-1500 Form Locator 19)' registry setting is modified to not add "XX" if the value found in 'Claim Note Text (837P-2300-NTE-02)' or 'HCFA-1500 Form Locator 19' is "9999999999".
|
Topics
• Print Bill
• 837 Professional
• NX
|
|
Included Updates
7, 10, 11, 17, 18, 21, 25, 31, 32, 34, 35, 39, 44, 56, 57, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 85, 86, 88, 89, 93, 94, 96, 98, 101, 102, 104, 105, 109, 115, 120, 125, 129, 135, 143
Product Update Description
The 'Provider Address' field is removed from the new 'Posting/Adjustment Codes Definition' file import.
|
Topics
• File Import
• Posting/Adjustment Codes Definition
• NX
|
|
Included Updates
9
Required Updates
Product Update Description
The issue is resolved where the 'Quick Billing' form won't run the same quick billing again unless the user exits the form each time.
|
Topics
• Quick Billing
|
-
Demographic forms - Time Zone for Appointment Reminders
A new field is added to various forms, demographics section, for "Time Zone For Appointment Reminders".
Included Updates
7, 10, 11, 16, 17, 18, 21, 25, 29, 31, 32, 33, 34, 35, 39, 44, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 86, 88, 89, 93, 94, 96, 98, 101, 102, 103, 104, 105, 109, 110, 115, 120, 125, 129, 130, 135, 143, 149
Product Update Description
The field 'Time Zone for Appointment Reminders' is added to the 'Update Client Data' form and the 'Client Demographics' section of the 'Admission', 'Discharge', 'Pre-Admit', 'Pre-Admit Discharge', and 'Call Intake' forms. The Web Services associated with these forms are updated.
|
Topics
• Discharge
|
| |
