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.
Value Added: Agencies can define the 837 LX Order buy service code, revenue code, or CPT code.
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
Value Added: Agencies can control the feature of defining the 837 LX Order by setting the value as Y/N to this new registry setting 'Specify LX Order On A Claim'.
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.
Value Added: Agencies can sort the 837 I and P LX orders by service code, revenue code, or CPT code by configuring the order details in the Claim Order section.
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Topics
• Guarantor/Payors
• Web Services
• NX
• Registry Settings
• 837 Institutional
• 837 Professional
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Program maintenance
The system allows the users to add/edit 'Assign Services To Program' and 'Assign Units To Program' sections via 'File Import'.
Value Added: Agencies can modify 'Assign Services To Program' and 'Assign Units To Program' sections via 'File Import'.
Program maintenance
File Import: Program Maintenance - Assigned Services/Unit
Value Added: Users can modify 'Assign Services To Program' and 'Assign Units To Program' sections by using 'File Import'.
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Topics
• Program Maintenance
• File Import
• NX
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* This update also contains items in the Fixed section(s)
Guarantor Fee Definition: File Import
The system allows users to add a new guarantor definition or edit the existing one through file import.
Value Added: Allow users to import guarantor definition file without taking too much time.
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.
Value Added: The system allows users to overpay services.
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Topics
• Service Fee/Cross Reference Maintenance
• File Import
• Service Fee/Cross Reference and Guarantor Definition Export
• NX
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File Import - Room Definition
'Room Definition' file type is added to the 'File Import' form.
Value Added: Allows users to add/edit 'Room definition' by using 'File Import'.
File Import - Resource Definition
'Resource Definition' file type is added to the 'File Import' form.
Value Added: Allows users to add/edit 'Resource definition' by using 'File Import'.
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Topics
• File Import
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File Import - [Support Only] Guarantor Nature
Please contact your Netsmart representative to change the guarantor nature.
Value Added: With assistance from a Netsmart representative the guarantor nature can be changed.
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Topics
• Guarantor/Payors
• Guarantor
• NX
• Financial Eligibility
• File Import
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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'.
Value Added: Allows the users to proceed to the Post Payment Accounting Entry section for every transaction.
Future Functionality
The system is prepared for future functionality.
Value Added: 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.
Value Added: Users cannot enter negative values to the 'Amount' fields.
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.
Value Added: Only selected rows are updated or deleted.
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.
Value Added: The receipt number defaults to the System Receipt # to reduce data entry
Payment Acknowledgement - Comments
Functionality has been modified to allow the comment field in the 'Payment Acknowledgement' section to be edited or deleted.
Value Added: Use can edit or delete the comment.
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]'.
Value Added: The file is updated to alert that user that it has been partially posted.
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Topics
• NX
• Payment Acknowledgement
• Remittance Processing
• 835 Health Care Claim Payment/Advice
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Demographic forms - Time Zone for Appointment Reminders
A new field is added to various forms, demographics section, for "Time Zone For Appointment Reminders".
Value Added: Time Zone For Appointment Reminders added to forms with demographic section.
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Topics
• Discharge
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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.
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Topics
• 837 Professional
• NX
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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.
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Topics
• 837 Institutional
• Quick Billing
• CCBHC
• 837 Professional
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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.
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Topics
• Edit Service Information
• Financial Investigation
• Web Services
• Modeling
• Disclosure
• Site Specific Section Modeling
• Bed Management
• Client Management
• Maintain Hospital Bed File
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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.
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Topics
• Risk Level Update
• NX
• Console Widget
• Managed Care Authorizations
• Widgets
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* This update also contains items in the New section(s)
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.
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Topics
• Service Fee/Cross Reference Maintenance
• NX
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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.
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Topics
• Edit Service Information
• NX
• Database Tables
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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.
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Topics
• Service Fee/Cross Reference Maintenance
• NX
• Program Maintenance
• Admission
• Admission (Outpatient)
• Print Bill
• Practitioner
• Re-Print Bill
• Guarantor / Program Billing Defaults
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Task Scheduler Status Widget
Resolves an issue to ensure that the 'Unbilled Services Compile' completes successfully in the task scheduler status widget.
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Topics
• System Task Scheduler
• Unbilled Services Report
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Claim Follow-Up Productivity Report
Resolves an issue to ensure that the 'Claim Follow-Up Productivity Summary Report' displays correctly.
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Topics
• Claim Follow-up
• NX
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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.
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Topics
• 837 Dental
• 837 Institutional
• NX
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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.
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Topics
• Facility Defaults
• NX
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Client Name - 'Client Prefix' and 'Client Suffix' fields
Ensure the 'Client Prefix' and 'Client Suffix' field values file properly in the client name.
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Topics
• Registry Settings
• Admission
• Update Client Data
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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.
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Topics
• Print Bill
• 837 Professional
• NX
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File Import - Posting/Adjustment Code Definition
The system allows users to add/edit 'Posting/Adjustment Code' via File import.
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Topics
• File Import
• Posting/Adjustment Codes Definition
• NX
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Quick billing
An issue has been resolved where the users received an error message 'No information found' when running the same quick billing without exiting the form.
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Topics
• Quick Billing
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