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Avatar PM 2023 Monthly Release 2023.03.02 Details

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Product Requirements and Recommendations

Avatar PM required
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  • File Import - Guarantors/Payors
    'Guarantors/Payors' file type is added to the 'File Import' form.
    Note: Only the 'Guarantors/Payors' and 'Contractual Guarantor Information' sections of the form are supported in 'File Import' at this time.
  • File Import - Guarantors/Payors
    'Guarantors/Payors' file type is added to the 'File Import' form.
    Note: Only the 'Guarantors/Payors' and 'Contractual Guarantor Information' sections of the form are supported in 'File Import' at this time.
Included Updates
7, 31, 32, 34, 59, 64, 65, 86, 104, 105
Product Update Description
The option "Guarantors/Payors" is added to the 'File Import' form.
Topics
• Guarantor/Payors • File Import
  • Admission - Support for ProviderConnect Enterprise
    The 'Admission' and 'Admission (OutPatient)' forms are updated to support ProviderConnect Enterprise.
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, 116, 119, 120
Product Update Description
Avatar PM 'Admission' and 'Admission (OutPatient)' are updated to support ProviderConnect Enterprise.
Topics
• Update Client Data • ProviderConnect Enterprise • Admission • Diagnosis • Financial Eligibility • Admission (Outpatient) • Women's Heath History • Discharge • NX
  • GuarantorsPayaors Billing defaults-837 Dental-Show SV306 Quantity in the bill
    A new field 'Report Billing Units as Procedure Count (2400-SV3-06)' is added to control the ability to show the SV3-06 Quantity in the 837-Dental bill. New table columns are added to the File Import table for the Guarantor template.
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, 116, 119, 120, 122, 125
Product Update Description
A new field 'Report Billing Units as Procedure Count (2400-SV3-06)' is added to the 'Guarantor/Program Billing Defaults' form (837 Dental section) that will allow users to report billing units as Procedure Count (2400-SV3-06) for services when billing units are greater than one.
Topics
• 837 Dental
  • 835 Health Care Claim Payment/Advice – Enable Extended Matching Criteria Functionality
    Resolves an issue to ensure that the system is correctly respecting the Extended Matching Criteria setup for 835 remittance file compile through '835 Health Care Claim Payment/Advice' form.
Included Updates
None
Product Update Description
An issue in form '835 Health Care Claim Payment/Advice' is resolved where option 'Load File' produces error "Claim does not exist in Avatar".
Topics
• 835 Health Care Claim Payment/Advice
  • Client Merge
    The Client Merge process is updated to display a warning message when performing an episodic merge for a source client who has services originating from MSO.
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, 116, 119, 120, 121, 122, 125, 128, 129, 130
Product Update Description
The Client Merge process is updated to display a warning message when performing an episodic merge for a source client who has services originating from MSO.
Topics
• Client Merge
  • File Import - Client Charge Input
    Functionality for File Import - Client Charge Input has been modified to allow multiple Add-On service codes.
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, 116, 119, 120, 122, 125, 128, 129, 130, 134, 135, 136, 139
Product Update Description
The file import process for 'Client Charge Input' is updated to support multiple add-on codes.
Topics
• File Import
  • 835 Health Care Claim Payment/Advice - Work Compile
    Functionality has been modified to add data is 'Billed Code' from the 'SVC01' field in the 835 file.
  • 835 Health Care Claim Payment/Advice
    Functionality had been modified to correctly apply adjustments in the 835 file, for a CCBHC guarantor, when a CCBHC enumerated service was transferred from a non-CCBHC guarantor to a CCBHC guarantor.
  • Registry Setting - Enable Service Unit Splits
    Functionally has been modified to ensure that partial units distribute to the correct guarantor.
  • Guarantors/Payors - Contractual Guarantor Information
    Resolves an issue where contractual adjustments, via liability distribution, are not applied to applicable services if the service was initially rendered in an accounting period that was subsequently closed and the service was opened later.
  • 835 Health Care Claim Payment/Advice
    Functionality has been modified to apply overpayment adjustments in the 835 file, when the 'Distribute Claim/Service Level Adjustments (2100/2110-CAS) Across All Services' registry setting is set to "YP"
Included Updates
None
Product Update Description
The following issues are resolved: 1) The 'Billed Code' column is not populated with an appropriate value on the 835 work screen launched from the '835 Health Care Claim Payment/Advice' form. 2) Adjustments are not properly applied to CCBHC enumerated services that were initially distributed to a non-CCBHC guarantor when posting an 835 remittance file. 3) Partial units are not distributed correctly to applicable plan/guarantor when the 'Enable Service Unit Splits' registry setting is enabled. 4) Contractual adjustments via liability distribution are not applied to applicable services if the service was initially rendered in an accounting period that was subsequently closed and the service was opened later. 5) Overage adjustments are not properly applied when posting an 835 remittance file if the 'Distribute Claim/Service Level Adjustments (2100/2110-CAS) Across All Services' setting is set to "YP".
Topics
• 835 Health Care Claim Payment/Advice • CCBHC • 837 Professional • Guarantor/Payors • Liability Update
  • Process Internal Referrals Form: Processing Internal Referral
    Resolves an issue to ensure that the internal referral is processed successfully.
  • Process Internal Referrals: Internal Referral Information
    Resolves an issue to ensure that the aliased and non-aliased fields display value description and code in the 'Internal Referral Information' field of the 'Process Internal Referrals' form.
Included Updates
54
Product Update Description
The hard error "[UNDEFINED] ViewReferral+? ^ReferralProcessingForm" that may occur in the 'Process Internal Referral' for is resolved.
Topics
• Referral
  • Future Functionality
    The system is updated for future functionality.
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, 116, 119, 120, 122, 125, 128, 129, 130, 134, 135, 136, 139, 143, 149, 154
Product Update Description
The system is prepared for future functionality. In addition, the following issues are resolved: 1) Multiple missing fields are added to 'SYSTEM.billing_posting_codes'. 2) The 'Name on Card' field, which is added using the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting, is now required if the selected 'Posting Code' is designated as a "Credit Card Posting Code" in 'Deposit Entry'. 3) 'Payment Acknowledgement' (Post Front Office and myHP Payments) is modified so that the 'Name on Card' is no longer required. 4) The Payment Acknowledgement functionality in the '835 Health Care Claim Payment/Advice' form, which is added using the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting, is modified to not use match on 'Check/EFT Date' when finding a Payment Acknowledgement for the 'Check/EFT Number'.
Topics
• 835 Health Care Claim Payment/Advice • NX • Payment Acknowledgement
  • Electronic Billing
    Functionality has been modified to ensure that the error below is not received when processing 837 bills in a PM system that does not have MSO installed: "UNDEFINED]GetMsoEobDate+9^EB837Utils02".
Included Updates
None
Product Update Description
The issue is resolved where the error "[UNDEFINED]GetMsoEobDate+9^EB837Utils02" is produced when compiling an 837 file via the 'Electronic Billing' form.
Topics
• 837 Professional • 837 Institutional • NX
  • Registry Setting - Use Site or Service Based Appointment Color Coding
    A new feature has been added to enable color coding by either the site the appointment is provided at or the service to be provided by the appointment.
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, 116, 119, 120, 122, 125, 128, 129, 130, 134, 135, 136, 139, 143, 149, 154
Required Updates
Avatar PM 2023 Update 135
Product Update Description
Avatar PM is prepared for future functionality.
Topics
• Registry Settings • Service Codes • Site Registration • NX
  • Compile Residential/Inpatient Charges
    The functionality for 'Compile Residential/Inpatient Charges' has been modified to endure that room and board charges are not created on or after the discharge date when the service code ‘Type Of Fee’ is ‘Fixed Fee (Per Event)’, and the registry setting ‘Enable Hourly Billing’ is enabled
    If the service code ‘Type Of Fee’ is 'Use Defined' a charge will be created for the date of discharge.
Included Updates
None
Product Update Description
The following issues with 'Compile Residential/Inpatient Charges' that occur when the 'Enable Hourly Billing' registry setting is enabled are resolved: 1) Charges being generated after the discharge date. 2) A charge being generated for the discharge date for room and board services that are fixed fee.
Topics
• Billing
  • File Import - Benefit Plan
    The issue with the print file for the Benefit plan in the file import has been resolved.
Included Updates
None
Product Update Description
The "[SUBSCRIPT]Report+52^HRADFileImportTempReport" error which could occur when 'Print File' was selected in the 'File Import' form is resolved.
Topics
• File Import • NX
 

Avatar_PM_2023_Monthly_Release_2023.03.02_Details.csv