Roll-Up service definition - Component modifiers
The 'Do Not Include Component Modifiers in Roll-Up Service' registry setting is added.
Value Added: The user will have an option to not include the modifiers from the component services while compiling the Roll-Up definition.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
• Roll-Up Services Definition
• NX
• Registry Settings
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Quick Billing
Quick Billing functionality has been improved to prevent the form from being submitted more than one time if a time out error is received.
Value Added: Improves Quick Billing functionality.
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Topics
• Quick Billing
• NX
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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.
Value Added: Updates Avatar PM 'Enable Submitter Identification Definition' Registry Setting for additional 837 field support
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Topics
• Registry Settings
• Electronic Billing
• NX
• 837 Professional
• 837 Institutional
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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.
Value Added: Increased functionality on the 'Spreadsheet Batch Remittance Posting' form.
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Topics
• Spreadsheet Batch Remittance Posting
• Claim Follow-up
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The 'BedAssignment' web service
The 'WEBSVC.BedAssignment' web service is added with the following methods:
-AddBedAssignment
-DeleteBedAssignment
-EditBedAssigment
-GetDictionaryItems
Value Added: The ability to file 'Bed Assignment' data via web services
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Topics
• Bed Assignment
• Web Services
• Delete Bed Assignment
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File Import - Client Charge Input
A non-billable service imported through 'File Import' client charge input file with the 'Billable (Inhibit Billing)' field set to "N" is inhibited from billing correctly and the 'CLIENT INHIBITED FROM BILLING (SERVICE DATE LESS THAN 1 YEAR)' widget and the 'Inhibited Services For Billing report' is updated to display the client and inhibited service.
Value Added: The 'File Import' process for 'Client Charge Input' file type is updated to update the 'SYSTEM.inhibited.billing' SQL table with the imported non billable services.
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Topics
• File Import
• Inhibit Billing
• Database Tables
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Managed Care Authorizations - Monthly Limitation
The functionality for 'Managed Care Authorizations' has been modified to enforce the monthly limit when scheduling appointments.
Value Added: Managed Care Authorizations limits are respected in Scheduling Calendar.
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Topics
• Managed Care Authorizations
• NX
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Widget - Advanced Billing Rule Failed Compliance
The 'Advanced Billing Rule Failed Compliance' widget displays the ICD-10 diagnosis code in the 'Dx Code' field.
Value Added: The Advanced Billing Rule process has been updated to include ICD-10 code of the diagnosis record in the 'Advanced Billing Failed Compliance' widget and in the 'v_patient_svc_diagnosis_code' field of the table 'billing_tx_failed_compliance' SQL table.
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Topics
• Advanced Billing Rule Definition
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Dictionary Update - Payor
A new extended dictionary called 'CCBHC - Exclude from check for remittance from private insurance' will be added to the financial class dictionary in the Payor file.
Value Added: The extended dictionary will allow agencies to determine by financial class whether to include/exclude the check for remittance from private insurance.
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Topics
• 837 Professional
• CCBHC
• 837 Institutional
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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
• File Import
• Guarantor/Payors
• Guarantor
• NX
• Financial Eligibility
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Disclosure Management - Filter document images
The "Disclosure Management" form is enhanced to filter document image requests/authorizations by episode and date.
Value Added: Disclosure Management enhanced filtering of document images.
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Topics
• Disclosure
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Avatar PM - support for Integrated eSignature functionality
The 'Consent On File For Use of Integrated eSignature' field is added to the following forms:
-Admission
-Admission (Outpatient)
-Update Client Data
-Discharge
-Pre Admit
-Pre Admit Discharge
-Call Intake
Value Added: Support for Integrated eSignature functionality
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Topics
• Admission
• Update Client Data
• Admission (Outpatient)
• Discharge
• Pre Admit
• Pre Admit Discharge
• Call Intake
• Web Services
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Client Charge Input - Incident-to-Practitioner
Client Charge Input functionality has been enhanced to output a warning messaged when a terminated practitioner is selected in the 'Incident-to-Practitioner' field.
Value Added: Client Charge Input warns that the 'Incident-to-Practitioner' is not active if they are terminated on or before the date of service.
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Topics
• Client Charge Input
• Practitioner
• NX
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Client Ledger - Ledger Type = Claim
The Client Ledger Claim report has been modified to adjust the length of fields.
Value Added: The report fields display without truncating.
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Topics
• Client Ledger
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Avatar PM 'Benefit Enrollment and Maintenance (834)' Coverage Date Information
The 'Benefit Enrollment and Maintenance (834)' Coverage Date handling is updated for additional Effective Date and Expiration Date conditions.
Value Added: Updates 'Benefit Enrollment and Maintenance (834)' Coverage Date handling for additional Effective Date and Expiration Date conditions
Avatar PM 'Use 2300-DTP with 303 Qualifier as Effective Date' Registry Setting
The 'Use 2300-DTP with 303 Qualifier as Effective Date' Registry Setting is added to Avatar PM.
Value Added: Adds 'Use 2300-DTP with 303 Qualifier as Effective Date' Registry Setting to Avatar PM
'Default Benefit Effective Date (2300-DTP-03)' Function For 834 Processing
The 'Default Benefit Effective Date (2300-DTP-03)' field is added to the Avatar PM 'Guarantors/Payors' form ('270 / 271 / 834' section).
Value Added: Adds 'Default Benefit Effective Date (2300-DTP-03)' field/function for 834 processing
Avatar PM 'Plan Coverage Description (2300-HD-04)' Registry Setting
The Avatar PM 'Plan Coverage Description (2300-HD-04)' Registry Setting is updated.
Value Added: Adds 'Plan Coverage Description (2300-HD-04)' Registry Setting to Avatar PM and updates SQL tables for 834 information
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Topics
• Benefit Enrollment and Maintenance (834)
• Registry Settings
• NX
• Guarantor/Payors
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File Import - 'Deposit Entry' file type
Verify the deposit entry created by the file import process accepts the 'Date of Receipt or Adjustment Date' that is outside of the episode.
Value Added: The file import process of the deposit entry is updated to work as it does in 'Deposit Entry' form for manual entry.
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Topics
• Deposit Entry
• File Import
• NX
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Document Routing - Replace ‘Date Created’ with ‘Date Signed’ on Document Routing Images.
Document Routing is enhanced to adjust verbiage of Document Routing Images based on the registry setting "Replace 'Date Created' with 'Date Signed' on Document Routing Images".
Value Added: Add ability to change the 'Date Created' label on Document Routing Images.
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Topics
• Disclosure
• NX
• Progress Notes (Group And Individual)
• Treatment Plan
• Modeling
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CareConnect HIE Configuration - 'Progress Notes Available in Carequality' help message
The help message for the 'Progress Notes Available in Carequality' field in the 'CareConnect HIE Configuration' form has been updated to display additional information.
Value Added: Additional information added to the help message for the 'Progress Notes Available in Carequality' field
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Topics
• CareConnect
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Quick Billing - 837 Error Report
Functionality for the Quick Billing - 837 Error Reports has been modified to report only one error for a missing diagnosis in the 837 Professional report, and to update the message in the 837 Institutional report.
Value Added: Improved error reporting for a missing diagnosis record.
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Topics
• Quick Billing
• NX
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Remittance Functionality
Avatar PM is updated for future functionality.
Value Added: The system is updated for future functionality.
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Topics
• NX
• Remittance Processing
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Payment By Posting Date Report
The 'Payment By Posting Date Report' has been updated to require the 'Start Date' and 'End Date' fields only when the 'Report Type' is equal to 'All Users' or 'User ID'.
Value Added: Provides flexibility when the ‘Report Type’ is ‘Receipt Number’, ‘Check Number’, or 'Client'.
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Topics
• Billing
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Database Management - Tables
SYSTEM.billing_tx_master_table Fields for Multiple Add-on Codes
Value Added: Additional information is stored in the table.
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Topics
• Database Management
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Registry Settings - Enable BBH Service Modifiers
The 'Enable BBH Service Modifiers' registry setting is added. This registry setting can enable the 'Adult/Child Eligibility Category' and 'BBH Setup' forms to update modifiers included on 837 Professional and HCFA bills.
Value Added: BBH Service Modifier functionality added
BBH Setup - Update BBH modifiers included on 837 Professional and HCFA bills.
The form 'BBH Setup' form is used to update BBH modifiers included on 837 Professional and HCFA bills.
Value Added: BBH Service Modifier functionality added.
Adult/Child Eligibility Category form - BBH functionality for 837 Professional and HCFA-1500 bills.
The 'Adult/Child Eligibility Category' form is added to update client Eligibility Categories for modifiers included on 837 Professional and HCFA bills.
Value Added: BBH Service Modifier functionality added.
837 Professional/HCFA-1500 Bills - BBH Service Modifiers functionality.
BBH Service Modifiers' functionality added to update modifiers included on 837 Professional and HCFA bills.
Value Added: BBH Service Modifier functionality added.
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Topics
• 837 Professional
• NX
• HCFA-1500
• Progress Notes
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Chart View - Consent For Access
The 'Consent For Access' form is modified to support the chart view.
Value Added: User can see the information submitted through the 'Consent For Access' form in the 'Chart View' form.
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Topics
• Consent for Access
• NX
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Client Search - 'Alternate Lookup By Room' registry setting
The 'Alternate Lookup By Room' registry setting is added. When enabled, the user can search for clients by room number in the 'My Clients' widget and Client Search.
Value Added: The ability to search clients by room number
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Topics
• Client Search
• Registry Settings
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Avatar PM - Support for Mobile CareGiver+
The 'Enable Client Alternate Addresses' registry setting is added. When enabled, a new form 'Client Alternate Addresses' will be added to the user menu. In addition, the 'Place Of Service (Mobile CareGiver+)' extended dictionary element is added to the 'Location' dictionary.
Value Added: Support for Mobile CareGiver+
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Topics
• Registry Settings
• Client Alternate Addresses
• Dictionary
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PM - CPT Codes
CPT Codes have been updated with the current AMA codes.
Value Added: Allows users to select the current AMA codes.
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Topics
• CPT Codes
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Guarantor/Program Billing Defaults - CCBHC Claim Grouping
The CCBHC Claim Grouping help message has been updated.
Value Added: The help message contains additional information.
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Topics
• 837 Professional
• 837 Institutional
• Guarantor / Program Billing Defaults
• NX
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Client Charge Input forms
Avatar PM input charge forms are enhanced by using the newly added CWS registry setting 'Ensure Service Program Matches Assigned Services on Charge Input'.
When enabling this registry setting, it will allow for the service selection logic to check if the service program matches the program specified on the 'Assigned Services' grid in the 'Intervention' section of the 'Treatment Plan' form.
Value Added: Enabling the registry setting ensures that the 'Service Program' matches the Treatment Plan, Intervention. Assigned Program.
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Topics
• Treatment Plan
• Recurring Client Charge Input
• NX
• Client Charge Input
• Client Ledger
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Registry Setting - Avatar PM - Billing - End Date California Billing
The registry setting allows entry of a date after the current date. Services with a 'Date of Service' after the date will not be subject to California billing functionality, if enabled.
Value Added: Provides additional functionality when billing services.
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Topics
• 837 Professional
• 837 Institutional
• NX
• Print Bill
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Payment Acknowledgement - Check/EFT
Functionality has been updated to prevent future dates in the 'Check/EFT Date' field.
Value Added: Improved date validations.
Payment Acknowledgement - Post Payment Accounting Entry
Functionality has been updated to prevent the 'Posting Date' from being before the 'Check Date', Receipt Date' and/or 'Deposit Date'. In addition, the 'Reversal Posting Date' is required when reversing an entry.
Value Added: Improved date validations.
Payment Acknowledgement - Reverse Payment Accounting Entry
Functionality has been updated to prevent a row being reversed more than one time.
Value Added: Improved functionality.
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Topics
• NX
• Payment Acknowledgement
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Accounts Receivable Console - AR Console Configuration
A new field, 'Maximum Number of Claims to Return in Search' is added to the form. The field will accept values between 50 and 999,999,999.
Value Added: The ability to display more or less than 100 claims in the widget is added.
Accounts Receivable Console - AR Console User Defaults Setup
A new field, 'Allow 'Copy Note' from one client to another' field is added to the form. When this new field is set to "Yes" for a given user, they will be able to copy a 'Claim Follow-Up Note' to claims for other clients.
Value Added: Additional functionality for copying notes.
Accounts Receivable Console - AR Console Configuration
The 'Allow 'Claim Follow-Up Record Exists' filter to include system-generated 'AR Console Follow-Up Created' notes in search results' and 'Allow 'Claim Follow-Up Record Exists' filter to include system-generated '835 Remittance' notes in search results' fields are added to the 'AR Console Configuration' form. Setting either to "No" causes system-generated follow-up notes of the respective type to not be recognized as an existing follow-up for the purposes of the 'Claim Follow-Up Record Exists' filter.
Value Added: Additional functionality is added for Claim Follow Up records.
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Topics
• Accounts Receivable Management
• NX
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Client Demographic forms - Preferred Appointment Site
myAvatar NX is enhanced to include a field labeled 'Preferred Appointment Site' on the demographic sections of the following forms - 'Update Client Data', 'Admission', 'Admission (Outpatient)', 'Call Intake', 'Pre Admit', 'Pre Admit Discharge', and 'Discharge'. Additionally, the Web Services associated with the forms are updated. The value of the 'Preferred Appointment Site' field is used to specify a default Site value when scheduling appointments for a client.
Value Added: Preferred Appointment Site enhancement
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Topics
• Admission
• Update Client Data
• Web Services
• Pre Admit
• Call Intake
• Pre Admit Discharge
• Discharge
• Demographics
• Admission (Outpatient)
• NX
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Compile/Edit/Post/Unpost Roll-Up Services Worklist
A new registry setting, 'Use Compile Date as Posting Date for Roll-Up Component Services', is added which allows the user to determine the 'Posting Date' value.
Value Added: Compile/Edit/Post/Unpost Roll-Up Services Worklist has improved functionality for the posting date field.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
• Roll-Up Services Definition
• NX
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'Service Codes' Form - 'Always Allow Overbooking' field
The 'Always Allow Overbooking' field is added to the 'Service Codes' form. The 'Service Code Upload Process' form is updated accordingly.
Value Added: Support for Clinic Hours and Waiting Room functionalities.
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Topics
• Service Codes
• Service Code Upload Process
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Accounts Receivable Console
The 'AR Console Export' form is added to the system.
Value Added: Data from the 'ar_auto_batch' table can be exported in CSV format.
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Topics
• Accounts Receivable Management
• NX
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Remittance Functionality
Avatar PM is updated for future Remittance functionality
Value Added: The system is updated for future functionality.
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Topics
• NX
• Remittance Processing Widget
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File Import - Posting/Adjustment Code Definition
The option Posting/Adjustment Code Definition' is added to the 'File Import' form.
Value Added: The ability to import Posting/Adjustment Code Definitions has been added.
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Topics
• File Import
• Posting/Adjustment Codes Definition
• NX
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File Import - Benefit Plan
The option ‘Benefit Plan’ has been added to the 'File Import' form.
Value Added: The ability to import ‘Benefit Plan’ has been added.
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Topics
• File Import
• NX
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Electronic Billing - Place of Service
A new dictionary value has been added to extended dictionary. '(579) Place Of Service (837 Electronic Billing)' which is accessed through the 'Client - Location Dictionary (10006)' extended dictionary. The new dictionary value is 'Telehealth - Patient in Home'.
Value Added: Users can print the client's home address when the 837 Electronic Billing Place of Service is listed as 'Telehealth - Patient in Home'.
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Topics
• Electronic Billing
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Remittance Functionality
Avatar PM is updated for future Remittance functionality
Value Added: The system is updated for future functionality.
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Topics
• Remittance Processing
• NX
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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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'Task Scheduler Status' widget
The 'Task Scheduler Status' widget is updated to display a tasks last run start/end date and time.
Value Added: The 'Task Scheduler Status' widget is updated to display additional data.
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Topics
• System Task Scheduler
• Widgets
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Medicare Part D Eligibility for RxConnect
A web service is added to retrieve Medicare Part D Eligibility for RxConnect.
Value Added: Improved support of Medicare Part D
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Topics
• Reports/Labels
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Payment Acknowledgement - Pending Posting Summary
The 'Payment Acknowledgement' form is modified to include transactions related to Client Services in the 'Posting Summary' field.
Value Added: Support is added to the 'Enable Payment Acknowledgement' registry setting for the 'Print General Ledger Payment Acknowledgement Interface Detail' form.
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Topics
• GL
• NX
• Payment Acknowledgement
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File Import - Guarantors/Payors
'Guarantors/Payors' file type is added to the 'File Import' form.
Value Added: Allows users to add/edit 'Guarantors/Payors' by using 'File Import'.
File Import - Guarantors/Payors
'Guarantors/Payors' file type is added to the 'File Import' form.
Value Added: Allows users to add/edit 'Guarantors/Payors' by using 'File Import'.
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Topics
• Guarantor/Payors
• File Import
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Avatar NX - Guardiant
Avatar NX is enhanced to support future Guardiant functionality. Please Note: Avatar NX 2023.09.00 is required for full functionality.
Value Added: Support for future functionality
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Topics
• Diagnosis
• Treatment Plan
• Progress Notes
• NX
• myAvatar NX Only
• Progress Notes (Group And Individual)
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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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Admission - Support for ProviderConnect Enterprise
The 'Admission' and 'Admission (OutPatient)' forms are updated to support ProviderConnect Enterprise.
Value Added: Support for ProviderConnect Enterprise
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Topics
• Update Client Data
• ProviderConnect Enterprise
• Admission
• Diagnosis
• Financial Eligibility
• Admission (Outpatient)
• Women's Heath History
• Discharge
• NX
• Web Services
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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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Remittance Processing widget
Avatar PM is updated for future Remittance functionality.
Value Added: The system is updated for future functionality.
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Topics
• Remittance Processing
• NX
• Widgets
• Spreadsheet Batch Remittance Posting
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'ClientDischarge' and 'ClientPreAdmitDischarge' web services
The 'ClientDischarge' and 'ClientPreAdmitDischarge' web services are updated for future functionality.
Value Added: Support for future functionality
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Topics
• Discharge
• Web Services
• Pre Admit Discharge
• CareFabric
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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.
Value Added: A new field is added to control display of the SV3-06 Quantity in the 837-Dental bill.
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Topics
• 837 Dental
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Remittance Processing widget - future functionality
Provides future functionality for Remittance Processing Widget
Value Added: future functionality
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Topics
• Remittance Processing
• NX
• Registry Settings
• Widgets
• Payment Acknowledgement
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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.
Value Added: The Client Merge process is updated.
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Topics
• Client Merge
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Service Codes - Use Site or Service Based Appointment Color Coding
The 'Service Codes' form will be enhanced in future functionality to support capturing color-coding data to use as shading on the appointment card for client-based, group, and staff-only appointments. Each type of appointment will be designated via a separate text field.
Value Added: Color coding added to scheduling calendar.
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Topics
• Service Codes
• Site Registration
• Service Code Upload Process
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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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File Import - Client Charge Input
Functionality for File Import - Client Charge Input has been modified to allow multiple Add-On service codes.
Value Added: Users can add multiple add-on service codes the Client Charge Input - File Import.
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Topics
• 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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File Import - Service Codes
The option "Service Codes" is added to the 'File Import' form.
Value Added: The option "Service Codes" is added to the 'File Import' form.
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Topics
• Service Codes
• File Import
• NX
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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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Future Functionality
The system is updated for future functionality.
Value Added: Future Functionality
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Topics
• 835 Health Care Claim Payment/Advice
• NX
• Payment Acknowledgement
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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.
Value Added: Appointment Color Coding can be utilized to differentiate sites or services provided
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Topics
• Registry Settings
• Service Codes
• Site Registration
• NX
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Client Alternate Addresses - 'Address Type' field
The 'Address Type' field is added to the 'Client Alternate Addresses' form. The 'SYSTEM.client_alternate_addresses' SQL table is updated accordingly.
Value Added: Support for Mobile CareGiver+
Client Demographic forms - 'Address Type' field
The 'Address Type' field is added to the demographic sections of the following forms:
* 'Admission'
* 'Admission (Outpatient)'
* 'Update Client Data'
* 'Discharge'
* 'Call Intake'
* 'Pre Admit'
* 'Pre Admit Discharge'
The web services associated with the forms are updated accordingly.
Value Added: Support for Mobile CareGiver+
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Topics
• Registry Settings
• Client Alternate Addresses
• Update Client Data
• Discharge
• Pre Admit
• Call Intake
• Pre Admit Discharge
• Web Services
• Admission
• Admission (Outpatient)
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Modifiers By Practitioner Category
The 'Modifiers By Practitioner Category' form has been enhanced by adding the following features: Fields ‘Start Date’ and ‘End Date’, new event logic for the ‘Duplicate Services Modifier’ field, and File Import capability for the ‘Modifiers By Practitioner Category’ form.
Value Added: Modifiers By Practitioner Category form and it's related features are enhanced.
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Topics
• NX
• Modifiers by Practitioner
• File Import
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Pro-Rate Fees
The 'Service Fee/Cross Reference Maintenance' form is modified to enable the Pro-Rate fields when 'Service' is selected in the 'Fee Type' field. In addition, billable leaves with a 'Room And Board Billing Code Override' are not included in the number of valid days for non-leave days.
Value Added: Allows additional functionality for pro-rated fees.
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Topics
• Pro Rated Fee
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* This update also contains items in the Fixed section(s)
Payment Acknowledgement
The system generates an error message when a user attempts to enter a future date or the date in a closed accounting period in the 'deposit date' field.
Value Added: The 'Deposit Date' field is modified to prevent entry of dates in a closed accounting period, or a future date.
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Topics
• NX
• Payment Acknowledgement
• Deposit Entry
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Guarantors/Payors - 835 section.
The 'Allow Adjustment Reversals' field is renamed to 'Allow Adjustment Reversals For 835 Posting'. The field 'Allow Adjustment Reversals For Spreadsheet Batch Remittance Posting' is added to the section.
Value Added: The two distinct fields allow clarity for 835 Posting and Spreadsheet Batch Remittance Posting.
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Topics
• 835 Health Care Claim Payment/Advice
• Spreadsheet Batch Remittance Posting
• Guarantor/Payors
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Future Functionality
Avatar PM is enhanced for future functionality.
Value Added: Future Functionality
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Topics
• Real Time Inquiry (270) Request
• RevConnect
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Program Transfer - Inpatient and outpatient episode
Verify the client transfers to different program from the admission program using 'Program Transfer' or 'Program Transfer (Outpatient)' form successfully.
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Topics
• Program Transfer
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The 'Disable Demographics Section On Discharge Form' registry setting
Ensure the 'Disable Demographics Section On Discharge Form' registry setting does not disable the 'Demographics' section on the 'Admission' form when enabled.
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Topics
• Registry Settings
• Admission
• Discharge
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Web services - WEBSVC.AppointmentScheduling V2
Resolves an issue to ensure that new appointments are successfully added through WEBSVC.AppointmentScheduling V2 web service.
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Topics
• Web Services
• Problem List
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Avatar PM 'Summary Trial Balance Report'
An issue is resolved to ensure that all Revenue Group (RRG) values are included in .CSV (comma-separated value) export format Avatar PM 'Summary Trial Balance Report' Revenue Group and Grand Total information/results.
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Topics
• Summary Trial Balance Report
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'Client Admission' web service
Ensure the ability to file admissions via the 'Client Admission' web service.
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Topics
• Admission
• Web Services
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SQL table - RADplus_IMO_Results table
Resolves an issue to ensure that the records are restored where SNOMED codes may be missing from the SYSTEM.RadPlusIMOResults table.
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Topics
• Problem List
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Claim Follow-Up
An issue has been resolved to ensure that the 'Data Entry By' field on the 'Claim Follow-Up' populates correctly.
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Topics
• Claim Follow-up
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HCFA 1500
An error has been to ensure that the second line of the address does not show 'None' when it should show the value from the 'Guarantor/Program Billing Defaults' template.
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Topics
• Print Bill
• NX
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Progress Notes (Group and Individual)
A modification has been made to Progress Notes (Group and Individual) to ensure that the following error is not received upon submission of notes: '[SUBSCRIPT]AuthResult+36^HRADAuthCheck^PAYAUTH'.
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Topics
• Payor Based Authorizations
• NX
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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.
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Topics
• Database Tables
• NX
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Site Specific Section Modeling - Add-On Service fields
An issue has been resolved that may prevent 'Multiple Add-On Service' fields from being enabled on the "Site Specific Section Modeling" form when the 'Enable Multiple Add-On Code Per Primary Code Functionality' registry setting is set to 'Y'.
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Topics
• Site Specific Section Modeling
• Progress Notes
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Client Search - Search on subscriber policy # or Medicaid #
An issue has been resolved where a client may be listed with an incorrect subscriber policy number or Medicaid number.
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Topics
• Admission
• Financial Eligibility
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'Account Receivable Console' widget - 'Claim Follow-Up Entry' section
Resolves an issue to ensure the 'Copy Note' button is not disabled upon selecting a checkbox in the 'Follow-Up Notes' grid on 'Claim Follow-Up Entry' tab of 'Account Receivable Console' widget.
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Topics
• Accounts Receivable Management
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Dictionary Update - Print dictionary
An issue is resolved in the "Dictionary Update" form when printing "All Data Elements" and the following hard error can occur: 10156: com.ntst.radplus.common.RADPlusException: [UNDEFINED]PFIELD2^GUIRCO1^RCO(1,XXXXX,"B32AEEF9-1AF0-44C7-8FA9-9528E3826008","HIE").
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Topics
• Dictionary
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Program Transfer & Program Transfer (Outpatient)
An issue has been resolved to ensure that the transfer completes in the Program Transfer & Program Transfer (Outpatient) forms.
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Topics
• Edit Service Information
• Program Transfer
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SQL Table - SYSTEM.inhibit_billing
Resolves an issue to ensure that the SYSTEM.inhibit_billing sql table is updated with the updated client id when 'Change MR#' processed for the client.
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Topics
• Inhibit Billing
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Scheduling Calendar - Group Appointment
Scheduling Calendar has been updated to successfully complete the check in process for a group member.
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Topics
• Appointment Management
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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.
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Topics
• Registry Settings
• Financial Eligibility
• NX
• Default Guarantor Assignment
• Web Services
• Cross Episode Financial Eligibility
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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.
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Topics
• Admission
• Registry Settings
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Web Services - PostingAdjustmentCodes
Resolves an issue to ensure that the Posting/Adjustment web service can update the code definition of the posting code successfully.
Registry Settings - Enable Alternative Service Location Fields - Electronic billing validation
Resolves an issue to ensure that the electronic bill compiles successfully when one of the service has an incomplete information for alternate service facility location and it is outside of the service rage compiled.
Guarantors/Payors - Database Management
The 'SYSTEM.billing_guar_table_835' table has been modified to retain data from the 'Allow Extended Matching Criteria in 835 Remittance Posting' field in the '835' section of the 'Guarantors/Payors' form.
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Topics
• Web Services
• 837 Professional
• 837 Institutional
• NX
• 835
• Guarantor/Payors
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99999 Services Report
The functionality for the '99999 Services Report' has been updated to default the 'Run Report By' field to 'All Services' and enable the 'Export' button when entering the form.
The 'Service From Date' and the 'Service To Date' prompts are enabled and required when the 'Run Report By' field is changed to 'Service Dates'.
The 'Month/Year of Accounting Period Close' prompt is enabled and required when the 'Run Report By' field is changed to 'Accounting Period'.
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Topics
• Financial Eligibility
• Database Management
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Web Service - WEBSVC.AppointmentScheduling.CLS
The 'FileClientChargeInputICD10' method of the client charge input web service and the 'AddAppointment' method of the 'Appointment Scheduling' web service files successfully.
Edit Service Information - Editing service for the client
Resolves an issue to ensure that client's service can be updated successfully in the 'Edit Service Information' form.
File Import - Roll-Up Services Definition
Resolves an issue to ensure that the 'Roll-Up Services Definition' file import process will successfully compile the file import file that contains any record where the 'Practitioner Category' field has multiple values.
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Topics
• Add New Appointment
• Web Services
• Edit Service Information
• NX
• File Import
• Roll-Up Services Definition
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File Import - Deposit Entry
An issue is resolved in File Import - Deposit Entry to ensure printing a compiled report completes successfully.
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Topics
• Deposit Entry
• File Import
• Roll-Up Services Definition
• NX
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837 Institutional
The '837 Institutional' has been modified for the following:
The ‘DTP434’ segment will include the admission date and the discharge date when the client is discharged one day after the last date of service.
The 'CL1-03' field will contain the extended dictionary value for 'Patient Status Over-Ride (2300-CL1-03)' for the discharge type of the discharged client.
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Topics
• 837 Institutional
• NX
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Diagnosis
The 'Diagnosis' form has been updated to respect the "Default 'Add To Problem List' to "Yes" and "Enable Multiple Diagnosis Search" registry settings.
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Topics
• Diagnosis
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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.
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Topics
• Women's Heath History
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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.
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Topics
• Disclosure
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Eligibility Response Report - Run report
Resolves an issue to ensure that the eligibility response report runs successfully.
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Topics
• Database Management
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Quick Actions - Update Client Data
Resolves an issue to ensure that the 'Quick Actions' widget updated correctly with the data updated through the 'Update Client Data' form.
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Topics
• Update Client Data
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Compile/Edit/Post/Unpost Roll-Up Services Worklist
Functionality has been improved in Compile/Edit/Post/Unpost Roll-Up Services Worklist to ensure that the form opens and submits successfully.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
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Form Bundler - CWS
An issue has been resolved to successfully process a CWS form bundle that contains the 'Diagnosis' form.
CCBHC PPS Compile Report
An issue has been resolved to ensure that only data for the selected client is output to the report.
Client Account Service Report
An issue has been resolved to ensure no error is received when launching the 'Client Account Services Report'.
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Topics
• Diagnosis
• Chart View
• CCBHC
• Billing
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Quick Billing / Electronic Billing - File Names
Functionality has been modified to ensure that file names are consistent when using the Electronic Billing form to select a file that was created from the Quick Billing form.
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Topics
• Electronic Billing
• Quick Billing
• NX
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'Client Ledger' report
Ensure fields do not overlap in the 'Client Ledger' report in an Avatar NX environment.
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Topics
• NX
• Client Ledger
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Process Internal Referrals: Internal Referral Information
Resolves an issue to ensure that the 'Internal Referral Information' field of the 'Process Internal Referrals' form displays the dictionary code/values of the referrals which are ready to be processed.
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Topics
• Internal Client Referrals
• Internal Referral Type Maintenance
• NX
• Process Internal Referrals
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Daylight Savings - Timestamps
Ensure timestamps are generated with the correct time zone offset when the date and time cross the daylight savings time boundary.
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Topics
• Admission
• Discharge
• Diagnosis
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Demographics - Client Declined To Provide Information On The Following
The functionality for the field 'Client Declined To Provide Information On The Following' has been updated to disable the corresponding fields when an option is selected.
Selecting 'Ethnic Origin' disables the 'Ethnic Origin' field.
Selecting 'Race' disables the 'Client Race' field.
Selecting 'Language' disables the 'Primary Language' field.
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Topics
• Pre Admit
• Admission
• Update Client Data
• NX
• Admission (Outpatient)
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837 Professional - Payer Identifier segment (2010BB-NM1-09)
Support is added for the Payer Identifier segment (2010BB-NM1-09) on the 837 Professional
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Topics
• 837 Professional
• NX
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Update Client Data - Change client name
Resolves an issue to ensure that the client search displays the updated name correctly when the name is updated through 'Update Client Data' form.
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Topics
• Update Client Data
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'External Documents' widget - Search process
The search process is modified to support searching networks granted in the 'Consent for Access' form when the 'Opt In' consent model is used and 'Carequality' is not enabled. The search process is also modified to support searching organizations granted in the 'Consent for Access' form when 'Carequality' is enabled.
'External Documents' widget - 'Organization' column
The 'Organization' column is modified to support long organization names in the 'External Documents' widget.
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Topics
• Consent for Access
• External Document Widget
• Dictionary
• Query/Reporting
• Form and Table Documentation
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837 Professional - SV1 segment
An issue has been resolved to ensure that modifiers are not included in the SV1 segment for services that have been transferred from one guarantor to another guarantor.
837 Professional - CLM segment
An issue has been resolved to ensure that primary and add-on or interactive complexity services are included in the same claim.
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Topics
• 837 Professional
• NX
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File Import - [Support Only] Guarantor Nature
Please contact your Netsmart representative to change the guarantor nature.
File Import - Service Authorization - Member
Resolves an issue to ensure that the file import process completes successfully for the MSO service authorization for a member.
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Topics
• Guarantor/Payors
• File Import
• NX
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CPT Code Definition - Report
The CPT Code Definition report has been updated to prevent the data in the report from overlapping into other fields.
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Topics
• CPT Codes
• NX
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Diagnosis - 'Default 'Add To Problem List' to "Yes" on New Diagnosis' registry setting
Ensure the 'Add To Problem List' field is only saved as "Yes" for active diagnosis records entered when the registry setting 'Default 'Add To Problem List' to "Yes" on New Diagnosis' is enabled.
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Topics
• Diagnosis
• NX
• Registry Settings
• Problem List
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Financial Eligibility options - customize plan.
Functionality has been updated in ‘Financial Eligibility’, ‘Cross Episode Financial Eligibility’, and ‘Family Financial Eligibility’ to ensure all data defaults to a new plan when [Select Plan Level To Default] has been used to select a previous plan.
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Topics
• Financial Eligibility
• Cross Episode Financial Eligibility
• NX
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Client Name display
Ensure the Client Name displays properly in Avatar when the 'Client Demographics - Additional Fields' registry setting does not include "Detailed Client Name".
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Topics
• Registry Settings
• Admission
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‘Inhibit Billing By Service’ and ‘File Import'
Functionality for ‘Inhibit Billing By Service’ and ‘File Import – Client Charge Input’ has been updated to ensure that an error does not occur when processing the forms.
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Topics
• Inhibit Billing
• File Import
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837 Billing
An issue has been resolved to ensure the claims balances that are transferred from a non-PPS guarantor to a PPS guarantor can be billed successfully.
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Topics
• 837 Institutional
• NX
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File Import - Electronic Re-Billing Service Assignment
Functionality for 'File Import - Electronic Re-Billing Service Assignment' is updated to ensure that no error is received regarding a missing 'Original Claim Reference Number' when it is not allowed in the file. It is not allowed when the file is a 'Delete' file.
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Topics
• File Import
• Re-Bill
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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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Roll-up Services Definition
Functionality for the 'Roll-up Services Definition' has been updated to ensure that the 'Display Roll-Up Definition Report' report button does not become disabled.
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Topics
• Roll-Up Services Definition
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Client Ledger - Post Contractual Adjustments
Resolves an issue to ensure that the batch contractual adjustments are applied correctly after the claim is created while running quick billing task through system task scheduler.
Functional Or Implementation Acknowledgement (997/999) - Compiling the 999 file created from the 270 file
Resolves an issue to ensure that the 999 files created from 270 files compile successfully when the registry setting 'Maintain Unique Functional Group Control Numbers by Root System Code' is set to Y.
Eligibility Inquiry 270 Request - Delete inquiry
Resolves an issue to ensure that the eligibility inquiry deleted successfully.
Service/Fee Cross Reference - CPT-4 / HCPCS Modifier If Not First Instance For Service Date
Resolves an issue to ensure that the 837 professional bill does not include the modifier from the 'CPT-4 / HCPCS Modifier If Not First Instance For Service Date' field for the first instance of the service If the service is transferred to the secondary guarantor and then transferred back to the original guarantor.
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Topics
• Quick Billing
• System Task Scheduler
• NX
• Contractual Allowance (Outpatient)
• Contractual Allowance (Inpatient)
• Functional or Implementation Acknowledgement (997/999)
• Eligibility Inquiry (270) Request
• 837 Professional
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837 Billing - K3 segment
The functionality of the K3 segments of 837 bills has been updated to output date in the following order: 'Ethnicity' code, 'Race' code, Social Security number (when the relationship to insured is not self).
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Topics
• 837 Institutional
• 837 Professional
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Change Program/Admission Date
An issue has been resolved to correct the messaging in the dialog. The form can successfully be processed and closed.
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Topics
• Change Program/Admission Date
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'Allow Spaces in Client Name' registry setting
Ensure client names are updated properly when the 'Allow Spaces in Client Name' registry setting is enabled.
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Topics
• Registry Settings
• Update Client Data
• Admission
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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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Consent for Access - External Network
An issue has been resolved in 'Consent for Access' form, were the 'Network' field no longer shows the HIE name.
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Topics
• Consent for Access
• Dictionary
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Lab orders - Placing multiple orders
Resolves an issue to ensure that the orders are created successfully when the 'Financially Responsible Party for Lab Orders' option is selected in the 'Program Maintenance' form for the admission program associated with the order and there are multiple orders present on the scratchpad.
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Topics
• Order Entry Console
• NX
• 837 Professional
• 837 Institutional
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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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Avatar NX - 'Update Client Data' Quick Action
Ensure the 'Update Client Data' Quick Action in Avatar NX correctly validates the format of phone numbers.
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Topics
• Update Client Data
• NX
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SQL Table Validation - SYSTEM.view_episode_summary_admit table
Resolves an issue to ensure that the 'c_date_of_birth' column of the SYSTEM.view_episode_summary_admit table displays NULL value when the date of Birth field is blank for the client's admission.
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Topics
• Admission
• Admission (Outpatient)
• Database Tables
• NX
• Pre Admit
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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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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.
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Topics
• 835 Health Care Claim Payment/Advice
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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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System Task Scheduler - Tasks
Ensure the 'System Task Scheduler' runs tasks as expected in child applications.
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Topics
• System Task Scheduler
• Widgets
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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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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"
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Topics
• 835 Health Care Claim Payment/Advice
• CCBHC
• 837 Professional
• Guarantor/Payors
• Liability Update
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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.
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Topics
• Referral
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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".
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Topics
• 837 Professional
• 837 Institutional
• NX
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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
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Topics
• Billing
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File Import - Benefit Plan
The issue with the print file for the Benefit plan in the file import has been resolved.
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Topics
• File Import
• NX
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Admission, Admission (Outpatient), Pre Admit, and Call Intake
The issue in Avatar NX where the client last name could retain trailing spaces entered on the client search on the 'Admission', 'Admission (Outpatient)', 'Pre Admit', and 'Call Intake' forms is resolved.
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Topics
• Admission (Outpatient)
• Admission
• Pre Admit
• NX
• Call Intake
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Avatar MSO to Parent System Service Filing, Void/Replacement Claims
An issue is resolved to ensure that Primary and Add-On services in Avatar PM are deleted with a Charge Payment/Reversal adjustment included if the deletion originated via Avatar MSO 'Replacement' and/or 'Void' claim processing.
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Topics
• Delete Service
• 837 Professional
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* This update also contains items in the New section(s)
Future Functionality
Future Functionality
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Topics
• Remittance Processing
• NX
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