Skip to main content

Avatar PM 2023 Update 106

  1. Last updated
  2. Save as PDF

Product Requirements and Recommendations

Avatar PM required
RADplus required

Recommended Update Level

Avatar PM 2023 Monthly Release 2023.03.02
RADplus 2023 Monthly Release 2023.03.02

Product Update Description

A new code, '10 - Telehealth - Patient in Home', is added to the dictionary 'Place Of Service' . This dictionary value will overwrite any existing value for code 10, and will allow electronic billing of services for 'Telehealth Services' clients.

Required Updates

None

Included Updates

10, 16, 17, 18, 21, 25, 29, 35, 39, 44, 56, 57, 62, 63, 66, 67, 72, 73, 76, 77, 78, 79, 82, 85, 88, 89, 93, 94, 96, 98, 101, 102, 103

Details
NEW1 CHANGED0 FIXED0
New (1)
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'.
Topics
• Electronic Billing
 
Acceptance Tests
AV-85853 Summary | Details
Electronic Billing - Place of Service
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Admission (Outpatient)
  • Client Charge Input
  • Client Ledger
  • Create Interim Billing Batch File
  • Dictionary Update (PM)
  • Electronic Billing
  • Financial Eligibility
  • Program Maintenance
  • Registry Settings (PM)
Scenario 1: Place of Service - Telehealth - Patient in Home
Specific Setup:
  • Registry Settings:
  • Avatar PM->Billing->Client Charge Input->->->Enable Alternative Service Location Fields = Y.
  • Avatar PM->Billing->Electronic Billing->837 Professional->->Service Facility Location 2310D/2420C = Y.
  • Dictionary Update:
  • Client Location (10006) dictionary:
  • The location that will be used for a telehealth service in the client's home = 'Telehealth - Patient in Home' in extended dictionary '(579) Place Of Service (837 Electronic Billing)'.
  • The location that will be used for a non-telehealth service in the client's home = 'Home' in extended dictionary '(579) Place Of Service (837 Electronic Billing)'.
  • The location that will be used for a service not provided in the client's home = a value other than 'Home', such as 'Office'.
  • Guarantor/Program Billing Defaults: 837 Professional and/or 837 Institutional:
  • The 'Select Type Of Information To Include In Service Facility Location (2310D/2420C)' field has the following values checked:
  • Client's Information (Name/Address) Only If Place Of Service Is '12-Home' or '10-Telehealth-Patient in Home' for 2310C/2310D.
  • Client's Information (Name/Address) Only If Place Of Service Is '12-Home' or '10-Telehealth-Patient in Home' for 2420C.
  • Client:
  • Note the 'Program Maintenance' program address information.
  • Note the client's home address.
  • The client has three closed, unclaimed services, one for each of three locations setup above in 'Dictionary Update'. Note the service dates and validate the guarantor that the liability distributed to.
Steps
  1. Open 'Electronic Billing'.
  2. Create an unclaimed bill for the three services.
  3. Use the 'Dump File' to review the location information in the CLM and SV loops, for the 'NM1*77' segments:
  4. The address information for the telehealth appointment in the client home is the client's home address.
  5. The address information for the non-telehealth appointment in the client home is the client's home address.
  6. The address information for the service not provided in the client home is the program address from 'Program Maintenance'.
  7. Close the report.
  8. Close the form.
  9. Open 'Edit Service Information':
  10. Select the client and date of service for the telehealth service in the client home. Update all 'Facility Location' fields.
  11. Submit the form and remain in the form.
  12. Select the client and date of service for the non-telehealth service in the client home. Update all 'Facility Location' fields.
  13. Submit the form and remain in the form.
  14. Select the client and date of service for the service not in the client home. Update all 'Facility Location' fields.
  15. Submit the form.
  16. Close the form.
  17. Open 'Electronic Billing'.
  18. Create an unclaimed bill for the three services.
  19. Use the 'Dump File' to review the location information in the CLM and SV loops, for the 'NM1*77' segments:
  20. The address information for the telehealth appointment in the client home is the information entered in the 'Facility Location' fields in 'Edit Service Information'.
  21. The address information for the non-telehealth appointment in the client home is the program address from 'Program Maintenance'.
  22. The address information for the service not provided in the client home is the program address from 'Program Maintenance'.
  23. Close the report.
  24. Close the form.
Topics
• Electronic Billing