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Avatar PM 2023 Update 15

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Avatar PM 2022 Update 153

Product Update Form Description

The issue with the "HCFA-1500" generated using the 'Print Bill' form where "NONE" could be included in form locator 32 when it should not be is resolved.

Included Updates

None

Required Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
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.
KB0071781 v0.01
Topics
• NX • Print Bill
 
Acceptance Tests
AV-86057 Summary | Details
HCFA 1500
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Admission
  • App Dashboard
  • Avatar NX Report Viewer
  • Client Charge Input
  • Client Charge Input With Diagnosis Entry
  • Create Interim Billing Batch File
  • Diagnosis
  • Dynamic Form - Admission - Client
  • Financial Eligibility
  • Print Bill
  • Referral Source Maintenance
  • Registry Settings (PM)
Scenario 1: Print Bill - HCFA-1500-NPI Version - Sorting
Specific Setup:
  • Registry Setting:
  • Avatar PM->Billing->Paper Billing->HCFA-1500->->Enable Select Type Of Information To Include For Locator 17 = Y.
  • Avatar PM->Billing->Client Charge Input->Fields To Retain After Filing->->Fields to Retain After Filing Client Charge Input = 18 at a minimum.
  • Guarantor/Program Billing Defaults - ‘Paper HCFA-1500’ section:
  • Include a value in ‘Referring Provider Or Other Source Code Qualifier (Form Locator 17)’.
  • Select 'Referring Provider/Practitioner' in ‘Select Type Of Information To Include In Name Of Referring Physician Or Other Source (Form Locator 17)’.
  • Select 'Referring Practitioner' in 'Sort Paper HCFA-1500 Claims By'.
  • Note the guarantors and programs assigned to the template.
  • Clients:
  • Identify two clients with multiple unclaimed services that can be billed from the above template.
  • Each client should have services that are provided by different practitioners.
  • Note the last service date.
  • Create Interim Billing Batch File is used to create a batch for the services.
  • Close Charge is used to close the charges for the interim batch.
Steps
  1. Open ‘Print Bill’.
  2. Enter the last service date in ‘Print Charges Thru’.
  3. Select ‘No’ in ‘Create Claims Y/N’.
  4. If the services were created with a diagnosis entry, select ‘HCFA-1500-NPI-Vesrion (Diagnosis Entry’ in ‘Print On What Form’.
  5. Select ‘Yes’ in ‘Print For Interim Batch’.
  6. Select the ‘Interim Batch Number’ created in Setup.
  7. Click [Process].
  8. Verify that the bill contains the correct information and is sorted correctly.
  9. Close the report.
  10. Select ‘HCFA-1500-NPI-Vesrion (Sort By Practitioner/Service Consolidation/Diagnosis Entry)’ in ‘Print On What Form’.
  11. Click [Process].
  12. Verify that the bill contains the correct information and is sorted correctly.
  13. Close the report.
  14. Select ‘HCFA-1500-NPI-Vesrion (Sort By Service Consolidation/Diagnosis Entry)’ in ‘Print On What Form’.
  15. Click [Process].
  16. Verify that the bill contains the correct information and is sorted correctly.
  17. Close the report.
  18. If the services were created without a diagnosis entry, select ‘HCFA-1500-NPI-Vesrion (Sort By Practitioner)’ in ‘Print On What Form’.
  19. Click [Process].
  20. Verify that the bill contains the correct information and is sorted correctly.
  21. Close the report.
  22. Select ‘HCFA-1500-NPI-Vesrion (Sort By Practitioner/Service Consolidation)’ in ‘Print On What Form’.
  23. Click [Process].
  24. Verify that the bill contains the correct information and is sorted correctly.
  25. Close the report.
  26. Select ‘HCFA-1500-NPI-Vesrion (Sort By Service Consolidation)’ in ‘Print On What Form’.
  27. Click [Process].
  28. Verify that the bill contains the correct information and is sorted correctly.
  29. Close the report.
  30. Close the form.
  31. Open 'Client Charge Input'.
  32. Create a service for a client that includes a referring practitioner with an ID code higher than '1'. Note the date of service.
  33. Create an additional service for the same client that includes a referring practitioner with an ID code that is lower than the ID code in the first service and the service date is after the first service date.
  34. Close the form.
  35. Create an 'Interim Billing Batch File' for the two services.
  36. Close the charges for the interim batch.
  37. Open 'Print Bill'.
  38. Enter the last service date in ‘Print Charges Thru’.
  39. Select ‘No’ in ‘Create Claims Y/N’.
  40. Select ‘HCFA-1500-NPI-Vesrion’ in ‘Print On What Form’.
  41. Select ‘Yes’ in ‘Print For Interim Batch’.
  42. Select the ‘Interim Batch Number’ created in Setup.
  43. Click [Process].
  44. Verify that the bill contains the correct information and is sorted by the referring practitioner ID, starting with the lowest ID number.
  45. Close the report.
  46. Close the form.
Topics
• NX • Print Bill