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Avatar PM 2023 Update 165

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Product Requirements and Recommendations

Avatar PM required
RADplus required

Recommended Update Level

Avatar PM 2016 Update 163
Avatar PM 2023 Monthly Release 2023.03.01
RADplus 2023 Monthly Release 2023.03.01

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.

Required Updates

None

Included Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
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.
Topics
• Billing
 
Acceptance Tests
AV-93543 Summary | Details
Compile Residential/Inpatient Charges
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Admission
  • Client Ledger
  • Diagnosis
  • Dictionary Update (PM)
  • Discharge
  • Financial Eligibility
  • Leaves
  • Post Residential/Inpatient Worklist
  • Program Maintenance
  • Registry Settings (PM)
  • Service Codes
  • Service Fee/Cross Reference Maintenance
Scenario 1: Compile Residential/Inpatient Charges - Registry Setting: Enable Hourly Billing
Specific Setup:
  • Registry Settings: 'Enable Hourly Billing' = 'N'.
  • Service Codes:
  • Code 1 is a Room & Board service code defined where 'Type of Fee' = 'Fixed Fee (Per Event)''
  • Code 2 is a Room & Board service code defined where 'Type of Fee' = 'User Defined'. Please note the 'Minutes Per Unit', the 'Unit Rounding Logic' and the 'Designated Degree Of Rounding'.
  • Clients:
  • Client A is admitted to an inpatient unit and the 'Room And Board Billing Code' = Code 1. Note the date of admission and the unit.
  • Client A is discharged. Note the date of discharge.
  • Client B is admitted to an inpatient unit and the 'Room And Board Billing Code' = Code 2. Note the date of admission and the unit.
  • Client B is discharged. Note the date of discharge.
  • Verify Unit Census has been used to verify the unit(s).
Steps
  1. Open 'Compile Residential/Inpatient Charges'.
  2. Select 'Individual' in 'Individual Or All Units'.
  3. Select desired 'Unit(s)'.
  4. Enter desired value in 'Compile Charges From Date'.
  5. Enter desired value in 'Compile Charges Through Date'.
  6. Select 'Yes' in 'Do You Wish To Recreate The Residential/Inpatient Worklist'.
  7. Click [Process].
  8. Review the report pages to verify that service are created for both client on all days before the discharge date and that no services are created for either client on or after the date of discharge.
  9. Close the form.
  10. If desired, use 'Post Residential/Inpatient Worklist' to post the inpatient charges.
  11. Close the form.
  12. Use 'Client Ledger' to review the charges, verifying that the charges are only for the dates before the discharge date.
  13. Close the form.
  14. Open 'Registry Settings'.
  15. Change the 'Enable Hourly Billing' to 'Y'.
  16. Close the form.
  17. Re-admit each client in a new month. Close the form.
  18. Discharge the clients. Close the form.
  19. Verify Unit Census. Close the form.
  20. Repeat step 1 above.
  21. Client A will not have a room and board service created on the discharge date.
  22. Client B will have a room and board service created on the discharge date.
  23. If desired, repeat step 2 above and use 'Client Ledger' to verify:
  24. Client A has no room and board service on the discharge date.
  25. Client B has a room and board service created on the discharge date.
Topics
• Billing