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Avatar PM 2023 Update 72

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Product Requirements / Recommendations

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Product Update Form Description

An issue in table 'SYSTEM.billing_tx_master_table' is resolved where multiple add-on codes were absent.

Included Updates

18

Required Updates

None

Details
NEW1 CHANGED0 FIXED0
New (1)
Database Management - Tables
SYSTEM.billing_tx_master_table Fields for Multiple Add-on Codes KB0073464 v0.01
Value Added: Additional information is stored in the table.
Topics
• Database Management
 
Acceptance Tests
AV-86540 Summary | Details
Database Management - Tables
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Client Ledger
  • Create Interim Billing Batch File
  • Electronic Billing
  • Registry Settings (PM)
Scenario 1: 837 Professional billilng when 'Enable Multiple Add-On Code Per Primary Code Functionality' = Y.
Specific Setup:
  • The following registry setting has a value of 'Y': Avatar PM->System Maintenance->Service Code Maintenance->->->Enable Multiple Add-On Code Per Primary Code Functionality.
  • Dictionary Update has been used to update 'Other Tabled File, 291, Service Code Type' to have a value of 'Yes' in the extended dictionary 'Allow Multiple Add-On Code Definition' for all dictionary codes.
  • A 'Service Code' identified with a 'Service Code Category' of 'Primary Code' has at least two values selected in 'Select Multiple Add-On Code'.
  • An outpatient client is identified. Note the program. The client has an active diagnosis record, and an active financial eligibility record, noting the financial class.
  • A service has been created for the above 'Service Code'. Note the date of service. The service has been closed.
  • Use 'Client Ledger' to note the fee for the 'Service Code' and for each 'Add-On Code'. Note the total fee.
Steps
  1. Open 'Electronic Billing'.
  2. Create an '837 Professional' bill for the service.
  3. Review the dump file to validate that the amount in the 'CLM' is equal to the total fee and that the amounts in the 'SV1' segments is equal to the total fee.
  4. Close the dump file.
  5. Close the form.
  6. Query the SYSTEM.billing_tx_master table. Locate the 'Service Code' selected in Setup.
  7. Validate that the 'multi_addon_svc_code' displays all add-on service code numbers selected in the primary service code .
  8. Validate that the 'multi_addon_svc_value' displays all add-on service code descriptions selected in the primary service code .
Topics
• Database Management
Table Changes
Table Column Change
SYSTEM.billingtxmastertable multi_addon_svc_code added
SYSTEM.billingtxmastertable multi_addon_svc_value added