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Payor based Authorization
Resolves an issue to ensure that the 'SYSTEM.table_payor_auths' table displays correct value when 'Payor Based Authorizations' is submitted with a specified 'Effective Date' field and unspecified (blank) 'Expiration Date' field.
Included Updates
None
Product Update Description
An issue is resolved where the 'table_payor_auths' table may error on a record with an unspecified Expiration Date.
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Topics
• Payor Based Authorizations
• Database Tables
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Included Updates
8, 9, 28, 31, 34
Product Update Description
The issue in the 'File Import' form for the "Service Codes" file import type where the Discipline and National Drug Code fields are required when they should not be is resolved.
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Topics
• Service Codes
• File Import
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Quick Billing Rule Definition
Issue is resolved where the help message from the ‘File Definition’ field was not displaying properly due to special characters '<' and '>'.
Users should now see the help message correctly with < and > characters properly escaped. This ensures clarity in instructions for the ‘Quick Billing Rule Definition’ form, particularly regarding the use of dynamic keywords in the file description.
Included Updates
None
Product Update Description
The issue in Avatar NX where information was missing from the help message for the 'File Description' field in 'Quick Billing Rule Definition' is resolved.
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Topics
• Quick Billing
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The 'Age Display Format' registry setting
The 'Age Display Format' registry setting is enhanced to support a new registry setting value of "3" to format a client's age. Please note: RADplus 2024 Update 46 is required for full functionality.
When the 'Age Display Format' registry setting is set to "3", clients under 3 years of age will have their age displayed in months. Clients under 2 years will have their age display in months and days. Clients aged 3 and above will have their age displayed in years only.
Included Updates
None
Product Update Description
The registry setting 'Age Display Format' is enhanced to support a new option to format a client's age. The changes made will be reflected in the following forms and widgets: the 'Admission', 'Admission (Outpatient)', 'Call Intake', 'Pre Admit' and 'Family Registration' forms, as well as the 'Client Header' and 'Client Information' widgets. Note: RAD2024 Update 46 is required to make use of this functionality.
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Topics
• Registry Settings
• Admission
• NX
• Admission (Outpatient)
• Call Intake
• Pre Admit
• Family Registration
• Widgets
• Client Header
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Included Updates
12
Product Update Description
The extended dictionary 'Adult Or Child' is added for the 'Certification Category' field.
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Topics
• 837 Professional
• Registry Settings
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Included Updates
None
Product Update Description
The system is prepared for future functionality.
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Topics
• HL7
• HL7 Connection Monitor
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Service Fee/Cross Reference Maintenance
A new feature has been added to the 'Service Fee/Cross Reference Maintenance' and 'Guarantor Definitions' sections of the 'Service Fee/Cross Reference Maintenance' form. This feature introduces a new field 'County Where Service is Rendered'.
The 'Service Fee/Cross Reference Maintenance' form now includes a new field 'County Where Service is Rendered'.
This field has been added to both the 'Service Fee/Cross Reference Maintenance' and 'Guarantor Definitions' sections.
In addition, the 'Service Fee/Cross Reference and Guarantor Definition Export' form has been updated to account for these new fields.
The 'File Import' process for Service Fee/Cross Reference Maintenance has also been updated to include this new field.
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Electronic Billing - 837 Institutional
A new feature has been added to the 837 Institutional bill. This feature modifies the bill to include the value in the new field in 2300-HI only if it exists. If the field is blank, no data will be added for this field.
The 837 Institutional bill has been updated to include a new field in 2300-HI.
This field will only contain data if a value exists; otherwise, it will remain blank.
When the field is present, "85" will be used for the two-digit Identifier Code in .2 and the value of the field in .5.
Included Updates
8, 9, 16, 17, 23, 28, 29, 31, 34, 35, 42, 44, 46
Product Update Description
The field 'County Where Service is Rendered' is added to the 'Service Fee/Cross Reference Maintenance' and 'Guarantor Definitions' sections of the 'Service Fee/Cross Reference Maintenance' form.
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Topics
• Service Fee/Cross Reference Maintenance
• File Import
• Claim Follow-up
• Service Fee/Cross Reference and Guarantor Definition Export
• Electronic Billing
• 837 Institutional
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'Service Codes' form
Ensure the 'Service Codes' form does not allow for service codes containing equal signs.
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Client Merge - 'Target Client'
Ensure the 'Target Client' field is not cleared out after selecting a client episode in the 'Client Merge' form.
Included Updates
16, 17, 29, 35, 44, 46
Product Update Description
The following issues are resolved: 1) The 'Target Client Id' may be cleared out after selecting a client episode within the 'Client Merge' form. 2) The service code may be truncated in the 'Service Code' field within the 'Service Codes' form.
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Topics
• Service Codes
• Client Merge
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Retroactive Payor Change
Issue is resolved where Retroactive Payor Change form doesn’t process unbilled services with guarantor 99999 for individual or all clients.
Users can now input guarantor 99999 in a client’s financial eligibility without creating an interim billing batch. This update ensures that unbilled services are processed seamlessly within the Retroactive Payor Change form for both individual and multiple clients.
Included Updates
None
Product Update Description
An issue is resolved where the 'Retroactive Payor Change' form may not process unbilled services with guarantor 99999.
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Topics
• Retroactive Payor Change
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Compile/Edit/Post/Unpost Roll-Up Services Worklist
An issue has been resolved in 'Compile/Edit/Post/Unpost Roll-Up Services Worklist' where the 'Write off Posting Code' and 'Post Worklist' fields could be disabled.
Included Updates
None
Product Update Description
An issue is resolved where fields in the 'Post Roll-Up Services Worklist' section of the 'Compile/Edit/Post/Unpost Roll-Up Services Worklists' form would sometimes not be enabled without closing and reopening the form.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
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Edit Service Information
- An issue is resolved where the facility location display correctly for add-on services.
2. An issue is resolved where enabling the registry setting displays facility location either required or not in 'Edit Service Information' and 'Edit Service Information (Charge Fee Access)' forms based on the input.
Included Updates
12
Product Update Description
The following changes are made: 1) When registry setting 'Enable Alternative Service Location Fields' is set to "Y" the facility location fields on the 'Edit Service Information' and 'Edit Service Information (Charge Fee Access)' forms will become required whenever any one of the fields is valued. Additionally, when none of the facility location fields are valued, none of the facility location fields will be required. 2) An issue has been resolved where addon services were not displaying the correct facility location information.
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Topics
• Edit Service Information
• 837 Professional
• 837 Institutional
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'All Documents' widget - Diagnosis entries from user modeled forms
Ensure the 'All Documents' widget in Avatar NX includes Diagnosis entries that originated in user modeled forms that use the ICD-10 Diagnosis Table Alias.
Included Updates
None
Required Updates
Product Update Description
An issue where the myAvatarNX All Documents Widget does not include Diagnosis entries which originated in User Modeling forms using the ICD-10 Diagnosis Table Alias is resolved.
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Topics
• Modeling
• Diagnosis
• Widgets
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Self Pay Payment Redistribution Process
An issue is resolved where THE Self Pay Payment Redistribution process only worked for Self Pay financial class (6).
A new registry setting titled ‘Include Guarantors/Payors with System Financial Class of Self Pay in the Self Pay Payment Redistribution Process’ has been introduced.
When set to ‘Y’, this feature will allow guarantors/payors with an EDE System Financial Class marked as ‘Self Pay’ to be included in the Self Pay Payment Redistribution process.
Included Updates
None
Product Update Description
The registry setting 'Include Guarantors with Self Pay System Financial Class' is added for the 'Self Pay Payment Redistribution' process.
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Topics
• Self Pay Payment Redistribution
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AR Roll Forward Report
A new form, 'AR Roll Forward Report', has been added to the system.
The AR Roll Forward Report is a listing of all client accounts with a balance, including billed and unbilled A/R.
The report is generated for an Accounting Period.
The report will display an opening A/R balance for the selected Accounting Period, the client-based transactions recorded within the selected Accounting Period and the ending A/R balance.
Included Updates
8, 9, 16, 17, 23, 28, 29, 31, 34, 35, 42, 44, 46, 57, 60
Product Update Description
The 'AR Roll Forward Report' form is added.
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Topics
• AR Roll Forward Report
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Included Updates
None
Product Update Description
The 'Remittance Processing' widget is added to the system. Additionally, the 'Prevent Posting Payments Unless Payment has been Acknowledged' registry setting is modified to include the new 'Remittance Processing' widget.
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Topics
• Widgets
• Remittance Processing
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Included Updates
None
Product Update Description
An issue is resolved where the 'ClientAdmission' webservice is unable to change the admission program for pre-admissions after successful submission of the web service.
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Topics
• Pre Admit
• Web Services
• Admission
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Included Updates
8, 9, 16, 17, 23, 28, 29, 31, 34, 35, 42, 44, 46, 57, 60
Product Update Description
Updated the error messages produced when the registry setting 'Unit Calculation with Minimum Duration' is set to 'YW' or 'YE' when filing the field 'Minimum Duration for Unit Calculation' in the 'Service Codes' form.
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Topics
• Registry Settings
• Service Codes
• Client Charge Input
• File Import
• Edit Service Information
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Payment by Posting Date
an Isue is resolved where after creating and posting a batch in the Remittance Processing widget, the user was unable to run a Payment by Posting Date report using either the check number or the receipt number used on the batch posted. The report returned no records found. This issue was specific to batches posted through the Remittance Processing widget.
An issue in the Remittance Processing widget has been addressed.
Users can now create and post a batch in the widget, and subsequently run a Payment by Posting Date report using either the check number or the receipt number used on the batch posted.
The report will now return the correct records.
This update applies specifically to batches posted through the Remittance Processing widget.
Included Updates
8, 9, 16, 17, 23, 28, 29, 31, 34, 35, 42, 44, 46, 57, 60, 77
Product Update Description
An issue with the 'Remittance Processing' widget where transactions may not file in the 'SYSTEM.billing_pay_adj_history' table is resolved.
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Topics
• Remittance Processing
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Financial Transaction Posting Summary
A new feature has been added - the ‘Financial Transaction Posting Summary Report’ form. This form consists of two sections: ‘Financial Transaction Posting Summary Compile’ and ‘Financial Transaction Posting Summary Report’.
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Financial Transaction Posting Summary - Run Compile
A new feature has been added - the ‘Run Compile’ job. This job initiates a process to gather all services, payments, adjustments, and transfers in the selected date range based on specific criteria.
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Financial Transaction Posting Summary - Run Report
A new feature has been introduced - the ‘Run Report’ job. This job initiates a process to rewrite the report using the newly created compile table.
On selection of ‘Run Report’, the following changes are implemented:
The ‘Primary’ fields are replaced with ‘Current’. The ‘Current Guarantor/FC’ is based on the guarantor distributed to/posted to.
The ‘Data Export Format’ field will change what segments of the report are shown. This should be accurate in the included reports so it can just be carried over.
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, 106
Product Update Description
The 'Financial Transaction Posting Summary' form is added.
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Topics
• Financial Transaction Posting Summary
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Roll-Up Services Definition - Bill component and roll-up services on one claim
A new feature is implemented allowing users to bill the component service(s) and the roll-up service on the same claim.
Previously, agencies could only bill the roll-up service or the component service, but not on the same claim. This posed a challenge for some agencies. With the new feature, agencies can now easily bill both the component service(s) and the roll-up service on a claim, enhancing the efficiency of their billing process.
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Compile Roll-Up Services Worklist
A new feature ensures that run-time roll-up compile/post choices are stored properly and that the data is accurately projected in the respective SQL table.
With this new feature, users can be confident that their run-time roll-up compile/post choices are being stored correctly. This is achieved through an efficient SQL projection of the data, which ensures accuracy and reliability. Users can now manage their roll-up services worklist more effectively.
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Roll-Up Services Definition - Write-off or Transfer Roll-up Component Services
A new feature introduces several enhancements to the ‘Roll-Up Services Definition’ form, including new fields for ‘Write Off Component Service(s)’, ‘Transfer Code for Component Service(s)’, and ‘Write Off Code’. It also includes a new registry setting for specifying the ‘Write Off Posting Code for Roll-Up Services Definition’.
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Compile/Edit/Post/Unpost Roll-Up Services Worklist - Compile Roll-Up Group
An issue is resolved where compiling the group definition and then attempting to run the report produced ‘no information found’.
Compiling the group definition and then attempting to run the report resulted in ‘no information found’. This issue has now been addressed, ensuring that the report runs as expected after compiling the group definition.
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Guarantor/Program Billing Defaults - 837 Professional
A new field has been added to group claims for the same Date of Service in the 'Guarantor/Program Billing Defaults (837 Professional)' form.
A new field, 'Sort Claims by Date of Service', has been added to 'Guarantor/Program Billing Defaults (837 Professional)'. This field allows claims to be grouped by the same Date of Service, providing a more granular and specific grouping option compared to the previous method of grouping claims in the same month. This change will require users to select the appropriate option in the 'Guarantor/Program Billing Defaults (837 Professional)' section when setting up their billing templates.
Included Updates
2, 7, 10, 11, 16, 17, 18, 21, 25, 29, 31, 32, 33, 34, 35, 39, 43, 44, 48, 56, 57, 58, 59, 62, 63, 64, 65, 66, 67, 72, 73, 76, 77, 78, 79, 82, 84, 85, 86, 88, 89, 93, 94, 96, 97, 98, 100, 101, 102, 103, 104, 105, 106, 108, 109, 110, 115, 116, 119, 120, 121, 122, 125, 128, 129, 130, 133, 134, 135, 136, 139, 140, 143, 149, 152, 153, 154, 156, 157, 159
Product Update Description
The following modifications are made: 1) The registry setting 'Specify Write Off Posting Code In Roll-Up Services Definition' is added. This setting supports new Roll-Up Billing functionality that allows the default write-off posting code specified during the roll-up posting process to be overridden by the write-off posting code defined in the individual roll-up definitions. 2) Roll-Up Billing is enhanced to support transferring roll-up component service liability to the next guarantor or leave the liability with the current guarantor during the roll-up posting process. 3) Roll-Up Billing is enhanced to allow grouping roll-up services and component services on the same claim when preparing 837 Institutional and 837 Professional files. 4) Roll-Up Billing is enhanced to optionally include roll-up components and/or roll-up services in an 837 Institutional or 837 Professional file. 5) The 837 Professional billing process is enhanced to support sorting claims by date of service. 6) An issue is resolved where the Roll-Up Services Compile Report would not display after compiling roll-up group definitions. 7) An issue is resolved where the supervising_practitioner, in_other_rollups, and exclude_from_totals fields in the SYSTEM.rollup_services_worklist table were not populated.
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Topics
• Roll-Up Services Definition
• Electronic Billing
• Compile/Edit/Post/Unpost Roll-up Services Worklist
• Guarantor / Program Billing Defaults
• 837 Professional
• File Import
• Registry Settings
• Quick Billing
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