Diagnosis - Chart View
Avatar PM is enhanced to display credentials for the 'Diagnosing Clinician' for the 'Diagnosis' form in chart view.
Value Added: The ability to view 'Diagnosing Clinician' credentials in the Chart View.
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Topics
• Chart View
• Diagnosis
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Registry Setting
Users can now use values 'YE' and 'YW' for 'Unit Calculation with Minimum Duration' in Registry Settings form.
Value Added: Users can now access the field 'Minimum Duration for Unit Calculation' in Service Codes form.
Registry Setting
Users can now use values 'YE' and 'YW' for 'Unit Calculation with Minimum Duration' in Registry Settings form.
Value Added: Users can now access the field Minimum Duration for Unit Calculation in Service Codes form.
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Topics
• Service Codes
• File Import
• Client Charge Input
• Edit Service Information
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Search Results - Diagnosis Filtering
The registry setting called 'Default Limit Results by ICD Category' is added to support limiting the ICD-10 results listed for Diagnosis Search fields in myAvatar NX. Note that Avatar RADplus 2024 Update 31 must also be installed to support this functionality.
Value Added: Enable searching on a subset of diagnosis codes
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Topics
• Diagnosis
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FoRSE Configuration
These parameters will be used to establish connection with FoRSE API using such parameters as Facility ID, Secret Key and new company registration, registration status, and survey URLs as provided by naatp.
Value Added: FoRSE functionality introduced
FoRSE Configuration
FoRSE Configuration form is where you define the "Force Facilities Configuration" and also check the status of data sent to ensure the transmission was successful in the "FoRSE Monitor" section.
Value Added: FoRSE functionality introduced
FoRSE Mapping
FoRSE Mapping provides a method to map Avatar data to the various surveys that the system is set up to provide.
Value Added: FoRSE functionality introduced
FoRSE Functionality - Communication API
The FoRSE communication post-filing hooks determine what data will be sent.
Value Added: FoRSE functionality introduced
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Topics
• FoRSE
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Discontinue or Hold Orders Upon Leave
The dictionary 'Discontinue Orders Upon Leave' (Client File, data element 772) is modified in the following ways:
1) It is renamed to 'Discontinue or Hold Orders Upon Leave'.
2) The "Yes" entry is changed to "Discontinue".
3) The "No" entry is changed to "Take no Action". 3) The "Hold" entry is added. 'Discontinue or Hold Orders Upon Leave' is an extended attribute off of the 'Type Of Leave From' dictionary (Client File, data element 757).
In systems with Avatar Order Entry, it is used to determine what action should be taken regarding a client's orders when they are put on leave via the 'Leaves' form.
Please note: Avatar Order Entry 2024 Update 35 is required to support "Hold" functionality.
Value Added: Enhances the Discontinue Orders Upon Leave functionality.
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Topics
• eMAR NX
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Registry Settings - Validate Program For Staff Guarantor Coverage
The 'Validate Program For Staff Guarantor Coverage' registry setting is added to the system.
Value Added: 'Electronic Billing' logic is updated to allow the service to be validated against the selected programs when checking the practitioner's guarantor coverage in the bills.
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Topics
• Registry Settings
• Practitioner
• 837 Professional
• 837 Institutional
• Web Services
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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.
Value Added: Additional support for formatting client's age.
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Topics
• Registry Settings
• Admission
• NX
• Admission (Outpatient)
• Call Intake
• Pre Admit
• Family Registration
• Widgets
• Client Header
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Various SQL views changed to SQL tables
'SYSTEM.billing_837_p_report', 'SYSTEM.billing_837_i_report' and 'SYSTEM.billing_837_d_report' are changed from SQL views to tables.
Value Added: Processing Improvements
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Topics
• 837 Dental
• 837 Institutional
• 837 Professional
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Future Functionality
The system is prepared for future functionality.
Value Added: Enhances the application for future functionality
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Topics
• HL7
• HL7 Connection Monitor
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'Detail of Visits By Client and Program' report
Avatar PM is enhanced to run the 'Details of Visits By Client and Program' report as a report definition instead of a menu launched report.
Value Added: The 'Detail of Visits By Client and Program' report will now be launched as a report definition.
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Topics
• Detail of Visits By Client and Program
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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'.
Value Added: The new feature enhances the granularity of service fee and cross reference maintenance by allowing the specification of the county where the service is rendered.
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.
Value Added: This new feature enhances the precision and flexibility of the 837 Institutional bill by allowing the inclusion of additional data only when it exists.
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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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Guardiant - metric processing
The system is prepared for future functionality
Value Added: Prepares Avatar PM for improvements made to internal Guardiant metric processing
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Topics
• Forms
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'Services by Program and Age Group' report
Avatar PM is enhanced to run the 'Services by Program and Age Group' report as a report definition instead of a menu launched report.
Value Added: The 'Services by Program and Age Group' report will now be launched as a report definition.
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Topics
• Report Viewer
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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.
Value Added: Facility Default Location of Edit Service Information form displays information based on the services selected.
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Topics
• Edit Service Information
• 837 Professional
• 837 Institutional
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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).
Value Added: Streamlines payment processing by including all Self Pay classes, enhancing financial operations without disrupting current workflows.
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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.
Value Added: Provided greater reporting of unbilled and claimed services.
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Topics
• AR Roll Forward Report
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Remittance Processing Widget
Remittance Processing Widget is added to the system.
Value Added: Users can now access Remittance Processing Widget as it is added to the system
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Topics
• Widgets
• Remittance Processing
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Client Demographics - Personal pronouns
Avatar PM is enhanced to support codified personal pronouns using LOINC codes. The existing 'Personal Pronouns' field on the 'Admission', 'Pre Admit', 'Discharge', and 'Update Client Data' forms is retained, but may now be populated by selecting a value from the 'Select Personal Pronouns' field.
Value Added: Improvement to personal pronouns functionality.
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Topics
• Admission
• Update Client Data
• Discharge
• Pre Admit
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Registry Settings
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.
Value Added: Error messaging has been updated.
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Topics
• Registry Settings
• Service Codes
• Client Charge Input
• File Import
• Edit Service Information
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'Services by Program and Group Code' report
Avatar PM is enhanced to run the 'Services by Program and Group Code' report as a report definition instead of a menu-launched report.
Value Added: The 'Services by Program and Group Code' report will now be launched as a report definition.
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Topics
• Report Viewer
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'Services by Provider and Group Code' report
Avatar PM is enhanced to run the 'Services by Provider and Group Code' report as a report definition instead of a menu launched report.
Value Added: The 'Services by Provider and Group Code' report will now be launched as a report definition.
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Topics
• Report Viewer
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Avatar PM - Smart Search functionality
Avatar PM's Smart Search is enhanced to support the 'Client's Home Phone', 'Client's Cell Phone' and 'Preferred Name' fields.
Value Added: Enhancing Smart Search capabilities.
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Topics
• Client Search
• Registry Settings
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Dictionary Update - Race OMB Standards
Changes to the dictionary allows agencies to map user defined client race dictionary codes to desired HL7 codes.
Value Added: Allows greater flexibility in reporting race codes.
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Topics
• Dictionary
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Real Time Inquiry (270) Request
New fields have been added to the following tables. The changes are displayed in the release note.
1. SYSTEM.billing270rptheader
2. SYSTEM.billing271beneinfo
3. SYSTEM.billing271dependent
4. SYSTEM.billing271reject
5. SYSTEM.billing271subscriber
6. SYSTEM.billing271updatedinfo
7. SYSTEM.billing271validateinfo
Value Added: Enhances the efficiency of the 'Real Time Inquiry (270) Request' functionality.
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Topics
• Real Time Inquiry (270) Request
• RevConnect
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The 'Day Program Attendance' widget
The 'Day Program Attendance' widget is enhanced to include 'Practitioner' in the grid to allow different Practitioners to be assigned to each row.
Value Added: Additional support for Day Program functionality.
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Topics
• Program Maintenance
• Widgets
• Day Program Attendance
• Scheduling Calendar
• Client Ledger
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SQL table
A new table 'SYSTEM.mods_by_category' has been added to the system. Please review the release note to see the table details.
Value Added: Allows users to query a table to see the data results,
Modifiers by Practitioner Category
The 'Modifiers by Practitioner Category' form and the report launched from the form are updated to support multiple modifier definitions for a given 'Guarantor', 'Program', 'Practitioner Category' and 'CPT Code' combination.
Value Added: Increases flexibility of the Modifiers by Practitioner Category processes.
File Import - Modifiers by Practitioner Category
Multiple rows can now exist with the same Guarantor, Program, Category and CPT combination, if the rows have no overlapping date ranges.
Value Added: Increases flexibility of the Modifiers by Practitioner Category processes.
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Topics
• Database Tables
• Modifiers by Practitioner
• File Import
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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’.
Value Added: This new feature enhances the user’s ability to compile and report financial transactions, providing a valuable tool for financial management and reporting. It is relevant as it simplifies the process of reviewing, analyzing, and reporting financial data
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.
Value Added: This new feature enhances the user’s ability to compile and report financial transactions, providing a valuable tool for financial management and reporting. It is relevant as it simplifies the process of reviewing, analyzing, and reporting financial data
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.
Value Added: This new feature enhances the user’s ability to generate reports, providing a valuable tool for financial management and reporting. It is relevant as it simplifies the process of reviewing, analyzing, and reporting financial data.
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Topics
• Financial Transaction Posting Summary
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'Client Merge' process
The 'Client Merge' process has been updated to file into a new audit table 'SYSTEM.client_merge_log'.
Value Added: New audit table is added for the 'Client Merge' process.
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Topics
• Update Client Data
• CareFabric Monitor
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* This update also contains items in the Fixed section(s)
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.
Value Added: The new feature adds significant value by enabling agencies to bill both component and roll-up services on the same claim.
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.
Value Added: The feature enhances data accuracy and storage efficiency, making it easier to manage the roll-up services worklist.
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’.
Value Added: The feature provides more control and flexibility in managing the roll-up services. It allows for more precise configuration of write-off and transfer settings, enhancing the efficiency and accuracy of roll-up service operations.
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.
Value Added: The new feature enhances the flexibility of claim grouping in billing templates. By allowing claims to be grouped by the same Date of Service.
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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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File Import
File Import: Quick Billing Rule Definition has been added to the system.
Value Added: Users can add Quick Billing Rule Definition through File Import.
File Import
File Import: Quick Billing Group Definition has been added to the system.
Value Added: Users can add Quick Billing Group Definition through File Import.
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Topics
• Quick Billing
• File Import
• NX
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Avatar PM 'Benefit Enrollment and Maintenance (834)'
An issue is resolved in 'Benefit Enrollment and Maintenance (834)' to ensure that 'eligibility_exp_date' values in 'Avatar PM SQL table 'SYSTEM.eligibility_dependent_cov' are updated on 834 file posting.
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Topics
• Benefit Enrollment and Maintenance (834)
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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.
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Topics
• Payor Based Authorizations
• Database Tables
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NCPDP
An issue is resolved to ensure a Claim rejection information marked as 'Forward to Pharmacy' in the 'NCPDP Response Worklist' tab of the 'Electronic Re-Billing Service Assignment' form was being displayed in the wrong pharmacy. This could occur when there were multiple pharmacies each supported by a different Avatar (sub) system code.
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Topics
• NX
• NCPDP
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SQL Validation
An issue is resolved where an unexpected error produced on the table 'SYSTEM.billing_tx_filing_compliance' is resolved.
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Topics
• Advanced Billing Rule Definition
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AR Console Export
An issue is resolved where users when downloading the CSV file from the AR Console Export form could view the information listed without any data wrapping.
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Topics
• Accounts Receivable Management
• NX
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File Import
The issue in the 'File Import' form for the "Service Codes" file import type 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 '>'.
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Topics
• Quick Billing
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Remittance Processing - Future Functionality
An issue has been corrected in the 'Remittance Processing' widget which will be available in a future release.
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Topics
• Client Merge
• Remittance Processing
• Database Tables
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File Import - DRG Code Table
An issue is resolved where the DRG codes imported through the ‘File Import’ form to update an existing DRG code with leading zero were not updating the "SYSTEM.table_drg_codes” table entries.
Financial Determination - Field Verification
AN issue is resolved where Financial Determination was issuing an error when attempting to enter the effective date of 2/29/24 (leap year day).
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Topics
• Diagnosis
• 837 Institutional
• File Import
• Financial Determination
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Cross Episode Financial Eligibility - Policy number
Resolves an issue to ensure that the subscriber policy number defaults into 'Cross Episode Financial Eligibility' when using the additional policy numbers and default guarantor assignment options.
NCPDP Response screen - Spelling error
Resolves an issue to ensure that the NCPDP responses to RxConnect does not contain spelling errors.
SYSTEM.billing_guar_table - field validation
Resolves an issue to ensure that the 'value_to_display_in_2330B_code' and 'value_to_display_in_2330B_value' fields are added to the SYSTEM.billing_guar_table and display correct data for the guarantor based on the guarantor setup in the 'Guarantors/Payors' and 'Guarantor/Program Billing Defaults' forms.
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Topics
• Cross Episode Financial Eligibility
• Dictionary
• Guarantor/Payors
• Database Tables
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Dictionary Update - extended dictionary is added for the 'Certification Category' field.
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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Program Maintenance - 'Day Program Services' section
An issue is resolved in the 'Day Program Services' section of the 'Program Maintenance' form where service codes exceeding 10 characters in length were truncated upon filing.
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Topics
• Program Maintenance
• Single Program Maintenance
• File Import
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Edit Service Information
The error which can occur when changing the 'Service Code' in the 'Edit Service Information' form, is resolved.
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Topics
• Edit Service Information
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'Service Codes' form
Ensure the 'Service Codes' form does not allow for service codes containing equal signs.
Client Merge - 'Target Client'
Ensure the 'Target Client' field is not cleared out after selecting a client episode in the 'Client Merge' form.
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Topics
• Service Codes
• Client Merge
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Practitioner Enrollment Form - Database Validation
The SYSTEM.staff_enrollment_history table has been updated to add the fields ‘'PERFID' and 'PPIUniqueID'. This will allow mapping of the Performing Provider ID and Performing Provider Registration information submitted in the 'Practitioner Enrollment' form.
File Import - Posting/Adjustment Posting'
An issue is resolved where 'File Import' allows inactive posting codes to be used and posted without error in 'Posting/Adjustment Posting'.
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Topics
• Practitioner
• File Import
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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.
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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.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
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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.
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Topics
• Modeling
• Diagnosis
• Widgets
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Advanced Billing Rule Definition
An issue is resolved where required services defined in 'Advanced Billing Rule Definition' may not be found when entering services.
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Topics
• Advanced Billing Rule Definition
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Bed Management - 'Leave Status Change'
An issue where the 'Leave Status Change' form may result in the 'Bed Management' form displaying more than one client in the same bed.
Bed Management - 'Client Merge' functionality
Ensure the 'Client Merge' process does not result in the target client being incorrectly displayed as occupying the source client's bed in the 'Bed Management' form.
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Topics
• Bed Management
• Leaves
• Client Merge
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'ClientAdmisison' web service
An issue is resolved where the 'ClientAdmission' web service 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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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.
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Topics
• Remittance Processing
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'Client Charge Input' form
An issue is resolved where multiple 'Guarantor Override' sections may appear on the 'Client Charge Input' form.
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Topics
• Registry Settings
• Client Charge Input
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File Import
An issue is resolved in "Guarantors/Payors" file type where an alert message displays for every record.
File Import
An issue is resolved to allow posting 'Guarantors/Payors 835' through 'File Import' to successfully complete.
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Topics
• Guarantor/Payors
• File Import
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CCBHC Billing - CCBHC 837 Professional Billing
An issue is resolved where for a specific scenario, CCBHC 837P billing gives incorrect error about waiting on remittance from private insurance when the service has no liability remaining and the service is claimed.
CCBHC Billing - Subsequent Bills
An issue is resolved where the CCBHC service that was appearing on the error report had already been previously billed and claimed.
CCBHC Billing - Secondary CCBHC billing from a non-CCBHC primary guarantor
An issue is resolved where a CCBHC enumerated service was incorrectly included on the 837 bill even when it had been claimed on a prior bill.
CCBHC Billing - Enhanced Secondary Claims Handling
An issue is resolved where secondary claims for a CCBHC 837P bill were missing the 2300-HI segment for diagnosis codes.
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Topics
• 837 Professional
• CCBHC
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Remittance Processing Widget
An issue is resolved where the 'Refresh' button is enabled on the 'Remittance Processing' widget. In addition, the help text for the registry setting 'Enable Sort By Guarantor Name' is updated to include the 'Remittance Processing' widget.
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Topics
• Registry Settings
• Widgets
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NCPDP - new tables and NCPDP Claim Submission Response Report
The system is updated as follows:
1) SQL tables 'SYSTEM.ncpdp_system_defaults' and 'SYSTEM.ncpdp_system_defaults_sub' are added to support reporting on form 'NCPDP System Defaults'.
2) An issue is resolved where the 'NCPDP Claim Submission Response Report' could error with the following message: 'The page size was not large enough to format the contents of an object in the report?'. This could occur when the 'Response File Notes' section of the report contained a sizable amount of data.
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Topics
• NCPDP System Defaults
• NCPDP
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Scheduling Calendar
An issue is resolved If a pre pay service was created as a result of posting an unacknowledged payment received during the Scheduling Calendar Check-In process, the pre pay amount was not being applied to the current self pay balance when the appointment was posted.
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Topics
• Scheduling Calendar
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Console Widget Viewer - Admission Data
Ensure the Console Widget Viewer displays Admission data for the proper episode.
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Topics
• Admission
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* This update also contains items in the New section(s)
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’.
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Topics
• Compile/Edit/Post/Unpost Roll-up Services Worklist
• Roll-Up Services Definition
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