PROS Encounter Form
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- PROS Program Participation Definition
- Registry Settings (PM)
- User Definition
- Program Maintenance
- Dictionary Update (PM)
- Guarantors/Payors
- Service Codes
- Admission (Outpatient)
- Financial Eligibility
- Diagnosis
- PROS Encounter Form
- Client Ledger
- Admission
Scenario 1: 'PROS Program Participation Definition' maintained in 'PROS Encounter Form'
Specific Setup:
- Registry Settings:
- Enable Pros Processing registry setting = 'Y'.
- Dictionary Update:
- Client: dictionary '10021 Covered Charge Category' contains desired categories for PROS services.
- Service Codes:
- Identify service codes that include the above categories in 'Insurance Charge Category'.
- Service Fee/Cross Reference Maintenance records exist for the service codes.
- Program Maintenance:
- Program 1: Select a program for testing, Select 'Site Specific Extended Dictionaries' to define the 'PROS Component Definition for Program' and 'Is this a PROS Pre-Admit Program'.
- Program 2: Select a program for testing, Select 'Site Specific Extended Dictionaries' to define the 'PROS Component Definition for Program' and 'Is this a PROS Pre-Admit Program'.
- Client:
- Client 1: Select a client that is enrolled in Program 1.
- Client 2. Select a client that is enrolled in Program 2.
- Pros Program Participation Definition:
- Create a definition for Program 1 that contains more than one row, noting the number of rows.
- Create a definition for Program 2 that contains more than one row, noting the number of rows.
Steps
- Open the 'PROS Encounter' form.
- Enter the desired ‘Date’.
- Select the desired ‘Client ID’ for Client 1.
- Verify that the ‘Episode Number’ defaulted if the client has one episode. Select the desired episode if the client has more than one episode.
- Enter the desired ‘Signed In’ time.
- Enter the desired ‘Signed Out’ time.
- Click [Choose Program Participation].
- Validate that the rows that display are all the rows for 'Program 1' in 'PROS Program Participation Definition'.
- Click [Save].
- Click [Yes].
- Validate that 'Program Participation (hours)' are displayed as 'hh:mm:ss' format, such as '05:00:00'.
- Enter the desired 'Service Participation' values.
- Click [Enter Service].
- Complete desired fields.
- Click [Submit].
- Click [Yes].
- Click [OK].
- Click [Check Services].
- Validate that the service is included in the report with the correct fee information.
- Close the report.
- Click [Submit].
- Repeat all steps above for Client 2, validating that the rows that display are the rows for 'Program 2' in 'PROS Program Participation Definition'.
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Topics
• PROS Program Participation Definition
• State Forms
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