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Set System Defaults - MSO

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Define basic myAvatar MSO functionality.

  1. Go to: Avatar MSO > System Maintenance > Set System Defaults

  2. In the 'Report Header' fields, enter information to display in the header of myAvatar MSO reports.

  3. In the Output Directory field, enter the directory path for storing electronic report files.

  4. In the Care Managers Restricted To These Position Classes field, select the position classes available to care managers.

  • Users are associated with a position class in the User Definition form, Supplemental Information section (the section is enabled through System Security Defaults form, RADplus Utilities).
  • If no position classes as selected, all myAvatar users can be assigned as a care manager.

  1. In the Allow Funding Sources To Be Authorized While Not Registered field:

  • Select Yes to allow authorizing services billed to funding sources that have not been registered.

  • Select No to prevent authorizing these services.

  1. In the Restrict Authorized Codes By Provider field:

  • Select Yes to display CPT and revenue codes in the Service Authorization form to services associated with a provider fee definition (Provider Fee Definition form).

  • Select No to display all CPT or revenue codes in the Service Authorization form.

  1. In the Create One File During 835 Outbound field, select whether or not the 835 will create one file for all EOBs selected instead of one file per EOB.

  2. In the Default Retro Claim Adjudication Adjustment Code For 837 Professional Voids field, select the default value to be used for the adjustment code when processing an 837 Professional Void. See the dictionary value Adjustment Code.

  3. In the Default Retro Claim Adjudication Adjustment Code For 837 Institutional Voids field, select the default value to be used for the adjustment code when processing an 837 Institutional Void. See the dictionary value Adjustment Code.

  4. In the 837 Custom Prefix to Identify Client ID in 2010BA-NM-09 field, enter the prefix for the 2010BA-NM-09 segment.

  5. In the Default Retro Claim Adjudication Adjustment Code For Adjustments in PM field, select the default value to be used for the adjustment code when processing retro claim adjudication in myAvatar PM. See the dictionary value Adjustment Code.

  6. In the Allow Negative EOB Amounts field, select Yes to include negative amounts in EOBs.

  7. In the Require Type Of Bill On Claims Processing (UB04) field, select Yes to make the Type of Bill field required in the Claim Processing (UB04), and Claim Processing with Override (UB04) forms.

  8. In the Interval field, select whether a restriction of retro rate adjudication by date of service should occur by Day, Month, or Year.

  9. In the Number of Days/Months/Years After Date of Service Services Should Be Excluded field, enter the number to accompany the values selected in the Interval field. Services will be excluded if the service date is prior to the date that is calculated by the value in these fields.
    For example, if the Interval is set to Month, and the Number is set to "6", starting on 1/1/2015 any services with a date of services prior to 7/1/2014 would be excluded.

  10. Click Submit.

► Registry Settings

  • Enable Retro Rate Adjudication