"Process Overnight" Option For Immediate Billing Run Requests
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batches Management
- Billing Run Request Limit People Subform
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: “Process Overnight” Checkbox To Execute An Immediate Billing Request During The Overnight Scheduled Job
Specific Setup:
Client has service(s) that are ready to bill.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create a New Billing Run.
- Set parameters for the desired run.
- Check off "Process Overnight".
- Upon completion of overnight/recurring billing job, validate that the request has completed and created claim(s).
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Topics
• Finance
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Uploaded Documents Being Opened From Hyperlink
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
- Select File for Upload
Scenario 1: Validate Document Can Be Opened From Listing
Specific Setup:
Formset member where default form has the document field "Is Listed" is checked. (Physical Characteristics was used for this test).
Steps
- Navigate to "Client > Client Information > Personal Information > Physical Characteristics".
- Click "Select Client", enter your desired Client, and click Search.
- Add new Physical Characteristics under "Add New".
- Upload document, fill out the form and click "Save".
- Click on the hyperlink under "Document Test" column.
- Open the downloaded link.
- Verify the document has the same information as the Event.
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Topics
• Client
• Event Setup
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Clinical Note Type
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Event Categories - System Modifiable
- Event Categories - System Not- Modifiable
- Event Categories/People - User Modifiable
- Event Definition User - People [EDIT]
- Event Definition User - System Modify [EDIT]
- Event Definition User - System not mod [EDIT]
- Event Definitions - People Based Form Set
- System Events Modifiable Form Set
- System Events Not Modifiable Form Set
Scenario 1: ONC Clinical Note Type
Steps
- Navigate to "Setup > Event Setup > People > Events Setup".
- Select desired Event Category.
- Select desired Event.
- Verify "Clinical Note Type" exists in the service form.
- Click Close.
- Navigate to "Setup > Event Setup > System-Modifiable > Events Setup".
- Select desired Event Category.
- Select desired Event.
- Verify "Clinical Note Type" exists in the service form.
- Click Close.
- Navigate to "Setup > Event Setup > System-Not Modifiable > Events Setup".
- Select desired Event Category.
- Select desired Event.
- Verify "Clinical Note Type" exists in the service form.
- Click Close.
- Navigate to "Agency Setup > Event Setup > People > Events Setup".
- Select desired Event Category.
- Select desired Event.
- Verify "Clinical Note Type" exists in the service form.
- Click Close.
- Navigate to "Agency Setup > Event Setup > System-Modifiable > Events Setup".
- Select desired Event Category.
- Select desired Event.
- Verify "Clinical Note Type" exists in the service form.
- Click Close.
- Navigate to "Agency Setup > Event Setup > System-Not Modifiable > Events Setup".
- Select desired Event Category.
- Select desired Event.
- Verify "Clinical Note Type" exists in the service form.
- Click Close.
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Topics
• Agency Setup
• Event Setup
• Setup
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Send ClinicalNoteFinalized Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billable Diagnosis for a Client with BA diagnosis
- Client Participation Response
- Client Search
- Client Service Entry
- Cue Type
- Plan Goals (Event)
- Program Setup - No Care Day/Respite [EDIT]
- Service Plan Details (non-goals)
- SupervisorModule
- Treatment Plan 2 Event Link Subform
Scenario 1: Send ClinicalNoteFinalized
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Topics
• Third Party Solution
|
Lab Narratives and Notes Will Be Sent in the SDK Message
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Generic Lab Tests [ADD]
- Notes - Subform [ADD]
- Additional Notes - Subform Subform
- Program by Client's Service Track and Service
- Provider Sites by Program
Scenario 1: Validate Imaging Notes Narrative
Scenario 2: Validate Laboratory Report Narrative
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Topics
• Event Setup
|
Procedure Notes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Additional Notes - Subform Subform
- Client Search
- Client Service Entry
- General Event [ADD]
Scenario 1: Validate Procedure Notes Narrative
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Topics
• Event Setup
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Send Assessment Data in ClinicalNoteFinalized
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Event Definitions - Service - by Category/Program
- Other Activities - B2E Subform
- SupervisorModule
Scenario 1: ClinicalNoteFinalized Includes Assessments
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Topics
• Third Party Solution
|
Send Assessment Data in ClinicalNoteFinalized
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- _ONC2 [ADD]
- _ONC2 [EDIT]
- Acceptance Level
- Alert Types
- b2E_ONC [EDIT]
- Client Search
- Client Service Entry
- Event Definitions - Service - by Category/Program
- Other Activities - B2E Subform
- SupervisorModule
Scenario 1: Payload for ClinicalNoteFinalized Includes "Physical Exam" and "Review of Systems" Assessments
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Topics
• Third Party Solution
|
Sub-Contractor Services Import Template
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Form
- Import File processing Form Set
- Import File Templates
- ImportFileLog
Scenario 1: Validate Sub-contractor Import File With Comma in File Name Can Be Imported
Specific Setup:
- Template available under Import File Processing.
- Available staff import file with comma in file name (i.e importfile,name).
Steps
- Navigate to "State Reporting > Files Processing/Generation > Import File Processing > Import File Processing".
- Select a Template.
- Click "Browse" and select an import file.
- Click Save and verify a successful upload.
- Open the new file.
- Click the Invalid/All button(s).
- Confirm your invalid/all file downloads.
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Topics
• State Reporting
|
Treatment Plan Display Type Code
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ABA Goal [ADD]
- Client Search
- DataType Codes
- Form Families - Client Mode
- Interface Design Form Set
- NX FIELD [EDIT]
- ServicePlanForm
- ServicePlanList
Scenario 1: Display Type Code on Statement Fields in Treatment Plan Are Preserved After Upgrades
Specific Setup:
- Access to Form Designer.
- Client Enrolled in Program.
- Program contains Treatment Plan with Statement Field with "Display Type Code"=Remarks.
Steps
- Navigate to "Setup > User Tools > Interface Design > Form Designer".
- Select a "Form Family".
- Pin a Treatment Plan Form List.
- Change the Statement Field "Display Type Code" of a Treatment Plan to be a "Memo Field" instead of a "Remark".
- Wait for system upgrade.
- Navigate back to "Setup > User Tools > Interface Design > Form Designer".
- Select the same "Form Family".
- Pin the same Treatment Plan Form List.
- Validate the Statement Field "Display Type Code" of the Treatment Plan to be "Memo Field".
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Topics
• Client
• Setup
|
Validate Services Provided on Active Treatment Plans
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
Scenario 1: Validate Services Provided to Active Treatment Plan Interventions
Specific Setup:
- Navigate to "Setup > Treatment and Tests > Treatment Setup > Objectives Library".
- Create an "Objective".
- Check off "Is Active" field.
- Add the "Service Event".
- Navigate to "Setup > Treatment and Tests > Treatment Setup > Methods Library".
- Create a "Method".
- Check off "Is Active" field.
- Add the "Service Event".
- Navigate to "Setup > User Tools > Interface Design > Form Designer".
- Select Form Family "Activities - People".
- Select the desired form
- Create a new "EventLog Field" on the desired form.
- Add desired "Order", " Column Name", and "Caption".
- Add "Data Type(s)" as "Foreign Key ID".
- Check off " Is Visible".
- Check off " Is Modifiable".
- Within the " Look-up Table Used" field, select "Treatment Plan Objs and Meths Library (by Event)".
- Update the "Depends On Other" field with getFormElement('people_id').
- Update the " Depends On" field with "Type".
- Check off the "Refresh Dependencies" field.
- Save Form.
Steps
- Setup > Treatment and Tests > Treatment Setup > Objectives Library.
- Setup > Treatment and Tests > Treatment Setup > Methods Library.
- Setup Event with new Look Up Table (LUT)
- Enter Service Event and validate that the LUT selects the current active Treatment Plan.
Scenario 2: Validate Services Provided to Active Treatment Plan CS
Specific Setup:
- Navigate to "Setup > Treatment and Tests > Treatment Setup > Objectives Library".
- Create an "Objective".
- Check off "Is Active" field.
- Add the "Service Event".
- Navigate to "Setup > Treatment and Tests > Treatment Setup > Methods Library".
- Create a "Method".
- Check off "Is Active" field.
- Add the "Service Event".
Navigate to myEvolv NX - Navigate to "Setup > User Tools > Interface Design > Form Designer".
- Select Form Family "Activities - People".
- Select the desired form
- Create a new "EventLog Field" on the desired form.
- Add desired "Order", " Column Name", and "Caption".
- Add "Data Type(s)" as "Foreign Key ID".
- Check off " Is Visible".
- Check off " Is Modifiable".
- Within the " Look-up Table Used" field, select "Treatment Plan Objs and Meths Library (by Event)".
- Update the "Depends On Other" field with getFormElement('people_id').
- Update the " Depends On" field with "Type".
- Check off the "Refresh Dependencies" field.
- Save Form.
Steps
- Setup > Treatment and Tests > Treatment Setup > Objectives Library.
- Setup > Treatment and Tests > Treatment Setup > Methods Library.
- Setup Event with new Look Up Table (LUT)
- Enter Service Event and validate that the LUT selects the current active Treatment Plan.
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Topics
• Forms
• Treatment Plans
|
New Status and Actions for Failed Billing Runs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- BillingProcessHistory
- Immediate Billing Run Request [EDIT]
Scenario 1: Validate Reprocess Status On A Failed Billing Runs
Specific Setup:
Requires a "Billing Run" that is in "Failed" status.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "Actions" button on billing run with "Failed" status.
- Validate "Actions" drop down list contains "Delete Request, Edit Billing Request and Reprocess".
- Select "Reprocess".
- Validate the status contains "Reprocess".
- Wait for "Billing" to run.
- Validate the billing run has reprocessed and claims have been generated.
Scenario 2: Validate Edit Billing Request On Failed Billing Status
Specific Setup:
Requires a "Billing Run" with a "Failed" status.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "Actions" button on billing run with "Failed" status.
- Validate "Actions" drop down list contains "Delete Request, Edit Billing Request and Reprocess".
- Select "Edit Billing Request".
- Edit the billing request and click "Proceed".
- Wait for "Billing" to run.
- Validate the billing run has reprocessed and claims have been generated.
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Topics
• Finance
|
AR Management and Replacement Type Claim
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- Claims Maintenance NX Form Set
Scenario 1: Validate Replacement Claims Are Visible In AR Management
Specific Setup:
Requires claims where "Claim Type" is listed as "Replacement".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance".
- Set "Search Parameters" to desired settings to search for desired "Replacement Claim".
- Click "Search".
- Validate the system returns the desired claim.
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Topics
• Finance
|
ListClientRecordedStatus Message
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 1. Simple Service Entry [ADD]
- Billable Diagnosis for a Client with BA diagnosis
- Client Search
- Client Service Entry
- Standard Codes - Condition Clinical Status
- Standard Codes - Condition Verification Status
Scenario 1: ListClientRecordedStatus Support Added
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Topics
• Third Party Solution
|
Previous Names SubForm
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Personal Information [EDIT]
- Client Search
- Name History [ADD]
- Name History Subform
- Salutation
Scenario 1: Previous Names SubForm
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Topics
• Client
|
Workflows Performance Improvements
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Initial Enrollment for New Person [ADD]
- Person Information [ADD]
- Program Listing By Agency and Worker
- Wizard
- Wizard Search
- Worker Role (to a client or in a workgroup) Table
- Client Service Entry
- Location Table (Service)
- Outside Organizations - distinct
- Placement Events by Agency/Program - People2
- Provider Sites by Program (Vacancy)
- Referral Reason Table
- Staff - Service Providers (Caseloads - Zip Zones)
Scenario 1: Validate Workflow Triggers Based on Program Enrollment
Specific Setup:
Requires a workflow that will trigger events based on program enrollment.
Steps
- Navigate to " Client > Client Information > Critical Information > Enrollment Information".
- Create a new client.
- Enroll the client into a program that will trigger the workflow.
- Navigate to "Client > Reports > At a Glance > Scheduled/ Due Tasks".
- Validate the desired scheduled event has been scheduled.
Scenario 2: Validate Workflow Schedules Based on Recurring Interval
Specific Setup:
- Requires an ongoing workflow where first task triggers at X amount of days and recurring events trigger at different number of days.
- Scenario uses program enrollment as a trigger.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Click "Select Client" button and click "New".
- Fill in required fields to enroll a new client into a program.
- Validate workflow triggers desired event with correct due date.
- Complete the event with today's date.
- Validate the workflow triggers the second event using the recurring schedule.
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Topics
• Resource Families
• Routing
• Treatment Plans
• Workflows
|
Option for Military Time in BedBoard
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency [EDIT]
- Referral to Program from Outside Source [Edit]
- Service Facilities Form Set
- Service Facilities Listing
- Service Facility [EDIT]
- Taskbar > BedBoard > BedBoard > BedBoard
- Time Zones
Scenario 1: Bed Board Expected Time of Arrival for Referral
Specific Setup:
- Program, Facility, and Unit are configured to show in BedBoard.
- Person with Accepted Referral to Program/Facility/Unit.
Steps
- Navigate to "Agency Setup > Agency > Agency > Agency Information" ensure the field "Use Military Time for Upcoming Stays" is present and unchecked.
- Navigate to "Agency > Service Locations > Sites/Residentials > General Information". Select the "Facility from preconditions" and set the "Time Zone" to match workstation.
- Navigate to "Referral > Referrals Made > To Programs > Referral Information]". Ensure the field "Target Enrollment Date" allows you to specify both a date and time.
- Set the "Target Enrollment Date" to be a date in the future, and ensure the time is not set to 12:00AM.
- Navigate to "Taskbar > BedBoard > BedBoard > BedBoard".
- Locate "Unit" and "Referral", confirm time displays in standard format.
- Navigate to "Agency Setup > Agency > Agency > Agency Information" and check "Use Military Time for Upcoming Stays", save.
- Navigate to "Taskbar > BedBoard > BedBoard > BedBoard".
- Locate "Unit" and "Referral", confirm time displays in Military format.
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Topics
• BedBoard
|
Notify Schedule Form
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Event Categories Listing (No new)
- Event Definition - Notify Schedule [EDIT]
- Event Notification Form Set
- EvolvCS Client [EDIT]
Scenario 1: Validate Notify Schedule Form
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Go to "Scheduling/Workflow Settings" section.
- Verify 'Notify Staff (Days Before Event is Due)' and "Notify Client (Days Before Event is Scheduled)" are not listed as required.
- Navigate to "Setup > Event Setup > Notification Setup > Events Setup".
- Click on the "Event Category" button.
- Select "Activities" from the Category list.
- Select desired Event.
- Verify the "Notifications" section exists.
- Verify 'Notify Staff (Days Before Event is Due)' and "Notify Client (Days Before Event is Scheduled)" are not listed as required.
- Click Close.
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Topics
• Event Setup
• Setup
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E-Sign and Signature
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Activities Long Form without Other Acts [ADD]
- Activities Long Form without Other Acts [DELETE]
- Activities Long Form without Other Acts [VIEW] *APPROVED*
- All Clients With Security Listing by PeopleID
- Client Search
- Client Service Entry
- General Service Note (auto date) [ADD]
- General Service Note (auto date) [DELETE]
- Print Preview
- SupervisorModule
Scenario 1: Validate E-Sign/Submit Event Only Displays One Signature per Signer/Submitter in Print Preview
Specific Setup:
- Available client event to submit.
- Available client event to e-sign.
- Access to "Service/Case Notes & Planning Approval".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select a Client.
- Add a submit event.
- Fill form, save and submit.
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval".
- Approve the event.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Reopen the event.
- Print preview the form.
- Validate only one signature per staff is displayed (Name, Job Title, Credentials).
- Navigate back to "Client > Case Management > Service Management > Service Entry".
- Add an e-sign event.
- Fill form, save and e-sign.
- Reopen the event.
- Print preview the form.
- Validate only one signature per staff is displayed (Name, Job Title, Credentials).
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Topics
• Client
|
Auto-Actions for Remittances
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Clients With Security Listing by PeopleID
- AR Management
- Billing Plan Setup NX [EDIT]
- Cash Receipts for Remittance
- ContractsRatesSetup
- Payers Setup Table
- Payers/Contracts Setup 2.0 Form Set
Scenario 1: Validate Default Remittance Action For Manual Remittance
Specific Setup:
- Requires a "Plan/Contract" with "Default Remittance Actions" defined.
- Requires a "Claim" than can be remitted.
- Requires one "Manual Remittance".
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Contracts Setup".
- Select desired "Payer".
- Edit desired "Plan/Contract".
- Click "Default Remittance Actions" in the "Navigation Pane".
- Check the flag "Apply Auto Actions to Manual Remittance".
- Save.
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance".
- Set parameters to search for desired claim
- Add "Denial" status to the claim.
- Save.
- Validate after save the claim has the desired action set from the "Default Remittance Actions".
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Topics
• Finance
• Finance Setup
|
Agency Referral Wizard Time Field
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- New Referral to the Agency [ADD]
- Person Information [ADD]
- Referral Reason Table
- Referral Search
- Referral Source - Referral In
- Wizard
Scenario 1: Validate Agency Referral Wizard Time Field Accepts Correction After Error
Specific Setup:
Ability to add referral client.
Steps
- Navigate to "Referral > Agency Referral > Referral Information > Referral Information".
- Click Search and create New Referral Wizards and select Default Referral Wizard.
- Enter Last Name, First Name, and Gender, then click Proceed.
- Click "Create New Person" then click Proceed.
- Click Proceed and don't enter Family Information.
- Enter Referral Date then enter Referral Time "11.089 AM" (purposefully invalid).
- Fill remaining required fields and click Finish.
- Validate error message appears for invalid date/time.
- Modify the referral time to be valid "11:30 AM".
- Click Finish and verify the error message doesn't appear.
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Topics
• Referral Application
|
Box 24F and CMS-1500 Claim Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Alternative Claim Output
- Billing Batches Management
- Claim Output
- Claim Output Ready
- Claim Receivers Setup Form Set
- Claim/Invoice Batch [VIEW]
- FinanceClaims
- Receiver Information - All
- Receiver Information Generic [EDIT]
Scenario 1: Validate CMS 1500 Claim Output In Box 24F
Specific Setup:
- "Claim Receiver" is set to output using a "CMS-1500" format.
- Claims have been created for Submitter associated with Claim Receiver.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Locate "Billing Run" which has "Claim" from preconditions.
- Click on "Claims" and "Open Batch".
- Create output for "CMS 1500".
- Validate "Box 24F" has desired claim information.
- Validate subsequent line does not have any claim information or "00".
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Topics
• Finance
• Finance Setup
|
Diagnosis Group and Qualifying Services
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billable Diagnosis for a Client with BA diagnosis
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Client Search
- Client Service Entry
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: Validate Diagnosis APG Group Based Off Qualifying Service
Specific Setup:
- Requires a client enrolled into a program that is set up to bill "Facility Placement" services.
- Payer/Plan for the client should be set up to bill "Facility Placement" services where qualifying services are required.
- Qualifying Services should be checked with "Diagnosis Required".
- Rate History should be set up with at least 2 different rates.
- 1st rate has "Is Rate specific for Diagnosis Group" checked, but no diagnosis group defined.
- 2nd rate has "Is Rate specific for Diagnosis Group" and a diagnosis group defined.
- Client should have at least two diagnosis, one in the "Diagnosis Group" and one not listed in the "Diagnosis Group".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Enter desired "Qualifying Event".
- Add a diagnosis to the event that is not in any of the "Diagnosis APG" groups listed on the rate.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Start New Billing Run".
- Enter required fields to bill the facility placement for the client selected in step 2.
- Wait for billing to run.
- Validate the claim generated is for the desired "Diagnosis APG Rate" that does not have "APG Group" set.
- Click on the claim link to open the claim.
- Validate the "Qualifying Services" SubReport contains the desired qualifying service.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Enter another "Qualifying Event".
- Add a diagnosis to the event that is in the "Diagnosis APG" groups listed on the rate.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Reprocess the billing run.
- Validate the claim generated is now for the rate that that has the "Diagnosis APG Group" set.
- Click on the claim link to open the claim.
- Validate the "Qualifying Services" SubReport contains the both of the qualifying service.
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Topics
• Finance
• Finance Setup
|
Changes to Demographics Tab on Client Finance Related Standalone
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batch Claims Review
- Client Billing Information [EDIT]
- Client Finance Related Information Form Set
- Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management
- Finance Header
Scenario 1: Client Finance Related Information Standalone Form Displays Client ID
Specific Setup:
Test system must have billing runs with claims associated.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click on "Claims" hyperlink to launch "Billing Batch Claims Review" for a batch.
- Click on the "Client Name" hyperlink for a client in the batch.
- Validate the "Demographics" tab of the "Client Finance Related Information" standalone has loaded.
- Validate that "Person", "Address" , "Diagnoses Information" and "Collaterals" are available on "Demographics".
- Click "Benefit Assignment" tab to see details of benefit assignments for this individual.
- Click "Billing Authorizations" tab to see details of billing authorizations for this individual.
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Topics
• Finance
|
Improved Performance of Claim Listing Search
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim 2.0 [EDIT]
- Claim Submission Subform 2.0 [VIEW]
- Claims Maintenance NX Form Set
Scenario 1: Claim Listing Search
Specific Setup:
Large amount of finance claims.
Steps
- Navigate to "Finance > Claim Maintenance > Automatic > Claim Information".
- Click "Select a Claim".
- Search for claims and validate claims load.
- Validate Status/Action columns are aligned.
- Select a claim.
- Validate Claim Loads.
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Topics
• Finance
|
Payer Type is Supported in "Insurance PoliciesCreated" Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Benefit Assignment [ADD]
- Benefit Assignment [EDIT]
- Client Search
- Payers of Agency
- Plans/Contracts by Staff
- Relationship - Family Table
Scenario 1: Insurance Policies Being Sent via Events
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Topics
• Third Party Solution
|
Program Enrollment Selection When Launching OrderConnect
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency [EDIT]
- Client Personal Information [EDIT]
- Client Search
- Program Enrollments For Use With OrderConnect
- Browser
- Client Service Entry
- General Event [ADD]
- Generic Lab Tests [ADD]
- My Client Information Form Set
- Critical Information
- Program Enrollment [Edit]
Scenario 1: Agency Information - Validate Order Connect "Enable Program Selection" On Form
Specific Setup:
- A client exists that can be used.
- Order Connect is set up on the system.
- Access at least one form with the "Order Connect" button.
Steps
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Validate the check box field "Enable Program Selection" displays.
- Check mark the field,
- Uncheck the field.
- Check mark the field.
- Save the form.
- Validate the check mark displays.
- Navigate to one of the forms to access "Order Connect".
- Select a client.
- Validate the "Program Enrollments For Use With Order Connect" look up table displays.
- Exit out of the look up table and order connect.
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Validate the check box field "Enable Program Selection" displays.
- Uncheck the field.
- Save the form.
- Validate the check mark does not display.
- Navigate to one of the forms to access "Order Connect".
- Select a client.
- Validate the "Program Enrollments For Use With Order Connect" look up table does not display.
Scenario 2: Agency Information - Validate Order Connect "Enable Program Selection" Only Displays Active Programs
Specific Setup:
- Order Connect is enabled.
- The "Agency Information" setting, "Enable Program Selection" is check marked.
- A client exists with multiple programs.
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics".
- Select the client.
- Click the "Order Connect" button.
- Validate the "Program Enrollments For Use With OrderConnect" displays.
- Validate the filters function.
- Validate "Other" will display.
- Validate the client "Programs" display.
- Select any value.
- Validate the Order Connect window displays.
- Close Order Connect.
- Click the "Order Connect" button.
- Click the "Close (x)" button in the look up table.
- Validate the Order Connect window opens.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select the "My Clients" Widget.
- Select the "Open Formset" for the client.
- Select the "Demographics"
- Click the "Order Connect" button.
- Validate "Other" will display.
- Validate the client "Programs" display.
- Select any value.
- Validate the Order Connect window displays.
- Repeat the test for the Service Entry area, "Client > Case Management > Service Management > Service Entry".
- Repeat the test for labs, "Client > Client Information > Health Information > Lab Tests".
Scenario 3: Agency Information - Validate "Program Enrollments For Use With Order Connect" Look Up Displays Programs Of Client
Specific Setup:
- A client exists that has one active program enrollment.
- Order Connect is configured to be used.
Steps
- Select the client that is enrolled.
- Navigate to a form with the "Order Connect" button.
- Click the "Order Connect" button.
- Validate the "Program Enrollments For Use With Order Connect" display.
- Validate the enrolled program displays.
- Validate "Other" displays.
- Navigate to the "Client > Client Information > Critical Information > Enrollment Information".
- Select the Correct/Close the Program Enrollment and enter an end date of the current date.
- Save the record.
- Navigate to a form with the "Order Connect" button.
- Click the "Order Connect" button.
- Validate the "Program Enrollments For Use With Order Connect" display.
- Validate "Other" displays.
- Validate the "Inactive" program does not display.
- Navigate to the "Client > Client Information > Critical Information > Enrollment Information".
- Select the Correct/Close Program Enrollment option.
- Remove the "End Date" to make the program active.
- Navigate to a form with the "Order Connect" button.
- Click the "Order Connect" button.
- Validate the "Program Enrollments For Use With Order Connect" display.
- Validate "Other" displays.
- Validate the program just modified displays.
|
Topics
• Agency
• Agency Setup
• OrderConnect
|
HL7 Codes For Program Type
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Information Screen Form Set
- Client Search
- Critical Information
- Placement Events by Agency/Program - People2
- Program Enrollment From Service Track [ADD]
- Program Listing By Agency and Worker
- Program Type Setup [EDIT]
- Provider Sites by Program (Vacancy)
- Staff - Service Providers (Caseloads - Zip Zones)
- Standard Codes - Program
- Worker Assignment - Primary Worker [ADD]
- Worker Role (to a client or in a workgroup) Table
Scenario 1: HL7 Code For Program Type
|
Topics
• Agency
• Agency Setup
|
Diagnostic Reports
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Diagnostic Report [ADD]
- Diagnostic Report [EDIT]
- Lab Test Type
- LOINC-Lookup (All)
- Staff - All (by Staff ID)
- Standard Codes - Diagnostic Report Category
Scenario 1: Diagnostic Reports
|
Topics
• Client
• Setup
|
Populate CarePlan Status With HL7 Standard Codes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Goals Treatment Plan Depend on Category [ADD]
- Methods Treatment Plan [ADD]
- Objectives Treatment Plan [ADD]
- Plan Development [ADD]
- Problem Category Lookup - All
- Problem Category Lookup - Not Safety Plan
- Problems Identified (People/Category)
- Program by Client's Service Track and Service
- Provider Sites in Agency/Program/Services
- Service Plan Development - B2E Subform
- ServicePlanForm
- ServicePlanList
- Strengths Identified - Clients/Profiles - B2E Subform
- Strengths Library
- SupervisorModule
- Supervisors with no new
- Treatment Plan Library (by Category)
Scenario 1: CarePlan Status Value Added to Payload
|
Topics
• Supervisor
• Treatment Plans
|
Treatment Plan Goal Status Codes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Goals Treatment Plan Depend on Category [REVIEW]
- Program by Client's Service Track and Service
- Provider Sites in Agency/Program/Services
- Service Plan Development - B2E Subform
- Service Plan Review Items
- Service Plan Status
- ServicePlanForm
- ServicePlanList
- SupervisorModule
- Supervisors with no new
Scenario 1: CarePlanGoal Standard Code Form Line Added
|
Topics
• Treatment Plans
|
Custom Outputs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Alternative Claim Output
- Billing Batches Management
- Billing Place of Service
- Claim Output
- Claim Output Ready
- Claim Receivers Setup Form Set
- Claim/Invoice Batch [VIEW]
- Claims Maintenance Form Set
- FinanceClaims
- Receiver Information - All
- Receiver Information Generic [EDIT]
Scenario 1: Validate Client Specific Custom Printout For Claims
Specific Setup:
Services have been billed.
Steps
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Select the Claim Receiver associated with Claims from preconditions.
- Set Claim Output Format to Desired Format and update any required fields, save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Generate an output for your claim.
- Validate information appears on form.
- Repeat for additional custom outputs.
|
Topics
• Finance
• Finance Setup
|
Cost Center and Program Unit Linked to Claims Hierarchy
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Provider Number Type
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Client Finance Related Information Form Set
- Cost Center Definitions
- Critical Information
- FinanceClaims
- Group Programs Subform
- Payers of Agency
- Payor-Facility License Link Subform
- Plans/Contracts by Payer and Receiver
- Program Enrollment [Edit]
Scenario 1: Validate Cost Center Hierarchy
Specific Setup:
- System is set up with Cost Centers Units.
- Requires at least one claim that can be reprocessed.
- Claim is set up with "Cost Center" set on rate setup.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Search for desired claim.
- Open the claim and validate it contains "Cost Center" from rate setup.
- Close the claim.
- Navigate to "Agency > Service Locations > Sites/Residentials > General Information".
- Select "Facility" associated with claim.
- Scroll to "Programs/Services Operated".
- Set the "Override Cost Center" on the program row associated with the claim.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Reprocess the batch.
- Open claim.
- Validate "Cost Center Code" on "Accounting Info" is contains the "Cost Center Override" from the "Facility Program Link".
- Close claim.
- Click on "Client" name link the "Billing Batch Claims Review" window.
- Click on "Enrollment Information".
- Click "Actions" on the program associated with the claim.
- Select "Correct/Close Program Enrollment.
- Click on
- Save and Close.
- Reprocess batch.
- Open claim.
- Validate "Cost Center Code" on "Accounting Info" is contains "Cost Center" set on "Program Enrollment".
- Close the claim.
- Navigate to "Agency > Service Locations > Sites/Residentials > General Information".
- Select "Facility" associated with claim.
- Scroll to "Licensing".
- Set the "Override Cost Center" on the Payor/Plan row associated with the claim.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Reprocess the batch.
- Open claim.
- Validate "Cost Center Code" on "Accounting Info" is contains the "Cost Center Override" from the "Facility Licensing Link".
- Close claim.
|
Topics
• Client
• Finance
• Finance Setup
|
User Session For Users Not Allowed Multiple Logins
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency > Staff & Security > Staff Information > Staff Profiles with Security
- Agency by Managing Office
- Staff Listing - Agency Employees (By People ID)
- Staff with Security
- Client > Case Management > Service Management > Service Entry
- Simple Service Entry with Rating 2
- Taskbar > System Maintenance > Application Maintenance > Utilities
- Staff Information Form Set
- Staff with Security [EDIT]
Scenario 1: NIAM Duplicate User
Specific Setup:
- NIAM-enabled myEvolv environment.
- NIAM-enabled myEvolv Staff member.
- Access to Staff with Security for a non-NIAM Staff member.
Steps
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select the non-NIAM Staff.
- Enter the NIAM Staff's Username in the "NIAM Username" field.
- Click on the "Save" button.
- Verify an alert is displayed preventing the use of that Username again.
Scenario 2: Validate Snapshot Saves after Job to Reset Login Session
Specific Setup:
- Requires access to "Client > Case Management > Service Management > Service Entry" and an existing event that may be signed.
- Requires access to "Taskbar > System Maintenance > Application Maintenance > Utilities" and the ability to run Utilities.
- Requires Audit Snapshot enabled.
Steps
- Navigate to "Taskbar > System Maintenance > Application Maintenance > Utilities".
- Run the "Enable Job to Reset Login Sessions" job.
- Navigate to "Client > Case Management > Service Management > Service Entry" and select a Client.
- Sign an event.
- Wait for the session to time out overnight.
- The next day, log back in.
- Open the event that was signed previously. Confirm that the snapshot has saved.
Scenario 3: Validate Allow Multiple Login Honors Field When Disabled
Specific Setup:
- Two available stations to log in from.
- Access to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
Steps
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select User that is currently logged into Station 1.
- Click agency login row and Validate "Allow Multiple Login" is disabled.
- Log into User from Station 2.
- Validate "You have an open session from another location. Would you like to end that session to continue? Any unsaved work might be lost." prompt appears.
- Click Login button.
- Validate Station 2 logs into Desired User.
- Wait and Validate logout prompt "This session was ended by logging in from another location" on Station 1 appears.
- Log into User from Station 1 using the logged out window.
- Validate "You have an open session from another location. Would you like to end that session to continue? Any unsaved work might be lost." prompt appears.
- Click Login button.
- Validate Station 1 logs into Desired User.
- Wait and Validate logout prompt "This session was ended by logging in from another location" on Station 2 appears.
|
Topics
• Agency
• Login
• NIAM
|
Updates to Staff End Date Will Be Reflected in Mobile CareGiver+
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency > Staff & Security > Staff Information > Staff Profiles with Security
- Form Information
- FrontDeskCheckIn
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
Scenario 1: EvvResource.IsActive Based On Staff End Date
|
Topics
• Staff
|
Front Desk Calendar Interval Options
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Active events by Program or Clinic2
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- FrontDeskCalendar
- FrontDeskCheckIn
- Program Listing By Agency and Worker
- Staff - Service Providers (by Staff_id) NES
Scenario 1: Validate Appointments Align Correctly to Time Slot in Front Desk NX Calendar
Specific Setup:
Available appointments to be scheduled in Front Desk NX.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click "View Calendar".
- Select interval time of 25 min.
- Select a Staff and Add an Appointment.
- Save appointment and verify appointment aligns to correct time slot on calendar.
- Open the appointment and change the scheduled time.
- Save appointment and verify appointment re-aligns to correct time slot on calendar.
|
Topics
• Front Desk
• Taskbar
|
Client Demographic Phone Number Notification
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Personal Information [EDIT]
- Client Search
Scenario 1: Validate Phone Number Is Saving As Null
Specific Setup:
Access to Client Demographics form
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics".
- Select a Client.
- Enter a phone number for Day phone.
- Save.
- Delete the phone number after form reload, then save.
- Verify cell phone notification is sent out.
|
Topics
• Client
|
Front Desk Deposit Slips
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Clients With Security Listing by PeopleID
- Checks for a Clients Self Pay [ADD]
- Checks for a Clients Self Pay in Front Desk Entry [ADD]
- Checks for a Clients Self Pay Not Allowing Approve [ADD]
- Client Related Task Walk Ins [ADD]
- Client Search
- Deposit Slip Only [ADD]
- Deposit Slips not posted to Bank
- Event Definitions with Security by Program
- Facilities Listing by Program
- Facilities Listing with Security
- FrontDeskCheckIn
- GL A/R Temporary Unallocated Account
- GL Cash Accounts
- Program by Person and Agency (Active)
- Service and Attendance Facilities Listing
- Staff - Service Providers (by Staff_id)
Scenario 1: Front Desk - Deposit Slips Selection
Steps
- Navigate to "Client > Client Information > Personal Information > Self Pay Receipts".
- Search and select desired Client.
- Click the "Add New" button.
- Select "Checks for a Clients Self Pay" from the New Events list box.
- Click the "Deposit Slip" LUT button.
- Click on the "Search" button.
- Verify the search results exists.
- Set the "Batch #" input box to a desired number.
- Click Search.
- Verify the search results exists.
- Close out the search bar.
- Close out the page.
- Navigate to "Client > Client Information > Billing/Payment Information > Checks for a Clients Self Pay (Approval Not Avail)".
- Click "Add New".
- Select "Checks for a Clients Self Pay Not Allowing Approve" from the New Events list box.
- Click the "Deposit Slip" LUT button.
- Click on the "Search" button.
- Verify the search results exists.
- Set the "Batch #" input box to a desired number.
- Click Search.
- Verify the search results exists.
- Close out the search bar.
- Close out the page.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX"
- Set the "Location" to a desired Facility.
- Click the "Walk In" button.
- Fill out the required fields.
- Click Save.
- Click the "Refresh" link.
- Verify the "Self Pay" exists in the Appointment box.
- Click the "Self Pay" button.
- Click the "Deposit Slip" LUT button.
- Click "New".
- Fill out required fields.
- Click Save.
- Verify the recently created Batch Number cell exists.
- Click Cancel.
|
Topics
• Client
• Front Desk
• Taskbar
|
Client Message Payload FHIR Update
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Address by ZIP code Subform
- Address Type Table
- Client Personal Information [EDIT]
- Client Search
- Language Table
- Standard Codes - Telecom Use Code Form Entry
Scenario 1: ClientUpdate Payload FHIR Updates
|
Topics
• Client
|
Gender Identity Support Added
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Personal Information [EDIT]
- Client Search
- Gender Identity
- Gender Table
Scenario 1: Gender Identity Added to Demographics Form
|
Topics
• Client
|
Send Allergy Verification Status and Clinical Status in Allergy CareFabric Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Allergy Symptoms Reactions
- Client Search
- Micromedex/Truven Allergy [ADD]
- Micromedex/Truven Allergy [EDIT]
- NX FIELD [EDIT]
- People Allergy Symptoms Reaction Subform
- Standard Codes - Allergy Clinical Status
- Standard Codes - Allergy Verification Status
- Standard Codes - Observation Interpretation
- Standard Codes - Severity
- Standard Codes - Status
- Truven Allergy Lookup, Powered by Truven.
Scenario 1: Allergies - Form Updates For Verification Status and Clinical Status Look Up Tables
Specific Setup:
- The Clinical Status field on the form is set to be Visible.
- The Verification Status on the form is set to be Visible.
- A client exists that will need an allergy.
Steps
- Navigate to "Client > Client Information > Health Information > Allergies".
- Select the client to be used.
- Add a New Allergy
- Select the Micromedex/Truven Allergy Event.
- Validate "Verification Status" displays.
- Validate the "Clinical Status" displays.
- Click the "Verification Status".
- Validate the "Standard Codes - Allergy Verification Status" look up table displays.
- Validate the values in the look up table for Code, Description are:
- confirmed, Confirmed
- entered-in-error, Entered in Error
- refuted, Refuted
- unconfirmed, Unconfirmed
- Click the "Clinical Status".
- Validate the "Standard Codes - Allergy Clinical Status" display.
- Validate the values in the look up table for Code and Description are:
- active, Active
- inactive, Inactive
- resolved, Resolved.
- Validate the codes and descriptions for both look up table can be searched on.
- Fill the form in and save the form.
- Edit the form.
- Validate the records saved display.
- Change a value.
- Save the record.
- Edit the record.
- Validate the values changed were saved.
- Delete the record.
- Validate the record no longer displays.
Scenario 2: AllergyCreated - Verification Status and Clinical Status Field Values Added To Message
Scenario 3: AllergyCreated/AllergyUpdated - Validate ClincalStatus property Default to "resolved"
Scenario 4: AllergyCreated/AllergyUpdated - Validate ClincalStatus property Default to "inactive"
|
Topics
• CareConnect
• Client
• Forms
|
Holding Claim for No Primary Diagnosis
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 1. Simple Service Entry [EDIT]
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Client Search
- Client Service Entry
- FinanceClaims
- All People with Benefit Assignments with LOS
- Billing Run Request Limit People Subform
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: Secondary Diagnosis On Service Event - Claim Is Created And Not Held
Specific Setup:
- Client has a primary diagnosis on client record with an end date.
- Client has secondary diagnosis on client record.
- Client Benefit Assignment does not have a diagnosis.
- Client Billing Authorization does not have a diagnosis.
- Claim Receiver has "Hold Claims if No Diagnosis" flagged.
- Billing Procedure Code has "Diagnosis Required" flagged.
- Service ready to bill has "Diagnosis Treated" populated with secondary diagnosis.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management" and create a "New Run" for Submitter associated with Client/services from preconditions.
- Upon completion of "Billing Execution Interval", validate that the claim is not held when service has secondary diagnosis on "Diagnosis Treated".
Scenario 2: Add Other Diagnosis on Client Record, Which Overlaps Primary Diagnosis
Specific Setup:
- Client has a primary diagnosis on client record with an end date.
- Client has secondary diagnosis on client record.
- Client Benefit Assignment does not have a diagnosis.
- Client Billing Authorization does not have a diagnosis.
- Claim Receiver has "Hold Claims if No Diagnosis" flagged.
- Billing Procedure Code has "Diagnosis Required" flagged.
- Services ready to bill:
- Service 1 during active period of primary diagnosis.
- Service 2 after primary diagnosis is end dated.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management" and create a "New Run" for Submitter associated with Client/services from preconditions.
- Upon completion of "Billing Execution Interval", validate:
- Claim for service 1 is not held for no Primary diagnosis.
- Claim for service 2 is held for no Primary diagnosis.
|
Topics
• Finance
• Finance Setup
|
Patient Statement Report Data Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Clients With Security for Reports
- Date Range w/ Parms w/ Selection w/ Custom Params6 [ADD]
- Patient Statement
- Report Parameters PickList
- Report Selection Picklist
Scenario 1: Validate Patient Statement Excel Output Displays AR Balance
Specific Setup:
Requires a client with claims where this is a "Patient Unapplied Balance".
Steps
- Navigate to "Finance > Reports > Accounts Receivable > Patient Statements".
- Set desired parameters for the report.
- Select "Patient Statement Report by Client" report selection.
- Click "Excel" button.
- Wait for "Excel" output to download.
- Open "Excel" output.
- Validate "AR_Balance" column contains desired patient unapplied balance.
|
Topics
• Finance
• Reports
|
MyHealthPointe Client Balance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Client Guarantors - Self Pay
- Cash Receipt Maintenance 2.0 Form Set
- Cash Receipts Maintenance NX
- Cash Received - Credit Card [ADD]
- Cash Received Maintenance (System) [EDIT]
- Credit Card Brand
- Credit Card Devices - All
- Credit Card Manual Entry
- Finance > Remittance Processing > Credit Card Payments > Payments
Scenario 1: myHealthPoint Client Balance Export Update
|
Topics
• Finance
|
Void Credit Card Payment
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- A/R Reporting 2.0 Form Set
- Agency > Service Locations > Sites/Residentials > General Information
- Cash Received - Credit Card
- Credit Card Devices - All
- Credit Card Devices SubForm
- Finance > Remittance Processing > Credit Card Payments > Payments
- Patient Statement Report
- Service Facilities Listing
Scenario 1: CardConnect - Void Back Office Payment
Specific Setup:
- CardConnect-enabled myEvolv environment.
- Client has a payment made today via Back Office.
Steps
- Navigate to "Finance > Remittance Processing > Credit Card Payments > Payments".
- Select a Device.
- Open the Payment record.
- Check the "Void Payment" checkbox.
- Click on the "Save" button.
- Click on "OK".
|
Topics
• CardConnect
|
ProgramAdmission Payload Updated With RoleCode
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Critical Information
- Initial Enrollment for New Person [ADD]
- New Client Personal Information [EDIT]
- Outside Organizations - distinct
- Person Information [ADD]
- Placement Events by Agency/Program - People2
- Program Listing By Agency and Worker
- Provider Sites by Program (Vacancy)
- Referral Reason Table
- Staff - Service Providers (Caseloads - Zip Zones)
- Staff - Service Providers by Agency (2)
- stcodes_all_codes_role_code
- Wizard
- Worker Assignment for Agency Intake Subform
- Worker Assignments [EDIT]
- Worker Role (to a client or in a workgroup) Table
- Worker Role [EDIT]
- Worker Role for Setups
- Worker Roles Form Set
- Standard Codes Maintenance Form Set
- Value Set
Scenario 1: ProgramAdmission Role Code Included Within Payload
Scenario 2: Care Team Role Code Added to Medical Libraries
Specific Setup:
Access to "Setup > Medical Libraries Maintenance > Standard Codes > Codes Maintenance".
Steps
- Navigate to "Setup > Medical Libraries Maintenance > Standard Codes > Codes Maintenance".
- Click "Value Set" and select "Participant Roles".
- Validate the dataset listing contains all new required records.
|
Topics
• Setup
• Staff
|
Scheduled Tasks for Telehealth and Service Entry Screen
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Related Task - New [ADD]
- Client Related Task - New [DELETE]
- Client Search
- Client Service Entry
- Simple telehealth test [ADD]
- ADD Form -- Webpage Dialog
- DELETE Form -- Webpage Dialog
- Service Entry
Scenario 1: Validate Service Entry Screen to Show Visual Indicator that Scheduled Service is Telehealth
Specific Setup:
- Available Telehealth event with "Is Telehealth" enabled in event setup.
- Available Telehealth event with "Is Telehealth" disabled in event setup.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select Client and add Telehealth event that is enabled for "Is Telehealth" from setup.
- Validate "Is Telehealth" checkbox is checked and not disabled.
- Add Telehealth event that is disabled for "Is Telehealth" from setup.
- Validate "Is Telehealth" checkbox is not checked and not disabled.
- Schedule a Telehealth event that is enabled for "Is Telehealth" from setup.
- Validate Is Telehealth checkbox is checked and disabled.
- Fill form and save.
- Validate status contains "Scheduled, Telehealth".
- Schedule a Telehealth event that is disabled for "Is Telehealth" from setup.
- Validate Is Telehealth checkbox is not checked and not disabled.
- Fill form, check Is Telehealth checkbox and save.
- Validate status contains "Scheduled, Telehealth".
Scenario 2: Validate User Added “is_telehealth” Form Line Does Not Display Under Service Related Encounter Information
Specific Setup:
- Available event with custom "is_telehealth" form line added.
- Available event with default Is Telehealth checkbox under Service Related Encounter Information.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select a Client and add the custom Telehealth event from setup.
- Confirm "Is Telehealth" checkbox only appears under desired header.
- Add the default Telehealth event.
- Confirm "Is Telehealth" checkbox only appears under "Service Related Encounter Information" header.
Scenario 3: Validate Service Entry Screen Shows Visual Indicator that Scheduled Service is Telehealth
Specific Setup:
- Available Telehealth event.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select Client and add Telehealth event.
- Validate "Is Telehealth" checkbox exists and not disabled.
- Fill form, check Is Telehealth checkbox and save.
- Reopen event and validate Is Telehealth checkbox is still checked.
- Edit the event and save.
- Validate edits saved.
- Reopen event and validate Is Telehealth checkbox is still checked.
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Topics
• Client
• Telehealth
|
Import Staff File
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Import File processing Form Set
- Import File Templates
- Import Staff File Form Set
- Staff Import Header
- Staff Import Header [VIEW]
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- Update Staff File
- File Explorer
- Upload Staff File
Scenario 1: Verify NIAM Fields Populate Successfully When Staff Import File Uploaded
Specific Setup:
New Staff Import File with a minimum required fields populated (id_no, last_name, first_name, npi_number, use_eid_authentication, eid_username).
Steps
- Navigate to "Agency > Staff & Security > Import Staff File > File".
- Click "Select file > New".
- Choose an Import Staff.xlsx file.
- Upload file and verify uploaded correctly.
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select "Staff Name" associated with xlsx file uploaded.
- Confirm that the "Use NIAM Authentication" and "NIAM Username" fields are filled with the data populated in the use_eid_authentication and eid_username columns from the staff import file, respectively.
Scenario 2: Validate Can Import Staff Without NIAM Fields Populated
Specific Setup:
New Staff Import File with a minimum required fields populated (id_no, last_name, first_name, npi_number) with NIAM fields not populated (use_eid_authentication, eid_username).
Steps
- Navigate to "Agency > Staff & Security > Import Staff File > File".
- Click "Select file > New".
- Choose an Import Staff.xlsx file.
- Upload file and verify uploaded correctly.
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select "Staff Name" associated with xlsx file uploaded.
- Confirm that the "Use NIAM Authentication" and "NIAM Username" fields are not filled/disabled.
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Topics
• Agency
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View Client Tasks
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Event Categories/People - User Modifiable
- Event Definition User - People [EDIT]
- Event Definitions - People Based Form Set
- Events2doListing
- Security for events by event Subform
- Task Listing
Scenario 1: Validate Staff Are Not Able To View Events in the Client’s Calendar When Security Access Is Denied
Specific Setup:
- Staff 1 has Administrative rights,
- Staff 2 is a non-admin user.
- Access to Security for Event.
Steps
- Login as Staff 1.
- Navigate to "Agency Setup > Event Setup > People > Events Setup".
- Select an Event Category.
- Remove access for Worker Role from Security for Event.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select a Client and create an event with the updated security.
- Log out and log in as Staff 2.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the same Client and select "View Tasks" list from the Actions drop down list.
- Validate that the event displays as not available and "Open Event" option is not available.
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Topics
• Agency Setup
• Client
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Billing Requests Flagged "Produce AP Only"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Billing-Rate-Service Setup Details(Auths)
- Claim Maintenance - Manual 2.0 Form Set
- Claims - Manual
- Client Benefits Assignments with no Self Pay
- Immediate Billing Run Request [ADD]
- Rate Details
- Submitter Information
Scenario 1: Validate AP Only Billing Run Does Not Include Manual Claim
Specific Setup:
Requires at least one client and service with a "Payer/Plan" Setup to produce "AP Invoices".
Steps
- Navigate to "Finance > Claim Maintenance > Manual - Reimbursable > Claim".
- Click "Select A Claim".
- Click "New" button.
- Fill in required fields to generate a "Manual Claim".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Start New Billing Run".
- Fill in required fields, select same "Submitter/Receiver" that can be used for the manual claim.
- Uncheck "Produce AR".
- Validate "Produce AP" is checked.
- Save.
- Wait for billing to run.
- Validate the billing run produces only "AP Invoices" and the "Manual Claim" is not included in the batch.
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Topics
• Finance
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Notify User When Save Fails
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Assessment Remarks
- Client > Case Management > Service Management > Assessments
- Client Header
- Program by Client's Service Track and Service
- Provider Sites by Program
- Select Client
- All People Table
- Client Search
- Client Service Entry
- Select File for Upload
Scenario 1: UI Testing of Test/Assessment Containing All Question Types
Specific Setup:
Test system must have Assessment containing all question types. At least two of these questions must have "Remarks" associated. - Pick-list
- Numeric
- Narrative
- Date
- Single Select with default Answer
- Single Select without default Answer
- Multi-Select
- Multi-Select with NA
Steps
- Navigate to "Client > Case Management > Service Management > Assessments".
- Select "Client".
- Click "Add New" button.
- Click "Add Event".
- Select the "Test/Assessment" from preconditions.
- Enter all required fields.
- Select answer for "Pick-list" question.
- Enter alphabetic characters in "Numeric" question.
- Validate that system will warn you to enter a numeric value.
- Enter alphanumeric character in "Numeric" question.
- Validate that system will warn you to enter a numeric value.
- Enter number in "Numeric" question.
- Enter text in "Narrative" question.
- Enter Date in "Date" question.
- Confirm that "Single Select with default Answer" has appropriate answer selected.
- Select different answer on "Single Select with default Answer".
- Confirm the default answer is no longer selected.
- Confirm that "Single Select without default Answer" has nothing selected.
- Select an answer on "Single Select without default Answer".
- Select answer on "Multi-Select" question.
- Select another answer on "Multi-Select" question.
- Confirm that both answers are selected for "Multi-Select" question.
- Select answer on "Multi-Select with NA".
- Select "NA" on "Multi-Select with NA" question.
- Confirm that previously selected answer for "Multi-Select with NA" is no longer selected.
- Set "NA Reason".
- Click "Remarks" button for first question that includes Remarks.
- Enter text in the "Assessment Remarks" form and Save.
- Click "Remarks" button for second question that includes Remarks.
- Enter text in the "Assessment Remarks" form and Save.
- Save the Test/Assessment.
- Open the saved Test/Assessment.
- Validate that all questions contain the answers as entered.
Scenario 2: Validate Event for a Client With User Defined Fields/Test Questions Saves Data After Reopening
Specific Setup:
Client Event with multiple test questions, user defined field(s), and document upload fields.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired Client.
- Add event from preconditions.
- Fill form and Save as Draft.
- Reopen Event and verify information saved.
- Save form.
- Reopen Event and verify information saved.
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Topics
• Assessments
• Client
|
Referrals Information Form Set Member
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- My Referral Information Form Set
- Referral Search
- Worker Assignments - Referrals Made [ADD]
- Worker Assignments - Referrals Made [DELETE]
- Worker Role (to a client or in a workgroup) Table
Scenario 1: Validate Pending Referrals Widget Populates The Referral Form When Worker Assignment Is Added
Specific Setup:
- Client enrolled in Program.
- Client has new Referral to a Program with a status of "Pending".
Steps
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Enable "My Pending Referrals" Widget.
- Search for "Client" from preconditions.
- Click "Edit Referral" button.
- Navigate to "Worker Assignments".
- Click "Add New > Add Event > Staff Responsible or Referral".
- Fill out form and save.
- Verify new event appears under "Completed Events" and "Referral > Referrals Made > View Worker Assignments > Staff Responsible for Referral".
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Topics
• Taskbar
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Activity - Other Duration Field
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Event Definitions - Service - by Category/Program
- Other Activities - B2E Subform
- Other Activities [EDIT]
- OTPS [EDIT]
Scenario 1: Validate Child Event Data Will Now Auto Calculate Duration When Saving From a Drafted Event
Specific Setup:
- Service event setup to save as draft.
- Service event has Start Date/Time and End Date/Time inputs.
- Service event has an Activities - Other.
- Activities - Other -B2E has Start Time and End Time inputs.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select a Client.
- Add the desired Event.
- Fill parent event Start and end Date/Times.
- Add a child event and fill Start/End Times, then save as draft.
- Validate the parent event and child event have not calculated durations.
- Reopen the event.
- Add a new child event with Start/End Times, then save.
- Validate main event and two child events now have calculated their duration times.
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Topics
• Client
|
Manual Only Claim Billing Requests Reprocessing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Immediate Billing Run Request [ADD]
- Message from webpage - Are you sure you want to mark reprocess?
- Submitter Information
Scenario 1: Validate Manual Only Claim Billing Runs Do Not Reprocess Without Action Being Set to Reprocess
Specific Setup:
Scenario works with a "Payer/Plan" that has zero billable manual claims to process.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" button.
- Select "Start New Billing Run".
- Fill in required fields to bill your services.
- Check the flag "Manual Claims Only".
- Click "Save".
- Wait for billing to run.
- Validate the resulting billing run contains "Zero Claims".
- Wait for the next billing run to process.
- Click "Billing Processing History".
- Click "Billing Processing Log".
- Validate it did not reprocess the "Manual Claims" billing run.
- Click "Billing Batches Management".
- Click "Actions" button on the manual claim billing run and select "Reprocess".
- Wait for billing to run.
- Validate the "Manual Claim Billing" reprocessed.
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Topics
• Finance
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My Tasks Widget To Show Scheduled Task is Telehealth
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 25992 [ADD]
- Client Related Task - New [ADD]
- Client Related Task - New [DELETE]
- Client Search
- Client Service Entry
- FrontDeskCheckIn
- People Search
- Service and Attendance Facilities Listing
Scenario 1: New Telehealth Option For Appointments
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Search desired Client using "Search Client" input box.
- Select desired Client.
- Click the "Scheduled Task" button.
- Select desired Task from the dropdown list.
- Fill out the required fields.
- Check the "To Be Performed via Telehealth" checkbox.
- Click Save.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Use the "Select Client" button to search and select desired Client.
- Check "Include Telehealth Appointments?" check box.
- Verify the appointment appears with a "phone" icon. The icon verifies it's a Telehealth appointment.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Verify the Telehealth appointment appears under "My Tasks" widget.
- Verify the phone icon appears with the Telehealth appointment.
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Topics
• Client
• Front Desk
• Taskbar
• Telehealth
|
Scheduled Task Is Telehealth Icon
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Active events by Program or Clinic2
- Client Related Task by Staff Responsible [EDIT]
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- FrontDeskCalendar
- FrontDeskCheckIn
- Program Listing By Agency and Worker
- Staff - Service Providers (by Staff_id) NES
Scenario 1: Validate Phone Icon Displays in "My Tasks Not Checked In" and "Waiting Room" Widgets for Events Marked "To Be Performed via Telehealth"
Specific Setup:
- Access to Calendar in Front Desk NX.
- Access to add New Appointment.
- Access to "My Tasks Not Checked In" and "Waiting Room" widgets.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click View Calendar.
- Select a staff and Add a New Appointment.
- Fill form, check "To Be Performed via Telehealth", and Save the appointment.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Enable widgets "My Tasks Not Checked In" and "Waiting Room".
- Validate appointment is present in "My Tasks Not Checked In" widget.
- Validate appointment has a Phone Icon "Complete Via Telehealth".
- Edit the appointment and mark as Check In.
- Validate appointment is present in "Waiting Room" widget.
- Validate appointment has a Phone Icon "Complete Via Telehealth".
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Topics
• Taskbar
|
Front Desk Check In and Telehealth
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 25992 [ADD]
- Client Related Task - New [ADD]
- Client Related Task - New [DELETE]
- Client Search
- Client Service Entry
- FrontDeskCheckIn
- People Search
- Service and Attendance Facilities Listing
Scenario 1: New Telehealth Option For Appointments
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Search desired Client using "Search Client" input box.
- Select desired Client.
- Click the "Scheduled Task" button.
- Select desired Task from the dropdown list.
- Fill out the required fields.
- Check the "To Be Performed via Telehealth" checkbox.
- Click Save.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Use the "Select Client" button to search and select desired Client.
- Check "Include Telehealth Appointments?" check box.
- Verify the appointment appears with a "phone" icon. The icon verifies it's a Telehealth appointment.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Verify the Telehealth appointment appears under "My Tasks" widget.
- Verify the phone icon appears with the Telehealth appointment.
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Topics
• Client
• Front Desk
• Taskbar
• Telehealth
|
Telehealth for Front Desk Calendar and Staff Calendar
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Related Task - New [ADD]
- Client Related Task - New [DELETE]
- Client Search
- Client Service Entry
- Front Desk Calendar Appointment [EDIT]
- FrontDeskCalendar
- FrontDeskCheckIn
- People Search
- Service and Attendance Facilities Listing
Scenario 1: Telehealth for Front Desk Calendar and Staff Calendar
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Search for desired Client through "Select Client".
- Select desired Client cell.
- Click "Schedule Task".
- Click "To Be Performed via Telehealth" checkbox.
- Fill out required fields.
- Click Save
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX"
- Click "View Calendar" button.
- Set desired Staff User in the User search bar.
- Click the Staff checkbox.
- Validate the Telehealth appointment appears.
- Validate the Telehealth icon appears if the appointment is overlapping.
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Topics
• Client
• Telehealth
|
Service Group Template to Include Is Telehealth
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 25992 [ADD]
- Client Related Task - New [ADD]
- Client Related Task - New [DELETE]
- Client Related Task - New [EDIT]
- Client Search
- Client Service Entry
- FrontDeskCheckIn
- People Search
- Service and Attendance Facilities Listing
Scenario 1: Validate Service Group Template Include Telehealth
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Click "Schedule Event".
- Select desired Program and desired Event.
- Check "Include Telehealth Appointments?" check box.
- Fill out required fields.
- Click Save.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX"
- Click Refresh.
- Validate the phone icon exists within the Telehealth appointment.
- Click on the Event link.
- Validate the Telehealth checkbox is checked.
- Click Close.
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Topics
• Client
• Event Setup
• Telehealth
|
Scheduled Staff Telehealth Task Email Notification
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Active events by Program or Clinic2
- EvolvCS Client [EDIT]
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- Front Desk Staff Appointment [ADD]
- FrontDeskCalendar
- FrontDeskCheckIn
- Microsoft Outlook
- Program Listing By Agency and Worker
- Staff - Service Providers (by Staff_id) NES
Scenario 1: Validate Staff Email Notifications Indicate Whether Scheduled Appointment Is Telehealth
Specific Setup:
- Access to staff and their email.
- Access to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- "Enable Staff Calendar Appointments" enabled in "Setup > System > EvolvCS System Setup > System Settings/Preferences".
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Validate "Enable Staff Calendar Appointments" is enabled.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Open View Calendar.
- Create an appointment for Desired Staff.
- Mark appointment as "To Be Performed via Telehealth" and save.
- Open Staff's email and verify event email exists.
- Validate email contains "- Telehealth" in the "Where:" section.
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Topics
• Setup
• Taskbar
|
Recurring Task Scheduling to Carry Over Is Telehealth
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Active events by Program or Clinic2
- Client Related Task - New [EDIT]
- Client Search
- Client Service Entry
- Event Definitions with Security -Client
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- FrontDeskCalendar
- FrontDeskCheckIn
- Program by Client's Service Track and Service
- Program Listing By Agency and Worker
- Provider Sites by Program
- Recurrence Type (Daily, Weekly, etc.)
- Recurring Tasks - People [Add]
- Recurring Tasks - People [DELETE]
- Recurring Tasks - People [Edit]
- Staff - Service Providers (by Staff_id)
- Staff - Service Providers (by Staff_id) NES
Scenario 1: Recurring Tasks/Appointments from Client Module or Front Desk Calendar to Propagate Is Telehealth Flag
Steps
- Navigate to "Client > Case Management > Plan Development > Recurring Tasks Setup".
- Select a Client and Create a new Recurring Task.
- Fill out a recurring form.
- Check "To Be Performed via Telehealth" and Save.
- Reopen the task and check "To Be Performed via Telehealth" is checked.
- Navigate to "Client > Case Management > Service Management > Service Entry."
- Locate the recurring tasks and Click Edit Task.
- Validate "To Be Performed via Telehealth" is checked.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click Calendar and Select New Appointment.
- Fill form, set the task as "To Be Performed via Telehealth" and set Recurring info and save.
- Open the individual tasks created and validate "To Be Performed via Telehealth" is checked.
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Topics
• Calendar
• Client
• Taskbar
|
Failed 835 Import
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Submission 2.0 [EDIT]
- Claims Maintenance NX Form Set
- Finance File Import
- FinanceImportListing
Scenario 1: Validate Claim Status When 835 Failed To Upload
Specific Setup:
- Requires a claim that can be remitted.
- Requires an "835 Remittance" file.
- Scenario works with "835 Remittance" file that fails to upload because of "Duplicate Submission" records.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" button.
- Select "Upload 835".
- Select desired "835 Remittance" to upload.
- Set "Deposit Date".
- Click "Upload" button.
- Validate "835 Failed To Upload" message is visible.
- Close the window.
- Navigate to "Finance > Claim Maintenance > Automatic > Submissions".
- Click "Select A Claim" button.
- Search for desired claim from "835 Remittance".
- Validate the submission does not contain "Claim Remittance Status".
- Validate the "Submission Balance and Total Amount Paid" have not changed.
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Topics
• Finance
|
VitalSignSet Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
Scenario 1: VitalSignSet Message Update
Scenario 2: GetVitalSignSet Action Message Support Added
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Topics
• Assessments
|
CarePlan Message to Include Summary Text
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Goals Treatment Plan Depend on Category [ADD]
- Methods Treatment Plan [ADD]
- Objectives Treatment Plan [ADD]
- Plan Development [ADD]
- Problem Category Lookup - Not Safety Plan
- Problems Identified (People/Category)
- Program by Client's Service Track and Service
- Provider Sites in Agency/Program/Services
- Review Plan
- Service Plan Development - B2E Subform
- Service Plan Review Items
- ServicePlanForm
- ServicePlanList
- SupervisorModule
- Supervisors with no new
- Treatment Plan - Information [EDIT]
- Treatment Plan Library (by Category)
Scenario 1: CarePlan Message to Include Text Property
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Topics
• Treatment Plans
|
Send Device Identifier on ClientMedicalDeviceCreated Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Implantable Device Info [ADD]
- Implantable Device Info [DELETE]
- Implantable Device Info [EDIT]
- Implantable Device Status
Scenario 1: Implantable Device Identifier Sent with ClientMedicalDeviceCreated Payload
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Topics
• Client
|
Send GetGroupResource Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Critical Information Form Set
- Critical Information
- Program Enrollment [VIEW]
- Program Setup - No Care Day/Respite [EDIT]
Scenario 1: SDK GetGroupResource
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Topics
• Agency
• Client
|
Immunization Status Codes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CDC-defined NIP002 - Substance Refusal Reason
- Client Search
- Immunizations - Standard Codes [ADD]
- Immunizations - Standard Codes [EDIT]
- Location Table (Service)
- Standard Codes - All codes by Event
- Standard Codes - Immunization Form Entry
Scenario 1: ImmunizationCreated Message to Include StatusCode
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Topics
• Immunizations
|
RevConnect Alerts
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Benefit Assignment [EDIT]
- Client Search
- Eligibility File
- Finance > Imports/Exports > Imports > Eligibility (271) Imports
- FinanceImportListing
- Report: Benefits Details
- Report: Clients Processed OK
- Alerts - View [VIEW]
- Cash Received Maintenance (System) [VIEW]
- Claims Maintenance NX Form Set
- Remittance File
- Report: Claim Details Report
- Report: Claim Remittance Report
- 999 Acknowledgement File
- Claim/Invoice Batch [VIEW]
- Message from webpage - Are you sure want to delete this record?
Scenario 1: Receive 271 File From RevConnect
Specific Setup:
- System is configured to receive 271 Eligibility Files from RevConnect.
- 271 file with a tilde ~ at the end of each line.
- 271 file without training tilde.
Steps
- Confirm "271 File with trailing tilde" from preconditions has uploaded from RevConnect.
- Navigate to "Finance > Imports/Exports > Imports > Eligibility (271) Imports".
- Validate file is present.
- Click "Actions", "Report".
- Validate "Report" contains "Client Eligibility", close.
- Navigate to "Client > Client Information > Personal Information > Benefit Assignments".
- Select "Client" and click on "Benefit Assignment" associated with the "271 file".
- Scroll to "271 Information".
- Validate "271 Eligibility History" is present, close.
- Repeat steps for "271 File without trailing tilde".
Scenario 2: Receive 835 File From RevConnect
Specific Setup:
Ability to receive 835 Remittance files via SFTP/RevConnect.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Validate file has imported successfully from "SFTP/RevConnect".
- Click "File Name" link.
- Validate file displays, close.
- Click "Check" link.
- Validate "Receiver" and "Deposit" information is correct.
- Click "Actions", "Remittance Report".
- Validate "Report" contains "Claim Remittance" information, close.
- Click "Actions", "Claim Details".
- Validate "Report" contains "Claim Details" information, close.
Scenario 3: Receive Valid 999 File From RevConnect
Specific Setup:
Claim Receiver configured for SFTP/RevConnect Integration.
Steps
- Navigate to "Finance > Imports/Exports > Imports > 999 Imports".
- Validate "999 File" is present.
- Click on "File" to expand.
- Validate "Invoice Batch Log" corresponds to existing "Control Number".
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Topics
• Finance
• Finance Setup
|
Provider Message Payload FHIR Update
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Address by ZIP code Subform
- Address Type Table
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff Personal Information [EDIT]
Scenario 1: ProviderUpdate Payload FHIR Updates
|
Topics
• Staff
|
Organization NPI
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: Send Organization NPI Information
|
Topics
• Agency Setup
|
Fast Track by Client SubForm
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Activities Long Form With Other Acts [EDIT]
- Client > Case Management > Service Management > Service Entry
- Edit Memo
- Location Table (Service)
- Notes
- Program by Person and Agency (Active)
- Provider Sites by Program
- Select Client
- Taskbar > Fast Track > Fast Track > Fast Track by Client
- Text Templates
- All Clients With Security Listing by PeopleID
- Fast Track By Client NX [ADD]
- Fast Track Service Entry Events XB Subform
Scenario 1: Progress Notes Entered via Fast Track by Client Appear in Service Event
Specific Setup:
- Requires a Service Event with "Has Single Note" checked.
- Service should be set for use with Fast Track.
- Requires at least one "Text Template" to be used with Progress Notes.
- Client is enrolled in Program providing the Service.
Steps
- Navigate to "Taskbar > Fast Track > Fast Track > Fast Track by Client."
- Select "Client" from preconditions.
- Select "Program Providing Service" from preconditions.
- Select "Facility Providing Service" and Location".
- Click "Get Services" button.
- Check the desired "Service Event".
- Click the "Progress Note" button.
- Click "Add a Template" button.
- Validate desired "Templates" exist in the "Look Up Table".
- Select the "Template".
- Validate the "Template" appears in the "Progress Note" and save.
- Save the "Event".
- Navigate to "Client > Case Management > Service Management > Service Entry."
- Select "Client" from preconditions.
- Validate "Event" created in "Fast Track" is present.
- Open the "Event".
- Validate the "Progress Note" information is present.
Scenario 2: After Saving in “Fast Track by Client”, Filters Are Preserved
Specific Setup:
Client enrolled in Program with services set up for Fast Track.
Steps
- Navigate to "Taskbar > Fast Track > Fast Track > Fast Track by Client".
- Enter filters and click Get Services.
- Validate when a service is checked, filters are disabled.
- Enter a service and save.
- Validate filters remain enabled.
- Validate if filters are changed, Services SubForm is disabled.
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Topics
• Client
|
Resubmit and Incident To
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 837 File
- AR Management
- Cash Receipts for Remittance
- Claim Output Ready
- Claim/Invoice Batch [VIEW]
- Claims Submission For Remittance NX [EDIT]
- Client Search
- Client Service Entry
- FinanceClaims
- Staff - Supervisors
Scenario 1: Validate Incident To Flag Is Updated When Resubmitting With Calculate Rate
Specific Setup:
- Requires an event that has been billed and can be remitted.
- Event should not have "Medicare Incident To Services" flag checked and "Medicare Incident To Services Supervisor" filled in.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Edit desired event.
- Check "Medicare Incident To Services".
- Set "Medicare Incident To Services Supervisor" to desired staff.
- Save.
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Apply a denial to the claim.
- Apply a "Resubmit" action to the claim using "Calculate Rate".
- Save.
- Wait for billing to run.
- Open the second submission of the claim.
- Validate the "Incident To" flag is checked.
- Open the batch.
- Create the output.
- Download and open the 837 file.
- Validate NM1*82 segment contains desired staff.
Scenario 2: Validate When Using Resubmit With Remaining Balance System Will Use Incident To From Original Submission
Specific Setup:
- Requires an event that has been billed and can be remitted.
- Event should have "Medicare Incident To Services" flag checked and "Medicare Incident To Services Supervisor" filled in.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Apply a denial to the claim.
- Apply a "Resubmit" action to the claim using "Remaining Balance".
- Save.
- Wait for billing to run.
- Open the second submission of the claim.
- Validate the "Incident To" flag is checked.
- Open the batch.
- Create the output.
- Download and open the 837 file.
- Validate NM1*82 segment contains desired staff.
|
Topics
• Finance
|
Medication Administration Grid Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Facility Listing for Reports
- Months
- Report Parameters PickList
- Report Selection Picklist
- Report: Medication Administration Monthly Grid
- Year Month With Parms and Selection [ADD]
Scenario 1: Validate Medication Administration Monthly Grid Report Parameters Return Results
Specific Setup:
At least one Client has medications administered.
Steps
- Navigate to "Reports > Clients > Health/Medical > Medication Administration Grid".
- Set the Year and Month filters and Select a Report Selection.
- Set the parameter to "Facility - Client Enrolled" and Select a facility.
- Click Preview.
- Verify Report loads and contains information expected.
|
Topics
• Reports
|
Calculate Rate and Billing Processing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- BillingProcessHistory
- Cash Receipts for Remittance
- Claim 2.0 [EDIT]
- Claims Maintenance NX Form Set
- Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management
- Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History
Scenario 1: Running Calculate Rate in AR Management During Large Batch Billing
Specific Setup:
- Claim is ready to resubmit to same or other Payer.
- Billing request is ready to reprocess.
- Access to "Billing Processing History".
- Multiple staff to perform "Calculate Rate" and start/reprocess a "Billing Request".
Steps
- Staff 1 navigates to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Set "Filters" to search on "Billing Request" from preconditions.
- Click "Actions" and "Reprocess".
- Staff 2 navigates to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select "Check" and set "Filters" to search on "Claim" from preconditions.
- Click "Add Action" and select "Resubmit".
- Staff 1 clicks "Billing Processing History" and "Start Billing Now".
- Staff 2 clicks "Amount Type" and selects "Calculate Rate".
- Confirm successful completion of "Calculate Rate".
- Staff 2 selects "Resubmit" action.
- Confirm successful completion of "Calculate Rate".
- Confirm successful completion of "Billing Request".
- Navigate to "Finance > Claim Maintenance > Automatic > Claim Information".
- Select a "Claim" from "Reprocessed Batch".
- Validate "Billed Services" SubReport is present and displays "Claim" data.
Scenario 2: Validate Ability To Start Billing Now While "Calculate Rate" in Process
Specific Setup:
- Test requires two finance users; one of whom has access to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History".
- Test system must have claims that can have Calculate Rate applied in "Finance > Remittance Processing > Remittance Application > AR Management".
- Test system must have billing interval set long enough to allow the test to be performed without the interval picking up available runs.
- Test system requires a billing request to be submitted and ready to run.
Steps
- One test user will pull up desired test claims in AR Management and add status and action.
- Working in coordination, this tester will select "Calculate Rate" for these claims.
- While Calculate Rate is running, the second tester will click "Start Billing Now" from "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History".
- Validate that system displays message "Billing Job Started".
- Click "Refresh"; validate that the billing job is executing.
- Cancel the "Calculate Rate" changes if desired.
|
Topics
• Finance
|
Cancel Job and Billing Requests Limited by Service Bundle
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Service Bundles
- BillingProcessHistory
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: Service Bundle - Only One Service Bundle Per Billing Job Run Will Occur
Specific Setup:
- At least two service bundles exist. They will be referred to as "Service Bundle 1" and "Service Bundle 2" in this test.
- Each service bundle has been submitted to be run during Billing Batches Management process.
- Access to Billing Processing History is needed to view the Billing Processing History.
- The ability to delete the request to allow the run to be submitted multiple times.
- A Billing run that can be submitted that has no service bundles.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Add a "New Run".
- Fill in the needed fields give it a description that is easy to identify as the first bundle. Example "Service Bundle 1 test".
- Select the Service Bundle and add "Service Bundle 1" to the record.
- Save the record.
- Repeat the above creating a "Service Bundle 2 test" record and using the "Service Bundle 2".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History" and select "Start the Billing Now".
- Validate the "Billing Processing History" contains 2 logs.
- Expand the drop down arrow for each log.
- Validate only one service bundle per job processed exists.
- Validate the non-service bundled submission displays.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Validate the service bundles submitted contain the data expected.
- Select the "Actions" button and select "Delete Request" for the row that contains "Service Bundle 1".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Validate the "Job Line is Removed" where the service bundle was the only item.
- Validate the "Job Line" with the non-service bundle exists and does not contain the service bundle run.
- Redo the "Delete Request" for "Service Bundle 2".
- Validate the only Log that exists is the one that had no bundles.
- Validate neither service bundle deleted is in this log.
Scenario 2: Service Bundle - Only One Service Bundle Per Billing Job Run Will Occur When Cancelling
Specific Setup:
- At least two service bundles exist. They will be referred to as "Service Bundle 1" and "Service Bundle 2" in this test.
- Each service bundle has been submitted to be run during Billing Batches Management process.
- Access to Billing Processing History is needed to view the Billing Processing History.
- The ability to delete the request to allow the run to be submitted multiple times.
- A Billing run that can be submitted that has no service bundles.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Add a "New Run".
- Fill in the needed fields give it a description that is easy to identify as the first bundle. Example "Service Bundle 1 test".
- Select the Service Bundle and add "Service Bundle 1" to the record.
- Save the record.
- Repeat the above creating a "Service Bundle 2 test" record and using the "Service Bundle 2".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History" and select "Start the Billing Now".
- While the log generating and indicating that processing is occurring, select the "Actions" Button and select "Cancel Job", to end the process.
- Validate the log no longer displays.
- Click the "Start the Billing Now" button.
- Validate the system generates a new log.
- While it is processing, validate the log only contains the name of the "Service Bundle 1".
- Upon completion of the "Billing Execution Interval", then proceed with this test scenario.
- Validate a second log is then generated and completes.
- Validate that log contains the only one service bundle, the "Service Bundle 2".
- Validate that log/process completes.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Validate the service bundles submitted contain the data expected.
- Select the "Actions" button and select "Delete Request" for the row that contains "Service Bundle 1".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Validate the "Job Line is Removed" where the service bundle was the only item.
- Validate the "Job Line" with the non service bundle exists and does not contain the service bundle run.
- Redo the "Delete Request" for "Service Bundle 2".
- Validate the only Log that exists is the one that had no bundles.
- Validate neither service bundle deleted is in this log.
|
Topics
• Finance
|
On Demand Billing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency Program Services/Program-User Subform
- Billing Rate - Attendance (Based on time) NX [ADD]
- Billing Rate - Immunization [ADD]
- Billing Rate - Medication [ADD]
- Billing Rate - Service Based NX [ADD]
- ContractsRatesSetup
- Payers Setup Table
- Payers/Contracts Setup 2.0 Form Set
- Simple - Billing Rate E/M NX [ADD]
Scenario 1: Validate on Demand Billing for E/M, Immunization, Medication, and Service Based Rates
Specific Setup:
Billing rates for E/M, Immunization, Medication, Service Based setup, and at least one different rate setup.
Steps
- Navigate to "Agency Setup > Services Setup > By Program > Individual Services".
- Click on a Desired Program.
- Verify "On Demand Billing" column exists under User Defined Services.
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Billing Rates (A/R)".
- Select a Self Pay Payer.
- Validate "Bill near real time of service" checkbox for E/M, Immunization, Medication, and Service Based Rates exists under "Add History".
- Validate "Bill near real time of service" checkbox does not exist for any other rate.
|
Topics
• Agency Setup
• Finance Setup
|
Agency Rate on Waterfall Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Clients With Security Listing by PeopleID
- AR Management
- Cash Receipts for Remittance
- Claim Output Ready
- Claim/Invoice Batch [VIEW]
- Claims Submission For Remittance NX [EDIT]
- FinanceClaims
Scenario 1: Validate Agency Amount On 837 Output When A Claim Is Waterfalled
Specific Setup:
- Requires a claim that can be remitted and waterfalled to a "Secondary Payer".
- "Secondary Payer" should have "Output Agency Amount" checked on "Contract Setup".
- Scenario works with a service that is set up to bill a higher amount on the "Secondary Payer".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check
- Set the parameters to search for the desired claim.
- Add a "Partial Payment" to the claim.
- Click "Add Action"
- Select "Resubmit to Other".
- Select "Calculate Rate".
- Validate the "Agency Amount" is that of the "Secondary Payer".
- Save.
- Wait for billing to run.
- Click on the second submission.
- Click on the "Batch" link.
- Click "Open Batch"
- Click "Create Output".
- Download the electronic file.
- Validate the "Agency Amount" is the amount from the "Primary Payer".
|
Topics
• Finance
• Finance Setup
|
Send Allergy Verification Status and Clinical Status in Allergy CareFabric Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AXIS IV (Psychosocial and Environmental Problems) [ADD]
- AXIS IV (Psychosocial and Environmental Problems) [DELETE]
- AXIS IV (Psychosocial and Environmental Problems) [EDIT]
- Axis V (Global Assessment of Functioning) [ADD]
- Axis V (Global Assessment of Functioning) [DELETE]
- Axis V (Global Assessment of Functioning) [EDIT]
- Client Search
- County Table
- Diagnosis - (Axis IV problems)
- Diagnosis General [ADD]
- Diagnosis General [DELETE]
- Diagnosis General [EDIT]
- Diagnosis Search Service
- Priority Table
- Program by Person and Agency (Active)
- State Table
Scenario 1: Clinical and VerificationStatus on Conditions - Diagnosis
|
Topics
• Client
|
Events2Do
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Class Scheduled Tasks [ADD]
- Class Scheduled Tasks [EDIT]
- Client Related Task - New [ADD]
- Client Related Task - New [EDIT]
- Client Search
- Client Service Entry
- Event Categories/Groups - User Modifiable
- Event Definition User - Groups
- Event Definitions - Groups Form Set
- Form Information
- Groups > Service Management > Service Management > Activities - Scheduled Events
- myHealthPointe Dashboard
- myHealthPointe My Schedule
- myHealthPointe Sign In
- New Group Enrollment Wizard [ADD]
- Person Information [ADD]
- Schedules
- Select Group
- Support Group Members [DELETE]
- Wizard
Scenario 1: Display Scheduled Group Sessions
Specific Setup:
- Active group with enrollments
- Client credentials with access to myHealthPointe portal and enrolled into the group
Steps
- Navigate to "Setup > Event Setup > Groups & Cases > Events Setup".
- Click the "Event Category" button and select Group Activities.
- Select desired Event Name from Events Setup.
- Check the "Send Individual CareFabric Appointments" checkbox.
- Navigate to "Groups > Service Management > Service Management > Activities".
- Click the "Select Group" button and select desired group with client enrolled.
- Select "Add Task" from the "Add New" dropdown list.
- Select the task that was set to send individual CareFabric appointments.
- Complete required information and click the "Save" button.
- Sign in to the myHealthPointe portal with client credentials.
- Click the "My Scheduled Appointments" icon.
- Validate the appointment displays on the scheduled date.
|
Topics
• Groups
• myHealthPointe
|
Send ClientRecordedStatus Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billable Diagnosis for a Client with BA diagnosis
- Client Service Entry
- Standard Codes - Condition Clinical Status
- Standard Codes - Condition Verification Status
Scenario 1: Send ClientRecordedStatus for Diagnosis Updates
|
Topics
• Third Party Solution
|
Send Pregnancy "Verification Status" and "Clinical Status" in Pregnancy CareFabric Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Pregnancy History [EDIT]
Scenario 1: PregnancyCreated Message - Validate "List" and "Get" Messages
|
Topics
• CareConnect
• Third Party Solution
|
Log In Following Timed Out Session
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: Validate Upon Timeout User Can Log Back in Successfully
Specific Setup:
Access to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Verify and take note of "Inactivity Timeout" value.
- Wait for X amount of minutes.
- Validate Timeout warning appears last 5 minutes of inactivity.
- Validate successful logout.
- Log back in using same user.
- Validate successful login from timeout screen.
|
Topics
• Setup
|
Manual Claims and Journal Entries
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Clients With Security Listing by PeopleID
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Billing-Rate-Service Setup Details(Auths)
- Claim - Manual [EDIT]
- Claim - Manual Add [ADD]
- Claim 2.0 [EDIT]
- Claim Maintenance - Manual 2.0 Form Set
- Claim Output Ready
- Claim/Invoice Batch [VIEW]
- Claims - Manual
- Client Benefits Assignments with no Self Pay
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Rate Details
- Submitter Information
Scenario 1: Validate Manual Claim Contain Journal Entries After Batch Is Marked Sent
Steps
- Navigate to "Finance > Claim Maintenance > Manual - Reimbursable > Claim".
- Click "Select a Claim" button.
- Click "New" button.
- Fill in required fields to generate "Manual Claim".
- Save.
- Validate under "Accounting Info" journal entries are visible.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Start New Billing Run".
- Fill in required fields to generate a billing run that will capture your manual claim.
- Save.
- Wait for billing to run.
- Open "Billing run".
- Validate it contains the manual claim.
- Generate "Claim Output".
- Mark the batch as "Sent".
- Re-open the claim, validate it contains desired "Journal Entries".
- Un-mark the batch as sent.
- Re-open the claim, validate it contains desired "Journal Entries".
- Reprocess the batch.
- Re-open the claim, validate it contains desired "Journal Entries".
|
Topics
• Finance
|
SearchClient Responses
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Personal Information [EDIT]
- Client Search
- Form Information
Scenario 1: Support Added for SearchClient Action
|
Topics
• Client
|
Ability to Launch FHIR SMART Apps
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Environment Agency Setup [EDIT]
- Environment Setup - System Form Set
Scenario 1: Launch FHIR SMART Apps
|
Topics
• Third Party Solution
|
Saving Call Center Event For Previously Minimized Call
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Call Center Search Forms [ADD]
- Call Disposition with Intake [EDIT]
- Gender Table
- Program Listing by Agency and Service Event
- Provider Sites by Program
- Call Center Form Test [EDIT]
- CallCenterlisting
Scenario 1: Incomplete Call Listing and Minimize Function in Call Center
Specific Setup:
- Call Center event with Follow Up events linked exists in test system.
- Two Incomplete Calls in system.
- Call Documentation with test assessment.
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Note the number of calls that are listed as Incomplete.
- Click on "New Call".
- Populate:
- 'Date of Call'
- ‘Time of Call’
- ‘Staff Receiving Call’
- ‘Phone Number’
- ‘Brief Nature of the Call’
- ‘Client First Name’
- ‘Client Last Name’
- ‘Client Gender’
- ‘Client Date of Birth’
- Click "Next".
- Choose Desired Client under Client Selection.
- Click "Next".
- Choose an event under Call Documentation.
- Fill form.
- Click "Save & Close".
- Note that this call is now listed under "Incomplete Calls" and the call count has increased by 1.
- Click on "Open Call" for this call from the "Incomplete Calls" section.
- Click "Save & Mark Completed".
- Confirm the call is no longer shown under "Incomplete Calls" listing and the call count has decreased by 1.
- Use Filters to search for two Incomplete Calls from setup.
- Open 1st Incomplete Call.
- Take note of information on form.
- Click "Minimize".
- Open 2nd Incomplete Call.
- Click "Minimize".
- Click "Open Call" on 1st Incomplete Call under "Unsaved Calls".
- Validate no error message appears when opening and information on form is unchanged.
- Start a New Call
- Fill required information and Hit Next.
- Select a client.
- Select an event that has a test under Call Documentation.
- Fill out some test field values.
- Click "Minimize".
- Open minimized call from Unsaved Calls.
- Fill remaining required fields and click "Save & Mark Completed".
- Open the call and verify the values on the questions were saved.
Scenario 2: Call Center – Minimize Call Function
Specific Setup:
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Start a new call.
- Fill required info but do not fill client name.
- Minimize the call and verify "No person identified...".
- Reopen the call and enter client first and last name but do not select a Client from the table.
- Minimize the call and verify no errors.
- Reopen the call and select a client but do not choose an event.
- Minimize the call and verify no errors.
- Reopen the call and select an event.
- Fill required event info.
- Minimize the call and verify no errors.
- Reopen the call and save.
- Verify call Saved.
Scenario 3: Call Center - Validate Changing Event Replaces Tree Event Links
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Start a new call.
- Fill form and select an event.
- Change the event.
- Validate event links on left get replaced instead of creating new rows indefinitely.
|
Topics
• Call Center
• Taskbar
|
Next Scheduled Event SubReport
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 1MC [ADD]
- 1mc [DELETE]
- 1mc [EDIT]
- Client Related Task - New [ADD]
- Client Search
- Client Service Entry
- FrontDeskCheckIn
- People Search
Scenario 1: Validate Next Scheduled Event Appears in Client Module
Specific Setup:
- A client that has at least one scheduled event.
- Requires an event that is flagged as "Can Be Scheduled".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select client.
- Click "Add Event" button.
- Select desired event.
- Fill in required fields.
- Scroll to "Next Scheduled Event" SubReport.
- Validate the SubReport contains the next scheduled event and only one event is listed.
- Verify the "Click Here" link under "Schedule Next" is not available.
- Save the event.
- Click on "Actions".
- Select "Complete Task" from the drop down list.
- Click Save.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Search and select desired Client.
- Set desired Location.
- Set desired Date.
- Click "Refresh".
- Validate the appointment is in the "In Progress" column.
- Click on the event name link.
- Verify the Next Scheduled Event exist.
- Click on the "No-Show Information" tab.
- Click on the "No Show" checkbox.
- Click Save.
- Validate the appointment is now in the "Cancelled/No Show Appointments" tab.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Click "Refresh".
- Verify the status of the Service now says "Pending Submission, No Show".
- Click into the Service cell.
- Click on the "Tasks/Schedules" tab.
- Click on the "Click Here" link under "Schedule Next".
- Fill out required fields.
- Save the Event.
- Close the Form.
- Click the "Refresh" button.
- Verify the new appointment appears.
- Click the "Actions" button.
- Select "Complete Task" from the drop down list.
- Save the Event.
- Click "Actions".
- Select "Submit Service".
- Save the Event.
- Click into the Service cell.
- Click "Tasks/Schedules" tab.
- Verify the "Click Here" link is not available.
- Close out of the Event.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click "Refresh".
- Click the event name link.
- Verify the "Click Here" link is not available.
- Validate the "Next Scheduled Event" sub report contains the next scheduled event and only one event is listed.
- Click Close.
|
Topics
• Client
• Service Entry
|
BMI Percentile
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
Scenario 1: VitalSignSet - "Pediatric BMI Percentile Field Updated
|
Topics
• CareConnect
|
Custom Reports and Timeouts
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Conditional Formatting Configuration
- EvolvCS System [EDIT]
- Folders Setup
- NX Report Processor
Scenario 1: NX Custom Reporting – Validate Timeout Configurations Using Replica Server Reporting Timeout and Non-Replica Server Reporting Timeout Settings
Specific Setup:
- Custom Report setup and ready to run (with typically long load times).
- Access to System settings.
Steps
|
Topics
• NX Custom Reporting
• Reports
• Setup
|
Capture Signature In NX Via Citrix
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- EvolvCS System [EDIT]
- Print Preview
- Topaz SigPlusExtLite SDK
Scenario 1: Validate Capturing A Signature Within Citrix Using Topaz Device With Flight Recorder Enabled
Specific Setup:
- Requires access to Evolv via Chrome window in Citrix.
- Requires a compatible Topaz Device.
- Requires Topaz Sigweb drivers to be installed on client machine and Citrix server as per our instructions that are available on the wiki.
- "Flight Recorder" is enabled.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry ".
- Select desired client.
- Click "Add Event" and select desired event.
- Fill in required fields.
- Click on "Click To Upload Image" link.
- Select "Capture Signature".
- Validate "Topaz SigPlusExtLite" window opens.
- Using topaz device capture a signature.
- Click "Save".
- Validate the "Signature" field contains the signature with a timestamp.
- Click "Save".
- Re-open the event.
- Click "Print" button.
- Select "Print Form".
- Validate the signature appears on the print preview.
|
Topics
• Client
• Service Entry
|
IBHIS Stored Procedures
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Address by ZIP code Subform
- Benefit Assignment [ADD]
- Chrome Print Preview
- Client Personal Information [EDIT]
- Client Personal Information Form Set
- Client Search
- Conservator Court Status
- Country of Origin
- County School
- County Table
- Critical Information
- Diagnoses Table (Mental Health and Medical)
- Diagnosis General - LA DMH SF Subform
- Diagnosis Status
- Ethnicity Details
- Ethnicity Table
- Grade Table
- LA County Client Information [EDIT]
- LA Race - SF Subform
- Language Table
- Level of Hold
- Marital History Sub Form Subform
- Marital Status Table
- Payers of Agency
- People Degree - LA DMH SF Subform
- Plans/Contracts by Staff
- Priority Table
- Program Enrollment [Edit]
- Program of Admission
- Race Chk_B Subform
- Race Information Details
- Religion Table
- Residence Type
- Salutation
- Source Of Admission
- Special Population
- Staff - All (by Staff ID)
- State Table
- Type of Admission
- Type of Diagnosis
Scenario 1: IBHIS Client
Specific Setup:
LA IBHIS-enabled environment.
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics".
- Fill out required and desired fields.
- Click "Save".
- Click the "Benefit Assignments" tab.
- Click "Add New" button.
- Select "Add Event" from the list box.
- Select "Benefit Assignment" from the list box.
- Fill out required and desired fields.
- Click "Save".
- Navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Click the "Actions" cell.
- Click the "Correct/Close Program Enrollment" link.
- Fill out required and desired fields.
- Click "Save".
- Navigate to "Client > Client Information > LA County Integration - NR > LA County Client Information".
- Fill out required and desired fields.
- Click "Save".
- Click "Click Here to Prepare and Send LA County Related Data" link.
- Verify information entered is shown in the tables.
|
Topics
• Client
• LA IBHIS
|
ProgramAdmission Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Critical Information
- Program Enrollment [Edit]
- Program Type Setup [EDIT]
- Standard Codes - Encounter Reason
- Standard Codes - Patient Encounter Procedure
Scenario 1: Support Added for ProgramAdmission Type Code
|
Topics
• myEvolv NX
|
Test Design-People Form
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All Look-up Tables Listing (filtered)
- Form [VIEW]
- Form Families - Client Mode
- Setup > Treatment and Tests > Test Setup > Test Design - People
- Setup > User Tools > Interface Design > Form Designer
- Sub Reports - for Test Design
Scenario 1: Testing of NX Interface Design/Test Designer
Specific Setup:
User must have access to test designer
Steps
- Navigate to "Setup > Treatment and Tests > Test Setup > Test Design - People".
- Click "New Test".
- Fill in "Test name" and "test header code".
- Search for new test under the "test list".
- Click "Pin Button" to view the test form.
- Drag question fields from "Toolbox" to test form.
- Edit fields with desired question/answer setup.
- Save and Preview.
- Validate form contains questions fields.
- Navigate to "Setup > User Tools > Interface Design > Form Designer".
- Click "Form Family" button.
- Select "Test and Assessments (People)".
- Search for the new test created.
- Click the "P1" pin button.
- Validate the form design loads without issue.
- Click "Test Information" row.
- Validate the "Test Header" contains the new test.
- Click "Actions" button.
- Select "Preview".
- Validate a preview of the form loads with the test.
|
Topics
• Forms
|
NX Custom Reports and Parameters
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Conditional Formatting Configuration
- NX Report Processor
- Report Designer
- Folders Setup
Scenario 1: NX Custom Reporting - Update Run As CSV To Retain Sorting & Column Formatting
Steps
1. Navigate to “Reports > NX Custom Reporting > NX Custom Reporting > Custom Reporting”. 2. Go to “Report Designer” tab. 3. Select custom report with multiple data types. 4. Scroll down to “Report Columns” section and configure different data types (phone number, SSN, DateTime, etc.). 5. In the “Sort By” section, configure some of the columns to be sorted by their relative data types. 6. Under “Actions”, click “Launch Report” and it will open in another tab. 7. In that tab, click “Run as CSV”. 8. Verify the selected data types are shown in the report and in the desired order.
Scenario 2: Validate Custom Reports Honoring Parameters
Specific Setup:
Custom Report with parameter searches set.
Steps
- Navigate to "Reports > NX Custom Reporting > NX Custom Reporting > Custom Reporting".
- Launch a custom report.
- Run the report and validate desired data displays.
- Set one of the parameters and rerun the report.
- Validate report honors parameter.
- Set another parameter and run report.
- Validate report honors both parameters.
|
Topics
• NX Custom Reporting
• Reports
|
Weight For Height Percentile Has Been Added To Physical Characteristics
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Personal Information [EDIT]
- Client Search
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
Scenario 1: Validate Weight For Height Percentile Sends Out in VitalSignSet CareFabric Messages When Populated
|
Topics
• Third Party Solution
|
Head Circumference Percentile Has Been Added To Physical Characteristics
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Personal Information [EDIT]
- Client Search
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
Scenario 1: Validate Head Circumference Percentile Sends Out in VitalSignSet CareFabric Messages When Populated
|
Topics
• Third Party Solution
|
Copy Rate For On Demand Billing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Plan - Rates Setup NX [ADD]
- Billing Plan Setup NX [EDIT]
- Billing Rate - Service Based NX [EDIT]
- Billing Rate Details - Services NX Subform
- ContractsRatesSetup
- CopyRateUtility
- Cost Center Definitions
- Finance Setup Manual Services NX Form Set
- GL AR Accounts
- GL Revenue Accounts
- Payers of Agency
- Payers Setup Table
- Payers/Contracts Setup 2.0 Form Set
- Rate-Plan Link - Sub Subform
- Rates by Payor
Scenario 1: Validate Copy Rate Utility Includes On Demand Billing Flag
Specific Setup:
- Requires a rate with "Bill Near Real Time of Service" checked.
- Requires a Payer/Plan with "Program/Service" that does not yet have a rate.
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Contracts Setup".
- Select desired "Payer".
- Click "Actions" on desired plan and select " Edit this Plan/Contract".
- Click "Plan/Contracts Rates".
- Click desired "Program" row.
- Select desired service.
- Click "Add Rate".
- Select "Copy Rate Utility".
- Select desired "Source Payer".
- Select desired "Rate Scheme".
- Click "Get Rates".
- Click "Copy Rate" on desired rate.
- Check desired fields for rate setup.
- Click "Copy Rate".
- Fill in required fields for "Rate Setup".
- Save.
- Click "History" tab.
- Validate "Copied Rate" is visible.
- Open the "Copied Rate".
- Validate "Bill Near Real Time Of Service" is checked.
|
Topics
• Finance
• Finance Setup
|
VitalSignSet Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Physical Characteristics [ADD]
Scenario 1: Vocabularies Populated in VitalSignSet Payload
|
Topics
• Assessments
|
Encounter Reason Codes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Critical Information
- Placement Events by Agency/Program - People2
- Program Enrollment [Edit]
- Program Enrollment From Service Track [ADD]
- Program Listing By Agency and Worker
- Program Setup - No Care Day/Respite [EDIT]
- Program Type Setup [EDIT]
- Provider Sites by Program (Vacancy)
- Staff - Service Providers (Caseloads - Zip Zones)
- Worker Role (to a client or in a workgroup) Table
Scenario 1: Populate ProgramAdmission ReasonCode
|
Topics
• Agency
• Client
|
ONC Objects to Populate Audit Information
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client > Client Information > Health Information > Diagnoses Information
- Client > Client Information > Personal Information > Demographics
- Diagnosis General
- Diagnosis General [EDIT]
- Diagnosis Search Service
- Select Client
- Standard Codes - Condition Verification Status
- Client Search
- Goals Treatment Plan Depend on Category [ADD]
- Goals Treatment Plan Depend on Category [REVIEW]
- Methods Treatment Plan [ADD]
- Objectives Treatment Plan [ADD]
- Participant Role in the Event
- Participants- Collaterals/Family Subform
- Plan Development [ADD]
- Problem Category Lookup - Not Safety Plan
- Problems Identified (People/Category)
- Program by Client's Service Track and Service
- Provider Sites in Agency/Program/Services
- Related People
- Service Plan Development - B2E Subform
- Service Plan Review Items
- Service Plan Status
- ServicePlanForm
- ServicePlanList
- Staff - Service Providers (by Staff_id)
- SupervisorModule
- Supervisors with no new
- Treatment Plan Library (by Category)
- Case > Case Management > Plan Development > Planning
- Category/Goal Merge [ADD]
- Strengthed Based Goal [ADD]
- Strengths Identified (People)
- Critical Information
- Initial Enrollment for New Person [ADD]
- New Client Personal Information [EDIT]
- Outside Organizations - distinct
- Person Information [ADD]
- Placement Events by Agency/Program - People2
- Program Listing By Agency and Worker
- Provider Sites by Program (Vacancy)
- Referral Reason Table
- Staff - Service Providers (Caseloads - Zip Zones)
- Staff - Service Providers by Agency (2)
- stcodes_all_codes_role_code
- Wizard
- Worker Assignment for Agency Intake Subform
- Worker Assignments [EDIT]
- Worker Role (to a client or in a workgroup) Table
- Worker Role [EDIT]
- Worker Role for Setups
- Worker Roles Form Set
- Allergy Symptoms Reactions
- Micromedex/Truven Allergy [ADD]
- NX FIELD [EDIT]
- People Allergy Symptoms Reaction Subform
- Standard Codes - Allergy Clinical Status
- Standard Codes - Allergy Verification Status
- Standard Codes - Observation Interpretation
- Standard Codes - Severity
- Standard Codes - Status
- Truven Allergy Lookup, Powered by Truven.
- Address by ZIP code Subform
- Address Type Table
- Client Personal Information [EDIT]
- Language Table
- Standard Codes - Telecom Use Code Form Entry
Scenario 1: ClientDiagnosis Message Updated
Scenario 2: Support Added for CarePlanProblem Events and Actions
Scenario 3: CarePlanGoal Payload Sent Out When CarePlan Created
Scenario 4: ProgramAdmission Role Code Included Within Payload
Scenario 5: AllergyCreated - Verification Status and Clinical Status Field Values Added To Message
Scenario 6: ClientUpdate Payload FHIR Updates
|
Topics
• CareConnect
• Client
• Staff
• Treatment Plans
|
Capturing Same Service Provided to Same Client on Same Day in Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim 2.0 [EDIT]
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: Validate Billing Duplicate Services With Different Worker Providing Service When Consolidation Is Not Set
Specific Setup:
- Scenario works with a client that duplicate event, both with same "Time and Duration" and provided by different staff.
- Requires a rate that can bill the services and consolidation is not set.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" button.
- Select "Start New Billing Run".
- Fill in required fields to bill your services.
- Click "Save",
- Wait for billing to run.
- Open the resulting billing run.
- Validate it contains a claim for each individual service.
Scenario 2: Validate Billing Duplicate Services With Different Worker Providing Service
Specific Setup:
- Scenario works with a client that duplicate event, both with same "Time and Duration" and provided by different staff.
- Requires a rate that can bill the services, but is set to "Consolidate By Day" and "Break by Staff" is not set.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" button.
- Select "Start New Billing Run".
- Fill in required fields to bill your services.
- Click "Save",
- Wait for billing to run.
- Open the resulting billing run.
- Validate it contains one claim.
- Click on the "Claim" link to open the claim.
- Validate it contains the desired consolidated services.
|
Topics
• Finance
|
Incoming Alert Notifications
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Active events by Program or Clinic2
- AlertListing
- Alerts - Recipients B2 Subform
- Alerts - Send [ADD]
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- FrontDeskCalendar
- FrontDeskCheckIn
- Program Listing By Agency and Worker
- Staff - Service Providers (by Staff_id) NES
- Staff (All)
Scenario 1: Validate Alerts and Front Desk NX Check In Alert Send to Logged In Users
Specific Setup:
- Two available logins (ex: Staff A and Staff B).
- Both logins have access to Front Desk NX.
- One login able to send an alert.
- One login able to schedule appointment and check in client.
Steps
- Log into both users.
- Navigate to "Taskbar > Alerts > Alerts > Alerts" using Staff A.
- Send an alert to Staff B.
- Validate alert appears for Staff B.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX" using Staff A.
- Click "View Calendar" and create a scheduled appointment for Staff B.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX" using Staff B.
- Check in the Client using Staff A.
- Validate alert appears for Staff B stating "Desired Client has Arrived".
|
Topics
• Taskbar
|
Process GetLocation Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Facility Hours of Operation Subform
- Service Facilities Form Set
- Service Facilities Listing
- Service Facility [EDIT]
Scenario 1: SDK GetLocation
|
Topics
• Agency
|
835 Import Changes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Remittance Transactions Subform
- Claim Submission 2.0 [EDIT]
- Claims Maintenance NX Form Set
- Finance File Import
- FinanceImportListing
- Report: Claim Remittance Report
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
Scenario 1: Validate 835 Applies Overpayments To Multi-Service Line Claim
Specific Setup:
- Requires a "Multi-Service Line Claim" that can be remitted.
- Requires an 835 with overpayments for each service line.
- 835 should also have "Reference Number" and "Claim Remarks".
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File".
- Select desired "Remittance File".
- Set "Deposit Save".
- Click "Upload".
- Validate the 835 uploaded.
- Click "Actions" and select "Remittance Report".
- Click on desired claim.
- Click on "Submissions" tab.
- Open the "Submission" record.
- Click on "Claim Status".
- Validate the service lines contain desired "Payment, Reference Number and Claim Remark".
Scenario 2: Validate Duplicate Status And Payment From 835 Applies When Allow Duplicate Flag is checked
Specific Setup:
- Requires a claim that is paid, has a reference number.
- Requires an 835 that applies "Duplicate Status, Payment and Reference Number".
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File".
- Select desired "Remittance File".
- Set "Deposit Save".
- Click "Upload".
- Validate the 835 uploaded.
- Click "Actions" and select "Remittance Report".
- Validate the desired claim is not listed.
- Delete the uploaded remittance.
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Select desired receiver.
- Check the flag "Allow Duplicate Status from 835".
- Save.
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File".
- Select desired "Remittance File".
- Set "Deposit Save".
- Click "Upload".
- Validate the 835 uploaded.
- Click "Actions" and select "Remittance Report".
- Validate the desired claim has the payment applied.
|
Topics
• Finance
• Finance Setup
|
270 Eligibility
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 270 File
- 270 Output Ready
- EligibilityManager
- Program Listing By Agency and Worker
- Receiver Information - All
Scenario 1: Eligibility Requests (270) - Create 270 File
Steps
- Navigate to "Finance > Imports/Exports > Exports > Eligibility Requests (270)".
- Click "New Request".
- Set "Receiver" and "Description" values.
- Set any additional parameters.
- Click "Save".
- Click "Actions ▼".
- Click "Generate Output File".
- Validate the segment containing the "DTP*" segment contains date in "CCYYMMDD" format.
|
Topics
• Finance
• Finance Setup
|
Statement Dates and 837I
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 837 File
- All Clients With Security Listing by PeopleID
- AR Management
- Cash Receipts for Remittance
- Claim Output Ready
- Claim/Invoice Batch [VIEW]
- Claims Submission For Remittance NX [EDIT]
- FinanceClaims
Scenario 1: Validate 837I Output Contains Updated Statement Date In 2300 DTP*434 Segment
Specific Setup:
- Requires a "Receiver" that has "Claim Output Format set to "837 Institutional".
- Scenario works with a "Facility Placement" claim that is billed for a half of the month and can be rebilled for full month.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set desired parameters to search for desired claim.
- Add a denial status to the claim.
- Click "Add Action" button.
- Select "Resubmit".
- Select Calculate Rate".
- Validate the new service line contains "New Date Range".
- Check the "Service Line" row.
- Save.
- Wait for billing to run.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Open the "Action Based Billing" run.
- Validate it contains desired claim.
- Click "Open Batch".
- Click "Create Output".
- Click "Download Electronic File".
- Open the "837I Downloaded File".
- Validate the 2300 Loop contains "DTP*434*" segment with the new "Statement Dates".
|
Topics
• Finance
|
Send SNOMED Code in CarePlanProblem CareFabric Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Problem Category
- Problems Library [EDIT]
- ServicePlanForm
- ServicePlanList
- SupervisorModule
- Treatment Setup Form Set
Scenario 1: Support for CarePlanProblem.Vocabularies
|
Topics
• Treatment Plans
|
VitalSignSet Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
Scenario 1: VitalSignSet Support for Blood Pressure
|
Topics
• Assessments
• Client
|
Notify User When Save Fails
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Assessment Remarks
- Client > Case Management > Service Management > Assessments
- Client Header
- Program by Client's Service Track and Service
- Provider Sites by Program
- Select Client
- All People Table
- Client Search
- Client Service Entry
- Select File for Upload
Scenario 1: UI Testing of Test/Assessment Containing All Question Types
Specific Setup:
Test system must have Assessment containing all question types. At least two of these questions must have "Remarks" associated. - Pick-list
- Numeric
- Narrative
- Date
- Single Select with default Answer
- Single Select without default Answer
- Multi-Select
- Multi-Select with NA
Steps
- Navigate to "Client > Case Management > Service Management > Assessments".
- Select "Client".
- Click "Add New" button.
- Click "Add Event".
- Select the "Test/Assessment" from preconditions.
- Enter all required fields.
- Select answer for "Pick-list" question.
- Enter alphabetic characters in "Numeric" question.
- Validate that system will warn you to enter a numeric value.
- Enter alphanumeric character in "Numeric" question.
- Validate that system will warn you to enter a numeric value.
- Enter number in "Numeric" question.
- Enter text in "Narrative" question.
- Enter Date in "Date" question.
- Confirm that "Single Select with default Answer" has appropriate answer selected.
- Select different answer on "Single Select with default Answer".
- Confirm the default answer is no longer selected.
- Confirm that "Single Select without default Answer" has nothing selected.
- Select an answer on "Single Select without default Answer".
- Select answer on "Multi-Select" question.
- Select another answer on "Multi-Select" question.
- Confirm that both answers are selected for "Multi-Select" question.
- Select answer on "Multi-Select with NA".
- Select "NA" on "Multi-Select with NA" question.
- Confirm that previously selected answer for "Multi-Select with NA" is no longer selected.
- Set "NA Reason".
- Click "Remarks" button for first question that includes Remarks.
- Enter text in the "Assessment Remarks" form and Save.
- Click "Remarks" button for second question that includes Remarks.
- Enter text in the "Assessment Remarks" form and Save.
- Save the Test/Assessment.
- Open the saved Test/Assessment.
- Validate that all questions contain the answers as entered.
Scenario 2: Validate Event for a Client With User Defined Fields/Test Questions Saves Data After Reopening
Specific Setup:
Client Event with multiple test questions, user defined field(s), and document upload fields.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired Client.
- Add event from preconditions.
- Fill form and Save as Draft.
- Reopen Event and verify information saved.
- Save form.
- Reopen Event and verify information saved.
|
Topics
• Assessments
• Client
|
Editing Recurring Billing Run
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Billing Run Request Limit People Subform
- Recurrence Type for Billing Runs
- Recurring Billing Job [ADD]
- Recurring Billing Job [EDIT]
- Submitter Information
Scenario 1: Validate Editing A Scheduled Billing Run
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Schedule New Billing Run".
- Fill in required fields.
- Set "Include Services from N Periods Back" to 1.
- Validate "Include Services from Date" is disabled.
- Save.
- On the scheduled billing run, click "Actions" and select "Edit Recurrence".
- Validate the "Include Services from Date" is disabled.
- Set "Include Services from N Periods Back" to blank.
- Validate the "Include Services from Date" is enabled.
|
Topics
• Finance
|
OrderConnect Provider Information
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- NX ORDER ENTRY - DETAILS
- NX ORDER ENTRY - REVIEW
- NX ORDER ENTRY - SEARCH
- NX ORDERS
- NX SCRATCHPAD
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
Scenario 1: Validate OrderConnect Username in Provider Messages to CareFabric
|
Topics
• OrderConnect
|
Front Desk Calendar
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Active events by Program or Clinic2
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- FrontDeskCalendar
- FrontDeskCheckIn
- Program Listing By Agency and Worker
- Staff - Service Providers (by Staff_id) NES
Scenario 1: Validate Duration Is Displaying for Scheduled Events on Front Desk Calendar
Specific Setup:
Access to Front Desk Calendar.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click "View Calendar".
- Select Desired Staff and Schedule an appointment.
- Fill required appointment details and save.
- Validate desired appointment label contains Event Name and Start to Finish Time for event.
- Close the Calendar and Refresh Front Desk NX.
- Validate desired appointment contains Event Name and Start to Finish Time for event.
|
Topics
• Calendar
• Front Desk
• Taskbar
|
LOINC Codes in VitalSignSet Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Physical Characteristics [ADD]
Scenario 1: VitalSignSet Messages for BMI LOINC Codes
|
Topics
• Third Party Solution
|
ClientMedicalDevice Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Implantable Device Info [ADD]
Scenario 1: Implantable Device - Parse Device Identifier For "ICCBA" and "HIBCC"
|
Topics
• CareConnect
|
Billing Request for Manual Claims Only
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Immediate Billing Run Request [ADD]
- Message from webpage - Are you sure you want to mark reprocess?
- Submitter Information
Scenario 1: Validate Manual Only Claim Billing Runs Do Not Reprocess Without Action Being Set to Reprocess
Specific Setup:
Scenario works with a "Payer/Plan" that has zero billable manual claims to process.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" button.
- Select "Start New Billing Run".
- Fill in required fields to bill your services.
- Check the flag "Manual Claims Only".
- Click "Save".
- Wait for billing to run.
- Validate the resulting billing run contains "Zero Claims".
- Wait for the next billing run to process.
- Click "Billing Processing History".
- Click "Billing Processing Log".
- Validate it did not reprocess the "Manual Claims" billing run.
- Click "Billing Batches Management".
- Click "Actions" button on the manual claim billing run and select "Reprocess".
- Wait for billing to run.
- Validate the "Manual Claim Billing" reprocessed.
|
Topics
• Finance
|
Resubmit of Claims With Single Service with Multiple Transactions
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 837 File
- AR Management
- Cash Receipts for Remittance
- Claim Adjustment Reasons
- Claim Output Ready
- Claim Receivers Setup Form Set
- Claim/Invoice Batch [VIEW]
- Claims Submission For Remittance NX [EDIT]
- FinanceClaims
- Receiver Information - All
- Receiver Information X12 Submissions [EDIT]
Scenario 1: Validate Resubmit Outputs CAS From Most Recent Remittance
Specific Setup:
Requires a claim that has been remitted with a "Denial" status and "Adjustment Reasons".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set parameters to search for desired claim.
- Add a "Partial Payment".
- Click "Add Adj" button.
- Add desired "Adjustment Reasons".
- Click "Add Action".
- Select "Resubmit to Other" to waterfall to secondary payer.
- Save.
- Wait for billing to run.
- Open the desired batch.
- Create the output.
- Validate "837 File" contains only the "CAS Info" from the second remittance.
|
Topics
• Finance
|
Map an Assessment to a Clinical Note Section
Scenario 1: ONC Clinical Note Sections
|
Topics
• Third Party Solution
|
Reprocessing Held Claims Will Take Event Level Changes Into Account
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Client Search
- Client Service Entry
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Location Table (Service)
- Submitter Information
Scenario 1: Validate Place Of Service Code Updates On Reprocessed Held Claim
Specific Setup:
- Requires a "Held Claim".
- "Place of Service" codes should be set up and linked to locations.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Open desired event that is captured in the "Held Claim".
- Edit the "Location" field.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Open the batch with the "Held Claim".
- Click "Actions" button and select "Release and Delete".
- Click "Click "New Run".
- Select "Start New Billing Run".
- Fill in required fields to generate the claim again.
- Save.
- Wait for billing to run.
- Open the billing run and click on the "Claim" link.
- Validate the "Place Of Service" contains updated "Place of Service Code" from the location that was set on the event.
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Topics
• Finance
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Performance Updates on Worker Related Workflows
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Critical Information
- Program Enrollment [Delete]
- Program Enrollment From Service Track [ADD]
- Program Listing By Agency and Worker
- Provider Sites by Program (Vacancy)
- Qualifiers Subform
- Rule Designer [EDIT]
- Staff - Service Providers (by Staff_id)
- Staff - Service Providers (Caseloads - Zip Zones)
- Worker Assignment for Program Intake Subform
- Worker Role (to a client or in a workgroup) Table
- Workflow Rules Manager
- Workflow Tasks [EDIT]
- Staff - Service Providers (Caseloads)
Scenario 1: Validate Staff Responsible Workflow Assigns Correct Staff
Specific Setup:
- Workflow setup to assign Staff Responsible.
- Client available to enroll in program.
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Assign Client to Program setup with Workflows.
- Assign Desired Primary Staff that's different from Workflow "Staff Responsible".
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Validate events auto populated for newly assigned program based on Workflows.
- Validate Staff assigned is correct "Staff Responsible" from Workflows.
Scenario 2: Validate Worker Role Workflow Assigns Correct Staff
Specific Setup:
- Workflow setup to assign Worker Role.
- Client available to enroll in program.
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Assign Client to Program setup with Workflows.
- Assign Desired Primary Staff.
- Assign a second staff with "Worker Role" from Workflows.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Validate events auto populated for newly assigned program based on Workflows.
- Validate Staff assigned is correct "Worker Role" from Workflows.
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Topics
• Workflows
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Performance Updates on Service Related Workflows
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Related Task - New [DELETE]
- Client Search
- Client Service Entry
- Qualifiers Subform
- Rule Designer [EDIT]
- Tests and Assessments (People) [ADD]
- Tests and Assessments (People) [DELETE]
- Workflow Rules Manager
- Activities - Family Case [ADD]
- Activities - Family Case [DELETE]
- Profile Scheduled Tasks [DELETE]
- Select Family Case
Scenario 1: Validate Individual Service Event Triggers Workflow
Specific Setup:
- Workflow setup to trigger upon assigning Service Event to client.
- Client enrolled in program which uses the trigger event.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Add Trigger event from setup.
- Wait 30 seconds and refresh.
- Validate workflow events get scheduled automatically based on workflow conditions.
Scenario 2: Validate Group Service Event Triggers Workflow
Specific Setup:
- Workflow setup to trigger upon assigning Service Event to Family Case.
- Family Case enrolled in program which uses the trigger event.
Steps
- Navigate to "Family Cases > Clinical Information > Service Management > Service Entry".
- Add Trigger event from setup.
- Wait 30 seconds and refresh.
- Validate workflow events get scheduled automatically based on workflow conditions.
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Topics
• Workflows
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Optimized Sending the VitalSignSet Vocabulary – Oxygen Saturation
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Physical Characteristics [ADD]
- Physical Characteristics [EDIT]
Scenario 1: VitalSignSet Support for Vitals Pulse Ox Update
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Topics
• Client
|
SubReport Records Maximum Limit
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Conditional Formatting Configuration
- Document Management Import/Scan
- Evolv Data Types for Sub-reports
- EvolvCS Client [EDIT]
- Folders Setup
- Form Families - Client Mode
- FormDesigner
- Interface Design Form Set
- NX Form Group [EDIT]
- NX Sub Report [EDIT]
- Report Fields Subform
- Sub Reports - Virtual Views Form Set
- Sub Reports for Users - All
- View Columns (by View)
- Virtual View Sub Report Designer [ADD]
- Virtual View Sub Report Designer [EDIT]
- Virtual View Sub Report List
- Virtual Views Listing
Scenario 1: User SubReports Honor Limits Set at System Settings
Specific Setup:
- System has a virtual view SubReport set up with a large dataset.
- Form has SubReport added.
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set "Default Top Number of Rows to List" to 100, save.
- Log out and log back in.
- Navigate to module with form from preconditions.
- Open form, validate SubReport is limited to 100 records.
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Clear out "Default Top Number of Rows to List", save.
- Navigate to module with form from preconditions.
- Open form, validate SubReport is limited to 2000 records.
- Navigate to "Setup > User Tools > Sub Reports - Virtual Views > Virtual View Sub Reports".
- Select "SubReport" from preconditions.
- Set "Select top N results" to 5, save.
- Navigate to module with form from preconditions.
- Open form, validate SubReport is limited to 5 records maximum.
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Topics
• SubReports
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Accrued AR and Cost Center/GL Facility Code
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim 2.0 [EDIT]
- Claim Output Ready
- Claim/Invoice Batch [VIEW]
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: Validate Accrued AR Account Does Not Contain Cost Center/GL Facility Code
Specific Setup:
Requires a service that can be billed.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Start New Billing Run".
- Fill in required fields to bill desired service.
- Save.
- Wait for billing to run.
- Open the batch.
- Create output.
- Mark the batch sent.
- Open the desired claim.
- Click "Accounting Info".
- Validate the desired "Revenue Account" contains "Cost Center".
- Validate the desired "Accrued AR Account" does not contain "Cost Center".
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Topics
• Finance
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Program Admission Message
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Critical Information
- Diagnosis General [ADD]
- Diagnosis General [EDIT]
- Diagnosis Search Service
- Direct Care Workgroup Assignment [ADD]
- Program by Person and Agency (Active)
- Type of Diagnosis
- Workgroups by Program
Scenario 1: Populate ProgramAdmission.Diagnoses
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Topics
• Client
|
ClientOfInterest on HL7 PID Segment Will Now Display ClientEventData
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Header
- Client Personal Information [EDIT]
- Select Client
Scenario 1: Validate ClientOfInterest data is moved from ClientEventData
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Topics
• Third Party Solution
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