Patient Statement Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client > Reports > Finance Reports > Patient Statement
- Report Selection Picklist
- Patient Statement Report
- Patient Statement Report - Simplified
- A/R Reporting 2.0 Form Set
- Date Range w/ Parms w/ Selection w/ Custom Params6 [ADD]
- Patient Statement
- Report Parameters PickList
Scenario 1: Patient Statement Report by Client - Simplified
Specific Setup:
- Staff access to Finance Module.
- Client has a balance.
Steps
- Navigate to "Finance > Reports > Accounts Receivable > Patient Statements".
- Set report selection to "Patient Statement Report by Client- Simplified".
- Set the "From Date", and "Through Date" fields.
- Set the "Parameter" input box to "Client" and select desired client within the "Value" field.
- Click the "Preview" button.
- Validate the column headings are in the following sequential order: "Claim Number", "Service Date(s)", "Procedure", "Units", "Total Charge", "Ins.Adj.", "Ins Paid", "Patient Balance", "Patient Payments", "Ins Balance", "Current Patient Balance".
- Click the "Close" button.
Scenario 2: Patient Statement Reporting
Specific Setup:
- Requires a client that has claims where at least one claim is billed to self pay.
- Client should have a "Self Pay Remittance" and the self pay claim should be either paid or partially paid.
Steps
- Navigate to "Finance > Reports > Accounts Receivable > Patient Statements".
- Set desired "Date Parameters".
- Select "Patient Statement Report by Client" in the "Report Selection.
- Set parameters to select desired client.
- Click "Preview".
- Validate the report returns the desired client with the claims for the date period.
- Validate the "Patient's Unapplied Balance" contains the total amount of the clients unapplied "Self Pay Checks".
- Validate "Patient's Total" contains desired amount.
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Topics
• Client
• Finance
• Reports
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Renewing Rates Effective Date Field
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers/Contracts Setup 2.0 Form Set
- ContractsRatesSetup
- Payers Setup Table
- Billing Rate - Service Based NX [EDIT]
- Payment Rate - Placement Based [EDIT]
- Payment Rate - Payroll [EDIT]
Scenario 1: Validate Rate Renew Option Must Require a “New Effective Date”
Specific Setup:
Available Rates to renew in Billing Rates (A/R), Payment Rates (A/P), and Payroll Rates.
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Billing Rates (A/R)".
- Press "Renew" on an existing rate history.
- Fill out the Name and press continue.
- Confirm "An effective date is required." message appears.
- Enter an Effective Date that is before the start-date of the rate you are renewing and press continue.
- Confirm "New effective date must be greater than previous rate's start date." message appears.
- Click the "Payment Rates (A/P)" tab.
- Press "Renew" on an existing rate history.
- Fill out the Name and press continue.
- Confirm "An effective date is required." message appears.
- Enter an Effective Date that is before the start-date of the rate you are renewing and press continue.
- Confirm "New effective date must be greater than previous rate's start date." message appears.
- Click the "Payroll Rates" tab.
- Press "Renew" on an existing rate history.
- Fill out the Name and press continue.
- Confirm "An effective date is required." message appears.
- Enter an Effective Date that is before the start-date of the rate you are renewing and press continue.
- Confirm "New effective date must be greater than previous rate's start date." message appears.
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Topics
• Finance Setup
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Remittance Import Listing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Cash Received Maintenance (System) [VIEW]
- Alerts - View [VIEW]
- FinanceImportListing
- Report: Claim Remittance Report
- Report: Claim Details Report
- Claims Maintenance NX Form Set
- Remittance File
- Claim Submission 2.0 [EDIT]
Scenario 1: 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.
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Topics
• Finance
|
Write Off Action In Posted Month
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- Claim 2.0 [EDIT]
Scenario 1: Validate Delete Writeoff Action That Is In A Posted Month
Specific Setup:
- Requires a claim with a "Write Off" Action.
- Month the "Write Off" action posted to should be closed.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance".
- Set search parameters to search for desired "Claim".
- Click "Search".
- Click on the "Balance" icon to view the timeline.
- Click "Delete" button on the "Write Off" action.
- Validate the action has deleted and the claim now has a "Balance".
- Click on the "Claim" link.
- Click "Accounting Information".
- Validate the "Accounting" contains the reversing "GL Entries" for the write off action.
- Validate the "GL Entries" posted to the earliest open month.
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Topics
• Finance
|
DD Check Customs Printout
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ChecksCreationLog
- check.pdf
- GL Account [EDIT]
- Check Library [EDIT]
Scenario 1: Validate Check Layout Option "Print 0.00 instead of Void" Prints 0.00 Instead of Void
Specific Setup:
Access to "Finance Setup > General Setup > Miscellaneous Setup Tables > Check Library". Available check setup in system to "Print Direct Deposit Check" and displays "VOID" text.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Filter for desired check.
- Expand the check row.
- Click Actions > Print Direct Deposit Checks.
- Validate "VOID" text is present.
- Close the printed check.
- Navigate to "Finance Setup > General Setup > Miscellaneous Setup Tables > Check Library".
- Click on desired Layout that is linked to check from above.
- Enable "Print 0.00 instead of Void".
- Navigate to "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing".
- Filter for same check as before.
- Expand the check row.
- Click Actions > Print Direct Deposit Checks.
- Validate "0.00" is present instead of "VOID" text.
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Topics
• Finance
• Finance Setup
|
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Topics
• Dispensing
• Inventory
|
837D Dental Claims Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Dental Visit [ADD]
- PH Dental Diagnostic Radiograph Subform
- Billing Batches Management
- Submitter Information
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- Claim Output Ready
- Billing Run NX [DELETE]
- PH Dental Diagnostic Radiograph [EDIT]
- Dental Visit [EDIT]
- Event Definitions - People Based Form Set
- Event Categories/People - User Modifiable
- Agency Program Services/Program-User [ADD]
- Agency Program Services [EDIT]
- PH Dental Preventative Subform
- PH Dental Pit and Fissure Subform
- PH Dental Procedures Subform
- Receiver Information Generic [VIEW]
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information X12 Submissions [EDIT]
Scenario 1: Validate 837D Output Downloads After Generating File
Specific Setup:
- Dental Service setup for billing.
- Benefit Assignments setup for client for a Dental Service.
- The receiver linked to the plan is set up to Output 837D.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select client and Add a Dental Service.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Setup a New Immediate Run for the Dental Service.
- Click the Billing Processing history tab.
- Start a billing run.
- Click the Billing Batches Management tab.
- Open the billing batch when the billing run is completed and download 837D file.
- Validate DENT file downloads.
Scenario 2: 837D Dental Output Setup
Specific Setup:
Dental claims have been created.
Steps
- Navigate to "Agency Setup > Services Setup > By Program > Individual Services".
- Validate event associated to the dental procedure SubForm is configured for claims.
- Validate the Dental Procedure SubForm has at minimum 3 records. Form Name: Dental Visit; Form Family Name: Public Health Encounters.
- Validate one record has the following data values as follows:
- Set the "Surface 2", "Surface 3"; and "Surface 4" fields to desired option.
- Set the "Dental Appliance Status" field is to "I".
- Validate a date is in the "Dental Prior Placement Date" field.
- Set the "Dental Oral Cavity" field to desired option.
- Validate one record has the following data values as follows:
- Set all "Surface" fields to null.
- Set the "Dental Appliance Status" field is to "R".
- Validate a date is in the "Dental Prior Placement Date" field.
- Set the "Dental Oral Cavity" field to desired option.
- Validate one record has the following data values as follows:
- Set all "Surface" fields to desired option.
- Set the "Dental Appliance Status" field to "R".
- Validate the "Dental Prior Placement Date" field is set to null.
- Set the "Dental Oral Cavity" field to desired option.
- Validate the "Dental Procedures" event is linked to the Counseling Program and configured for claims.
- Navigate to Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info.
- Validate the "Claim Output Format" field" is set to "ASC X12N 837 Dental Claims Ver. 5 Release 1".
- Validate the "Receiver Information X12 Submissions" is set to desired receiver.
- Navigate to Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management.
- Click "New Run".
- Select "Start New Billing Run".
- Validate the "Submitter" and "Run Description" fields are populated with desired information.
- Save.
- Open the 837d output file that results for the billing run.
- Validate one claim is with 3 service lines for all those 3 records we created in Dental Procedure SubForm.
- Validate the "SV3","TOO","DTP472", and "DTP441" appear in the AR837d output file.
- Validate the "005010X224A2" appear in the GS and ST sections of the AR837d output file.
- Validate the following pattern appears in the output file.
- "SV3*AD:D2132" - CPT CODE on service line.
- *110 - Charges.
- *00 -"Oral Cavity".
- "I " "Appliance Status".
- TOO*JP*01 - Activity Type - "Tooth".
- *BI - Dental surfaces separated by a colon.
- "DTP*472*D8*20160129" - Date of Service.
- "DTP*441*D8*20160129" - Date of Service: "Dental Prior Placement Date" will appear when "Appliance Status" is "R".
- Test additional variations to generate claims via the following steps:
- Modify the service entered above.
- Reprocess the claim.
- Validate expected outcomes.
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Topics
• Finance
• Service Entry
|
NX Custom Reporting Reports Printing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Conditional Formatting Configuration
- Report Designer
- NX Report Processor
- Chrome Print Preview
Scenario 1: Validate Custom Reporting Report Prints All Pages
Specific Setup:
Available report which produces a large number of outputs which when "paging" is enabled, results in at least 2 pages.
Steps
- Navigate to "Reports > NX Custom Reporting > NX Custom Reporting > Custom Reporting".
- Click the Report Designer tab.
- Select desired report.
- Launch the report.
- Click "Run Report".
- Confirm that in the results table, paging is shown in use ("Page x of y" and "Displaying 1-a of b").
- Click "Save as PDF".
- Confirm "Save as PDF".
- Open the saved PDF file and confirm that all rows are shown without paging enabled.
- Close PDF file.
- Click "Print Report".
- Confirm in the print preview that all rows are shown without paging enabled (the font size is increased for printing, so this will look longer than the PDF).
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Topics
• NX Custom Reporting
|
On Demand Billing and Walk Ins
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Yearly Income (SF) myInsight Subform
- Income Source Table
- Sliding Fee Eligibility [EDIT]
- FrontDeskCheckIn
- FinanceClaims
Scenario 1: Validate On Demand Billing Uses Self Pay Sliding Fee Eligibility Info
Specific Setup:
- Requires "Sliding Fee Scale" set up within "Finance Setup".
- Requires a client with "Self Pay" benefit assignment and "Use Automated Sliding Fee Scale" is checked.
- Requires a client with a "Scheduled Event" and it is set up for "On Demand" billing.
Steps
- Navigate to "Client > Client Information > Personal Information > Sliding Fee Eligibility".
- Select desired client.
- Set client's "Income Information" so that "Sliding Fee Scale" will apply.
- Navigate "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Check in the client's scheduled event.
- Complete the event.
- Click on "Run On-Demand Billing" button.
- Wait for "On Demand Billing" run to process.
- Click on "Review Claims" button.
- Validate it contains the desired claim with the "Expected Amount" based off of "Sliding Fee".
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Topics
• Finance
• Front Desk
|
Billing Run Requests With Missing Receiver And No Resulting Batches
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Submitter Information
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
Scenario 1: Validate Generating Multiple Billing Request
Specific Setup:
Requires services that can be billed in different batches.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claims.
- Save.
- Repeat steps 2 and 3 to generate a few more "Billing Requests".
- Wait for billing to run.
- Refresh.
- Validate desired batches have generated.
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Topics
• Finance
|
Calculate Rate In AR Management
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 Submission For Remittance NX [EDIT]
- Date Range (Required) With Parms [ADD]
- Report: Service Details
Scenario 1: Validate Saving More Than One Calculate Rate At A Time
Specific Setup:
Requires claims that can be "Remitted" and "Resubmitted".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set search parameters to search for desired claims.
- Add desired status to each of the claims.
- On each claim click "Add Action".
- Select "Resubmit and Calculate Rate".
- Save.
- Validate they all saved and each claim has a second submission with desired results.
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Topics
• Finance
|
Merge Utility Prevents Staff Selection
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Merge Utility
- People Search
- Call Center Search Forms [EDIT]
- Call Center Search Forms [ADD]
- Gender Table
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Person Information No Anonymous [ADD]
- Wizard
- New Staff [ADD]
- Job Title Listing - Employees
- Staff-Site Link Subform
- Managing Offices By Agency Operated
Scenario 1: Validate Prevent Deletion Of People Record Tied to Staff Profile
Specific Setup:
- Available staff to select in Merge Tool.
- Access to create new staff.
Steps
- Navigate to "Taskbar > System Maintenance > Application Maintenance > Merge".
- Select a Staff under "Duplicate Person".
- Validate "This people record is linked to a staff profile; staff profiles are not allowed in merge utility" message displays.
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Start a new call.
- Enter person information and click "Create new person".
- Do not enter intake information and click "Save and Close".
- Navigate to "Taskbar > System Maintenance > Application Maintenance > Merge".
- Select the new person under "Duplicate Person".
- Open a new tab of myEvolv.
- Navigate to "Agency > Staff & Security > Staff Information > Personal Info".
- Click Select Name.
- Create a new staff and link them to new person created from earlier.
- Switch back to original myEvolv tab.
- Click "Delete Duplicate".
- Validate "This people record is linked to a staff profile; staff profiles cannot be deleted" message displays.
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Topics
• Call Center
• Staff
• Taskbar
• Utilities
|
Reprocessing Failed Billing Batches
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
Scenario 1: Validate After Reprocessing Failed Billing Run, Claims Are Regenerated
Specific Setup:
Available failed billing batch that should have claims able to be reprocessed.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for the known failed billing batch that should have produced claims.
- Reprocess the Billing Batch.
- Navigate to "Billing Processing History" tab.
- Start the billing run.
- Validate billing run successful.
- Navigate to "Billing Batches Management" tab.
- Filter for same billing batch.
- Validate billing batch status no longer displays as "Failed".
- Validate claims have been processed.
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Topics
• Finance
|
Deleting Payroll Runs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Billing Request Payroll Run [ADD]
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- Submitter Information
Scenario 1: Validate Deleting A Payroll Run
Specific Setup:
- Requires a service and a rate that is set up to produce a "Payroll Invoice".
- Requires a client service and a rate that can produce a "Claim".
Steps
- Navigate "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Payroll Run".
- Fill in required fields to generate desired "Payroll Invoice".
- Save.
- Wait for billing to run.
- Validate a "Payroll Invoice" was generated.
- Click "Actions" button and select "Delete Request".
- Validate the "Payroll Batch" is in deleting status.
- Click "New Run".
- Select "Immediate Run".
- Fill in required fields to generate desired claim.
- Save.
- Wait for billing to run.
- Validate the claim was generated.
- Validate the "Payroll Run" is no longer listed.
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Topics
• Finance
|
Recurring Billings
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Recurring Billing Job [ADD]
- Submitter Information
- Recurrence Type for Billing Runs
- Weekdays
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
Scenario 1: Validate Recurring Run Break Invoice Batch Log By Period
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Scheduled Recurring Run".
- Fill in required fields.
- Select desired "Recurrence Type" i.e. "Weekly".
- Set "Include Services from N Periods Back" to desired value.
- Check "Receiver" checkbox.
- Save.
- Wait for recurring billing run to process.
- Validate the billing run generated the desired claims.
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Topics
• Finance
|
Import Forms
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Interface Design Form Set
- FileUploadForm
- Form Families - Client Mode
- FormDesigner
- NX Sub Report [EDIT]
- NX Test [EDIT]
- Sub Reports - User Form Set
- Sub Reports - Users
- User Sub Report Designer [EDIT]
Scenario 1: Form Designer: Validate Form Import Operations
Specific Setup:
- Two files must be created: a JSON file created by exporting a custom Form, and any file type that is not JSON.
- The JSON created above must have been exported from one compatible Evolv system, and be used to test the importing for another compatible Evolv system.
Steps
- Navigate to "Setup > User Tools > Interface Designer > Form Designer".
- Click "Import Forms".
- Choose desired file that is not a supported format.
- Verify a validation message is shown.
- Choose desired JSON file.
- Click "Upload".
- Validate the custom "Form" was uploaded or not uploaded based on the results shown.
- Click "Form Designer".
- Select desired "Form Family".
- Validate the "Form Table" contains desired custom "Form".
- Validate all "Form Elements" are properly imported and linked.
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Topics
• Forms
• Setup
|
Improved Billing Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Submitter Information
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- AR Management
- Cash Receipts for Remittance
Scenario 1: Validate Generating Multiple Billing Request
Specific Setup:
Requires services that can be billed in different batches.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claims.
- Save.
- Repeat steps 2 and 3 to generate a few more "Billing Requests".
- Wait for billing to run.
- Refresh.
- Validate desired batches have generated.
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.
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Topics
• Finance
|
Minimize Calls Opened From Call Center Listing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CallCenterlisting
- Call Center Search Forms [ADD]
- Call Center Search Forms [EDIT]
- Call Disposition with Intake [EDIT]
- Call Disposition with Intake [VIEW] *APPROVED*
Scenario 1: Call Center – Validate When a Minimized Call Is Saved, the Call Will Be Removed From the Unsaved Calls Area
Specific Setup:
Signed call available in Call Center.
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Create a New Call.
- Check "Phone # Unknown" or enter a number.
- Input a Client First Name and Client Last Name.
- Click "Next".
- Minimize the call.
- Validate the call appears in both Unsaved Calls and Incomplete Calls.
- Open the call from the Incomplete Calls panel. Change some data, like the "Brief Nature of Call" and save.
- Minimize the call again, confirm that there is still only one instance of this call in Unsaved Calls.
- Open the call from Unsaved Calls
- Confirm the data change is still visible.
- Click "Save & Close".
- Confirm the call is now visible in Incomplete Calls and NOT visible in Unsaved Calls.
- Open the call, minimize, confirm it is now in Unsaved and NOT Incomplete.
- Open the call, click "Save & New call".
- Minimize the new call.
- Confirm the new call is visible in Unsaved Calls, and the original call is now visible in Incomplete Calls.
- Open the original call from Incomplete Calls.
- Finish the call, and when the "Save & Mark Completed" button is visible instead click "Minimize".
- Confirm the call is visible in Unsaved Calls, open it again.
- Now click "Save & Mark Completed".
- Confirm the call is no longer visible in Unsaved Calls or Incomplete Calls.
- Validate the call is visible in the main call area, with the column "Call Completed" showing "yes".
- Open a signed call from call center.
- Validate "Minimize" and "Delete" buttons are not present.
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Topics
• Call Center
|
NIAM User Timeout
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: Validate User Can Log Back in Successfully Following Timeout
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.
Scenario 2: Validate NIAM Users Able To Log Back Into Session Following Timeout
Specific Setup:
- "Inactivity Timeout (hh:mm)" set to 5 minutes.
- User configured for NIAM login.
- myEvolv setup for NIAM logins.
Steps
- Login with NIAM user.
- Wait for timeout.
- Attempt to log back in.
- Validate successful login after timeout.
Scenario 3: Validate NTST User Able to Login Following Timeout
Scenario 4: Validate NIAM Users Able To Log Back Into Session Following Timeout
Specific Setup:
- Within Setup > System > EvolvCS System Setup > System Settings/Preferences, set the "Inactivity Timeout (hh:mm)" to 5 minutes.
- User is configured for NIAM login.
- System setup for NIAM logins.
Steps
- Login utilizing NIAM user name.
- Click the "Next" button.
- On the NIAM pop up, enter the password.
- Click the "Verify" button.
- Wait for timeout message.
- After the staff is timed out, repeat steps 1 thru 4.
- Validate staff can log back in and Windows display as expected.
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Topics
• Login
• Setup
|
Improved Performance for Viewing Billing Authorizations
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- Authorization - Finance [EDIT]
Scenario 1: Validate Authorization Used SubReport
Specific Setup:
- Scenario works with a claim that has been paid.
- Claim should be linked to an "Authorization".
- Service has been updated so that on rebill it consumes more units.
Steps
- Navigate to "Client > Client Information > Billing Authorization > Information".
- Select desired client.
- Select desired "Authorization".
- Scroll to "Authorization Used".
- Validate the SubReport loads with the desired data.
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Click "Add Action".
- Select "Adjustment/Replacement".
- Select "Calculate Rate".
- Validate "Calculate Rate" returns desired data with updated "Units".
- Save.
- Wait for billing to run.
- Validate "Adjustment Claim" has been generated.
- Navigate to "Client > Client Information > Billing Authorization > Information".
- Click "Refresh".
- Scroll to "Authorization Used".
- Validate the SubReport loads with the updated "Authorization Information".
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Topics
• Finance
• Widgets
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835 Remittance Import
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FinanceImportListing
- Finance File Import
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- Claim Remittance Transactions Subform
- Report: Claim Remittance Report
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
Scenario 1: Validate Remittance With Multiple Payments On Same Service Line
Specific Setup:
- Requires a "Multi Service Line" claim.
- Requires a "Remittance" with multiple payments for one of the service lines.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" and select "Upload 835".
- Select desired remittance file.
- Click "Upload".
- Validate file uploaded.
- Navigate to "Finance > Claim Maintenance > Automatic > Submissions".
- Select desired claim from remittance.
- Open the submission.
- Validate the "Submission" contains both payment statuses from the remittance.
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.
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Topics
• Finance
• Finance Setup
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Program Discharge/Close Date
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- BillingProcessHistory
- Client Critical Information Form Set
- Critical Information
- Program Enrollment [Edit]
- Type Of Discharge
- Billing Batches Management
- Submitter Information
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- 837 File
- Payers/Contracts Setup 2.0 Form Set
- Payers Setup Table
- ContractsRatesSetup
- Billing Plan Setup NX [EDIT]
- Billing Rate - Placement Based NX [EDIT]
- FinanceClaims
- Placement NX Form Set
- Billing Plan Output [EDIT]
Scenario 1: Discharge Date on Claim Output
Specific Setup:
- Within "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup", select desired payer.
- Click on "Actions > Edit this plan".
- Select the "Plan/Contract Rates" tab, and select desired program.
- Click on desired rate, and click on the "History Tab".
- Select desired billing rate, and ensure that the below fields are checked.
- "Output Discharge Date as Statement To Date"
- "Use Agency Admit/Discharge Date Only for Determining Claim Frequency and Patient Status"
- Program end dated for client.
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information", and select your desired client.
- On the desired program click the ellipsis, and set the "Actual End Date-Time" field and click "Save".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management",
- Click the "New Run" button and select "Immediate Run"
- Set the "Submitter", "Run Description" " Through Date".
- Within the Clients Selection, set the "Limit to Client" to the client utilized within step 1 and 2.
- Click the "Save" Button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History", and click on the "Start Billing Now" button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- After the billing job completes, click on the "Actions" button, and select "Open Batch"
- Click the "Create Output" button, and click on the "Download Electronic File" button.
- Validate the DTP segment for desired claim includes the discharge date entered within step 2.
Scenario 2: Exclude Program Discharge Date on Claim Output
Specific Setup:
- Within "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup", select desired payer.
- Click on "Actions > Edit this plan".
- Select the "Plan/Contract Rates" tab, and select desired program.
- Click on desired rate, and click on the "History Tab".
- Select desired billing rate, and set the below fields:
- "Output Discharge Date as Statement To Date", is checked.
- "Use Agency Admit/Discharge Date Only for Determining Claim Frequency and Patient Status", is not checked.
- Program end dated for a client.
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information", and select your desired client.
- On the desired program click the ellipsis, and set the "Actual End Date-Time" field and click "Save".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management",
- Click the "New Run" button and select "Immediate Run".
- Set the "Submitter", "Run Description" " Through Date".
- Within the Clients Selection, set the "Limit to Client" to the client utilized within step 1 and 2.
- Click the "Save" Button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History", and click on the "Start Billing Now" button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- After the billing job completes, click on the "Actions" button, and select "Open Batch"
- Click the "Create Output" button, and click on the "Download Electronic File" button.
- Validate the DTP segment for desired claim does not include the program discharge date entered within step 2.
Scenario 3: Output Discharge Date as Statement
Specific Setup:
- Within "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup", select desired payer.
- Click on "Actions > Edit this plan".
- Select the "Plan/Contract Rates" tab, and select desired program.
- Click on desired rate, and click on the "History Tab".
- Select desired billing rate, and ensure that the below fields are not checked.
- "Output Discharge Date as Statement To Date"
- "Use Agency Admit/Discharge Date Only for Determining Claim Frequency and Patient Status"
- Program end dated for a client.
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information", and select your desired client.
- On the desired program click the ellipsis, and set the "Actual End Date-Time" field and click "Save".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click the "New Run" button and select "Immediate Run".
- Set the "Submitter", "Run Description" " Through Date".
- Within the Clients Selection, set the "Limit to Client" to the client utilized within step 1 and 2.
- Click the "Save" Button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History", and click on the "Start Billing Now" button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- After the billing job completes, click on the "Actions" button, and select "Open Batch"
- Click the "Create Output" button, and click on the "Download Electronic File" button.
- Validate the DTP segment for desired claim does not include the discharge date entered within step 2.
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Topics
• Finance
• Finance Setup
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Performance Improvements for Eligibility (271) Imports
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FinanceImportListing
- Finance File Import
- Report: Clients Processed OK
- Report: Benefits Details
- Eligibility File
- Benefit Assignment [EDIT]
- Finance > Imports/Exports > Imports > Eligibility (271) Imports
Scenario 1: Validate Eligibility (271) Import
Specific Setup:
Requires a 271 Eligibility Import File.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Eligibility (271) Imports".
- Click "Upload File".
- Select desired "271 Import File".
- Click "Upload".
- Validate "Information About The Uploaded File" is visible.
- Close the window.
- Validate the screen refreshed and it contains the uploaded "271 File".
- Click "Actions" and select "Client Processed Ok".
- Validate the report contains desired information.
- Close the report.
- Click "Actions" and select "Benefits Detail".
- Validate the report contains desired information".
- Close the report.
- Navigate to "Client > Client Information > Personal Information > Benefit Assignments".
- Select a client from the "271 File".
- Open the "Benefit Assignment".
- Click on "271 Information".
- Validate the "271 Eligibility History" SubReport contains desired information.
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Topics
• Finance
• Finance Setup
• Reports
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Mirror Billing Performance Optimization
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Submitter Information
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- FinanceClaims
- Claim 2.0 [EDIT]
- Payers/Contracts Setup 2.0 Form Set
- Payers Setup Table
- ContractsRatesSetup
- Billing Plan Setup NX [EDIT]
- Placement Disruption Rules Form Set
- Placement Disruptions Rule Setup-Client [EDIT]
- Periods for Placement Disruption
- Billing Weekend Rules
Scenario 1: Billing Placement Services Using "Allow Billing Non-Overnight Stay" And Transfer Is Within The Same Facility
Specific Setup:
- Rate is flagged to bill for non-overnight stays.
- Client has transferred beds within the same Facility.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains correct number of "Units".
- Click "Claim".
- Validate "Billed Services" contains one record for "Date of Transfer".
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Topics
• Client
• Finance
• Finance Setup
|
Billing Run Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Submitter Information
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- FinanceClaims
- Client Finance Related Information Form Set
- FinanceInvoices
Scenario 1: Validate Billing Honors Placement Disruption Limit
Specific Setup:
- Scenario works with client that can bill "Facility Placement" services over the span of a year.
- "Facility Placement" rate should be set up with "Placement Disruption" rules with "Unit Limit" and will stop billing when limit is reached.
- Client should have "Placement Disruption" that is over the "Unit Limit.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claim.
- Save.
- Wait for billing to run.
- Validate the system generated desired claims.
- Validate the "Placement Disruption" that is over the "Unit Limit" did not bill.
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Topics
• Finance
• Finance Setup
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Waterfall Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- All Clients With Security Listing by PeopleID
- Claims Submission For Remittance NX [EDIT]
- Claim Service Lines NX Subform
- Message from webpage - This will delete the transaction. Do you want to continue?
Scenario 1: Validate Calculate Rate Will Not Include Services Billable To Secondary Payer That Were Not Part of Original Claim
Specific Setup:
- Requires a client with two different claims for services that were provided on the same day.
- Claims should have same procedure code, but billed with different rate setup.
- Client should also have a secondary "Benefit Assignment" that can bill both services, but are set up to use the same rate.
- Services should also be set up with "Service Line Consolidation".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance".
- Set parameters to filter for desired claim.
- Apply a partial payment to the claim.
- Click "Add Action".
- Select "Resubmit to Other".
- Select "Calculate Rate".
- Validated the resulting "Submission" contains desired unit and amount from "Secondary Payer" and the second claim is not included.
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Topics
• Finance
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Payroll Invoices
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Submitter Information
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- FinanceClaims
- Billing Request Payroll Run [ADD]
- FinanceInvoices
Scenario 1: Validate Payroll Invoice Generates After Service Has Been Billed
Specific Setup:
- Requires a service that can be billed.
- Service should also be set up with a "Payroll Rate".
- Staff providing service should be set up with "Payroll".
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Immediate Run".
- Fill in required fields to generate desired claim.
- Save.
- Wait for billing to run.
- Validate desired claim is generated.
- Click "New Run".
- Select "Payroll Run".
- Fill in required fields to generate a "Payroll Invoice" for the same service a claim was generated for.
- Save.
- Wait for billing to run.
- Validate desired "Payroll Invoice" is generated.
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Topics
• Finance
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ECS-57124
Summary
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Details
11.0.0050, 11.0.0025.03, 11.0.0000.07, 11.0.0025.20
NIAM User Timeout
Scenario 1: Validate NIAM Users Able To Log Back Into Session Following Timeout
Specific Setup:
- Within Setup > System > EvolvCS System Setup > System Settings/Preferences, set the "Inactivity Timeout (hh:mm)" to 5 minutes.
- User is configured for NIAM login.
- System setup for NIAM logins.
Steps
- Login utilizing NIAM user name.
- Click the "Next" button.
- On the NIAM pop up, enter the password.
- Click the "Verify" button.
- Wait for timeout message.
- After the staff is timed out, repeat steps 1 thru 4.
- Validate staff can log back in and Windows display as expected.
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Topics
• Login
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Dispensation Restrictions
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FrontDeskCheckIn
- Alert
- Medication Dispensing
Scenario 1: Dispensation - Validate Client Screen Displays Missed Doses Restriction
Specific Setup:
Client who missed multiple dispenses.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click Dispense.
- Navigate to Client tab.
- Search for a Client with missed dispensed doses.
- Validate "Client has major restrictions" message exists.
- Validate "Dispense blocked due to consecutive missed doses..." restriction.
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Topics
• Dispensing
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My Tasks Widget Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Workgroups (All2)
- Client Related Task - New [DELETE]
Scenario 1: Validate “My Tasks” Widget Only Displays Workgroup Tasks Scheduled for Its Enrolled Staff
Specific Setup:
- Available admin account to log into.
- Available Staff enrolled in Workgroup A to log into.
- Staff not enrolled in a Workgroup B.
Steps
- Navigate to "Client > Client Information > Critical Information > Workgroup Assignments".
- Schedule a task for Workgroup A (from setup) more than 2 months into the past.
- Schedule another task for the same Workgroup A for tomorrow.
- Schedule a third task for a different workgroup your staff is not enrolled in (i.e. Workgroup B from setup) more than 2 months into the past.
- Schedule a fourth task for the same Workgroup B for tomorrow.
- Logout of current user and login to staff enrolled in workgroup.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Load "My Tasks" widget.
- Confirm only the task for tomorrow for Workgroup A is displayed.
- Confirm the other 3 tasks are not displayed.
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Topics
• Widgets
• Workgroup
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Lab Results Including Duplicate LOINC Codes and OrderConnect Integration
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Current Medication Profile
- Current Order Profile
- Lab Result Detail
Scenario 1: New LOINC Entered in OrderConnect Is Stored In Medical Library and Duplicate LOINC Code Test/Results Saved
Specific Setup:
- System configured with OrderConnect.
- Access to LOINC Medical Library.
- Client has existing Lab Results from OrderConnect.
Steps
- Navigate to "Setup > Medical Libraries Maintenance > Medical Library > LOINC" take note of a LOINC record.
- Navigate to "Client > Client Information > Health Information > Lab Tests".
- Edit the OrderConnect Lab Results.
- Launch OrderConnect.
- In the Order Connect application, navigate to lab results area and add a new result using the LOINC code and description identified earlier.
- Save in Order Connect, close and refresh.
- Navigate to "Setup > Medical Libraries Maintenance > Medical Library > LOINC"
- Filter for "LOINC" used.
- Validate record is displayed.
- Navigate to "Client > Client Information > Health Information > Lab Tests".
- Edit the OrderConnect Lab Results.
- Launch OrderConnect.
- In the Order Connect application, navigate to lab results area and add a new result using the LOINC code that is not present in the system.
- Save in Order Connect, close and refresh.
- Navigate to "Setup > Medical Libraries Maintenance > Medical Library > LOINC"
- Filter for the LOINC code used.
- Validate record is displayed.
- Navigate to "Client > Client Information > Health Information > Lab Tests".
- Launch OrderConnect.
- In the Order Connect application, navigate to lab results area and add a new result that is identical to a preexisting result.
- Validate the LOINC, dates and results are all the same.
- Save in Order Connect, close and refresh.
- Validate the "Listing" shows the duplicate test as well as the original tests.
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Topics
• OrderConnect
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Clearing Medication Order Locks
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client > Client Information > Personal Information > Physical Characteristics
- Medication Order Exception [Add]
- Flexible Medication Order [ADD]
- Manual Medication Order [ADD]
- Medication Order [ADD]
- Multi-Day Exception Order [Add]
- Dispensation Programs by Client
- Inventory Drug by Program
- Medication Dispensing Schedule Type
Scenario 1: Record Locking - Validate The "Client Lock Manager" Releases The Record Locks On Clients using the Medication Order
Steps
- On the first workstation, navigate to "Client > Client Information > Health Information > Medications".
- Select the client.
- Add new medication order.
- On the second workstation, navigate to "Navigate to "Taskbar > System Maintenance > Application Maintenance > Client Lock Manager".
- Click the "Refresh" button.
- Validate the client displays on the list.
- On first workstation, select the "Cancel" button.
- On the second workstation, navigate to "Navigate to "Taskbar > System Maintenance > Application Maintenance > Client Lock Manager".
- Click the "Refresh" button.
- Validate the client does NOT display on the list.
- Redo the test with each "Medication Order Event"
- Flexible Medication Order
- Manual Medication Exception Order
- Manual Medication Order
- Medication Order
- Multi-Day Exception Order
- Redo the test clicking the "x" on the upper right corner of the form.
- Validate the locks clear.
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Topics
• Dispensing
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Lab Results Including LOINC and OrderConnect Integration
Scenario 1: LaboratoryResult Messages - Imported LOINC Codes Support Up To 50 Characters - "Vocabularies.Code"
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Topics
• CareConnect
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