UMDAP
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- LA County Client Information [EDIT]
- Income Information LA UMDAP Subform
- Time Period Table
- Income Source Table
- Client Responsible Legal entity
Scenario 1: Validate Can Create/Update UMDAP Records for Client
Specific Setup:
Client enrolled in IBHIS system.
Steps
- Navigate to "Client > Client Information > LA County Integration - NR > LA County Client Information".
- Search for a client with an IBHIS ID.
- Scroll down to "Income Information".
- Create a new record or update an existing (if within last year).
- Click "Save".
- Scroll back up to "LA County Connection", click the hyperlink "Click Here to Prepare and Send LA County Related Data".
- Scroll down to the "Client UMDAP" section.
- Click the "Create" or "Update" button (depends on if new record or updated record from step 4).
- Validate a processing block pops up, alerting that the data is being sent to the County.
- Validate the gray grid now has the same data as the blue grid in the "Client UMDAP" section.
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Topics
• LA IBHIS
|
Critical Information Agency Intake
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Critical Information
- Agency Placement [EDIT]
Scenario 1: Validate Client Agency Intake Date Can Be Updated in Different Time Zones
Specific Setup:
- Client currently enrolled in agency.
- Have the ability to change time zone.
Steps
- Navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Select desired Client.
- Open Agency Intake form.
- Change the intake date to one day before the current intake date.
- Save and validate changes are saved.
- Logout.
- Change device to a different time zone.
- Login to myEvolv.
- Navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Select desired Client.
- Open Agency Intake form.
- Change the intake date to one day before the current intake date.
- Save and validate changes are saved.
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Topics
• Client
|
Null Values Are Supported In "Collateral Relationship"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Referral Search
- Referral Information Form Set
- Agency Referral Personal Information [EDIT]
- Race Subform
- Members Personal Form [EDIT]
- Import Services Form Set
- Import File Templates
- ImportFileLog
- Benefit Assignment [EDIT]
- Referral to Programs from Outside - People Edit Subform
- Referral to Agency [EDIT]
Scenario 1: EPICADT04 and EPICADT08- Preadmit AND Update Patient- NK 1.3 - Validate "Collateral Relationship" Updates Records
Specific Setup:
- The referral record to be added into the system, with no Collateral Relationship, NK1.3 Segment.
- A second referral record to update a preexisting referral in the system, with no Collateral Relationship, NK1.3 Segment.
- The Import File Templates have a default value for the Collateral Relationship.
- The user knows the values in the fields.
Steps
- Import a record that is missing the NK1.3 segment. This is the collateral relationship field.
- Navigate to "Taskbar > System Maintenance > Import Services > Import File Log".
- Select the template used.
- Validate no errors occurred for the import.
- Validate the record was created or changes took place, based on the import file used.
- Validate a collateral exists that contains the default value that was used in the precondition.
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Topics
• CareConnect
|
ECS-55618
Summary
|
Details
11.0.0000.08, 11.0.0025.04, 11.0.0050.01, 11.0.0075
Place of Service Code and Calculate Rate
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]
- Claims Submission For Remittance NX [EDIT]
- Claim Service Lines NX Subform
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- Claim Output Form Set
- Claim Output
- Place of Service Location Link Subform
- Location Table (Service)
- Billing Place of Service Code Setup [EDIT]
- Billing Batches Management
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- All Clients With Security Listing by PeopleID
- Billing Request Action Based Run [ADD]
- Action Based Run - Claim Action Types
- ActionsView
Scenario 1: Validate Place Of Service Code Saves When Using Calculate Rate
Specific Setup:
Requires a service that was billed and "Location/Place of Service" was changed after billing.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance".
- Set parameters to search for desired claim.
- Click "Add Action".
- "Resubmit" the claim using "Calculate Rate".
- Validate "Place of Service" field contains desired place of service code.
- Save.
- Wait for billing to run.
- Open the new submission.
- Validate "Place of Service" contains desired place of service code.
- Click on the "Batch" link.
- Click "Open Batch"
- Click on "Create Output".
- Download the "837 Output".
- Validate the "CLM" line contains desired place of service code.
Scenario 2: Validate Place of Service Updates After Changes To Finance Setup
Specific Setup:
- Client has two Benefit Assignments.
- Service is billable to both Benefit Assignments.
- Service has Location information.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create a "Billing Run" to capture "Service" from preconditions.
- Upon completion of "Billing Execution Interval", create "837 File".
- Validate "Place of Service" information is present for the "Claim".
- Mark "Batch" as sent.
- Navigate to "Finance > Remittance Processing > Remittance Application > Apply Receipt to Claims".
- Select "Check".
- Set "Filters" to search on "Claim".
- Click "Deny" and "Add Action".
- Select "Resubmit to Other" and use "Calculate Rate", save.
- Upon completion of "Billing Execution Interval", click on "Submission" and "Batch", create "837 File".
- Validate "Place of Service" information is present for the "Claim".
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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 Batches Management
- Immediate Billing Run Request [ADD]
- 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]
- Group Programs Subform
- Cost Center Definitions
- Payor-Facility License Link Subform
- Plans/Contracts by Payer and Receiver
- Client Search
- Critical Information
- Program Enrollment [Edit]
- Program Unit All
- Client Finance Related Information Form Set
- Payers of Agency
- Billing Provider Number Type
Scenario 1: Validate Cost Center Override On Consolidated Claims
Specific Setup:
- Requires two services that have been billed and they are set with "Service Line Consolidation".
- Both services should have same "Cost Center" 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.
- Validate there is one consolidated claim.
- Click on the claim link to open the claim.
- Validate "Cost Center Code" on "Accounting Info" is contains the "Cost Center Override" from the "Facility Program Link".
- Close 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.
- Validate there is one consolidated claim.
- Click on the claim link to open the claim.
- Validate "Cost Center Code" on "Accounting Info" is contains the "Cost Center Override" from the "Facility Licensing 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 "Cost Center Override", select a record.
- Save and Close.
- Reprocess batch.
- Validate there is one consolidated claim.
- Click on the claim link to open the claim.
- Validate "Cost Center Code" on "Accounting Info" is contains "Cost Center" set on "Program Enrollment".
- Close the claim.
Scenario 2: 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.
- Click on the claim link to open the claim.
- Validate "Cost Center Code" on "Accounting Info" is contains the "Cost Center Override" from the "Facility Program Link".
- Close 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.
- Click on the claim link to open the claim.
- Validate "Cost Center Code" on "Accounting Info" is contains the "Cost Center Override" from the "Facility Licensing 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 "Cost Center Override", select a record.
- Save and Close.
- Reprocess batch.
- Click on the claim link to open the claim.
- Validate "Cost Center Code" on "Accounting Info" is contains "Cost Center" set on "Program Enrollment".
- Close the claim.
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Topics
• Client
• Finance
• Finance Setup
|
ECS-56716
Summary
|
Details
11.0.0075, 11.0.0050.02, 11.0.0025.05, 11.0.0000.09
Held Claim For Service Not Approved
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency [EDIT]
- Billing Batches Management
- FinanceClaims
- SupervisorModule
- All Clients With Security Listing by PeopleID
- Immediate Billing Run Request [ADD]
- 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 Claim Held For Service Not Approved Is Released With New Claim Number
Specific Setup:
- Requires a claim that is held for "Service Not Approved".
- Scenario works with a service that has been submitted to supervisor, but not yet approved.
Steps
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Check the flag "Delete Held Claims".
- Save.
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval".
- Validate desired service is listed.
- Click "Actions" button and select "Approve".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Immediate Run".
- Fill in required fields to generate desired billing run.
- Save.
- Wait for billing to run.
- Validate the billing contains desired claim with a new claim number and it is no longer in "Held" status.
Scenario 2: Validate Claim Held For Service Not Approved Is Released
Specific Setup:
- Requires a claim that is held for "Service Not Approved".
- Scenario works with a service that has been submitted to supervisor, but not yet approved.
Steps
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval".
- Validate desired service is listed.
- Click "Actions" button and select "Approve".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Immediate Run".
- Fill in required fields to generate desired billing run.
- Save.
- Wait for billing to run.
- Validate the billing contains desired claim and it is no longer in "Held" status.
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Topics
• Finance
|
ECS-56968
Summary
|
Details
11.0.0000.08, 11.0.0025.04, 11.0.0050.01, 11.0.0075
New Referral/Client Wizard
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Referral Search
- Person Information [ADD]
- Wizard
- Merge Utility
- People Search
- Client Search
Scenario 1: Validate Cannot Create New Referral With Duplicate Social Security Number to Another People Record
Specific Setup:
Known social security number for a People Record in the system.
Steps
- Navigate to "Referral > Agency Referral > Referral Information > Demographics".
- Click Search for Referrals.
- Click New Referrals Wizard.
- Enter any Last Name, First Name, Gender.
- Enter a Social Security number you know is in use already (not blank or all 0s, these are ignored).
- Click Proceed.
- Confirm that the search includes the client that has the SSN you entered listed.
- Check "Create new record..." box and click Proceed.
- Confirm that an alert opens showing
- Error(s) occurred on save:
- New Person record cannot be saved, return to search to address errors:
- Duplicate Social Security #: [SSN ENTERED]
- Close alert and Confirm that the Results window is still active (not locked, does not proceed).
- Click Previous to return to the Search page.
- Enter a valid SSN and client info.
- Click Proceed.
- Check "Create new record..." box and click Proceed.
- Confirm the Wizard continues to the Personal Information page with the new information without errors.
Scenario 2: Validate Cannot Create New Client With Duplicate Social Security Number to Another Client
Specific Setup:
Known social security number for a Client in the system.
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics".
- Click the "Select Client" search box.
- Click New and Intake - New.
- Enter any Last Name, First Name, Gender.
- Enter a Social Security number you know is in use already (do not use blank or all zeros).
- Click Proceed.
- Confirm that the search includes the client that has the SSN you entered listed.
- Check "Create new record..." box and click Proceed.
- Confirm that an alert opens showing
- Error(s) occurred on save:
- New Person record cannot be saved, return to search to address:
- Duplicate Social Security #: [SSN ENTERED]
- Close alert and Confirm that the Results window is still active (not locked, does not proceed).
- Click Previous to return to the Search page.
- Enter a valid SSN and client info.
- Click Proceed.
- Check "Create new record..." box and click Proceed.
- Confirm the Wizard continues to the Personal Information page with the new information without validations.
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Topics
• Client
• Referral Application
|
Print Action Taken
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Print Preview
- ServicePlanList
- ServicePlanForm
Scenario 1: Validate Print Action in Service Entries
Specific Setup:
- Client has service events.
- Client has Treatment Plan.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select "Client".
- Select "Event".
- Click "Print".
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select "Treatment Plan".
- Click "Print".
- Navigate to "Reports > Certification Reports > MU1 Reports > Client Data Audit Log".
- Set "Parameters" for "Client", click "Preview".
- Confirm event and Treatment Plan Print display under "Action Taken" column.
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Topics
• Client
|
Groups – "Main Service Location" Field
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Select Group
- New Group [ADD]
- Support Group Classes Subform
- Schedules - Group Subform
- Worker Assignments Groups B2 Subform
- Staff - Service Providers (Caseloads)
- Group Management [EDIT]
- Agency/Programs Table
- Provider Sites by Agency/Program
- Worker Role (to a client or in a workgroup) Table
- Groups > Group > Information > General Information
Scenario 1: Modifying the "Program" Field, clears the "Main Service Location" Field
Specific Setup:
- Active existing Group.
- User has access to Groups module.
Steps
- Navigate to “Groups >Group >Information >General Information” and select desired group.
- Change the existing program within the “Program” field.
- Validate the “Main Service Location” field is cleared out.
- Set the "Main Service Location" field
- Click the "Save" button.
- Click on "Select Group", and select the group that was just modified.
- Validate the "Program" field displays the new program.
- Validate the "Main Service Location" displays the accurate "Main Service Location.
Scenario 2: Groups - Main Service Location Field
Specific Setup:
User has access to Groups module.
Steps
- Navigate to "Groups > Group > Information > General Information".
- Click on "Select Group", and click on the "New" button.
- Set all the desired and required information, except the "Main Service Location" Field.
- Click the "Save" button.
- Validate message displays: "One or more required fields are empty: Main Service Location Please complete this form".
- Click the "OK" button.
- Set the desired "Main Service Location".
- Click the "Save" button.
- Validate the "Main Service Location" Field is present.
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Topics
• Groups
|
Call Center Anchored Menu Items
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Call Disposition with Intake [EDIT]
- Call Center Search Forms [ADD]
- Call Center Search Forms [EDIT]
- Call Center Form Test [EDIT]
Scenario 1: Call Center – Validate Anchors in Call Center Event Navigation Panel Display After Minimizing/Saving
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Create a new call, select client, click Save and Close.
- Take note of anchored items.
- Open existing call from Incomplete Calls.
- Validate anchored items still displaying.
- Click Minimize and re-open call from Unsaved Calls.
- Validate anchored items still displaying.
- Select an event from the call.
- Take note of anchored items.
- Save and Close with the event selected.
- Re-open the call from Incomplete Calls.
- Validate all anchored items still displaying.
- Save and Close the call.
- Re-open the call from Call Center Table.
- Validate all anchored items still displaying.
- Minimize the call.
- Re-open the call from Unsaved Calls.
- Validate all anchored items still displaying.
- Fill remaining required information and Mark and Save Completed.
- Open completed call.
- Validate all anchored items still displaying.
Scenario 2: 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
|
Intake Wizard
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 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
- Security Schemes
- Client Search
- Person Information [ADD]
- Initial Enrollment for New Person [ADD]
- Outside Organizations - distinct
- Referral Reason Table
- Placement Events by Agency/Program - People2
- Provider Sites by Program (Vacancy)
- Staff - Service Providers (Caseloads - Zip Zones)
- Worker Role (to a client or in a workgroup) Table
- Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX
- Front Desk Calendar NX
- Calendar Appointment
- Front Desk People Search
- Wizard Process - Front Desk New Person
- Gender Table
- Front Desk Calendar
- WizardMPISearch
- New Client Personal Information [EDIT]
Scenario 1: New Staff Create Wizard
Steps
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Search for staff and open new Staff Create Wizard.
- Enter First Name, Last Name and Gender.
- Hit Proceed.
- Validate that Proceed button is enabled after the search is complete and the block UI is removed only when the search results are displayed.
Scenario 2: Adding A New Client Via New Client Wizard - Testing Unit Default
Specific Setup:
- A new client will be enrolled into a program using the "New Person" enrollment located on "Client >Client Information >Critical Information >Enrollment Information"
- On the form "Agency > Service Locations > Sites/Residentials > Capacity"
- The facility unit being used has the field "Default Facility Unit" checked, to default the unit number.
Steps
- Navigate to "Client >Client Information >Critical Information >Enrollment Information".
- Select "New" then "New Person".
- Use the client wizard to add the client.
- On the enrollment portion enter the "Initial program".
- The "Placement Type" will default the value into the field.
- Select the "Initial Facility".
- Validate the "Unit" value will default into the field.
Scenario 3: Front Desk NX Calendar - Create New Person
Specific Setup:
Test staff must have access to "New" button under "Agency Setup > Staff and Security Setup > Navigation Access > Access to New Button" for the new "Front Desk People Search" form.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click "View Calendar".
- Click "New Appointment".
- Click "Person" search button.
- Click "New" button on "Front Desk People Search".
- Set "Last Name" to desired last name for new person.
- Set "First Name" to desired first name for new person.
- Select the desired Gender.
- Click "Proceed".
- Confirm that the individual you are attempting to create does not already exist in the system by reviewing the list of matching results.
- Check "Create new record...." checkbox.
- Click "Proceed".
- Click "Name" in the navigation panel.
- Populate any additional information desired.
- Click "Finish".
- Select your newly created person from the "Front Desk People Search".
- Continue populating fields in the Appointment screen to save test appointment or click "Close" to cancel out of creating new appointment.
|
Topics
• Staff
|
Uploading via Client Information Screen
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- My Client Information Form Set
- Placement Disruptions: Unknown Location [ADD]
- Select File for Upload
- Client Search
- Client Information Screen Form Set
- FrontDeskCheckIn
- Personal Information - All Form Set
Scenario 1: Validate Document Can Be Uploaded via Client Information Screen
Specific Setup:
- Three different clients must be used for testing, one for each location:
- My Client Widget
- Client Module Header
- Front Desk
- Event service form available with upload document, image upload, signature capture.
- Available Client scheduled event in Front Desk.
Steps
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select My Clients widget.
- Click the Open Client Formset (red box and arrow) for desired Client.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
- Close and Navigate to "Client > Client Information > Personal Information > Demographics".
- Search for a different client.
- Click the Client name in the header.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
- Close and Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click the Client name in the scheduled event.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
Scenario 2: Validate Image Can Be Uploaded via Client Information Screen
Specific Setup:
- Three different clients must be used for testing, one for each location:
- My Client Widget
- Client Module Header
- Front Desk
- Event service form available with upload document, image upload, signature capture.
- Available Client scheduled event in Front Desk.
Steps
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select My Clients widget.
- Click the Open Client Formset (red box and arrow) for desired Client.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Image" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
- Close and Navigate to "Client > Client Information > Personal Information > Demographics".
- Search for a different client.
- Click the Client name in the header.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
- Close and Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click the Client name in the scheduled event.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
Scenario 3: Validate Signature Can Be Uploaded via Client Information Screen
Specific Setup:
- Three different clients must be used for testing, one for each location:
- My Client Widget
- Client Module Header
- Front Desk
- Event service form available with upload document, image upload, signature capture.
- Available Client scheduled event in Front Desk.
Steps
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select My Clients widget.
- Click the Open Client Formset (red box and arrow) for desired Client.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Image" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
- Close and Navigate to "Client > Client Information > Personal Information > Demographics".
- Search for a different client.
- Click the Client name in the header.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
- Close and Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click the Client name in the scheduled event.
- Navigate to desired event form.
- Add new event form.
- Click "Click to Upload Document" > Upload File.
- Select a file and upload.
- Validate file is uploaded.
- Validate Event Form window is still displaying.
|
Topics
• Client
|
835 Remittances
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FinanceImportListing
- Finance File Import
- Report: Claim Remittance Report
Scenario 1: Validate Adjustment Reason Displays Once
Specific Setup:
- Requires duplicate "Claim Adjustment Reason".
- One should be active and one should be not active.
- Requires a remittance file with the "CAS Information" that includes that "Claim Adjustment Reason".
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" and select "Upload 835".
- Select desired "Remittance File".
- Set "Deposit Date".
- Click "Upload".
- Open the "Remittance Report".
- Validate the "Claim Adjustment Reason" displays as a single record.
|
Topics
• Finance
• Finance Setup
|
Worker Case Loads Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- As Of Date w Parms and Selection [ADD]
- Report Selection Picklist
- Report Parameters PickList
- Staff - All (by Staff ID)
- Report: Worker Case Loads
- Print Preview
Scenario 1: Validate Worker Case Loads Report Loads
Specific Setup:
Client that is enrolled in a program. Client has a service in the program in the past.
Steps
- Navigate to "Reports > Clients > General > Worker Case Loads".
- Set "Report Selection".
- Select Worker under Parameter and Desired Worker under Value.
- Run the report.
- Validate results for clients shown as expected.
- Validate last service date displays date for the most recent Service Event for the enrolled program.
- Close the report and set an "As Of Date".
- Run the report and validate Last Date of Service does not exceed "As Of Date".
|
Topics
• Staff
|
Held Claims in Action Based Runs
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
- Billing Batches Management
- Immediate Billing Run Request [ADD]
- 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/Invoice Batch [VIEW]
- Claim Output Ready
- Client Service Entry
- MB Activity Event [EDIT]
- Client Search
Scenario 1: Validate Action Based Claim Is Released After Held
Specific Setup:
- Requires a claim that can be remitted.
- Service/Claim should be set up so that upon the "Resubmit" action it is in "Held" state.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Add desired status and "Resubmit" Action to the claim.
- Select "Calculate Rate".
- Validate "Claim service line" row appears and has a "Held Reason".
- Check the "Claim Line".
- Save.
- Wait for billing to run.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Validate the claim is captured in an "Action Based Run" and status is "Held".
- Resolve the reason for hold.
- Create a new "Manual Billing" run.
- After billing is complete, validate it does not contain the "Action Based Clam.
- Validate the "Action Based Run" no longer contains the "Held Claim".
- Reprocess the "Manual Billing Run".
- After billing is complete, validate it does not contain the "Action Based Clam".
- Validate the "Action Based Run" contains the "Action Based Claim" and it is no longer "Held".
|
Topics
• Finance
|
ECS-57741
Summary
|
Details
11.0.0075, 11.0.0050.02, 11.0.0025.05, 11.0.0000.09
Netsmart Identity Access Manager (NIAM)
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Staff Listing - Agency Employees (By People ID)
- Staff Information Form Set
- Staff with Security [EDIT]
Scenario 1: Validate "Use NIAM Authentication" Field
Specific Setup:
- Staff A has "Use NIAM Authentication" is set within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Staff B has access to Staff Profiles with Security.
Steps
- As Staff B, navigate to " Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select Staff A.
- Uncheck "Use NIAM Authentication".
- Save and log out.
- Set "Username" as Staff A.
- Click the "Next" button.
- Validate the text "NIAM authentication is not enabled for user" displays.
- Log in as Staff B.
- Navigate to " Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select Staff A, and check "Use NIAM Authentication".
- Save and logout.
- Log in as Staff A.
- Click the "Next" button.
- Verify new window appears and enter the password.
- Click the "Verify" button.
- Click on the person icon within the upper right section of the page and verify logged in staff is the appropriate NIAM staff (i.e. staff A).
|
Topics
• Agency
• Staff
|
Import Forms Containing Test/Assessment(s)
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Interface Design Form Set
- FormDesigner
- FileUploadForm
- Test Header Setup Lookup
- Sub Reports for Users - All
- Forms
- Form Families
- Columns Pick List NX
- All Look-up Tables Listing (filtered)
- NX Sub Form [ADD]
- NX FIELD [EDIT]
- NX Test [EDIT]
Scenario 1: Validate Importing an In Use Test Code Into Form Designer Displays Duplication Error
Specific Setup:
Available UDF form to export from Form Designer.
Steps
- Navigate to "Setup > User Tools > Interface Design > Form Designer".
- Select a Form Family.
- Export a UDF form.
- Navigate to "Setup > User Tools > Interface Design > Import Forms".
- Upload the exported file.
- Validate "Following Test code(s) in file FormExport.json already exists and in use. Please enter a new test code and try again..." error message.
- Validate "Form already exists in system:..." error message.
Scenario 2: Validate Ability To Import Forms With Test/Assessments
Specific Setup:
4 forms available to import: - Existing form with existing test/assessment that is not in use.
- Existing form with existing test/assessment that is in use.
- New form without a test/assessment.
- New form with a new test assessment.
Steps
- Navigate to "Setup > User Tools > Interface Design > Import Forms".
- Import each type form.
- For existing form with existing test/assessment that is not in use:
- Validate "Form already exists in system:..."
- For existing form with existing test/assessment that is in use:
- Validate "Following Test code(s) in file ... already exists and in use. Please enter a new test code and try again".
- Validate "Form already exists in system:..."
- For new form without a test/assessment:
- Validate successful upload of form.
- For new form with a new test assessment:
- Validate successful upload of form and test/assessment.
Scenario 3: Form Designer: Validate Form Export Operations
Specific Setup:
The following User-Defined elements must be created in order to be added to a Form: Look-Up Table, Domain & Test, SubReport, and SubForm.
Steps
- Navigate to "Setup > User Tools > Interface Designer > Form Designer".
- Select desired "Form Family".
- Select desired System Form.
- Validate the "Export" option is not present under the "Actions" menu.
- Select "Copy" from the "Actions" menu.
- Set desired "Form Name" and "Form Code".
- Add desired "Form Elements".
- Fill out required fields for each "Form Elements".
- Click "Save".
- Validate saving was successful.
- Select "Export" from the "Actions" menu on the custom "Form".
- Validate a JSON file was created.
|
Topics
• Forms
• Setup
|
ECS-57869
Summary
|
Details
11.0.0000.08, 11.0.0025.04, 11.0.0050.01, 11.0.0075
LA IBHIS Outpatient Episodes
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Critical Information
- Program Enrollment [Edit]
- Type Of Discharge
- Staff - All (by Staff ID)
- Client Search
- LA County Client Information [EDIT]
- Program Enrollment From Service Track [ADD]
- Placement Events by Agency/Program - People2
- Provider Sites by Program (Vacancy)
- Staff - Service Providers (Caseloads - Zip Zones)
- Worker Role (to a client or in a workgroup) Table
- Source Of Admission
- Type of Admission
- Admission Necessity Code
- Yes No Unknown Table
- Level of Hold
- Conservator Court Status
- Diagnosis General - LA DMH SF Subform
- Diagnosis Search Service
- Priority Table
- Diagnosis Status
- Type of Diagnosis
- Primary Diagnosis for a Person (by People_ID)
- Program Setup - No Care Day/Respite [EDIT]
- AXIS IV (Psychosocial and Environmental Problems) [ADD]
- Diagnosis - (Axis IV problems)
Scenario 1: LA IBHIS - Validate Discharging and Enrolling Creates A New Episode
Specific Setup:
- A client exists that has multiple programs in the same episode.
- The same client has other episodes that exist for other programs.
Steps
- Navigate to the "Enrollment" form.
- Discharge the client from the 2 programs that share the same episode.
- Set the discharge date to an earlier date and time then the current date.
- Fill in the required fields for the IBHIS system, in myEvolv, that need to be filled in.
- Navigate to the IBHIS system.
- Select the episode and discharge the client.
- Validate the myEvolv system shows the two programs that shared the episode as discharged.
- Create a new enrollment record for a program that the client was discharged from.
- Set the enrollment date after the discharge date above.
- Validate the myEvolv SubForm shows no episode on that program.
- Enter the IBHIS system and admit the client.
- Validate the episode is the next incremental value on the list.
- Validate the episode number is not duplicated for this enrollment.
Scenario 2: LA IBHIS - Validate Diagnosis Functions With Multiple Episodes
Specific Setup:
- A client will exist that is enrolled in at least three episodes, At least one inpatient episode and 1 outpatient episode will exist.
- One of the episodes will be for a program code of "00543" in the myEvolv system, the other "01946".
- The diagnosis will occur after the start dates of the episodes.
Steps
- Navigate to the "LA County Information" form.
- Validate the Diagnosis in the precondition exists on the form.
- Access the link for sending data to LA County.
- Select the first episode.
- Validate the "Evolv Diagnosis Information" displays the diagnosis from the precondition.
- Validate the "LA County Diagnosis Returned By GetClientDiagnosis" displays "No records to display".
- Select the "Create Client Diagnosis".
- Wait for the process to complete.
- Validate the "LA County Diagnosis Returned By GetClientDiagnosis" contains the same information as the "Evolv Diagnosis Information".
- Redo the above steps with each episode.
- Validate the information is updated in the "LA County Diagnosis Returned By GetClientDiagnosis" section.
Scenario 3: LA IBHIS - Allow Outpatient Episodes To Be Opened With Multiple Legal Entities
Specific Setup:
- A client will exist that has all the needed information filled in to Admit into the LA IBHIS System.
- At least two outpatient programs assigned to the IBHIS code of "00543" in the myEvolv System. In this example they will be the "Outpatient Program1" and "Outpatient Program2".
- At least one outpatient program assigned to the IBHIS code of "01946" in the myEvolv System. In this example this will be "Outpatient Program3".
- At least one inpatient program assigned to the IBHIS code of "00543" in the myEvolv System. In this example it will be "Inpatient Program1".
- An enrollment record is created for an outpatient program, "Outpatient Program1". This client has not been admitted into the IBHIS System.
Steps
- Navigate to the " LA County Client Information" form.
- Validate the enrollment record in the precondition displays in the "IBHIS Related Program Enrollments on Record" SubReport. In this example "Outpatient Program1".
- Validate there is no episode attached to the record.
- Navigate to the IBHIS System.
- Admit the client.
- Validate an episode number is generated, In this example it will be "1".
- Refresh the myEvolv form.
- Validate the episode displays on the "IBHIS Related Program Enrollments on Record" SubReport. This will be on the "Outpatient Program1" record.
- Enroll the client into the third outpatient program, assigned to "01946". In this example this will be "Outpatient Program3".
- Admit the client into the IBHIS system.
- Validate this program has the next episode number assigned. In this example it will be "2".
- Refresh the myEvolv Form.
- Validate the sub report is updated with the correct episode number.
- Add a 3rd enrollment record to a third outpatient program, assigned to "00543". In this example it will be "Outpatient Prorgram2".
- Admit the client to this program in the "IBHIS" system.
- Validate the episode number is the same episode as in the first program. In this example it will be "1". In this example "Outpatient Program2" and "Outpatient Program1" will have the same episode number.
- Refresh the myEvolv Form.
- Validate the episode number is updated with the correct episode number.
- Add an inpatient program enrollment record to IBHIS Code "0543". In this example "Inpatient Program1".
- Admit the client to the IBHIS System.
- Validate the episode number is the next incremented value. In this example "3".
- Refresh the myEvolv Form.
- Validate the episode number is updated with the correct episode number.
|
Topics
• LA IBHIS
|
Deleting Group Profiles
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Group Header
- Select Group
- New Group
- Support Group Classes
- Schedules - Group
- Staff - Service Providers (Caseloads)
- Worker Assignment Groups (New Group)
- Workgroup Assignments Groups B2
- Groups > Group > Information > General Information
- Groups > Group > Information > Enrollments
- Wizard Process - Support Group Enrollment
- Groups > Group > Information > Worker Assignments
- Worker Assignment Groups
- Groups > Group > Information > Work Group Assignments
- Groups > Service Management > Service Management > Activities
- Activities - Group Activities
- Materials Provided
- Get Date Time
- Activities Short Form wo Acts(Read Only)
- New Group [ADD]
- Agency/Programs Table
- Provider Sites by Agency/Program
- Support Group Classes Subform
- Schedules - Group Subform
- Group Management [EDIT]
Scenario 1: Groups - Enter Group Activity via the Activities Listing in Groups Module
Specific Setup:
- Must have a scheduled group activity for test user.
- The group activity has "Has Single Note" setting checked under "Agency Setup > Event Setup > Groups & Case > Events Setup."
- At least three clients must be enrolled in the group for this scheduled date.
Steps
- Navigate to "Groups > Service Management > Service Management > Activities."
- Select your test group and appropriate Unit/Class.
- Click "Add New."
- Click "Add Event" and select your test group activity.
- Enter "Actual Date/Time."
- Click "Update."
- The group activities form will now open. Validate that the "Contact Type" is equal to the group activity you selected.
- Validate the "Actual Date/Time" matches what was just entered.
- Enter the "Duration."
- Validate the "Program Providing Service" is equal to the program associated with the group.
- Enter the "Facility Providing Service" field.
- Enter desired text in the "Progress Note" field.
- Validate that all expected clients are listed in the "Group Members" SubForm.
- Check the top "Present?" checkbox.
- Validate that "Present?" is now checked for all clients
- Validate that the "Start Time" matches the "Actual Time" for all clients.
- Validate that the "End Time" matches the "Actual Time" plus the "Duration" for all clients.
- Uncheck the "Present?" checkbox for one of the clients; validate that the "Start Time" and "End Time" are no longer populated.
- Uncheck the "Present?" checkbox for another client and then check the "No Show" checkbox.
- Save your group activity.
- Confirm that your newly entered group activity is visible in the Activities listing.
- Click on this group activity to open it.
- Validate that fields on the group activities form are populated as expected.
- Click "View Service" button for one of the clients marked present; validate information is present on the client form as expected.
- Click "View Service" button for the client marked as no-show; validate that the "No Show" checkbox is checked on the client form.
- Close client form and group activity form.
- If desired, delete test group activity created during this scenario.
Scenario 2: Validate Group Can Be Created/Deleted
Steps
- Navigate to "Groups > Group > Information > General Information".
- Click Select Group.
- Click New button.
- Populate any required fields and save your new group.
- Click Delete
- Click OK when prompted if you really want to delete.
- Validate Group deletes.
- Attempt to search for deleted group.
- Validate "No Information Found.".
|
Topics
• Groups
|
Address Overwrite on Claim Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Output Ready
- Claim/Invoice Batch [VIEW]
- FinanceClaims
- Claim 2.0 [EDIT]
- Payor-Facility License Link Subform
- Payor-Facility License Link [EDIT]
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information X12 Submissions [EDIT]
Scenario 1: Validate Payer License Address Overwrite On Service Facility Outputs On 837 Claim Output
Specific Setup:
Requires a billing run with at least one claim that is set to output "837P".
Steps
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup X12".
- Select desired "Receiver".
- Check the flag "Output Service Facility in 837 as Service Facility".
- Save.
- Navigate to "Agency > Service Locations > Sites/Residentials > General Information".
- Select desired "Facility".
- Navigate to "Licensing Info".
- Add desired "Payer Specific Information" in the SubForm.
- Expand the SubForm for to add an "Overwrite Address".
- Validate "Do not Output as Rendering Provider" is not checked.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Select desired "Billing Run".
- Open the billing run to generate the output.
- Validate NM1*77 row contains desired "Facility".
- Validate N3 and N4 row contain the overwrite address.
- Navigate to "Agency > Service Locations > Sites/Residentials > General Information".
- Select desired "Facility".
- Navigate to "Licensing Info".
- Check the flag "Do not Output as Rendering Provider".
- Save.
- Repeat steps 12-14.
- Validate NM1*77 row contains desired "Facility".
- Validate N3 and N4 row contain the overwrite address.
|
Topics
• Agency
• Finance
|
Collection Type
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Claims Maintenance NX Form Set
Scenario 1: Submission Balance and Expected Amount - Collection
Specific Setup:
- Collection Submitter and Receiver are configured.
- Collections Processing is configured within the Self Pay Plan.
- Collection billing batch must be marked as sent.
- User has access to Finance module.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Click on the "View Filters" button.
- Within the Search Parameters, check off the "Show Claims Flagged for Collections" and "Include No Remit Claims" fields.
- Click on the "Search" button.
- On desired claim, click on the "Add Action" link.
- Within the "Action" field, select "Resubmit to CCU".
- Set the "Amount Type" to "Remaining Balance".
- Set the desired "Transaction Month", and click "Save".
- Navigate to "Finance > Claim Maintenance > Automatic > Submissions".
- Enter the claim for the resubmit that was just performed.
- For the collection submission, validate the "Claim Submission Balance" matches the same amount displayed within the "Amount Expected" field.
|
Topics
• Finance
|
UB-04 Output
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]
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- Claim Output
Scenario 1: Validate Primary Payor Information Displays On UB-04 After Waterfall
Specific Setup:
- Requires a claim that can be waterfalled to "Secondary Payer".
- Receiver on "Secondary Payer" should be set up to output "UB-04".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Add desired "Payment".
- Click "Add Action".
- Select "Resubmit To Other/Waterfall".
- Save.
- Wait for billing to run.
- Open the batch to the new submission.
- Click on "Create Output".
- Open the "UB-04" output.
- Validate it contains desired payment and "Primary Payer" information.
|
Topics
• Finance
|
Clinic Scheduled Events and On Demand Billing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Checks for a Clients Self Pay in Front Desk Entry [EDIT]
- FrontDeskCheckIn
- FinanceClaims
- Checks for a Clients Self Pay in Front Desk Entry [ADD]
- AR Management
- Client Search
- Client Service Entry
- Client Related Task - New [ADD]
- Immunizations - Public Health [ADD]
- Vaccines In Inventory
- Vaccine Funding Source
- VFC Eligibility
- Inventory Container By Vaccine
- Med Administration - Public Health [ADD]
- Facility Enrollment Client
- Medications In Inventory
- Inventory Container by Drug
- Drug Dispense Units
- Service and Attendance Facilities Listing
- All People Agency
- FrontDeskCalendar
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
Scenario 1: Validate On Demand Billing With Clinic Appointments
Specific Setup:
- Requires a client with a "Self Pay Benefit Assignment".
- Requires a service that set up in "Self Pay" and flagged for "On Demand Billing".
- Requires a "Facility" to be set up with a "Clinic Schedule".
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click on "View Calendar".
- Click "Clinic" tab.
- Check off desired "Clinic".
- Right click on desired "Appointment Slot" row to schedule an appointment.
- Fill in required fields for the scheduled event.
- Save.
- Close the calendar.
- Click "Refresh".
- Validate the event is listed.
- Click "Check In".
- Click "Complete Task".
- Fill in required fields to complete the event.
- Save.
- Validate the event moves to the "In Progress" column.
- Validate "Run On Demand Billing" button is visible.
- Click the "Run On Demand Billing" button.
- Wait for billing to run.
- Click on "Review Claims".
- Validate the desired claim was generated.
|
Topics
• Finance
• Front Desk
|
Outbound DFT^P03: Honor Placement Claim Date
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Immediate Billing Run Request [ADD]
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Immediate Billing Run Request [EDIT]
- HL7 Outbound v2.0 Form Set
- HL7 Document Types Setup Link
- HL7 Outbound [ADD]
- HL7 Outbound [EDIT]
- Client Service Entry
- Billing Plan Output [EDIT]
- Finance Setup Manual Services NX Form Set
- Billing Rate - Service Based NX [EDIT]
- Time Charts
- JM Simple [EDIT]
- FinanceClaims
- Client Search
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
Scenario 1: DFT P03 Outbound FT Segement - Single Claim - No Roll Up Services And Units Test
Scenario 2: DFT P03 Outbound FT1-10 Segement - Multi Claim- Roll Up Services Unit Test
|
Topics
• Third Party Solution
|
Outbound DFT^P03: Units of Service
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Immediate Billing Run Request [ADD]
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Immediate Billing Run Request [EDIT]
- HL7 Outbound v2.0 Form Set
- HL7 Document Types Setup Link
- HL7 Outbound [ADD]
- HL7 Outbound [EDIT]
- Client Service Entry
- Billing Plan Output [EDIT]
- Finance Setup Manual Services NX Form Set
- Billing Rate - Service Based NX [EDIT]
- Time Charts
- JM Simple [EDIT]
- FinanceClaims
- Client Search
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
Scenario 1: DFT P03 Outbound FT Segement - Single Claim - No Roll Up Services And Units Test
Scenario 2: DFT P03 Outbound FT1-10 Segement - Multi Claim- Roll Up Services Unit Test
|
Topics
• Third Party Solution
|
Outbound DFT^P03 - Support Multiple Service Lines
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- Immediate Billing Run Request [ADD]
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Immediate Billing Run Request [EDIT]
- HL7 Outbound v2.0 Form Set
- HL7 Document Types Setup Link
- HL7 Outbound [ADD]
- HL7 Outbound [EDIT]
- Client Service Entry
- Billing Plan Output [EDIT]
- Finance Setup Manual Services NX Form Set
- Billing Rate - Service Based NX [EDIT]
- Time Charts
- JM Simple [EDIT]
- FinanceClaims
- Client Search
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
Scenario 1: DFT P03 Outbound FT Segement - Single Claim - No Roll Up Services And Units Test
Scenario 2: DFT P03 Outbound FT1-10 Segement - Multi Claim- Roll Up Services Unit Test
|
Topics
• Third Party Solution
|
ADT^A08 Updating Benefit Assignments, IN1 Segment
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Referral Search
- Agency Referral Personal Information [EDIT]
- Address by ZIP code Subform
- Alternative IDs Subform
- Benefit Assignment [EDIT]
Scenario 1: HL7 Inbound ADT^A08 Updates - Validate Demographics Are Updated
Scenario 2: HL7 Inbound ADT^A08 Updates - Validate Benefit Assignments Are Updated - Segment IN1
|
Topics
• Third Party Solution
|
Inbound "ADT^A08" Referral To Programs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Referral Search
- Referral Made Status Subform
- Referral to Program from Outside Source [Edit]
Scenario 1: HL7 Inbound ADT^A08 Updates - PV1 Segement - Validate Referral To Program Remains Unchanged
|
Topics
• CareConnect
|
Inbound ADT^A04-RE to Honor Updates
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Referral Search
- Referral Made Status Subform
- Import Services Form Set
- Import File Templates
- ImportFileLog
- Referral to Agency [EDIT]
- Referral Information Form Set
- Agency Referral Personal Information [EDIT]
- Address by ZIP code Subform
- Alternative IDs Subform
- Referral to Program from Outside Source [Edit]
- Benefit Assignment [EDIT]
Scenario 1: HL7 Inbound ADT^A04—Referral - Validate Referral Accepts Modifications
|
Topics
• Program Referrals
• Referral Application
|
ECS-58253
Summary
|
Details
11.0.0025.04, 11.0.0050.01, 11.0.0075, 11.0.0000.09
270 Eligibility Files
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- 270 Output Ready
- Billing Batch Claims Review
- 270 Output File
- Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management
- Finance > Imports/Exports > Exports > Eligibility Requests (270)
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information 270-271 Setup [EDIT]
- EligibilityManager
Scenario 1: Send 270 to RevConnect From Billing Run
Specific Setup:
Claim receiver "Output 270 in 5010 format" enabled under "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup 270/271".
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for desired Receiver.
- Take note of "Run Description".
- Click Actions > Request Eligibility (270).
- Download the file.
- Validate the output has single file and has "5010" in the code.
- Validate the output does not have "4010" in the code.
- Click Send to RevConnect.
- Validate "270 submitted to SFTP" message.
- Click the Claims link.
- Click "Request Eligibility (270)".
- Download the file.
- Validate the output has single file and has "5010" in the code.
- Validate the output does not have "4010" in the code.
- Click Send to RevConnect.
- Validate "270 submitted to SFTP" message.
- Navigate to "Finance > Imports/Exports > Exports > Eligibility Requests (270)".
- Validate Description cell matches step 3.
- Validate Status "File Sent".
Scenario 2: Validate 270 Output File Honors "Output 270 in 5010 format" Option
Specific Setup:
Available Claim receiver to edit under "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup 270/271".
Steps
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup 270/271".
- Select a receiver and enable:
- Break File on Max Clients
- Break File on new Provider
- Output 270 in 5010 format.
- Click Save.
- Navigate to "Finance > Imports/Exports > Exports > Eligibility Requests (270)".
- Find/create request 270 file with receiver from step 2.
- Select "Generate Output File".
- Validate the output zip has multiple files and they all have "5010" present in output file.
- Validate "4010" is not present in output file.
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup 270/271".
- Select same receiver and disable:
- Break File on Max Clients
- Break File on new Provider
- Output 270 in 5010 format.
- Click Save.
- Navigate to Finance > Imports/Exports > Exports > Eligibility Requests (270)
- Select "Generate Output File" for the same 270.
- Validate the output has single file and has "4010" present in file.
|
Topics
• Finance
• Finance Setup
|
ECS-58276
Summary
|
Details
11.0.0075, 11.0.0050.02, 11.0.0025.05, 11.0.0000.09
835 Remittance Import
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Report: Claim Remittance Report
- FinanceImportListing
- Finance File Import
- Claims Maintenance Form Set
- AR Management
- Cash Receipts for Remittance
- ActionsView
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- Claim Remittance Transactions Subform
- Report: Claim Details Report
Scenario 1: Validate 835 Payment Withdrawal and Full Payment
Specific Setup:
- Requires an "835 Remittance" with valid claims.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" button.
- Select "Upload 835".
- Select desired "835 Remittance" file.
- Set "Deposit Date".
- Click "Upload" button.
- Wait for "835 File" to process.
- Click "Actions" button.
- Select "Remittance Report".
- Click on desired "Claim" link.
- Click "Submissions" tab.
- Validate the "Claim Remittance Status" contains "Paid".
- Validate the "Claim Submission Balance" contains $0.00".
- Repeat steps 2-6 for same file.
- Validate "This remittance has already been processed." message.
Scenario 2: 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 3: Validate Remittance Upload With CAS Info In Service Line
Specific Setup:
An 835 file that includes CAS information at service line level for single service line claim(s).
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Upload 835 file.
- Validate that the CAS information has been applied to the claim.
|
Topics
• Finance
|
eSignature Request Form
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- myHealthPointe Sign In
- myHealthPointe Home
- myHealthPointe Documents Awaiting Signature
- eSignature Agency Event Link Subform
- People Events
- Agency [EDIT]
- Client Search
- Non-drug Allergy [ADD]
- Allergies - not drug related
- Standard Codes - Status
- People Allergy Symptoms Reaction Subform
- Allergy Symptoms Reactions
- eSignature Events Subform
- Events for eSignature
- eSignature Request [ADD]
- eSignature Request Status [DELETE]
- Non-drug Allergy [DELETE]
Scenario 1: Validate eSignature Request Form Allows Non-Service Events
Specific Setup:
- Client that is linked to myEvolv and myHealthPointe.
- Client login for myHealthPointe.
Steps
- Enable a non-service event, such as a Consent event, to be electronically signable in "Events Enabled for eSignature" SubForm in "Agency Setup > Agency > Agency > Agency Information".
- Navigate to corresponding area under the Client header.
- Add this event for a desired Client.
- Navigate to "Client > Client Information > Personal Information > Documents Signed Electronically".
- Add New and Confirm you are able to select this event in the Events' SubForm.
- Submit the request for a signature.
- Log into myHealthPointe for the desired Client.
- Navigate to "Documents Awaiting Signature".
- Sign the record in myHealthPointe for the Client.
- Navigate back to "Client > Client Information > Personal Information > Documents Signed Electronically".
- Click "Refresh" and validate eSignature status updates to Signed.
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Remove the service event from the e-sign SubForm used in step 1.
- Navigate back to "Client > Client Information > Personal Information > Documents Signed Electronically".
- Add another event of this type for a client.
- Confirm the event no longer shows in 'Events' SubForm.
|
Topics
• Agency Setup
• Client
|
Creating New Staff Profile
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- Staff-Site Link Subform
- Staff Programs Subform
- Staff-Worker Role Link Subform
- Staff Workgroups Enrollment Subform
- Staff - Service Link Subform
- Person Information No Anonymous [ADD]
- Wizard
- New Staff [ADD]
- Staff-By-Jobtitles
- Staff-Services Link Subform
- Staff - By Jobtitles
Scenario 1: Staff Profile Copy Wizard
Specific Setup:
- Staff user must have access to add new users.
- Existing staff with values user to copy.
Steps
- Click "New" in the Staff Search within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Check off the field "Enable Staff Copy". This will enable the "Staff Person Copied" field.
- Enter the desired staff person to be copied from.
- Validate the Sub-Forms and their values from the staff entered in step 2 is copied.
Staff Information: a. Job Title Worker Profile: a. Supervises Self b. Supervisor c. Managing Offices (Sub‐Form) User Access: a. Navigation Access b. Incident Worker Role c. Can Access All Incidents d. Can Access Sensitive Incidents Programs and Worker Roles Worth with: a. All Programs b. Programs (Sub‐Form) c. All Worker Roles d. Worker Roles (Sub‐Form) Services: a. All Services b. Limited to only services selected (Sub‐Form) Enrollment into Workgroups: a. Enrollment/Workgroup (Sub‐Form) Navigation Preferences: a. Personalize Navigation Settings b. Is Navigation Docked c. Interface Color Scheme d. Load Last Loaded Form e. Module f. Sub‐Module g. Form Set h. Form Set Member i. Display Most visited j. Most Visited Maximum # of items to display k. Most visited # of days to be considered l. Most Recent Maximum # of items to display m. Display Favorites n. Display Labels of Navigation Buttons o. Display Module Icons p. Prevent Alert Pane from Automatically Opening
Scenario 2: Staff Profile Copy Wizard – Modifications
Specific Setup:
- Staff user must have access to add new users.
- Existing staff with values user to copy.
Steps
- Click "New" in the Staff Search within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Check off the field "Enable Staff Copy". This will enable the "Staff Person Copied" field.
- Enter the desired staff person to be copied from.
- Click " Finish" to save the entry.
- Validate modifications can be made to newly created staff.
|
Topics
• Staff
|
Routes Including Immediate Supervisor Drop-Down
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 Immediate Supervisor Drop Down On Basic Approval Route
Specific Setup:
- Requires an event that is set up with the route "Basic Approval".
- Scenario works with "Original Routing" setup.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event" and select desired event.
- Fill in required fields.
- Save.
- Re-open the event.
- Click "Routing" button to begin route.
- Under "Submit to Supervisor" enter the desired supervisor.
- Validate the desired staff appears.
- Select the supervisor.
- Enter a note.
- Click "Submit to Supervisor".
- Save.
- Login as the "Supervisor".
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the client.
- Open the event.
- Click the "Routing" button.
- Validate route is assigned to the "Supervisor".
- Approve the route.
|
Topics
• Client
|
Adjustment Claim Handling With 835 Imports
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Finance File Import
- Report: Claim Remittance Report
- FinanceImportListing
- AR Management
- Cash Receipts for Remittance
- Claims Maintenance NX Form Set
- Claim 2.0 [EDIT]
- Claim Submission 2.0 [EDIT]
Scenario 1: Validate 835 Import With Withdrawl On Multi Service Line Claim and Payment On Adjustment
Specific Setup:
- Requires a "Multi Service Line Adjustment Claim".
- Requires an 835 Import with a "Payment Withdrawal and Payment" to the adjustment claim.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" and select "835 Import".
- Select desired remittance file.
- Set desired "Deposit Date".
- Click "Upload".
- On the imported remittance row click "Actions".
- Select "Remittance Report".
- Validate desired claims contain the desired "Payment Withdrawn" and "Payment" status.
Scenario 2: Validate 835 Import Of Payment And Withdrawl On Adjustment Claim
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click "Upload File" and select "835 Import".
- Select desired remittance file.
- Set desired "Deposit Date".
- Click "Upload".
- On the imported remittance row click "Actions".
- Select "Remittance Report".
- Validate desired claims contain the desired status.
|
Topics
• Finance
|
Custom Reports "Group By"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Report Designer
- Additional Properties
- Group By - Additional Properties
- Conditional Formatting Configuration
Scenario 1: Validate Custom Reports “Report Columns” and “Group By” Match “Additional Properties” Inputs
Specific Setup:
Custom Report available to modify.
Steps
- Navigate to "Reports > NX Custom Reporting > NX Custom Reporting > Custom Reporting".
- Click Report Designer.
- Select Desired Custom Report.
- Click the Additional Properties button under the "Report Columns" section.
- Click the "X" button.
- Validate "Report Columns" section remains expanded.
- Click the Additional Properties button under the "Report Columns" section.
- Set a "Width" input box to "1".
- Click save and validate error message displays.
- Change "1" to "1px" and save.
- Validate Additional Properties saves.
- Confirm that the following columns are visible under the "Group By" section: Is Used?, Column Definition, Caption, Type, Order, Page Break After?, and the Manage Totals buttons.
- Click the Additional Properties button under the "Group By" section.
- Confirm the following columns are visible in the pop-up: Column Definition, Caption, Form Set to Launch, Parent Value Column, Form to Launch, Key Value Column.
- Set a "Caption" input box to desired text.
- Click save and verify text in "Caption" width matches one in Additional Properties.
- Confirm that closing the Additional Properties window using Cancel, Save, or the X keeps the "Group By" section expanded.
- Check any "Is Used" checkbox under groups.
- Make some change(s) to report i.e. Set a Description.
- Save the report.
- Validate Report saved changed made in step 19.
- Validate "Is Used" checkbox remained checked.
|
Topics
• NX Custom Reporting
|
835 Import
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FinanceImportListing
- Finance File Import
- Report: Claim Remittance Report
- Report: Claim Details Report
- Claims Maintenance NX Form Set
Scenario 1: Validate Remittance Upload With CAS Info In Service Line
Specific Setup:
An 835 file that includes CAS information at service line level for single service line claim(s).
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Upload 835 file.
- Validate that the CAS information has been applied to the claim.
|
Topics
• Finance
|
Mobile CareGiver+ Referring Physician
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Critical Information Form Set
- Client Search
- Critical Information
- Facility Placement for a Person [EDIT]
- Managing Organizations
- Client Personal Information Form Set
- Client Personal Information [EDIT]
- Client Service Entry
- Client Related Task - New [ADD]
- Referral Search
- Referral to Agency [EDIT]
- CareFabric Logs [VIEW]
- Referral Contact Table
Scenario 1: MCG -EvvAppointmentUpdated and EvvClientUpdated - Referral Contact Blank and Populated Values Are Accepted
|
Topics
• Third Party Solution
|
Ability to Remit Co-Pay Submissions
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FinanceImportListing
- Report: Claim Remittance Report
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- Claim Remittance Transactions Subform
- Finance File Import
- AR Management
- Cash Receipts for Remittance
- All Clients With Security Listing by PeopleID
- Claim 2.0 [EDIT]
- ActionsView
Scenario 1: Validate Applying Payment To Copay Submission
Specific Setup:
- Requires a claim with a "Copay Submission" that can be remitted.
- Requires a "Remittance Check" that can be applied to the "Copay Submission".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set parameters to search for desired "Copay Submission Claim".
- Apply "Payment" to desired "Copay Submission".
- Save.
- Validate the payment has applied to the claim.
- Validate the balance of the remittance check contains new balance.
|
Topics
• Finance
|
Allow Multiple Logins
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- EvolvCS Client [EDIT]
- Profile Icon
- Staff Look Up Their Own Information
Scenario 1: Validate Non-Active Directory Users "Allow Multiple Logins" is Honored
Specific Setup:
- Multi-Agency System.
- Configure Agency to NOT use Active Directory - make sure the first agency in the dropdown menu on login page does use Active Directory.
- User configured for "Allow Multiple Logins" disabled.
Steps
- Login from a device - stay logged in.
- Attempt to login again with your user in a separate browser/incognito.
- Validate prompt "You have an open session from another location. Would you like to end that session to continue? Any unsaved work might be lost.".
- Click "Login".
- Confirm successful logged in.
Scenario 2: 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 3: Validate Active Directory Users "Allow Multiple Logins" is Honored
Specific Setup:
- Multi-Agency System.
- Configure Agency to use Active Directory - make sure the first Agency in the dropdown menu on login page does not use Active Directory.
- User configured for "Allow Multiple Logins" disabled.
- User configured for Active Directory login.
Steps
- Login from a device - stay logged in.
- Attempt to login again with user in a separate browser/incognito.
- Validate prompt "You have an open session from another location. Would you like to end that session to continue? Any unsaved work might be lost.".
- Click "Login".
- Confirm successful logged in.
|
Topics
• Login
• Setup
|
270 Eligibility File and TRN03
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 270 Output File
- EligibilityManager
- Receiver Information - All
- 270 Output Ready
Scenario 1: Validate 270 Outputs Tax ID When Client Has Guarantor Name
Specific Setup:
Requires at least one client with a Benefit Assignment where "Relationship To Insured" and "Name of Insured" is not client.
Steps
- Navigate to "Finance > Imports/Exports > Exports > Eligibility Requests (270)".
- Click "New Request".
- Select desired receiver.
- Fill in remaining required fields to generate desired "270 Output File".
- Save.
- Click "Actions" and select "Generate Output File".
- Validate the desired client is listed with the appropriate TAX ID in the TRN03 segment.
|
Topics
• Finance
|
Billing Rates (A/R)
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers Setup Table
- ContractsRatesSetup
- Payers/Contracts Setup 2.0 Form Set
- SchemeContractSetup
- BillingSchemeForm
Scenario 1: Billing Rates For Payers
Specific Setup:
System has many rates under a Payer, where each of those rates are linked to many plans.
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Billing Rates (A/R)".
- Select "Payer".
- Click the "View" dropdown.
- Select "All".
- Validate all Billing Rates display.
- Select "Placement Based" from the dropdown.
- Validate all associated Billing Rates display.
- Repeat for "Service Based", "Attendance Based", "Occurrence Based", "EM Rates", "AM Rates", "Immunization Rates", "Medication Rates", "Vacant Bed".
|
Topics
• Finance Setup
|
ClientEvent SDK Object
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Personal Information [EDIT]
- CareFabricEventInfo
Scenario 1: ClientEventUpdate
|
Topics
• Client
|
UB-04 Output
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]
- Claims Submission For Remittance NX [EDIT]
- Claim Service Lines NX Subform
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- Claim Output
Scenario 1: Validate Place Of Service Updates On UB-04 When Using Calculate Rate
Specific Setup:
- Requires a claim that can be remitted.
- Client should have a secondary benefit assignment that can bill the service.
- Rate on secondary benefit assignment should be set up with "Place of Service" overwrite that is different from original claim.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claims.
- Apply desired status such as "Denial".
- Click "Add Action" and select "Resubmit to Other".
- Select "Calculate Rate".
- Validate the "Submission Line" contains "Place Of Service" from secondary payer.
- Save.
- Wait for billing to run.
- Open the 2nd submission.
- Open the batch and click on "Create Output".
- Download and open the "UB-04".
- Validate it contains desire "Place of Service Code".
|
Topics
• Finance
|
New Client and Staff Wizard
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- 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
- Security Schemes
- Client Search
- Person Information [ADD]
- Initial Enrollment for New Person [ADD]
- Outside Organizations - distinct
- Referral Reason Table
- Placement Events by Agency/Program - People2
- Provider Sites by Program (Vacancy)
- Staff - Service Providers (Caseloads - Zip Zones)
- Worker Role (to a client or in a workgroup) Table
Scenario 1: New Staff Create Wizard
Steps
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Search for staff and open new Staff Create Wizard.
- Enter First Name, Last Name and Gender.
- Hit Proceed.
- Validate that Proceed button is enabled after the search is complete and the block UI is removed only when the search results are displayed.
Scenario 2: Adding A New Client Via New Client Wizard - Testing Unit Default
Specific Setup:
- A new client will be enrolled into a program using the "New Person" enrollment located on "Client >Client Information >Critical Information >Enrollment Information"
- On the form "Agency > Service Locations > Sites/Residentials > Capacity"
- The facility unit being used has the field "Default Facility Unit" checked, to default the unit number.
Steps
- Navigate to "Client >Client Information >Critical Information >Enrollment Information".
- Select "New" then "New Person".
- Use the client wizard to add the client.
- On the enrollment portion enter the "Initial program".
- The "Placement Type" will default the value into the field.
- Select the "Initial Facility".
- Validate the "Unit" value will default into the field.
|
Topics
• Staff
|
Client Search
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Family Management - New [EDIT]
- Family Members Sub Form Subform
- All People Agency
- Person Information [ADD]
- Wizard
- Address by ZIP code Subform
- Address Type Table
- Residence Type
- Relationship - Family Table
- Family Members Sub Form [Edit]
- FrontDeskCalendar
- Front Desk Calendar Appointment [ADD]
- Front Desk People Search
- FrontDeskCheckIn
- People Search
- Clinic Info
- WizardMPISearch
- New Client Personal Information [EDIT]
- Initial Enrollment for New Person [ADD]
- Outside Organizations - distinct
- Provider Sites by Program (Vacancy)
- Staff - Service Providers (Caseloads - Zip Zones)
- Worker Role (to a client or in a workgroup) Table
- Referral Reason Table
Scenario 1: Add New Family Member To Client > All People Agency > New
Specific Setup:
Client has an existing Family record.
Steps
- Navigate to "Client > Client Information > Relationships > Families".
- Select "Client".
- Click on "Member of Family" to launch "Family Information Standalone".
- Click "Family Member" icon (binoculars).
- Click "New".
- Validate "Wizard" launches.
- Populate required fields.
- Proceed through the steps to complete wizard and save.
- Validate record saved.
Scenario 2: Front Desk Client Search on Workgroup
Specific Setup:
Staff has access to Front Desk.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Select a future date.
- Click the "View Calendar" button
- Chose the "Program" tab within the filters, and select the desired program.
- Double click the desired time slot to open the Appointment Information screen.
- Within the Appointment Information screen enter the below:
- "Staff Responsible" - Leave empty
- "Workgroup" - Select desired workgroup
- "Event" - Select desired events
- "Date/Time" - Select desired Date/Time
- "Person" - Select desired person
- Click "Save", to save the desired appointment.
- Navigate back to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Select the future date that was entered within step 6-d, and click on the "Refresh" button.
- Validate the appointment created within Step 6 displays within the "Scheduled" column.
- Click on the "Select Client" button within the "Client Search" pane, and select the name of the person that was entered within Step 6, e.
- Validate the appointment scheduled within Step 6 is displayed including the "Workgroup" name.
- Click the "View Calendar" button.
- Select a future date.
- Double click the desired time slot to open the Appointment Information screen.
- Within the Appointment Information screen enter the below:
- "Staff Responsible" - Leave empty
- "Workgroup" - Select desired workgroup
- "Program" - Leave empty
- "Clinic Responsible" - Select desired clinic
- "Event" - Select desired events
- "Date/Time - Select desired Date/Time
- "Person" - Select desired person
- Click "Save", to save the desired appointment.
- Navigate back to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Select the future date that was entered within step 16-f, and click on the "Refresh" button.
- Validate the appointment created within Step 16 displays within the "Scheduled" column.
- Click on the "Select Client" button within the "Client Search" pane, and select the name of the person that was entered within Step16,g.
- Validate the appointment scheduled within Step 16 is displayed including the "Workgroup" name.
|
Topics
• Client
|
Claim Submission
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Billing Batches Management
- Billing Request Action Based Run [ADD]
- Action Based Run - Claim Action Types
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- Cash Receipts for Remittance
- All Clients With Security Listing by PeopleID
- FinanceClaims
- Claim 2.0 [EDIT]
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- ActionsView
Scenario 1: Validate Bulk Calculate Rate Adjustment/Replacement Claims
Specific Setup:
- Scenario works with claims that have been paid.
- Services have been changed to include new units.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set parameter's to search for desired claims.
- Click "Paid" link to group the claims together.
- Click "Bulk Actions" button.
- Select "Adjustment/Replacement".
- Check the desired claims to be included in the "Action Based Run".
- At the bottom of the screen click "Remaining Balance" and select "Calculate Rate - Billing".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select and "Action Based Run".
- Set desired description.
- Click on "Action Type" and select "Adjustment/Waterfall".
- Set desired date range.
- Scroll to "Run for Receiver".
- Validate desired "Receiver" is listed with the amount of claims that were checked with "Bulk Adjustment and Calculate Rate".
- Check the "Receiver" checkbox.
- Click "Save".
- Wait for billing to run.
- Validate the billing run returns desired claims.
- Click on the "Claim" link.
- Validate the claims generated with the correct "Submission # 2".
- Validate the claim generated with the correct number of units.
- Click on the claim to view the "Accounting Info".
- Validate the "Journal Entries" contain desired amount.
Scenario 2: Validate Resubmit With Bulk Calculate Rate Includes Additional Units
Specific Setup:
- Requires claims that can be remitted.
- Scenario works with at least 5 claims.
- Services for each of the billed claims have been edited so that they rebill with more units.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set parameter's to search for desired claims.
- Click "Denied" link to group the claims together.
- Click "Bulk Actions" button.
- Select "Resubmit".
- Check the desired claims to be included in the "Action Based Run".
- At the bottom of the screen click "Remaining Balance" and select "Calculate Rate - Billing".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select and "Action Based Run".
- Set desired description.
- Click on "Action Type" and select "Resubmit".
- Set desired date range.
- Scroll to "Run for Receiver".
- Validate desired "Receiver" is listed with the amount of claims that were checked with "Bulk Resubmit and Calculate Rate".
- Check the "Receiver" checkbox.
- Click "Save".
- Wait for billing to run.
- Validate the billing run returns desired claims.
- Click on the "Claim" link.
- Validate the claims generated with the next "Submission # 2".
- Validate the claim generated with the expected number of units.
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Topics
• Finance
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ECS-59330
Summary
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Details
11.0.0100, 11.0.0025.07, 11.0.0050.04, 11.0.0075.01
Printing Test/Assessment
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Print Preview
Scenario 1: Validate Printing An Assessment With Multiple SubReports
Specific Setup:
- Requires an assessment with multiple "SubReports" on various areas of the event.
- Questions on the assessment are also flagged with "Two questions on one row".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click on desired "Completed Event".
- Click "Print" and select "Print Form".
- Validate the assessment prints and displays desired "SubReports".
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Topics
• Assessments
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Recreate To New Payer Action
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim/Invoice Batch [VIEW]
- AR Management
- Claim 2.0 [EDIT]
- FinanceClaims
- Claim Output Ready
- 837 File
- Cash Receipts for Remittance
- Claims Submission For Remittance NX [EDIT]
- Claim Service Lines NX Subform
- Authorization - Finance [EDIT]
- Client Search
- All Clients With Security Listing by PeopleID
Scenario 1: Validate Recreate To New Payer Action
Specific Setup:
- Requires a client with a billed service.
- Client must have a new "Primary Benefit Assignment" the service can be rebilled to.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Add a "Denial" status.
- Click "Add Action"
- Under "Action" select "Recreate To New Payer".
- Validate "Submit To" field only the new "Primary" payer is listed.
- Save.
- Wait for billing to run.
- Open the "Action Based Billing Run".
- Create Output.
- Validate the contains only "Primary Payer" information.
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Topics
• Finance
• Finance Setup
• Widgets
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