Cost Center and Program Unit Linked to Claims Hierarchy
When billing claims, Cost Center will be linked in the following hierarchy:
- Client Program Enrollment
- Payor/License Link on Facility
- Facility-Program link
- Rate Link to Service on Contract
When billing claims, Program Unit will be linked in the following hierarchy:
- Client Program Enrollment
- Payor/License Link on Facility
- Rate Link to Service on Contract
- Facility-Program link
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Topics
• Finance
• Client
• Finance Setup
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LA IBHIS Outpatient Episodes
myEvolv supports one outpatient active episode under each different legal entity.
Value Added: Now myEvolv support one outpatient active episode under each different legal entities.
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Topics
• LA IBHIS
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Clinic Scheduled Events and On Demand Billing
When an event is scheduled to Clinic rather than program, once the event is in the "In Progress" column under "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX" the "Run On-Demand Billing" button will be available provided the event is set up for On-Demand billing.
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Topics
• Finance
• Front Desk
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Outbound DFT^P03: Honor Placement Claim Date
The FT1-04 segment will use the "invoice end date" of the placement claim of the event. This extends to multi-day consolidated claims as well, where multiple days might be consolidated into a single claim.
Value Added: The actual end date of the service will be used in the outbound file.
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Topics
• Third Party Solution
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Outbound DFT^P03 - Support Multiple Service Lines
Claims that include multiple service lines under a Parent Claim are now supported. The DFT^P03 file generated will use the consolidated line and the values that display on that line to populate the FT1 segment.
Value Added: Consolidated services on claims are supported.
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Topics
• Third Party Solution
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ADT^A08 Updating Benefit Assignments, IN1 Segment
The benefit assignments will be updated when "IN1" segment information exists in the ADT^A08 inbound record when the IN1-22 Coordination of Benefit Priority field is matched. If no match occurs, a new entry will be created.
Value Added: Ability to update the IN1 segment with the ADT^A08 Inbound records.
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Topics
• Third Party Solution
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Inbound ADT^A04-RE to Honor Updates
The inbound ADT^A04-RE record will have the capability of updating the IN1, benefit assignments and the PID, demographics, segments when this file type is sent multiple times with those modifications.
Value Added: Ability to update Referral Information with ADT^A04-RE import file.
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Topics
• Program Referrals
• Referral Application
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835 Import
When importing 835 that includes CAS info at service line level for single service line claim, CAS info will be applied to the claim.
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Topics
• Finance
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UMDAP
When submitting/updating an IBHIS call, a processing block will notify user that system is submitting the data; users will have access when the submission is complete.
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Topics
• LA IBHIS
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Critical Information Agency Intake
Client Intakes can be edited from any time zone.
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Topics
• Client
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Null Values Are Supported In "Collateral Relationship"
The "Collateral Relationship", NK1.3 Segment, will accept null values as valid and default to the value set up in the import file template.
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Topics
• CareConnect
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Place of Service Code and Calculate Rate
When executing calculate rate on a claim submission, the correct Place of Service code will display for the results, will be saved for the claim submission and will be output in the claim output file.
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Topics
• Finance
• Finance Setup
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Held Claim For Service Not Approved
Claims held for "Service Not Approved" will now release when reason for hold has been resolved.
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Topics
• Finance
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New Referral/Client Wizard
New Referral/Client Wizard validates against duplicate Social Security Numbers.
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Topics
• Referral Application
• Client
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Print Action Taken
Client Data Audit Log displays Print action taken.
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Topics
• Client
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Groups – "Main Service Location" Field
The Groups "Main Service Location" look up table with launch as expected.
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Topics
• Groups
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Call Center Anchored Menu Items
Anchored items will remain visible upon re-opening Call Center Event after minimizing/saving.
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Topics
• Call Center
• Taskbar
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Intake Wizard
Intake Wizard will not allow user to Proceed until system completes searching for results.
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Topics
• Staff
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Uploading via Client Information Screen
User can upload document, image or signature capture from "Client Information Screen" window.
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Topics
• Client
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835 Remittances
Finance users that have more than one of the same claim adjustment reason codes, one active and the other not active, will display as a single record.
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Topics
• Finance
• Finance Setup
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Worker Case Loads Report
"Reports > Clients > General > Worker Case Loads" has been refactored for improved performance.
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Topics
• Staff
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Held Claims in Action Based Runs
When a held claim is captured in an action-based billing run and the reason for hold is resolved, then the claim will be released into the current batch if the batch has not been submitted. If the batch has been submitted, then it will be captured in the next action-based billing run.
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Topics
• Finance
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Netsmart Identity Access Manager (NIAM)
Enhanced the "Use NIAM Authentication" field within Staff Profiles with Security.
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Topics
• Agency
• Staff
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Import Forms Containing Test/Assessment(s)
User will be able to import a form in the system from "Setup > User Tools > Interface Design > Import Forms" regardless of whether the form contains a test/assessment or not.
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Topics
• Forms
• Setup
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Deleting Group Profiles
Group Profiles including Groups, Family Cases, and Applicants can be deleted.
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Topics
• Groups
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Address Overwrite on Claim Output
The "Overwrite Address" will be honored in claim output files regardless of whether the "Do Not Output as Rendering Provider" flag is enabled or not.
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Topics
• Finance
• Agency
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Collection Type
The submission balance and the expected amount will now match on Collections claim type submissions.
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Topics
• Finance
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UB-04 Output
UB-04 will output Primary Payer information on a waterfalled claim.
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Topics
• Finance
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Outbound DFT^P03: Units of Service
The FT1-10 segment in the outbound file will use the units value found on the claim. When services are consolidated, the consolidated row units value will be used.
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Topics
• Third Party Solution
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Inbound "ADT^A08" Referral To Programs
Referrals to Programs will only take place with the "ADT^A04" process. If "ADT^A08" has a value change in the PV1.44 segment, the Referrals to Programs will not update.
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Topics
• CareConnect
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270 Eligibility Files
Under "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup 270/271", enabling "Output 270 in 5010 format" allows Eligibility Requests (270) linked to the desired Receiver to generate 270 Files with 5010 format. If "Output 270 in 5010 format" is disabled, 270 files will be generated using 4010 format.
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Topics
• Finance
• Finance Setup
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835 Remittance Import
Agencies will be able to import 835 files that contain multiple payments for the same service line in the same file. When importing 835 that includes CAS info at service line level for single service line claim, CAS info will be applied to claim.
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Topics
• Finance
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eSignature Request Form
Non-service events can be submitted for signing via eSignature Request Form.
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Topics
• Client
• Agency Setup
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Creating New Staff Profile
Staff Profiles has been refactored for improved performance returning records.
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Topics
• Staff
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Routes Including Immediate Supervisor Drop-Down
Agencies will be able to select the appropriate immediate supervisor from the Immediate Supervisor Drop-down on routes that include this step.
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Topics
• Client
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Adjustment Claim Handling With 835 Imports
835 Import will apply status and payment when claim is adjudicated on the adjustment claim level.
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Topics
• Finance
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Custom Reports "Group By"
In Report Designer, Custom Reports will save when grouping columns using the "Group By" checkboxes.
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Topics
• NX Custom Reporting
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Mobile CareGiver+ Referring Physician
Referring Physician is no longer required to send client and appointment information for Mobile CareGiver+.
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Topics
• Third Party Solution
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Ability to Remit Co-Pay Submissions
AR Management supports applying payments to co-pay submissions.
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Topics
• Finance
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Allow Multiple Logins
Active Directory and Non-Active Directory users with "Allow Multiple Logins" disabled can log in after a timeout.
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Topics
• Login
• Setup
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270 Eligibility File and TRN03
When a client has a guarantor and the guarantor name is populated, the 270 file will output the Tax ID in TRN03.
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Topics
• Finance
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Billing Rates (A/R)
Billing Rates (A/R) has been refactored for improved performance.
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Topics
• Finance Setup
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ClientEvent SDK Object
Sending ClientEvent messages is supported.
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Topics
• Client
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UB-04 Output
UB-04 output when waterfalling to secondary payer where the place of service code has changed between the primary and secondary submission will show the correct place of service code
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Topics
• Finance
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New Client and Staff Wizard
The New Client Wizard and New Staff Wizard have been refactored for improved performance.
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Topics
• Staff
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Client Search
Client Search has been refactored for improved performance.
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Topics
• Client
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Claim Submission
Claim Submission update trigger has been refactored for improved performance returning records.
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Topics
• Finance
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Printing Test/Assessment
Printing Test/Assessments, regardless of where a SubReport is positioned within the test, is supported.
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Topics
• Assessments
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Recreate To New Payer Action
Recreate To New Payer Action will generate a new claim when you have incorrectly created claim to payer and need to send a new original claim to the correct payer, regardless of "Rate Group Category" or "Service Line Consolidation".
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Topics
• Finance
• Finance Setup
• Widgets
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