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.
|
Topics
• Client
|
Aging Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- As of Month/Year w Params and Selection [ADD]
- Report Selection Picklist
- Report Parameters PickList
- All Clients With Security for Reports
- Report: Account Receivable Balances
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- AR Management
- 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 Submission Subform 2.0 Subform
- Claim/Invoice Batch [VIEW]
Scenario 1: Aging Report “Exclude From Aging” – Claims With Single Submission
Specific Setup:
Claim within a sent batch.
Steps
- Navigate to "Finance > Reports > GL Transactions > A/R Account Balances".
- Set "As of Month" and "As of Year" fields.
- Set the "Report Selection" to "Aging Details by Receiver - Age From Service Date".
- Set the Parameter to "Client" and set the desired client.
- Click on desired claim.
- Click on the "Submissions" tab.
- Click "Actions" and select "Open Form"
- Check "Exclude from Aging Reports" and click the "Save" button.
- Click "X" to close the submission window and close the report.
- Click "Preview".
- Validate the claim that was set with "Exclude from Aging Reports" is not present on the output.
- Click the "Close" button.
Scenario 2: A/R Account Balance Report
Steps
- Navigate to "Finance > Reports > GL Transactions > A/R Account Balances".
- Set desired "Parameters".
- Click "Display SQL".
- Confirm content includes "rpt_account_balances_20".
Scenario 3: Aging Report “Exclude From Aging” – Claims With Multiple Submissions
Specific Setup:
Claim with multiple submissions within sent batches.
Steps
- Navigate to "Finance > Reports > GL Transactions > A/R Account Balances".
- Set the "As Of Month", "As Of Year", and "Report Selection" fields.
- Set the Parameter to "Client" with the desired client in the "Value" field.
- Click the "Preview" button.
- Validate the output contains the desired client.
- Click the desired claim number that contains multiple submissions.
- Click on the "Submissions" FormSet.
- Click "Actions" and select "Open Form" on the second submission.
- Check off "Exclude from Aging Reports" and click the "Save" button.
- Click "X" to close the window.
- Click the "Close" button on the report.
- Click the "Preview" button.
- Validate the claim excluded is not present on the output and click the "Close" button.
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Topics
• Finance
|
CMS 1500 One Claim Per Page
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/Invoice Batch [VIEW]
- Claim Output Ready
- Claim Output
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
- Alternative Claim Output
Scenario 1: Validate CMS-1500 One Claim Per Page With Multi Service Line Claim
Specific Setup:
- Requires at least one "Multi Service Line" claim with at least 7 service lines.
- Requires at least one "Single Service Line" claim.
- Scenario also works with another "Multi Service Line" claim with 2 service lines.
- All of the claims are for the same client.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claims.
- Save.
- Wait for billing to run.
- Open the claim batch.
- Create the "CMS-1500" output.
- Validate for the "Multi Service Line" claim is on one page and the remaining service lines are on the next page.
- Validate the other claims are on their own page.
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Topics
• Finance
|
Service Entry
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client > Case Management > Service Management > Service Entry
- Agency Program Services/Program-User Subform
- Agency Program Services/Program-User [EDIT]
- Client Service Entry
- General Service Note (auto date) [VIEW] *SIGNED*
Scenario 1: Validate Time Stamps Of Signatures For Submitted Events When Server is in a Different Time Zone of User
Specific Setup:
- Audit Snapshot should be enabled
- Requires a route which contains transitions to Route Back for Revision and Unlock.
- The server and user are in two different time zones.
- The time zone off shift is known and configured.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Select desired event.
- Route the event and "Submit to Supervisor" for approval.
- Validate "Audit Snapshot" is taken.
- Validate the time is accurate, to where the workstation is located, for the signature and other values.
- Route the event back for revision.
- Edit the event and make desired changes validate all the times are accurate.
- Route the event and "Submit to Supervisor" for approval.
- Validate "Audit Snapshot" is taken and it contains desired changes.
- Validate all the times are accurate.
- Approve the event.
- Within routing actions, "Unlock" the event.
- Edit the event and make new changes.
- Route the event and "Submit to Supervisor" for approval.
- Validate "Audit Snapshot" is taken and it contains new changes.
- Validate any time stamps are accurate to the time zone the user is in.
- Amend to the event.
- Redo process for signatures, and routing.
- Validate date and times are accurate to workstation.
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Topics
• Audit Snapshot
• Routing
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ECS-55641
Summary
|
Details
11.0.0100, 11.0.0025.08, 11.0.0050.05, 11.0.0075.02
Program Modifier During Re-Admit To Agency
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Critical Information
- Agency Re-Admission [EDIT]
- Placement Events by Agency/Program - People
- Client Search
- Unit Table
Scenario 1: Validate Program Modifier Field Resets Upon Selecting A Different Program Upon Re-Admission
Specific Setup:
- Requires a client that was enrolled into a program with a program modifier.
- Client should be discharged from the agency.
Steps
- Navigate "Client > Client Information > Critical Information > Enrollment Information".
- Select desired client.
- Click "Display Menu of Actions" button on the agency enrollment.
- Select "Re-Admit To Agency".
- Set desired "Re-Admission Date".
- Click "Re-Admit to Program" and select desired program.
- Validate the "Modifier" field does not contain previous "Program Modifier".
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Topics
• Client
|
Undelete 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
- Event Deleted [ADD]
- Event Delete Reason
Scenario 1: Validate Undeleting An Assessment
Specific Setup:
Requires a "Test/Assessment" event that can be locked, i.e. "E-Sign".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Add desired "Test/Assessment" event.
- Fill in required fields.
- Save.
- Click "Actions" button and select "E-Sign" to lock the event.
- Click "Actions" button and select "Delete Service".
- Fill in delete reason and save.
- Validate the service is deleted with a strikethrough.
- Click "Actions" button and select "Un-Delete Service".
- Validate the service no longer contains a strikethrough.
- Open the event validate it does not contain a delete reason.
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Topics
• Assessments
|
ECS-56027
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Front Desk Calendar - Staff Work Schedules
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 Schedule [EDIT]
- Staff Schedule Details B2 Subform
- FrontDeskCheckIn
- Service and Attendance Facilities Listing
- FrontDeskCalendar
- Front Desk Calendar Appointment [ADD]
- Active events by Program or Clinic2
- Front Desk People Search
- Staff - Service Providers (by Staff_id) NES
Scenario 1: Staff Work Schedule Location/Site
Specific Setup:
- Agency > Staff & Security > Staff Information > Work Schedule contains a "Workday" where "Start Time" and "End Time" differ for two different "Location/Site".
- Staff has access to Front Desk.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the desired "Location" and "Date".
- Click the "View Calendar" button.
- Validate the schedule contains the desired available times.
- Schedule an appointment for the first location and close the Front Desk Calendar window.
- Set a different "Location" with the same "Date" as previously set.
- Click the "View Calendar" button.
- Validate the schedule contains the desired available times.
- Schedule an appointment for the second location and close the Front Desk Calendar window.
- Set the "Location" and "Date" used from the first appointment scheduled.
- Click the "Apply Filters" button and validate the newly created appointment is present within the "Scheduled" column.
- Set the "Location" and "Date" used from the second appointment scheduled.
- Click the "Apply Filters" button and validate the newly created appointment is present within the "Scheduled" column.
Scenario 2: Staff Work Schedule Location/Site
Specific Setup:
- Agency > Staff & Security > Staff Information > Work Schedule contains a "Workday" where "Start Time" and "End Time" differ for two different "Location/Site".
- Staff has access to Front Desk.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the desired "Location" and "Date".
- Click the "View Calendar" button.
- Validate the schedule contains the desired available times.
- Schedule an appointment for the first location and close the Front Desk Calendar window.
- Set a different "Location" with the same "Date" as previously set.
- Click the "View Calendar" button.
- Validate the schedule contains the desired available times.
- Schedule an appointment for the second location and close the Front Desk Calendar window.
- Set the "Location" and "Date" used from the first appointment scheduled.
- Click the "Apply Filters" button and validate the newly created appointment is present within the "Scheduled" column.
- Set the "Location" and "Date" used from the second appointment scheduled.
- Click the "Apply Filters" button and validate the newly created appointment is present within the "Scheduled" column.
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Topics
• Front Desk
• Staff
|
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]
- 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.
|
Topics
• Client
• Finance
• Finance Setup
|
ECS-56289
Summary
|
Details
11.0.0125, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
Nested SubForms
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers/Contracts Setup 2.0 Form Set
- Payers Setup Table
- Billing Qualifying Services List Subform
- Billing Qualifying Services List [EDIT]
- Payor Information [EDIT]
- Billing Qualifying Services Subform
- Agency-Program-Service Link
- Billing Qualifying Services List [ADD]
Scenario 1: Validate Updating Nested SubForm
Specific Setup:
- Requires a form that contains a "SubForm" that also contains a "Nested SubForm".
- Scenario requires access to "Finance Setup".
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Payer".
- Select desired "Payer".
- Under "Qualifying Services List" click + sign to expand the row.
- Set desired "List Name".
- Add desired service to the "Qualifying Service" list.
- Save.
- Expand the row.
- Edit the "List Name".
- Save.
- Validate it saves without prompting to add a qualifying service.
- Expand the row.
- Add another qualifying service.
- Save.
|
Topics
• SubForm
|
Call Center Event
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: Validate Time Zone Label On UDF Field Via Call Center Event
Specific Setup:
Requires "Call Center Event" with a "User Defined "Date/Time" datatype field.
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Click "New Call" to start a new call.
- Fill in required fields to start the new call.
- Click "Next".
- Select desired person.
- Click "Next".
- Select desired "Call Center Event".
- Fill in remaining required fields.
- Set the desired date in the "User Defined Date/Time" field.
- Save the call.
- Reopen the call.
- Validate the "User Defined Date/Time" field contains desired "Timezone Label".
|
Topics
• Call Center
|
System setting flag "Use eMAR?"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Medication Complete Form [ADD]
- Drug Library Table
- Setup > System > EvolvCS System Setup > System Settings/Preferences
- Client > Client Information > Health Information > Medications
- Medication Complete Form [DELETE]
Scenario 1: Validate “Use eMAR?” Honors Disable Rule for “Times of the Day for Dispensing Set”
Specific Setup:
- eMAR enabled in system.
- Available Drug to select.
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Uncheck "Use eMAR?".
- Log out and back in.
- Navigate to "Client > Client Information > Health Information > Medications".
- Add New "Medication".
- Validate "Will be used for eMAR" is disabled.
- Validate "Times of the Day for Dispensing Set" is disabled.
- Select a "Drug".
- Validate "Times of the Day for Dispensing Set" is still disabled.
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Check "Use eMAR?".
- Log out and back in.
- Navigate to "Client > Client Information > Health Information > Medications".
- Add New "Medication".
- Validate "Will be used for eMAR" is not disabled.
- Validate "Times of the Day for Dispensing Set" is disabled.
- Validate "Times of the Day for Dispensing Set" is not required.
- Check "Entered Using Time Of Day Band Set Subform" checkbox.
- Check "Will be used for eMAR?".
- Validate "Times of the Day for Dispensing Set" becomes required.
- Select a Drug and Validate "Times of the Day for Dispensing Set" becomes enabled.
- Uncheck "Will be used for eMAR?"
- Validate "Times of the Day for Dispensing Set" becomes disabled.
- Fill remaining required fields and Save Form.
- Validate no required message thrown on "Times of the Day for Dispensing Set" and form saves.
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Topics
• Client
• eMAR
• Setup
|
Nexus – Invoice for Educational Services
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claims Maintenance NX Form Set
- Claim 2.0 [EDIT]
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
- Alternative Claim Output
- Billing Batches Management
- Claim Output Ready
- Claim Output
- FinanceClaims
- Client Finance Related Information Form Set
- Benefit Assignment [EDIT]
- Related People
- Relationship - Family Table
Scenario 1: “Nexus – Invoice for Educational Services” Custom Invoice for Nexus Family Healing (Nexus)
Specific Setup:
- Billing batch with at least one claim that has multiple service lines.
- Client should have Benefit Assignment billing setup for service.
- Available Guardian/Parent to link to Client's Benefit Assignment.
- A second Billing batch with one claim that only has one service line.
- Alternative Claim Output Format set to "Nexus – Invoice for Educational Services".
Steps
- Navigate to "Finance > Claim Maintenance > Automatic > Claim Information".
- Search for 1st desired claim from setup.
- Take note of 1st Service Lines "Units" and 1st Billed Services "Program Modifier".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for desired batch.
- Click "Actions > Nexus – Invoice for Educational Services".
- Generate the output.
- Validate "Days" under the “Membership” segment and the “Total Number of Education Service” matches "Units" from step 3.
- Validate "Comments" section under "Billing Information" contains "Program Modifier" from step 3.
- Validate Parent's (Guardian's) Full Name, Address, City, State, and Zip Code under "Parent Information" section is blank.
- Navigate to "Client > Client Information > Personal Information > Benefit Assignments".
- Search for desired client from claim.
- Add a Guardian/Parent to the "Name of Insured (If not Client)" section for the Benefit Assignment.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for desired batch.
- Click "Actions > Nexus – Invoice for Educational Services".
- Generate the output.
- Validate Parent's (Guardian's) Full Name, Address, City, State, and Zip Code under "Parent Information" section matches "Name of Insured (If not Client)" person.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for desired batch with only 1 service.
- Click "Actions > Nexus – Invoice for Educational Services".
- Generate the output.
- Validate "Days" under the “Membership” segment and the “Total Number of Education Service” matches "Units" for that service.
|
Topics
• Finance
• Finance Setup
|
Referring Provider As Attending Provider
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Referral Contact Personal Information [EDIT]
- Benefit Assignment [EDIT]
- Receiver Information X12 Submissions [EDIT]
- 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
- Claim Output Ready
- 837 File
- Client Search
- Claim Receivers Setup Form Set
- Receiver Information - All
- FinanceClaims
- Claim/Invoice Batch [VIEW]
Scenario 1: Validate Referring Provider As Attending Provider In 2310A Loop
Specific Setup:
- Requires a service that can be billed.
- Claim Receiver the "Benefit Assignment" is linked to should be set with "837I Claim Output".
Steps
- Navigate to "Client > Client Information > Personal Information > Benefit Assignments".
- Select desired client.
- Open desired "Benefit Assignment".
- Under "Referring Physician" set desired "Physician".
- Validate the "Referring Physician" has a "Taxonomy Code".
- Save.
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup X12".
- Select desired "Receiver".
- Check "Output Referring Provider in 837I and Output Referring Provider as Attending Physician".
- Save.
- Navigate "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claim.
- Save.
- Wait for billing to run.
- Open the batch and "Create Output".
- Open the "837I Output".
- Validate "2310A" loop contains "NM1*71" with desired "Provider" and "PRV*AT*PXC" with desired "Taxonomy Code".
|
Topics
• Finance
|
Custom Report - Report Virtual View
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Custom Reporting
- Report Virtual Views [EDIT]
- Folders Setup
- Report Virtual Views [ADD]
Scenario 1: Custom Reporting - Edit Virtual View
Specific Setup:
- Have access to Virtual Views Setup, configured at "Agency > Workgroups > Custom Reporting Security > Report Setup Security".
- A "Virtual View" exists that contains data that exceeds the width of the window.
Steps
- Navigate to "Reports > NX Custom Reporting > NX Custom Reporting > Custom Reporting".
- Click on "Virtual Views Setup".
- Select the "Virtual View" to modify that exceeds the width of the window.
- Click the "Test View".
- Validate the "Scroll Bar" displays.
- Modify the "Name" of the view.
- Save the "Virtual View".
- Edit the "Virtual View" just modified.
- Validate the name is the modified name.
- Validate the "Test View" displays the scroll bar.
Scenario 2: Custom Reporting - Add New Virtual View
Specific Setup:
- Have access to Virtual Views Setup, configured at "Agency > Workgroups > Custom Reporting Security > Report Setup Security".
- A "View Definition" script that will generate a result that has no scrollbar. Example "Select * From People_x".
- A "View Definition" script that will generate a result that has no scrollbar. Example "Select * From People".
Steps
- Navigate to "Reports > NX Custom Reporting > NX Custom Reporting > Custom Reporting".
- Click on "Virtual Views Setup".
- Click "Add New" button.
- Set desired name for the virtual view.
- Under "View Definition" use the "View Definition" commands in the precondition that will generate no scroll bar.
- Click "Test View".
- Validate the view executes and sample table is generated.
- Validate no scroll bar displays along the bottom of the results.
- Redo the test with the "View Definition" commands in the precondition that will generate a scroll bar.
- Validate the view executes and the sample table is generated.
- Validate the scroll bar displays along the bottom of the results.
- Click "Save" button.
- Validate the "Virtual View" is listed.
|
Topics
• NX Custom Reporting
• Reports
|
ECS-57339
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Diagnosis and Place of Service Code for Void Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- Claims Submission For Remittance NX [EDIT]
- Claim Service Lines NX Subform
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- 837 File
Scenario 1: Validate Void Claim Contains Diagnosis Code and Place Of Service
Specific Setup:
- Requires a claim that can be voided.
- Claim should have a "Place of Service" code and client "Diagnosis".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Click "Add Action" and select "Void".
- Save.
- Wait for billing to run.
- Open the "Void Submission".
- Validate the "Service Line" SubForm contains desired claim information.
- Validate the "Place of Service Code" contains the place of service from the original claim.
- Validate the "Diagnosis Treated" contains the diagnosis from the original claim.
- Open the "837 Output".
- Validate the CLM line contains the desired "Place of Service Code".
- Validate the output also contains the "Diagnosis Treated".
|
Topics
• Finance
|
ECS-57353
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Adjustment Action Resulting In Two Submissions
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]
- Claim Service Lines NX Subform
- Claim 2.0 [EDIT]
Scenario 1: Validate Payment/Adjustment Action With Calculate Rate Generates Claim After Mid Month Program Modifier Change
Specific Setup:
- Requires a client with a "Facility Placement" that has already been billed with a specific "Program Modifier".
- Client should have another "Program Modifier" entered for half of the month after claim was generated.
- Requires a "Billing Rate" set up to bill a different rate for a "Program Modifier".
- Both rates are set up with the same "Service Line Consolidation".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance".
- Set parameters to search for desired claim.
- Add a payment to the claim.
- Click "Add Action" select "Adjustment/Replacement".
- Under "Amount Type" select "Calculate Rate".
- Validate "Calculate Rate" returns desired results.
- Save.
- Wait for billing to run.
- Open the resulting "Adjustment Claim".
- Validate it contains desired result.
- Open the original claim.
- Validate it contains desired reversing "GL Transaction".
|
Topics
• Finance
|
User Timeout
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FrontDeskCheckIn
- FrontDeskCalendar
- Profile Icon
- Staff Look Up Their Own Information
Scenario 1: Validate NTST User Able to Login Following Timeout
Scenario 2: Validate Front Desk Calendar Standalone Closes Upon System Timeout
Specific Setup:
- Access to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Access to Calendar.
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Select system.
- Set the "Inactivity Timeout (hh:mm)" to a low interval for testing and Save.
- Log out of and back into the system in order for the new logout timer to be applied.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk Daily Check In".
- Click the Calendar button.
- Wait for timeout duration to complete.
- Observe the Calendar will close upon timeout.
Scenario 3: 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 4: Validate NIAM Users Able To Log Back Into Session Following Timeout
Specific Setup:
- Within Setup > System > EvolvCS System Setup > System Settings/Preferences, set the "Inactivity Timeout (hh:mm)" to 5 minutes.
- User is configured for NIAM login.
- System setup for NIAM logins.
Steps
- Login utilizing NIAM user name.
- Click the "Next" button.
- On the NIAM pop up, enter the password.
- Click the "Verify" button.
- Wait for timeout message.
- After the staff is timed out, repeat steps 1 thru 4.
- Validate staff can log back in and Windows display as expected.
|
Topics
• Calendar
• Front Desk
• Login
• Setup
|
Additional Documentation and Follow-Ups
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CallCenterlisting
- Call Disposition with Intake [EDIT]
- Client Search
- Client Service Entry
Scenario 1: Validate Save & New Call Function
Specific Setup:
Requires a call center event that is set up with "Additional Documentation and/or Follow Up events.
Steps
- Navigate to "Taskbar > Call Center > Call Center > Call Center".
- Click "New Call"
- Select desired call form.
- Fill in required fields for the client phone number, name etc.
- Click "Next".
- Select desired client or new caller.
- Click "Next".
- Select desired event.
- Fill in required fields.
- Under "Additional Documentation" select desired event.
- Fill in required fields for the "Additional Document".
- Save the "Additional Document".
- On the call center form click "Save & New Call".
- Validate a new call center event opens is blank.
- Repeat steps 4-9.
- Under "Additional Documentation" validate there are no events listed.
- Add "Additional Documentation".
- Click "Save & Mark Completed".
|
Topics
• Call Center
|
ECS-57713
Summary
|
Details
11.0.0100, 11.0.0025.08, 11.0.0050.05, 11.0.0075.02
Finance Setup -Copying Contracts
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers/Contracts Setup 2.0 Form Set
- Payers Setup Table
- ContractsRatesSetup
- Billing Plan Setup NX [EDIT]
- Billing Qualifying Services Subform
Scenario 1: Copy Rate Functionality - Rate Headers
Specific Setup:
- Existing plan/contract on record.
- User has access to Finance setup module.
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Contracts Setup".
- Click the "Select Payer" button.
- Select desired payer.
- Click the "New Contract" button.
- Select "Copy from existing plan/contract" from the drop-down listing.
- Select the desired record from the listing to be copied.
- Set the "Description", "Receiver Information", and any other desired fields.
- Click the "Continue" button.
- Click the "Refresh" link.
- Validate the newly created contract displays.
|
Topics
• Finance Setup
|
ECS-58030
Summary
|
Details
11.0.0125, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
Authorization Units and Denied Adjustment Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- All Clients With Security Listing by PeopleID
- Client Search
- Authorization Details - Client/Finance Bills [EDIT]
- Authorization - Finance [EDIT]
- Claims Submission For Remittance NX [EDIT]
Scenario 1: Validate Authorization Used SubReport
Specific Setup:
- Scenario works with a claim that has been paid.
- Claim should be linked to an "Authorization".
- Service has been updated so that on rebill it consumes more units.
Steps
- Navigate to "Client > Client Information > Billing Authorization > Information".
- Select desired client.
- Select desired "Authorization".
- Scroll to "Authorization Used".
- Validate the SubReport loads with the desired data.
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance.
- Set parameters to search for desired claim.
- Click "Add Action".
- Select "Adjustment/Replacement".
- Select "Calculate Rate".
- Validate "Calculate Rate" returns desired data with updated "Units".
- Save.
- Wait for billing to run.
- Validate "Adjustment Claim" has been generated.
- Navigate to "Client > Client Information > Billing Authorization > Information".
- Click "Refresh".
- Scroll to "Authorization Used".
- Validate the SubReport loads with the updated "Authorization Information".
Scenario 2: Validate Denying And Resubmitting A Claim Linked To An Authorization
Specific Setup:
Requires a claim that can be denied and is linked to an "Authorization".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set parameters to search for desired claim.
- Add "Denial" status.
- Click "Add Action".
- Select "Resubmit.
- Select "Calculate Rate".
- Validate the desired service is returned.
- Save.
- Navigate to "Client > Client Information > Billing Authorization > Service Details".
- Select desired client.
- Open the desired "Authorization" row.
- Under "Used" section validate an additional unit was not consumed.
|
Topics
• Finance
• Widgets
|
ECS-58045
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Write Off Transactions
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 Action Reasons
- All Clients With Security Listing by PeopleID
- Claims Maintenance NX Form Set
- Claim 2.0 [EDIT]
Scenario 1: Delete Writeoff Action That is In A Open Month
Specific Setup:
- Write off action has been performed in an open month.
- User has access to Finance module.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Set search parameters to search for desired "Claim".
- Open the transaction history and delete the write off and denial transaction.
- Validate the GL Transactions are within the opened month.
Scenario 2: Writeoff Actions In Closed Month
Specific Setup:
- Write off action has been performed in a posted month.
- User has access to finance module.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Set search parameters to search for desired "Claim".
- Open the transaction history and delete the write off and denial transaction.
- Validate the GL Transactions are within the next opened month.
Scenario 3: AR Managment - Delete Overpayment in Closed Month
Specific Setup:
- Claim with an overpayment action has been performed in a closed month.
- User has access to Finance module.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Set search parameters to search for desired "Claim".
- Open the transaction history and delete the overpayment.
- Validate the GL Transactions are within the next opened month.
Scenario 4: AR Management - Delete Overpayment in Open Month
Specific Setup:
- Claim on record containing an overpayment posted in an opened month.
- User has access to Finance module.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Set search parameters to search for desired "Claim".
- Open the transaction history and delete the overpayment.
- Validate the GL Transactions are within the opened month.
|
Topics
• Finance
|
ECS-58053
Summary
|
Details
11.0.0100, 11.0.0025.08, 11.0.0050.05, 11.0.0075.02
"CCD" Search
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client > Client Information > Personal Information > Demographics
- Client > Case Management > Service Management > Service Entry
- Query CQN
- Netsmart Technologies, Inc. [CCD Preview]
Scenario 1: Validate "CCD" Information Displays In "CQN"
Specific Setup:
- CQN-enabled myEvolv environment.
- At least one client to search for.
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics" and select the Client.
- Select "CQN" from the "Actions" menu.
- Enter a Provider Name.
- Click on the "Search" button.
- Select a provider from the "Care Quality Organizations" table.
- Click on the "Find Available CCDs" button.
- Validate the table is populated.
- Click the "Preview CCD" (magnifying glass) button to preview the CCD.
- Redo the test with multiple providers selected.
- Validate the table populates.
|
Topics
• CQN/HIE
|
Multi Agency Walk-In Appointments
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency [EDIT]
- FrontDeskCheckIn
- Client Related Task Walk Ins [ADD]
- Staff - Service Providers (by Staff_id)
- All Clients With Security Listing by PeopleID
- Program by Person and Agency (Active)
- Facilities Listing by Program
- Event Definitions with Security by Program
Scenario 1: Multi Agency - Validate Viewing Events In Common Programs Are Agency Specific - Walk In
Specific Setup:
- Multiple agencies exist in the system. In this example they will be called "AgencyA" and "AgencyB".
- The staff have logins to the multiple agencies.
- Each agency is using the same program name. The program in each agency has a different list of service events configured.
- At least one event is able to be scheduled.
- At least one client that is enrolled in the program for the agency.
Steps
- Login to "AgencyA".
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click "Walk In" button.
- Fill in the required fields.
- When the "Activity" look up is selected, validate the look up table displays with the events.
- Validate only the events in "AgencyA" display.
- Validate events in "AgencyB" that are not in "AgencyA" do not display.
- Close the Form
- Exit out of "AgencyA".
- Log into "AgencyB".
- Redo the above test.
- Validate events in "AgencyA" that are not in "AgencyB" do not display.
- Validate "AgencyB" events display.
|
Topics
• Agency
• Event Setup
|
Claim Receiver Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Receivers Setup Form Set
- Receiver Information - All
- Alternative Claim Output
- Billing Batches Management
- Claim Output Ready
- Claim Output
- Receiver Information Generic [EDIT]
- Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management
Scenario 1: Finance Claim Output – "Northeast Parent and Child Society DDS- 1104"
Specific Setup:
Available billing batch to output.
Steps
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Select desired "Claim Receiver".
- Change "Alternative Claim Output Format" to "Northeast Parent and Child Society DSS -1104".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for a "Billing Batch" using desired "Claim Receiver" from step 2.
- Click "Actions > Northeast Parent and Child Society DSS -1104".
- Click "Generate Paper Output".
- Validate output displays desired results and aligns with headers/columns/footers.
|
Topics
• Finance
• Finance Setup
|
ECS-59038
Summary
|
Details
11.0.0100, 11.0.0025.08, 11.0.0050.05, 11.0.0075.02
Opening Forms From Standalone Form Sets
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- My Referral Information Form Set
- Select File for Upload
- Text Templates
- My Client Information Form Set
Scenario 1: Widgets Pending Referral - Validate "Upload Document" Window Closes
Specific Setup:
A "Pending Referral" exists on the "My Pending Referrals" Widget.
Steps
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select the "My Pending Referrals" Widget.
- Access a referral from the widget.
- Click the "Assessment" Tab.
- Add an assessment that contains a document upload feature.
- Upload a file.
- Save the file.
- Fill in any other required fields.
- Save the form.
- Validate all forms closed prior do not display.
- Exit the "My Referral Information" form.
- Validate the form displays the widget selections.
- Select the same referral.
- Edit the assessment just created.
- Remove the image and load a second image.
- Validate all forms close appropriately.
- Save the file.
- Validate prior forms closed display.
- Close the form.
- Validate the widgets form displays.
- Validate no forms closed in prior steps display.
Scenario 2: Widgets My Clients - Validate "Text Template" Window Closes
Specific Setup:
- Staff that has clients displaying in the "My Clients Widget".
- An "Assessment" exists that contains a "Note" area.
- The "Note" area has existing templates.
Steps
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select the "My Clients" Widget.
- Access a client from the widget.
- Click the "Assessment" Tab.
- Add an assessment that contains a document upload feature.
- Fill in any required fields.
- Select the "Progress Note" template.
- Validate the template is entered into the progress note.
- Validate the "Text Template" look up table clears.
- Save the form.
- Validate all forms closed prior do not display.
- Exit the "Client Information" form.
- Validate the form displays the widget selections.
- Validate all items closed prior, do not display.
- Select the same client.
- Edit the assessment just created.
- Modify the progress note with a new template.
- Validate the "Text Template" look up table closes.
- Save the form.
- Validate prior forms closed do not display.
- Close the form.
- Validate the widgets form displays.
- Validate no forms closed in prior steps display.
|
Topics
• Forms
• SubForm
|
ECS-59064
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Mirrored Billing Jobs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers/Contracts Setup 2.0 Form Set
- ContractsRatesSetup
- Billing Plan Setup NX [EDIT]
- Placement NX Form Set
- Billing Rate - Placement Based NX [EDIT]
- Critical Information
- Facility Transfer [ADD]
- Provider Sites by Program (Vacancy)
- Unit Table
- Enrollment Transfer Type Look-up Table
- 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]
- Client Search
- Payers Setup Table
- Placement Disruption Rules Form Set
- Placement Disruptions Rule Setup-Client [EDIT]
- Placement Disruptions: Unknown Location [ADD]
Scenario 1: Billing Placement Services Using "Allow Billing Non-Overnight Stay" And Transfer Is Within The Same Facility
Specific Setup:
- Rate History is checked for " Allow to bill non overnight stay".
- Client has transferred beds within the same Facility.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected number of "Units".
- Click "Claim".
- Validate "Billed Services" contains one record for "Date of Transfer".
Scenario 2: Billing Placement Services Using "Allow Billing Non-Overnight Stay" And Transfer Is To A New Facility
Specific Setup:
- Rate History is checked for " Allow to bill non overnight stay".
- Client has transferred to a different Facility.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected services.
Scenario 3: Placement Billing With Non-Billable Placement Disruption Occurring At Beginning And Ending Of Day
Specific Setup:
- Placement Disruption is not billable.
- Rate History is checked for " Allow to bill non overnight stay".
- Placement disruption begins on day 1 midday and ends on day 3 midday.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected number of "Units".
- Click "Claim".
- Validate the "Billed Services" contain the expected number of "Units".
Scenario 4: Placement Billing With Billable Placement Disruption Occurring At Beginning And Ending Of Day
Specific Setup:
- Placement Disruption is billable.
- Rate History is checked for " Allow to bill non overnight stay".
- Placement disruption begins on day 1 midday and ends on day 3 midday.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create "Billing Run" to capture "Placement Services".
- Upon completion, open "Batch".
- Validate "Claim" contains expected number of "Units".
- Click "Claim".
- Validate the "Billed Services" contain the expected number of "Units".
|
Topics
• Client
• Finance
• Finance Setup
|
Graphing Capability
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Sub Reports - System Form Set
- Sub-Report Designer [VIEW]
- Interface Design Form Set
- FormDesigner
- NX Sub Report [EDIT]
- Event Definitions - People Based Form Set
- Event Categories/People - User Modifiable
- Event Definition User - People [EDIT]
- Client Search
- Client Service Entry
- Assessment with graph [ADD]
- Assessment with graph [EDIT]
Scenario 1: Validate SubReport Graphing with Assessments
Specific Setup:
- Worker Role must have access to event within "Setup > Security/Access > Worker Roles > Security for Events".
- SubReport containing a graph is set on the event.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry" and select the desired client.
- Click the "Add Event" button and select the desired event.
- Validate the SubReport graph is present on the event.
- Fill out the desired/required information and save.
- Validate the "Status" on the newly created event contains" Pending Submission".
- Click on the "Actions" button and select "Submit Service".
- Validate alert text displays containing "Are you sure you wish to submit this event?" and click the "Yes" button.
- Click "OK" on the alert text "Are you sure you wish to proceed with submitting this event(s)?".
- Validate the "Status" contains "Signed/Submitted".
- Click the "Actions" button and select "Unsubmit Service".
- Click "OK " on the message "Are you sure you wish to proceed with un-submitting this event(s)?".
- Set information on the event and "Save".
- Click on the "Actions" and select "Submit Service".
- Set information on the form and "Save".
- Click the "Actions" button and select "Submit Service".
- Click the "Yes" button on the "Are you sure you wish to submit this event?" message.
- Validate the "Status" contains "Signed/Submitted".
|
Topics
• Forms
|
ECS-59101
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Waterfall of Claim That Was Previously Re-Submitted to Original Funder
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 Adjustment Reasons
- Claims Submission For Remittance NX [EDIT]
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- 837 File
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information X12 Submissions [EDIT]
- ActionsView
Scenario 1: Validate Resubmit Outputs CAS From Most Recent Remittance
Specific Setup:
Requires a claim that has been remitted with a "Denial" status and "Adjustment Reasons".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set parameters to search for desired claim.
- Add a "Partial Payment".
- Click "Add Adj" button.
- Add desired "Adjustment Reasons".
- Click "Add Action".
- Select "Resubmit to Other" to waterfall to secondary payer.
- Save.
- Wait for billing to run.
- Open the desired batch.
- Create the output.
- Validate "837 File" contains only the "CAS Info" from the second remittance.
Scenario 2: Validate CAS Output With Multiple Remittances
Specific Setup:
- Requires a claim that can be remitted and waterfalled to a second payer.
- Scenario works with 2 remittance checks.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set parameters to search for desired claim.
- Add a "Denial".
- Click "Add Adj" button.
- Add desired "Adjustment Reasons".
- Save.
- Select a second "Remittance Check".
- Add a "Partial Payment".
- Click "Add Adj" button.
- Add desired "Adjustment Reasons".
- Click "Add Action".
- Select "Resubmit to Other" to waterfall to secondary payer.
- Save.
- Wait for billing to run.
- Open the desired batch.
- Create the output.
- Validate it contains "Adjustment Reasons" from the second check.
|
Topics
• Finance
|
ECS-59158
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Program Enrollment - End Date
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Service Entry
- ServicePlanList
- ServicePlanForm
- Critical Information
- Program Enrollment [Edit]
- Agency Program Services/Program-User Subform
Scenario 1: Treatment Plan Finalized With Corresponding Program Enrollment Is End-Dated
Specific Setup:
- Service event has the "Draft Service Option" set.
- User has access to client.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click the "Add Event" button and select event.
- Fill out desired information and click the "Save as Draft" button.
- Utilizing the same client, navigate to "Client > Case Management > Plan Development > Planning".
- Enter new treatment plan and submit for approval.
- Utilizing the same client, navigate to "Client > Client Information > Critical Information > Enrollment Information".
- Close the program enrollment.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Review the previously entered event and validate the status contains "Draft".
- Navigate to "Client > Case Management > Plan Development > Planning".
- Review the previously entered treatment plan and validate the status contains "Submitted for Approval".
|
Topics
• Client
|
ECS-59253
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Placement Services - Multiple Programs
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Program Setup - No Care Day/Respite [EDIT]
- Client Search
- Critical Information
- 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]
- Claim/Invoice Batch [VIEW]
- Report: Service Details
- Date Range (Required) With Parms [ADD]
- Report Parameters PickList
- All Clients With Security for Reports
- Report: Enrollments for a Period
Scenario 1: Outpatient Type Programs - "Services Created for Days of Placement"
Specific Setup:
- The "Services Created for Days of Placement" is checked off in breadcrumb "Agency Setup > Agency > Program Setups > Outpatient & Other" for desired programs.
- Rates are setup to bill for placement.
- Client is enrolled in multiple outpatient programs during the same time.
- User has access to Finance module.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click on "New Run" and select "Immediate Run".
- Set the desired "Submitter", "Run Description", "Through Date" and any other desired fields.
- Click the "Save" button.
- Select the "Billing Processing History" tab.
- Click the "Start Billing Now" button.
- Click "OK" on the "Billing job started" message.
- Once the billing run is completed, review claims.
- Validate claims were created for desired programs within the same time.
- Click the "X" to close.
- On the batch, click the "Actions" button and select "Open Batch".
- Click the "Create Output" button and close.
- Click the "Actions" button and select "Mark as Sent".
- Click "OK" on the "Are you sure you want to mark sent?" message.
- Navigate to "Client > Client Information > Critical Information > Enrollment Information" and set to desired client.
- Within the first program, click the "Actions" cell and select the "Services Generated Report" link.
- Validate the desired dates are indicated as "Billed".
- Click the "Close" button.
- Within the second program, click the "Actions" cell and select the "Services Generated Report" link.
- Validate the desired dates are indicated as "Billed".
- Click the "Close" button.
Scenario 2: Enrollments for a Period Report - "Program: Are Services Created for Placement?"
Specific Setup:
- The "Services Created for Days of Placement" is checked off in breadcrumb "Agency Setup > Agency > Program Setups > Outpatient & Other" for desired program(s).
- Client is enrolled in program(s).
- User has access to Reports module.
Steps
- Navigate to "Reports > Clients > General > Enrollments for a Period".
- Set the desired "From Date" and "Through Date".
- Check off the "Program: Is Enrollment Required for Services?" field.
- Set the "Parameter" to "Client" and set the "Value" to the desired client.
- Click the "Preview" button.
- Validate the output contains the desired data.
- Click the "Close" button.
|
Topics
• Agency Setup
• Client
• Finance
• Reports
|
Inbound Messages Configured For Payload "V2"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Import Services Form Set
- Import File Templates
- ImportFileLog
- Referral Search
- Referral Information Form Set
- Agency Referral Personal Information [EDIT]
- Race Subform
- Members Personal Form [EDIT]
- Address by ZIP code Subform
- Alternative IDs Subform
- Marital History Sub Form Subform
- Benefit Assignment [EDIT]
Scenario 1: Inbound EPICADT04 and EPICADT08- Create, Update Patient- Validate Version "V2" Payload Functionality
Specific Setup:
- A referral record that will be added into the system. This will be the "EPICADT04" record.
- A second referral record to update a pre-existing referral in the system, This will be the "EPICADT08" record.
- The user knows the values in the fields.
Steps
- Send the "EPICADT04" record, this will be the new referral.
- Navigate to "Taskbar > System Maintenance > Import Services > Import File Log".
- Select the template used, "EPIC Create New Referral".
- Validate no errors occurred for the import.
- Navigate to "Referral > Agency Referral > Referral Information > Demographics".
- Validate the referral was added.
- Validate the demographic data that was sent is accurate.
- Navigate to the "Benefit Assignments" tab.
- Validate the benefit assignment data matches what was sent.
- Update the referral with the "EPICADT08" record.
- Validate modifications sent were updated on the referral record.
- Validate changes in the address create a new address line.
- Resend the same data files a second time.
- Validate the extra send does not modify the records or add additional records.
Scenario 2: Inbound Orchard - Validate Version "V2" Payload Functionality
Specific Setup:
- A referral and client record that will be added into the system.
- The user knows the values in the fields.
Steps
- Send the "Orchard" record, this will be the new referral.
- Navigate to "Taskbar > System Maintenance > Import Services > Import File Log".
- Select the template used.
- Validate no errors occurred for the import.
- Navigate to Referral > Agency Referral > Referral Information > Demographics".
- Validate the referral was added.
- Validate the demographic data that was sent is accurate.
- Navigate to "Client > Client Information > Personal Information > Demographics".
- Select the client.
- Validate the demographic data that was sent is accurate.
|
Topics
• CareConnect
• Third Party Solution
|
Claim Submission
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- AR 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
- Claim Action Reasons
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.
Scenario 3: 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.
|
Topics
• Finance
|
ECS-59330
Summary
|
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".
|
Topics
• Assessments
|
ECS-59407
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Print Bundle - SubReports
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- NX Sub Report [EDIT]
- Diagnosis General [ADD]
- Diagnosis Search Service
- PrintingBundleTemplate
- Printing Bundle Templates Active
- Alerts - View [VIEW]
Scenario 1: Print Bundle with SubForms
Specific Setup:
- Client contains an event with SubReport data entered.
- User has access to client and Client module.
Steps
- Navigate to "Client > Reports > At a Glance > Printing Bundle Template".
- Select desired template.
- Select desired events and click the "Submit" button.
- Set the desired "Description" and click the "Run Now" button.
- Once output is retrieved, validate the SubReport data and print.
|
Topics
• Reports
|
VRS/Private Pay Claim Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
- Billing Batches Management
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- Claim Output
- Print Preview
Scenario 1: Validate VRS/Private Pay Claim Output
Specific Setup:
Requires a client with services that can be billed.
Steps
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Select desired "Receiver".
- Click "Claim Output Format" lookup table.
- Select "VRS/Private Pay Claim Output".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claims.
- Save.
- Wait for billing to run.
- Click "Actions" button and select the "VRS/Private Pay Claim Output".
- Download the file and open it.
- Validate it contains desired claim information including "Service Name, Unit and Amounts".
|
Topics
• Finance
|
UB 04 Claim Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
- Billing Batches Management
- Immediate Billing Run Request [ADD]
- Submitter Information
- Claim Output
- Billing Place of Service
- Claim Output Ready
- Alternative Claim Output
- Payor-Facility License Link Subform
- Payers of Agency
- Plans/Contracts by Payer and Receiver
- Billing Provider Number Type
- Program by Managing Office and Agency
Scenario 1: Validate Billing Custom Output - UB-04
Specific Setup:
- User has access to "PaperUB04" receiver in "Finance Setup".
- Client must have payor setup in "Benefit Assignment".
- Facility is configured with Licensing Information at "Agency > Service Locations > Sites/Residentials > General Information".
Steps
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Click the "Claim Receiver" button.
- Search and select desired receiver.
- Validate the "Is Active" checkbox is checked.
- Set the "Claim Output Format" LUT button to desired claim output.
- Set the "Output File Name (Prefix)" input box to "ub04.txt".
- Set the "Alternative Claim Output Format" input box to "UB-04 without formatting".
- Click "Save".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Immediate Run" from the drop down list.
- Fill out required fields.
- Check the "Receiver" checkbox that contains "UB-04".
- Click "Save".
- Wait until the next billing run is complete.
- Click the "Receivers" button.
- Select receiver used from the "Receivers" drop down list.
- Click "Apply Filters".
- Click "Actions".
- Select the "UB-04 without formatting" output from the drop down list.
- Click the "Generate Paper Output" button.
- In the claim output page,
- Validate the page layout is equal to "UB-04 without formatting".
- Validate the page contains the claim information listed in the recently submitted billing run.
- Click "Close".
- Close out of the "Claim Output Ready" page.
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Set the "Alternative Claim Output Format" input box to "UB-04 without formatting - one line per claim".
- Click "Save".
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "Refresh".
- Click "Actions".
- Select "UB-04 without formatting - one line per claim" from the drop down list.
- Click the "Generate Paper Output" button.
- In the claim output page,
- Validate multiple claim lines are listed.
- Validate the page contains the claim information listed in the recently submitted billing run.
- Click "Close".
- Close out of the "Claim Output Ready" page.
|
Topics
• Finance
• Finance Setup
|
HL7 Inbound Actions
Scenario 1: CareFabric - HL7 Inbound Actions
|
Topics
• CareConnect
|
ECS-59528
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Supervisor Taskbar Functionality
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval
- Note to Staff
- Alerts - View
- Alert Popup
- Client > Case Management > Service Management > Service Entry
- All Clients With Security Listing by PeopleID
- Client Search
- Activity Simple Form [ADD]
- Activity Simple Form [Delete]
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- Client Service Entry
- SupervisorModule
Scenario 1: Supervisor - Supervises Subordinates
Specific Setup:
- The "Supervisor Approval - Show All Subordinates" is checked off within "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Two staff records.
- Staff 1
- Has staff 2 indicated as their supervisor within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Has access to client.
- Staff 2
- Is set as the supervisor of staff 1 within "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Has access Supervisor module.
Steps
Staff 1 - Navigate to "Client > Case Management > Service Management > Service Entry" and set the desired client.
- On event that is "Pending Submission", click on the "Actions" button.
- Select "Submit Service".
- Click "OK" on the " Are you sure you wish to proceed with submitting this event(s)?" alert text.
- Validate the status is "Signed/Submitted".
Staff 2 - Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval" and set the desired filters.
- Validate the status contains "Pending Approval".
- Click the "Actions" link and select "Approve & Add Note".
- Enter desired note and click the "Save" button.
- Navigate to "Client > Case Management > Service Management > Service Entry" and set the desired client.
- Validate the "Status" for the event is "Approved".
Scenario 2: Supervisor Module - "Approve & Add Note"
Specific Setup:
- Event is pending approval from supervisor.
- User has access to Supervisor module.
Steps
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval" and set the desired filters.
- Validate the event displays and contains status of "Pending Approval".
- Click on the "Actions" button and select "Approve & Add Note" from the list box.
- Set the desired notes.
- Click the "Save" button.
- Click the Look Up Table button to search for the same client.
- Click the "Apply Filters" link.
- Validate message displays "You have unsaved actions, all pending action swill be lost Continue?" and click the "OK" button.
- Validate the client previously searched displays with the same event containing a status of "Pending Approval".
- Click the "Actions" link and select "Approve & Add Note".
- Enter desired note and click the "Save" button.
- Validate the "Cancel Approval" button is displays.
- Validate the "Pending Action" cell contains "Approve".
- Click the "Save" button.
- Set desired filters and validate the approved event does not display.
Scenario 3: Supervisor - Supervises Self
Specific Setup:
- Submitted events requiring approval.
- Staff has access to Supervisor module.
- Setup > System > EvolvCS System Setup > System Settings/Preferences.
- "Supervisor Approval - Show All Subordinates" is checked off.
Steps
- Navigate to "Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval".
- Click the "View Filters" link and set the desired filters.
- Click "Apply Filters".
- On desired service event, click on the "Actions" link.
- Select "Approve & Add Note".
- Set the desired "Notes" area and click the "Save" button.
- Validate the "Pending Action" column contains "Approve".
- Click the "Save" button.
|
Topics
• Client
• Supervisor
|
Recreate To New Payer Action
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Authorization - Finance [EDIT]
- Client Search
- AR Management
- Cash Receipts for Remittance
- Claim/Invoice Batch [VIEW]
- Claim 2.0 [EDIT]
- FinanceClaims
- Claim Output Ready
- 837 File
- Claims Submission For Remittance NX [EDIT]
- Claim Service Lines NX Subform
- 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.
|
Topics
• Finance
• Finance Setup
• Widgets
|
Workflow Scheduler Setup, Rule Type Referral
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Workflow Tasks [ADD]
- Tasks to be Scheduled
- Program listing by Agency
- Staff - All (by Staff ID)
- Schedules [ADD]
- Workflow Programs Responsible B2 Subform
- Event Categories/People - User Modifiable
- Agency Setup > Event Setup > People > Events Setup
- Workflow Rules Manager
- Qualifiers Subform
- Workflow Triggers [ADD]
- Event Definitions - People Based Form Set
- Event Definition User - People [EDIT]
- Triggering Events
- Trigger Dates
- Event Groups for Formset Members-User
- WorkFlow Header/Grouping
- Workflow Qualifiers
- Program Listing - All
- Scheduler Worker Assignment Types
- Event Group Sub form Subform
Scenario 1: Validate Creating Workflow Rule For Referral
Steps
- Navigate to "Agency Setup > Event Setup > People > Events Setup".
- Select desired "Event Category".
- Select desired event.
- Under "Event Groups" select an event group that is set up for referrals, i.e. "Agency Referral Test/Assessments".
- Save.
- Navigate to "Agency Setup > Workflow Scheduler Setup > Workflow Scheduler Setup > Workflow Scheduler Setup".
- Select a Rule Type "Referral".
- Click "Create New Rule".
- Fill in required fields such as "Header/Grouping and Description".
- Select desired "Qualifier".
- "Click "Create New Trigger".
- Click "Triggering Event" and validate the event from step 3 is listed.
- Set desired "Trigger Date" and click "Update".
- Click "New Task".
- Select desired "Task Event".
- Set desired "Staff Responsible for Task and Program Responsible".
- Click "Update".
- Click "New Sched" button.
- Set desired schedule for the workflow.
- Click "Update".
- Click "Save".
- Validate the desired workflow is listed.
|
Topics
• Workflows
|
Resolution of Failed CareFabric API Calls Past 11.0.050 Release
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Import File processing Form Set
- Import File Templates
- Referral Information Form Set
- Address by ZIP code Subform
Scenario 1: OP WELL - ClientEventPreRegister Message
Specific Setup:
- Import file contains client demographics with modifications to the "Address Information".
- User has access to client record.
Steps
- Send desired record of which will update the referral.
- Navigate to "Referral > Agency Referral > Referral Information > Demographics".
- Set the desired client.
- Validate the desired fields within the "Address Information" have been updated in the client referral demographics.
Scenario 2: OP Well - ClientEventUpdate Message
Specific Setup:
- Existing referral record on file for client.
- Import file contains client demographics with modifications to the "Address Information".
- User has access to client record.
Steps
- Send desired record of which will update the referral.
- Navigate to "Referral > Agency Referral > Referral Information > Demographics".
- Set the desired client.
- Validate the desired fields within the "Address Information" have been updated.
|
Topics
• Third Party Solution
|
Mobile CareGiver+ Visits
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Navigation and Menu
- Visits
- Visits > Add new visit
- Work List
- Worklist
- Work List (Standalone) > Edit - Billable Service Start / End
Scenario 1: MCGEvvVisitDocumented - Update Visit Changes
|
Topics
• Third Party Solution
|
ECS-59638
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
ABA Sessions
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Agency Program System Services by Program [EDIT]
- Calendar
- Staff Calendar
- Session
- Save Session
- Client Service Entry
- Client Related Task - New [ADD]
- Agency Program System Services by Program Subform
- Agency Program Services [EDIT]
- Client Search
Scenario 1: ABA Sessions - Validate "Signed/Submitted" Status
Specific Setup:
- ABA enabled myEvolv environment.
- Access to ABA Behavior Tracking Application on an iPad.
- Desired event has the below fields checked off.
- "Can Submit?"
- "Electronically Signed?"
- "Auto-Submit/Sign?"
Steps
- myEvolv
- Navigate to Client > Case Management > Service Management > Service Entry and select desired client.
- Schedule an "ABA 1: 1 Session".
- Validate the event contains a "Status" of "Scheduled".
- CarePOV Behavior Tracking: ABA
- Open the desired appointment and start the session.
- Enter desired information and save the session.
- myEvolv
- Navigate to "Client > Case Management > Service Management > Service Entry" for the same client.
- Validate the previously scheduled event "Status" has been updated to reflect "Signed/Submitted".
Scenario 2: ABA Session "Draft" Status
Specific Setup:
- Desired event does not contain the "Auto-Submit/Sign?" checked.
- ABA enabled myEvolv environment.
- Access to ABA Behavior Tracking Application on an iPad.
Steps
- myEvolv
- Navigate to Client > Case Management > Service Management > Service Entry and select desired client.
- Schedule an "ABA 1: 1 Session".
- Validate the event contains a "Status" of "Scheduled".
- CarePOV Behavior Tracking: ABA
- Open the desired appointment and start the session.
- Modify the end time to an hour prior to the start time and save.
- myEvolv
- Navigate to "Client > Case Management > Service Management > Service Entry" for the same client.
- Validate the previously scheduled event "Status" has been updated to reflect "Draft".
Scenario 3: ABA Session Event - SDK Event
|
Topics
• ABA
• Third Party Solution
|
SCO Millin Encounter
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- FinanceClaims
- Claim Output Ready
Scenario 1: Validate "SCO Millin Encounter" Claim Output for a Batch That Contains Two Different Claims Tied to the Same Service
Specific Setup:
- Contract setup for Millin Encounter.
- Contract should have 2 rates that can apply to the same service.
- Client with a benefit assignment with Plan for Millin.
- Client has a service that can be billed.
- Batch containing 2 claims for the same service.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for Batch from setup.
- Click "Actions > SCO Milin Encounter".
- Click "Download Electronic File".
- Validate csv file downloads.
|
Topics
• Finance
• Finance Setup
|
My Client Widget
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- ProgramReferralSearch
- Worker Assignments Form Set
- Workgroup Assignment - Referrals Made [VIEW]
- Program Referrals > Program Referrals > Worker Assignments > Staff Responsible for Referral
- Program Referrals > Program Referrals > Worker Assignments > Auto-assigned Workgroups
Scenario 1: "My Client" Widget - Validate Staff Cannot View Clients With Referrals-Only Access
Specific Setup:
- Client that has a Referral record.
- Staff 1:
- assigned as "Staff Responsible for Referral" for the Client.
- is not assigned directly assigned to the Client.
- is not enrolled in a Workgroup assigned to the client (manually or automatically).
- is not enrolled in a Workgroup that is automatically assigned to both the referral and client (usually via program).
- has access to myClient Widget.
- Staff 2 has direct access to Client and myClient Widget.
Steps
- Login as Staff 1 that has access to Client.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Search for Client from setup.
- Validate Client link displays.
- Logout and login as Staff 2(that only has Referral access to client).
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Search for Client from setup.
- Validate Client does not display.
|
Topics
• Client
• Program Referrals
• Taskbar
• Widgets
|
Parent and Child Events Performance Updates
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Event Definitions - Service - by Category/Program
- Other Activities - B2E Subform
- Other Activities [EDIT] *DRAFT*
- General Service Note (auto date) [EDIT] *DRAFT*
- Other Activities [VIEW] *SIGNED*
- Other Activites Miles [VIEW] *SIGNED*
- General Service Note (auto date) [DELETE]
- Client > Case Management > Service Management > Service Entry
- Other Activities Miles [EDIT] *DRAFT*
- Other Activities [EDIT]
- Other Activities Miles [EDIT]
Scenario 1: Validate Child Events Update Along with Parent Event
Specific Setup:
- Parent Event with multiple Child Events.
- Parent and Child Events all set to save as draft using "Draft Service Option".
- Available Client setup in Program with desired Parent and Child Events.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select Desired Client.
- Add Desired Parent Event.
- Enter minimum required information and add at least two Child Events (do not enter date, time or staff).
- Save as draft.
- Validate the Parent and Child Events are all saved as draft.
- Validate Staff propagated to Child Events.
- Reopen the parent event.
- Complete the form and save.
- Validate the Parent and Child Events are all "Pending".
- Sign/Submit the Parent Event.
- Validate all events are saved/signed as final.
|
Topics
• Client
|
Treatment Plan Performance Updates
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Look-up Tables Definitions (User) Form Set
- Look-up Table Listing (Defran Supplied&View Only)
- Look Up Tables Where Used [VIEW]
- Client Search
- ServicePlanList
- ABA Completed Information [ADD]
- ServicePlanForm
- ABA - Area of Treatment [ADD]
- Problem Category Lookup - Not Safety Plan
- ABA Goal [ADD]
- Problems Identified (People/Category) - no Domain
- Treatment Plan Library (by Category)
- ABA: Program Implementation Template (PIT) [ADD]
- Service Plan Intervention Teaching Procedure
- ABA - Area of Treatment [EDIT]
- ABA Goal [EDIT]
Scenario 1: Treatment Plan Details Performance
Specific Setup:
Access to "Setup > User Tools > Table Definitions > Where Applied".
Steps
- Navigate to "Access to "Setup > User Tools > Table Definitions > Where Applied".
- Verify "Treatment Plan Details" does not appear under "Applied Form Lines" for these Look Up Tables:
- Problems Identified (Group Profile/Category)
- Problems Identified (People/Category)
- Problems Identified (People)
- Verify "Treatment Plan Details" does appear under "Applied Form Lines" for these Look Up Tables:
- Problems Identified (Group Prof/Cat) - no Domain
- Problems Identified (People/Category) - no Domain
- Problems Identified (People) - no Domain
- Navigate to "Client > Case Management > Plan Development > Planning".
- Add new treatment plan.
- Navigate to Problem area that uses Look Up Tables from step 3.
- Validate look-up table loads data.
|
Topics
• Client
• Setup
• Treatment Plans
|
Nexus – Invoice for Educational Services
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claims Maintenance NX Form Set
- Claim 2.0 [EDIT]
- Client Finance Related Information Form Set
- Critical Information
- Billing Batches Management
- Claim Output Ready
- Claim Output
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information Generic [EDIT]
- Alternative Claim Output
Scenario 1: "Nexus - Invoice for Educational Services" - Validate "Program Modifier" Displays under Billing Information "Comments"
|
Topics
• Finance
|
ECS-59776
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Agency Re-Admission
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Critical Information
- Agency Discharge [EDIT]
- Event Definitions (Plain)
- Closing Reasons - Service Track Table
- Outcome/Results - Service Track Table
- Referral Search
- Person Information [ADD]
- Wizard
- WizardMPISearch
- New Referral to the Agency [ADD]
- Referral Source - Referral In
- Referral Reason Table
- Referral to Programs from Outside - People Edit Subform
- Referral to Agency [EDIT]
- Referral Made Status Subform
- Open/Closed Status - Referrals Made
- Referral to Program from Outside Source [Edit]
- Agency Re-Admission [EDIT]
- Placement Events by Agency/Program - People
- Provider Sites by Accepting Placements Program
- Unit Table
- Schedules
- Agency Program Placement Service by Prog Subform
Scenario 1: My Pending Referrals Widget - Attendance Enrollments
Specific Setup:
- Client is discharged from the agency.
- User has access to client.
- User has access to My Pending Referrals Widget.
Steps
- Enter a new Referral for the previously discharged client into an Attendance based program.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Utilizing the "My Pending Referrals" widget, click on the icon for desired referral for the re-admission for the previously discharged client.
- Validate the "Placement Type" does not default and click the search.
- Validate "Attendance Enrollment" is available within the search and select.
- Enter desired "Re-Admit To Facility" and "Unit".
- Validate "Schedule of Sessions" is enabled and enter desired data.
- Enter any other desired/required information on the form and click the "Save" button.
|
Topics
• Program Referrals
• Widgets
|
KY State Reporting - 837 File
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Receivers Setup Form Set
- Receiver Information - All
- Receiver Information X12 Submissions [EDIT]
- Client Search
- Benefit Assignment [EDIT]
- 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
- Claim Output Ready
Scenario 1: Wellspring KY Receiver
Specific Setup:
- Within " Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup X12" select the desired receiver, check off the "Segment Terminator with CRLF" field.
- Billing batch on record containing claims for desired receiver.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click the "New Run" button.
- Select "Immediate Run" from the list box.
- Set the desired "Submitter", "Run Description" "From Date", "Through Date", and any other fields.
- Set the "Run for Receivers", to the desired receiver that contains the "Segment Terminator with CRLF" field set.
- Click the "Save" button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Processing History".
- Click the "Start Billing Now" button.
- Click "OK" on the "Billing job started" message.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click the "Actions" button on the completed billing batch.
- Select "ASC X12N 837 Professional Claims Ver. 5 Release 1".
- Click the "Download Electronic File" link and open the file.
- Validate the file does not contain any "Carriage Return + Line Feed".
- Click "X" to close the claim output ready window.
|
Topics
• Finance
• Finance Setup
|
Improved Performance of Action Based Billing 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
- Billing Request Action Based Run [ADD]
- Action Based Run - Claim Action Types
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- FinanceClaims
- ActionsView
- Claim/Invoice Batch [VIEW]
- Claim 2.0 [EDIT]
- Claim Output Ready
- Notepad
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- Claim Action Reasons
Scenario 1: Validate Bulk Resubmit Action With Calculate Rate With 100 Claims
Specific Setup:
Requires at least 100 denied claims that can be resubmitted.
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".
Scenario 2: Validate Resubmit To Other/Waterfall Using Bulk Calculate Rate
Specific Setup:
- Scenario works with claims that can remitted and "Waterfalled" to "Secondary Payer".
- Claims have been "Partially Paid" and contain "Adjustment Amounts".
- No other action based runs for "Resubmit", "Recreate" or "Adjustment" action can be queued.
- No other action based runs for "Resubmit to Other/Waterfall" can be queued.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set parameters to search for desired claims.
- Click "Partially Paid" link to group the claims together.
- Click "Bulk Actions" button.
- Select "Resubmit to Other/Waterfall".
- 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 to Other/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 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 correct "Submission # 2".
- Validate the claim generated to the correct "Payer and Amounts".
- Open one of the claims.
- View the "Account Info".
- Validate contains desired "Journal Entries" and posted to desired "Month".
Scenario 3: 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.
|
Topics
• Finance
|
Calculate Rate-Billing 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
- Billing Request Action Based Run [ADD]
- Action Based Run - Claim Action Types
- Billing Run Request Limit People Subform
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- FinanceClaims
- ActionsView
- Claim/Invoice Batch [VIEW]
- Claim 2.0 [EDIT]
- Claim Output Ready
- Claim Action Reasons
Scenario 1: Validate Bulk Resubmit Action With Calculate Rate With 100 Claims
Specific Setup:
Requires at least 100 denied claims that can be resubmitted.
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".
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.
|
Topics
• Finance
|
Routing NX and Treatment Plans
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- ServicePlanList
- ServicePlanForm
- Client Service Entry
Scenario 1: Validate NX Treatment Plan Routing With Audit Snapshot
Specific Setup:
- NX Routing should be enabled.
- Audit Snapshot should be enabled.
- Requires a treatment plan that is set up for routing.
- Scenario uses "NYC Treatment Plan" route.
Steps
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired "Treatment Plan".
- Click "Routing" button and begin the route.
- Assign the route to desired staff.
- Enter a note and route.
- Re-open the treatment plan.
- Validate message appears "You are viewing a snapshot of this form from {today's date/time}".
- Validate the treatment plan is locked and contains "Initial Signature" of the submitter.
- Log in as staff who the plan was submitted to.
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired "Treatment Plan".
- Click "Routing" button and "Approve" the plan.
- Log in as staff who is in the "Medical Doctors" workgroup.
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired "Treatment Plan".
- Click "Routing" button and "Approve" the plan.
- Validate the plan contains "Final Approval Date".
- Validate the plan contains all three staff signatures.
|
Topics
• Client
• Routing
• Service Entry
• Treatment Plans
|
ECS-60034
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Appointments Times on Front Desk Calendar
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- FrontDeskCheckIn
- FrontDeskCalendar
Scenario 1: Front Desk - Resize Calendar Window
Specific Setup:
- Time slots available on the calendar.
- User has access to Front Desk NX.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the desired "Location" and "Date".
- Click on the "View Calendar".
- Set any desired filters.
- Validate time slot beginning and end times.
- Maximize the window.
- Validate time slot beginning and end times.
- Minimize the window.
- Validate time slot beginning and end times.
- Close the window.
|
Topics
• Front Desk
|
Routing NX - Routes With Validate Treatment Plan
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Service Entry
- Print Preview
- Client Search
- ServicePlanForm
- ServicePlanList
- UpdateHistory
Scenario 1: NX Routing - NYC Treatment Plan Route
Specific Setup:
- Scenario assumes Routing Conversion has been completed.
- Requires a treatment plan that is completed and ready to be routed.
- Requires a treatment plan that is linked to "NYC Treatment Plan Route".
- Requires at least one staff listed in "Medical Doctors" workgroup to be set up under "Treatment Planning Workgroups".
Steps
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired treatment plan.
- Click "Routing" button.
- Validate the "Current Assignee" contains desired staff.
- Validate "Routing Timeline" exists with current date/time.
- Set "Supervisor" input box to desired staff.
- Enter a note into the "Notes" field.
- Click "Route".
- Log off and log in as staff the event was routed to.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Click "Widgets" button and select "My Routed Task NX" widget.
- Validate the event is listed.
- Open the event.
- Click the "Routing" button.
- Validate the "Current Assignee" contains desired staff name.
- Validate "Routing Timeline" contains the current history with date/time.
- Validate "Approve and Route for MD Approval" tab exists.
- Fill in a note and click "Route" button to approve the event.
- Validate the event is no longer listed in the widget.
- Log off and log in as a staff that is in "Medical Doctors" workgroup.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Click "Widgets" button and select "My Routed Task NX" widget.
- Validate the event is listed.
- Open the event.
- Click the "Routing" button.
- Validate the "Current Assignee" contains "Medical Doctors".
- Validate "Routing Timeline" contains the current history with date/time.
- Validate "Approved By MD" tab exists.
- Fill in a note and click "Route" button to approve the event.
- Navigate to "Client > Case Management > Plan Development > Planning".
- Select desired client.
- Open desired treatment plan.
- Click "Signatures" button.
- Validate "Route for Supervisor Review" signature is listed.
- Validate "Approve and Route for MD Approval" signature is listed.
- Validate "Approved by MD" signature is listed.
Scenario 2: Validate NX Routing And Notes To Complete Widget
Specific Setup:
- Requires an event that is linked to "Basic Approval Route".
- Scenario assumes Routing Conversion has been completed.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event".
- Select desired event.
- Fill in required fields.
- Save.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- Open the "Notes To Complete" widget.
- Validate the event is listed.
- Open the event and click "Routing" button to start the route.
- Validate the "Current Assignee" contains desired staff.
- Validate "Routing Timeline" exists with current date/time.
- Set "Route For Approval" input box to desired staff.
- Enter a note into the "Notes" field.
- Click "Route".
- Validate the event is no longer listed in the widget.
|
Topics
• Client
• Routing
• Treatment Plans
• Widgets
|
ECS-60041
Summary
|
Details
11.0.0125, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
"Keep a print bundle for how many days?" Option In Agency Setup
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- PrintingBundleTemplate
- Printing Bundle Templates Active
- Web Browser
- Agency [EDIT]
- Batch Letter [ADD]
- Letter Event Template
- PDF
- Alerts - View [VIEW]
Scenario 1: Validate Print Bundle Run Now/Async Simultaneously
Specific Setup:
- Scenario works with two different staff credentials and using two different workstations.
- Scenario uses "Print Bundle Template".
- Multiple Client records in system.
Steps
- Navigate to "Client > Reports > At a Glance > Printing Bundle Template".
- Select a "Client".
- Click on "Template" button and select desired template.
- Check off desired events.
- Click "Submit" button.
- Set desired description.
- Click "Submit Async".
- As the second staff, log into myEvolv on a different workstation.
- Navigate to "Client > Reports > At a Glance > Printing Bundle Template".
- Select a "Client" (use different record than prior steps).
- Click on "Template" button and select desired template.
- Check off desired events.
- Click "Submit" button.
- Set desired description.
- Click "Run Now".
- Wait for report image to appear.
- Validate the report contains desired "Client".
- Switch back to first workstation.
- Navigate to "Taskbar > My Homeview > Homeview Launcher > Homeview".
- In the "My Print Bundle" widget click on "Actions".
- Select "View PDF".
- Validate the report contains the desired Client.
Scenario 2: Batch Letters - Validate "Keep a print bundle for how many days?" Controls The Number Of Days To Keep
Specific Setup:
- The "Agency Setup > Agency > Agency > Agency Information" the "Keep a print bundle for how many days?" is set to "0".
- Clients exist that can have letters generated.
- Letters exist that can be generated.
Steps
- Navigate to "Taskbar > Document Management > Document Management > Batch Letters".
- Generate the batch of letters.
- Navigate to " Taskbar > My Homeview > Homeview Launcher > Homeview".
- Select the "My Batch Letters Jobs".
- The Job should display and be processed.
- Wait one hour.
- Refresh the form.
- Validate the "My Batch Letters Jobs" widget contains no data.
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Set the "Keep a print bundle for how many days?" is set to "2" days.
- Navigate to "Taskbar > Document Management > Document Management > Batch Letters".
- Generate the letters.
- Wait for an hour to pass.
- Validate the Job displays in widget.
- Log into the system tomorrow and validate the job displays.
- Validate the job is removed after "2" days.
Scenario 3: Print Bundle - Validate Submitting Large Bundles Using "Keep a print bundle for how many days?" Option
Specific Setup:
In Agency Setup, enter a desired number in the "Keep a print bundle for how many days?" input box.
Steps
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Click the "Agency Specific Settings" tab.
- Set the desired number in the "Keep a print bundle for how many days" input box.
- Click "Save".
- Navigate to "Client > Reports > At a Glance > Printing Bundle Template".
- Click "Select Client".
- Search and select desired client.
- Click "Select Template".
- Select desired template.
- Check desired event checkboxes.
- Click "Submit".
- Fill out required fields.
- Click "Run Now".
- Wait until bundle is ready to print.
- Validate the print bundle has been loaded in a different tab.
- Verify the print bundle exists in PDF form.
- Close out of the PDF.
- Click the "Alerts" button in the top right.
- Validate the print bundle confirmation message link is listed in the listbox.
- Click the message link.
- Click the "Here" link.
- Verify the PDF exists.
- Close out of both the PDF and alert message.
|
Topics
• Agency
• Agency Setup
• Client
• Print Bundle
• Reports
|
Cost Center and Program Unit Hierarchy On Claims Linked To Foster Home
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]
- Cost Center Definitions
- FinanceInvoices
- Invoice [EDIT]
- Program Unit for Facilities
Scenario 1: Validate Cost Center And Program Unit On Facility Placement Claims Linked To Foster Care Facility
Specific Setup:
- Requires a facility placement claim linked to a "Foster Home".
- "Foster Home" should be linked to "Office Responsible" that is "Managing Office".
Steps
- Navigate to "Agency > Service Locations > Sites/Residentials > General Information".
- Select "Facility (Managing Office)" for the "Foster Home" associated with claim.
- Scroll to "Programs/Services Operated".
- Set the "Override Cost Center and Program Unit" on the program row associated with the claim.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claim.
- Save.
- Wait for billing to run.
- Click on the claim link to open the claim.
- Validate "Cost Center Code and Program Unit" on "Accounting Info" contains the "Cost Center Override and Program Unit" from the "Facility Program Link".
- Close claim.
- Navigate to "Resource Families > Foster/Adoptive Home > Information > General Information".
- Select "Foster Home" associated with claim.
- Scroll to Programs Operated".
- Set the "Cost Center Override and Program Unit" 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 and Program Unit" on "Accounting Info" contains the "Cost Center Override and Program" from the "Foster Home".
- 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".
- Set "Cost Center and Program Unit Override".
- Save and Close.
- Reprocess batch.
- Click on the claim link to open the claim.
- Validate "Cost Center Code and Program Unit" on "Accounting Info" contains "Cost Center and Program Unit" set on "Program Enrollment".
- Close the claim.
|
Topics
• Finance
|
837 AR Output
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers/Contracts Setup 2.0 Form Set
- ContractsRatesSetup
- Billing Rate Header - A/M [ADD]
- Billing Batches Management
- Payers Setup Table
- Rate Group Category
- Type of Rates
- Rate-Plan Link - Sub Subform
- Plans/Contracts by Payer and Receiver
- Client Search
- Benefit Assignment [ADD]
- Payers of Agency
- Plans/Contracts by Staff
- Relationship - Family Table
- Billing Rate - A/M [ADD]
- Billing Rate Details - A/M Subform
- Drug Library Table
- Drug Dose Form
- Procedure Codes for Billing
- Immediate Billing Run Request [ADD]
- Submitter Information
- Claim Output Ready
- Medication Administered (not eMAR) [ADD]
- People Medication History not for eMAR
- FinanceClaims
- Claim 2.0 [EDIT]
- Billing Batch Claims Review
Scenario 1: Validate 837 Claim Output For Administered Medications
Specific Setup:
- AM Rate exists for the service.
- Client has active Benefit Assignment.
- A medication order must be completed in Medications.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" button.
- Select "Immediate Run" from the drop down list.
- Fill out required fields.
- Click "Save".
- Click "Actions".
- Select desired claim output from the drop down list.
- Validate information has been listed in the claim output.
- Click "Download Electronic File" button.
- Validate the information is listed in the electronic file.
- Close out of both the electronic file and claim output.
|
Topics
• Finance
• Finance Setup
|
Workflow Scheduler Setup, Rule Type Foster Home
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Workflow Rules Manager
- WorkFlow Header/Grouping
- Qualifiers Subform
- Workflow Qualifiers
- Workflow Triggers [ADD]
- Triggering Events
- Trigger Dates
- Workflow Tasks [ADD]
- Scheduler Worker Assignment Types
- Schedules [ADD]
- Tasks to be Scheduled
- Resource Family Search
- Agency/Programs Table
Scenario 1: NX Workflow Scheduler - Create and Edit New Foster Home Grouping/Header and Rule
Steps
- Navigate to "Agency Setup > Workflow Scheduler Setup > Workflow Scheduler Setup > Workflow Scheduler Setup".
- Select the "Foster Home" Rule Type.
- Click "Create New Rule".
- Select desired "Header/Grouping".
- Set desired "Description".
- Select Qualifier "Home/Applicant Type".
- Select desired value.
- Click "Create New Trigger".
- Select desired trigger.
- Set desired "Task to be Scheduled and a "Schedule".
- Save.
- Re-open the workflow rule.
- Validate "Qualifier" field contains desired qualifier.
|
Topics
• Resource Families
• Workflows
|
Uploaded Image Resizing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Select File for Upload
Scenario 1: Validate Large Uploaded Images are Resized
Specific Setup:
- Available assortment of image files larger than 1024×576 to upload.
- Available service event with image upload.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select Desired Client.
- Add Desired Image Upload Event.
- Upload Desired Image from setup.
- Click the Image File Link.
- Click Open.
- Validate Image is resized to 1024×576.
- Save the event.
- Open the event.
- Click the Image File Link.
- Click Open.
- Validate Image is resized to 1024×576.
|
Topics
• Service Entry
|
Resource Family Portal Login Page
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- RFP Mobile - Login Screen
- RFP Mobile - Home
- RFP Mobile - Tasks
- RFPDefault
Scenario 1: Resource Family Portal - Validate Timeout Landing Page
Specific Setup:
User has access to Resource Family Portal page.
Steps
- Access "Resource Family Portal".
- Wait until homepage refreshes due to timeout inactivity.
- Validate the homepage refreshes to the login screen.
- Validate user can login.
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set the "Inactivity Timeout (hh:mm)" field to 2 minutes.
- Click "Save".
- Navigate back to "Resource Family Portal".
- Verify the timeout message exists.
- Wait until homepage refreshes due to timeout inactivity.
- Verify the login page exists.
- Validate the message contains "You've been signed out of your account to help protect your information. Any action(such as filling out a form) that wasn’t saved has been lost. Please sign back in to resume your activity".
- Navigate back to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set the "Inactivity Timeout (hh:mm)" field back to the original timing.
- Click "Save".
- Log back into "Resource Family Portal"
- Verify the timeout message no longer exists.
- Wait until homepage refreshes due to timeout inactivity.
- Verify the login page exists.
- Validate the message contains "You've been signed out of your account to help protect your information. Any action (such as filling out a form) that wasn’t saved has been lost. Please sign back in to resume your activity".
- Navigate back to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Set the "Inactivity Timeout (hh:mm)" field back to the original timing.
- Click "Save".
- Log back into "Resource Family Portal"
- Verify the timeout message no longer exists.
|
Topics
• Resource Family Portal
|
Look-Up Tables in Resource Family Portal
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- RFP Mobile - Login Screen
- RFP Mobile - Home
- Home Assignments Subform
- Resource Family Group Events
- Member Assignments Subform
- Resource Family Member Events
- Foster Home Milestone [EDIT]
- Resource Family Search
- RFP Mobile - Tasks Listing View - User
- Requirement With Expiration [ADD]
- Staff - Service Providers (by Staff_id)
- RFP Mobile - Tasks
- Resource Family Members
- Resource Family Member Information Form Set
- Client Related Task - New [ADD]
Scenario 1: Resource Family Portal - Validate Navigating Look-Up Table
Specific Setup:
- User has access to "Resource Family Portal".
- User needs a mobile device available.
- Events are added in the "Milestones Setup" in Agency Setup.
Steps
- Navigate to "Resource Families > Foster/Adoptive Home > Information > Member Information".
- Search and select desired family.
- Expand the member row.
- Click the "Requirements" tab.
- Click "Add New".
- Select "Add Task" from the dropdown list.
- Select desired task, that is included in the milestones, from the dropdown list.
- Fill out required fields.
- Click "Save".
- Access "Resource Family Portal".
- Click the "Tasks" tab.
- Click the "Requirements (Member)" cell.
- Select recently scheduled Task from the "To Do" column.
- Validate the look-up tables are filtered to the selected field.
- Fill out other required fields.
- Click "Save".
|
Topics
• Resource Family Portal
|
ECS-60109
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Rate Renewal
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Payers/Contracts Setup 2.0 Form Set
- Payers Setup Table
- ContractsRatesSetup
- Billing Rate - Service Based NX [EDIT]
- Billing Rate Details - Services NX Subform
- Billing Batches Management
- FinanceClaims
- Claim 2.0 [EDIT]
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- Claim Submission Subform 2.0 Subform
Scenario 1: Rate "Renew" Action "Effective Date"
Specific Setup:
- Active rate history on record.
- User has access to Finance Setup.
Steps
- Navigate to "Finance Setup > Payer/Contract/Rates Setup > Payer/Contract/Rates Setup > Billing Rates (A/R)".
- Choose desired payer.
- Expand the "Active Rate History."
- Click on the "Actions" button and choose the "Renew" option.
- Set the "New Rate Name".
- Set the "Effective Date" to the same "Effective Date" as another item within the "Active Rate History".
- Click the "Continue" button.
- Make any desired modifications to the new rate and click "Save".
- Validate the "Effective Date" on the renewed rate.
|
Topics
• Finance Setup
|
ECS-60126
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Period Break Rules for Consolidated Services and Calculate Rate
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- ActionsView
- Claim Submission 2.0 [EDIT]
- Claims Maintenance NX Form Set
- AR Management
- Cash Receipts for Remittance
- All Clients With Security Listing by PeopleID
- Claim Service Lines NX Subform
- Billing Batches Management
- Billing Request Action Based Run [ADD]
- Action Based Run - Claim Action Types
- 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]
Scenario 1: Validate Calculate Rate Honors Break By Place Of Service
Specific Setup:
- Scenario works a client that has billed 2 services that were provided two different place of services.
- Client also has a third service that was provided in a place of service as one of the claims already billed.
- Rate is set up to consolidate by day.
- Rate is set up to "Break by Place of Service".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set search parameters to search for desired claim.
- On the first claim provided in "Place of Service A" select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it includes the second service not yet billed.
- On the second claim provided in "Place of Service B" select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it does not include the second service not yet billed.
Scenario 2: Validate Calculate Rate Honors Break By Staff
Specific Setup:
- Scenario works a client that has billed 2 services that were provided by different staff (staff A and B) on same day.
- Client also has a third service that was provided by staff A on same day, but not yet billed.
- Rate is set up to consolidate by day.
- Rate is set up to "Break by Staff".
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired remittance check.
- Set search parameters to search for desired claim.
- On the first claim provided by Staff A select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it includes the second service not yet billed.
- On the second claim provided by Staff B select "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Validate the "Submission" contains desired event and it does not include the second service not yet billed.
|
Topics
• Finance
|
Drug Library And Medication Order Additions
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Drug Library Form Set
- Drug Category
- Drug Library Maintenance [EDIT]
- Client Search
- Program Enrollments For Use With OrderConnect
- OrderConnect Current Medication Profile
- OrderConnect Custom Orders
- OrderConnect Order Confirmation
- Medication Item No Program [ADD]
- Drug Library Table
- Medication Item [ADD]
Scenario 1: OrderConnect - Validate A Drug Library Record Is Created In myEvolv - Using Micromedex Values
Specific Setup:
- The drug to be used exists in OrderConnect but not in myEvolv.
- The drug being used is a "Code 0" drug classification. These match on Micromedex Numbers.
- A client to be used.
- OrderConnect is configured.
Steps
- Navigate to "Client > Public Health > Medications > Medication History".
- Select the client.
- Select "OC e-Prescription".
- In OrderConnect, add a new order using the medication not in myEvolv and accept it.
- In myEvolv click "Refresh".
- Validate the "Medication History" displays the "Drug Name".
- Navigate to "Agency > Inventory Management > Inventory Item Setup > Medication Item No Program Setup".
- Add a new medication.
- Click the "Medication" look up table on the "MEDICATION ITEM NO PROGRAM" form.
- On the "Drug Library" look up table set the "Drug Name" to the drug name on the medication order.
- Validate the drug name displays.
- Close the look up table and the form.
Scenario 2: OrderConnect - Validate Matches of the Micromedex Number Generates The Medication Order - Using Micromedex Matches
Specific Setup:
- The Micromedex Number exists both in OrderConnect and myEvolv.
- The Micromedex Number only occurs one time in myEvolv.
- A client to be used.
- OrderConnect is configured.
- The drug that OrderConnect is using is a code "0" drug. This is a drug that matches on Micromedex numbers.
Steps
- Navigate to "Client > Public Health > Medications > Medication History".
- Select the client.
- Select "OC e-Prescription"
- In OrderConnect, add a new order using the medication not in myEvolv and accept it.
- In myEvolv click "Refresh".
- Validate the "Medication History" displays the "Drug Name" entered in myEvolv.
Scenario 3: OrderConnect - Validate "Code 1" Drug Libraries, For Micromedex Values, Match On Drug Description And Generates A New Drug Entry In myEvolv
Specific Setup:
- OrderConnect is using a drug classified as a "Code 1" drug to create a Medication Order. This will match based off description values.
- The myEvolv System will not have this description in the "Drug Library".
- A client to be used.
- OrderConnect is configured.
Steps
- Navigate to "Client > Public Health > Medications > Medication History".
- Select the client.
- Select "OC e-Prescription"
- In OrderConnect, add a new order using the "Code 1" drug type and accept it.
- In myEvolv click "Refresh".
- Validate the "Medication History" displays the order with the same "Drug Name" used in OrderConnect.
- Navigate to "Setup > Medication/Substance > Drug Library > Substance/Medications".
- Select the category the drug is configured in that is a direct match.
- Validate the drug is added to the "Drug Library".
- Redo the test.
- Validate the medication order is created.
- Validate only one entry for that drug name exists in the drug library.
|
Topics
• Inventory - Medications
|
ECS-60170
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Held Claims
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Held Claims 2.0 Form Set
- Claim Submissions Held
- AR Management
- Claim Submission for Held Claims 2.0 [EDIT]
- Billing Batches Management
- FinanceClaims
- 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: Action Based Billing Runs – Resolved Held Claims
Specific Setup:
- Claim(s) are within a "Held" status.
- Claim on record for with bulk action.
- User has access to Finance module.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit".
- Select "Calculate Rate".
- Set the desired "Transaction Month" and click the "Save" button.
- Navigate to "Finance > Claim Maintenance > Held Claims > Claim Submission Information".
- Search and select the desired held claim.
- Check off the "Released by User" and the "Released To Be Sent to Payer" checkboxes.
- Click the "Save" button.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click the "Refresh" button.
- Validate the bulk action billing run does not contain the held claim previously released.
- Click the "New" button and select "Immediate Run".
- Set the parameters containing information for the previously held claim.
- Once the billing run completes, validate it contains the previously held claim.
|
Topics
• Finance
|
ECS-60232
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Alerts from Non-Event Based Forms
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Personal Information [EDIT]
- Alerts - Send [ADD]
- Alerts - Recipients B2 Subform
- Staff (All)
- Alerts
- Client Personal Information [VIEW]
- Claims Maintenance NX Form Set
- Claim 2.0 [EDIT]
- Claim 2.0 [VIEW]
- Billing Batch Claims Review
- Billing Plan Output [EDIT]
- Client Finance Related Information Form Set
- Alerts - View [VIEW]
- AlertListing
Scenario 1: Validate Alerts Page
Specific Setup:
User has access to Alerts.
Steps
- Navigate to "Client > Client Information > Personal Information > Demographics"
- Search and select desired client.
- Click the "Send Alert" button.
- Fill out required fields.
- Click the "Send" button.
- Navigate to "Taskbar > Alerts > Alerts > Alerts".
- Click the "Message" link.
- Validate the page contains selected client's personal information.
- Click "Close".
- Click the "Delete" button.
- Click "OK" in the message window.
- Close out the "Alerts" page.
- Navigate to "Finance > Claim Maintenance > Automatic > Claim Information".
- Click the "Select a Claim" button.
- Search and select desired claim.
- Click the "Send Alert" button.
- Fill out required fields.
- Click the "Send" button.
- Click the "View Alerts" button.
- Click the "Message" link.
- Validate the page contains claim information.
- Click the "Original Billing Batch" link.
- Validate the page contains the original billing batch information.
- Click "Close".
- Click "Plan" link.
- Validate the page contains billing plan information.
- Click the "Plan/Contract Rates" tab.
- Validate the page contains plan/contract rates information.
- Click "Close".
- Click the "Client" link.
- Validate the page contains finance related client information.
- Click "Close".
- Close out of the "Claim" page.
- Click the "Delete" button in the "Alert" page.
- Click "OK" in the message window.
- Close out the "Alerts" listbox.
|
Topics
• Alerts
|
Routing NX Activation
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Agency Program Services/Program-User Subform
- Agency Program Services/Program-User [EDIT]
- Routing Workflow Scheme
- Agency Program Services [EDIT]
Scenario 1: Validate Routing NX Basic Approval Workflow
Specific Setup:
- Requires an event that is linked to "Basic Approval Route".
- Scenario assumes Routing Conversion has been completed.
Steps
- Navigate to "Agency Setup > Services Setup > By Program > Individual Services".
- Select desired "Program".
- Open the row for the desired event.
- Click "Routing Workflow Scheme".
- Validate desired routes are listed.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event".
- Select desired event.
- Fill in required fields.
- Save.
- Re-open the event.
- Validate "Routing" button is visible.
- Click "Routing" button.
- Validate new "Routing Window" is visible.
- Route the event to the desired staff.
- Login as staff event is "Routed To"
- Reopen the event and "Approve" the route.
|
Topics
• Routing
• Setup
|
ECS-60267
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Calculate Rate Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- ActionsView
- All Clients With Security Listing by PeopleID
Scenario 1: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
Scenario 2: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
Scenario 3: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
|
Topics
• Finance
|
RFP Form Set Members Link to Event Group
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Resource Family Search
- RFP Mobile - Login Screen
- RFP Mobile - Home
- Home Assignments Subform
- Resource Family Group Events
- Member Assignments Subform
- Resource Family Member Events
- Foster Home Milestone [EDIT]
- Profile Scheduled Tasks [ADD]
- RFP Mobile - Tasks
- Resource Family Members
- Resource Family Member Information Form Set
- Client Related Task - New [ADD]
- RFP Mobile - Tasks Listing View - Home
- RFP Mobile - Tasks Listing View - User
Scenario 1: Resource Family Portal - Validate Formset Member Events
Specific Setup:
User has access to Resource Family Portal.
Steps
- Navigate to "Agency Setup > Agency > Milestone Setup > Foster Home".
- Click the "Milestone Setup" cell.
- Add an event for both "Home Assignments" and "Member Assignments" tables.
- Click "Save".
- Navigate to "Resource Families > Foster/Adoptive Home > Information > Requirements".
- Search and select desired family.
- Click "Add New".
- Select "Add Task" from the drop down list.
- Select recently added event from the drop down list.
- Fill out required fields.
- Click "Save".
- Click the "Member Information" tab.
- Expand desired member cell.
- Select "Requirements" tab.
- Click "Add New".
- Select "Add Task" from the drop down list.
- Select recently added event from the drop down list.
- Fill out required fields.
- Click "Save".
- Access "Resource Family Portal".
- Click the "Tasks" tab.
- Validate the "Requirements" tabs contain number of tasks listed in the Milestone formset member.
- Click the "Requirements (Family)" cell.
- Validate the recently scheduled task is listed in the "To Do" column.
- Click the "Back" button.
- Click the "Requirements (Member)" cell.
- Validate the recently scheduled task is listed in the "To Do" column.
- Navigate back to "Agency Setup > Agency > Milestones Setup > Foster Home" in myEvolv.
- Click the "Milestone Setup" cell.
- Remove the recently added events in both the "Home Assignments" and "Member Assignments" cell.
- Click "Save".
- Navigate back to "Resource Family Portal".
- Click the "Tasks" tab.
- Click the "Requirements (Family)" cell.
- Validate the event remains in the "To Do" column.
- Click the "Requirements (Member)" cell.
- Validate the event remains in the "To Do" column.
|
Topics
• Resource Family Portal
|
Test Questions with Disable Rules and Effective Dates
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Test Events for People Form Set
- Event Category Tests People
- Event Definition User - People [EDIT]
- Agency Program Services/Program-User Subform
- Interface Design Form Set
- FormDesigner
- NX Test [EDIT]
- NX Test Setup Answers (RD) Subform
Scenario 1: Tests With a Test Question With Both a Date Range and Disable Rule - Current Date
Specific Setup:
- In "Agency Setup > Services Setup > By Program > Individual Services" ensure the below fields are checked.
- "Can Submit?"
- "Electronically Signed"
- "Is Active"
- In "Setup > Treatment and Tests > Test Events for People > Test Events" select "Test Events for People".
- Select desired event.
- Set the "Allow Completing in the Future" checkbox.
- In "Setup > User Tools > Interface Design > Form Designer"
- Set the "Form Family" to "Tests and Assessments (People)".
- Set the desired form from the "Form List" which contains at least 3 questions.
- Question 1: This will be used in the disable condition.
- Ensure it has a Question Code "QUESTCODE" set
- Ensure this question has an Answer with an Output Code "OUTCODE"
- Set the "Effective From" on both the question and answer to be at least one day after the current.
- Set the "Effective To" on the answer.
- Question 2: This will contain the disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Question 3: This will contain a disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Ensure the "Effective To" field is not set.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the desired client.
- Click "Add Event" and select the desired event.
- Set the "Actual Date" to today's date.
- Fill out all desired information and click the "Save" button.
- Click on the newly created event.
- Click on the "Submit" button.
- Click the "OK" button on alert message "Are you sure you wish to proceed with submitting this event(s)?".
- Validate the status contains "Signed/Submitted".
Scenario 2: Test With a Test Question With Both a Date Range and Disable Rule - Past Event
Specific Setup:
- In "Agency Setup > Services Setup > By Program > Individual Services" ensure the below fields are checked.
- "Can Submit?"
- "Electronically Signed"
- "Is Active"
- In "Setup > Treatment and Tests > Test Events for People > Test Events" select "Test Events for People".
- Select desired event.
- Set the "Allow Completing in the Future" checkbox.
- In "Setup > User Tools > Interface Design > Form Designer"
- Set the "Form Family" to "Tests and Assessments (People)".
- Set the desired form from the "Form List" which contains at least 3 questions.
- Question 1: This will be used in the disable condition.
- Ensure it has a Question Code "QUESTCODE" set
- Ensure this question has an Answer with an Output Code "OUTCODE"
- Set the "Effective From" on both the question and answer to be at least one day after the current.
- Set the "Effective To" on the answer.
- Question 2: This will contain the disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Question 3: This will contain a disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Ensure the "Effective To" field is not set.
- Event on client record containing a date within the past and within "Pending Submission" status.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the desired client.
- Click "Actions" on the event that is "Pending Submission".
- Select "Submit Service".
- Click "Yes" on the alert message "Are you sure you wish to submit this event".
- Click the "OK" button.
- Validate the event contains a status of "Signed/Submitted".
Scenario 3: Tests With a Test Question With Both a Date Range and Disable Rule - Future Date
Specific Setup:
- In "Agency Setup > Services Setup > By Program > Individual Services" ensure the below fields are checked.
- "Can Submit?"
- "Electronically Signed"
- "Is Active"
- In "Setup > Treatment and Tests > Test Events for People > Test Events" select "Test Events for People".
- Select desired event.
- Set the "Allow Completing in the Future" checkbox.
- In "Setup > User Tools > Interface Design > Form Designer"
- Set the "Form Family" to "Tests and Assessments (People)".
- Set the desired form from the "Form List" which contains at least 3 questions.
- Question 1: This will be used in the disable condition.
- Ensure it has a Question Code "QUESTCODE" set
- Ensure this question has an Answer with an Output Code "OUTCODE"
- Set the "Effective From" on both the question and answer to be at least one day after the current.
- Set the "Effective To" on the answer.
- Question 2: This will contain the disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Question 3: This will contain a disable rule.
- Set the "Disable Rule" to getTestAnswerValue("TESTCODE", "QUESTCODE", "OUTCODE")===true
- Replace the QUESTCODE in the statement above with the appropriate "Question Code" defined within the "Test Header".
- Ensure the "Effective To" field is not set.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the desired client.
- Click "Add Event" and select the desired event.
- Set the "Actual Date" to a future date.
- Fill out all desired information and click the "Save" button.
- Click on the newly created event.
- Click on the "Submit" button.
- Click the "OK" button on alert message "Are you sure you wish to proceed with submitting this event(s)?".
- Validate the status contains "Signed/Submitted".
|
Topics
• Forms
|
ECS-60320
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Password Reset
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]
Scenario 1: Password Reset - Staff
Specific Setup:
The "Work Email" field is set on "Agency > Staff & Security > Staff Information > Staff Profiles with Security" for the desired staff.
Steps
- Set the desired "Username" field.
- Ensure the "Use Active Directory?" checkbox is unchecked.
- Click the "Next" button.
- Click the "Forgot Password?" link and set the desired "Email Address".
- Click the "Reset Password" button.
- Validate message stating "If an account is associated with the desired email you will get a password reset link to your inbox".
- Open email and click on the "here" link.
- Set the "New Password" and "Confirm Password" fields.
- Click the "Change Password" button.
- Validate user can login with the new password.
|
Topics
• Agency
• Staff
|
Foster Home Milestones
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Foster Home Milestone [ADD]
- Home Assignments Subform
- Resource Family Group Events
- Member Assignments Subform
- Resource Family Member Events
- Resource Family Search
- GenericBrowse
- Foster Home Milestone [EDIT]
- Tables Maintenance - Extended Form Set
- Look-up Tables Maintenance - Extended
Scenario 1: Resource Family Portal - Validate Type of Home LUT Options
Specific Setup:
User has access to Resource Families.
Steps
- Navigate to "Setup > System > Table Maintenance - Extended > Tables".
- Click the "Select Table" button.
- Search and select desired table. (Facility Type was used for this test).
- Edit or add a new row.
- Check the "Foster Home" checkbox.
- Click "Save".
- Navigate to "Agency Setup > Agency > Milestone Setup > Foster Home".
- Click "Add New".
- Select "Foster Home Milestone" from the drop down list.
- Fill out required fields.
- Validate the recently updated table description is listed in the "Type of Home" look-up table.
- Select the description.
- Click "Save".
- Navigate to "Resource Families > Foster/Adoptive Home > Information > General Information".
- Click the "Select Family" button.
- Search and select desired resource family.
- Click the "Type" look-up table button.
- Verify the recently added table description exists.
- Select the description.
- Click "Save".
|
Topics
• Resource Family Portal
|
Patient Statement Reports With Front Desk NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Taskbar > Attendance Check In/Out > Check In/Out > Front Desk Daily Check In
- Client Related Task Walk Ins [ADD]
- Staff - Service Providers (by Staff_id)
- All Clients With Security Listing by PeopleID
- Program by Person and Agency (Active)
- Facilities Listing by Program
- Event Definitions with Security by Program
- Location Table (Service)
- Front Desk-Person Information
- Patient Statement Report - Simplified
- Agency [EDIT]
- FrontDeskCheckIn
- Patient Statement
- Front Desk - Client Information [EDIT]
- Report Output Configuration Form Set
- Report Selection Output
- Report Output Configuration [EDIT]
- Patient Statement Look-Up
Scenario 1: "Patient Statement Report by Client - Simplified" Functions In Front Desk NX
Specific Setup:
- The "Front Desk Patient Statement Report" is set to "Patient Statement Report by Client - Simplified ".
- The "Patient Statements" and "Check In W/Form" are configured to display in the "Agency Information" form.
- A client exists that has an appointment scheduled.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Select the "Patient Statement" on the appointment for the client.
- Validate the report selected displays.
- Close the report.
- Select the "Check In W/ Form".
- Click the "Self Pay Statement".
- Validate the report selected displays.
- Close the report and form.
- Validate the client is in the "Checked In" column.
- Click the "Check-In-Form" button.
- Click the "Self Pay Statement".
- Validate it displays.
- Close the report.
Scenario 2: Front Desk NX - Validate Custom Report Footer Reports Function For Patient Statement Reports
Specific Setup:
- Reports are configured in "Setup > System > Report Output > Report Output" with a custom footer. The reports are active.
- Access to the "Front Desk Patient Statement Report" at "Agency Setup > Agency > Agency > Agency Information" on the "Agency-Specific Settings".
- A client that has data to view to allow seeing report and footer.
- The "Patient Statements" and "Check In W/Form" are configured to display in the "Agency Information" form.
Steps
- Navigate to "Agency Setup > Agency > Agency > Agency".
- Set the "Front Desk Patient Statement Report" to the first custom footer report in the precondition.
- Save the form.
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Select the "Patient Statement" on the appointment for the client.
- Validate the report selected above displays and has the custom footer.
- Close the report.
- Select the "Check In W/ Form".
- Click the "Self Pay Statement".
- Validate the report selected above displays and has the custom footer.
- Select "Check-In-Form"
- Click the "Self Pay Statement".
- Validate the report displays and has the custom footer.
- Close the report and form.
- Click "Undo Check-In".
- Redo the test with the second custom footer report in the precondition.
|
Topics
• Finance
• Front Desk
• Reports
|
Amend Group Services
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Service Entry
- Client Search
- Select Group
- Agency [EDIT]
- Program by Person and Enrollment
Scenario 1: Validate Amended An Event Via Service Entry
Specific Setup:
- Requires an event that is set up to be locked, such as "Can Submit".
- Requires a staff that has "Amend" rights to the event.
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.
- Submit the event for approval.
- Click "Actions" button and select "Amend Service".
- Select desired reason.
- Add any additional reasons.
- Validate the event opens up in "Edit" mode.
- Validate it contains "Amendment" reason.
- Close the window.
- Validate the previous event contains a strikethrough with a status of "Amended".
- Validate the new event is listed.
Scenario 2: Validate Group Event Can Be Amended
Specific Setup:
- Requires a group event that can be locked.
- Scenario works with a group event that is set up as "Can Submit".
- Staff should have "Amend Rights" to the event.
Steps
- Navigate to "Groups > Service Management > Service Management > Service Entry".
- Select desired "Group".
- Enter desired "Group Event".
- Submit the event for approval.
- Click "Actions" button.
- Validate "Amend Service" button is listed.
- Select "Amend Service".
- Enter "Amend Reason".
- Save.
- Validate the "Amended Event" opens.
- Validate it contains "Amendment" SubForm with the "Amend Reason".
- Close the event.
- Validate the previous event contains a "Strikethrough" and the status is "Amended".
- Validate the new event is in "Modifiable" status.
Scenario 3: Validate Supervisor Can Amend Event When Limit Amend Is Checked
Specific Setup:
- Staff's navigation has access to desired form.
- Staff has supervisor on record.
- Worker Roll has access to all for desired event.
- The field "Electronically Signed?" is checked on the desired event within "Agency Setup > Services Setup > By Program > Individual Services".
Steps
- Login utilizing Staff A, of which is supervised by Staff B.
- Navigate to "Client > Public Health > Primary Care > Visits".
- Select desired client.
- Click the "Add New" button, and select "Primary Care Visit", from the listing.
- Set the remainder of the desired field and click the "Save" button.
- Click the "E-Sign" button.
- Click "OK" on the alert message containing "Are you sure you want to electronically sign this event? The contents will no longer be editable once it is signed."
- On the newly created event, validate the "Status" contains "Signed".
- Login utilizing Staff B.
- Navigate to "Client > Public Health > Primary Care > Visits".
- Select the same desired client.
- On the event that contains the "Status" of "Signed, click the "Actions" button.
- Select "Amend Service".
- Validate the "Additional Comments" message box containing "If you would like to save additional reason comments for the amendment, please enter below".
- If desired, set the "Additional Reason Comment" and click on "Save Additional Reason Comment" or click the "Amend No Comment.
- Click the "Refresh" button, and validate the "Status" text contains "Amended".
- Validate a new event is created containing the original data prior to the amend process.
Scenario 4: Validate Amended An Event Via Service Entry
Specific Setup:
- Requires an event that is set up to be locked, such as "Can Submit".
- Requires a staff that has "Amend" rights to the event.
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.
- Submit the event for approval.
- Click "Actions" button and select "Amend Service".
- Select desired reason.
- Add any additional reasons.
- Validate the event opens up in "Edit" mode.
- Validate it contains "Amendment" reason.
- Close the window.
- Validate the previous event contains a strikethrough with a status of "Amended".
- Validate the new event is listed.
Scenario 5: Validate Group Event Can Be Amended
Specific Setup:
- Requires a group event that can be locked.
- Scenario works with a group event that is set up as "Can Submit".
- Staff should have "Amend Rights" to the event.
Steps
- Navigate to "Groups > Service Management > Service Management > Service Entry".
- Select desired "Group".
- Enter desired "Group Event".
- Submit the event for approval.
- Click "Actions" button.
- Validate "Amend Service" button is listed.
- Select "Amend Service".
- Enter "Amend Reason".
- Save.
- Validate the "Amended Event" opens.
- Validate it contains "Amendment" SubForm with the "Amend Reason".
- Close the event.
- Validate the previous event contains a "Strikethrough" and the status is "Amended".
- Validate the new event is in "Modifiable" status.
|
Topics
• Agency Setup
• Client
• Event Setup
• Groups
• Service Entry
|
ECS-60403
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Resource Family Portal
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Resource Family Portal
- Alerts - Send To Resource Family Portal Staff [ADD]
- Alerts - Recipients RFP Staff Subform
- Staff (RFP)
- General requirements (Single Day) [VIEW]
Scenario 1: Resource Family Portal - Parent Portal
Specific Setup:
- Applicant that is a member of the Resource Family, should have portal access through "Resource Families > Applicants > Information > Member Information".
- User has access to Family Parent portal.
- Event that can be submitted.
Steps
- Login into the Family portal.
- Click on the client name.
- Click the "Add New" button and select "Add Event".
- Select desired event and set the desired/required fields including the "Completed Date".
- Click the "Save" button.
- Validate the newly created event displays within the "Completed Events".
- Click "X" to close.
|
Topics
• Resource Family Portal
|
ECS-60433
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Improved Performance of Remittance Imports
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: Importing Payment - Service Level
Specific Setup:
- Requires claim(s) that contain single service that are ready to be remitted.
- Requires an "835 Remittance File".
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click on "Upload File".
- Select "Upload 835".
- Click "Choose File".
- Select desired 835 file.
- Set "Deposit Date".
- Click "Upload" button.
- Wait for file to upload.
- Validate "Upload Message".
- Close the "Import" window.
- Click "Actions" button.
- Select "Remittance Report".
- Validate the report displays desired claims with desired statuses.
Scenario 2: Importing Payment - Multiple Service(s) Claim Level
Specific Setup:
- Requires multi service line claims that are ready to be remitted.
- Requires an 835 Remittance File.
Steps
- Navigate to "Finance > Imports/Exports > Imports > Remittance Imports".
- Click on "Upload File".
- Select "Upload 835".
- Click "Choose File".
- Select desired 835 file.
- Set "Deposit Date".
- Click "Upload" button.
- Wait for file to upload.
- Validate "Upload Message".
- Close the "Import" window.
- Click "Actions" button.
- Select "Remittance Report".
- Validate the report displays desired claims with desired statuses.
|
Topics
• Finance
|
Resource Family Home Placements
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Client Related Task - New [ADD]
- RFP Mobile - Login Screen
- RFP Mobile - Home
- RFP Mobile - My Family
- RFP Mobile - My Family - Placement Tasks
- Staff - Service Providers (by Staff_id)
- RFP Mobile - My Family - Fostering Family
Scenario 1: Resource Family Portal - Validate Due Tasks Showing In Placements and Fostering Family
Specific Setup:
- User has access to the Resource Family Portal.
- Resource Family has Placements.
- Placement must be an individual client enrolled in another program separate from the one tied to the Resource Family.
- Staff must have access to service events in event security.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Search and select desired client that is linked to a resource family.
- Click the "Schedule Task" button.
- Select desire task from the drop down list.
- Select a staff that is not linked to a resource family in the "Staff Responsible" field.
- Fill out required fields.
- Click "Save".
- Access "Resource Family Portal".
- Click the "My Family" tab.
- Validate the "Number of Task" cell remains the same number in the "Fostering Family" row.
- Select currently used client from the "Placements" row.
- Validate the recently scheduled task is not listed in the "To Do" column.
- Click the "Back" button.
- Navigate back to "myEvolv".
- Click the "Schedule Task" button.
- Select same task from the drop down list.
- Set the "Staff Responsible" field to staff member linked to resource family.
- Fill out required fields.
- Click "Save".
- Navigate back to "Resource Family Portal".
- Validate the "Number of Tasks" cell has increased by one in the "Fostering Family" row.
- Select previously used client in the "Fostering Family" row.
- Validate the recently scheduled task is listed.
|
Topics
• Resource Family Portal
|
Amending Services From Service Entry or Listings
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Service Entry
- Client Search
- Select Group
Scenario 1: Validate Amended An Event Via Service Entry
Specific Setup:
- Requires an event that is set up to be locked, such as "Can Submit".
- Requires a staff that has "Amend" rights to the event.
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.
- Submit the event for approval.
- Click "Actions" button and select "Amend Service".
- Select desired reason.
- Add any additional reasons.
- Validate the event opens up in "Edit" mode.
- Validate it contains "Amendment" reason.
- Close the window.
- Validate the previous event contains a strikethrough with a status of "Amended".
- Validate the new event is listed.
Scenario 2: Validate Group Event Can Be Amended
Specific Setup:
- Requires a group event that can be locked.
- Scenario works with a group event that is set up as "Can Submit".
- Staff should have "Amend Rights" to the event.
Steps
- Navigate to "Groups > Service Management > Service Management > Service Entry".
- Select desired "Group".
- Enter desired "Group Event".
- Submit the event for approval.
- Click "Actions" button.
- Validate "Amend Service" button is listed.
- Select "Amend Service".
- Enter "Amend Reason".
- Save.
- Validate the "Amended Event" opens.
- Validate it contains "Amendment" SubForm with the "Amend Reason".
- Close the event.
- Validate the previous event contains a "Strikethrough" and the status is "Amended".
- Validate the new event is in "Modifiable" status.
Scenario 3: Validate Amending An Event Via Listing Page
Specific Setup:
- Requires an event that is set up to be locked, such as "Can Submit".
- Requires a staff that has "Amend" rights to the event.
- Requires an event that can be access via a "Listing" page.
Steps
- Navigate to desired listing such as "Client > Case Management > Service Management > Assessments".
- Select desired client.
- Click "Add New" and select desired event.
- Fill in required fields.
- Save.
- Submit the event for approval.
- Click "Actions" button and select "Amend Service".
- Select desired reason.
- Add any additional reasons.
- Validate the event opens up in "Edit" mode.
- Validate it contains "Amendment" reason.
- Close the window.
- Validate the previous event contains a strikethrough with a status of "Amended".
- Validate the new event is listed.
Scenario 4: Validate Amended An Event Via Service Entry
Specific Setup:
- Requires an event that is set up to be locked, such as "Can Submit".
- Requires a staff that has "Amend" rights to the event.
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.
- Submit the event for approval.
- Click "Actions" button and select "Amend Service".
- Select desired reason.
- Add any additional reasons.
- Validate the event opens up in "Edit" mode.
- Validate it contains "Amendment" reason.
- Close the window.
- Validate the previous event contains a strikethrough with a status of "Amended".
- Validate the new event is listed.
Scenario 5: Validate Group Event Can Be Amended
Specific Setup:
- Requires a group event that can be locked.
- Scenario works with a group event that is set up as "Can Submit".
- Staff should have "Amend Rights" to the event.
Steps
- Navigate to "Groups > Service Management > Service Management > Service Entry".
- Select desired "Group".
- Enter desired "Group Event".
- Submit the event for approval.
- Click "Actions" button.
- Validate "Amend Service" button is listed.
- Select "Amend Service".
- Enter "Amend Reason".
- Save.
- Validate the "Amended Event" opens.
- Validate it contains "Amendment" SubForm with the "Amend Reason".
- Close the event.
- Validate the previous event contains a "Strikethrough" and the status is "Amended".
- Validate the new event is in "Modifiable" status.
|
Topics
• Client
• Groups
|
ECS-60572
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
Billing Execution Interval
Scenario 1: "Billing Execution Interval" Value
Specific Setup:
User has access to Setup module.
Steps
- Navigate to "Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Select "Billing Preferences" from the form line listing.
- Set the "Billing Execution Interval" input box to 60.
- Click the "Save" button.
- Set the "Billing Execution Interval" input box to 61.
- Navigate off the field, and validate "Invalid entry. The value must be between 1 and 60." displays.
- Click the "OK" button.
- Set the "Billing Execution Interval" input box to desired minutes.
- Click the "Save" button.
|
Topics
• Setup
|
ECS-60629
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Billing Processing Improvements
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- AR Management
- Cash Receipts for Remittance
- ActionsView
- Billing Batches Management
- Immediate Billing Run Request [ADD]
- Submitter Information
- Billing Run Request Limit Facilities by Staff Loc Subform
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- FinanceClaims
- Claims Maintenance NX Form Set
- Claim Submission 2.0 [EDIT]
- Claim 2.0 [EDIT]
Scenario 1: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
Scenario 2: Validate Billing Authorization Claims With Large Service Bundle
Specific Setup:
- Requires services that can be billed.
- Scenario works with services that require "Authorization".
- Client's billing authorization service details is linked to a "Service Bundle" that contains a large amount of rate/services.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claims.
- Save.
- Wait for billing to run.
- Validate the billing batch generated with the desired claims.
Scenario 3: Validate Flag Create Mirror Services And Create Mirror Claims And Invoices
Steps
- Navigate to " Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Check the flag "Create Mirror Services".
- Validate "Create Mirror Claims and Invoices" is unchecked.
- Save.
- Wait for overnight billing job to run.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click on "View Last Run" link.
- Validate Step 4 and 5 are visible for "Run Services Mirror".
- Validate Step 6 "Run Services Billed Mirror" is not listed.
- Navigate to " Setup > System > EvolvCS System Setup > System Settings/Preferences".
- Check the flag "Create Mirror Services".
- Check the flag "Create Mirror Claims and Invoices".
- Save.
- Wait for overnight billing job to run.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click on "View Last Run" link.
- Validate Step 4 and 5 are visible for "Run Services Mirror".
- Validate Step 6 "Run Services Billed Mirror" is listed.
Scenario 4: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
|
Topics
• Finance
|
ECS-60755
Summary
|
Details
11.0.0125, 11.0.0050.06, 11.0.0075.03, 11.0.0100.01
CareFabric Receiver Revision Version
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Taskbar > System Maintenance > CareFabric > SDK Health Check
Scenario 1: CareFabric Receiver Revision Version
|
Topics
• Taskbar
|
ECS-60784
Summary
|
Details
11.0.0125, 11.0.0050.07, 11.0.0075.04, 11.0.0100.02
Fast Track by Client
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Fast Track By Client NX [ADD]
- All Clients With Security Listing by PeopleID
- Location Table (Service)
- Fast Track Service Entry Events XB Subform
- Program by Person and Agency (Active)
- Client Search
- Client Service Entry
- Simple Service Entry with Rating 2 [EDIT]
- Simple Service Entry with Rating 2 [DELETE]
- Activity Event [DELETE]
Scenario 1: Fast Track By Client - Validate Saving The Form Functionality
Specific Setup:
- Client enrolled in Program with services set up for Fast Track.
- At least two events exist. "Event1" will have progress notes. "Event2" will not have progress notes.
Steps
- Navigate to "Taskbar > Fast Track > Fast Track > Fast Track by Client".
- Enter filters and click "Get Services".
- Check the two events in the precondition. In this example "Event1" and "Event2".
- Fill in the duration on the two events.
- Fill in the progress note information on the "Event1".
- For "Event2" do not enter a progress note.
- Validate when the check boxes are selected the "Service Header" fields are disabled.
- Click on the "Save" button.
- Validate the form refreshes.
- Validate the "Service Header" retains the values entered.
- Validate the "Services" are no longer check marked.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select the client.
- Validate the services from the "Fast Track by Client" display and are accurate.
|
Topics
• Fast Track
|
SubReport - Time Zone
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Client Related Task - New [ADD]
Scenario 1: SubReports With "Time difference from server time (hours)" set to "0"
Specific Setup:
- System Setting "Prompt Schedule Next Event" under "Setup > System > EvolvCS System Setup > System Settings/Preferences" is checked.
- Test event that can be scheduled exists in test system.
- Test event containing a SubReport of "Scheduled Task for People - Incompleted All".
- "Time difference from server time (hours)" is set to "0" and configured by Netsmart.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry" and select desired client.
- Click "Add Event" and select the desired event.
- Set the desired/required fields and click the "Save" button.
- Click "OK" on the "Would you like to schedule the next event?".
- Set the "Scheduled Date/Time" and any other desired/required fields.
- Click the "Save" button.
- Validate the first event status contains "Pending Submission".
- Validate the scheduled event status contains "Scheduled".
- Click on the event that is "Pending Submission".
- Validate the "Scheduled Date" is visible on the SubReport and contains the accurate time.
- E-sign and Route the event.
- Open the event and validate the "E Sign Locked Date" and "Scheduled Date".
Scenario 2: SubReports When "Time difference from server time (hours)" Is Set
Specific Setup:
- System Setting "Prompt Schedule Next Event" under "Setup > System > EvolvCS System Setup > System Settings/Preferences" is checked.
- Test event that can be scheduled exists in test system.
- Test event containing a SubReport of "Scheduled Task for People - Incompleted All".
- "Time difference from server time (hours)" is set to "3" and configured by Netsmart.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry" and select desired client.
- Click "Add Event" and select the desired event.
- Set the desired/required fields and click the "Save" button.
- Click "OK" on the "Would you like to schedule the next event?".
- Set the "Scheduled Date/Time" and any other desired/required fields.
- Click the "Save" button.
- Validate the first event status contains "Pending Submission".
- Validate the scheduled event status contains "Scheduled".
- Click on the event that is "Pending Submission".
- Validate the "Scheduled Date" is visible on the SubReport and contains the accurate time.
- E-sign and Route the event.
- Open the event and validate the "E Sign Locked Date" and "Scheduled Date".
|
Topics
• Setup
|
ECS-60826
Summary
|
Details
11.0.0125, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
Billing Process Step 12 Optimized
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
- Agency [EDIT]
- AR Management
- Cash Receipts for Remittance
- ActionsView
- All Clients With Security Listing by PeopleID
Scenario 1: Validate Finance Processing History
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Immediate Run".
- Fill in required fields to generate a billing run.
- Click "Billing Processing History".
- Click "Start Billing Now".
- Click "Refresh".
- Validate "Billing Processing Log" row exists with today's date and start time.
- Click "Actions" button.
- Select "View Detailed Status".
- Validate it contains "Processing History"
- Wait 10 seconds.
- Validate screen automatically updates with processing history.
Scenario 2: Validate Flag Prevent Billed Services From Billing Again
Specific Setup:
- Scenario works with a client that has two "Primary, Sequence 1 Benefit Assignments".
- Both "Benefit Assignments" are set up to bill the same service.
Steps
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Check the flag "Prevent Billed Services From Billing Again".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run".
- Select "Immediate Run".
- Select desired "Submitter".
- Fill in remaining required fields to bill desired service.
- Wait for billing to run.
- Validate desired claim is generated.
- Click "New Run".
- Select "Immediate Run".
- Select desired "Submitter" from clients "2nd Benefit Assignment".
- Fill in remaining required fields to bill desired service.
- Wait for billing to run.
- Validate 0 claims are generated.
- Navigate to "Agency Setup > Agency > Agency > Agency Information".
- Uncheck the flag "Prevent Billed Services From Billing Again".
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "Actions" button on the 0 claim run and select "Reprocess".
- Wait for billing to run.
- Validate desired claim is generated.
Scenario 3: Validate Calculate Rate Performance
Specific Setup:
Scenario works with at least 5 claims that can be waterfalled to secondary payer.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired check.
- Set search parameters to search for desired claims.
- Click "Add Action" and select "Resubmit to Other/Waterfall".
- Select "Calculate Rate".
- Validate the claim submission is returned.
- Repeat for the remaining the claims.
- Save.
- Validate the "Resubmit" saved and each claim has a new submission to the secondary payer.
|
Topics
• Finance
|
CCD -Manual Upload
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CCD Inbox
- Upload HL7 File
Scenario 1: CCD Inbox Upload
Specific Setup:
- CCD file available for upload.
- User has access to CCD Inbox.
Steps
- Navigate to "Taskbar > System Maintenance > CCD Inbox > CCD Inbox".
- Click "CCD Upload".
- Click "Choose File" and select the desired file.
- Click the "Upload" button.
- Validate the file contains desired data.
- Click the "X" to close and click the "Refresh" button.
- Validate the "Date Entered" contains the desired date.
- Validate the "Document Type" contains "CCD".
- Validate the "Provider From" contains "Manual Upload".
- Validate the "Name on Import File" contains the desired name.
|
Topics
• CCD
|
DFT P03 Outbound
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: HL7 Outbound Legacy
Specific Setup:
Claims are ready for HL7 generation.
Steps
- Navigate to HL7 Outbound.
- Generate file.
- Validate "Date Entered", "Processing Started", "Processing Finished", "Control Number".
- Validate "Batch Contents" displays.
|
Topics
• Finance
|
Diagnoses Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- As Of Date With Parms [ADD]
- Report: Diagnoses Information
Scenario 1: Diagnoses Information Report
Specific Setup:
- Clients containing diagnosis data.
- User has access to Reports module.
Steps
- Navigate to "Reports > Clients > Health/Medical > Diagnoses Information".
- Set the "As Of Date" to the current date.
- Click the "Preview" button.
- Validate the report produces data within an acceptable time.
- Click the "PDF" button.
- Once file loads, validate data on report and close the file.
- Click the "Print" button.
- Once the file loads, validate data on report and click the "Cancel" button.
|
Topics
• Reports
|
Adding Progress Note to Locked Event
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Notes [VIEW]
- Notes [EDIT]
- Notes [ADD]
- Staff - Service Providers (by Staff_id)
- Client Service Management Form Set
Scenario 1: Validate Add/Edit/Delete Access Off A Progress Note On A Locked Event
Specific Setup:
- Requires an event that is set up with "Progress Note".
- Requires an event that can be locked, scenario works with an event that is set up as "Can Submit".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client.
- Click "Add Event" and select desired event.
- Fill in required fields.
- Under "Progress Note" enter a desired note.
- Save.
- Click "Actions" button and select "Submit".
- Click "Actions" button and select "Notes".
- Click "Actions" button on the progress note row and validate "Delete" button does not exist.
- Open the progress note.
- Validate it is in "View" mode and cannot be edited.
- Validate "Delete" button does not exist.
- Close the progress note.
- Click "Add New" and select "Notes".
- Enter desired staff and new progress note.
- Save.
- Validate the listing contains the second note.
|
Topics
• Service Entry
|
Authorization Alerts Job
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- BillingProcessHistory
- EvolvUtils
Scenario 1: Create Scheduled Job for Authorization Alerts Optimization
Specific Setup:
Access to "Finance > Utilities > Finance Utilities > Finance Utilities".
Steps
- Navigate to "Finance > Utilities > Finance Utilities > Finance Utilities".
- Run "Create Scheduled Job for Authorization Alerts".
- Validate quick successful run.
|
Topics
• Finance
|
Front Desk Calendar
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 Schedule [EDIT]
- Staff Schedule Details B2 Subform
- FrontDeskCheckIn
- Service and Attendance Facilities Listing
- FrontDeskCalendar
- Front Desk Calendar Appointment [ADD]
- Active events by Program or Clinic2
- Front Desk People Search
- Staff - Service Providers (by Staff_id) NES
- Program by Managing Office and Agency
- People Search with New
- Staff - Service Providers by Program and Facility
Scenario 1: Staff Work Schedule Location/Site
Specific Setup:
- Agency > Staff & Security > Staff Information > Work Schedule contains a "Workday" where "Start Time" and "End Time" differ for two different "Location/Site".
- Staff has access to Front Desk.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the desired "Location" and "Date".
- Click the "View Calendar" button.
- Validate the schedule contains the desired available times.
- Schedule an appointment for the first location and close the Front Desk Calendar window.
- Set a different "Location" with the same "Date" as previously set.
- Click the "View Calendar" button.
- Validate the schedule contains the desired available times.
- Schedule an appointment for the second location and close the Front Desk Calendar window.
- Set the "Location" and "Date" used from the first appointment scheduled.
- Click the "Apply Filters" button and validate the newly created appointment is present within the "Scheduled" column.
- Set the "Location" and "Date" used from the second appointment scheduled.
- Click the "Apply Filters" button and validate the newly created appointment is present within the "Scheduled" column.
Scenario 2: Validate Appointment Is Visible When Staff Is at Multiple Locations
Specific Setup:
- Work schedule availability is set for staff on one day and multiple locations.
- Location 1
- Location 2
- Staff has "Allow Front Desk Scheduling Across Locations" set.
- User has access to Staff and Security.
- User has access to Front Desk module.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the "Location" to the first location.
- Click the "View Calendar".
- Set the filter to the desired staff and day that contains the multiple locations.
- Validate the desired "Start Time" and "End Time" are available.
- Set the "Location" to the second location.
- Set the filter to the desired staff and day that contains the multiple locations.
- Validate the desired "Start Time" and "End Time" are available.
- Set the "Location" to the first location.
- Set the filter to the desired staff and day that contains the multiple locations.
- Click the "New Appointment" button.
- Set the desired/required fields and save.
- Close the window.
- Set the "Location" to the first location.
- Set the "Date" to the date used for the new appointment.
- Click on "Apply Filters" and validate the newly created appointment is within the "Scheduled" column.
- Set the "Location" to the second location and click on the "Apply Filters" button.
- Validate the newly created appointment is not present for this location.
Scenario 3: Validate "Unavailable on Schedule"
Specific Setup:
- Agency > Staff & Security > Staff Information > Work Schedule is set for a location.
- Staff has access to Front Desk.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the desired "Location".
- Click the "View Calendar".
- Set the filter to the desired staff and date.
- Validate the appropriate block of time contains "Unavailable on Schedule".
Scenario 4: Advanced Filter - Staff Within Multiple Locations
Specific Setup:
- Work schedule availability is set for staff on one day and multiple locations.
- Staff has "Allow Front Desk Scheduling Across Locations" set.
- User has access to Front Desk module.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set the desired filters.
- Click the "View Calendar" button.
- Set the "Facilities" to one of the desired locations.
- Click on "Advanced" within the filters section.
- Set the "Staff" field and "Date Range" fields, which contain the staff/date with multiple locations set.
- Set any other desired/required fields and click on the "Search" button.
- Validate the "Available Time".
- Close the window.
|
Topics
• Agency
• Front Desk
• Staff
|
ECS-61348
Summary
|
Details
11.0.0125, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
Finance Report - "A/R Account Balances"
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Claim Maintenance - Manual 2.0 Form Set
- Claims - Manual
- Claim - Manual [EDIT]
- As of Month/Year w Params and Selection [ADD]
- Report Selection Picklist
- Report Parameters PickList
- All Clients With Security for Reports
- Report: Account Receivable Balances
Scenario 1: Manual Claims Report "A/R Account Balances"
Specific Setup:
- Manual claim that was converted into Finance NX with zero balance.
- User has access to Finance module.
Steps
- Navigate to "Finance > Reports > GL Transactions > A/R Account Balances".
- Set the "As Of Month" and "As Of Year" fields.
- Set the "Report Selection" to "Aging Details by Client - Age From Service Date".
- Set the "Parameters" to "Client" with the desired client within the "Value" field.
- Click the "Preview" button.
- Validate the output does not contain the converted claim with a zero balance.
|
Topics
• Finance
• Reports
|
ECS-61544
Summary
|
Details
11.0.0125, 11.0.0075.05, 11.0.0050.08, 11.0.0100.03
Front Desk Calendar - Staff Work Schedule
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 Schedule Details B2 Subform
- FrontDeskCheckIn
- FrontDeskCalendar
- Front Desk Calendar Appointment [ADD]
- Staff - Service Providers (by Staff_id) NES
- Front Desk People Search
- Active events by Program or Clinic2
- Staff Schedule [EDIT]
Scenario 1: Validate Scheduling an Appointment After Block Time, Does Not Change the Blocked Time Off
Specific Setup:
- Staff work schedule is set within "Agency > Staff & Security > Staff Information > Work Schedule".
- Schedule containing a full day with a blocked time in-between start/end times.
- User has access to Front Desk module.
- Staff Listing: This option filters the calendar to show a specific staff member. To be included in the Staff List on the Front Desk calendar, a staff member must have a facility designated as a primary managing office, have a job title that is flagged as "Listed in Calendar Staff List", and not be end-dated.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Click on the "View Calendar" button.
- Set the desired staff within the filters.
- Click on the desired date within the calendar.
- Validate "Unavailable on Schedule" displays for desired time.
- Click on "New Appointment".
- Set the "Facility" to the facility that contains the blocked time.
- Set the "Staff Responsible" that contains the blocked time.
- Set the "Date/Time" to be either before/after the blocked time.
- Set any other desired/required fields and click "Save".
- Validate the "Unavailable on Schedule" displays for the desired time.
Scenario 2: Front Desk Schedule – Staff With Multiple Blocks and Locations
Specific Setup:
- Staff work schedule is set within "Agency > Staff & Security > Staff Information > Work Schedule".
- Schedule containing a full day with a blocked time in-between start/end times.
- Schedule for the same day split time between two different locations.
- Schedule containing information within the "Description".
- User has access to Front Desk module.
- Staff Listing: This option filters the calendar to show a specific staff member.
- To be included in the Staff List on the Front Desk calendar, a staff member must have a facility designated as a primary managing office, have a job title that is flagged as "Listed in Calendar Staff List", and not be end-dated.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX".
- Set desired "Location".
- Click on the "View Calendar" button.
- Set the desired staff within the filters.
- Click on the desired date within the calendar.
- Validate "Unavailable on Schedule" displays for desired dates/ time(s).
- Validate the available time slots for desired date/time(s).
- Validate desired "Description" displays within set time slots.
- Click on "Facilities" drop down and select the other location.
- Validate "Unavailable on Schedule" displays for desired dates/ time(s).
- Validate the available time slots for desired date/time(s).
- Validate desired "Description" displays within set time slots.
|
Topics
• Front Desk
|
TeleHealth Appointment Messages
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Client Related Task - New [ADD]
- Client Related Task - New [EDIT]
- Client Related Task - New [DELETE]
Scenario 1: Validate Message Transmissions - TeleHealthAppointmentCreated/Updated
Scenario 2: Validate Message Transmissions - TeleHealthAppointmentDeleted
|
Topics
• Telehealth
|
ECS-62380
Summary
|
Details
11.0.0150, 11.0.0075.06, 11.0.0100.04, 11.0.0125.01
CCD Style Sheet
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CCD Inbox
- Upload HL7 File
- HL7 Export (CLIENT) [DELETE]
- Clinical Summary [ADD]
- CCD Purpose for Clinical Summary with SDK
- Clinical Summary [EDIT]
- Clinical Document
- CCD_Download_form
- Client Search
- hl7 Log Export (All) [ADD]
- All People Table
- HL7 Document Types
- HL7 Export (CLIENT) [ADD]
- Query HIE
- Query CQN
Scenario 1: CCD - CCD Inbox Upload
Specific Setup:
- CCD file available for upload.
- User has access to CCD Inbox.
Steps
- Navigate to "Taskbar > System Maintenance > CCD Inbox > CCD Inbox".
- Click "CCD Upload".
- Click "Choose File" and select the desired file.
- Click the "Upload" button.
- Validate the file contains desired data.
- Click the "X" to close and click the "Refresh" button.
- Validate the "Date Entered" contains the desired date.
- Validate the "Document Type" contains "CCD".
- Validate the "Provider From" contains "Manual Upload".
- Validate the "Name on Import File" contains the desired name.
Scenario 2: CCD - Validate "Clinical Summary" Generation With The Form "Referrals>Clinical Summary"
Specific Setup:
- CCD is configured.
- A client to be used that needs a "Clinical Summary".
Steps
- Navigate to "Client > Referrals > Clinical Summary > Clinical Summary".
- Select the client.
- Add a new "Clinical Summary".
- Fill in the form.
- Set the "CCD Purpose" to any value.
- Check the "Create All CCD Segments".
- Click Save.
- Edit the record created.
- Validate the "Include CCD Section" contains a two buttons under "CCD".
- Click the "View CCD" button, the right one.
- Validate the summary displays.
- Close the form.
- Select the "Download CCD" button, the left one.
- Validate the file is downloaded.
Scenario 3: CCD - Inbox Exporting - Validate Functionality
Specific Setup:
Steps
- Navigate to "Taskbar > System Maintenance > CCD Inbox > CCD Inbox".
- Click the "Export" button.
- Select a Person
- For the "HL7 Type" look up table, select "CCD - Continuity of Care Document".
- Save the form.
- Verify the record is added to the CCD Inbox list.
- Select the "View CCD" from the "Actions" button.
- Validate the "CCD" opens a new page and is viewable.
- Navigate to " Client > Client Information > Health Information > CCD/HL7 Import/Export".
- Repeat the above test.
Scenario 4: CCD - Viewing "HIE" From Actions Button On CCD/HL7 Import/Export
Specific Setup:
- CCD is configured.
- A client has CCD's to download.
Steps
- Navigate to "Client > Client Information > Health Information > CCD/HL7 Import/Export".
- Select the client.
- Click the "Actions" button and select "HIE".
- Click the "Find Available CCD's" button.
- Select the "CCD's Available to Download".
- Click "Download Selected CCD" button.
- View the CCD downloaded.
- Validate the CCD displays.
Scenario 5: CCD - Viewing "CQN" From Actions Button On CCD/HL7 Import/Export
Specific Setup:
- CCD is configured.
- A client has CCD's to download.
Steps
- Navigate to "Client > Client Information > Health Information > CCD/HL7 Import/Export".
- Select the client.
- Click the "Actions" button and select "CQN".
- Click the "Find Available CCD's" button
- Select the "CCD's Available to Download".
- Click "Download Selected CCD" button
- View the CCD downloaded.
- Validate the CCD displays.
|
Topics
• CCD
|