Daily Unit Cap Now Supported in Finance NX
Finance NX now supports setting a cap on how many units a client can bill for in a day. Claims that exceed this count will still be created, but they will be withheld from claim outputs and the GLs will be written off.
Value Added: There is now parity between Finance CS and Finance NX with regard to Daily Unit Cap functionality.
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Topics
• Finance
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Family Cap WaterFall Functionality
NX Finance will now honor "Family Cap" set on "Self Pay Guarantor", when waterfalling claims to secondary payer that is flagged as "Locality" and "Patient Responsibility" is set.
Value Added: Family Cap functionality is supported.
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Topics
• Finance
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DOE Invoice and DOE School Invoice
The DOE Invoice and DOE School Invoice is available.
Value Added: DOE Invoice and a DOE School Invoice's are supported within billing batches.
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Topics
• Reports
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Real-Time Authorization Alerts: Send Now Utility
The Real-Time Authorization Alerts: Send Now Utility, is available.
Value Added: Real-Time Authorization Alerts has achieved parity.
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Topics
• Alerts
• Finance
• Setup
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Maine Adult Residential Billing
Maine Adult Residential Billing (MARB) is now supported in Finance NX.
Value Added: Achieved parity between Finance NX and myEvolv Finance with regard to MARB.
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Topics
• Finance
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Program Transfer With Program Modifier
"Effective Date and Time" is available when adding a "Program Modifier" during a "Program Enrollment Transfer".
Value Added: Ability to add "Effective Time" when adding a "Program Modifier" via "Program Transfer".
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Topics
• Client
• Finance
• Forms
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Output Staff In 2300 Loop NTE Segment
A new flag on receiver setup "Output Staff In 2300" with output staff billing information in 2300 Loop NTE Segment.
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Topics
• Finance
• Finance Setup
• Staff
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MCG+ Add Procedure Code to Event Setup
Event setup will now contain "Procedure Codes for Billing" Look Up Table for Mobile Caregiver+.
Value Added: Users will experience greater accuracy when creating events for Mobile Caregiver+.
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Topics
• Event Setup
• Third Party Solution
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Patient Statement - Ability to Pay Report Selection
The Patient Statement Report includes "Patient Statement Report by Ability to Pay" report selection.
Value Added: Enhanced user experience when utilizing the Patient Statement report functionality.
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Topics
• Finance
• Reports
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AR Management
In AR Management, when using the Claim Range parameter either alone, or in conjunction with other parameters with no remittance selected, claims with a 0.00 balance will be returned if they match the selected parameters.
Value Added: Users will experience greater accuracy when searching on claims in AR Management.
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Topics
• Finance
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Component Plan Library Type
When copying a treatment plan component, the component plan "Type of Library" is also copied.
Value Added: Simplify the copying of treatment plan components and configuring for use.
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Topics
• Forms
• Treatment Plans
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Client Service Report
The client service report will display the staff signature line that is active for the date the event occurred.
Value Added: The client service report will interpret blank expiration dates for signature lines as active.
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Topics
• Reports
• Service Entry
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Billing Authorization SubReport
The view "authorization_details4report_view" has been refactored for improved performance.
Value Added: Users will experience improved performance when loading forms with a SubReport that uses the "authorization_details4report_view."
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Topics
• Finance
• Reports
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DiagnosisCodes list
MobileCareGiver+ Appointment messages support DiagnosisCodes list.
Value Added: Enhanced outbound messages from Evolv populating the DiagnosisCodes.
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Topics
• Third Party Solution
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Claim Status Details
Claim Status details display for 835 remittance imports.
Value Added: Enhanced user experience when viewing the claim status details on 835 remittance imports.
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Topics
• Finance
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Treatment Plan Problem Category Propagation
Selecting a problem category in a treatment plan will propagate the category across treatment plan nodes in NX.
Value Added: Added support for problem category propagation across treatment plan nodes.
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Topics
• Treatment Plans
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Collaterals
Copying Collateral information is supported.
Value Added: Users will experience a streamlined process when adding Collaterals across family members.
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Topics
• Client
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Prevent Duplicate Policy Numbers
New field "Prevent Duplicate Policy Numbers" is now available.
Value Added: Users will experience greater accuracy when using Benefit Assignments.
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Topics
• Finance Setup
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Tests/Assessments Completion in Bells.ai
The following Test/Assessments Questions are supported:
Multiple Choice (Single Select)
Numeric, Direct Score Entry
Narrative
Date Entry
Pick From Look-up Table
Multiple Choice (Multi-Select)
Value Added: Bells.ai users can now enter Test/Assessments.
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Topics
• CareConnect
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CareFabric NIAM Account ID
The niamAccountID will be sent through CareFabric for users configured with "Use NIAM Authentication".
Value Added: Enhancement for greater efficiencies within account maintenance.
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Topics
• NIAM
• Third Party Solution
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Telehealth Group Appointments
CareFabric messages support scheduling, creating, updating and deleting Group Telehealth appointments.
Value Added: Telehealth Group appointments are supported by CareFabric Messages.
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Topics
• Telehealth
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New Setting To Use Patient Responsibility Amount When Waterfalling to Self-Pay
A new setting "Use PR Amount on Calculate Rate" is now available on self-pay plans. When waterfalling to a self-pay plan with this setting checked and using Calculate Rate, the system will return the patient responsibility amount. The AR Management screen has been modified to provide an option to use Patient Responsibility when selecting your amount and Waterfalling to a self-pay plan. This will be the default option selected in such a scenario. If no PR amount has been set on the submission, then this option will function the same as Remaining Balance.
Value Added: Enhanced user experience within the AR Management screen.
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Topics
• Finance
• Finance Setup
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ObservationResource Events
ObservationResource messages will now be supported.
Value Added: Enhanced user experience with Physical Characteristic events.
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Topics
• Third Party Solution
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ObservationResource Events With Multi Components
Sending ObservationResource Events supports vitals with multiple components.
Value Added: Enhanced user experience with ObservationResource Events with Multi Component Vitals.
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Topics
• Third Party Solution
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Formset Member to Call Added to Form Designer
Users can now declare a formset member to call alongside the formset. This will allow users to navigate to the specific tab they would like.
Value Added: Users will be able to navigate to specific preferred tabs.
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Topics
• Forms
• Service Entry
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Bells.ai Signature Images
myEvolv will support the Bells.ai client signature images.
Value Added: myEvolve will support client signatures on events from Bells.ai.
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Topics
• Service Entry
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Integration of myEvolv and AlphaCollector
myEvolv is now integrated with AlphaCollector. If your agency is interested in learning more about this integration, please contact your CAE.
Value Added: AlphaCollector leverages automation to help the staff engagement to maximize productivity, reducing write-offs and can increase oversight and quality performance.
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Topics
• Finance
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Telehealth Field
The groups schedules sub form and task form now has a new field called “is telehealth?”
Value Added: Increased efficiency as users will be able to create and manage virtual appointments for groups.
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Topics
• Groups
• Telehealth
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Telehealth for Group Appointments
New features have been added to display Telehealth indicator for Group appointments in service entry and Front Desk.
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Topics
• Groups
• Telehealth
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Group Services Report
New features have been added to include Teleheath for CSV output for Group Services Report.
Value Added: Users are able to view group services flagged for Telehealth in CSV output.
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Topics
• Groups
• Telehealth
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Maine Adult Residential Billing Report
The Maine Adult Residential Billing Report is now supported in Finance NX and available at the following breadcrumb: "Finance > Reports > Accounts Receivable > MARB Report".
Value Added: Achieved parity between Finance NX and myEvolv Finance with regard to MARB Report.
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Topics
• Finance
• Reports
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Claim Maintenance Manual Intervention
Claim Maintenance Manual Intervention form is now available to allow updating "Amount Charged" on claims generated using "Maine Residential Billing".
Value Added: Achieved parity between Finance NX and myEvolv Finance with regard to MARB Manual Intervention.
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Topics
• Finance
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"Calendar Appointments" Report
Reporting for "Calendar Appointments" is available.
Value Added: Users will have greater visibility on Client appointments and their status.
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Topics
• Front Desk
• Reports
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CareFabric Client Messages
CareFabric Client messages have been refactored for performance optimization.
Value Added: Performance improvements for SDK processes.
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Topics
• CareConnect
• CareConnect Inbox
• myEvolv NX
• OrderConnect
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Staff Reports Routing Report
After selecting a "Report Selection", the Staff Reports Routing Report can be run. This is a report for classic routing only. KB0075087 v0.01
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Topics
• Reports
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Improved Performance Of RevConnect Integration
Performance improvements of the integration of myEvolv with RevConnect.
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Topics
• Agency Setup
• Finance
• Finance Setup
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LA IBHIS Outpatient Episodes
myEvolv supports one outpatient active episode under each different legal entity.
Value Added: Now myEvolv support one outpatient active episode under each different legal entities.
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Topics
• LA IBHIS
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Improved Performance On "Agency Program Services" Setup Save
The process of saving for the "Agency Program Services" setups has been refactored for improved performance.
Value Added: The saving of the "Agency Program Services" configurations will be faster.
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Topics
• Agency Setup
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Clinic Scheduled Events and On Demand Billing
When an event is scheduled to Clinic rather than program, once the event is in the "In Progress" column under "Taskbar > Attendance Check In/Out > Check In/Out > Front Desk NX" the "Run On-Demand Billing" button will be available provided the event is set up for On-Demand billing.
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Topics
• Finance
• Front Desk
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Outbound DFT^P03: Honor Placement Claim Date
The FT1-04 segment will use the "invoice end date" of the placement claim of the event. This extends to multi-day consolidated claims as well, where multiple days might be consolidated into a single claim.
Value Added: The actual end date of the service will be used in the outbound file.
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Topics
• Third Party Solution
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Outbound DFT^P03 - Support Multiple Service Lines
Claims that include multiple service lines under a Parent Claim are now supported. The DFT^P03 file generated will use the consolidated line and the values that display on that line to populate the FT1 segment.
Value Added: Consolidated services on claims are supported.
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Topics
• Third Party Solution
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ADT^A08 Updating Benefit Assignments, IN1 Segment
The benefit assignments will be updated when "IN1" segment information exists in the ADT^A08 inbound record when the IN1-22 Coordination of Benefit Priority field is matched. If no match occurs, a new entry will be created.
Value Added: Ability to update the IN1 segment with the ADT^A08 Inbound records.
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Topics
• Third Party Solution
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Inbound ADT^A04-RE to Honor Updates
The inbound ADT^A04-RE record will have the capability of updating the IN1, benefit assignments and the PID, demographics, segments when this file type is sent multiple times with those modifications.
Value Added: Ability to update Referral Information with ADT^A04-RE import file.
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Topics
• Program Referrals
• Referral Application
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On Demand Billing Process
On Demand Billing has been refactored for improved performance.
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Topics
• Finance
• Front Desk
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My Task Widget
The My Task Widget will refresh after completing a task that contains "After Save Code".
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Topics
• Widgets
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On Demand Billing Re-Processing
When On Demand Billing has been run and claim(s) created for services provided to a client and one of those services is modified to change the duration, when On Demand Billing is reprocessed, the resulting claim(s) will have the expected number of units.
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Topics
• Finance
• Front Desk
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Billing Processing Performance Improvement
Billing Processing has been refactored for improved performance.
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Topics
• Finance
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Deposit Slip Look-up Table
Adding a deposit slip via "Checks for Self Pay" will result in single deposit slip.
Value Added: Deposit Slips Look Up Tables will have distinct values.
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Topics
• Finance
• Front Desk
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UMDAP
When submitting/updating an IBHIS call, a processing block will notify user that system is submitting the data; users will have access when the submission is complete.
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Topics
• LA IBHIS
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Remittance Import Reports
The Remittance Import Reports will support the agency setting for "Delete Held Claims".
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Topics
• Agency Setup
• Finance
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Foster Home or Foster Home Member Workflow
Enhanced user experience when adding or editing a "Foster Home" or "Foster Home Member" workflow which utilizes the "Home/Applicate Type" qualifier. KB0070569
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Topics
• Workflows
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Form Designer and Display Size Property
For Image File and E-Signature form lines, the "Display Size" property is available.
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Topics
• Forms
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Netsmart Identity Access Manager (NIAM)
The Netsmart Identity Access Manager (NIAM) username length supports greater than 20 characters. KB0071532
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Topics
• NIAM
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Forgot Password Functionality
"Forgot Password" has been refactored to send emails to reset passwords. KB0074406 v0.01
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Topics
• Login
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Incident Review
Incidents Review has been refactored for improved performance returning records that have been submitted for review. KB0074405 v0.01
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Topics
• Incidents
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Default Remittance Actions for Overpayments
When applying and saving overpayment status to a claim where default remittance action for overpayment is present on the plan, the system will write expected GL transactions. KB0074338 v0.01
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Topics
• Finance
• Finance Setup
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Null Values Are Supported In "Collateral Relationship"
The "Collateral Relationship", NK1.3 Segment, will accept null values as valid and default to the value set up in the import file template.
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Topics
• CareConnect
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Place of Service Code and Calculate Rate
When executing calculate rate on a claim submission, the correct Place of Service code will display for the results, will be saved for the claim submission and will be output in the claim output file. KB0074335 v0.01
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Topics
• Finance
• Finance Setup
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myHealthPointe Carefabric Updates
Limited myHealthPointe Carefabric updates to only future appointments when modifying event definition.
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Topics
• Agency Setup
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Temp Unallocated AR Balance
Temp Unallocated AR Balance reports will generate, whether or not the invoice balance exists for a selected month. KB0072587 v0.01
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Topics
• Finance
• Reports
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Family Cases Requiring Approval
Family Cases needing approval with launch within Supervisor Taskbar module as expected. KB0074404 v0.01
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Topics
• Family Cases
• Supervisor
• Taskbar
• Treatment Plans
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AR Management - Remittance Info
The unapplied balance of a remittance check in AR Management will include the difference of the Non-Evolv amount. KB0074337 v0.01
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Topics
• Finance
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Held Claim For Service Not Approved
Claims held for "Service Not Approved" will now release when reason for hold has been resolved. KB0074583 v0.01
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Topics
• Finance
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Call Center Unsaved Calls
When minimizing an unsaved call, only one instance of the call will be visible under "Unsaved Calls" and not "Incomplete Calls" column. KB0074795 v0.01
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Topics
• Call Center
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Call Center Proceed Without a Person
"Proceed Without a Person?" option in Call Center will allow user to continue Call Center Event without a person selected. KB0074763 v0.01
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Topics
• Call Center
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eMAR Event Access
Events accessed through the eMAR window will allow actions based on the worker's security role. KB0074268 v0.01
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Topics
• eMAR
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Progress Notes On A Locked Event
When an event is locked, users will not be able to "Add, Edit or Delete" the progress note. KB0074852 v0.01
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Topics
• Service Entry
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271 Client Eligible Benefits Report
The Finance Report - 271 Client Eligible Benefits will display results from 271 Imports.
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Topics
• Finance
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New Referral/Client Wizard
New Referral/Client Wizard validates against duplicate Social Security Numbers. KB0074245 v0.01
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Topics
• Client
• Referral Application
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Treatment Plan Link to Program - Agency Setup
When a Treatment Plan has two of the same setups; one is active, and the other is not active, (Agency Setup > Services Setup > By Program > Plan Setup), the active Treatment Plan can be modified. KB0074423 v0.01
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Topics
• Treatment Plans
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Print Action Taken
Client Data Audit Log displays Print action taken. KB0074984 v0.01
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Topics
• Client
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Do Not Bill Utility
The "Do Not Bill" Utility has been refactored for improved performance. KB0074445 v0.01
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Topics
• Finance
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Groups – "Main Service Location" Field
The Groups "Main Service Location" look up table with launch as expected. KB0074475 v0.01
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Topics
• Groups
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"My Saved Report Queries" Widget
Creating a new query from reports within the "My Saved Report Queries" Widget. KB0074764 v0.01
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Topics
• Widgets
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Call Center Anchored Menu Items
Anchored items will remain visible upon re-opening Call Center Event after minimizing/saving.
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Topics
• Call Center
• Taskbar
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Intake Wizard
Intake Wizard will not allow user to Proceed until system completes searching for results.
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Topics
• Staff
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Uploading via Client Information Screen
User can upload document, image or signature capture from "Client Information Screen" window. KB0074385 v0.01
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Topics
• Client
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Routing An Amended Event
After an event has been amended, routing is cleared and will start from the beginning. KB0074736 v0.01
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Topics
• Client
• Routing
• Service Entry
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NX Custom Reporting
Improved Timeout Configuration for NX Custom Reporting.
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Topics
• NX Custom Reporting
• Reports
• Setup
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NIAM User Login Name
The NIAM User Login Name Will Be Sent to Flight Recorder.
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Topics
• NIAM
• Third Party Solution
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835 Remittances
Finance users that have more than one of the same claim adjustment reason codes, one active and the other not active, will display as a single record. KB0074324 v0.01
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Topics
• Finance
• Finance Setup
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Retro Billing for Placement Based Services
Retro Billing for Placement Based Services will produce claims when Min/Max has been set. KB0075052 v0.01
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Topics
• Finance
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Worker Case Loads Report
"Reports > Clients > General > Worker Case Loads" has been refactored for improved performance.
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Topics
• Staff
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Held Claims in Action Based Runs
When a held claim is captured in an action-based billing run and the reason for hold is resolved, then the claim will be released into the current batch if the batch has not been submitted. If the batch has been submitted, then it will be captured in the next action-based billing run. KB0074562 v0.01
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Topics
• Finance
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Family Case Treatment Plans
Family Case Treatment Plans will display as updated and active/inactive when altered through the Program setup. KB0074341 v0.01
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Topics
• Family Cases
• Treatment Plans
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Applying Bulk Overpayment Action
When performing bulk overpayment action on large number of claims, users will only be able to click "Save" once all accounts have populated on claims. KB0074383 v0.01
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Topics
• Finance
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Selecting AP Account for Checks
Performance of selecting the AP Account for checks under "Finance > Claim/Invoice Processing > Create Checks (A/P) > Processing" has been optimized.
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Topics
• Finance
• Finance Setup
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New Requests Following Purge Zero Claim Batches
After batches with zero claims are removed using "Purge Zero-Claim Batches", the requests will not return to Billing Batches Management screen with New Request status. KB0074474 v0.01
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Topics
• Finance
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Liability Amount for Self-Pay Benefit Assignments
The "Liability Amount" on a self-pay benefit assignment is now limited to NN,NNN.NN. KB0074473 v0.01
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Topics
• Client
• Finance
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Netsmart Identity Access Manager (NIAM)
Enhanced the "Use NIAM Authentication" field within Staff Profiles with Security.
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Topics
• Agency
• Staff
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Client Workgroup Assignments
Workgroups have been refactored to list auto-assigned workgroup assignments for Clients.
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Topics
• Workgroup
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Import Forms Containing Test/Assessment(s)
User will be able to import a form in the system from "Setup > User Tools > Interface Design > Import Forms" regardless of whether the form contains a test/assessment or not. KB0074536 v0.01
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Topics
• Forms
• Setup
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Billing Processing Performance Improvement
Billing Processing has been refactored for improved performance.
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Topics
• Finance
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Deleting Group Profiles
Group Profiles including Groups, Family Cases, and Applicants can be deleted. KB0074657 v0.01
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Topics
• Family Cases
• Groups
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Release and Delete of Held Adjustment Action Claims
When a claim created by an adjustment action is held and then manually release and deleted, the action performed flag will be set to not performed as expected. KB0074555 v0.01
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Topics
• Finance
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Delete Billing Batch
The deletion of billing batches has been refactored to enhance the user experience.
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Topics
• Finance
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AR Management
AR Management Timeline will display held claims as held, whether or not the batch has been sent or not.
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Topics
• Finance
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Address Overwrite on Claim Output
The "Overwrite Address" will be honored in claim output files regardless of whether the "Do Not Output as Rendering Provider" flag is enabled or not. KB0074773 v0.01
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Topics
• Agency
• Finance
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Collection Type
The submission balance and the expected amount will now match on Collections claim type submissions.
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Topics
• Finance
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Bells.ai Canceling Scheduled Events
In Bells.ai, when an "Upcoming Event" is cancelled, the original "Scheduled" event will be updated.
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Topics
• Service Entry
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UB-04 Output
UB-04 will output Primary Payer information on a waterfalled claim. KB0074779 v0.01
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Topics
• Finance
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Outbound DFT^P03: Units of Service
The FT1-10 segment in the outbound file will use the units value found on the claim. When services are consolidated, the consolidated row units value will be used.
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Topics
• Third Party Solution
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Inbound "ADT^A08" Referral To Programs
Referrals to Programs will only take place with the "ADTA04" process. If "ADTA08" has a value change in the PV1.44 segment, the Referrals to Programs will not update.
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Topics
• CareConnect
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270 Eligibility Files
Under "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver Setup 270/271", enabling "Output 270 in 5010 format" allows Eligibility Requests (270) linked to the desired Receiver to generate 270 Files with 5010 format. If "Output 270 in 5010 format" is disabled, 270 files will be generated using 4010 format. KB0074699 v0.01
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Topics
• Finance
• Finance Setup
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"Activities - Other" Services Events Activation
Agency Setup has been refactored to show only active service events in Service Entry.
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Topics
• Agency Setup
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835 Remittance Import
Agencies will be able to import 835 files that contain multiple payments for the same service line in the same file. When importing 835 that includes CAS info at service line level for single service line claim, CAS info will be applied to claim.
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Topics
• Finance
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eSignature Request Form
Non-service events can be submitted for signing via eSignature Request Form.
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Topics
• Agency Setup
• Client
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Creating New Staff Profile
Staff Profiles has been refactored for improved performance returning records. KB0075027 v0.01
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Topics
• Staff
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Routes Including Immediate Supervisor Drop-Down
Agencies will be able to select the appropriate immediate supervisor from the Immediate Supervisor Drop-down on routes that include this step. KB0074768 v0.01
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Topics
• Client
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Adjustment Claim Handling With 835 Imports
835 Import will apply status and payment when claim is adjudicated on the adjustment claim level.
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Topics
• Finance
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Custom Reports "Group By"
In Report Designer, Custom Reports will save when grouping columns using the "Group By" checkboxes. KB0074905 v0.01
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Topics
• NX Custom Reporting
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My Pending Referrals widget
My Pending Referrals widget will not show deleted and amended referrals records.
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Topics
• Client
• Program Referrals
• Widgets
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Milieu Event Treatment Objectives
Milieu Event Treatment Objectives auto-populate Goal based on Treatment Plan goal after saving event.
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Topics
• Client
• Treatment Plans
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Mobile CareGiver+ Referring Physician
Referring Physician is no longer required to send client and appointment information for Mobile CareGiver+.
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Topics
• Third Party Solution
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Ability to Remit Co-Pay Submissions
AR Management supports applying payments to co-pay submissions. KB0074917 v0.01
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Topics
• Finance
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Allow Multiple Logins
Active Directory and Non-Active Directory users with "Allow Multiple Logins" disabled can log in after a timeout. KB0074894 v0.01
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Topics
• Login
• Setup
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270 Eligibility File and TRN03
When a client has a guarantor and the guarantor name is populated, the 270 file will output the Tax ID in TRN03.
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Topics
• Finance
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Enrollment Date/Time and Service Event Date/Time
Date/Time on Signed Events that are the same as Program Enrollment Date/Time will be preserved, whether or not the Program Enrollment Date/Time is modified. KB0074931 v0.01
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Topics
• Client
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GL Adjust and Payment Withdrawn Status
Agencies that are manually waterfalling (not using calculate rate) an amount higher than the current expected amount on the submission when the submission has payment withdrawn status will now be able to use GL adjust action. KB0075053 v0.01
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Topics
• Finance
• Finance Setup
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Rates Setup
Rates Setup has been refactored for improved performance returning records.
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Topics
• Finance Setup
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Billing Rates (A/R)
Billing Rates (A/R) has been refactored for improved performance.
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Topics
• Finance Setup
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System Consents
Blanket Consent to Query HIE and B2E forms have been refactored for improved performance.
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Topics
• Client
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Remittance Requiring Actions Widget
Remittance Requiring Actions Widget will update the balance when the remittance is deleted. KB0075066 v0.01
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Topics
• Finance
• Widgets
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ClientEvent SDK Object
Sending ClientEvent messages is supported.
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Topics
• Client
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UB-04 Output
UB-04 output when waterfalling to secondary payer where the place of service code has changed between the primary and secondary submission will show the correct place of service code KB0075076 v0.01
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Topics
• Finance
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New Client and Staff Wizard
The New Client Wizard and New Staff Wizard have been refactored for improved performance.
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Topics
• Staff
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Client Search
Client Search has been refactored for improved performance.
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Topics
• Client
• Front Desk
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Lab Results With Multiple Tests
Lab results containing multiple tests, sent by OrderConnect, will save to myEvolv in all environment configurations.
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Topics
• OrderConnect
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Client Search and "Active Clients"
When performing Client Search and checking flag "Active Clients", only active clients will be returned in the search results.
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Topics
• Client
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Event Based SubForms
Event Based SubForms have been refactored for improved performance when doing matches on "Parent" Guid Values.
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Topics
• Client
• Event Setup
• Forms
• Service Entry
• SubForm
• Widgets
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