Claims Detail Report and Multiple Transactions
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Report Selection Picklist
- Report Parameters PickList
- All Clients With Security for Reports
- Report: Claim Details Report
- AR Management
- Cash Receipts for Remittance
- Claims Submission For Remittance NX [EDIT]
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
Scenario 1: Validate Claims Status After Multiple Transactions On Claims Details Report
Specific Setup:
- Scenario works with a paid claim.
- Requires a remittance check that can be used to apply "Payment Withdrawal" and "Payment".
Steps
- Navigate to "Finance > Reports > Accounts Receivable > Claim Details".
- Set parameters to search for desired claim.
- Validate the status of the claim says "Paid".
- Validate the "Paid" amount contains the desired amount.
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set parameters to search for desired claim.
- Search.
- Apply a "Payment Withdrawal".
- Save.
- Navigate to ""Finance > Reports > Accounts Receivable > Claim Details".
- Re-run the report.
- Validate the desired status contains "Payment Withdrawn".
- Validate the "Paid" amount is 0.00.
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- On the same claim, apply another payment.
- Save.
- Navigate to "Finance > Reports > Accounts Receivable > Claim Details".
- Re-run the report.
- Validate the desired status contains "Paid".
- Validate the "Paid" amount contains the desired amount.
|
Topics
• Finance
• Reports
|
Contract Information on 837P Output 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 X12 Submissions [EDIT]
- Payers/Contracts Setup 2.0 Form Set
- Payers Setup Table
- ContractsRatesSetup
- Billing Plan Setup NX [EDIT]
- Billing Plan - Rates Setup NX [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
- FinanceClaims
- Claim/Invoice Batch [VIEW]
- Claim Output Ready
- Receiver Information - All
- AR Management
- All Clients With Security Listing by PeopleID
- Billing Request Action Based Run [ADD]
- Action Based Run - Claim Action Types
- Claims Maintenance NX Form Set
Scenario 1: Contract Version Identifier - Output Loop 2400 CN1-06
Specific Setup:
- The "Output Contract# on Service Line from Rate/Service" is set on the Receiver Setup X12.
- The billing plan rates setup has desired information within the "Contract No" field.
- User has access to Finance Setup module and Finance module.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" to generate a billing run for the desired client.
- Once billing has completed, open batch and click "Create Output".
- Click "Download Electronic File" and validate output contains desired Contract Code within loop 2400 CN1-06 segment.
Scenario 2: Contract Version Identifier - 837 output Loop 2400 CN1-06 Voided Claims
Specific Setup:
- The "Output Contract# on Service Line from Rate/Service" is set on the Receiver Setup X12.
- The billing plan rates setup has desired information within the "Contract No" field.
- Voided claim on record.
- User has access to Finance Setup module and Finance module.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" to generate an "Action Based" billing run for the desired client.
- Open batch and click on "Create Output".
- Click "Download Electronic File" and validate output contains desired Contract Code within loop 2400 CN1-06 segment.
|
Topics
• Finance
• Finance Setup
|
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]
- Program Listing By Agency and Worker
- 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.
|
Topics
• Front Desk
• Staff
|
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
|
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
|
Do Not Bill Utility
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Billing Batches Management
- DoNotBillUtility
- All Clients With Security for Reports
- Billing Batch Management 2.0 Form Set
- BillingProcessHistory
- Plans/Contracts for Reports
Scenario 1: Validate Marking Service As “Do Not Pay” Does Not Generate Invoice
Specific Setup:
Available batch to reprocess. Batch contains invoice for service event.
Steps
- Navigate to "Finance > Utilities > Do Not Bill Utility > Do Not Bill Utility".
- Filter for desired payable Service Event.
- Check the "Mark as "Do Not Pay"" checkbox and Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for desired Batch.
- Reprocess the Batch.
- Run Billing.
- Validate Batch does not contain Invoice for desired Service Event.
- Navigate to "Finance > Utilities > Do Not Bill Utility > Do Not Bill Utility".
- Filter for same desired payable Service Event.
- Uncheck the "Mark as "Do Not Pay"" checkbox and Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Filter for same desired Batch.
- Reprocess the Batch.
- Run Billing.
- Validate Batch does contain Invoice for desired Service Event.
Scenario 2: Do Not Bill Utility – Validate Enabling “Include Payable Services” Changes “Do Not Bill” to “Do Not Pay”
Specific Setup:
Available service's available to bill.
Steps
- Navigate to "Finance > Utilities > Do Not Bill Utility > Do Not Bill Utility"
- Select desired parameters.
- Check "Include Payable Services" checkbox.
- Click "Search".
- Validate "Mark as" column contains "Do Not Pay".
- Uncheck "Include Payable Services" checkbox.
- Click "Search".
- Validate "Mark as" column contains "Do Not Bill".
|
Topics
• Finance
|
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
|
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
|
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
|
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:
- SupervisorModule
- All Clients With Security Listing by PeopleID
- Taskbar > Supervisor > Supervisor > Service/Case Notes & Planning Approval
- Note to Staff
- Alerts - View
- Alert Popup
- Client > Case Management > Service Management > Service Entry
- 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
Scenario 1: 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.
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 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".
|
Topics
• Client
• Supervisor
|
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:
- Calendar
- Session
- Save Session
- Client Service Entry
- Client Related Task - New [ADD]
- Staff Calendar
- Agency Program System Services by Program [EDIT]
- 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
|
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
- Program Listing by Agency and Service Event
- 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
|
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
- Client Search
- Print Preview
- 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
|
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:
- Requirement With Expiration [ADD]
- RFP Mobile - Tasks Listing View - User
- RFP Mobile - Login Screen
- RFP Mobile - Tasks
- Resource Family Members
- Resource Family Member Information Form Set
- Client Related Task - New [ADD]
- Resource Family Search
- Staff - Service Providers (by Staff_id)
- RFP Mobile - Home
- Home Assignments Subform
- Resource Family Group Events
- Member Assignments Subform
- Resource Family Member Events
- Foster Home Milestone [EDIT]
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:
- AR Management
- 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
- Cash Receipts for Remittance
- All Clients With Security Listing by PeopleID
- Claim 2.0 [EDIT]
- Claim Submission 2.0 [EDIT]
- Claims Maintenance NX Form Set
- Claim Service Lines NX Subform
Scenario 1: 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.
Scenario 2: 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.
|
Topics
• Finance
|
Multiple Qualifying Services That Have the “Use Distinct Events” Set
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]
- Billing Qualifying Services Link to Rate Subform
- Client Service Entry
- 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]
Scenario 1: Validate "Use Distinct" with Multiple "Qualifying Service Lists"
Specific Setup:
- Requires a rate that is set up to require "Qualifying Services".
- The "Qualifying Service" list contains three different services.
- One of the "Qualifying Service List" contains a "Min Number" of 2, "Max Number" of 3 and has the "Use Distinct Events" checked off.
- Rate that bills "Facility Placement" services.
- "Qualifying Service Required" and "Qualifying Service same program as billed" is checked off.
- Enter 2 service events for the item within the "Qualifying Service List" that contains the "Min Number and "Max Number.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" to generate a billing run for the desired client.
- Once billing has completed, validate claims generated for the "Qualifying Event".
- Open desired claim and validate the "Qualifying Services Used".
Scenario 2: Validate "Use Distinct" with "Multiple Qualifying Service Lists" and Multiple Service Entries
Specific Setup:
- Requires a rate that is set up to require "Qualifying Services".
- The "Qualifying Service" list contains three different services.
- One of the "Qualifying Service List" contains a "Min Number" of 2, "Max Number" of 3 and has the "Use Distinct Events" checked off.
- Rate that bills "Facility Placement" services.
- "Qualifying Service Required" and "Qualifying Service same program as billed" is checked off.
- Enter events within service entry that are listed within the "Qualifying Service List" as below:
- 2 service events for the event containing the "Min Number" and "Max Number".
- 1 service event for one of the qualifying service.
- 1 service event for the other qualifying service.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" to generate a billing run for the desired client.
- Once billing has completed, validate claims generated for the "Qualifying Event".
- Open desired claim and validate the "Qualifying Services Used".
|
Topics
• Finance
• Finance Setup
|
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.
|
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:
- Select Group
- Client Service Entry
- Agency [EDIT]
- Client Search
- Program by Person and Enrollment
Scenario 1: 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 2: 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 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:
- Select Group
- Client Service Entry
- Client Search
Scenario 1: 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 2: 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 3: 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 4: 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 5: 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.
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Topics
• Client
• Groups
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ECS-60572
Summary
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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.
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Topics
• Setup
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ECS-60629
Summary
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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.
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Topics
• Finance
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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
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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.
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Topics
• Fast Track
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Attendance Billing
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
- Payor Information [EDIT]
- Client Critical Information Form Set
- Attendance Tracking
- 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]
- Line of Service
Scenario 1: Attendance Program - Medicaid and State Reporting - Billing Sequence 1
Specific Setup:
- The "Extracts Only Payer" is checked off on the desired State Reporting Payer.
- Placement Disruption is set on the client and rate.
- Attendance Check In/Out has a date set with an "Excused Absence", which is the same date as the placement disruption.
- Client that both benefit assignments set below as primary and billing sequence set to 1.
- State Reporting
- Medicaid
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Set the "Submitter" to the Medicaid payer.
- Set the required and desired fields, which will contain a client that has a Medicaid and State Reporting primary benefit assignments.
- Click the "Save" button.
- Once the billing run is completed, review the output, and validate the date with placement disruption and no attendance is not present.
- Mark the batch as sent.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Set the "Submitter" to the State Reporting payer.
- Set the required and desired fields, which will contain a client that has a Medicaid and State primary benefit assignments.
- Click the "Save" button.
- Once the billing run is completed, review the output, and validate the date with placement disruption and no attendance is present.
- Mark the batch as sent.
Scenario 2: Validate Generating Attendance Claim
Specific Setup:
- Requires clients that can be marked for attendance
- Clients should have a benefit assignment that can bill the attendance.
Steps
- Navigate to "Taskbar > Attendance Check In/Out > Check In/Out > Attendance Check In/Out".
- Select desired "Facility".
- Marked desired clients "Present".
- 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.
- Open the billing run.
- Validate it contains desired "Attendance" claims.
Scenario 3: Attendance Program - State Reporting and Medicaid - Billing Sequence 1
Specific Setup:
- The "Extracts Only Payer" is checked off on the desired State Reporting Payer.
- Placement Disruption is set on the client and rate.
- Attendance Check In/Out has a date set with an "Excused Absence", with the same date as the placement disruption.
- Client that both benefit assignments set below as primary and billing sequence set to 1.
- State Reporting
- Medicaid
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Set the "Submitter" to the State Reporting payer.
- Set the required and desired fields, which will contain a client that has State Reporting and Medicaid primary benefit assignments.
- Click the "Save" button.
- Once the billing run is completed, review the output, and validate the date with placement disruption and no attendance is present.
- Mark the batch as sent.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Set the "Submitter" to the Medicaid payer.
- Set the required and desired fields, which will contain a client that has State Reporting and Medicaid primary benefit assignments.
- Click the "Save" button.
- Once the billing run is completed, review the output, and validate the date with placement disruption and no attendance is not present.
- Mark the batch as sent.
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Topics
• Agency Setup
• Finance
• Finance Setup
• State Reporting
• Treatment Plans
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Multi Agency Staff With Security Workgroups
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Staff Information Form Set
- Staff Listing - Agency Employees (By People ID)
- Staff with Security [EDIT]
- Staff Workgroups Enrollment Subform
- Workgroup Table
Scenario 1: Multi Agency Workgroups - Validate The Staff Profiles Display The Workgroups In That Agency
Specific Setup:
- At least two agencies exist in the system. In this test they will be referenced as "Agency1" and "Agency2".
- A user id that has access to both agencies.
- Workgroups are known in each agency.
- Each agency has at least one unique workgroup name.
Steps
- Log into the first agency, "Agency1".
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select the staff name to be used.
- Select the agency, "Agency1" from the agency listing.
- Select the "Enrollment into WorkGroups" SubForm.
- Select the search icon for the "workgroup name" look up table.
- Validate the workgroups that display belong to "Agency1".
- Log out of the system.
- Log into the first agency, "Agency2".
- Navigate to "Agency > Staff & Security > Staff Information > Staff Profiles with Security".
- Select the staff name to be used.
- Select the agency, "Agency2" from the agency listing.
- Select the "Enrollment into WorkGroups" SubForm.
- Select the search icon for the "workgroup name" look up table.
- Validate the workgroups that display belong to "Agency2".
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Topics
• Agency
• Staff
• Workgroup
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