myEvolv NX 11.0.0125.01 Acceptance Tests
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Billing Enhancement for Large Duration Values
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Client Search
- Client Service Entry
- FinanceClaims
- FinanceInvoices
- General Service Note (auto date) [ADD]
- General Service Note (auto date) [DELETE]
- Immediate Billing Run Request [ADD]
- Submitter Information
Scenario 1: Validate Billable Service Event With a Duration Greater Than 10,000 Minutes Bills
Specific Setup:
- Billing and expense rates for service event set up without maximum time defined.
- Service event must have modifiable Start Date, End Date, Duration fields.
- Service event must be marked as "Is Multi-day Event".
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select Client.
- Add Service Event from setup.
- Enter a duration of greater than 10000 minutes (167 hours).
- Save the event and Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Create a new "Immediate Run" for the Client and service event and Start Billing Run.
- Validate claim(s) and invoice(s) are generated and duration is billed for event.
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Topics
• Client
• Finance
• Service Entry
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Enhanced Navigation Performance
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- Security Schemes
- SecurityEvents
- Worker Role for Setups
- Worker Roles Form Set
Scenario 1: Validate Basic Navigation Access Security
Specific Setup:
- Client with Service Entry with status "Pending Submission".
- Staff 1 with "Navigation Scheme" and "Worker Role" that can be modified.
- Staff 2 with Administration access.
Steps
- Log in with Staff 2 from setup.
- Validate all navigation headers exist.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client and verify service event can be added/modified/deleted.
- Navigate to "Agency Setup > Staff and Security Setup > Navigation Access > Access to Forms".
- Select "Navigation Access" for Staff 1.
- Deny access to some navigation headers and save.
- Navigate to "Agency Setup > Staff and Security Setup > Worker Roles > Security for Events".
- Deny add/edit/delete access to service event from step 4.
- Log out and log into Staff 1 from setup.
- Validate navigation headers from step 7 do not appear.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client and verify service event from step 4 cannot be added/modified/deleted.
- Log out and log into Staff 2.
- Navigate to "Agency Setup > Staff and Security Setup > Navigation Access > Access to Forms".
- Select "Navigation Access" for Staff 1.
- Allow access to some navigation headers and save.
- Navigate to "Agency Setup > Staff and Security Setup > Worker Roles > Security for Events".
- Allow add/edit/delete access to service event from step 4.
- Log out and log into Staff 1.
- Validate navigation headers from step 7 now display.
- Navigate to "Client > Case Management > Service Management > Service Entry".
- Select desired client and verify service event from step 4 can now be added/modified/deleted.
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Topics
• Agency Setup
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EHI Export Download All Files
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Bulk Print Bundle [ADD]
- Bulk Print Bundle [VIEW]
- Client Search
- Client Service Entry
- EHI Export Filters Subform
- Printing Bundle Templates Active
Scenario 1: EHI Export - Download
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Topics
• Reports
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Improved CCD Search
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client > Client Information > Personal Information > Demographics
- Client Search
- Query CQN
Scenario 1: Validate "CCD" Information Displays In "CQN"
Specific Setup:
- CQN-enabled myEvolv environment.
- User has access to client.
Steps
- Navigate to "Client > Case Management > Service Management > Service Entry" and select the desired client.
- Select "CQN" from the "Actions" menu.
- Set the desired "Provider Name".
- Click on the "Search" button.
- Select a provider(s) from the "Care Quality Organizations" table.
- Click on the "Find Available CCDs" button.
- Validate the table is populated.
- Click the "Preview CCD" (magnifying glass) button to preview the CCD.
- Repeat the test with multiple providers selected.
- Validate the table populates.
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Topics
• CCD
• CQN/HIE
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CCD Style Sheet
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CCD Inbox
- HL7 Export (CLIENT) [DELETE]
- Upload HL7 File
- CCD Purpose for Clinical Summary with SDK
- CCD_Download_form
- Client Search
- Clinical Document
- Clinical Summary [ADD]
- Clinical Summary [EDIT]
- All People Table
- HL7 Document Types
- HL7 Export (CLIENT) [ADD]
- hl7 Log Export (All) [ADD]
- Query HIE
- Query CQN
Scenario 1: CCD - CCD Inbox Upload
Specific Setup:
- CCD file available for upload.
- User has access to CCD Inbox.
Steps
- Navigate to "Taskbar > System Maintenance > CCD Inbox > CCD Inbox".
- Click "CCD Upload".
- Click "Choose File" and select the desired file.
- Click the "Upload" button.
- Validate the file contains desired data.
- Click the "X" to close and click the "Refresh" button.
- Validate the "Date Entered" contains the desired date.
- Validate the "Document Type" contains "CCD".
- Validate the "Provider From" contains "Manual Upload".
- Validate the "Name on Import File" contains the desired name.
Scenario 2: CCD - Validate "Clinical Summary" Generation With The Form "Referrals>Clinical Summary"
Specific Setup:
- CCD is configured.
- A client to be used that needs a "Clinical Summary".
Steps
- Navigate to "Client > Referrals > Clinical Summary > Clinical Summary".
- Select the client.
- Add a new "Clinical Summary".
- Fill in the form.
- Set the "CCD Purpose" to any value.
- Check the "Create All CCD Segments".
- Click Save.
- Edit the record created.
- Validate the "Include CCD Section" contains a two buttons under "CCD".
- Click the "View CCD" button, the right one.
- Validate the summary displays.
- Close the form.
- Select the "Download CCD" button, the left one.
- Validate the file is downloaded.
Scenario 3: CCD - Inbox Exporting - Validate Functionality
Specific Setup:
Steps
- Navigate to "Taskbar > System Maintenance > CCD Inbox > CCD Inbox".
- Click the "Export" button.
- Select a Person
- For the "HL7 Type" look up table, select "CCD - Continuity of Care Document".
- Save the form.
- Verify the record is added to the CCD Inbox list.
- Select the "View CCD" from the "Actions" button.
- Validate the "CCD" opens a new page and is viewable.
- Navigate to " Client > Client Information > Health Information > CCD/HL7 Import/Export".
- Repeat the above test.
Scenario 4: CCD - Viewing "HIE" From Actions Button On CCD/HL7 Import/Export
Specific Setup:
- CCD is configured.
- A client has CCD's to download.
Steps
- Navigate to "Client > Client Information > Health Information > CCD/HL7 Import/Export".
- Select the client.
- Click the "Actions" button and select "HIE".
- Click the "Find Available CCD's" button.
- Select the "CCD's Available to Download".
- Click "Download Selected CCD" button.
- View the CCD downloaded.
- Validate the CCD displays.
Scenario 5: CCD - Viewing "CQN" From Actions Button On CCD/HL7 Import/Export
Specific Setup:
- CCD is configured.
- A client has CCD's to download.
Steps
- Navigate to "Client > Client Information > Health Information > CCD/HL7 Import/Export".
- Select the client.
- Click the "Actions" button and select "CQN".
- Click the "Find Available CCD's" button
- Select the "CCD's Available to Download".
- Click "Download Selected CCD" button
- View the CCD downloaded.
- Validate the CCD displays.
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Topics
• CCD
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CMS 1500 and UB-04
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- All People with Benefit Assignments with LOS
- Alternative Claim Output
- Billing Batch Management 2.0 Form Set
- Billing Batches Management
- Billing Run Request Limit People Subform
- BillingProcessHistory
- Claim Output
- Claim Output Ready
- Claim Receivers Setup Form Set
- Claim/Invoice Batch [VIEW]
- FinanceClaims
- Immediate Billing Run Request [ADD]
- Receiver Information - All
- Receiver Information Generic [EDIT]
- Submitter Information
- AR Management
- Billing Plan Setup NX [EDIT]
- Billing Request Action Based Run [ADD]
- Cash Receipts for Remittance
- Claim 2.0 [EDIT]
- Claim Remittance Transactions Subform
- Claims Submission For Remittance NX [EDIT]
- ContractsRatesSetup
Scenario 1: Validate CMS-1500 One Claim Per Page With Multi Service Line Claim
Specific Setup:
- Requires at least one "Multi Service Line" claim with at least 7 service lines.
- Requires at least one "Single Service Line" claim.
- Scenario also works with another "Multi Service Line" claim with 2 service lines.
- All of the claims are for the same client.
Steps
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Click "New Run" and select "Immediate Run".
- Fill in required fields to generate desired claims.
- Save.
- Wait for billing to run.
- Open the claim batch.
- Create the "CMS-1500" output.
- Validate for the "Multi Service Line" claim is on one page and the remaining service lines are on the next page.
- Validate the other claims are on their own page.
Scenario 2: Validate Recreate To New Payer Honors ICN Group
Specific Setup:
- Requires a client with a billed service.
- Client has a "Benefit Assignment" change were another "Benefit Assignment" is now sequence 1 payer that can bill the service.
- Both "Plan/Contracts" for the client are under the same "Payer".
- Both "Plan/Contracts" have the same "ICN Group" set.
Steps
- Navigate to "Finance > Remittance Processing > Remittance Application > AR Management".
- Select desired "Remittance Check".
- Set parameters to search for desired claim.
- Add "Denial" to desired claim and add a "Reference Number".
- Save.
- Add a "Recreate to New Payer" Action.
- Select "Calculate Rate".
- Save.
- Wait for billing to run.
- Open the "Resulting New Claim".
- Generate the "CMS-1500" output.
- Validate it contains desired "Reference number".
- Navigate to "Finance Setup > Agency Setup > Claim Receivers Setup > Receiver General Info".
- Select desired "Receiver".
- Select "UB-04" as the claim output.
- Save.
- Navigate to "Finance > Claim/Invoice Processing > Batch Listing > Billing Batches Management".
- Open the desired billing run.
- Generate the "UB-04" output.
- Validate it contains desired "Reference Number".
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Topics
• Finance
• Finance Setup
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DSR Service Entry Screen
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Search
- Client Service Entry
- dsr_ServiceEntry
- Treatment Plan 2 Event Link DSR NX Subform
Scenario 1: Validate DSR Service Entry In NX
Specific Setup:
- Requires a treatment plan that is set up to provide "DSR Services".
- DSR Services should contain "DSR Treatment Plan Link" SubForm.
- Requires various clients that have a completed and approved "Treatment Plan w/DSR Services".
Steps
- Navigate to "Taskbar > DSR Service Entry > DSR > DSR Service Entry".
- Select desired "Program" and "Facility".
- Click "Apply Filters".
- Validate all of the clients and service events are listed.
- Validate "Save" and "Cancel" button are disabled.
- Check desired event checkbox.
- Validate Dates are auto-populated with the same date from the filter.
- Validate Start Time is auto-populated with the current time.
- Fill in all required fields.
- Check the desired action in the "Treatment Plan Link SubForm" and fill in required fields.
- Check a second event and fill in all required fields.
- Validate "Save" button is enabled.
- Click "Save" button.
- Validate the event saves and the "Event Link" is visible to view the saved event.
- Click on the "Event Link".
- Validate it contains desired information.
- Close the event.
- Validate the #/# for Days/Weeks/Months text has gone up to account for the event just entered.
- Click on "View History".
- Validate the history information contains the date event was entered and the action information from the "Treatment Plan Link SubForm".
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Topics
• Client
• DSR
• Setup
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myEvolv_NX_11.0.0125.01_Details.csv