As of Jan. 1, 2019, you will need to use the new billing codes for Medicare and all insurance carriers. Below is a link to the new CPT codes.
myAvatar currently supports the configuration and billing of these new codes. These service codes will need to be configured as ‘Other’ Service Code Types. Detailed information on configuring these service codes is available on the WIKI under the ‘myAvatar Add-On Code Enhancements’ page.
In Q4 of 2018, Netsmart released the much-anticipated Accounts Receivable Console. It is now generally available for all clients using Avatar PM. The AR Console:
A configuration and training guide can be found on the WIKI for this new capability.
The following existing myAvatar functionality should be configured for organizations to fully utilize all the capabilities included in the myAvatar AR Console.
If you need assistance with implementing these features or configuring the Accounts Receivable Console, you can contact your Client Alignment Executive for information on professional services.
For those organizations using CAL-PM, the AR Console is on the 2019 roadmap. We'll keep you posted on when that will be available.
In Q4 of 2018, Netsmart released enhancements to myAvatar MSO and ProviderConnect to add functionality to pre-adjudicate potential claims. ProviderConnect users can now create treatment services and submit them to myAvatar MSO for pre-adjudication.
myAvatar MSO will accept these services and evaluate them against the organization’s adjudication rules. ProviderConnect users will receive a response and determine whether the treatment services would be accepted and paid or denied if submitted.
ProviderConnect users will then be able to edit these services prior to generating claims.
These enhancements give external providers who utilize ProviderConnect greater visibility and access to make edits to their services prior to claim submission. A successful implementation of this feature should result in an increased number of approved claims upon firs- time submission to myAvatar MSO from ProviderConnect users.