SESSION

#
Description coming from UAT Document

UAT01

UAT01

First column in the package maintenance view should

be ticked by default

Prices fields should be restricted based on a user role

UAT03

Specialty/Clinician ID/Cost Centre are required to be

mandatory

UAT03

UAT03

External role is not seen under the user MDM_RCM

after the bulk upload
The specialty is missing in the upload program,
whereas it is a part of master data and mandatory
field for the integration interface between SAP and
HIS

UAT03

UAT03

10

UAT03

11

Block period should be the validity period of the role

according to the finally designed solution
The same clinician ID can be entered for different
business partners, the system should check whether
there is an existing business partner with the same
Clinician ID or not

Cost center is not checked against an institution

UAT02

12

UAT02

13

UAT02

15

The insurance network report doesnt display all data

which is maintained on SAP

UAT02

16

Contact person maintained at a group level is not

reflected in the report

UAT02

18

The check-box Network active at insurance provider

level is not taken into account while copy

UAT02

19

The bulk upload option doesnt contain all data as per

the latest master data structure

UAT02

20

Network report doesnt show a network if there is no

plan
The bulk upload option should support data

UAT02

22

extraction from SAP, once data is modified, it should

be uploaded again

Multiplication factors entry should accept 0 entry

Limit pre-authorization: types should be displayed by
default

Copy option should support multiple networks/plans

copy per group/insurance provider
Reprint option didnt work in NWBC, the sessions was
closed
Receipt: it is not divided into two areas Cash/Credit.

UAT02

23

UAT04

25

UAT04

28

If it is a full cash item, the price should be mentioned

per an item

UAT04

29

PP column - it doesnt have any indicator whenever a

patient is a cash patient

UAT04

34

Discount is posted for payment differences without

revenue posting

UAT04

41

UAT04

42

Receptionist cash collected report print out should

contain total by payment types

UAT06

44

Main cashier: a document (rejection document) is

required
to be
added
theto
main
cashier
view
FI document
which
is into
related
posting
from
a cash

UAT06

45

account to interim bank account should contain

authorization ID per item

UAT06

46

The list of cash rejected for main cashier should

contain payment rejection date

UAT06

47

The list of cash rejected for main cashier should

contain who has rejected the payment (user name)

UAT06

53

Pending coding document is not cleared at the time

of revenue posting

UAT06

58

UAT06

60

If a case is a package case, then movements on the

coding screen should be ticked by default
Invoice print out for private company: package should
come first with an amount, then content of the
package without prices: service description should be
based
on leftview
alignment
Attachment
option on the coding screen:

UAT06

64

attachment of BP master Data as well as a

case/registration
Al Noor staff plan is not supported by the system,

UAT07

73

UAT07

77

cases with 0 amount is required to be submitted.

Same is applied to E&M follow up.
Bulk send back to coders for different coders should
send data back to those coders who processed them

UAT07

78

Workflow functionality is required to be implemented

in the future for the coding process

UAT07

84

Pre-submission: net and patient share are required to

be
activity
Thedisplayed
selectionper
for each
the final
invoice generation should

UAT07

90

display cases which have all movements within a

billing
group
ready to doesnt
be billeddisplay data before
Collection
difference:

UAT07

103

Red colure in the full credit view should be removed

posting, it is required to reflect data before

invoice/posting

UAT07

104

WIP: revenue accrual is posted to a specific account,

not to revenue accounts as per the account
determination

UAT07

108

Movement on hold: reason, comment, HIS visit

number and file number are required to be added

UAT08

114

UAT08

119

UAT08

131

UAT08

132

UAT08

134

Write
batch ID,back,
insurance
description
missing
While off:
reassigning
the user
which is are
required
to
be proposed by the system is who processed the
claim before
Activity Level Denial report: movement type,
resubmission officer user name is required to be
added
principal
diagnosis
as well
as secondary.
Activityand
Level
NFR Report:
reason
description
is
required, denial code description is required and
claim status
BW reports are missing

Ticket
8000002160

Batch ID/Filename modification

Ticket
8000002157

Network Default Factors

Ticket
8000002156

Lab Panel Codes - Should be available by

Ticket
8000002138
Deductible calculation
Ticket
8000002133
New Coding status - (Not for Coding)

Ticket
8000002091

Coding work station issues

Ticket
8000002080

Coding works station: billable services

Ticket
8000002014

Network & Plan copy option should update the

validity period of a network or a plan from the source
to the target as it is without creating any new period

Ticket
8000002211

Coding work station issues

Ticket
8000002210

Coding status gets update on the coding

Ticket
8000002209

Wrong deductible calculation

Ticket
8000002151

Coding work station is very slow

Ticket
8000002217

Cancelled diagnosis are displayed at the

Ticket
8000002216

Wrong calculation of a package price

Buss
Critical

SFS

Review Training
Material

No

Yes

Development effort before

approval

1.5
No

No
1.5

No

No
1

No

No

No

No

0.5

No

No

No

No

0.5

2
Y

No

No
1.5

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

No

Si

No

No

Yes

Yes

6
2
2
1
1
0
0.5
10

Yes

Yes

No

No

Yes

Yes

No

No

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

No

Yes

Yes

Yes

Si

7
0
3
0
3
0
0
0
1
0
0
4
4

Yes

Si

No

No

No

Yes

3
0

1
No
Y

No

No

Yes

Si

No

No

2
2.5
3

No

No

No

No

No

0
1
0.5

No

Yes

No

No

No

No

Yes

No

No

No

No

Yes

Yes

No

1
20

2
0.5

No

No
5

Yes

Yes
4

Yes

No

No

No

1.5

115

Details
Have been decided create a new program to perform the bulk
maintenance. The program will upload the data form excel, template and
will update the table. The program should support I-Insert, U-Update, and
D-Deletion modes.
A new authorization object will be created. The attribute will be the
column. The SAP Standard transaction should be updated to consider this
new authorization object. The roles should be also updated.
Specialty & Clinician ID will be mandatory for all Doctors. CeCo will be
mandatory for internal consultants only. The Validity of the CeCos will be
not checked. The existence of one entry in CeCo will be ok to pass the
validation.
Not an issue any more.
Done

Done
The message should be an error. The system should consider the validity
periods for the BP Role and check that there are no two active consultants
with the same role.

The system should check that the CeCo is valid in the institution
introduced. For that the system will check that the Ceco Is assigned in to
an organizational unit related to the institution.
SFS_OUT12_Factors_should_accept_0.docx
SFS_OUT13_Limits preauthorization as default.docx
SFS_OUT15_Insurance_network_report.docx
All contact persons should be shown (Group + Ins. Company) use dynamic
columns for this.
The active indicator will be considered also during the copy and will be
transferred to the target networks
Related with UAT02 - 22
Done
SFS_OUT22_Data extraction in bulk upload.docx

SFS_OUT23_Copy option multiple networks and plans.docx

Not an issue any more.
SFS_OUT28_Cash collection Receipt.docx
Not an issue any more.
Should be working as the doctor discount, posting the discount only when
the invoice is posted. We need to review also the reports.
Not an issue any more.
Already done by ANH.
Not an issue any more.

Not an issue any more.

Not an issue any more.

SFS_OUT53_Pending coding document is not cleared at the time of

revenue posting.docx
SFS_OUT58_If a case is a package case, then movements on the
coding screen should be ticked by default.docx

SFS_OUT64_Attachment view option on the coding screen.docx

This is repeated with UAT02 - 12
The system will find the coder that was in charge for that movement
before set that movement as ready for quality and re-assign the coder
automatically. The user will have also the option to reassign manually.
Not an issue any more.

Done
Add the layout option in the Coding selection screen. This will allow
use the filter in an standard way.
The report will be updated to be able to show data before posting.

Not an issue any more.

The report will be updated to show that information

Done
The system will propose the user who was managing the RA before
submission to quality.
The report will be updated with those comments.

The report will be updated with those comments.

Lab Panel Codes - Should be available by default

We need to have the system modified in such a way that, when all CPT
codes which is included in a panel is available in a most the system
should add the panel code by itself and mark the codes included in a
panel as non billable.
Currently when all codes in a panel is available in a most, the coders
has to add the panel codes. Once added, the codes included in the panel
is marked as non-billable.
Regards,
Chris.

The system will apply the whole deductible amount to the first registered
service with a gross amount more than the deductible amount. Rest of the
functionality will remain the same: the system will not generate a payment
request if a patient comes to get rest of procedures, as ;long as it is within
the same billing group.
We need a new coding status "Not for Coding".We need these to assign all
movements which are considered to be cancelled(Eg: Service not
performed, Duplicate visits etc.).This status should be available for all
Coders.

1. Full cash movements should not be assigned to coders;

2. The system should support a generation of a a services based on
entered services;
3. E&M should not be entered more than 1 time within a consultation;
4. No quantity change is allowed for E&M codes;
5. Movement status is required to be added into the coding workstation;
6. Put on hold report: the following columns are required to be added:
comment, the reason.

During the invoice generation step for cash/private company cases,

there is no option to identify which cases/movements have no billable
services.
Therefore we would like to request you to add a column into the coding
workstation screen which will show whethere there is a billable service
or not.
Once you start working on it, please let us discuss it in details.

The system is creating new validity period for a network/plan in the target
when updating the validity period for network/plan in the source and then
copying it to the target, required to be fixed by 1st Nov 2015

Improvement or in Scope (ANH)

Y/N? (Please provide details)

Was it implemented (ANH)

Y/N?

Business Approval (ANH)

Y/N?

Comments (ANH)

Yes

Currently as per SFS_MD207_MD208 - Network-Plan Copy option

Pending / Delivered