Version 6910 dated 06/14/2021 is  available.

Clinical Software Version Update 2910 dated 06/02/2021 is  available.

Below you will find instructions on exporting EVV information from Sandata and importing into HHC3000.

1. Once logged into HHC 3000, select the ‘Utilities” tab

2.  Next select “Telephony EVV” under the Imports column

3.  At the top of the screen select the “Sandata Alternate EVV Import File”.  Once selected, you will select the button for “Sandata Instructions”

4.  The detailed instructions to create an export file from Sandata and import into HHC3000 will appear.

It is recommended initially that you only import Sandata EVV records for one day at a time.  This will help you learn how import the data and make any necessary corrections easier.

Version 6883 will include an update to the Home Health Aide Plan of Care.

An Additional tab has been added labeled Frequency/Supervisory. This will include the Visit Frequency/Duration and Supervisory Visit Frequency. When filled out, these will print in the lower right hand area of the HHA POC printout. If nothing is added in these fields, then it will display as a blank box on the HHA POC.

A new PECOS File is available for download as of 04/19/2021

There appears to be an issue with logging into the Allegheny Software Managed Hosting Software from within different web browsers. Our technical staff is actively working on this.

3/12/21 4:30p- Issue resolved. Log in Screen may appear different at this time, but Allegheny Software Logo still appears on the top of the log in screen.  Current User Name and Password remains unchanged.

On 2/22/21, CMS Claims Processing Issues has announced update regarding Reason Codes U5391 & 38107: No RAP or No Matching RAP is found. After they researched the issues, the CMS system is editing claims correctly. They report that regardless of when the RAP is submitted, the 0023 revenue code date submitted on the RAP and the claim MUST MATCH.

We have made an update to HHC 3000, that will accommodate this change. The update will be available 2/23/2021, Version 6836.

When billing a subsequent RAP, if the First Billable visit field is left blank, the software will use the ‘From’ date of the billing period on the RAP Claim. This will post the billing period ‘From’ Date into the 1st billable visit field for FINAL billing. Agencies will NOT want to use the ‘wrench’ button to automatically pull in the first billable visit, as then the 0023 line date will not match for RAP & Final Claim, if the RAP was billed with a ‘From’ date.

Please contact Allegheny Support with any additional questions.

Version 6816, dated 1/22/2021 includes an update to the PDGM billing screen.

When viewing the PDGM Billing screen, the user will see a ‘RAPs Only’ button in the top right corner. When the user selects this button, it will display only the RAPs instead of both the RAPs & Finals.

The user will be able to view the following information:

  • Date (Date the assessment was completed)
  • Insurance Company
  • Patient Name
  • Type of Document
  • RAP Start (“From” date of the billing period)
  • Date Billed
  • Days N/B (Days Not billed)
  • RAP Button for billing
  • Days Till (Days until 2nd billing period)
  • RAP2 Start (“From” date of 2nd billing period)
  • Billed Date
  • Days N/B
  • RAP2 Button for billing

This will allow agencies to review their RAPs easier for timely billing.

When the user is wanting to return to the RAP/FINAL page, they would select the ‘RAP/Finals’ button in the same spot and it will return the user to the PDGM Billing screen.

Main software version  update 6796, dated 1/6/2021, includes an ICD-10 code update that is effective 1/1/2021.

Also, the version update includes the ability to add the KX modifier to a PDGM claim. CMS has stated that “If a RAP that corresponds to a claim was originally received timely but the RAP was canceled and resubmitted to correct an error, enter remarks to indicate this condition, (For example, “Timely RAP, cancel and rebill”). Append Modifier KX to the HIPPS code reported on the revenue code 0023 line. HHAs should resubmit corrected RAPs promptly (generally within 2 business days of canceling the original RAP).”

On the PDGM Screen/ Oasis Billing Info Screen, you will now see a KX Modifier checkbox, that will need to be selected, if a claim requires it.

Reminder for Medicare Providers: All periods of care with “From” dates on or after 1/1/2021, RAPs must be submitted and accepted within 5 days.  **This would include 2nd 30-day billing periods.**

Medicare no longer makes payment on RAPs, though RAP submission is still required for periods of care. RAPs with ‘From” dates on or after 1/1/2021 will no longer be automatically canceled because there will be no payment to recoup.

Per the Medicare Claims Processing Manual, A timely-filed RAP is submitted to the A/B MAC (HHH) and accepted by the A/B MAC (HHH) within 5 calendar days after the “From” date of a HH period of care (30 day billing period). While a timely-filed RAP is submitted to and accepted by the Medicare contractor A/B MAC (HHH) within 5 calendar days after the “From” date, posting to the CWF may not occur within that same time frame. The date of posting to the CWF is not a reflection of whether the RAP is considered timely-filed. In instances where a RAP is not timely-filed, Medicare shall reduce the payment for a period of care, including outlier payment, by the number of days from the home health “From” date to the date the RAP is submitted to, and accepted by, the A/B MAC (HHH), divided by 30. No LUPA per-visit payments shall be made for visits that occurred on days that fall within the period of care prior to the submission of the RAP. This reduction shall be a provider liability, and the provider shall not bill the beneficiary for it.

If an HHA fails to file a timely-filed RAP, it may request an exception which, if approved, waives the consequences of late filing. The four circumstances that may qualify the HHA for an exception to the consequences of filing the RAP more than 5 calendar days after the HH period of care From date are as follows:

1. fires, floods, earthquakes, or other unusual events that inflict extensive damage to the HHA’s ability to operate;

2. an event that produces a data filing problem due to a CMS or A/B MAC (HHH) systems issue that is beyond the control of the HHA;

3. a newly Medicare-certified HHA that is notified of that certification after the Medicare certification date, or which is awaiting its user ID from its A/B MAC (HHH); or,

4. other circumstances determined by the A/B MAC (HHH) or CMS to be beyond the control of the HHA.

**A new report is available to users for tracking of Non-billed RAPS. Billing/PDGM Reports/PDGM Billing Status Report & run Including “Including Only RAPs Not Billed”.  This Report will display all RAPs not billed and the amount of days that have passed since the “from” date of the billing period.

© 2021 Allegheny Messages Suffusion WordPress theme by Sayontan Sinha