Main Office Software- Version 6592, dated 1/27/2020 will include the following updates/fixes for PDGM Final Claim generation:

-Occurrence code 50 will now display on both the UB04 printouts and electronic ANSI files.
-Final Claim Statement from/through dates will be updated.

Main update, version 6590, dated 1/22/2020 will include the following fixes:

Blank OASIS D1 Assessment forms will now be available.

Fix for a bug that was in the PDGM Wage Index Calculation which may have caused posted invoices to be slightly different than the current CMS PDGM Calculation dollar amount. Most differences were very small.

Fix for a bug in the “Pull from Patient” button within the Assessment diagnosis screen.

Main Office software version 6434 dated 01/30/2019 will include a FIPS code for all Medicare PPS claims (RAPs and Finals). The FIPS code will also now be included on the Print form of a paper UB04 when generated from PPS Billing.

A new Override to remove the new FIPS, Value Code 85 from PPS Claims for Commercial Insurances not requiring the value code has been added with Main Office Software version 6422 Dated 01/17/19. The Override can be found in Insurance/PPS tab labeled ‘Exclude FIPS Value Code 85′. The override will remove the new value code for Insurance companies requiring PPS style billing but not requiring the new value code.

Agencies who have received claim rejections for Value code 85 on PPS claims with date of service prior to January 1,2019 will need main Office software version 6420 dated 01/16/19 or later. Prior software versions placed the new Value Code in 2018 PPS Claims causing rejections. Software version 6420 will correct this issue.

Main Office Software version 6419 dated 01/15/2019 will correct a Validation Report warning some agencies are receiving for submitted HIPPS code does not match the calculated HIPPS code upon xml file submission. A correction has been made to the point calculation in the Clinical domain. Typographical errors in the PPS Summary sheet have been completed in the Functional domain.

Main Office software version 6408 dated 01/07/2019 will include the new requirement for Value Code 85 with corresponding FIPS code for Rural CBSA codes in Medicare PPS electronic ANSI 837I Claim files. The Value code and FIPS code will populate automatically based upon the current county set in the software.
Please note: The new Value code will not be included on the print form of the paper UBO4 generated for agency records at this time but is present in the ANSI claim file.

Pennsylvania agencies submitting reports to HHA EXchange to meet the EVV requirements should have Main Office Software Version 6380 dated 11/07/18. The update will include an additional check box in the ANSI 5010 Billing screen when marking the check box to ‘Create an HHA Exchange csv after report prints’ to also mark the ‘V4′ check box. The V4 is the latest output format version that is currently required.

Agencies will need Main Office Software Version 6362 dated 10-01-18 prior to submitting any OASIS XML files to CMS for OASIS Assessments with a M0090 date of 10-01-18 or later to ensure the updated HIPPS Version is applied.

Agencies must ensure they are using Main Office Software Update Version 6359 or later and Clinical Point of Care Software Users must have Version 2728 to receive the updated ICD 10-CM code set that will be effective as of October 1, 2018.
The stated version updates will also include the new Grouper Version for OASIS due to the ICD 10-CM code set update.

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