Below are the changes we plan to make in HHC3000 to satisfy the new physician face to face requirement that becomes effective January 1, 2011.

First, we plan to add a checkbox in the 485 plan of care to include a face to face documentation section on the printout. On November 17th we added a new Free Form / Generic alternative format to the 485. The face to face section printing will be added to the alternative format first. The will be incorporated into the current physician’s signature section on the first page, thus only requiring one physician signature. We would appreciate if agencies could review this new format and let us know if it can meet your needs instead of the current format that’s been around for years. As always we are willing to make changes based upon your suggestions. The new format looks similiar to the old format but eliminates the splitting of sections to the 487. We plan to also include the same face to face section in the current 485 format, but it’s going to be more difficult for us to do. It will probably require a seperate section at the end of the plan of care, requiring a second physician signature.

Second, to the physician order we plan to add another “special type of order” option called the face to face encounter. Post button will be added to enter the face to face verbage into the memo section of the order. You could also do the same thing with phrases.

Since the face to face encounter is a requirement for billing, the will be some changes to the PPS Billing Information section of the program. We determining the best way to do this.

For reporting purposes we will probably have to add date fields to the plan of care and the physician order.

Modifications to these changes will be made for hospice.

If you updated last night or this morning to Version 4680 you should update to Version 4681. We had added a new checkbox in PPS Billing called “Resubmission.” When you go into PPS Billing this box is defaulting to being checked and should be cleared before creating PPS billing files, until you get version 4681. This will probably be overlooked by most users using 4680 so we are changing the checkbox to default to unchecked. Checking the resubmission box should be the exception; in Version 4681 you will not have to remember to uncheck it.

In the 485 we have added an additional alternative format called Free Form / Generic. When this format is printed it has basically the same information as the regular 485 but uses larger fonts, medications have a wider area to print, and the sections are dynamic in length which no more splitting sections to the 487. The request came from an pediatrics agency but we thought other agencies may find it useful.

If you are not happy with the ICD9 code descriptions that came with the 2010 code update, tonight we will be including a new set of ICD9 codes with short descriptions. The files we initially received from CMS this year had longer descriptions which caused problems when displayed in certain areas of the software. Some actually were truncated. We since have found a better list which is more in line with what we used in prior years. After doing tonight’s update, run the ICD9 update utility and make sure you check off to overwrite current ICD9 descriptions.

Under Patient Activities where you can now lock and unlock OASIS assessments, we are now recording the HIPPS code on PPS billable assessments. This information is in addition to recording the person, date and time along with the reason if the assessment is being unlocked.

To resolve the data transfer problems with the datapipe and with obtaining HHC 3000 software updates, please perform the following steps:

  1. Download http://ip.hhc3000.com/ipupdate.exe
  2. Copy the file to your software folder (where swhhc.exe exists)
  3. Run ipupdate.exe from your software folder
  4. After the IP Update completes, please perform a normal system update using the yellow computer icon. As usual, this portion must be done while nobody is logged into HHC 3000.

Doing this should re-establish the ability to execute your Datapipe synchronization as well as do updates for the main HHC 3000 office system.

This replaces any previous updates to the Office Software side. Clinicians using the point of care software on their laptop will still need to obtain the clinical point of care updater to update their laptops from http://ip.hhc3000.com/clinicalupdate.exe

If you have any questions, please feel free to call Allegheny Software Technical Support at 814-834-1092.

The purpose of this posting is to inform you what needs to be done to the clinical notebooks so that they can begin transferring data through our new ftp site. These changes do not include the main office software. Instructions for the main office HHC3000 software and datapipe will be posted later today. Please note: This will allow the clinical notebooks to transmit, however, the information that they transmit will not be incorporated into the main system and new download files made available until after the update for the main system is made available later today. Despite this, we recommend obtaining the clinical notebook update as soon as possible on every notebook.

Users of the Clinical (Point of Care) software on the point of care laptops will need to obtain, run and install the file located here: http://ip.hhc3000.com/clinicalupdate.exe

This file must be downloaded and run to update the transfer utility. If running this utility on Windows Vista or Windows 7, you must run the file as an administrator by right-clicking on the file and selecting “Run as Administrator.” This is a one-time update. This update file/utility should be deleted after it is applied.

Other Information

Unfortunately, since changes were made that were outside of our control, we were forced to move quickly to limit this and future connectivity issues. While we were making the transition to the new service provider, we have also upgraded our security infrastructure to include encrypted data transfer via a protocol called SFTP. While we have been using HIPAA satisfying encryption on our files from the start, this change further enhances our ability to protect the transmission services we provide through the datapipe and regular HHC 3000 updates. The upgrade from standard FTP to SFTP protects the actual communication of the encrypted file (as well as the actual encrypted file itself). This expands our ability to isolate our services from disruption, taking us beyond the existing protection against data theft. While this shouldn’t require significant changes, a very small number of firewalls may block SSH communication on port 22. If your firewall does this, please open port 22 to 205.186.143.73. We will be using this for SFTP transactions.

Thank you for your patience.

Allegheny Software Publishers
Technical Support

We are continuing to work as quickly as we can to get ftp connection issues resolved.  We hope to have software updates available within the next few hours.

In the meantime if you need to get data transferred to or from your laptops, if your laptop users are able to come into the office we will be able to walk you through doing network transfers instead to retrieve information.  Please give us a call if you need help doing ‘via local area network’ transfers instead of ftp ones.

Unfortuantely we were forced into a change in ftp providers yesterday when we found out after the fact that our current ftp provider had a change in policies that they began enforcing over the weekend.  As soon as updates are available we will post another message.  If you have any questions or would like assistance in doing network transfers please give us a call.

We appreciate your patience as we get this matter resolved.

We are having major problems with the internet provider that houses our ftp site which is used for the clinical software transfers and for HHC3000 software updates. We are in the process of moving to a new provider which we hope to have completed today. The new provider has guaranteed us the same type of circumstances will not happen with their services. This is a very unusual situation which we hope to have corrected as soon as possible. We appologize for your inconvenience.

When we are finished with the move we will let you know. At that time you will need to update the main HHC3000 software and all notebook computers used for the clinical that use the internet for transfers. There will be special instructions for the initial update which we will post on this site.

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