There is a new clinical version available.  Version 755.

For all HHC3000 Clinical software users.  Please have your field staff using HHC3000 update their software using the fourth option down in their HHC3000 Clinical Data Transfer Update Utility screen.

This will update their software to version 754 and includes the drop-down lookup for the new HCPCS codes inside the Visit screen in Clinical.

On the Unverified Visits screen, when you enter an employee in order to filter the unverified visits for an employee, a new button will appear just above the employee filter. The button says QE for “quick edit.” If the button is pressed you will see a new screen of the unverified visits for the employee that will allow you to quickly mark that the visits are OK, the nursing note has been received, change times in or out and change the HCPCS code without having to go in and out of each visit. If you need to make additional changes you can press the edit button while on this screen.

We have had several calls lately asking when we were going to update the PECOS search utility we put out on the Internet. We are no longer supporting the tool on the Internet. Instead, the PECOS search can be performed within HHC3000 in the Doctors screen. The process will involve two steps, retrieving the PECOS file from the Internet and then updating the Doctors file with the downloaded PECOS file.

Within the Doctors screen there is a new button called “Get PECOS”. That button will allow you to download the PECOS file from the Internet. Once downloaded, a “Post” button will appear next to the “Get PECOS” button. Below this button will show the most recent PECOS file date. If you press the “POST” button, HHC3000 will go through each doctor in your file and search for a match in the PECOS file. Three fields on the Doctors screen will be updated for each doctor. First, the PECOS search date will be updated. Second, a PECOS status field will be updated showing either found or not found. Last, the name of the physician found in PECOS will appear in the PECOS name match field. The posting does not take very long.

We also have changed the Physician’s listing to incorporate these changes.

We added a new feature to exclude certain schedules from being exported to your telephony vendor. They can be excluded by employee or by service. On the Employee Demographics there is a new checkbox on the bottom of the screen labeled “Exclude from Telephony Exports.” On the Services screen under the “Other” tab is a new checkbox labeled the same. These new checkboxes will allow you to exclude schedules from the telephony export. This option will be able on Version 4708.

We have made an update to the PPS Billing module. The new HCPCS “G” codes should be used on visits as of 01/01/2011 only if the assessment begins after 01/01/2011. If the assessment is from prior to 01/01/2011 the new codes should not be used even if the visit was after 01/01/2011. This makes it difficult from a setup standpoint. What we have done is modify the PPS Billing module to take the new “G” codes and convert them to the old codes if the assessment began prior to 01/01/2011. For example, if a G0157 is on a 01/03/2011 visit, but the assessment started 12/15/2010 then the system will change the HCPCS code to G0151. This applies to PPS billing only. This change will be available today on Version 4705.

On the new free form / generic 485 we’ve had a few agencies request alternative wording the the physician’s signature section. In Other-Setup / System Overrides / 485s we added a memo box labeled “Alternative physician signature box wording”. If something is entered into this box then that wording will override the standard wording in that section. This will allow agencies to use whatever wording they want without us having to make software changes.

We’ve been getting a lot of calls recently concerning the use of the new ‘G’ HCPCS codes for Medicare. In the past, for Medicare billing, one revenue code usually had a HCPCS code associated with it. For example, for 551 skilled nursing had a HCPCS code of G0154. All you had to do is set up the HCPCS code for each service in services maintenance. Every time a bill was created, the HCPCS code was pulled from the services setup. If the user wanted to use a HCPCS code on a visit that was different than the revenue code setup they could enter the code on the visit screen for a particular visit. A HCPCS code in the visit screen would override the service setup. Hospice users have been used to this because they have had to have a HCPCS code on each rountine charge; the HCPCS code reflects where the patient was seen on that date.

The way we currently see it for Medicare, the patient visits could have different HCPCS codes on different days for the same service, especially for nursing and to a lesser extent for therapy. We felt it would be better for HCPCS codes to be used and appear on the visits screen for nearly every visit. When a visit is being entered, once the insurance company and revenue code is entered, the system will do a search and pull in the default HCPCS code. The user will then be able to override that HCPCS code. For example if G0154-Skilled Nursing Service is the default for skilled nursing, G0154 will automatically come into the visit screen. The user can then change the code to G0164-RN/LPN Training/Education. A HCPCS search box has been added to the visit screens beside the current HCPCS box to help users select the correct HCPCS code.

We also added a default HCPCS code on the employee screen. This field will also pull into the visit screen. This new field might be useful for therapy assistants because we believe they will always use the same HCPCS code. We would not recommend using this field for nurses or therapists.

Finally, on the PPS Billing Review Form that you can print under PPS Billing, where it lists all the visits on the bottom of the form, we are now also displaying the HCPCS code along with a short description of the code for each visit.

These changes will be available on tonight’s update, Version 4700. Similiar changes will be available to our clinical users in the very near future (along with a major update that we have been working on for some time). We also will be talking to some agencies in the near future and might modify our approach based upon their input.

We thank you for your help and support with these changes.

Palmetto GBA has announced they will begin implementation of the new Jurisdiction 11 as of January 22, 2011. For our users, this will affect agencies in the states of Florida, Illinois, Indiana, Kentucky, New Mexico, Ohio, Oklahoma, Tennessee and Texas. The insurance company submitter ID will have to be changed in the software. To make this change simply go into Insurance Companies, pull up Medicare, and select the ANSI tab. Anywhere on the screen where you see 00380 or C00380, change it to 11001. Do not make this change until January 22, 2011.

We found a bug in the new 2011 payroll FICA social security rates. Generating the payrolls works properly, but when updating to the G/L the employer expense journal entry was posting the same amount as the employee deduction for 2011. The new employee deduction rate for 2011 is 4.2% but the employer expense rate is still 6.2%.. This error was corrected in version 4697.

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