A new PECOS file is available for download.

Hospice agencies reporting Non-covered days/units with Condition Code 77 due to late Notice of Election and utilizing the KX Modifier to file for an exception will see their billing claim files Returned to Provider (RTP).  Medicare is requiring the Non-covered days and total dollar amounts reported to also include the total number of non-covered units.  All covered charges will include the total number of units and dollar amounts.  These will be reported on separate lines with in the electronic ANSI 837 claim file.  However with in the ANSI 5010 Standards for 837 files, there is only one place to report total units.  The software will include the total number of Covered units in the electronic file.  Due to the ANSI 5010 Standards for 837 files, Allegheny Software is unable to make a software change to the 837 file to report the Non-covered units, nor will Medicare accept an 837 claim file modified to include these non-covered units.  Agencies will need to manually enter the Non-covered units with in the FISS System upon receipt of the Return to Provider (RTP).

Agencies creating Medicare PPS Billing claims will need to update to Main Office software  version 5676.  Updates have been made to the CBSA Code values.  We have been notified the 2015 Transitional Code Values as previously indicated will not be used for Medicare PPS claims.  The software will begin to utilized the 2015 CBSA Code value with update 5676 which will allow claims to be processed without errors.

Agencies receiving errors on Medicare Final Claims created with software version 5668 will need to update the Main office software to Version 5669.   Main office software version 5669 will correct the error in Medicare Final claims.

The ability to generate Hospice CAHPS Survey files based upon data entered in the Patient database/Insurance button/Hospice tab/CAHPS tab will be available with the software version update released at the end of the business day today, 2/09/2015.

Agencies utilizing the sever based Main office software whose Referral, Admission and Discharge reports are generating with no information, will need to update the Main office software with the software version released at the end of the business day today, 2/54/2015.  This version will correct and generate the reports with the requested data.

At the end of the business day today 2/2/2015, a new software version will be available to restore the OASIS C1 prompt when initially adding OASIS Only Assessments in the Main office software.  The prompt will ask, ‘Is this a 2015 OASIS C1 assessment?’ with response option of Yes or No.  A response of ‘Yes’ will cause the software to display an OASIS C1 document.  A ‘No’ response will cause the software to display an OASIS C document.  The OASIS C1 prompt will be available until March 1, 2015.  After March 1, 2015 the software will default all OASIS Only Assessments added in the main office software to OASIS C1.

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