The frequency of Ransomeware attacks have increased significantly in 2016.  Ransomeware either locks a user interface or encrypts files on a computer or server preventing access.  Ransomeware gets installed on networks by individual users accessing suspicious websites or through attachments.  An attack by Ransomeware has the potential of being considered a breach if encrypted files contain Protected Health Information.

In light of increased Ransomeware frequency,  Armor has allowed us to share a list of suspicious IP addresses that are more uncommon and may not be included in the list of blocked IP address within your agencies intrusion detection system and/or firewalls so Server based software agencies can work with their IT department to manually include them to protect themselves from an attack.

Agencies utilizing the software in the Managed Hosting Environment are already protected by Armor.  The article from Armor is included below.

Top 15 Armor WAF/NIDS IP

In cybersecurity, it’s common to focus on ongoing attacks form the most active threat actors. However, often overlooked, stealthy threat actors that attack by sending the minimum amount of traffic needed for an exploit, hoping to slip past an intrusion detection system (IDS), are just as capable as their “noisier” peers. In the month of July 2016, Armor highlighted the 15 rarest IPs seen in its IDS events, with a large portion of them attempting SQL injection. The total events for these threat actors are just a fraction of a percentage of daily events processed by Armor.

A new security report is now available in System Security/ Security Reports for tracking software user Log in and Log out by date and time with main office software version 6014 dated 08/23/16.  The must be generated with a parameter specifying a specific employee for a specific date range.

Server based agencies will be able to track Main Office software users Log In and Log Out by date and time.

Agencies accessing the software in the Managed Hosting Environment ( accessing the software through the internet) will be able to track both Main office and Clinical Point of Care user log In and Log out times by date.  Users with a recorded log in time and date and no recorded log out time did not log out of the software prior to closing the internet screen.

The Texas Medicaid Plan of Care has been updated to reflect the most current effective date and revised dates.  The old effective date of 03/17/2014 and revised date of 05/07/14  can be found at the bottom right of the print form.  Agencies will need to have Main office software version 6014 dated 08/23/16.  Printing of the most current effective date for the Texas Medicaid Plan of Care is dependent upon entry of the Revised Request Effective Date as found in the Texas medicaid specific tab in the 485 document.  A date of 04/01/2016 or later entered in the Revised Request Effective Date will cause  the Texas Medicaid Plan of Care to print with the most current  Revised dates of 2/1/2016 and Effective date of 4/1/2016.

Agencies will need Main Office Software Version 6010 dated 08/15/16 and Clinical Point of Care Software Version 2478 dated 08/15/16.  The Authorization Request document now has an additional tab for Insurance specific Authorization request/ justification items related to homebound status and skilled need.  Upon accessing the Insurance tab with in the document, select the Navinet button in the upper right corner of the screen.  Navinet/Highmark specific items will be available for selection.  Upon completion of all applicable items justifying the request, select the post button.  Items will now appear on the Insurance tab screen and will be included in the print form for direct data entry into the Navinet system.  Be aware, if items are forgotten in the intial posting, the selection screen does not save the previously marked items.  All responses will need to be selected again.  Posting beyond the initial time will clear previously posted items.

A new PECOS file is now available for download.

Physical Therapy specific Comprehensive OASIS Assessments are now available with Clinical Point of care Software version 2476 dated 8/4/2016.  Physical Therapists may complete a Therapy specific Comprehensive OASIS assessment on patients with only Physical Therapy services active.  When the appropriate OASIS Assessment (Start of Care, Recertification, Resumption of Care and Discharge from Agency) is added, a new drop down is available on the default or initial documentation screen.  The box for “OASIS Therapy Format” must display Physical Therapy.  Selecting the Physical Therapy Format should be saved prior to data entry.  Physical Therapists after completing all documentation can create the 485/Plan of Care.  All therapy specific orders and goals initiated will populate automatically to the orders and goals sections of the 485/Plan of Care.

Agencies will need Main Office Software version 6006, dated 8/4/2016 for the print form of the Physical Therapy Only OASIS Assessments.

Updated instructions through Navinet indicate that the OASIS file to be submitted with an authorization request must not be in a zipped folder.  Navinet will accept only the xml file.  Agencies with Main Office Software Version 6002 dated 08/01/2016 will note the check box in the ‘Create XML’ screen will no longer be automatically marked.  The software will only create the XML file of the OASIS.  Agencies not yet utilizing software version 6002 or later will need to un-mark the ‘zip’ check box manually prior to creating the xml file.

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