Anew PECOS File is now available for download.

Agencies will need to update the main Office and Clinical Point of Care Software prior to October 1, 2016 to receive the updates for the ICD 10 CM code set and PPS Billing Grouper.  Over 5,500 ICD 10 changes were made to the code set and will be effective October 1, 2016.  Agencies will need Main Office software Versions 6028 dated 9/26/16 or later.  Clinicians will need Clinical Point of Care Software Version 2489 dated 9/26/16 or later.  Updates to the grouper for medicare PPS billing are included in the version updates.

If you are currently running Windows 10 as a “Server”, you may run into an issue where the “Advantage Database Service” (ADS) stops repsonding.  This is because ADS does not support Windows 10 as a platform, meaning it is not supposed to be installed on Windows 10 and therefore, is not supported.
We have noticed the “Windows 10 Anniversary Update” (Update 1607) causes ADS to stop working; the service will not start.  There is no fix for this, other than removing the Windows 10 Anniversary Update.
The true fix for this issue is to use a proper Server Operating System such as Windows Small Business Server.
To see a full list of ADS supported Server Operating Systems, please see the link below:
http://sapassets.edgesuite.net/sapcom/docs/2013/01/4881c1b0-567c-0010-82c7-eda71af511fa.pdf
Please note, clients (non-servers) that are running Windows 10 are not affected, it is only the server (where ADS and HHC3000 are installed) that are affected.

09/26/2016 Clinical Software Version: 2489

This version update will require a software restructure.  Upon completion of the software update and opening to the Point of Care software , a message will appear requesting the software restructure.  Please select YES the software will open as usual when the restructure is complete.

09/15/2016 Main Software Version: 6025

This version update will require a software restructure.  Upon completion of the software update the software should be opened prior to the rest of the agency personnel accessing the software.  A message will appear requesting the software restructure.  Please select YES the software will open as usual when the restructure is complete.  At this point all other agency personnel can open the software.

Agencies who are or will be submitting Medicare PPS claims for Pre-claim review will need to update the Main Office Software to Version 6022 dated 09/12/16.

Upon receipt of the provisional approval and Unique Tracking Number (UTN), agencies will need to enter the UTN in the ‘Edit PPS Billing screen for each PPS Billable Assessment.  The UTN should be entered into the 2nd Auth/UTN field found in the section for ‘Final Bills Only’ PRIOR to creating and submitting the final claim.  The software will place the UTN appropriately in the electronic final claim.  The UTN will print immediately after the Treatment Authorization Code on the UB04.  The UTN may overlap the boundaries of the field on the UB04 print form.  As Palmetto GBA is the intermediary for states submitting pre-claim review and Palmetto GBA only accepts electronic claims, the overlap will only occur on printed UB04s kept for agency records.

As a reminder:

Agencies located in Illinois are to submit claims with a UTN for Start of Care dates August 3, 2016 or later.

Agencies located in Florida will start the pre-claim review process no earlier than October 1, 2016.

Agencies located in Texas will start the pre-claim review no earlier than December 1, 2016.

Agencies in Michigan and Massachusetts will start pre-claim review no earlier than January 1, 2017.

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