Main Office software version 5969 dated 5/26/16 will have new screens available in the “PPS What If” button to improve efficiency for main office Coders reviewing clinician documentation, completing coding and sending the changes to the clinician for review, acceptance and final electronic approval. Agency coding personnel can complete coding without opening or editing to the data entry screens of an assessment. The “PPS What if”button and screens have been updated for “PPS Review/What if”. The Control Board Cert Period screen will allow Coders to filter for the most recent OASIS assessments completed . Once an assessment is selected and the orange “Load” button is initiated, the new PPS Review/What if button is available for selection. A new document tab is now available at the top of the PPS Review screen providing a read only document format. The Diagnosis tab will allow coders to complete the Diagnosis Codes for M1021, M1025, M1011 and M1017. The Clinical, Functional, Therapy and Margin tabs will continue to display the point yielding OASIS questions and estimated number of visits for historic ‘What if’ functionality. The right side of the new screens allow for recalculation of HIPPS code and PPS dollar amounts and the Print Change sheet that have also been available historically. New buttons will allow the Coder to post changes to the data entry fields. Posting changes will remove the clinicians electronic approval. A change sheet will be provided with a summary of the changes and any errors or warnings. The software will now provide a secondary window for the coder to also update the 485 with the coding changes and send the changes back to the Clinician for review and approval.
For Server based Clinical Point of Care software users, the coder will mark the documents for re-approval, “Mark R/A”. Clinicians will see the marked documents in their Re-approval screen. Review of document changes and re-approval must be completed by editing the document from the re-approval screen.
For Managed Hosting Clinical Software users the Coder will send the clinician a Notification. The software will create the Notification using the Change sheet information and include any errors or warnings. Clinicians will need Clinical Software version 2442 dated 5/26/16 in the Managed Hosting Environment. Clinicians will see the Notification detailing the changes and any errors or warnings in their My Notices screen. When the Notice is selected the Clinician will now see a new button “Open Document” in the upper right corner of the screen. By selecting the “Open Document “button the assessment will open, the clinician can review the changes and when exiting can apply the final electronic approval.