Category Archives: Billing

PDGM Final Claims Update- Version 6592

Posted on January 27, 2020 by Support

Main Office Software- Version 6592, dated 1/27/2020 will include the following updates/fixes for PDGM Final Claim generation: -Occurrence code 50 will now display on both the UB04 printouts and electronic ANSI files. -Final Claim Statement from/through dates will be updated.

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Main Software Version Update

Posted on January 22, 2020 by Support

Main update, version 6590, dated 1/22/2020 will include the following fixes: Blank OASIS D1 Assessment forms will now be available. Fix for a bug that was in the PDGM Wage Index Calculation which may have caused posted invoices to be … Continue reading →

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Update for FIPS Codes Medicare billing

Posted on January 30, 2019 by Support

Main Office software version 6434 dated 01/30/2019 will include a FIPS code for all Medicare PPS claims (RAPs and Finals). The FIPS code will also now be included on the Print form of a paper UB04 when generated from PPS … Continue reading →

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Override To Remove Value Code 85 for Commercial Insurances requiring PPS Billing but not the new Value code

Posted on January 18, 2019 by Support

A new Override to remove the new FIPS, Value Code 85 from PPS Claims for Commercial Insurances not requiring the value code has been added with Main Office Software version 6422 Dated 01/17/19. The Override can be found in Insurance/PPS … Continue reading →

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Update to correct Value code 85 in PPS claims prior to January 1, 2019

Posted on January 16, 2019 by Support

Agencies who have received claim rejections for Value code 85 on PPS claims with date of service prior to January 1,2019 will need main Office software version 6420 dated 01/16/19 or later. Prior software versions placed the new Value Code … Continue reading →

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Update to correct XML warning HIPPS code calculated does not match submitted HIPPS code

Posted on January 16, 2019 by Support

Main Office Software version 6419 dated 01/15/2019 will correct a Validation Report warning some agencies are receiving for submitted HIPPS code does not match the calculated HIPPS code upon xml file submission. A correction has been made to the point … Continue reading →

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Update for Medicare PPS billing Value Code 85 for Rural CBSA codes

Posted on January 8, 2019 by Support

Main Office software version 6408 dated 01/07/2019 will include the new requirement for Value Code 85 with corresponding FIPS code for Rural CBSA codes in Medicare PPS electronic ANSI 837I Claim files. The Value code and FIPS code will populate … Continue reading →

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Update to Report output for Pennsylvania Agencies utilizing HHA EXchange for EVV requirements

Posted on November 8, 2018 by Support

Pennsylvania agencies submitting reports to HHA EXchange to meet the EVV requirements should have Main Office Software Version 6380 dated 11/07/18. The update will include an additional check box in the ANSI 5010 Billing screen when marking the check box … Continue reading →

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OASIS HIPPS Version

Posted on October 2, 2018 by Support

Agencies will need Main Office Software Version 6362 dated 10-01-18 prior to submitting any OASIS XML files to CMS for OASIS Assessments with a M0090 date of 10-01-18 or later to ensure the updated HIPPS Version is applied.

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ICD 10-CM Code Set Update for October 1, 2018

Posted on September 27, 2018 by Support

Agencies must ensure they are using Main Office Software Update Version 6359 or later and Clinical Point of Care Software Users must have Version 2728 to receive the updated ICD 10-CM code set that will be effective as of October … Continue reading →

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