Category Archives: Billing

Important OASIS Update

Posted on January 6, 2014 by Support

All agencies will need to update to Version 5383 which will be available today after 4:00 pm.  The HIPPS code calculations for OASIS assessments are correct but the total episode dollar amounts being calculated were based upon 2013 PPS case … Continue reading →

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Adding HIPPS Codes to Non-PPS Billing

Posted on July 17, 2013 by Support

Just recently, some of the Medicare HMO’s and other insurance companies that do not use PPS billing have asked that the HIPPS code be added to the UB04.  Most have made this a requirement as of July 1, 2013 billing; … Continue reading →

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Medicare Advantage Plans – ANSI Billing

Posted on July 2, 2013 by Support

We have very recently been notified that as of July 1, 2013, Medicare Advantage Plan claims need to include an OASIS HIPPS code record.  Medicare Advantage claims are usually billed electronically under the ANSI 5010 billing.  What we plan to … Continue reading →

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Patient & Employee Notes

Posted on July 2, 2013 by Support

In the past users have had problems with notes in the patient or employee maintenance sections accidentally being deleted.  We have also had requests to tighten the security on these fields.  In the latest update the fields can no longer … Continue reading →

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PPS Billing – Place of Service Codes

Posted on July 2, 2013 by Support

We originally changed all PPS billing to include the patient place of service HCPCS code records with billings beginning 7/1/2013.  We have changed the PPS billing to add these records only if the episode period begins 7/1/2013 or later.

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PPS Billing – Place of Service Changes

Posted on June 11, 2013 by Support

We have finished the changes needed for the CMS requirements that all PPS claims as of July 1, 2013,  include a revenue service line record showing the patient place of service information.  Any time the place of service changes for … Continue reading →

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Patient Activities – View Screen

Posted on June 6, 2013 by Support

We have been making a lot of changes to the view screen found in patient activities.  Now when you view an OASIS record or a visit, there is a new button on the bottom of the screen called “Changes.”  This … Continue reading →

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PPS Control Board

Posted on May 14, 2013 by Support

Under patient activities we added a new button called “PPS Control Board.”  This feature gathers information for the selected PPS certification period and organizes it in a format to better track where you stand with therapy visits concerning the 13 … Continue reading →

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CMS / PPS 2% Sequestration Cut

Posted on May 8, 2013 by Support

As of April 1, 2013, there has been a 2% sequestration cut to Medicare PPS payments.  When you receive the final payment, CMS is including a 2% contractual allowance adjustment reduction to your total remittance. In order to allow for … Continue reading →

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PECOS File

Posted on April 25, 2013 by Support

A new PECOS file is available for download.

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