Category Archives: Billing

Medicare PPS Billing Rejections

Medicare has now starting rejecting claims where your agency zip code does not include the full 9 digits.  In early 2012 we starting adding ‘0000’ to the zip code if the +4 was missing.  As of recently, they are no … Continue reading

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Year End 2012 Updates

Version 5159 is now available for downloading. First, this update includes 2013 federal tax calculations which are temporary until the congress determines what the tax rates should be.  Federal income tax will be withheld at the 2012 rates until further … Continue reading

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Insurance Company Billing Rate Changes

On tonight’s update will be a new tab under insurance companies labeled “Billing Rates.”  This tab will allow the user to more easily change billing rates for an insurance company.  On the tab will be, grouped together, all of the … Continue reading

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October 2012 ICD9 Code Update

The October 2012 ICD9 diagnosis and surgical codes update will be available on future software updates downloaded as of  Thursday, October 4, 2012.  Once you download your update, simply  go into Utilities, Update ICD9/Proc. Codes, and perform the update.

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Medicare PPS Billing

As of 10/1/2012 Medicare will no longer data to appear in PPS billing segments SBR03 and SBR04 in loop 2000B.  These would normally be the Group Name and Insurance Group Number found in Insurance Maintenance and would be rarely used … Continue reading

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PPS Billing – Occurrence Code 55

Medicare as of 10/1/2012 will require an occurrence code 55 along with the patient’s deceased date if the patient status is one of the expired codes 20, 40, 41, 43.  All users will need to do is enter the patient’s … Continue reading

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PPS Therapy Tracking Report

We have replace the PPS M0826 Therapy Status Report with a new report, PPS Therapy Tracking Report.  The report is designed to help with the therapy tracking for 13th & 19 visits and for the 30 day requirement. We would … Continue reading

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DC Medicaid PCA Billing

We have just made available Version 5067 of HHC3000 which includes the ANSI billing changes for DC Medicaid PCA ANSI 5010.  The changes include the NPI of the PCA employee in loop 2310D as required.  When the file is created, … Continue reading

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HIPPS Calculation Supply Code Correction

We have found a bug in the HIPPS calculation where sometimes the supply code portion of the HIPPS code would not calculate correctly.  The bug was found as the result of agencies reporting this to us as a result of … Continue reading

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Report Changes

We have added the responsible employee to the sort order for the Authorization Status Report and the Possible Billing Errors Report.

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