Category Archives: Billing

PPS HIPPS Calculations Update

Posted on May 16, 2012 by Support

Version 5035 has an update that corrects two software “bug” in the PPS HIPPS calculations.  ICD9 codes 29420 & 29421 were not scoring as diagnosis group 17 Psych 2.  This would cause a under scoring of the HIPPS code.  There … Continue reading →

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Texas Medicaid ANSI 5010 Institutional

Posted on May 4, 2012 by Support

We have been approved for Texas Medicaid ANSI 5010 institutional claims.  We should be approved for professional claims in the next couple of weeks.  They mention it will take some time for us to show up on the approved vendor … Continue reading →

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Medicare Hospice – ANSI 5010

Posted on March 28, 2012 by Support

In version 4996 there was a change to HHC3000 to correct a problem with ANSI 5010 Medicare Hospice billings.  The problem occurred when an occurrence code was entered under the  patient insurance screen.  The code was being dropped when it … Continue reading →

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Medicare Secondary Billing

Posted on February 10, 2012 by Support

If you are having problems getting Medicare secondary billings accepted under ANSI 5010 billing you will need to get the most recent update, 4961. Under the PPS Billing Information, in the Medicare Secondary tab, there is a new field called … Continue reading →

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DC Medicaid Waiver ANSI 5010

Posted on February 3, 2012 by Support

If you are having problems with DC Medicaid Waiver accepting your claims in the judication process, there are a few setup items that must be done in insurance company maintenance. In the ANSI tab check the API Format check box. … Continue reading →

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ANSI 5010 – Virginia & DC Medicaid

Posted on February 1, 2012 by Support

We have made changes to the Virginia Medicaid and DC Medicaid ANSI 5010 billing formats. If you use these types of billing you should get version 4955 or higher.

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2012 OASIS HIPPS Calculation

Posted on January 20, 2012 by Support

The HHC3000 software has been modified to include the two new dementia codes 29420 and 29421 in the HIPPS scoring. These two codes were added by CMS in late 2012.

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PA and VA Medicaid Atypical Providers – ANSI 5010

Posted on January 10, 2012 by Support

If your billing Pennsylvania Medicaid or Virginia Medicaid and you are an Atypical Provider, you will need to get update version 4933 or higher. In addition, under insurance maintenance you will need to put your atypical provider number in the … Continue reading →

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Medicare ANSI 5010 – CIGNA

Posted on January 9, 2012 by Support

If you submit your Medicare ANSI 5010 production files to CIGNA using the receiver id 15004 and you get a rejection stating that ISA:05 should be ’28’ then you will need to get update version 4932. This rejection will not … Continue reading →

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DC Medicaid ANSI 5010 Billing

Posted on January 5, 2012 by Support

If your ANSI 5010 billing gets rejected and you are told that the file was rejected because it was sent as a dental claim, you will need to go into Insurance Companies, select the ANSI tab, and in the ANSI … Continue reading →

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