Category Archives: Billing

OASIS PPS 2012 Update

We have made a change to the PPS calculations for 2012. If you do not have version 4928 or higher you should update HHC3000. If a PPS assessment date is dated late 2011 and the episode period is 2012, our … Continue reading

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Ohio Medicaid ANSI 5010 Testing

Agencies submitting ANSI 5010 tests to Ohio Medicaid should get the most recent update version 4927 or higher. A couple of segments that were required under ANSI 4010 billing are no longer required under ANSI 5010 and will cause rejection … Continue reading

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Palmetto GBA Submitters

Palmetto GBA has informed us that we have just been approved as a software vendor for ANSI 5010 production claims. It will take them about 24 hours to complete the process on their end. For agencies that do not want … Continue reading

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Medicare – CIGNA Submitters

We have successfully ANSI 5010 tested with CIGNA and will soon appear on the approved vendor list once the paperwork is completed. They have asked us to provide them with a list of our agencies that submit to CIGNA along … Continue reading

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ANSI 5010 Response Files

With the change over to ANSI 5010 for electronic claims (835), several insurance companies have discontinued sending any response files that are readable. Instead they are only sending 999 submission acceptance files or more commonly 277CA claim status files. The … Continue reading

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Pennsylvania Medicaid ANSI 5010 Billing

We have been officially notified by the Pennsylvania Medical Assistance Program that we have passed the HIPAA 5010 testing as a software vendor. Agencies using HHC3000 do not have to test individually for ANSI 5010. They just need to start … Continue reading

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ANSI 5010 Testing

Just a couple of updates. For Pennsylvania Medical Assistance we have sent some files as a vendor that were accepted. We should be on the approved vendor list in the near future. We should will appear on the Palmetto Medicare … Continue reading

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New PPS Rates

All of the final 2012 PPS rate changes per the November 8, 2011 Federal Register are now available with the current update, 4897, along with the CBSA wage index factors for 2012. We had sent out the proposed changes earlier … Continue reading

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Ohio Medicaid & Passport ANSI Electronic Billing

If you are receiving the error messages “Missing Secondary CAS Information” for all your patients when you create your Ohio Medicaid or Ohio Passport ANSI electronic billing, you will need to update your software to version 4888 or higher. The … Continue reading

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New ICD9 Codes – October 1 2011

A new ICD9 diagnosis codes and surgical codes import file that includes the October 1, 2011 changes is available with the current update version 4875.

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