Category Archives: Billing

PPS Billing Alert- Final Claims as of April 1, 2017

Posted on May 31, 2017 by Support

Final claims sent where the OASIS assessments have not been received and accepted by CMS prior to billing will be denied. You may not be able to rebill and collect payment. A sent date does not indicate that the assessment … Continue reading →

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PECOS

Posted on May 16, 2017 by Support

A new PECOS file is available for download

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Enhancements to the Create OASIS XML Screen

Posted on April 7, 2017 by Support

Enhancements to the Create OASIS XML screen have been added with Main Office Software Version 6126 dated 04/06/2107.  The enhancements will assist agencies in tracking the acceptance of OASIS XML files submitted to CMS.  The Create OASIS XML screen can … Continue reading →

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PECOS

Posted on March 27, 2017 by Support

A new PECOS file is now available for download.

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Palmetto GBA Issues with Home Health Claims Crossing January1, 2017

Posted on January 18, 2017 by Support

Agencies should be aware that Palmetto GBA has indicated all Home Health Claims submitted with episodes that cross the January 1, 2017 time point which may hold HCPCS codes G0163 and new codes G0493 and G0494, and/or G0164 and new … Continue reading →

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Software Enhancements for New Condition Code for Late Hospice Recertification

Posted on January 5, 2017 by Support

Hospice agencies will need to use Condition Code 85 to demonstrate a late Recertification on Claims as of January 1, 2017.  Agencies will be required to include Occurrence Span Code 77 with the dates not covered due to the untimely … Continue reading →

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PECOS

Posted on December 29, 2016 by Support

A new PECOS File is now available for download.

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Medicare and OASIS Changes for January 1, 2017 Are Now Available

Posted on December 22, 2016 by Support

Agencies will need to have Main Office Software Version 6065 dated 12/21/16 and Clinical Point Of  Care Software Version 2516 dated 12/21/16.  Software Versions dated 12/21/16 or later will contain updates for all Medicare PPS billing and OASIS C2 changes. … Continue reading →

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Software Enhancements for Tracking OASIS Submission are now Available-Be Ready for Medicare Changes for April 1, 2017, Denial of Claims when the OASIS has not been submitted to CMS

Posted on December 14, 2016 by Support

Medicare requires all OASIS to be transmitted to CMS within 30 days of completing the assessment. Medicare will deny claims (Finals) if there is not the matching OASIS (SOC or Recert) in CMS (the quality system) if the Final Claim … Continue reading →

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PECOS

Posted on November 8, 2016 by Support

A new PECOS file is now available for download.

Posted in All Messages, Billing, HHC 3000 Office Software, Physicians | Leave a comment