Category Archives: Billing

ICD 10 Diagnosis Check Tool

A new tool has been added to Main Office Software Version 6033 dated 10/03/16 and to Clinical Point of Care Software Version 2490 dated 10/03/16 to assist agencies with coding/Diagnosis assignment with the ICD 10-CM code set update.  An ‘ICD … Continue reading

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Hospice CBSA and Rate Updates

Hospice agencies will meed main Office Software Version 6033 dated 10/03/16.  Hospice agencies will no longer use Transitional CBSA codes as of 10/01/16.  The software version update will provide the FY 2017 CBSA codes and wage index.  Agencies should NO … Continue reading

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PECOS

Anew PECOS File is now available for download.

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ICD 10 CM Update and Update For Medicare PPS Billing

Agencies will need to update the main Office and Clinical Point of Care Software prior to October 1, 2016 to receive the updates for the ICD 10 CM code set and PPS Billing Grouper.  Over 5,500 ICD 10 changes were … Continue reading

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Unique Tracking Number for Medicare PPS Claims for States Submitting Pre-Claim Review

Agencies who are or will be submitting Medicare PPS claims for Pre-claim review will need to update the Main Office Software to Version 6022 dated 09/12/16. Upon receipt of the provisional approval and Unique Tracking Number (UTN), agencies will need … Continue reading

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Updated Texas Medicaid Plan of Care

The Texas Medicaid Plan of Care has been updated to reflect the most current effective date and revised dates.  The old effective date of 03/17/2014 and revised date of 05/07/14  can be found at the bottom right of the print … Continue reading

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PECOS

A new PECOS file is now available for download.

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Update Related to XML File Creation For Highmark Authorization Requests Submitted Through Navinet

Updated instructions through Navinet indicate that the OASIS file to be submitted with an authorization request must not be in a zipped folder.  Navinet will accept only the xml file.  Agencies with Main Office Software Version 6002 dated 08/01/2016 will … Continue reading

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Software Changes for Submission Requirements for Authorization Requests Through Navinet for Highmark Commercial and Medicare Advantage Members

Beginning August 1, 2016 agencies requesting new and/or additional authorizations for services for Highmark commercial and Medicare Advantage members will need to upload the Patient (member) OASIS in XML format and a PDF of the patient’s Plan of Care.  To … Continue reading

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PECOS

A new PECOS file is available for download.

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