Category Archives: OASIS

OASIS HIPPS Version

Agencies will need Main Office Software Version 6362 dated 10-01-18 prior to submitting any OASIS XML files to CMS for OASIS Assessments with a M0090 date of 10-01-18 or later to ensure the updated HIPPS Version is applied.

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Medicare Home Health Rural Add On

As of January 1, 2018 Medicare had removed the Rural Add on for Home Health. Medicare has retroactively reinstated the 3% Rural Add on. Medicare is responsible for adjusting payments retroactive to January1, 2018. Moving forward agencies will need main … Continue reading

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HIPPS Code Version Warning

Agencies may be receiving a HIPPS Code warning when submitting OASIS XML files to CMS. All Agencies should get the current Main Office software version 6255 dated 01/10/2018. The current software version will correct the issue causing the warning.

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Medicare and OASIS Changes for January 1, 2018

Agencies will need to have Main Office software version 6247 and Clinical Point of Care software version 2643 dated 12-20-17 or later for Medicare and OASIS changes effective January 1, 2018. The software version will contain updates for Medicare PPS … Continue reading

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OASIS XML Files

Agencies will need to have Main Office Software Version 6212 dated 10/05/17 prior to submitting OASIS XML files to CMS. The HIPPS Version has been updated.

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PPS Billing Alert- Marking OASIS Assessments as “Accepted” Software Enhancements

Enhancements for increased efficiency have been made to the Create OASIS xml screen with Main Office Software Version 6153 dated 05/31/17. In the Create OASIS XML screen we have added a “PPS Billable Only” checkbox and a new Option to … Continue reading

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

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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Urgent- Medicare Denial of Claims for no OASIS record found at CMS

Medicare Final Claims denied with Group Code of CO and Claim Adjustment Reason Code 272 due to no OASIS record found at CMS per Palmetto cannot be resubmitted for payment. If a denial is received agencies may attempt to appeal … Continue reading

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Verbal Start of Care, Recertification and Resumption of Care Orders for Continued Services

Available with Clinical Point of care software version 2558 dated 04/07/2017, Physician orders added from inside a Start of Care Comprehensive OASIS Assessment will now default to a Verbal SOC special type.  The Physician Order Special type will default to … Continue reading

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Enhancements to the Create OASIS XML Screen

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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