Effective April 1, 2017 the HIS discharge will require agencies to report the number of visits performed by discipline on day of patient death and up to 7 days prior to death.
The service types to be included are: Registered Nurse, LPN, MSW, Physician (also includes physician assistant and nurse Practitioner), Chaplain or Spiritual Advisor, Home health Aide
Service Code Stats Group options have been updated to include the additional options of Physician, Nurse Practitioner and Physician Assistant .
Sub group options have been historically available for the LPN.
Agencies will need to ensure they have the service code established for each of the listed visit types that will be included in the Utilization Summary.
Some of the visit types are not reported on claims such as the Chaplain or Spiritual visit. Agencies will need to record these visits in the software. If a service code is not already established for these visits, the software will not include any visit with a zero dollar billing amount on claims. By leaving the Billing dollar amount in Service Setup as $ 0.00 for the Chaplain service code, the agency will be able to record the visit for the utilization summary and ensure the visit is not included on a claim.
Agencies that utilize more than one service code with a stats group of HHA or RN or LPN and only certain of service codes for that group should be included in the Hospice HIS Discharge Service utilization Summary and additional check box has been added to the service set up screen. For those service code not to be included in the service utilization, agencies should mark the check box, “Exclude from HIS Service Utilization Summary”.
Continue to monitor Allegheny Messages for further updates related to the HIS Admission and Discharge Item set availability.