Override To Remove Value Code 85 for Commercial Insurances requiring PPS Billing but not the new Value code

Posted on January 18, 2019 by Support

A new Override to remove the new FIPS, Value Code 85 from PPS Claims for Commercial Insurances not requiring the value code has been added with Main Office Software version 6422 Dated 01/17/19. The Override can be found in Insurance/PPS tab labeled ‘Exclude FIPS Value Code 85’. The override will remove the new value code for Insurance companies requiring PPS style billing but not requiring the new value code.

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Update to correct Value code 85 in PPS claims prior to January 1, 2019

Posted on January 16, 2019 by Support

Agencies who have received claim rejections for Value code 85 on PPS claims with date of service prior to January 1,2019 will need main Office software version 6420 dated 01/16/19 or later. Prior software versions placed the new Value Code in 2018 PPS Claims causing rejections. Software version 6420 will correct this issue.

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Enhancements to Advanced Directives

Posted on January 16, 2019 by Support

Main Office Software version 6420 dated 01/16/19 and Clinical Point of Care software version 2760 dated 01/16/19 will contain enhancements to Advanced Directives. Additional Fields have been added to the data entry fields in the Comprehensive OASIS Assessments for POA, DPOAHC, and Living Will. If documentation is present indicating a patient Emergency Contact is a POA or DPOAHC the data will automatically be indicated in the Advanced Directive documentation section.
Advanced Directive will now have a distinct section in the Plan of Care/485 data entry fields in the Risk/Support tab.
A separate distinct Advanced Directive section print below the Patient Diagnosis on the Plan of Care Print Form.

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Update to correct XML warning HIPPS code calculated does not match submitted HIPPS code

Posted on January 16, 2019 by Support

Main Office Software version 6419 dated 01/15/2019 will correct a Validation Report warning some agencies are receiving for submitted HIPPS code does not match the calculated HIPPS code upon xml file submission. A correction has been made to the point calculation in the Clinical domain. Typographical errors in the PPS Summary sheet have been completed in the Functional domain.

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OASIS D Enhanced Error Checking

Posted on January 14, 2019 by Support

Enhanced Error checking has been made available for OASIS Assessments with Main Office Software version 6415 dated 01/11/19 and Clinical Point Of Care Software version 2759 dated 01/11/19.
The enhanced error checks are related to the new GG and JJ question responses that will cause a Fatal Rejection when submitted to CMS but are not associated with a designated skip pattern.

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Update for OASIS XML

Posted on January 10, 2019 by Support

Agencies should update to Main Office software version 6411 dated 01/09/19 prior to submitting OASIS XML files for Recertification and Other Follow up OASIS Assessments.
The latest version will correct an issue related to M1860 in the xml file. No change in data entry is required.

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OASIS D error checks and XML files

Posted on January 9, 2019 by Support

Agencies should have Main Office software version 6409 dated 01/08/19 and Clinical Point of Care software version 2756 dated 01/08/19 to receive the latest most complete OASIS D error checking.

Agencies should have Main Office Software version 6409 dated 01/08/2019 or later prior to submitting OASIS D XML files.

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Update for Medicare PPS billing Value Code 85 for Rural CBSA codes

Posted on January 8, 2019 by Support

Main Office software version 6408 dated 01/07/2019 will include the new requirement for Value Code 85 with corresponding FIPS code for Rural CBSA codes in Medicare PPS electronic ANSI 837I Claim files. The Value code and FIPS code will populate automatically based upon the current county set in the software.
Please note: The new Value code will not be included on the print form of the paper UBO4 generated for agency records at this time but is present in the ANSI claim file.

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Main Office Software Version Update

Posted on January 6, 2019 by Support

1/6/2020  Main Office Software Version 6576 has been released and is available for download. If utilizing the Cloud, users can exit out of the software and log back in, to receive the update.

This update includes fixes for the OASIS D assessment errors and XML generation errors.

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OASIS C2 XML file submission Update

Posted on January 3, 2019 by Support

Agencies will need Main Office software version 6404 dated 01/03/19 or later to successfully submit OASIS C2 xml files.

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