Notification Enhancements for Managed Hosting Clinical Point of Care Software Users

Clinicians utilizing the Clinical Point of Care Software in the Managed Hosting Environment may now monitor responses to Notifications sent from the Clinical Point of Care Software from the ‘My Notices’ screen with software version 2582 dated 06/05/2017. In ‘My Notices’ Clinicians will select the new button, ‘Notifications sent’. All notifications sent from a patient’s Control Panel or Authorization Board/Notification section will display in the Notifications sent screen providing efficient monitoring for the receiving clinicians responses. Clinicians may also create a New Notification from ‘My Notices’ by selecting the ‘All Notes’ button. Case Managers may also create a group notification for their Team, as established in the Main Office Software under Employee Teams. Hospice personnel may send group notifications to update the Hospice patient’s Interdisciplinary Group/Team of changes or for notification of patient death.

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PECOS

A new PECOS file is available for download

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High Risk for Hospitalization Intervention Enhancements

Available with Clinical Point of Care software version 2579 dated 06/01/2017 Risk of Hospitalization flags that are triggered by documentation entered in the comprehensive assessments will also initiate programmed interventions to auto-populate and save to a new section in the comprehensive assessments in the Care Management/ Hospitalization Risk tab and the 485/Plan of Care in the Assist/Risk tab. The automated/populated fields with the risk items and interventions may be individualization as needed. The Hospitalization Risks with the Interventions to address each risk will be included in both document print forms.

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Supportive Assistance is now included in Plan of Care

Supportive assistance entered in the Comprehensive Assessments or in new data entry fields in the 485/Plan of Care in the Assist/Risk tab will now be included in a Supportive Assistance section on the Plan of Care with Main office software version 6154 and Clinical Point of Care version 2579 dated 06/01/2017.

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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 Perform, “Mark as Accepted by CMS” that will mark all assessments as received. After you get your OASIS validation report, you can then enter a CMS Date and check PPS Billable Only as the assessment filter parameters to display only OASIS Start of Care, Recertification and Resumption of Care used as a Recertification assessments. Next use the Option to perform, Mark as Accepted by CMS option to mark all the assessments as accepted by CMS on that date. Then you can just uncheck the ones that were not accepted using the Accepted button.

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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 was accepted by CMS. Acceptance information comes from the OASIS Validation Report. Agencies have starting reporting these types of denials and some were not aware, even though we have posted on Allegheny Messages.

Main Office Software version 6152 dated 05/30/2017 contains a new checkbox under Insurances/Insurance Company tab and the PPS tab that when checked will require a CMS Assessment ID (which comes from the validation report) or marking that the assessment was received, before a final claim can be created. This CMS Assessment ID or indicating the OASIS was received by CMS can be entered in Create OASIS XML screen using the “Accepted” button or in the view screen for the assessment under patients, or in the Edit PPS Billing Info screen.
Agencies using the “Accepted” button in the Create OASIS xml screen can now filter the screen by the software CMS Sent date to pull a list of all the assessments contained in the received Validation report to efficiently post the CMS Assessment ID or mark the assessment as accepted.

The entry fields have been in the software since early this year.

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Emergency Disaster Plan Software Enhancements

New Home Health and Hospice Agency regulations and requirements for Emergency Disaster planning will be implemented November 16, 2017. Agencies updating and/or establishing Emergency Disaster Plan policies and procedures will now have additional software enhancements for identifying high risk patient characteristics that may be needed during an emergency when identifying patients and the type of assistance required during a disaster or emergency will be required.
Agencies utilizing the Clinical Point of Care software and completing Comprehensive assessments will have Emergency/disaster alerts automatically populate based upon responses entered into the documentation screens of the assessments. The Emergency risks will populate in the new Risk/Alerts tab in the Case Management section of the Comprehensive assessments. Additional fields are also available to indicate if a patient lives in a disaster prone area, evacuation transportation available and any other concerns. Clinicians can then assign an Emergency Risk level based upon clinical judgement upon review of identified risks. To maintain consistent data between comprehensive assessments and the Alerts/Precautions and ADL/IADl assistance fields found in each patient medical information screen, a new button “Updates from assessments” will check items based upon the data entry in the comprehensive assessment.
Medical Information screens in the Main office software have been enhanced. The Emergency button will now include fields for the patient’s Emergency plan. The Therapies button/ Home Management tab contain the ADL/IADL assistance fields.
Agencies now have the ability to generate an Emergency Report for each patient. Agencies that would like clinicians to be able to print an Emergency Report for all active patients from the Clinical Point of care software in the event that the Main office software is not accessible due to utility disruption (electric, internet, etc.) can initiate and override by specific Employee in the Clinical Workstation Setting area in the MISC tab in the Employee database. Agencies will need to mark the new check box “Display ‘Print All’ check box (emergency Info) in Clinical notebooks. The Print All check box can be found on the Main Patient listing screen in the Point of Care Software next to the Emergency Info button.
Main Office Emergency reports and updated Emergency Information are available in the Control Board/ PT Status/ Risk Triage Alerts Emergency tab. Patients may be filtered by Location, Priority/Triage rating and by type of assistance based upon the location of an emergency or disaster. Emergency Reports are available for viewing and printing from this Control Board screen. Emergency Reports will contain patient demographics, Emergency Contacts, Emergency Risks, Medications, Alerts/Precautions, Assistance needed for ADL/IADL and a list of employees scheduled to see the patient in the next 7 days.

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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 the denial if you have documentation to show that the information was sent.
Agencies should not submit final claims for assessments that are 30 days or more from the assessment completion date on the Claim until the OASIS Assessment has been Accepted at CMS. Agencies will need to monitor their CMS Validation Reports to ensure each assessment has been accepted. Please reference MLN Matters article Number SE17009 for additional information.
Following creation of the OASIS XML file and receipt of the CMS Validation Report, agencies can now filter the Create OASIS XML file grid by the CMS Sent date to ensure and document all assessments in the created file were accepted.
Agencies currently have available fields to mark when OASIS submissions have been accepted at CMS by monitoring CMS Validation Reports. Agencies can Mark Accepted via a check box or enter the OASIS Assessment ID from the CMS Validation report from the Create OASIS XML screen by selecting the Accepted button when the assessment is highlighted in the grid, or from the Changes screen accessible through the View button for the OASIS. The Accepted check mark and OASIS Assessment ID entered in the previously identified areas are visible to agency Billing Personnel in the Edit PPS billing screen for each assessment. The PPS Billing Screen will also contain a column displaying an entered OASIS Assessment ID.
Future enhancements to the software to prevent Final claim generation when there is no documentation of OASIS Assessment acceptance at CMS are planned.

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PECOS

A new PECOS file is available for download

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Warning: Ransomeware called WannaCry

Warning: US healthcare – There is a growing threat in global ransomware called “WannaCry”.

If you are currently a cloud customer, your HHC3000 is already protected against this threat.  Please note, this does not protect your agency’s computers or servers.  Only your hosted HHC3000 server  and it’s data are protected.

Please see the article below and protect your systems against this growing threat immediately!

Please click the link below for more information.

https://www.armor.com/protect-against-wannacry-ransomware/

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