Is Windows 10 your “Server” Operating System?

If you are currently running Windows 10 as a “Server”, you may run into an issue where the “Advantage Database Service” (ADS) stops repsonding.  This is because ADS does not support Windows 10 as a platform, meaning it is not supposed to be installed on Windows 10 and therefore, is not supported.
We have noticed the “Windows 10 Anniversary Update” (Update 1607) causes ADS to stop working; the service will not start.  There is no fix for this, other than removing the Windows 10 Anniversary Update.
The true fix for this issue is to use a proper Server Operating System such as Windows Small Business Server.
To see a full list of ADS supported Server Operating Systems, please see the link below:
http://sapassets.edgesuite.net/sapcom/docs/2013/01/4881c1b0-567c-0010-82c7-eda71af511fa.pdf
Please note, clients (non-servers) that are running Windows 10 are not affected, it is only the server (where ADS and HHC3000 are installed) that are affected.
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Clinical Software Version Update With Restructure

09/26/2016 Clinical Software Version: 2489

This version update will require a software restructure.  Upon completion of the software update and opening to the Point of Care software , a message will appear requesting the software restructure.  Please select YES the software will open as usual when the restructure is complete.

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Main Software Version Update With Restructure

09/15/2016 Main Software Version: 6025

This version update will require a software restructure.  Upon completion of the software update the software should be opened prior to the rest of the agency personnel accessing the software.  A message will appear requesting the software restructure.  Please select YES the software will open as usual when the restructure is complete.  At this point all other agency personnel can open the software.

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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 to enter the UTN in the ‘Edit PPS Billing screen for each PPS Billable Assessment.  The UTN should be entered into the 2nd Auth/UTN field found in the section for ‘Final Bills Only’ PRIOR to creating and submitting the final claim.  The software will place the UTN appropriately in the electronic final claim.  The UTN will print immediately after the Treatment Authorization Code on the UB04.  The UTN may overlap the boundaries of the field on the UB04 print form.  As Palmetto GBA is the intermediary for states submitting pre-claim review and Palmetto GBA only accepts electronic claims, the overlap will only occur on printed UB04s kept for agency records.

As a reminder:

Agencies located in Illinois are to submit claims with a UTN for Start of Care dates August 3, 2016 or later.

Agencies located in Florida will start the pre-claim review process no earlier than October 1, 2016.

Agencies located in Texas will start the pre-claim review no earlier than December 1, 2016.

Agencies in Michigan and Massachusetts will start pre-claim review no earlier than January 1, 2017.

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Help Protect your Agency from the Increase in Ransomeware Attacks in 2016

The frequency of Ransomeware attacks have increased significantly in 2016.  Ransomeware either locks a user interface or encrypts files on a computer or server preventing access.  Ransomeware gets installed on networks by individual users accessing suspicious websites or through attachments.  An attack by Ransomeware has the potential of being considered a breach if encrypted files contain Protected Health Information.

In light of increased Ransomeware frequency,  Armor has allowed us to share a list of suspicious IP addresses that are more uncommon and may not be included in the list of blocked IP address within your agencies intrusion detection system and/or firewalls so Server based software agencies can work with their IT department to manually include them to protect themselves from an attack.

Agencies utilizing the software in the Managed Hosting Environment are already protected by Armor.  The article from Armor is included below.

Top 15 Armor WAF/NIDS IP

In cybersecurity, it’s common to focus on ongoing attacks form the most active threat actors. However, often overlooked, stealthy threat actors that attack by sending the minimum amount of traffic needed for an exploit, hoping to slip past an intrusion detection system (IDS), are just as capable as their “noisier” peers. In the month of July 2016, Armor highlighted the 15 rarest IPs seen in its IDS events, with a large portion of them attempting SQL injection. The total events for these threat actors are just a fraction of a percentage of daily events processed by Armor.

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New Security Reports for Software User Log In by Date and Time

A new security report is now available in System Security/ Security Reports for tracking software user Log in and Log out by date and time with main office software version 6014 dated 08/23/16.  The must be generated with a parameter specifying a specific employee for a specific date range.

Server based agencies will be able to track Main Office software users Log In and Log Out by date and time.

Agencies accessing the software in the Managed Hosting Environment ( accessing the software through the internet) will be able to track both Main office and Clinical Point of Care user log In and Log out times by date.  Users with a recorded log in time and date and no recorded log out time did not log out of the software prior to closing the internet screen.

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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 form.  Agencies will need to have Main office software version 6014 dated 08/23/16.  Printing of the most current effective date for the Texas Medicaid Plan of Care is dependent upon entry of the Revised Request Effective Date as found in the Texas medicaid specific tab in the 485 document.  A date of 04/01/2016 or later entered in the Revised Request Effective Date will cause  the Texas Medicaid Plan of Care to print with the most current  Revised dates of 2/1/2016 and Effective date of 4/1/2016.

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Navinet/Highmark Specific Items Now Available in the Authorization Request Document

Agencies will need Main Office Software Version 6010 dated 08/15/16 and Clinical Point of Care Software Version 2478 dated 08/15/16.  The Authorization Request document now has an additional tab for Insurance specific Authorization request/ justification items related to homebound status and skilled need.  Upon accessing the Insurance tab with in the document, select the Navinet button in the upper right corner of the screen.  Navinet/Highmark specific items will be available for selection.  Upon completion of all applicable items justifying the request, select the post button.  Items will now appear on the Insurance tab screen and will be included in the print form for direct data entry into the Navinet system.  Be aware, if items are forgotten in the intial posting, the selection screen does not save the previously marked items.  All responses will need to be selected again.  Posting beyond the initial time will clear previously posted items.

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PECOS

A new PECOS file is now available for download.

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Physical Therapy Specific Comprehensive OASIS Assessments Are Now Available In The Clinical Point of Care Software

Physical Therapy specific Comprehensive OASIS Assessments are now available with Clinical Point of care Software version 2476 dated 8/4/2016.  Physical Therapists may complete a Therapy specific Comprehensive OASIS assessment on patients with only Physical Therapy services active.  When the appropriate OASIS Assessment (Start of Care, Recertification, Resumption of Care and Discharge from Agency) is added, a new drop down is available on the default or initial documentation screen.  The box for “OASIS Therapy Format” must display Physical Therapy.  Selecting the Physical Therapy Format should be saved prior to data entry.  Physical Therapists after completing all documentation can create the 485/Plan of Care.  All therapy specific orders and goals initiated will populate automatically to the orders and goals sections of the 485/Plan of Care.

Agencies will need Main Office Software version 6006, dated 8/4/2016 for the print form of the Physical Therapy Only OASIS Assessments.

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