User I.D. and Password Requirement Changes in System Security

User I.D. and Password requirements have been changed to assist agencies in complying with HIPAA Security Standards.  Until August 1, 2014, when agencies set up system security for employees or change an existing employee password, agencies will receive an error if a password cannot be used or a warning if a password is considered weak.  After August 1, 2014, agencies will receive an error if a password cannot be used or is considered weak.  Passwords should be unique for each employee,  be at least 8 characters and contain letters, numbers, and special characters.

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Resolving Error- ‘Field A0050’ Not Found

Agencies experiencing error, Field ‘A0050’ Not Found, when accessing or viewing comprehensive visits or assessments in the Main office software will need to update the Main Office Software to the current version 5496 or later to resolve the error.

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Creating HIS Files

Hospice agencies will need to have Main Office software version 5496 or later when creating HIS files for submission to the ASAP system due to additional updates to the xml file format created by the software.

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Hospice Item Set

Beginning with main office software update 5488 and clinical software version 2225.  The Hospice Item set is now available for completion.  The ability to create submission files to meet quality reporting requirements is also available.  The Admission Hospice Item Set can be found inside of the Comprehensive Hospice Assessment (CA) in both the main office software and in the clinical point of care software.  There are 2 check boxes on the initial/default screen.  “Include Hospice Item Set” will incorporate the item set into the comprehensive assessment for the assessing clinician to complete.  The “Hospice Item Set Only” will provide only the item set questions and can be used when the information is extracted from external documents or by a responsible employee, not the assessing clinician.  The Discharge Hospice Item set is found in the main office software in the Statistical Discharge from Agency activity.  The Print Form will provide the page for signatures of the individuals completing the HIS items and the individual verifying record completion.  These signatures will not be included in the submission files but are to be kept by the agency in accordance with policy and procedures related to patient information.  Submission files of HIS assessments can be created by selecting the new “Create HIS files” button from the main menu screen of the main office software.  A grid will display all HIS assessments completed.  To include an assessment in a file, double click on the check box in the Include column for that assessment.  You may include more than one assessment when creating a file.  Once all assessments to be included are checked, indicate the Electronic file directory location.  This will be the location on your agency computer where the file will be saved.  Indicate the file name and select the perform button.  When connected to the ASAP system for submission, you will retrieve the file from the location on your agency computer.  When multiple assessments are included in the file, the software will create a compressed zip file.  Each assessment will be found inside the folder as an XML file meeting submission specifications.

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Medicare Home Health Reporting Requirements for Certifying Physician and Physician who signs the Plan of Care for episodes that begin on or after July 1, 2014

Available in the Main Office software with Version 5485:  Additional fields have been added to the Edit PPS Billing information screen in PPS Billing to meet the Medicare Home Health reporting requirements for episodes beginning on or after July 1, 2014.  The “Physician in OASIS” field is now available and will auto populate with the Physician from the OASIS.  The Document Review box will display the name of the physician on the Plan of Care.  This should match the Physician in the OASIS.  This Physician will report in claims as the Physician who signs the Plan of Care.  The Face to Face Physician (if different) field is also now available to enter the name of the Physician who completed the Face to Face Encounter documentation and certified the Patient for Home Health Services.  If the Face to Face Physician is different than the Physician who signed the Plan of Care – the Face to Face Physician will report in the claims as the certifying/re-certifying Physician.  The Document Review box will also display the name of the Physician on the Face to Face Encounter.  If the certifying/re-certifying physician and the physician who signs the plan of care is the same, only the Physician who signed the Plan of Care will be reported in claims.  Reminder:  All Physicians will need their NPI number entered in the software in the Doctors database.

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PECOS

A new PECOS file is available for download.

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Attachments

The ability to attach external documents to Patient Activities/Documents is available beginning with Main office software version 5477.  An attachments button can be found at the bottom of the patient activity screen to attach external records to a highlighted activity in the Patient Activity Grid.  The attachments button will allow users to both save the attachment and view an already attached record.  Once the attachment is saved originally on the agency computer, select the attachments button, select “Add” and indicate the folder/directory location of the original record.  Highlight the record and select the “Attach” button.  The attachment will be saved to the selected activity in the software.  The original record will NOT be automatically deleted from the agency computer.  The software will accept attachments in most formats including:  jpg, xls, pdf, doc, and txt.  The attachments button can also be found in the View screen to view (only) an attached record.

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PECOS

A new PECOS file is available for download.

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PECOS

A new PECOS file is available for download.

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New PT General Follow Up Document

A new General Follow up document is available for selection in the Type of Note drop down in Comprehensive Physical Therapy visits.  Beginning in Version 2208 in the Clinical POC software, the document can be found when a visit, then Physical Therapy is added.  In the main system beginning with version 5548, the document can be found from the activity selector screen under Visit Assessment section, Physical Therapy.  The document provides for documentation with a focus on interventions treatment, teaching and physical assessment of vital signs, mental status, and pain that many agencies have requested for Physical Therapy Assistant visit documentation.  The document automatically provides Therapy 1, 2, and narrative screens.  Additional section documentation screens for sensory, integumentary, neuro, strength/ROM, treatments & teaching (order/treatment) check boxes are available for selection after the General Follow Up has been selected in the Type of Note drop down box.  Defaults can be set for automatic section selection in the main software, Other Set Up button, Clinical Setup tab.  Enhancements to the document will continue for the next several version updates.

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