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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Upper Extremity Strength / ROM

The Upper Extremity Strength ROM documentation screen has been added to the musculoskeletal section of all Physical Therapy documents (PT Assessment, PT Progress Note, PT Visit, PT Functional Assessment, and General Follow Up) with Clinical version 2210 and Main software version 5448.  Enhancements to the screens will continue for the next several version updates.

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PT Goals

Enhancements are being made to Goals in PT documents.  Additional data entry fields have been added to allow entry of a time frame promoting measurable goals.  Several additional goals have been made available.  Goals are now organized by categories such as balance, gait, and transfers.  These enhancements will start to be available with clinical version 2210 and main office software version 5448.  Enhancements to the screens will continue for the next several version updates.

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PECOS

A new PECOS file is available for download.

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New HCFA 1500 Health Insurance Claim Form

Version 5425 has the modifications necessary to print the new HCFA 1500 insurance claim form.  We added “HCFA 1500 – 2014 (new)” as a new invoice format  under insurance companies.  We also kept the prior HCFA 1500 format which is labeled ” HCFA 1500 – 2005 (old).”  These same options are available as invoice format overrides when generating invoices.

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