ICD-10 Testing

For those agencies registered for ICD-10 Testing Week March 3 – 7, 2014 – the ability to create a test file for billing with ICD-10 codes will be available with software versions dated 2/28/14 or later.  The ICD-10 tab in Patients Diagnosis screens will need to be completed for each Patient to be included in the test file.  An additional check box to create an ICD-10 test file has been added to the PPS Billing Screen.

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Hospice Billing Change – Billing Sheet

Changes to the Billing Sheet will be available on software versions dated 2/28/14 or later.  Additional data entry fields for Non-injectable medication refill NDC codes, quantity refilled, and units of measure qualifier.  This information will be required for the new Hospice Reporting requirements.

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ICD-10

With Version 5411 an additional tab is now available for ICD-10 code assignment in the Patient Diagnosis screen.  The ICD-10 code set will be automatically available with no required import.  ICD-10 codes will not pull to reporting or invoicing at this time.

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Connecting to ftp Errors – Resolved

The issue of clinical notebooks connecting to the ftp site has been resolved.  Last night the ftp host site migrated our account.  We were told everything would be the same but this morning we found there were some “permission” issues that had to be resolved.

All users are currently experiencing problems connecting to our ftp site.  We are working with the company that hosts our ftp site to correct the problem and will let you know as soon as it is resolved.  Thanks for your patience.

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Current Certification Periods in Clinical Software

With version updates as of January 31, 2014, the current certification period will begin to display on each Patient Demographics Screen in the Clinical Software.  This process of displaying the certification period will take place over a period of time.

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Authorization Board

As of January 31, 2014, Managed Hosting Clinical Software users will have a new screen available for tracking Authorized Visits.  The button to open the Authorization Board is available when the patient’s medical information screens are accessed.  Each authorization will display with a listing of corresponding authorized visits.  Authorization totals and remaining balances are displayed.  Visits without an authorization will also be listed.

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Hospice Billing Change – Facility NPI

As of April 1, 2014 if revenue code 0656 is used along with HCPCS code Q5004, Q5005, Q5007 or Q5008 then the NPI number of the facility where the services are performed needs to be included in the Hospice ANSI 5010 billing.  These HCPCS codes indicate that the services were performed somewhere other than at the patient’s  home or your home health care agency.

To accommodate this, we have added a drop down box labeled “Outside Location Facility” in the patient visit entry screens which will be used for ANSI 5010 billing.  In order for a outside facility to appear in the drop down it must be setup under Hospitals/Facilities.

We have also added similar drop downs under Patients / Insurance / Hospice / Non-Routine Levels of Care.  If the outside facility is established under the Non-Routine Levels of Care section, the visits generated from posting Hospice routine visit days in the billing module will put the outside facility in the visits assuming you check the post non-routine days from patient insurance check box.

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Hospice Billing Changes – Medication Changes

We have added a new activity type under patients called a “Billing Sheet.”  This new billing sheet will give you the ability to include the Hospice medication changes in the ANSI 5010 billing that will become a requirement as of April 1, 2014.  Only certain revenue codes will appear in the drop downs boxes when a user is in the billing sheet.  There is a new check box in services labeled “Allow to show on Billing Sheets” which if checked, will allow the revenue code to be available in the billing sheets.  There is also a new check box in services labeled “Do not post to Accounts Receivable” to give users the ability to make sure charges for medication changes included in billing do not post to to accounts receivable.

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Missouri Alliance for Home Care Fall Risk Assessment Added

The Missouri Alliance for Home Care [MAHC 10] Fall Risk Assessment has been added to the clinical software.  When in assessments under the Living Arrangements section, when you press the Fall Risk Assessment button you can choose the current fall risk assessment or the MAHC 10 fall risk assessment.

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OASIS Update 1/8/2014

Some agencies have reported that the 2014 PPS episode amounts are only showing the supply dollar amounts.  If this is the case you will have to do another update to version 5386.  The 2014 case mix weights did not get incorporated into your HHC3000 software.

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