Ohio State Withholding Rates

The new Ohio employee withholding rates that became effective September 1, 2013, are included with the most recent software version that was made available today.  This new rates should overall reduce the employee withholding by approximately 8.5 %.

Posted in All Messages, Employees, HHC 3000 Office Software, Payroll | Leave a comment

Physical & Occupational Therapy Visits

A few weeks ago we made changes to therapy visits, which were previously called PT Progress Notes and OT Progress Notes.  Over the years we have spent considerable time changing therapy assessments and therapy visits trying to come up with one form that would satisfy all agencies.  Some agencies wanted extensive data collection, others wanted less data collection.

What we did was come up with three different formats for the physical and occupational therapy visits records.  When you open up the data collection screens there is a “Type of Note” drop-down option to classify the visit as a Visit Note, Progress Note, or Functional Assessment.  The visit note collects the least amount of data, the progress note collects more data, the functional assessment collects the most amount of data and can be used as a therapy assessment but it’s attached to the visit.  Prior to this change the assessment had to be completed separate from the visit.  You may want to open up a therapy visit, change the type of note, and browse the different data entry screens to see the differences to determine which formats work best for your situations.

At the request of several of our agencies we a working on completing a speech therapy assessment along and speech therapy visits.  We will be taking the same approach with speech therapy.

Posted in Activities & Forms, All Messages, HHC 3000 Clinical Point of Care, HHC 3000 Office Software, Patients, Visits | Leave a comment

MSW Assessment – Physician Signature

Several agencies have asked us to put the physician signature box on the MSW assessment printout.  Last night’s update includes this change.

Posted in All Messages, HHC 3000 Clinical Point of Care, HHC 3000 Office Software, Visits | Leave a comment

Office Security

We  made a couple of changes that affect employees that have office security established for more than one office.  Those employees will see a office drop down box at the top right hand corner of the main screen which will allow them to change offices without having to exit the software and log back in under a different office.  We have also added similar drop down boxes in patient and employee maintenance.  Sometime in the future we plan to change reports to allow these users to select any one of their approved offices in the reports.

Posted in All Messages, Employees, HHC 3000 Office Software, Payroll, System Setup | Leave a comment

Adding HIPPS Codes to Non-PPS Billing

Just recently, some of the Medicare HMO’s and other insurance companies that do not use PPS billing have asked that the HIPPS code be added to the UB04.  Most have made this a requirement as of July 1, 2013 billing; several have stated that they will not start the edit checks until September.  Most of our agencies were surprised at how little advanced warning they were given.

Version 5285 available tonight will include this feature.  To add HIPPS codes to the UB04 or ANSI 5010 billing there is a new check box under Insurance / UB04 / Services and Supplies labeled “Show HIPPS code on invoices / ANSI 5010.”  There is also another field to designate if you want the dollar amount to be $0.00, $0.01, $1.00.  Our experience with the HIPPS codes in PPS billing shows us that it will differ by insurance company.  In addition, in ANSI 5010 billing we are defaulting to units of ‘1’ to eliminate possible rejections.  Some insurance companies software will not accept units of ‘0’.

Adding the HIPPS code is somewhat cumbersome in that agencies will be billing by the week or month independent of OASIS assessment certification periods, that could start or end in the middle of the week or month.  In addition the OASIS could be dated before the beginning of the billing period and would reject if we used that date on the invoice or in the file because the date is outside of the billing visit date range. The insurance companies have stated they want the HIPPS code to show first on the invoice which is another factor.  We made the decision that system will always list the HIPPS code on the invoice first using the same date as the first billable visit.

What the system will do is look for the most recent OASIS assessment with a SOC or completion date that is prior to or within 5 days of the first billable visit of the invoice.  For now the system will ignore OASIS assessments that may occur beyond five days after the first visit on the invoice.

There are other insurance company specific factors that could cause problems with the ANSI 5010 billing.  We will address these as they arise.  Thanks in advance for your support as we deal with these new challenges.

Posted in All Messages, Billing, HHC 3000 Office Software, OASIS, Urgent | Leave a comment

Medicare Advantage Plans – ANSI Billing

We have very recently been notified that as of July 1, 2013, Medicare Advantage Plan claims need to include an OASIS HIPPS code record.  Medicare Advantage claims are usually billed electronically under the ANSI 5010 billing.  What we plan to do is add a check box somewhere in Insurances that the user wants the OASIS HIPPS code included on the claims.  If checked, when the claim is created the system will search OASIS records to obtain the appropriate HIPPS code.  We plan to compare the first billable visit of the claim with the certification period of the OASIS in order to select the correct OASIS assessment.  We plan to have these changes completed by the end of this week.  We will give specifics when the changes are complete.

It is our understanding that the electronic edit checking will not take place until September but we are not sure all plans will wait till then.

Posted in All Messages, Billing, HHC 3000 Office Software, OASIS | Leave a comment

Unique Patient Types

Users can now define unique patient types as found in patient maintenance.  The can be added in Other-Setup in the Misc. Setup tab.

Posted in All Messages, HHC 3000 Office Software, Patients | Leave a comment

Patient & Employee Notes

In the past users have had problems with notes in the patient or employee maintenance sections accidentally being deleted.  We have also had requests to tighten the security on these fields.  In the latest update the fields can no longer be changed unless the new “Edit” button beside these notes is pressed.  If employees do not have security to make changes to notes, the “Edit” buttons will not appear.

We have added the same type of features to the billing collection notes.

Posted in All Messages, Billing, Employees, HHC 3000 Office Software, Patients | Leave a comment

PPS Billing – Place of Service Codes

We originally changed all PPS billing to include the patient place of service HCPCS code records with billings beginning 7/1/2013.  We have changed the PPS billing to add these records only if the episode period begins 7/1/2013 or later.

Posted in All Messages, Billing, HHC 3000 Office Software | Leave a comment

H485 Issues Update

The current software update on the internet fixes the issues with the H485 document.  The version number will still show 5271 but the fixes are included.

Posted in All Messages, HHC 3000 Office Software | Leave a comment