Office Security

Posted on August 9, 2013 by Support

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

Posted on July 17, 2013 by Support

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

Posted on July 2, 2013 by Support

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

Posted on July 2, 2013 by Support

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

Posted on July 2, 2013 by Support

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

Posted on July 2, 2013 by Support

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

Posted on June 21, 2013 by Support

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

New H485 Issues

Posted on June 21, 2013 by Support

The new H485 document that was included in update version 5271 had two problems.  The feature that allowed users to import from a prior H485 was either not showing or not working.  In addition when tabbing from field to field in the diagnosis fields the skip pattern was out of order.  We have fixed the bugs but unfortunately we had one of our “lesser” servers go down late yesterday which has delayed our ability to put the updates out on the internet.  We should have this fixed very soon.  In the meantime we have place a file HHCCAuto2010ng.exe at

http://files.hhc3000.com/installs/HHCCAuto2010ng.exe

that if copied into your software folder will correct the problem.   The H485 document worked correctly from the clinical side but had the mentioned problems from the main system side.  We apologize for the problems this has caused.

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

Changes to 485 Plan of Care

Posted on June 19, 2013 by Support

Version 5271, which we plan to make available on tonight’s update, will include several changes to the H485 Plan of Care.  These changes are the result of adding features that will allow the form to also be used for Hospice.

In the past we have maintained two separate screen versions of the H485 Plan of Care input screens (two different software programs).  One software version was used for the clinical software and one software version for the main system.  It has been extremely difficult in the past to keep the two versions consistent with which fields and options were available on the screens.  In the future the H485 screens in the main system will be the same screens that show in the clinical software which will allow us to only have to maintain one copy of the H485 source code.  We made changes to the clinical version to make sure it has all of the features that the main system screens had.

We have also rearranged the screen layout to incorporate the changes needed for Hospice along with adding a new alternative format option for Hospice that affects how the H485 prints.  We have also added some new check boxes in areas such as DME and supplies, that were available in assessments but not available in the H485.

Finally, most of our users are now using what we call the free form generic H485, but we have been maintaining the old H485/H487 format that breaks up many sections of the H485 and displays the remainder on the H487.  Users like the newer free form generic version because the sections do not split and sections like medications don’t have to be squeezed into a very small space. The new format also allows us to incorporate the Face-to-Face features. We maintained the old format because a few of our users felt that it was the “official” approved version.  CMS discontinued the requirement that that form had to be used several years ago.  We no long plan to support the old H485/H487 version which means that version is now obsolete when it comes to the additional fields we have just added.  The new fields will only show on the current formats.

We will appreciate any comments you may want to pass along to us concerning these changes.  Thanks.

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

Documents Log in Clinical Notebooks

Posted on June 19, 2013 by Support

The document log listing in clinical notebooks is sometimes showing Skilled Nursing Visit Assessment for visits that are not skilled nursing visits but actually could be something different such as PT progress notes etc.  The note itself is correct, but the listing of documents that the user scrolls down displays incorrectly.  We have found what was causing this and it is apparent that it has been happening for a while.  We have corrected the problem which will prevent it from happening on future documents but will not correct what displays for current documents.  The fix will be available on version 5271 which will be available tonight.  We will try to create a cleanup utility and will let you know when it is available.

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