PECOS

Posted on March 6, 2012 by Support

There is a new PECOS file dated 3/5/2011 available on the internet. This filed can be downloaded from within the Doctors section of the program.

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Payroll by Patient Location – Federal Empowerment Zone

Posted on February 25, 2012 by Support

An agency in Ohio asked us to give them the ability to generate a report that shows by employee the gross payroll incurred visiting each patient along with the patient address. They were possibly eligible for substantial tax credits for payroll amounts earned in federal tax credit zones. We added a new check box in the Payroll Date Visits Paid Report that will print the report with the required information. The new checkbox is labeled “Patient Address / Location Format (for Federal Empowerment Zone Reporting)”. We thought other agencies might be interested.

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Medicare Secondary Billing

Posted on February 10, 2012 by Support

If you are having problems getting Medicare secondary billings accepted under ANSI 5010 billing you will need to get the most recent update, 4961. Under the PPS Billing Information, in the Medicare Secondary tab, there is a new field called “Claim Adjudication Date.” You will need to complete this new field in order for your claims to be accepted.

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DC Medicaid Waiver ANSI 5010

Posted on February 3, 2012 by Support

If you are having problems with DC Medicaid Waiver accepting your claims in the judication process, there are a few setup items that must be done in insurance company maintenance. In the ANSI tab check the API Format check box. API stands for atypical provider. In CLM6 select ‘Y’. For CLM12 select ’03’. In the insurance company demographics where is says NPI Override (API) enter your provider number. You should also be at version 4956 or higher. If you still have questions give us a call. Thanks.

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ANSI 5010 – Virginia & DC Medicaid

Posted on February 1, 2012 by Support

We have made changes to the Virginia Medicaid and DC Medicaid ANSI 5010 billing formats. If you use these types of billing you should get version 4955 or higher.

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2012 OASIS HIPPS Calculation

Posted on January 20, 2012 by Support

The HHC3000 software has been modified to include the two new dementia codes 29420 and 29421 in the HIPPS scoring. These two codes were added by CMS in late 2012.

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Payroll Important Notice – Employer FICA Social Security Expense

Posted on January 17, 2012 by Support

On 1/17/12 we found a bug in the employer expense accrual for FICA Social Security in the generate payroll option. The 941 Liability Report which we suggest agencies use to make deposits was correct. The recalculate taxes option in the edit payroll records was working correctly also. Please get the most recent update, 4939 to correct this error.

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PA and VA Medicaid Atypical Providers – ANSI 5010

Posted on January 10, 2012 by Support

If your billing Pennsylvania Medicaid or Virginia Medicaid and you are an Atypical Provider, you will need to get update version 4933 or higher. In addition, under insurance maintenance you will need to put your atypical provider number in the NPI Override (API) field. In the Insurance / ANSI tab field you will have to check the “Bill in API Format” box. This change is the result of a new requirement for ANSI 5010 that their testing procedures did not detect.

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Medicare ANSI 5010 – CIGNA

Posted on January 9, 2012 by Support

If you submit your Medicare ANSI 5010 production files to CIGNA using the receiver id 15004 and you get a rejection stating that ISA:05 should be ’28’ then you will need to get update version 4932. This rejection will not cause test files to reject.

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DC Medicaid ANSI 5010 Billing

Posted on January 5, 2012 by Support

If your ANSI 5010 billing gets rejected and you are told that the file was rejected because it was sent as a dental claim, you will need to go into Insurance Companies, select the ANSI tab, and in the ANSI Version (GS:8) field you will need to select the first item, Professional – 005010X222A1.

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