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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OASIS PPS 2012 Update

Posted on January 3, 2012 by Support

We have made a change to the PPS calculations for 2012. If you do not have version 4928 or higher you should update HHC3000. If a PPS assessment date is dated late 2011 and the episode period is 2012, our PPS was calculating at 2012 points scoring. It should have been at 2011 point scoring.

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Ohio Medicaid ANSI 5010 Testing

Posted on January 2, 2012 by Support

Agencies submitting ANSI 5010 tests to Ohio Medicaid should get the most recent update version 4927 or higher. A couple of segments that were required under ANSI 4010 billing are no longer required under ANSI 5010 and will cause rejection errors.

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Software Update

Posted on December 29, 2011 by Support

When performing a software update sometimes at the end of the update a message will appear telling you the computer needs to be restarted in order for the changes to take place. DO NOT RESTART THE COMPUTER. Select the option that will not restart the computer. The message is in error and sometimes the system will remove the software executable file, which means no one will be able to get into the software. You may get this same message on clinical updates.

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Urgent Payroll Update – FICA SS Withholding for 2012

Posted on December 29, 2011 by Support

We have just put out update version 4926 which changes the 2012 federal social security withholding to 4.2% which is the same rate as 2011. We had to wait until the last minute untill congress approved the 4.2% extension into 2012. We had previously changed the program to reverted back to the 6.2% rate until the extension was approved. Unfortunately, the 4.2% is currently only a 2 month extension. If congress does not extend the rate for the rest of the year we will have to make extensive payroll changes to the program to handle two different rates within the same year. We will wait and address this issue in February, 2012.

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Palmetto GBA Submitters

Posted on December 27, 2011 by Support

Palmetto GBA has informed us that we have just been approved as a software vendor for ANSI 5010 production claims. It will take them about 24 hours to complete the process on their end. For agencies that do not want to test on their own they can use our submitter id and/or vendor id to request production status for ANSI 5010 claim. Our submitted id is VS4092 and our vendor id is 1090SE. Thanks for your patience during the ANSI 5010 changeover.

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Buttons being cut off in Comprehensive Assessments

Posted on December 22, 2011 by melissa

Recently we were testing some screen resolution changes and an update was released where some buttons inside of comprehensive assessments were getting partially cut off.

Version 2071 on the HHC3000 Clinical and Version 4923 on the HHC3000 (office software) correct this issue.

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Medicare – CIGNA Submitters

Posted on December 16, 2011 by Support

We have successfully ANSI 5010 tested with CIGNA and will soon appear on the approved vendor list once the paperwork is completed. They have asked us to provide them with a list of our agencies that submit to CIGNA along with their submitter ids. It would help us if you could provide us with your agency name and Medicare submitter id by email to davef@softhhc.com, fax at 814 834-9355, or by calling us at 800 527-7213. We need this information to make sure your submitter id is moved to production status for ANSI 5010 billing without you having to test. We would like this information by next Tuesday, December 20. If you have submitted tests on your own, make sure you notify CIGNA that the tests have passed and that you are moved to production status per the CMS instructions.

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