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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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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