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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ANSI 5010 Response Files

Posted on December 12, 2011 by Support

With the change over to ANSI 5010 for electronic claims (835), several insurance companies have discontinued sending any response files that are readable. Instead they are only sending 999 submission acceptance files or more commonly 277CA claim status files. The 999 file tells if the file in total is in the correct format for them to accept. The 277 CA file is generated if the electronic billing file is accepted and tell which claims were accepted or rejected. Both of these files are at best hard to read and very often extremely hard to decifer.

The insurance company EDI departments are telling agencies to contact their software vendor if they cannot read these files. Because of this we made some changes. In the billing module there has been a button to print ANSI files (of all types). We have changed the label to say “Print ANSI 835, 277, 997, 999, RSP.” We have tried our best to print the file in a format that will allow user to understand the files, especially the 277 type files. In order to read and understand the 999 file users will have to print the original 835 electronic billing file to read along side the 999 acceptance file if the file is rejected. We hope these changes will help. Thanks.

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Pennsylvania Medicaid ANSI 5010 Billing

Posted on December 12, 2011 by Support

We have been officially notified by the Pennsylvania Medical Assistance Program that we have passed the HIPAA 5010 testing as a software vendor. Agencies using HHC3000 do not have to test individually for ANSI 5010. They just need to start sending their electronic claims using ANSI 5010 as of January 1, 2012.

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ANSI 5010 Testing

Posted on December 2, 2011 by Support

Just a couple of updates. For Pennsylvania Medical Assistance we have sent some files as a vendor that were accepted. We should be on the approved vendor list in the near future. We should will appear on the Palmetto Medicare approved vendor list in the near future.

We have agencies that have tested and been approved for Cigna Medicare but have not kept a log of who was approved. If you have been approved for Cigna Medical we would appreciate it if you would let us know. We need to provide them with some provider numbers of approved agencies so that we can be added to their approved vendor list. Thanks.

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General Ledger – Accounts Payable User

Posted on November 29, 2011 by Support

A new security parameter has been added to the employee general ledger security setup. It is called “Specific Type of User Restrictions.” Currently there is only one option, “Account Payable Only User.” There may be others in the future. If selected many of the general ledger features and reports will not be available to the employee, and in the transaction screen only vendor invoices and accounts payable checks will appear.

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Schedule Masters

Posted on November 29, 2011 by Support

A new frequency level has been added to patient schedule masters. The new frequency level is “Same Day Each Month.”

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Patient Demographic Screen Changes

Posted on November 21, 2011 by Support

The layout of the patient demographics screen has changed in order to accommodate adding some new fields. We hope the changes will not cause problems for our users. Thanks.

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New PPS Rates

Posted on November 15, 2011 by Support

All of the final 2012 PPS rate changes per the November 8, 2011 Federal Register are now available with the current update, 4897, along with the CBSA wage index factors for 2012. We had sent out the proposed changes earlier in October and found that we had made a few mistakes. Diagnosis codes 4011 and 4019 for Hypertension NOS will no longer score clinical points as of January 1, 2012. We mistakenly made the date October 1, 2011. This has been corrected. Secondly, OASIS assessments where the episode ends in 2012 were scoring with the new point structures. It should have only been assessments beginning in 2012. This also has been corrected. We had 3 or4 support calls stating that the state was calculating a different HIPPS code than what our software was calculating which helped us find the reasons for the differences.

The possible clinical and functional points that are used to determine HIPPS codes for the 5 different scoring equations have also changed for 2012. The possible points had not changed since the 5 scoring equations were put into effect. In addition for 2012, the amounts paid for the levels of therapy now fluctuate based upon the clinical and functional scores. In the past the amounts were constants dollar amount based solely on the number of therapy visits. The nature of these changes required considerable more programming effort than in the past few years. Thanks you for your patience.

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