Allegheny Messages

Notice of Admission

Effect 01/01/2021 CMS is requiring agencies to submit a Home Health Notice of Admission (NOA) instead of RAPs on and after 01/01/2021.

Per CMS guidelines (MLN Matters MM12256)

• HHA must submit a NOA to their MAC within 5 calendar days from the start of care date. The NOA is a one-time submission that establishes the HH POC and covers contiguous 30-day POCs until you discharge the individual from Medicare HH services
• All patients receiving HH services in 2021 whose services will continue in 2022, agencies should submit a NOA with a one-time, artificial “admission” date corresponding with the “From” date of the first period of continuing care in 2022
• There will be a non-timely submission reduction in payment amount tied to any late NOA submissions when you don’t submit the NOA within 5 calendar days from the start of care.

Please review attached document for further information

HHC 3000 NOA Instructions

HHC3000 has been updated with the FINAL FY 2022 Hospice Payment Rates, Wage Index and Labor Shares by Level of Care, effective 10/1/2021.

On June 17, 2021, the Occupational Health and Safety Administration (OSHA) issued new Emergency Temporary Standards (ETS) that specially apply to employers that provide “healthcare services”.  The ETS address COVID-19 precautions and employer obligations.  Some of the standards have an effective date of July 5, 2021.

Employers who fall under the scope of OSHA COVID-19 ETS are required to screen employees before each work day and/or shift for COVID-19 symptoms.  Employers can determine what type of screening they use.  The ETS requires employers to remove employees from the workplace who are COVID-19 positive, suspected to have COVID-19, been in contact with COVID-19 positive person, or experiencing COVID-19 symptoms.  More information on the OSHA ETS  is available at www.osha.gov/coronavirus/ets. (29 CFR 1910, subpart U)

In response to the new standard related to employee screening, Allegheny Software has updated the COVID-19 Screening Tool available in the Main Software.  The Employee Screening tool now has the additional screening questions required by ETS.  (See below).  The additional questions will be available  on the tool for Employee Screenings dated on/after July 1, 2021.   The updates to the tool are available with Main Software Version 6924.

Below you will find instructions on exporting EVV information from Sandata and importing into HHC3000.

1. Once logged into HHC 3000, select the ‘Utilities” tab

2.  Next select “Telephony EVV” under the Imports column

3.  At the top of the screen select the “Sandata Alternate EVV Import File”.  Once selected, you will select the button for “Sandata Instructions”

4.  The detailed instructions to create an export file from Sandata and import into HHC3000 will appear.

It is recommended initially that you only import Sandata EVV records for one day at a time.  This will help you learn how import the data and make any necessary corrections easier.

Version 6883 will include an update to the Home Health Aide Plan of Care.

An Additional tab has been added labeled Frequency/Supervisory. This will include the Visit Frequency/Duration and Supervisory Visit Frequency. When filled out, these will print in the lower right hand area of the HHA POC printout. If nothing is added in these fields, then it will display as a blank box on the HHA POC.

There appears to be an issue with logging into the Allegheny Software Managed Hosting Software from within different web browsers. Our technical staff is actively working on this.

3/12/21 4:30p- Issue resolved. Log in Screen may appear different at this time, but Allegheny Software Logo still appears on the top of the log in screen.  Current User Name and Password remains unchanged.

Version 6816, dated 1/22/2021 includes an update to the PDGM billing screen.

When viewing the PDGM Billing screen, the user will see a ‘RAPs Only’ button in the top right corner. When the user selects this button, it will display only the RAPs instead of both the RAPs & Finals.

The user will be able to view the following information:

• Date (Date the assessment was completed)
• Insurance Company
• Patient Name
• Type of Document
• RAP Start (“From” date of the billing period)
• Date Billed
• Days N/B (Days Not billed)
• RAP Button for billing
• Days Till (Days until 2^nd billing period)
• RAP2 Start (“From” date of 2^nd billing period)
• Billed Date
• Days N/B
• RAP2 Button for billing

This will allow agencies to review their RAPs easier for timely billing.

When the user is wanting to return to the RAP/FINAL page, they would select the ‘RAP/Finals’ button in the same spot and it will return the user to the PDGM Billing screen.

Main software version  update 6796, dated 1/6/2021, includes an ICD-10 code update that is effective 1/1/2021.

Also, the version update includes the ability to add the KX modifier to a PDGM claim. CMS has stated that “If a RAP that corresponds to a claim was originally received timely but the RAP was canceled and resubmitted to correct an error, enter remarks to indicate this condition, (For example, “Timely RAP, cancel and rebill”). Append Modifier KX to the HIPPS code reported on the revenue code 0023 line. HHAs should resubmit corrected RAPs promptly (generally within 2 business days of canceling the original RAP).”

On the PDGM Screen/ Oasis Billing Info Screen, you will now see a KX Modifier checkbox, that will need to be selected, if a claim requires it.