Payroll – New Tax Rates

We found a bug in the new 2011 payroll FICA social security rates. Generating the payrolls works properly, but when updating to the G/L the employer expense journal entry was posting the same amount as the employee deduction for 2011. The new employee deduction rate for 2011 is 4.2% but the employer expense rate is still 6.2%.. This error was corrected in version 4697.

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PPS Assessment Listing

We added a new report option, Domain Level [ZPIC], to the PPS Assessment Listing found under billing reports. This report option will show the clinical, functional, and service domain levels for each assessment along with percentages for each level to the total number of assessments. We have read that levels that exceed 30% for assessments above the base level for clinical and service domain have leaves you with a higher risk for audits.

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Plan of Care – Physician Face to Face Encounter

We have been reworking & improving the Generic / Free Form 485 Plan of Care that includes the physician face to face encounter, that we announced previously, and feel we are very close to the final format. Our tendancy at this point is to make this 485 format the default format for all new 485’s added as of January 1, 2011. Users will have the ability to override to the old format if desired. The new format will give us greater flexibility for future changes but still looks like the format that users have been use to seeing for years.

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2011 Federal Taxes

Version 4692 and higher has been updated to include the 2011 federal payroll taxes. This update includes the change in the employee social security withholding rate to 4.2% for 2011, down from 6.2%. The employer expense accrual percent has not changed. For the 2011 federal withholding rates we are using the same rates as 2010 based upon the announced extension of the Bush Tax Cuts. When Publication 15 is available on the internet we will double check the rates and make any changes if necessary.

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Export option added to Supply Usage Reports

Available on version 4693 is the ability to export all three supply usage reports – Supply Usage by Patient, Supply Usage by Employee and Supply Usage by Item.

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ANSI Version 5010

The ANSI 5010 Electronic Billing Format will be available on an HHC3000 update by the end of January.

We will post another message when this update is actually available.

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New Home Health HCPCS Codes

The final rule for the Home Health PPS 2011 changes added new HCPCS codes for home health providers to report when billing physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP) and skilled nursing (SN) services.

CMS has released their new HCPCS file at the following link:

http://www.cms.gov/HCPCSReleaseCodeSets/ANHCPCS/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=1&sortOrder=descending&itemID=CMS1240961&intNumPerPage=10

The HCPCS Code range for Home Health services is G0151-G0164

If you are providing any of the services that have HCPCS code changes – you will need to update your service codes in HHC3000 before billing for any Medicare claims with a M0090 date of January 1, 2011 or newer.

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Face to Face Encounters

The upcoming changes to the 485 for the face to face encounters that we posted on November 19th were completed at the beginning of December. To see the changes, on a 485 change the alternative format to Free Form / Generic, check Face to Face Encounter Applies box, and then print the 485. Please send comments to andrea@hhc3000.com. Thanks.

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Physician Face to Face Encounter – New Requirements

Below are the changes we plan to make in HHC3000 to satisfy the new physician face to face requirement that becomes effective January 1, 2011.

First, we plan to add a checkbox in the 485 plan of care to include a face to face documentation section on the printout. On November 17th we added a new Free Form / Generic alternative format to the 485. The face to face section printing will be added to the alternative format first. The will be incorporated into the current physician’s signature section on the first page, thus only requiring one physician signature. We would appreciate if agencies could review this new format and let us know if it can meet your needs instead of the current format that’s been around for years. As always we are willing to make changes based upon your suggestions. The new format looks similiar to the old format but eliminates the splitting of sections to the 487. We plan to also include the same face to face section in the current 485 format, but it’s going to be more difficult for us to do. It will probably require a seperate section at the end of the plan of care, requiring a second physician signature.

Second, to the physician order we plan to add another “special type of order” option called the face to face encounter. Post button will be added to enter the face to face verbage into the memo section of the order. You could also do the same thing with phrases.

Since the face to face encounter is a requirement for billing, the will be some changes to the PPS Billing Information section of the program. We determining the best way to do this.

For reporting purposes we will probably have to add date fields to the plan of care and the physician order.

Modifications to these changes will be made for hospice.

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Version 4681 Update

If you updated last night or this morning to Version 4680 you should update to Version 4681. We had added a new checkbox in PPS Billing called “Resubmission.” When you go into PPS Billing this box is defaulting to being checked and should be cleared before creating PPS billing files, until you get version 4681. This will probably be overlooked by most users using 4680 so we are changing the checkbox to default to unchecked. Checking the resubmission box should be the exception; in Version 4681 you will not have to remember to uncheck it.

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