Patient Census error correction

Available on Version 4543 is a correction for an error when running the Patient Census Report.  The error stated “DbVisits Type Mismatch Field DIAG_PT1 Exception: Small Int Actual: Float”

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Hospice – Certifying Physician Requirement

Medicare Hospice claims and notices of election require that the certifying physician appear in field 79 on a UB04 in addition to the attending physician which appears in field 76.  Changes have been made in HHC3000 to accommodate this requirement.  In the Patients / Physicians screen you will see that the 4th physician screen tells you to enter the certifying physician in that field if different that the attending (primary) physician.  If the attending and certifying physician are the same you do not need to enter it twice.  If they are the same the system will put the primary physician in both fields 76 and 79 if billing Medicare Hospice.

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New Physician / Patient Face-to-Face Encounter Requirement

It has been brought to our attention that under the new health care reform law, under section 6407, home health agencies will be responsible for assuring that physicians or other practitioners who refer a patient for home health or hospice recertification had a face-to-face encounter with the patient. Apparently, the encounter can’t be more than six months prior to referral.   One agency has suggested adding wording to the certification section of the 485 to the effect that the physician or acceptable person from the physician’s employment  as had a face-to-face encounter with six months.  We would like your suggestions on how this might be accomplished.  You can fax us at 814 834-9355 or e-mail me davef@softhhc.com.  Thanks.

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Missed Visit Listing

Available when version 4540 goes out will be a change to the Missed Visit Report that gives you the ability to filter the report to exclude Missed Visits that have a Returned Date.

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Bill Hours vs Visit Hours Warning

In Other-Setup / System Overrides / Security we added an override so that the system will not warn the user if the visit hours do not equal the billed hours.

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Update Notice – 12:00 Noon Update

The HHC3000 update version 4539, which includes yesterday’s changes is now available.

Earlier this morning :  We were not able to put out the update on the internet last night (April 12th).  Sorry for any inconvenience.  Will will be putting out the update sometime today.

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PPS Wage 2010 Wage Index Rates

We were notified by on of our agencies there were changes to the PPS Wage Indexes for 2010 from what was published at the end of last year.  We verified this with the CMS website and made the changes.  The changes ranged from about + or – 0.1% to 0.2% for most CBSA locations.

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Patient On Call Listing – Added Current Care Plans & Schedule Directives

We added check boxes to the Patient On Call Listing report parameters to include the current care plan and schedule directive fields located in patient maintenance notes.

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Duplicate Drug Classification Report – Correction

The Patient Duplicate Drug Classifications report was not working due to changes in how medications were assigned drug classifications back in 2008.  Prior to 2008 drug classifications were assigned by selecting drug classification check boxes under Medications under a drug classifications tab that no longer exists .  Drug classifications are now assigned from two drop down boxes on the main Medications maintenance screen.  The report now reflects the new method of assigning drug classifications.

In order for the report to work properly two things must be in place.  First, drug classifications have to be assigned to your medications.  Second, when entering in medications on a patient, you must use the medication look-up field just in front of where you enter the medication name.  If you skip this field and key directly into the medication name field then there is no tie-in to the medication table needed to look-up the classification.

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Supervisory Visit Added to Blank Comprehensive Assessment Forms

Available in Version 4539 is a new blank Supervisory Visit form within the Blank Comprehensive Assessments (OASIS C) option under Listings.

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