To All Home Health Clients:

PECOS Type Enhancement

The Check PECOS Eligibility option in Clinical now updates the Pecos Types in the Physician record. Previously, only the PECOS Date was updated when a doctor had any type of PECOS enrollment and the Billing Pre-Audit's PECOS edit checked for the presence of that date to determine the doctor's PECOS status.
In Billing Version 1.2.9.18, the PECOS edit in the Billing Pre-Audit has been changed so that if the Fail option is selected, any patient whose doctor does not have the HHA Pecos Type selected will produce an exception.
If the PECOS edit is selected without the Fail option, patients with the Pecos Date but without the HHA Pecos Type will produce a Warning on the Ready to Bill Report. PPS patients without the Pecos Date will always produce a Failure.

It is recommended to batch re-run PECOS in Clinical's Physicians library and to re-run the PECOS check when accessing any active or pre-admit patients' chart/profile. The PECOS Type selections can be manually confirmed in the Clinical Physician library and in Billing's Doctor Entity File, Other-Info tab.


PECOS Type Example:


The Doctor List, with Extended Data selected, can be reviewed to confirm the HHA PECOS Type flag:






Please contact Support with any questions or concerns.


 

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