To All Home Health Clients:

 Release 1.2.8.50 includes the following CR10992 regulatory updates:

  • New Medicare Home Health PPS Wage Index, Case Mix Weights and Rates effective 1/1/2019  
  • New PPS Grouper effective 1/1/2019
  • the Billing Audit has been altered to address the new three-tier Rural Add-on amounts effective for all PPS episodes ending on or after 1/1/2019.
  • OASIS entry has been altered to accommodate OASIS-D version 2.30 data specifications effective 1/1/2019.
  • New options for including Value Code 85 with the Patient FIPS County ID have been added to electronic claims and UB04 printed claims. 
Value Code 85 is required on claims with dates of service on or after 1/1/2019. Per CMS, claims with dates of service prior to 1/1/2019 that are submitted with Value Code 85 will NOT be rejected. Follow the below steps to add this code to claims.

Merge the new Baseline Option Sets:

Electronic Claims

Go to Billing>Electronic Claims

In Option Set Selection, choose the Electronic 837 Baseline option set (must be dated 10/14/18 or later)

Click the Options button to access the Billing Options Wizard.

Click the Merge Button and Merge into "All Option Sets."

Click OK.

Close and reopen Electronic Claims menu.

Choose the Medicare PPS and click on the Options button (repeat these steps for each Medicare home health option set such as MSP, Adjustments, etc).

Go to Locator 2300.67. Select 'Patient FIPS County ID' and enter '85' in the free text field:

UB04 Printed Claims

Go to Billing>Printed Claims>UB04 Forms

In Option Set Selection, choose the Option Set 1002 UB-04 Baseline (must be dated 10/15/18 or later)

Click the Options button to access the Billing Options Wizard.

Click the Merge Button and merge into "All Option Sets".

Click OK.

Close and reopen UB04 Printing.

Choose the Medicare PPS and click on the Options button (repeat these steps for each Medicare home health option set such as MSP, Adjustments, etc).

Go to Box 40a Value Code Amount. Select 'Patient FIPS County ID' and enter '85' in the free text field:

To All Hospice Clients:

  • Late NOE Processing will now utilize the NOE date from the Patient Admit Tab when there is no HospiceNOE information entered in the Bill Data tab for the hospice payer.

Refer to Help>Release Notes to review a complete list of current and prior program changes. As always, if you need assistance please don't hesitate to contact HAS Support.

 


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