To All Home Health Clients:

Ver 1.2.8.52 includes the following important changes:

  • A new option for including Value Code 85 with the Patient FIPS County ID with no leading zero has been added to electronic claims. This is due to some clients receiving 999 failures from certain MACs when submitting with the leading zero. If your agency is currently submitting 2019 claims with the value code 85/FIPS successfully there is no need to modify your option set.
Value Code 85 is required on claims with dates of service on or after 1/1/2019. Follow the below steps to add this code to claims. 

Electronic Claims

Go to Billing>Electronic Claims

  1. In Option Set Selection, choose the Electronic 837 Baseline option set (must be dated 2/7/19 or later)
  2. Click the Options button to access the Billing Options Wizard.
  3. Click the Merge Button and Merge into "All Option Sets."
  4. Click OK.
  5. Close and reopen Electronic Claims menu.
  6. Choose the Medicare PPS option set and click on the Options button.
  7. Go to Locator 2300.67. Select either 'Patient FIPS County ID' or 'Patient FIPS County ID No Leading Zero' (depending on your MAC's requirements) and enter '85' in the free text field:

               

Repeat Steps 6-7 for each Medicare home health option set that requires such as MSP, Adjustments, etc.

  • The Statistical Analysis Report has been updated to not duplicate charges if multiples of the same insurance record are active for the patient admit.

To All California Clients:
  • The Report Groups for CA OSHPD ALIRTS have been updated to align with Line Item Number changes made by OSHPD for year 2018 reporting. Agencies running these reports should click on the Alter button prior to previewing/printing to confirm agency-specific selections such as Unit, Insurance, or Modalities are correct.
To All Hospice Clients:
  • Hospice CAHPS DSS export has been altered for 2019 specifications.
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.

 Back to HBS Client Advisories List...