To All Clients:

Charting
The Agency Overview Report now includes a Charting option which will allow the display and printing of bar charts created using the report output. Report Groups can be used to create and save preferred charting options.
The Services Provided Report has a revised Charting option to allow the printing of bar charts for billed visits or gross/net amounts.


To All Medicare Home Health Clients:
 
PDGM Revenue Reporting
In prior releases, the PPS Revenue Report included all billing periods with a non-default HIPPS that met the report selection criteria. The PPS Revenue Report has been altered to now only pull periods that have a billable visit present and will accrue revenue beginning on this date. This will prevent over-inflated revenue in the event a billable visit is never completed for a period that was Initial-Billed with a default HIPPS. As a result of this change, you should re-run your January and February reports and book an adjustment to your G/L for any differences in revenue if needed.

Medicare Cost Report
The Medicare Cost Report FAQ and Report Group have been updated for the new CMS-1728-20 form. System Report Groups may need any agency-specific selections re-selected due to this update.

Important Reminders:

Un-billing 2021 Medicare RAPs
Due to CMS penalties for late RAPs, it's especially important not to unbill a RAP unless a claim correction is needed.  Doing so could cause the original default HIPPS to recalculate to a new one and can lead to rejected Finals or late penalties (if the original RAP isn't cancelled and resubmitted). In most cases un-billing a RAP is not necessary.

Medicare Final Claim Processing Issues
Many clients have reported Final Claims being RTP'd that were submitted with the default HIPPS of 1AA11 or that had first visit dates that did not match the 0023 HIPPS date. If your agency has Final Claims that have been RTP'd or have received lower payments than expected, please contact your MAC to confirm these issues have already been identified as needing to be addressed by the MAC.

Billing Pre-Audit
The Billing Pre-Audit runs edits for PDGM billing and recalculates the HIPPS once the 485 and OASIS are present for 2021 periods. It's important to begin the billing process by using this report and access the Bill Audit button from there rather than running an audit directly from the Billing Audit menu.

Medicare Advantage Payers 
If you haven't done so already, contact your Medicare Advantage payers to determine their billing requirements for 2021.  No changes will be needed for payers following Medicare billing rules.  If you bill any Medicare Advantage plans that have different claim requirements in 2021, kindly submit that information in writing to myUnity Essentials Financial Support via the support portal at https://netsmartcares.force.com.

Continuation of Sequestration Suspension
The CARES Act temporarily suspended the 2% sequestration payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims through December 31, 2020. The suspension has now been extended through March 31, 2021.  The Sequestration Rates FAQ has step-by-step instructions on updating rates for Medicare Hospice and Medicare and Medicare Advantage PDGM payers.


To All Hospice Clients:

Location of Care Reporting
The Hospice LOC Report now includes a Location of Care sub-report selection on the More Options tab of the report. When selected, it includes a list of all Locations of Care with a Days Count and Un-duplicated Patient Count for each. Patients are included in the count for their most recent location of care within the reporting period.

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