To All Clients:
Menu Changes for HOPE
Multiple menu names with 'OASIS' in the title have been changed to use the more inclusive 'Assessment' or CMS.
Examples:
Set-Up for HOPE
New charge codes for HOPE-related visits have been created for all agencies. The Bill Rates and Revenue Code tabs of these HUV1, HUV2, SFVRN and SFVLPN codes must be completed by the agency. Please refer to the HOPE Set-Up and Export Guide for detailed information.
Example:
Discharged Patients Without Discharge Reason
Discharged
patients without Discharge Reasons will now import into Billing. New
edits for missing Discharge Reasons have been added to the Billing
Pre-Audit and Hospice LOC Reports. This change is to assist clients
with correcting this condition in a timelier manner if the Clinical
Integration Log is not being reviewed routinely.
Billing Pre-Audit: Excluded Diagnosis Failure
The
Expired Diagnosis check now also checks for Excluded Diagnosis codes on non-PPS Billing Pre-Audits.
If selected, this option will produce a warning/failure for charges
when the associated order contains diagnosis codes that are excluded
from being billed together (per the Excludes1 Notes in the ICD-10 table
provided by CMS).
This
change is to help prevent denials from payers that enforce this edit.
The Fail option can be un-checked to allow claims to post with this
condition.
Please refer
to Help
> Release Info for
a complete list of program changes included in this release and contact
Support with any questions or concerns.
Back to Client Advisories
List...
