Enterprise Edition 14.19 Release Notes

December 1, 2014

Below are the latest updates to Enterprise Edition.

The following icons denote items that you should pay close attention to. These items may need an adjustment to your work flow and processes or set up to function as designed, or to meet regulatory changes and mandates.

firstHOMECARE & firstHOSPICE

Maintenance

• Changes have been made to Reports | Personnel | Encounter to properly pull 0.00 to the report when entered in data fields for Visits.

• Changes have been made to Reports | Accounting - Locked | Payment/Adjustments to accurately report unapplied cash for locked months in the Effective month.

Enhancements

•    Changes have been made to Reports | Scheduling | Therapy Reassessment to use the new reassessment timing requirements to prevent non-covered charges and remain in compliance to meet the CMS CY 2015 Home Health Prospective Payment System Rate (PPSR) Update and Home Health Quality Reporting (HHQR) Requirements for 2015.

This year’s requirements reflect the second year of the four-year phase-in put into place with the CMS CY 2014 HH PPS requirements. For further details view:

http://www.gpo.gov/fdsys/pkg/FR-2014-11-06/pdf/2014-26057.pdf  

      The CY 2015 final rule applies to episodes on or after 1/1/2015 and requires:

o   At least every 30 days (after the initial visit performed for that discipline), a qualified therapist must functionally reassess a home health patient receiving therapy.

o   A separate reassessment is required for each type of therapy being received by the patient.

o   Applies to all episodes, regardless of the number of therapy visits provided, and regardless if the visit is Rural or not.

o   Reassessment must be performed by a qualified therapist (not an assistant).

Warnings have been added to the Therapy Reassessment report that will display when criteria that meet the above requirements have not been met. To be in compliance with the new requirements, items noted in the Warning must be corrected before submission.

•  Payments for claims that are Rebilled or Replace Billed will no longer need to be deleted, they will now move to the new claim.

Changes have been made to Billing to apply payments from claims that are Rebilled or Replace Billed to Unapplied Cash. When the claim is Rebilled and added to a new batch for the same payor, the payment will be applied to and move to the new claim.

Changes have been made to Reports | Accounting | Payments/Adjustments and Payment/Adjustments Summary Report (both Locked and Unlocked) to add the functionality of new column Unapplied that was added in the 14.17 Release. Now, when Rebill or Replace Bill is clicked in Account Summary and Payments have been applied to the claim, the reversed payment amounts (this excludes the adjustments) will appear as a new line item on the reports. On the report the Unapplied entry will display with a Tran/Type value as ADJ. When running the Unlocked version of the report, if the claim has been manually re-batched and posted, the Unapplied Cash entry will cease to display on the reports. For the Locked versions of the report, Unapplied entries will be included if the Unapplied entry occurred within the Locked period and has not been manually re-batched and posted within that same Locked period.

•   Changes have been made to Alerts to modify the following alerts to ensure compliance with the new CMS CY 2015 regulations.

The following alerts will trigger for episodes that begin on or prior to 12/31/2014:

o   Alert # 263 - A Therapy visit exists that does not have an appropriate therapy reassessment within the 30 day period prior to the visit.

o   Alert # 264 - A therapy reassessment is not scheduled for the 13th covered therapy visit for a non-rural single discipline therapy patient.

o   Alert # 265 - A therapy reassessment is not scheduled for the 19th covered therapy visits for a non-rural single discipline therapy patient.

o   Alert # 266 - A therapy reassessment is not scheduled for the 11th - 13th covered therapy visits for a rural single discipline therapy patient.

o   Alert # 267 - A therapy reassessment is not scheduled for the 17th - 19th covered therapy visits for a rural single discipline therapy patient.

o   Alert # 268 - A therapy reassessment is not scheduled for all disciplines for the 11th - 13th covered therapy visits for a multi-discipline therapy patient

o   Alert # 269 - A therapy reassessment is not scheduled for all disciplines for the 17th - 19th covered therapy visits for a multi-discipline therapy patient.

The following alerts will trigger for all episodes regardless of begin date: 

o   Alert # 263 - A Therapy visit exists that does not have an appropriate therapy reassessment within the 30 day period prior to the visit.

o   Alert #262 - A NON-QUALIFIED employee is scheduled for a therapy reassessment visit.

• Changes will be made to Patients | Orders | Physician Order to add a checkbox Physician Signature Required. The checkbox will default to be selected, click the checkbox to deselect it if the Physician Order does not require a physician signature. When the box is selected and the document does not contain a physician signature date when you run the Batch, you will receive a Warning: There are physician orders not signed by a physician and/or medical director. Order IDs: (xxx).

In addition, changes will be made to Document Tracking | Orders/F2F to add a new filter Physician Signature Required. Select Yes or No from the drop-down menu to filter whether Physician Signature Required should be included in the returned results.

Changes will also be made to Reference Files | Order Type to add the ability to change the Physician Signature Required default by Order Type. All Order Types will automatically default to Yes. To change the default:

1. Select the applicable Order Type in the grid.

2. Click the checkbox next to Physician Signature Required to select or deselect it.

3. Click Save.

4. The option in the Physician Signature Required column will change after Save is clicked.

firstHOMECARE

Maintenance

• Changes have been made to Reports | Admission | Case Management to enable Personnel to properly pull to the report when the Last Name filter is used with a last name exceeding 15 characters.

• Changes have been made to Document Tracking | Orders/F2F to properly return Orders on the Orders List.

Enhancements

• Changes have been made to Document Tracking | Orders/F2F and 485 Tracking to add a printing options pop up. When Print is clicked a pop-up will appear containing options to Include the Draft Watermark and Record a Sent date on the document(s). When reprinting the official copy, selecting the second option will update the Sent Date.

firstHOSPICE

Maintenance

• Changes have been made to Reports | Admission | IDT Listing to enable Personnel to properly pull to the report when the Last Name filter is used with a last name exceeding 15 characters.

• Changes have been made to Document Tracking | Orders/POC/F2F to properly return Orders on the Orders List.

• Changes have been made to Patients | Documents | Nursing Visit Note to properly display data entered in the Weight field on Page 3.

• Changes have been made to Accounts | Accounts Summary to modify the EffDate used for reversal records when using the ReBill or Replace Bill buttons in the Adjustments tab.

For batches with Payments and Adjustments applied within non-locked periods when Rebilling or Replacing, the Effective Date used for all of the reversal records will be the latest of the Effective Date among the Payments and Adjustments entered. The system generated check will reflect a Deposit Date equal to this noted Effective Date. If no Payment or Adjustments were applied and the batch occurred in a non-locked period the Effective Date on the new Reversal Entry will be the Batch Date of the Reversed entry.

For batches with Payments and Adjustments applied within locked periods when Rebilling or Replacing, the Effective Date used for all of the reversal records will be the earliest non-locked period date. If no Payments or Adjustments were applied the Effective Date on the new Reversal Entry will be the earliest non-locked period date.

• Changes have been made to Billing to add two diagnosis dementia codes, 294.11 and 294.10, to trigger the warning for Invalid primary diagnosis codes.

Enhancements

• Changes have been made to Document Tracking | Orders/POC/F2F to add a printing options pop up. When Print is clicked a pop-up will appear containing options to Include the Draft Watermark and Record a Sent date on the document(s). When reprinting the official copy, selecting the second option will update the Sent Date.

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