HHAMIS PPS ENHANCEMENTS!

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The Anesis Group has developed a new release of HHAMIS to support Medicare billing under PPS. HHAMIS Version 5.0 will continue to support Fee for Service billing in conjunction with PPS Episodic billing.

The following Enhancements have been completed:

• HHRG Codes, Case Mix Factors and Wage Indices data storage

• Import of OASIS EDI file, as well as manual data input, of assessment information necessary for determining the HHRG code and reimbursement for an episode of care

• Automatic calculation of the reimbursement for each day of the episode based on assessment information collected during the episode

• Electronic Data Interchange and UB92 Form billing format modifications

• Daily billing functions

• Billing of initial and final claims per episode with services detailed on final claim

• Automatic A/R calculation for PEP, SCIC, LUPA or OUTLIER events

• Claims tracking by episode

Enhancements currently under development:

• A/R reporting of monthly deferred revenues, adjustments and remittance.

• Census and statistical reporting by HHRG, Payer, and diagnosis code.

• Management cost analysis reporting by patient episode, discipline, and diagnosis code

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