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Beginning July 6, 2004 electronic Medicare claims that are not submitted in the HIPAA-required format will be paid 13 days later than HIPAA-compliant claims. Non-HIPAA compliant electronic claims will be paid on the same timeline as paper claims—no faster than 28 days, rather than
the electronic submission timeline of no faster than 14 days.
According to CMS, the great majority of electronic claims they're receiving meet the HIPAA standards. If your facility is a Keane Care client and it is not yet submitting HIPAA-compliant Medicare claims, please contact us or click here
to visit the clients-only section of our Website for instructions on testing the software with your trading partner.
CMS' contingency plan concerning the October 15, 2003 deadline for submitting HIPAA-compliant Medicare claims requires they be submitted electronically, although they will be accepted even if they are not in the HIPAA-compliant format. That plan was modified February 27, 2004, to add the 13-day delay in payment.
Refer to these CMS Medlearn Matters papers for more information:
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CMS has clarified when MDS Section P1o, Hospice Care, can be checked. The new language in the Resident Assessment Instrument (RAI) manual now states that a hospice program offers "an array of" services and that "the hospice must be licensed by the state as a hospice provider and/or certified under the Medicare program as a hospice provider."
Previously the manual stated that the program "may or may not be covered by the Medicare hospice benefit."
The June 2004 RAI Manual update contained only this item. Click here to download it.
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Keane Care is pleased to bring long-term care and post-acute providers the next level of information technology with Keane Analytics powered by MinePoint. It gathers critical business data from your VistaKEANE Suite of applications, turns it into meaningful information, and delivers it to you through:
- Executive Dashboards - real-time snapshots of key indicators such as Census, AR days, QIs, with the ability to drill down to source data and create on-the-fly reports and graphs
- Workflow Alerts - set up conditions, such as an increase in AR days or falls. If the criteria is met, Analytics follows your instructions and automatically sends alerts, such as an e-mail, page, or fax, to the specific individuals
- Data Mining and Reporting - unlimited access to the data in all VistaKEANE products with the ability to combine that data, for single or multiple facilities, to answer an unlimited number of questions
- Report Warehousing - Capture and achieve any VistaKEANE report and store a snapshot for later retrieval and analysis
Click here to learn more about this powerful enhancement to the VistaKEANE system. If you would like to schedule a demonstration of Keane Analytics, please call 800.426.2675 or email info.ltc@keane.com.
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CMS has clarified the differences between SNFs and Nursing Facilities concerning the services of physicians and non-physician practitioners in 16 questions and answers. A few of the points specific to SNFs:
- Non-physician practitioners (NPPs) may not perform the initial comprehensive visit in SNFs
- NPPs may not sign initial orders for an SNF resident
- Re: certifications/recertifications: Physician Assistants, regardless of employment, may not sign; Nurse Practitioners and CNSs, not employed by the SNF, may sign
- Re: therapy plans of care under Medicare Part B: when a physician or NPP establishes, he/she must also certify the plan of care. When established by a physical or occupational therapist or speech language pathologist, a physician or NPP with knowledge of the case must sign
Click here to read Medlearn Matters number SE0418 for complete information.
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Healthcare professionals joined together in Orlando for another successful Keane Client Conference in May 2004. The theme of this year's event, Turning Vision into Reality, focused on how the latest advances in healthcare IT are playing a vital role in helping to reduce costs and improve the quality of care.
The Conference provided a great forum to meet with peers from across the country, expand product knowledge and expertise using Keane's systems, and gain valuable insights into issues facing healthcare IT.
Keynote speaker, Dave Harris, partner, PricewaterhouseCoopers, presented an enlightening discussion on "Revenue Innovations: Discovering Best Practices in the 21st Century." Conference highlights included Users' Group and Special Interest Group Meetings, client presentations, product workshops, training classes, Product Expo & Partner Fair, and of course, some exciting social activities.
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The Keane Long-Term Care Users' Group met during the Client Conference to exchange information, request software enhancements, and hear progress reports on the software enhancements requested at the last conference.
We heard from attendees:
"The most refreshing aspect was the obvious commitment of Keane staff to get to know and listen to our concerns."
Michelle Luz, IS Coordinator at St. Patrick's Manor in Framingham, MA
"I encourage all Keane clients to join the Users' Group. These folks are talking throughout the year and they are making a difference in our software. Together, our voices are heard and Keane is more than willing to respond."
Laurie Hooks, Director of Clinical Information Solutions for Beverly Enterprises in Fort Smith, AR
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The results of the election of chairs of the National Users' Group and Sub-committees:
National Co-Chairs
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Bob McAtee
Director of Information Services
Maine Veterans Homes |
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Angela Speltz
Patient Accounting Manager
HealthEast |
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Laurie Hooks - Ex Officio
Director of Clinical Information Solutions
Beverly Enterprises |
RAM Sub-Committee
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Heidi Brouette
Resident Account Manager
Maine Veterans Homes |
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Heidi Diem
Corporate AR Director
Cypress Healthcare |
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Terri Wade - Ex Officio
Information Systems Analyst
Maples Nursing and Rehabilitation Center |
Clinical Sub-Committee
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Marigene Heller
Regional Nursing Assessment Coordinator
Cypress Healthcare |
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Angela Jobe
IT Application Manager
Beverly Enterprises |
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Hanna Barker - Ex Officio
Clinical Systems and Compliance Consultant
HealthEast |
AP and GL Sub-Committee
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Barb Carstens
Accounting Supervisor
Knute Nelson Memorial Home |
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Jonnie Maxson-Manker - Ex Officio
Office Manager
Nazareth House |
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Payroll Sub-Committee
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Pam Baker
Human Resources Manager
Maine Veterans Home |
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Pat McCann - Ex Officio
Controller
The Lutheran Home |
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Non-Coverage Notices to Medicare Advantage Enrollees
Similar to the process for Medicare beneficiaries, enrollees of Medicare Advantage plans also must receive a Notice of Medicare Non-Coverage (NOMNC) no later than two days before their covered service ends in a SNF. Click here to read the CMS memo explaining the new regulation:
Point-Of-Service Computing
Have you been looking for the advantages of point-of-service computing without the drawbacks of PDAs? Run your VistaKEANE applications from the network on a Tablet PC with a wireless connection for hand-held data entry at the bedside, in the therapy room… Information is instantly available to the network.
Medlearn Matters
CMS has created a new type of Medicare provider education vehicle, Medlearn Matters. These user-friendly articles are available at http://www.cms.hhs.gov/medlearn/matters/.
KeaneCARRIER News Journal Now Online
The Keane Care client newsletter is now available to all. Click here to see the latest issue.
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The Keane LTC Users' Group invites staff from all facilities using the VistaKEANE system to participate in their organization.
The mission of the Keane LTC Users' Group is to provide input to ensure all the products used by Keane Long-Term Care clients meet the ongoing requirements of the post-acute care community. The Users' Group is a self-governing body, independent of Keane.
Membership in the Users' Group is free and individuals determine their level of involvement.
Sign Up Now
Keane Care customers can visit the VistaKEANE Insider for more information and to sign up for the Keane LTC Users' Group.
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