MAX Office Closed for Independence Day

MAX’s office will be closed on Tuesday, July 4th in observance of Independence Day. Should a Cloud emergency arise, please contact the MAX Customer Support Team at (269)963-1040, select option 5 and wait to be connected to a Support Representative.

We wish you a safe and enjoyable holiday!

June Server Maintenance

MAX Home Care Solutions will be conducting routine server maintenance on Sunday, June 18th from 7:00 to 11:00 PM ET. We ask that you please refrain from logging into the Cloud during this time, as any session opened will be closed. The system will be available again promptly at 11:00 PM ET. While MAX is not releasing an update this month, we do ask that all offline laptops complete a Medications Database update (Instructions to do so can be found here).  

If you have any questions, please contact Customer Support at (269)963-1040, option 1.

GLMI to MAX Email Transition

As you are aware, we are in the process of transitioning our company name to MAX Home Care Solutions, Inc. As a step in that direction, as of today, we have transitioned to our MAX email. All outgoing emails will be sent from the MAXHCS.com domain (example: KGraham@maxhcs.com), however all team members are still able to receive email to their former glmi.com address until further notice.

Support emails may continue to be sent to support@glmi.com or you may begin using support@maxhcs.com to create tickets.  We do ask that you take a moment to update your address book and allowed sender list.

If you have any questions, please contact GLMI Customer Support.

Memorial Day Closure

GLMI’s office will be closed on Monday, May 29th in observance of the Memorial Day holiday. Should a Cloud emergency arise, please call the GLMI Support Line at (269)963-1040, select option 5 and wait to be connected to a Support Representative.

We wish you a safe and enjoyable holiday weekend!

Medicare Claim Error

NAHC has reported that both NGS and CGS are experiencing issues that are causing Medicare claims (home health and hospice) to be returned to provider (RTP) in error. Some of which are receiving reason code 32103, which indicates the NPI and the associated Provider Transaction Access Number (PTAN) is not present in the crosswalk file. The MACs are researching the issues and will provide updates via alerts on their websites.

April Feature Pack

The April Feature Pack was released to all Cloud customers on Sunday, April 16th. Please take a moment to review the release notes below:

Face to Face Document: The clinician’s name has been removed from the Face to Face document.

Order Aging Report: The Order Aging Report can now be filtered by physician’s zip code.

Physician Order Preference: The physician order preference to display or not to display the patient’s social security number on the order has been updated. When the preference is selected to display, it will only display the last 4-digits of the patient’s SSN.

Prior Authorization Report: The prior authorization report will now display only active clients.

ABC Extract Report: Enhancements have been applied to the ABC Extract report.

 

CMS Proposes COP Delay

A note from NAHC’s Bill Dombi:

CMS just issued a proposed rule that will change the new CoP rule effective date to January 13, 2018. NAHC had spearheaded an effort to postpone the rule because of the extensive changes that are required and the absence of needed interpretive guidance to properly comply.
 
While the issuance is a proposed rule, it is highly expected that the final issuance will be consistent with the proposal.
 
The issuance is available here.  

Pre-Claim Review Paused

Per CMS, as of April 1, 2017, the Pre-Claim Review demonstration will be paused for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017.   

After March 31, 2017, and continuing throughout the pause, the Medicare Administrative Contractors will not accept any Pre-Claim Review requests.  During the pause, home health claims can be submitted for payment and will be paid under normal claim processing rules. CMS will notify providers at least 30 days in advance via an update to the website of further developments related to the demonstration. 

Click here to visit the CMS website for announcement. 

March Server Maintenance

GLMI will be conducting routine server maintenance on Sunday, March 19th from 7:00 to 11:00 PM ET. We ask that you please refrain from logging into the Cloud during this time, as any session opened will be closed. The system will be available again promptly at 11:00 PM ET. While GLMI is not releasing an update this month, we do ask that all offline laptops complete a Medications Database update (Instructions to do so can be found here).  

New OASIS Edit Effective 4/1/17

Last October, CMS announced that as of April 1st, 2017, OASIS assessments will be considered a condition of payment. If the OASIS assessment is not found in the QIES upon receipt of a final claim for an episode and the receipt date of the claim is more than 30 days after the assessment completion date, the claim will be denied by CMS. Agencies are encouraged to pay close attention to the new OASIS edit as CMS is not expected to allow much leeway.  Review the full MLN Matters article here.

External Document Outage

GLMI is aware of an outage at Amazon Web Services that provides the HIPAA secure hosting of the external documents within Ubiquity/MAX.  This outage will likely cause issues with viewing existing external documents and the ability to upload new documents. In addition, system wide performance may be impacted as a result. 

GLMI will continue to monitor the outage and keep users informed when the issue is resolved. We apologize for the inconvenience. 

February Server Maintenance

GLMI will be conducting routine server maintenance on Sunday, February 19th from 7:00 to 11:00 PM ET. We ask that you please refrain from logging into the Cloud during this time, as any session opened will be closed. The system will be available again promptly at 11:00 PM ET. While we are not releasing an update this month, we do ask that all offline laptops complete a Medications Database update (Instructions to do so can be found here).  
 
If you have any questions, please contact GLMI at (269)963-1040, option 1.

Claims Incorrectly Placed into T-Status

GLMI has recently discovered that Home Health Medicare MAC’s are incorrectly placing claims into T-Status. Please review the following notice from NAHC Regulatory Affairs :

Claim Processing Issue: Reason Code 32403 on Home Health Claims

The Fiscal Intermediary Standard System (FISS) maintainer has been notified of an issue affecting home health claims with dates of service prior to January 1, 2017. Reason code 32403 is being received incorrectly on claims when HCPCS code G0163 and G0164 are reported with a line item date of service prior to January 1 2017. At this time, these claims appear in status/location S MFEES, or in the Return to Provider file at T B9997. 

With Change Request 9736, which was implemented with the January 2017 system release, codes G0163 and G0164 were retired and are no longer valid for services on or after January 1, 2017; however, they are valid for line item service dates prior to January 1, 2017. For additional information, please refer to the MM9736External PDF Medicare Learning Network Matters® article.

Please also refer to GLMI’s earlier note regarding the new G-codes for 2017, here. The system will pull the new G-codes into claims with dates of service on or after January 1, 2017, however agencies will need to add the G-codes into the modifier section of the service codes within your agency’s support files.  

If your agency’s Medicare claims are placed into t-status for this reason, please contact your MAC. 

January Feature Pack

The January Feature Pack was released to all Cloud customers on Sunday, January 15th. Please take a moment to review the release notes below:

New Physician Order Print: The Physician Order print has been updated with a new format. Also, a 'draft' watermark has been added when previewing an order. Please also know that previewing an order no longer locks the order, preventing users from adding lines. 

Remittances Detail Reformatted: The HIPPS code of the RAP Take-backs in the Accounts Receivables Electronic Remittances Detail has been corrected.

RAP Adjustments: The Client Account History Program will now read the AR Transaction file to determine if the record is a bill, payment or adjustment. Previously, all credits were reported as payments and all debits were reported as bills.

Client Status Report: The report header now contains date ranges.

Medicare Bills: The Billing Program will now add a Status 54 if the Medicare bill is not a RAP, not the SOC episode and there are no skilled visits.

OASIS Status Report: Users will no longer receive a missing DDF error when running the OASIS Status Report.

(MAX Only) Dashboard Security: Users will no longer receive an error when assigned dashboard security. 

 

CMS Finalizes New Conditions of Participation

CMS has finalized the new Conditions of Participation, effective July 13th, 2017.

From the Department of Health and Human Services:

“This final rule revises the conditions of participation (CoPs) that home health agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. The requirements focus on the care delivered to patients by HHAs, reflect an interdisciplinary view of patient care, allow HHAs greater flexibility in meeting quality care standards, and eliminate unnecessary procedural requirements. These changes are an integral part of our overall effort to achieve broad-based, measurable improvements in the quality of care furnished through the Medicare and Medicaid programs, while at the same time eliminating unnecessary procedural burdens on providers.”  

Read CMS’ full press release here, visit the CMS Newsroom or review the Federal Register.

New Year Reminders

GLMI would like to remind users of the changes that have taken effect as of January 1st:  

OASIS C2: OASIS C2 provides changes that increase standardization across post-acute care setting, including home health. GLMI has applied all of the proper OASIS C2 accommodations within the December Feature Pack. Click here for an OASIS C2 overview.

New G-Codes: CMS has requested that home care providers retire the use of G-Codes G0163 and G0164 and instead replace with four new G-codes. Click here for more information regarding the new G-Codes and the action required by each agency.  

Insurance Eligibility Reminder: GLMI encourages users to conduct insurance verifications on all patients after the first of the year. If you currently utilize a clearinghouse that accepts 270 files, your agency is able to use the insurance edibility feature within GLMI for mass verifications.

GLMI wishes you a safe and enjoyable New Year holiday!

GLMI Holiday Hours

In observance of the Christmas holiday, the GLMI office will be closed beginning at 12:00 PM ET on Friday, December 23rd and reopening at 8:00 AM ET on Tuesday, December 27th. The office will also be closed in observance of the New Year holiday beginning at 12:00 PM ET on Friday, December 30th and will reopen at 8:00 AM ET on Tuesday, January 3rd.

Should a Cloud emergency arise, please call the GLMI Support Line, (269)963-1040, select option 5 and wait to be connected to a Support Representative.

GLMI wishes you a safe and enjoyable holiday season!