Start of Care OASIS is required.
It does not need to be locked.
Primary Diagnosis is required.
It must be a PDGM Billable Primary Diagnosis.
1 Posted Visit
It must be submitted within 5 Calendar Days upon admission.
1. Go to Batch Billing (PDGM).
2. Go to Batch Tools > Step 1 and select All Medicare (NOA)
3. Select the NOA that the user needs to generate and click the Generate button.
4. Once generated, go to Step 2: Batch Claims
To check for the UB04
Click the amount, select UB04 Laser Format
Click the Print button
In Step 2, always check the UB04:
Type of bill should always be 32A.
Displayed period should be the start of the episode date.
HIPPS Code should always be 1AA1 by default.
The UB04 can still be edited directly from the ADJUSTMENT PANEL under the CLAIM TYPE column.
To Batch the NOA
Select the NOA that the user needs to batch
Select the Batch Claims button
Enter the Batch Name
Click the Batch button
Go to Step 3: Submit Claims: the Submit Electronically and Manually Move to Step 4 buttons are available.
To Manually Submit the NOA
Download 837 files – save to local computer
Click Move to Step 4
To Electronically Submit the NOA
Select the Electronically Submit button
To check the Submitted NOAs, Go to Step 4: Submitted Claims
Notice of Admission Status in the Patient Summary Page
The NOA status is visible on the left-hand side of the Patient Summary Page