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Change Healthcare has provided an update regarding the intended timeline to restore medical claims services as follows:

• Medical claims: We expect to begin testing and reestablish connectivity to our claims network and software on March 18, restoring service through that week.

For additional information please visit: https://www.unitedhealthgroup.com/changehealthcarecyberresponse

At NikoHealth, our teams have been working tirelessly to make sure that we support our clients business continuity through our alternate clearinghouse Availity. We will continue to support multiple clearinghouse options for our customers moving forward.  We thank you for your patience during this time and if we can provide additional assistance please contact your account manager.

Upon being notified of the Change HealthCare outage reported as of Feb 21st in response to a cyber security incident, NikoHealth enacted our incident response and risk assessment protocols. We proactively engaged multiple clearinghouse vendors to identify the right solution partner in an effort to enable our customers ongoing business continuity. As a result, we have expanded our relationship to include Availity as a clearinghouse.

Next Steps

Our teams will be in contact with our customers over the next few days and coordinate necessary steps needed in order to enable the transition  for electronic claims transactions. There will be no change to the existing  NikoHealth workflows as part of this transition.

We understand the disruption that this event has caused and appreciate your patience.

 

The Change HealthCare outage reported as of February 21st in response to a cyber security incident they experienced continues to impact our customers ability to submit claims, receive electronic remittances, and process electronic insurance eligibility transactions. At this time there is no timeline provided from Change HealthCare as to when these systems will be operational. There is no indication that any of our client’s data has been compromised. We’re committed to ensuring our customers business continuity and are actively working to establish alternate clearinghouse routes.

For status updates and additional information on this Change HealthCare enterprise wide outage please visit https://status.changehealthcare.com/

What You Can Do

• When possible please utilize payer portals to submit and process claims
• For Medicare, reference the CEDI claims portal as an option to submit DME claims : https://www.ngscedi.com/cedi-claims-portal

As additional information is made available we will notify our customers.

2024 is shaping up to be an incredible year where NikoHealth customers are leveraging more and more functionality to enable better business outcomes.

What’s New? 

Management Redesign 

• In this release we went ahead and gave the management page a facelift. You will notice that within the management page we introduced new categories, renamed existing ones and reorganized access to different  sections according to the logical related system functionality.

New Permissions 

• We added the ability to get even more granular with how permissions are managed for your teams. Within user and user roles permissions, you can now give access to certain areas of the management page of the application without giving users access to everything. Learn More

New Fields added to the following reports:

Fee Schedule Report

• Created Date
• Modified Date

Order History and Order Fulfilment Reports 

• Primary Payer
• Secondary Payer
• Ship Date
• Delivery Date
• Patient Email
• Patient Home Phone
• Patient Work Phone
• Patient Cell Phone

Updated Patient Financial Page 

When accessing the financial page within a patient record, a new unapplied payments button is now available. Payments that are posted against invoices will appear on the payments page while unapplied payments on an account will appear under the unapplied payments section. Previously, unapplied payments were located under the payments page.

Sales Rep Selection on an Order 

The sales rep if assigned to a referring provider has traditionally auto populated on an order. While this automation makes life easier, in certain cases a sales rep may need to be modified for a specific order. With this enhancement you can now manually add or edit the sales rep associated with an order.

Tweaks and Updates 

• Updated most recent available HCPCS library.
• Removed a legacy add inventory functionality from the product catalog.
• The deposit report and deposit functionality has been updated to reflect the sum of the payments within the deposit removing any PLB adjustments from the total deposit amount calculation.
• Review required hold logic has been updated to no longer put invoices in a review required status when the service line quantity submitted is equal to 1.
• Corrected a validation error when receiving items against purchase orders in certain cases of serialized products.
• Addressed an inconsistent font size when printing a CMS1500.

API Updates

• A new Management/Users API has been added. This GET/v1/users/list endpoint allows you to return users in NikoHealth.

 

 

 

 

Wishing you a season filled with joy, laughter and cherished moments and may the new year ahead be filled with hope and prosperity.

Happy Holidays from your friends at NikoHealth.

Lets look at what we achieved together in 2023 in the latest release.  Disruptive – the word that sums up 2023 and NikoHealth has been leading the charge in innovation.

Let’s take a look at the latest features made available that you don’t want to miss.

Whats New

Billing Provider Updates 

• Ability to add a Pay-To Provider Address Learn More

Workflow Enhancements for Tasks

• With the newly updated task functionality you can now add or edit an open task from the Orders page without having to navigate into the order details. Simply click on the drop down arrow available in the Tasks column of the orders page. Learn More
• When navigating to the Tasks within a patient record, order, or invoice the task status will default to open tasks.

Patient Creation Update

• When creating a new patient, an information popup has been added to notify the user if the system has identified a possible duplicate patient record. This will allow the user to determine if a new patient in fact needs to be created or whether the record may already exist.

Documents Improvements

• Attaching a document to an order has been improved to allow you to search for all available documents that are uploaded to a patient record along with the ability to add multiple files at once. Learn More
• Within the Documents page of a patient record, the design of the preview and edit action buttons on each available document have been updated. The functionality to download a document has been added to simplify the user interaction.

Inbox Improvements

• A new advanced filter search has been added to the inbox when attaching incoming files via fax. This will allow for a user to search by a Date of Birth, or Patient ID.

New Fields added to the following reports:

Patient Detail 

• Created By
• Patient Creation Date

Invoice Detail 

• Claim control #

Payment by Channel 

• Reference #
• Payment Note
• Legacy

New Available Reports

• Referring Providers ( Please note that the existing referring provider report will be sunset in Q1 2024)
• Invoice Notes

API Updates 

• Order Quik Ship APIs are now available. These APIs allow for the ability to ship or dropship an order from a Client App. Learn More
• The GET/v1/invoices{id} API now returns FirstSubmittedOn and LastSubmittedOn information.
• “AllowDuplicate” functionality has been added to the  POST/v1/patients API to allow a Client App to create a duplicate patient record if needed.
• The Order note create endpoint v1/orders{orderid}/notes has been updated to return a corrected description in Swagger.

Advanced Filters on the Invoice Page 

• The ability to search Invoice Tags with And/or filters is now available on the Invoice page.

 

 

Warmest wishes this Thanksgiving from all of us at NikoHealth. We’re grateful for all of our wonderful  customers that make up our  community.

                                                         Your friends at NikoHealth

At NikoHealth, we’re working around the clock to improve our platform in order to make it as robust,  yet intuitive as possible for you and your team with the latest features.

Let’s take a look at the latest features made available that you don’t want to miss.

Updated Payer Management Learn More

Document Management 

• Upload files with a simple and easy to use document management feature. Learn More

Updates to printed CMS-1500 Learn More

Task Enhancements 

• Add and mange file attachments on tasks and removed the need to link a patient to a task from the inbox.  Learn More

Referring Provider Enhancements

• Ability to add a signature image  Learn More
• Referring Provider Qualifier on the CMS 1500  Learn More
• Updates to referring provider locations and sales rep Learn More

Workers Comp Claims Learn More

• Ability to transmit Workers Comp claims electronically through clearinghouses including Jopari and Carisk.

Electronic Medical Attachments Learn More

Deductible Hold Payer Rule Learn More

Credit Card Merchant Terminals 

• Ability to assign users to access only specific credit card terminals when processing credit card transactions.

Fillable PDF Forms Update Learn More

• Additional auto-fill fields now available

Packing Slip Updates 

• Packing slip redesign including additional product details.
• Ability to generate a packing slip from anywhere on an order regardless of order status.

Additional Advanced Filters on Invoice Queue

• Account (Payer Account Group)
• Patient Location

Additions to User Permissions Learn More

• Report Specific Permissions
• All Documents Permission
• Location Based Permission
• Centralized Audit View
• Payment View Terminal
• Authorizations Page View
• Cmns Page View
• Deposits Page View
• EOB/ERA Page View

New Available Reports

• Payments By Channel
• Payment Remittance
• Order Financials
• Custom Fields

Audit Enhancements 

• Centralized audit with the ability to export
• Price option audit

Price Option Management 

• The import template for price options has been updated to include an ID and External ID column. Please refer to the new price options import template available to download from within NikoHealth.

API Updates

• Ability to query by created/modified date range
• Webhook notifications for referring providers
• Webhook notification for fax delete
• Additional invoice Put APIs to update invoices

New fields added to the following reports:

Revenue Summary Report 

• Payer Plan
• Payer Id
• Price Option Group
• Sales Rep
• Custom Fields from Invoice and Patient
• Created Date

Payer Adjustment Report

• Payer Plan
• Custom fields from invoice and patient

Provider Adjustment Report

• Payer Plan
• Custom fields from invoice and patient
• Posted By

Invoice Detail Report

• Payer Plan
• Patient State
• Referring Provider Office Location
• Sales Rep

Order History Report

• Patient City
• Patient State
• Delivery Address

Order Fulfilment Report

• Delivery Address

Fee Schedules Report

• Id of the price option

 

Change Healthcare has notified us that network issues impacting real-time insurance eligibility have been restored.

CMS added 3 new modifiers for home oxygen use under :national coverage determination (NCD) 240.2 to indicate the appropriate treatment regimen and presence of supporting documentation for each Medicare patient group:

• Section B, Group I: modifier N1
• Section B, Group II: modifier N2
• Section D, Group III: modifier N3

The 3 new modifiers for home oxygen use are effective on claims related to equipment setup after the effective date of April 1st, 2023. For rental claims related to equipment setup prior to the effective date, DME MACs will continue to accept the KX modifier.

 

 

 

If you’re curious about what’s new in NikoHealth – and what’s changed – you’re in the right place.

What’s New in recent releases.

• Create custom claim adjustment rules to automate the processing and posting of payer remittances. Learn More
• Auto apply prior authorizations to already created invoices on hold. Learn More
• Share documents via fax or email. Learn More
• Create price groups for payers and price options. Learn More
• Configure price options to auto-calculate Medicare allowable rates. Learn More
• Create a list of accounts using Chart of Accounts. Learn More
• Addition of Created Date and Created By fields to the Prior Authorization Report.
• Filters and Fields in reports are now alphabetically sorted.
• Month End Close Reports now include invoice created date,  transaction type of rental or purchase, service location NPI and voided invoice transactions.
• Shipment tracking support for LaserShip carrier.