General Tab for Admin Contract Setup

The General tab of the Contract Setup page is used to capture basic Contract Details as well as the Payer’s Address. It can be found under Admin > Contract Setup.

Refer to the table below the image for field name and descriptions. Required fields are denoted with a red asterisk.

Contract Setup General Tab

Field

Description

*Contract Name

(Required) The name of the Contract

Active

Select Active to assign the Contract Patients; or Inactive to retire the Contract (filed in the system for archive purposes).

Contract Type

Create Contract Types via the Reference Table Management function for organization purposes.

Office(s)

Select the Offices to associate the Contract with; i.e., which Office(s) can schedule visits under this Contract.

Effective Date

Select the date the Contract becomes Active and may be used to schedule visits.

Expiration Date

Select the date the Contract becomes Inactive and can no longer be used.

*Source of Admission

(Required) Select the Sources of Admission for Patients referred to the Agency via this Contract. This information is used by the Department of Health for statistical reporting.

Contact Person

Enter the contact information for a Contract Representative.

NPI No.

Enter the Contract’s National Provider Identifier number. This number is automatically applied to paper invoices and e-claims for Patient services authorized by the Contract.

Provider ID (33b)

Enter the Provider ID in this field to allow the system to automatically populate that field on the HCFA 1500 form when generating invoices in that format.

Tax ID No.

Enter the Contract’s Tax ID number; automatically applied to paper invoices and e-claims for Patient services authorized by the Contract.

Wage Parity

Select if visits for this Contract require a wage parity rate. Run a Wage Parity report during the Payroll process to identify visits where a higher pay rate is required to meet Wage Parity guidelines.

VNS Health Contract

Select if the Contract is a Visiting Nurse Service (VNS) Health Contract. VNS Health Contracts require additional configuration steps. Contact the HHAeXchange Support Team for details and setup.

Medicaid Contract

Select if visits scheduled under this Contract must fulfill specific Medicaid validations before billing.

Private Pay Contract

Select if this Contract is Private Pay.

ICD Code Requirement

Select the ICD Code set required by the Contract and effective date (required).

Enter the Address information in the Address section of the page. The Zip field is required to save the page.

Address Section

Under the New Contract Fields section, complete the fields as described in the following table.

Field

Description

Authorization Required

Select for visits to require Authorization. Visits for Patients assigned to this Contract must have a matching authorization on file.

*POC Compliance

(Required) Define the Plan of Care (POC) compliance for all visits scheduled under the Contract, as follows:

  • Select Contract Compliance to require five tasks for each visit with a minimum of one Personal Care task.

  • Select Personal Care Compliance to require one Personal Care task for each visit.

  • Select No Compliance if no tasks are required for the visit; only compliance Start and End Time.

  • Select Patient POC Compliance for the system to validate that all duties included in the Patient's POC have been performed.

Apply Authorizations toward TT/OT on Missed Visit

Select for the system to apply matching Authorization toward TT/OT values (if visit is marked as a Missed Visit with values added in the TT/OT field).

If not selected, then the system does not apply Authorization hours for Missed Visits with Travel Time.

Allow Master Week Rollover without Valid Authorization

Select to permit the system to perform Master Week rollovers even if the visits generated by the process are not Authorized.

Count Refused Duties Toward Compliance Totals

Select this checkbox for Refused duties to be counted for the selected Required Compliance.