Generating a 485

Skilled and PDN agencies require a 485 to be sent to a Doctor for Signature.

In Billiyo when a Nurse or Therapist complete an OASIS Assessment a 485 will Auto Generate in the Billiyo Portal.

To start the process  head on over to the Scheduling Page and schedule a Clinician to an OASIS E Start of Care, Resumption of Care or Recertification.

The Clinician can also schedule these Assessments if they have the QP enhanced role in Billiyo, to see which Role your Clinical Application users have, Head over to the More Tab and View User Accounts. 

Once the Nurse or Therapist completes the Assessment: OASIS E Start of Care, Resumption of Care or Recertification, the back office will be able to see the 485 in the Patient Dashboard.

To View the 485 head on over to CRM>Clients>Patient Dashboard and Click on the Plan of Care Tab. Then Click on the 485 Tab.

Here you can take actions: Edit the 485, View the PDF, Re- Generate the PDF (if a change was made via the Clinical Application to the Assessment, you will need to Re-Generate the 485 PDF to see those changes, eFax (you must have the Billiyo Communications Package for this Feature) and of course once you have sent the 485 to the Doctor you will need to Mark as Sent, Once Received come back over to this page and Mark your 485 as Signed and Received. You also have the ability to Delete a 485.

In the event that you make a mistake to the Status of the 485 or a Doctor calls and asks you to make a Change, Head Back over to the Patient Dashboard and Revert the Status.

If you want to see the 485's that are Pending, Head on over to the Clinical Dashboard.

This is a Great tool to Use to Keep Compliant. Any 485 in the Draft Status has not been Marked Sent by a User. Make Sure to Mark them Sent as you work through the 485's and make Sure that you monitor this page to get those 485's out the door.