Learn Here How To Test Your ICD-10 Claims With Relay Health
Relay Health is an electronic claims clearinghouse that is integrated with the Revenue Management feature of Medisoft and Lytec. Relay Health’s seamless integration is awesome for you because it allows you to manage the entire claims process from within the program (Medisoft or Lytec), it provides you with real-time information about claim rejections or approvals, it speeds up the payment process, and reduces the time you spend on the claims process.
If you are not using the Relay Health clearinghouse, give AZCOMP a call to find out more about how Relay Health can save you time and get you paid quicker.
Earlier this year, AZCOMP produced and hosted 4 webinars designed to help small practices get ready for ICD-10. In these webinars we discussed things like:
- The ICD-10 billing challenges and the solutions that are available to you in Medisoft version 20 (or 19) and Lytec 2015 (or 2014)
- How to put Medisoft or Lytec into “testing mode” so that you can test sending claims
- How to set the date for the ICD-10 transition so that you can start using ICD-10 codes today and still be submitting your claims using ICD-9 codes
- How to begin testing with your clearinghouse (including how to do this with Relay Health)
- Problems your practice will face switching to ICD-10 outside of submitting claims and the solutions to these problems.
There was a lot more discussed in the 4-part webinar series but those are the highlights.
Relay Health’s ICD-10 Testing Update
AZCOMP is a partner with Relay Health and they recently sent us this information about conducting ICD-10 testing with them. Everything that you read below here is the information that we received from them.
ICD-10 Testing – It’s Easier Than You Think!
By now you’ve heard the warnings. If you’re not already conducting ICD-10 testing, you’re late. So why are you waiting? It’s easier than you think!
There are three types of testing available to RelayHealth customers: End-to-End Testing, Validation Testing, and Self-Supported Payer Testing.
Here’s how to get started:
1. End-to-End Payer Testing (Available Through July 31, 2015)
RelayHealth customers can send ICD-10 test claims to the 300+ core payers that are part of the RelayHealth testing program. Test claims will be processed through RelayHealth and sent to payers following the same process as ICD-9 claims.
- Determine if you have been selected by your payers to conduct ICD-10 testing. Most payers are indicating they will test with a limited number of providers.
- View the training course for the RelayHealth ICD-10 testing program. This training course should be viewed prior to attempting any ICD-10 testing with your payers.
- Review the “RelayHealth Reports – Test” section of the RelayHealth Reference Guide for information on RelayHealth generated test reports returned for test claims.
- Access the Payer Testing Readiness Dashboard from ConnectCenter or Collaboration Compass to determine if your payers are ready to conduct end-to-end ICD-10 testing.
Hundreds of RelayHealth customers have used our end-to-end ICD-10 testing platform to submit thousands of ICD-10 test claims to their payers and receive test claim remittances back from their payers.
This end-to-end testing platform is only available until July 31, 2015. This aligns with the Centers for Medicare and Medicaid Services’ (CMS) recommendation to complete all ICD-10 testing by July 31 – to focus on final go-live preparations and mitigations (if any) during the last 60 days before the compliance deadline.
2. Validation Testing (Available throughout the ICD-10 transition)
Validation testing allows customers to verify that their ICD-10 test claims have been successfully transmitted to RelayHealth – but it does not include the transmission to the payer component of end-to-end testing.
Customers can send ICD-10 test claims to RelayHealth for code set validation of ICD-10-CM (Clinical Modification) for diagnosis and ICD-10-PCS (Procedure Coding System) for inpatient hospital procedures.
3. Self-Supported Payer Testing (Available throughout the ICD-10 transition)
If you were not selected by your payers to participate in end-to-end testing, you should ask your payers if they will enable you to submit passive ICD-10 test transactions. RelayHealth provides the means to conduct passive testing by enabling you to deliver an 837 test file to providers. This allows you to test directly with any of your payers, whether you’ve been selected to test or not.
WHY IS TESTING CRITICAL?
If your organization is not ready for the ICD-10 transition, you may experience significant backlogs, claim denials, and negative impacts on revenue.
Read One Customer’s ICD-10 Testing Success Story
From the start, Tampa General Hospital understood the importance of payer-provider collaboration in ICD-10 readiness – particularly when it came to testing. They knew that this testing would be different than anything the industry had done before and in order for it to be meaningful, there had to be open and transparent collaboration between providers and payers. Learn how Tampa General validated its ICD-10 readiness and also helped identify some potentially problematic claim issues.
Action Required: If you haven’t started ICD-10 testing yet, we recommend you choose one – or more – of the testing options offered through RelayHealth and get started as soon as possible.
If this information was useful to you, please share the information by clicking below!