Posts

Medisoft ICD-10 Frequently Asked Questions

Medisoft ICD-10 FAQ

October 1, 2015 has come and is now gone and the AZCOMP support department has been busy to say the least. The phone is ringing almost non-stop and we’re getting the same questions over and over. So we’ve put together this list of Frequently Asked Questions.

We’ve compiled this same list on our ICD-10 resource page, so be sure to check there for future updates. If there are more FAQ’s to add, we’ll add them on that page.

Here is a list of the current top 5 most frequently asked questions about ICD-10 and Medisoft.

#1: Why are my codes showing in red in Medisoft transaction entry?

This first video answers a question about why the old ICD-9 codes are showing in red when you try to enter new charges in the Transaction Entry screen as well as give some insight as to why ICD-9 codes still show. This video will also show you how to change the default diagnosis in the patient’s case from ICD-9 to ICD-10. Watch the video above to get help with this.

#2: Why are my old ICD-9 codes showing in transaction entry?

This video builds on the first video. A lot of people have been wondering why the Transaction Entry screen in Medisoft is still showing the old ICD-9 codes instead of the expected ICD-10 codes. This is a very common point of confusion that is addressed in this video. Watch the video above to get the confusion cleared up hopefully.

#3: Why are there no codes to map when I go into the code mapping tool?

This third video covers a question about the ICD-10 mapping utility in Medisoft. Many people have had questions about how it works and why there are no codes displayed or available to map when they go into the tool. Be sure to watch this video if you are having those problems.

#4: Why are my electronic claims getting rejected, and what is an ICD-10 qualifier?

This video is regarding electronic claims rejections. We’ve had many instances of electronic claims being rejected because the ICD-10 qualifier is sending a “BK” or “BF” rather than the needed ICD-10 qualifier of “ABK” or “ABF”. This video will show you how to resolved this common problem. Watch this video to learn how to solve these problems if you are experiencing claims being rejected.

#5: I still can’t send claims. Why can’t I submit my claims?

Video 5 explains why electronic claims are being rejected for users who send claims in “text file” or “print image” format using the CMS11 program. This will be a 2-part answer.

First, watch this short one-minute video to determine if you are sending claims in the old format: https://www.youtu.be/M4fo4VKrt-U.

If it is determined that you are sending claims in “print image” using the CMS11 or CMSFILE, watch this other video (which is the same as the video above at the beginning of this answer) on what this means to you: https://www.youtu.be/YALuP2zR4JE.

We recommend you call your AZCOMP account representative at (888) 799-4777 to proceed forward with the implementation of Revenue Management. If you are currently using Revenue Management to send claims electronically this video will not apply to you and there may be other issues our support department will need to look at for you.

Need More Help?

If these videos don’t answer your questions, call AZCOMP for technical support and training!

We can help you with Medisoft and ICD-10 challenges with a support agreement starting for as little as $99 per month! We have support plans to fit all different sizes of practices as well, so give us a call to get started on your Platinum Support Membership.

Visit our ICD-10 Resource Page

Be sure to check out our ICD-10 Resource Page for more updates, more videos, more training and more information.

https://www.azcomp.com/medisoft/medisoft-addons/

Notice Regarding Print-Image Files and ICD-10

Are you still submitting claims to your clearinghouse using “Print-Image” files?

If you are still using the print image method for submitting claims, you need to start submitting using the new CMS 1500 02/12 claim form or your cash flow will be negatively impacted.

As October 1, 2015 approaches, the primary concern for all providers is whether or not they will continue to receive revenue as the entire industry makes the biggest transition in healthcare in 35 years! While many practices are finishing off the tail end of their ICD-10 Action Plans, and are well on their way to a smooth transition, we have recently seen a surge in calls from practices that have not yet completed ICD-10 testing with their clearinghouse and payers.

As we are assisting practices with their testing, we are finding a higher than expected number of practices that are sending print image files to their clearinghouses. Most clearinghouses cut off the use of print image files when the industry shifted to the new CMS 1500 02/12 form back on April 1, 2014. However, there are still a few outliers that continued to allow users to submit print image files.

Keep in mind that HIPAA required all electronic transactions to be submitted in the ANSI 5010 format as of January 1, 2012.

In order to comply with this new standard, Medisoft built the capability to submit claims in the 5010 format directly from the program through the Revenue Management module. If you are not using Revenue Management then you are submitting claims in a print image format to your clearinghouse. Then the clearinghouse is converting the print image file for you to the ANSI 5010 format and forwarding it on to the payers.

How You Can Find Out If You Are Sending “Print Image” Text Files

Typically the print image format comes from a file that is formatted based on the HCFA claim form fields. In Medisoft and Lytec the most common method of producing the print image file was by setting up an EDI receiver to launch an executable file called CMS11.exe. Here is a sample of what you may see when you are sending claims that notifies you that you are sending a “print image” text file.

medisoft cms11 text file print image

Or you can watch this short video where we show you in Medisoft how you can find out if you are sending “print image” files.

Don’t Let Your Claims Get DENIED

As of Medisoft v19 and Lytec 2014, Medisoft and Lytec discontinued support of the cms11.exe file. It was never updated to match the new claim form or to handle ICD-10 codes. Therefore, if you are still relying on this method to submit claims there is a very high likelihood that your ICD-10 claims will be DENIED starting October 1, 2015.

While some clearinghouses may continue to support print image file submissions, our understanding is that they will require you to use a print image file that produces a print image of the CMS 1500 02/12 claim form. Please take note that the CMS11.exe file produces the old 08/05 claim format and that print image submission is not supported in Medisoft or Lytec.

Get On Board With Revenue Management

The good news is Medisoft v19 (and Medisoft v20) and Lytec 2014 (and Lytec 2015) are both equipped with not only the new 02/12 claim forms, but also with Revenue Management. The Revenue Management module in Medisoft and Lytec can be configured to send claims to any clearinghouse or even directly to the payers in the 5010 format.

In addition, Revenue Management has features such as claim scrubbing and ERA posting that your practice can take advantage of to streamline billing processes.

revenue management claim check screen shot

While the Revenue Management application is included with the ICD-10 compatible versions of Medisoft and Lytec, it does require setup and configuration to successfully utilize it. If you need to get setup on Revenue Management please call us at (888) 799-4777 to schedule the configuration with an EDI Professional!

If You Need Revenue Management Configured, Don’t Wait!

Please do not wait to contact us as the backlog of practices that need configuration and training is growing and our availability is based on first come first serve.

We also highly recommend contacting your clearinghouse as soon as possible to discuss this change, and to coordinate the switch from the print image file to the ANSI 5010 format.

Here Is A Clip From A Recent Webinar Explaining The Problem And What You Can Do About It

video play - no print image support

Lytec 2015 with Mobile Patient Intake

Lytec 2015 – All New Patient Intake System & ICD-10 Ready

New Lytec iPad AppHave you had a chance to take a look at the new patient intake process for Lytec 2015 yet?  Take a look here to see how Version 2015 will help you spend less time on administrative tasks and more time focusing on your patients.

Lytec’s new Patient Intake Mobile application for iPad® and AndroidTM automates the entire information-gathering process – giving you the ability to save valuable time and money. Simply hand your patients the mobile device, and through the Lytec Mobile application they can enter their new information and edit already-existing information in Lytec. The patient’s information will flow directly into Lytec for you to validate and apply to their account.

The new patient intake mobile application for Lytec is also extremely valuable and helpful for the Dr. while making rounds at the hospital.  Any new patient the Dr. meets while out of the office can be entered into Lytec directly from the mobile app, eliminating duplicate data entry and needless paperwork.

In addition to this, the Dr. can enter all charges on an electronic superbill using the mobile app.  This information will be immediately available in Lytec to the biller who no longer has to re-key the informaiton or deal with illegible handwriting on the old paper superbill.  This makes it so that the biller will be able to submit claims 60% sooner than before.

Lytec 2015 is ICD-10 Ready and will make transition easier with electronic superbill

There are several new features in Lytec’15 designed to help you make the transition to ICD-10 easy.  Perhapse the best feature though would be the electronic superbill as part of the Mobile App.

On average most practices have a paper superbill that is about 2 pages long.  With the massive expansion in codes the 2 page superbill could now be as long as 9 pages!  Having an electronic superbill with the Lytec Mobile app is going to make a Doctor’s life much easier.

Some of the other ICD-10 features that are included with Lytec 15 are features like the Diagnosis List & Code Setup; the ICD-10 Code Mapping Utility; the Insurance Carrier setup; the Set ICD-10 Version Utility and several more.

This is  your last chance to save on the purchase of Lytec 2015

Lytec is 10% off – but not for long!

At the end of March 2015, the current promotion of 10% off will expire and you will not have any more opportunities to save.  If you are planning on purchasing Lytec 15, now is the time.  Waiting utill later so that you can pay more just doesn’t make sense.

Call today to speak with a Lytec Specialist – (888) 799-4777.

Medisoft V20 with Mobile Patient Intake

Medisoft V20  – All New Patient Intake System and ICD-10 Ready

New Medisoft iPad AppHave you had a chance to take a look at the new patient intake process for Medisoft v20 yet?  Take a look here to see how Version 20 will help you spend less time on administrative tasks and more time focusing on your patients.

Medisoft’s new Patient Intake Mobile application for iPad® and AndroidTM automates the entire information-gathering process – giving you the ability to save valuable time and money. Simply hand your patients the mobile device, and through the Medisoft Mobile application they can enter their new information and edit already-existing information in Medisoft. The patient’s information will flow directly into Medisoft for you to validate and apply to their account.

The new patient intake mobile application for Medisoft is also extremely valuable and helpful for the Dr. while making rounds at the hospital.  Any new patient the Dr. meets while out of the office can be entered into Medisoft directly from the mobile app, eliminating duplicate data entry and needless paperwork.

In addition to this, the Dr. can enter all charges on an electronic superbill using the mobile app.  This information will be immediately available in Medisoft to the biller who no longer has to re-key the informaiton or deal with illegible handwriting on the old paper superbill.  This makes it so that the biller will be able to submit claims 60% sooner than before.

Medisoft Version 20 is ICD-10 Ready and will make transition easier with electronic superbill

There are several new features in version 20 designed to help you make the transition to ICD-10 easy.  Perhapse the best feature though would be the electronic superbill as part of the Mobile App.

On average most practices have a paper superbill that is about 2 pages long.  With the massive expansion in codes the 2 page superbill could now be as long as 9 pages!  Having an electronic superbill with the Medisoft Mobile app is going to make a Doctor’s life much easier.

Some of the other ICD-10 features that are included with Medisoft 20 are features like the Diagnosis List & Code Setup; the ICD-10 Code Mapping Utility; the Insurance Carrier setup; the Set ICD-10 Version Utility and several more.

Get FREE ICD-10 training DVD’s and Medisoft Advanced Training DVD’s with purchase of v20 from AZCOMP

When you purchase Medisoft version 20, there are many ICD-10 features that you will need to learn.  There are also many advanced features that you may not know about.

There is no better way to learn these features than by getting FREE training DVD’s when you purchase from AZCOMP.  These DVD’s are packed with over 2 hours of training from the best Medisoft trainer in the world!  It’s true…

Call today at (888) 799-4777 and we’ll get you set up with Medisoft Version 20 and will include the FREE Advanced Training DVD’s as a bonus.

This is  your last chance to save on the purchase of Version 20

Medisoft is 10% off – but not for long!

At the end of March 2015, the current promotion of 10% off will expire and you will not have any more opportunities to save.  If you are planning on purchasing version 20, now is the time.  Waiting till later so that you can pay more just doesn’t make sense.

Call today to speak with a Medisoft Specialist – (888) 799-4777.

Medisoft Support Video – How To Open The Clickable CMS-1500 Form

Medisoft V19 Medical Billing Software Support and Training Video – How to open the clickable CMS-1500 02/12 Form

Medisoft Tips and TricksIn this short video we are going to show you how to use one of the most valuable tools that Medisoft has to offer.  That might be a little bit of a stretch but it really is a cool tool.  We are going to show you how to open up the clickable CMS 1500 02/12 form.  The reason you might want to do this is so that you can see where all of the information comes from that you see on the form.  You can click on any field in the form and it will show you where that information comes from in the program.

Click on the video to watch.


Find Where Information Pulls From In CMS 1500 Claim Form For Lytec 2014

AZCOMP Support Video: Find Where Information Pulls From In CMS 1500 Claim Form For Lytec

lytec tips and tricksIf you have questions on where the information is coming from in the CMS 1500 Claim form, there is a way to find out.  The reason you might want to know this is if there are errors on the claim form or if there is the wrong information in one of the boxes, then you can know where the information is coming from so you can go back into the program and correct it.  This is a very quick video made by the Lytec master himself, Russ the Lytec ninja.  Watch and learn.

Video: In Lytec 2014, Learn Where Information Is Coming From In Your CMS 1500 Claim Form

How To Set The ICD Indicator For Your Paper Claims In Medisoft or Lytec

AZCOMP Support Video: Learn How To Set The ICD Indicator For Paper Claims

tips and tricksGetting code rejections on your paper claims forms in either Medisoft or Lytec?  You may need to set your ICD indicator.  In this quick and to the point video – learn as Josh shows you how to set the ICD indicator on your paper claims.  The video is done in Medisoft v19 but the steps are the same in Lytec 2014 as well.

Be sure to subscribe to our YouTube Channel to see all the amazing support videos that we’ve got going on there.  We are posting several new videos each week, so just subscribe and get all the new videos sent straight to your inbox.

Video: Set the ICD indicator for paper claims in either Medisoft v19 or Lytec 2014.

What To Do When Procedure Code Is Blank In Box 24 Of CMS 1500/02 Claim Form In Lytec 2014

AZCOMP Support Video: Learn How To Correct The Problem When Box 24 Is Empty In CMS 1500/02 Claim Form In Lytec 2014

lytec tips and tricksIn Lytec 2014, we have gotten multiple support phone calls of customers saying that box 24 is blank in their CMS 1500/02 claim form and are wondering why and what to do about it.  This video teaches you how to fix this problem when you encounter that.  Master Lytec support guru Russ shows you in a very quick video precisely what to do when this problem pops up.

Video: Box 24 of CMS 1500 claim form is blank in Lytec 2014

How To Fix When Diagnosis Pointer Is Showing Numbers Vs. Letters On CMS 1500-02 Claim Form in Lytec 2014

In Lytec 2014, The Diagnosis Pointer In The New CMS 1500-02 Claim Form Is Showing Numbers When It Should Be Showing Letters.  Here Is How To Fix It.

support videoOur support department has been taking a lot of phone calls from Lytec 2014 users experiencing this problem with the diagnosis pointer (box 24e) on the new CMS 1500-02 claim form.  Watch this short video that shows how to correct this problem.  If you are unable to fix this on your own, or just want us to take care of it for you, feel free to contact our support department and we’ll get you fixed up.  Call us at 888.799.4777.

Video On How To Fix When Diagnosis Pointer Is Showing Numbers Vs. Letters On CMS 1500-02 Claim Form in Lytec 2014

Notices from Clearinghouses Regarding Print Images

In order to comply with the April 1, 2014 deadline for the change to the new CMS 1500 02/12 claim form, many Medisoft and Lytec users are getting notices from their clearinghouses explaining that they will no longer be accepting print image files and that users must begin submitting claims in the ANSI 5010 format.

Here is a sample of what you may see when you are sending claims that notifies you that you are sending a “print image” text file.

Print Imgae

If you are sending claims using a print image format you are essentially printing the old claim form to a text file and sending that “print image” to your clearinghouse who is then converting the information from the print image into the ANSI 5010 format for you. Since there are significant changes to the claim form and the data captured on the new form (new qualifier codes and fields that have been converted to include data that was not reported on paper before) it may not be feasible any longer for clearinghouses to convert the file for you and many clearinghouses are now requiring that users send their claims already in the ANSI 5010 format.

The good news is Medisoft v19 and Lytec 2014 are both equipped with, not only the new 02/12 claim forms, but also with Revenue Management which can be configured to send claims to any clearinghouse or even directly to the payers in the 5010 format. In addition Revenue Management has features such as claim scrubbing and ERA posting that your practice can take advantage of as well.

While the Revenue Management application is included with Medisoft v19 and Lytec 2014, it does require setup and configuration to successfully utilize it. If you need to get setup on Revenue Management please call us at 888-988-7796 to schedule configuration and training with an EDI Professional!

We highly recommend contacting your clearinghouse directly to discuss this change and to coordinate the switch from the print image file to the ANSI 5010 format.

As a final note, If your clearinghouse indicates that they will continue to accept print image files please verify with them whether or not the print image file has to be producing the fields and data captured in the new CMS 1500 02/12 claim format, or if they will still accept the 08/05 claim format. If they are requiring the 02/12 format then you will still need to get setup on Revenue Management as CMS11.exe is not programmed to produce the new claim form.