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ICD-10 Grace Period FAQ

ICD-10 Launch Button Cartoon

CMS Releases FAQ Sheet Regarding ICD-10 Grace Period

In July we wrote an article about the ICD-10 Grace Period (remember, this is not an extension!). CMS has been fielding questions ever since then about what this really means. So recently they posted a FAQ sheet to help providers better understand the grace period.

Check out the CMS grace period FAQ sheet by clicking here.

Today Is The Last Day Before The ICD-10 Transition!

Do you have all of your ducks in a row? Have you upgraded your software to Medisoft v20 or Lytec 2015? Do you have all of the training you need?

If you haven’t upgraded your software, do it today by calling us at (888) 799-4777.

If you need any ICD-10 training, check out our ICD-10 resource page at http://www.azcomp.com/icd10/.

We have a lot of other ICD-10 videos on our YouTube channel to help you get the education you need. Watch as many of these videos as many times as you want.

If you need one-on-one training, or tech support or any additional help, please call us at (888) 799-4777.

Is Lytec 2014 ICD-10 Ready?

icd10 humor

This is one of the big questions we frequently get – “Is Lytec 2014 ICD 10 Compliant or not?”

The answer is “Yes”, but with an astericks.

Why An Astericks?

Lytec version 2014 has all of the ICD 10 features and tools that you need for the ICD 10 transition. However, if there are any needed updates for ICD10 features, version 2014 will not be updated. As always, only the current version will be updated, which is currently Lytec 2015.

Upgrade to Lytec 2015 for peace of mind, and always stay on the current version to receive the latest updates, hotfixes, patches, and the latest features.

When Lytec version 2014 was released late 2013, it was released with all the required elements necessary to make the transition to ICD 10 in October 2014 (which was the due date at the time). While the government may have stalled the release of ICD 10, McKesson did not stop innovating and improving Lytec for its users.

In March of 2015, the current version of Lytec (version 2015) became generally available with all new features for enhancing patient intake using the Mobile App. The ICD-10 features in Lytec v2015 are in fact identical to those available in v2014. However, the ICD-10 features have not been fully put to the test yet.

Don’t get me wrong, the product was built to the ICD 10 specifications available at the time and was tested to the extent it could be, but unlike a typical beta period where it could be tested end-to-end, payers and clearinghouses were not ready to test with their updated software at the time of release.

What makes ICD 10 so challenging is that in essence payers, clearinghouses and end users all needed to have products released and ready to test with each other. So in essence we are all in beta together. Had the October 2014 date stuck, Lytec 2014 would have been put to the test, and in the industry of ever changing government/payer/clearinghouse requirements, McKesson would have supported changes to the product because it would have been their current version.

Now that version 2015 has been released, if there are any required changes or updates, then those updates will only be written for Lytec 2015 as it is McKesson’s policy to only support the current version.

What Needs To Be Updated In Lytec 2014 Or 2015?

The truth is nobody knows if an update will be necessary or not. The problem is there are still a lot of unknowns with ICD 10. We like the rest of the industry are still holding our breath to see if all the meticulous development efforts meet the demands of payers and clearinghouses- remember we are all in beta together!

What we can tell you is that providers and payers are actively engaging to complete testing and we are monitoring these exchanges closely.

From our decades of experience in the industry we can also tell you that small patches and fixes are a normal/expected part of working with any newly released software. This is the biggest change in the medical industry in 35 years, and across the board all software systems that have to communicate with each other are all being updated and going through the same process you are.

We are encouraging all of our users to stay in front of ICD 10 by participating in testing, but even the time to do that is starting to run short. If you discover any issues as you test it should be reported to our support department so they can be addressed and resolved as quickly as possible (typically through a software patch/hot fix).

Remember that clearinghouses and payers are also working on updated software in “test mode” so they may make adjustments on their end or change requirements that McKesson will then be forced to respond to. Once we are past the testing phase we will all move to go-live, and on October 1, 2015 the industry as a whole will experience their first live action using the new codes and submitting claims.

Users, and clearinghouses, and payers may still discover that there are little glitches here and there that didn’t come out in testing. The simple truth is testing doesn’t always catch all of the problems and some things may need a little fix or a small update to fix a certain feature.

In these events, McKesson will issue a hot fix, or an update to the software, and as always, it will only be for the current version. At this time, Lytec 2015 is the current version and is the only version that will get any sort of update to fix any of these small issues.

The summary of that long explanation is that Lytec 2014 has all of the ICD 10 features and tools that you need. If there are any issues that need to be fixed, version 2014 will not be updated, only the current version will be updated, which is version 2015.

Do You Need To Upgrade From Lytec 2014 To Lytec 2015?

If you are currently using Lytec 2014, as far as we know you have the tools needed to bill and submit claims with ICD 10 codes. But, you should be aware that you are running a risk that if or when any bugs or issues are discovered, you may find yourself in a situation where you need to do a last minute upgrade because your software is no longer supported.

The good news is that to upgrade to version 2015, that is called a one-version-old upgrade, and you will receive the biggest discount available for the new software.

It is always your cheapest option to upgrade to the latest version from the prior year’s version. Staying on the current version is also the way that you can ensure that your practice will get updates to the software when needed, and you’ll always have the latest features.

If you feel the need to upgrade to Lytec 2015 to be sure that your software works best for ICD 10, we’ll be happy to help you out.

Give us a call at (888) 799-4777.

Is Medisoft 19 ICD 10 Compliant?

ICD-10-illustrated-big-toe

This is the big question we frequently get – “Is Medisoft v19 ICD 10 Ready?”

The answer is “Yes”, with conditions.

Why Conditionally “Yes”?

Medisoft version 19 has all of the ICD 10 features and tools that you need for the ICD 10 transition. However, if there are any issues that need to be fixed for ICD10, version 19 will not be updated. As always, only the current version will be updated, which is currently version 20.

Upgrade to version 20 for peace of mind, and always stay on the current version to receive the latest updates, hotfixes, patches, and the best features.

When Medisoft version 19 was released late 2013, it was released with all the required elements necessary to make the transition to ICD 10 in October 2014 (which was the due date at the time). While the government may have stalled the release of ICD 10, McKesson did not stop innovating and improving Medisoft for its users.

In March of 2015, the current version of Medisoft (version 20) became generally available with all new features for enhancing patient intake using the Mobile App. The ICD-10 features in Medisoft v20 are in fact identical to those available in v19. However, the ICD 10 features have not been fully put to the test yet.

Don’t get me wrong, the product was built to the ICD 10 specifications available at the time and was tested to the extent it could be, but unlike a typical beta period where it could be tested end to end, payers and clearinghouses were simply not ready to test at the time of release.

What makes ICD 10 so challenging is that in essence payers, clearinghouses and end users all needed to have products released and ready to test with each other. So in essence we are all in beta together. Had the October 2014 date stuck, v19 would have been put to the test, and in the industry of ever changing government/payer/clearinghouse requirements, McKesson would have supported changes to the product because it would have been their current version.

Now that version 20 has been released, if there are any required changes or updates, then those updates will only be written for version 20 as it is McKesson’s policy to only support the current version.

What Needs To Be Updated In Medisoft 19 Or 20?

The truth is nobody knows if an update will be necessary or not. The problem is there are still a lot of unknowns with ICD 10. We like the rest of the industry are still holding our breath to see if all the meticulous development efforts meet the demands of payers and clearinghouses- remember we are all in beta together!

What we can tell you is that providers and payers are actively engaging to complete testing and we are monitoring these exchanges closely.

From our decades of experience in the industry we can also tell you that small patches and fixes are a normal/expected part of working with any newly released software. This is the biggest change in the medical industry in 35 years, and across the board all software systems that have to communicate with each other are all being updated and going through the same process you are.

We are encouraging all of our users to stay in front of ICD 10 by participating in testing, but even the time to do that is starting to run short. If you discover any issues as you test it should be reported to our support department so they can be addressed and resolved as quickly as possible (typically through a software patch/hot fix).

Remember that clearinghouses and payers are also working on updated software in “test mode” so they may make adjustments on their end or change requirements that McKesson will then be forced to respond to. Once we are past the testing phase we will all move to go-live, and on October 1, 2015 the industry as a whole will experience their first live action using the new codes and submitting claims.

Users, and clearinghouses, and payers may still discover that there are little glitches here and there that didn’t come out in testing. The simple truth is testing doesn’t always catch all of the problems and some things may need a little fix or a small update to fix a certain feature.

In these events, McKesson will issue a hot fix, or an update to the software, and as always, it will only be for the current version. At this time, Medisoft v20 is the current version and is the only version that will get any sort of update to fix any of these small issues.

The summary of that long explanation is that Medisoft version 19 has all of the ICD 10 features and tools that you need. If there are any issues that need to be fixed, version 19 will not be updated, only the current version will be updated, which is version 20.

Do You Need To Upgrade From Medisoft 19 To Medisoft 20?

If you are currently using Medisoft version 19, as far as we know you have the tools needed to bill and submit claims with ICD 10 codes. But, you should be aware that you are running a risk that if or when any bugs or issues are discovered, you may find yourself in a situation where you need to do a last minute upgrade because your software is no longer supported.

The good news is that to upgrade to version 20, that is called a one-version-old upgrade, and you will receive the biggest discount available for the new software.

It is always your cheapest option to upgrade to the latest version from the prior year’s version. Staying on the current version is also the way that you can ensure that your practice will get updates to the software when needed, and you’ll always have the latest features.

If you feel the need to upgrade to Medisoft version 20 to be sure that your software works best for ICD 10, we’ll be happy to help you out.

Give us a call at (888) 799-4777.

One Year “Grace Period” For ICD-10

ICD-10 Launch Button Cartoon

The ICD-10 implementation date has not been extended, but there is now a one-year “grace period”.

Although the impending date for ICD-10 has not been delayed, CMS announced this month that they will be extending a one-year “grace period” to help protect provider’s income and ease the transition to ICD-10. As we have worked with practices to put the proper tools in place to prepare for ICD-10 there seems to be a common concern regarding whether or not reimbursements for claims will be disrupted, or claims denied as they learn how to properly code in ICD-10.

This announcement from CMS should be welcome news for providers that share this concern.

Here are some of the highlights of the announcement:

  • Claims with Non-Specific codes will still be paid.

    • The primary reason the code set has expanded so drastically under ICD-10 is because of the level of specificity it provides. During the one-year grace period Medicare will not be denying claims for non-specific codes as long as the code submitted is in the same code family.
  • Use of Non-Specific codes for Quality Reporting will be acceptable.

    • Physicians will not be penalized based on the specificity of the code as long as the code used is from the same family of codes. This rule applies to PQRS, the EHR Incentive Program (Meaningful Use), and the value-based payment modifier.
  • Reimbursement for Medicare claims will not be withheld due to claims processing issues on their end.

    • CMS will authorize a payment advance if a Medicare contractor is unable to process a claim due to issues related to ICD-10.
  • Resources will be made available to help monitor and resolve ICD-10 related issues quickly.

    • CMS will establish a communication center that will included an ICD-10 ombudsman devoted to training physician issues.

CMS made a point of noting in the announcement that the Medicare claims processing system will not have the capability of accepting ICD-9 codes for dates of service after September 30, 2015. Providers need to continue to prepare for the impending October 1, 2015 transition deadline.

If you have not upgraded to an ICD-10 supported version of Medisoft or Lytec yet, please call ASAP so we can help you out. Contact us at (888) 799-4777.

For more information, please click here to visit the CMS website. Or you can read this post by AMA Wire.

Five More Facts about ICD-10 from CMS

are you allergic to anything cartoonThe other week, the Centers for Medicare & Medicaid Services (CMS) shared five facts dispelling misperceptions about the transition to ICD-10.  We posted about that and added some comments.  In case you missed it, you can read that one here.

Here are five more facts addressing common questions and concerns CMS has heard about ICD-10:

Five More Facts about ICD-10 & comments about them

1. If you cannot submit ICD-10 claims electronically, Medicare offers several options.

CMS encourages you to prepare for the transition and be ready to submit ICD-10 claims electronically for all services provided on or after October 1, 2015. But if you are not ready, Medicare has several options for providers who are unable to submit claims with ICD-10 diagnosis codes due to problems with the provider’s system. Each of these requires that the provider be able to code in ICD-10:

  • Free billing software that can be downloaded at any time from every Medicare Administrative Contractor (MAC)
  • In about ½ of the MAC jurisdictions, Part B claims submission functionality on the MAC’s provider internet portal
  • Submitting paper claims, if the Administrative Simplification Compliance Act waiver provisions are met

If you take this route, be sure to allot time for you or your staff to prepare and complete training on free billing software or portals before the compliance date.

2. Practices that do not prepare for ICD-10 will not be able to submit claims for services performed on or after October 1, 2015.

Unless your practice is able to submit ICD-10 claims, whether using the alternate methods described above or electronically, your claims will not be accepted. Only claims coded with ICD-10 can be accepted for services provided on or after October 1, 2015.

3. Reimbursement for outpatient and physician office procedures will not be determined by ICD-10 codes.

Outpatient and physician office claims are not paid based on ICD-10 diagnosis codes but on CPT and HCPCS procedure codes, which are not changing. However, ICD-10-PCS codes will be used for hospital inpatient procedures, just as ICD-9 codes are used for such procedures today. Also, ICD diagnosis codes are sometimes used to determine medical necessity, regardless of care setting.

4. Costs could be substantially lower than projected earlier.

Recent studies by 3M and the Professional Association of Health Care Office Management have found many EHR vendors are including ICD-10 in their systems or upgrades—at little or no cost to their customers. As a result, software and systems costs for ICD-10 could be minimal for many providers.

5. It’s time to transition to ICD-10.

ICD-10 is foundational to modernizing health care and improving quality. ICD-10 serves as a building block that allows for greater specificity and standardized data that can:

  • Improve coordination of a patient’s care across providers over time
  • Advance public health research, public health surveillance, and emergency response through detection of disease outbreaks and adverse drug events
  • Support innovative payment models that drive quality of care
  • Enhance fraud detection efforts

What this means for smaller independent practices (from our perspective)

First – Don’t put yourself in a position where you are scrambling to try and figure out a work-around at the 11th hour.

It is very nice that Medicare offers some options for you in the event that you haven’t gotten your act together in time.  The problem with this is that you will still be scrambling to figure things out, to learn a new system, to learn what crazy hoops you have to jump through just to get by.  This will still cripple your operation.

Don’t rely on some duct tape patch job free software program provided by MAC.  The software may be free but your time is not.  Remember this is free software for sending a claim – period.  It is not a Practice Management software and it will not integrate with Medisoft or Lytec.

In the free program, you won’t be able to post payments, send statements, run reports, track aging, etc.  This means you will still need to log all of the information into your Practice Management software (Medisoft or Lytec), and then rekey it into the “free software” so that you can submit the claim.

If you are already using Medisoft or using Lytec for your billing, your best bet is to continue managing all aspects of your billing from one place in a program that you are already familiar with.

We also recommend getting the ICD-10 ready version early.  Get it early so you can practice and be prepared.  Get it early so you don’t get caught in a tidal wave of other practices who are waiting till the last minute.

 

Second – if you are using the Medisoft or Lytec EMR systems, the ICD-10 billing components are included.

When you use McKesson Practice Choice EMR that is integrated with either Lytec or Medisoft, your ICD-10 ready version of Lytec or Medisoft is included with the EMR subscription.  Same with Lytec MD or Medisoft Clinical EMR systems.  If you have already been using these systems then the ICD-10 features you need are already available to you.

If you are one of the hold-outs for implementing EMR, and if you have not upgraded your PM software, then maybe now is the time to consider implementing an EMR.  Aside from all the regular advantages of implementing EHR (which are many), and also aside from the fact that when you implement a Medisoft or Lytec EHR you will get the ICD-10 features for free, there are many aspects of our EHR systems that will make your life easier with the transition to ICD-10.

Do you want to learn how to make the transition to ICD-10 easier on you?

Click here to opt-in to our ICD-10 webinar recordings.

 

Start Practicing Using Your ICD-10 Codes As Soon As…Now!

Even if you have all of the tools that you need, if you wait until October 1 to start using everything, then it will be a rough transition.  If you haven’t worked out your own kinks, then you could see significant delays in getting your claims paid and you will be frustrated with the process.  Don’t do that to yourself.  You can start practicing today!

Here are a couple tips to help you start practicing.

Our second webinar recording shows you how to put your software (either Lytec or Medisoft) into “testing mode” so that you can submit test claims.  In our third webinar, we outline how you can test your ICD-10 claims with your clearinghouse.  We provide specific information from Relay Health because that is our preferred clearinghouse, but we give you the info you need so you can enquire with your own.

There is also a feature in your ICD-10 version of the program that allows you to just start coding everything in ICD-10 right now, but your claims will still be submitted in ICD-9 right up until September 30th!  In the program, you can set a date for when to start submitting your ICD-10 claims.  Set that date right now so you don’t need to worry about making any changes on the morning of October 1.  Learn how to do this by watching the webinars.

Doing all this will allow you to practice coding in ICD-10 now and so that you and your staff can get comfortable with the changes, but without the added stress of potentially delayed payments.

Good luck!  Please comment below if you have any questions, need any help, or have any success / failure stories to share with the community.

 

Disclaimer: AZCOMP Technologies, Inc, (AZCOMP) is providing this material as an informational reference for practices who currently submit claims using ICD-9 codes. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of posting, the Health Care industry is constantly changing, and it is the responsibility of each provider to keep themselves up to date of industry requirements.

ICD-10 Webinar Recordings

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The ICD-10 Webinar Series Replay Videos Are Now Available!

Through February and March we ran a series of webinars designed to help prepare small and independent practices get ready for the transition to ICD-10.  It was a four part webinar series and now you can access all of the videos.

Webinar #1 lays the foundation for the next three videos.  We briefly explain what ICD-10 is all about and then we provide information on how to get started with planning, etc.

Webinar #2 presents several problems that ICD-10 creates for billing and submitting claims and testing, etc.  Then we show you in the program (either Medisoft or Lytec) how to use the ICD-10 tools that are solutions to the ICD-10 problems.

Webinar #3 provides information you need to know in order to test submitting electronic claims to your clearinghouse, and helps you understand what you need to do vs. what you don’t need to do.

Webinar #4 presents a handful of other challenges you will be facing with ICD-10 that aren’t necessarily directly related to billing or submitting claims.  We show you what tools are available to overcome these challenges, which will help you avoid an ICD-10 transition nightmare!

How to get the webinar replay videos?

Visit our webinar registration page here.  While on this page, you’ll tell us if you are using Medisoft or Lytec so that we can send you the correct videos.

Access to the video’s is FREE!  Click here to get the video’s.

It’s time to get ICD-10 Ready

If you’ve read anything in the news lately about ICD-10, you already know that the recent SGR Bill was passed and did not include any further delays to ICD-10.  The transition date is set for October 1, 2015.  That is five months away! If you are not ready to start submitting your claims with ICD-10 codes come the first of October, your practice is liable to face some pretty significant challenges.

We have the tools that you need!  If you have not upgraded to Medisoft V20 or Lytec 2015, now is the time!  Please give us a call to speak with one of our Software Specialists so that we can get you taken care of.

Codes on Disk and Encoder Pro

To help make the ICD-10 transition a little easier, you may want to consider Codes on Disk and Encoder Pro.

Codes on Disk is a tool available for both Medisoft and Lytec.  Instead of looking up your codes in a book and then manually entering them into the program, you can just import all of the codes directly into your program!

And with Encoder Pro, you will be able to easily search all 3 sets of codes (ICD-10, CPT, and HCPCS codes) to get integrated search results, code details and descriptions.  This can all be done within either Medisoft or Lytec without having to open a code book or leave your program.  This is a major time saver.

If you feel you need any other help getting ready for ICD-10, please give us a call to let us know your needs and we’ll see how we can help!

Five Facts about ICD-10 from CMS

quick fix icd-10 conversion team cartoon

The Centers for Medicare & Medicaid Services (CMS) recently talked with providers to identify common misperceptions about the transition to ICD-10 in order to help dispel some of the myths surrounding ICD-10.  Some of the most common questions and concerns about ICD-10 are covered in these five facts written by CMS.

The Five Facts about ICD-10 & CMS comments about them

1. The ICD-10 transition date is October 1, 2015.

The government, payers, and large providers alike have made a substantial investment in ICD-10.  This cost will rise if the transition is delayed, and further ICD-10 delays will lead to an unnecessary rise in health care costs.  Get ready now for ICD-10.

2. You don’t have to use 68,000 codes.

Your practice does not use all 13,000 diagnosis codes available in ICD-9.  Nor will it be required to use the 68,000 codes that ICD-10 offers.  As you do now, your practice will use a very small subset of the codes.

3. You will use a similar process to look up ICD-10 codes that you use with ICD-9.

Increasing the number of diagnosis codes does not necessarily make ICD-10 harder to use.  As with ICD-9, an alphabetic index and electronic tools are available to help you with code selection.

4. Outpatient and office procedure codes aren’t changing.

The transition to ICD-10 for diagnosis coding and inpatient procedure coding does not affect the use of CPT for outpatient and office coding.  Your practice will continue to use CPT.

5. All Medicare fee-for-service providers have the opportunity to conduct testing with CMS before the ICD-10 transition.

Your practice or clearinghouse can conduct acknowledgement testing at any time with your Medicare Administrative Contractor (MAC).  Testing will ensure you can submit claims with ICD-10 codes.  During a special “acknowledgment testing” week to be held on June 2015, you will have access to real-time help desk support.  Contact your MAC for details about testing plans and opportunities.

What this means for smaller independent practices (from our perspective)

First – if you feel you aren’t prepared, there is no time like today to get started.

What do you need to do to get prepared?  That answer is different for each different practice, but we have some resources available for you.  Use the ones that fit best with where you are at.

ICD-10 Planning Tools

ICD-10 Webinar Series – A few months back we hosted a series of ICD-10 webinars.  You can access the recordings now by clicking here.  In these 4 short webinars (each recording is between 30 to 45 minutes) we provide a lot of information to help with planning, to help you learn how to use the ICD-10 tools that are built into Medisoft v20/v19 and Lytec 2015/2014, how to conduct testing with your clearinghouse, and give other tips on how to become ICD-10 ready.

Quick ICD-10 Planning Checklist – This 1 page (front and back) checklist summarizes in simple terms what you need to consider for your practice to get ICD-10 ready.

ICD-10 Impact Summary – This 1 page (front side only) info sheet summarizes how ICD-10 might impact different aspects of your practice to help you understand what changes you might need to make.

Roadto10.org – They have some videos you can watch, a “Build Your Action Plan” tool you can use and many other articles and other resources.

Second – you need to upgrade to the ICD-10 ready version of your software.

Your software is not ICD-10 ready if you are not on Medisoft v20/v19, or Lytec 2015/2014.  Medisoft v18 or any other earlier model is not ICD-10 ready.  Lytec 2013 or any other earlier model is not ICD-10 ready.

Call us today at (888) 799-4777 to get your ICD-10 ready software.

Third – consider additional software solutions to help make the transition easier.

In addition to upgrading to Medisoft v20 or Lytec 2015, there are additional tools that can help make things easier.  Fact number 3 above provided by CMS states that electronic tools are available to help you with code selection.  Here are the tools that we have to offer.

Codes on Disk

If your time is valuable then you are going to truly appreciate this simple tool.  Import the latest CPT-4, ICD-10, and HCPCS codes for your specialty into Medisoft or Lytec to assist you with implementing the standard code set requirement for HIPAA.  Save yourself hours of manual labor entering all those procedure and diagnosis codes.  This tool can be used by existing Lytec and Medisoft users alike.  It will not erase your existing codes.

Encoder Pro

Encoder pro enables users to simultaneously search across ICD-10, CPT, and HCPCS codes to get integrated search results, code details, and descriptions.  This will save so much time compared to searching a physical code book by hand.  If you have Google or Bing at your fingertips, would you ever go pick up a phone book or encyclopedia or dictionary?  Take advantage of Encoder Pro the way you use Google to find things out.

EMR

Has your practice implemented an EMR yet?  If you are not using EMR yet, let ICD-10 be another reason to consider it.

How can EMR help with ICD-10?  The short answer is that we cover 5 ways an EMR can help make the transition to ICD-10 easier in our webinar series mentioned above.  Feel free to watch the webinar recordings.

Still not really a direct answer, but here are two questions to consider to get you started thinking about it.

Question 1: What is your paper superbill going to look like with the expanded list of codes you will use in your practice?

Question 2: With an increased need for documentation, how are you going to retrain yourself or your staff to be better at documentation?

With the transition to ICD-10, even though you won’t need to use all 68,000 codes, you will definitely see an increase in the number of codes you are using on a regular basis.  This could significantly increase the size of your superbill.  If you are seeing patients with a four or eight page superbill, how fun will that be to manage?

By implementing an EMR, you will make the switch to an electronic superbill which will be so much better for managing all those codes.  Additionally, the documentation needed with your ICD-10 claims will be taken care of for you while using the EMR program.

There are several other ways an EMR can help with ICD-10, which are covered in our webinar replay you can watch.  And of course EMR helps in many other aspects with amazing tools like e-prescribing, lab-interfaces, eliminating paper charts and helping to improve patient care to name just a few.  To learn more about our Medisoft and Lytec EMR options or to schedule a demo, just give us a call!

Lastly – practice using ICD-10 codes starting ASAP!

Practice!  Practice!  Practice!

Even if you have all of the tools that you need, if you wait until October 1 to start using everything, then it will be a rough transition.  If you haven’t worked out your own kinks, then you could see significant delays in getting your claims paid and you will be frustrated with the process.  Don’t do that to yourself.  You can start practicing today!

Here are a couple tips to help you start practicing.

Our second webinar recording shows you how to put your software (either Lytec or Medisoft) into “testing mode” so that you can submit test claims.  In our third webinar, we outline how you can test your ICD-10 claims with your clearinghouse.  We provide specific information from Relay Health because that is our preferred clearinghouse, but we give you the info you need so you can enquire with your own.

There is also a feature in your ICD-10 version of the program that allows you to just start coding everything in ICD-10 right now, but your claims will still be submitted in ICD-9 right up until September 30th!  In the program, you can set a date for when to start submitting your ICD-10 claims.  Set that date right now so you don’t need to worry about making any changes on the morning of October 1.  

Doing all this will allow you to practice coding in ICD-10 now and so that you and your staff can get comfortable with the changes, but without the added stress of potentially delayed payments.

That’s it for now.

If you’ve been working on getting ICD-10 ready at your practice – feel free to share your successes or your failures with the community so we can learn from each other.  Share with us in the comments below!

Relay Health ICD-10 Testing Information

Learn Here How To Test Your ICD-10 Claims With Relay Health

icd-10

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.

ICD-10 Testing

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.

Click Here To Get Access To The Webinar Recordings!

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.

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Announcing ICD-10 Training Webinars

Are you a small, independent medical practice or billing company?  Do you need some help getting ready for the ICD-10 transition?

With the ICD-10 transition right around the corner, we want to make sure that everyone is ready.  This webinar series is designed to help everyone get ready!

From these webinars you will learn:

  • The basics and background of ICD-10.
  • What new challenges you will have with billing because of ICD-10 and what your software (either Medisoft v20 or Lytec2015) will do for you to overcome these challenges.
  • All about testing submitting your claims so that you will feel confident going into October.
  • What you can do to make the transition to ICD-10 as easy as possible.

If you need practical and easy-to-understand information specific for your software (Medisoft or Lytec) to help you prepare for the October 1 deadline, then this is exactly what you are looking for.

Take a moment now to learn more about the webinars and to register.

Click Here for ICD-10 Webinar Information and Registration

As part of your ICD-10 implementation plan, you will need ICD-10 ready software for your practice.  Give AZCOMP a call at (888) 799-4777 to talk with a Software Specialist when you are ready to buy Medisoft v20, or Lytec 2015 or integrated EMR systems.

AZCOMP has been a Leading Software Partner for 15 years!  Coincidence… We Don’t Think so!

Here’s why Small Practices Partner With AZCOMP:

Small Independend Medical Practice Technology Partner

We Are Technology Partners

We don’t just sell software.  We understand the challenges Small Practices face & we find powerful solutions to help!  We’ve helped thousands of practices become more efficient, increase revenue, and most importantly – improve patient care.

Medical Billing Software Guru's

Lots of Medical Billing Software Guru’s

We are NOT a one man show.  We have specialized teams who know the software inside and out.  Each team is highly qualified in their area- like Software Support, Training, Installation, IT…  Let’s just say that the software companies are coming to us when they need help!

Medisoft Training; Lytec Training

Expert Training – For FREE!

It’s no secret that the happiest and most efficient Software users are those properly trained.  So we make sure that our customers get the expert training they need & won’t find anywhere else- like Free Tips and Tricks videos on our blog, webinars, and our popular Training DVD’s.

Want To Participate in ICD-10 End-To-End Testing?

Volunteer to participate in ICD-10 end-to-end testing – Forms due January 9th

During the week of April 26 through May 1, 2015, you may have the opportunity to participate in ICD-10 end-to-end testing.  Medicare Administrative Contractors (MAC) and the Common Electonic Data Interchange (CEDI) contractors will be conducting testing with a second sample group of providers.

Approximately 850 volunteer submitters will be selected to participate in the April end-to-end testing.  This nationwide sample will  yield meaningful results, since CMS intends to select volunteers representing a broad cross-section of provider, claim, and submitter types, including claims clearinghouses that submit claims for large numbers of providers.  Note: testers who are participating in the January testing are able to test again in April and July without re-applying.

You Must Apply To Volunteer as a Testing Submitter

  • Volunteer forms are available on your Medicare Administrative Contractors (MACs) website.
  • Completed volunteer forms are due January 9th, 2015.
  • CMS will review applications and select the group of testing submitters.
  • By January 30, 2015 the MACs and CEDI will notify the volunteers selected to test and provide them with the information needed for testing.

If Selected, Testers Must Be Able To Do The Following:

  • Submit future-dated claims.
  • Provide valid National Provider Identifiers (NPIs), Provider Transaction Access Numbers (PTANs), and beneficiary Health Insurance Claim Numbers (HICNs) that will be used for test claims.  This information will be needed by your MAC by February 20, 2015, for set-up purposes; testers will be dropped if information is not provided by the deadline.

An additional opportunity for end-to-end testing will be available during the week of July 20 through 24, 2015.  Any issues identified during testing will be addressed prior to ICD-10 implementation.  Educational materials will be developed for providers and submitters based on the testing results.

Testing Goal

The goal of end-to-end testing is to demonstrate that providers and submitters are able to successfully submit claims containing ICD-10 codes to the Medicare Fee-For Service (FFS) claims systems.  It is also to demonstrate that Centers for Medicare & Medicaid Services (CMS) software changes made to support ICD-10 result in appropriately adjudicated claims.  And lastly it is to demonstrate accurate remittance advices are produced.