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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/

Medisoft ICD-10 Troubleshooting Tips

Day 1 ICD-10 Troubleshooting Tips in Medisoft

Day 1 of ICD-10 was a busy day at the AZCOMP Support Department. After a full day of helping resolve over 100 different support tickets, we’ve got a pretty good handle on what the struggles are for a lot of different people.

This quick video will give some tips on troubleshooting some problems you might be having so far in Medisoft with the ICD-10 transition. We’ll look at the following items:

  • Dx codes showing red
  • Making sure you have added your ICD-10 codes
  • Changing the ICD version for your various insurance carriers
  • Setting the ICD-10 date
  • Updating codes inside a patients case
  • Updating the settings in Revenue Management

 

If you’re having any other troubles that you need help with, be sure to leave us a comment in the comment section of the video. If you like the video then let us know by giving us a “thumbs up”!

Watch the video now…

icd-10 troubleshooting tips for medisoft

Need More Video Help?

We have more videos you can watch to help you get through the transition. Check out these others if you need…

  1. Options for getting ICD-10 codes into Medisoft
  2. Start to finish how to setup Medisoft for ICD-10

 

Be sure to check out all our other ICD-10 and Medisoft training or support videos and subscribe to our channel!

Last Chance For ICD-10 Training Webinars

Do You Still Need Help Getting Medisoft or Lytec Setup For ICD-10?

If you still need help getting Medisoft or Lytec setup for ICD-10, your days are numbered and you are running out of time. Everyday we get one more day closer to the deadline and we have more people calling for help. So here is one more chance to get the help you need to get your software ready for the transition.

The ICD-10 Prep Webinars Are Your Last Chance For FREE Help!

Join us on a FREE webinar to learn what you need to know to get Medisoft or Lytec setup for ICD-10. During this 90 minute webinar, we will teach you how to set the ICD effective date, update your insurance carriers, put the program into test mode for sending test claims, and all the options for importing your ICD-10 codes. Also, since this webinar will be live, there will be a Q&A at the end to try and answer any questions. Webinars are held separately for Lytec users and Medisoft users.

Click here to find out dates, times and to register.

icd-10 webinar register here

Still need additional help, or can’t wait for these webinar times? Register for our ICD-10 Webinar Recordings.

Early this year, we ran a series of detailed webinars and then put the recordings out on our blog for you to check out. You can access these recordings by going to our registration page here. There are a total of 5 webinar recordings in all, and will go into much more detail than the webinars we are running this month.

Register for the webinar recordings, or register for these live webinars…or both! Whichever works best for you.

 

 

 

4 Options For Getting ICD-10 Codes Into Medisoft

Learn The 4 Ways To Get New Codes Into Medisoft

If you are trying to figure out how to get new ICD-10 codes into Medisoft, there are 4 different ways to get it done. In this post we will cover all 4 of the different methods.

Options for Loading ICD-10 Codes in Medisoft

  1. Manual Entry
  2. ICD-10 Mapping Tool
  3. Codes On Disk
  4. Encoder Pro

Watch the video we have included below to get detailed information on how to use each of these methods. Loree, our most awesome Medisoft trainer shows you in Medisoft how to use all of these methods for entering new codes. The video is only 23 minutes long and gives you all the details you need to know.

Let’s take a quick look here though at each of these options.

Manual Entry of New Codes

You can manually type into the program each of the new codes that you will need. Just go into your diagnosis and click on “New” and then enter your code. The down side to this is that it take a lot of time, there is room for error, and you need to have some sort of resource giving you the codes to put into the program. So you’d need to buy a book or look up the codes online somehow.

ICD-10 Mapping Tool

In the Tools tab of Medisoft, at the bottom of the drop-down list hover over the Services option and click on “Create ICD-10 Mappings”. This is a tool built into Medisoft that you can use that will look at the existing ICD-9 codes you are already using and map them to an ICD-10 code.

This tool is based on the General Equivalency Mapping (GEM) files published by CMS, and is not intended to be used as an ICD-10 conversion or crosswalk tool. The list of ICD-10 codes and mappings is accurate as of 6/1/2013. Keep in mind that while many codes in ICD-9-CM map directly to codes in ICD-10, in some cases, a clinical analysis may be required to determine which code or codes should be selected for your mapping. Always review mapping results before applying them.

If you are new to Medisoft, this tool won’t really work for you because you don’t have any previous codes to map back to. If you are a previous user of Medisoft and upgrading, then this tool can work well for you.

Codes On Disk

Codes on Disk is a separate program that stands alone separate from Medisoft, but will directly import the codes you select directly into your program.

There are several features to Codes on Disk, but specifically for ICD-10, it is a digital library of codes, and you can use it to mass import a large group of codes, or the entire library of ICD-10 codes if you wish to have that in your program. Instead of manually entering codes into the program one at a time, you can just select all the codes you need, click Merge, and then your codes are in the program.

Encoder Pro

This program, when installed, becomes part of Medisoft. So in order to use this program, you don’t have to leave Medisoft.

Encoder Pro completely replaces your coding book. Although you cannot use this program to do a mass import of all codes, all of the codes are inside of Encoder Pro in an easily searchable format making it easy to find the codes you need.

Watch The Video

To get all the details on each of these 4 options, just watch the video. We show you exactly how you would do each of the options, give you several examples in each case, and provide you will additional resources to help you get your codes into Medisoft.

How to setup icd10 codes in Medisoft

In the above video, Codes on Disk and Encoder Pro are both shown and you will get some details on how to use the program. For a more in depth demonstration with a lot more detail, you can watch this webinar replay recording – ICD-10 Webinar- How To Get New Codes Into Medisoft.

video play - webinar how to get codes into medisoft

Interested in Purchasing Codes on Disk, or Encoder Pro?

Codes on Disk and Encoder Pro are both programs that can save you a lot of hours searching and importing codes into your program. Call us today to get more information on the programs, and to get a quote!

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

 

Transcript for first video:

Hello, everyone. Thanks for joining us today. This is Loree Olsen from AZCOMP Technologies, and today we’re going to be talking about how to set up ICD-10 codes. The common question that we get is, does Medisoft come with ICD-10 codes preloaded? The answer to that question is no. Without going to all the full details of everything ICD-10 and how to set everything in Medisoft, I’m just going to just specifically focus on your options for how to set up our ICD-10 or how to load them into the system, what options you have for that. Just that one really narrow answer to your ICD-10 question.

We do offer a full ICD10 training webinar series that goes more in depth to give you all the information you’d need to know about Medisoft and ICD-10, but today we’re going to focus just on this. The options for loading ICD-10 codes into Medisoft, there’s really 4 options for you. The first one is just to manually set up or enter the codes in yourself. The second option is to use ICD-10 mapping tools. If you’re converting to Medisoft 20 from the previous version, then you do have that IC mapping tool available to you.

Then we have a few additional options that are add-on products. They’re not going to come with your core product, but they might have been something that you’ve purchased as part of your offering or upgrade. They are separately purchased products, and that’s Codes on Disk, and then the last one is the Encoder Pro. I’m going to give you a quick preview of how to do that, how each of these 4 options work within the system.

I’m going to go ahead and jump into Medisoft version 20, which is our ICD-10 compliant version, our latest version of the product. We’re going to jump right into the diagnosis code list. You’ll see in the diagnosis code list, when I click on new, if you’re coming from older versions of the product this window has changed a bit. The way that we handle ICD-10 codes when we set them up now are this top line code with description. It’s really just an internal code. You could literally put anything that you wanted in there.

You really always could, but typically what practices will do is in the past you’d actually set code as your ICD-9 codes. In the current version you need to go ahead and set up your new codes for ICD-10 by entering code as your ICD-10 code. I’ll go ahead and set one up right here. All right. Since this is an ICD-10 code I can hit copy down here, and that will fill in those ICD-10 fields for me.

The bottom portion’s important because while you’re in transaction entry, and viewing data in other parts of the program you’re going to see that internal code. However, when it comes to actually processing your claims, what’s going to print out on your HCFA form or what you’re going to send electronically to the clearinghouse or payers, it’s going to pull from these fields down here. There’s additional setup that needs to be done for ICD-10 in order for all that to function properly, but again, that’s included in more detail in our ICD-10 webinar series.

Just in short, that’s what you need to know. Everything in the system, your insurance carriers at an insurance level and at an effective data level, meaning it’s going to know when to start pulling the ICD-10 codes versus the ICD-9 codes. It really helps you manage the product, your billing, a bit easier if you’ve got that if it’s properly set up. You do want to have, of course, your ICD-10 code. The other thing that you can do is you can map back with what the ICD-9 code was for that for this ICD-10 code, and enter that ICD-9 information there.

The benefit of doing that is that there are some scenarios that you’re going to need to have the ICD-9 codes for. There are some insurance payers that exempt from the ICD-10. If you deal with work comp or auto injury, you might need to submit claims with ICD-9 for some payers, and you’ll submit claims by ICD-10 with other payers. That’s why we really encourage you to do the mapping. As well, it’s going to help you as you’re getting ready for this transition.

If you’re involved in testing or anything else, or if you’re just trying to learn the ICD-10 codes today and still send your claims out in ICD-9, then you would want to have the mapping setup properly, so that you no longer have to worry. You can just start just using the new codes, and then the claims are going to pull the appropriate code on there. Otherwise, you do have to pay attention and know when you should use a code and when you shouldn’t.

Once we get past that October 1 date that may or may not be an issue for your practice, again, depending on rebillings and again some of those exceptions to the rules. In short, if I’m manually entering up, I’ll set that up. I don’t have to actually know the mapping for that ICD-9, so I’m going to leave that out, and I’m just going to hit save. Okay? I guess I’ve already saved it. Your other option that you have, that’s number one. You can see obviously the downside of that is it’s going to take a bit of time, and there is room for error, as I’m keying things in myself.

Included in Medisoft version 20, you’re also going to have, if you go to your tools and your services, you’re going to have this great feature called ICD-10 mapping. What this tool does is it looks at the GEM, the General Equivalency Mappings, that were produced by CMS, or released by CMS. It’s going to instead of just loading the entire ICD-10 library to your database, what it’s going to do is look at the codes that you already currently use. It’s going to be specific to what you’re using right now, or what you’ve already set up in ICD-9.

If you are brand new to the product, and you don’t have any codes in the system, this is not necessarily the tool for you. However, if you are upgrading your product, and you have existing ICD-9 codes in your converted data then you can pull this tool up. There are two tabs to it. There’s our one-to-one mapping. It’s going to look at your existing codes. Again, this is whatever I’ve already loaded into my system, and then I’m just going to pick on this one right here, ankle pain. If I check that off, it’s going to create a new code for me, and it’s going to include both the ICD-9 and ICD-10.

You can select them all, but some people are using this as a way to clean up their codes as well. I’m going to go ahead and say just create that selected code. It’s going to map it successfully. You can do it in bulk, and be done in just a few minutes and have those all loaded in. That’s our one-to-one mappings.

Then you also have the other mappings over here. These are really designed around if there are additional options for you. For example, if I were to look at insect bite here, that’s going to map to multiple options under ICD-10. There’s not really a straight one-to-one match map for that. Then I can come in here and again check them all, and load them all, or just select the ones I think I might use in my practice, and then load them.

That is the mapping tool. One thing to note about that mapping tool is that it’s a great start, but in general it does find more of the unspecified codes for your practice. For example, if you’re dealing with laterality and things like that, it may not suggest for you if there’s a left or a right. It’s really just going to go straight to the unspecified. There has been a recent update on using unspecified codes to bill Medicare.

We do have a post on our blog regarding that. If you haven’t subscribed to our blog before or been to our blog before, as we get news and information, we always post that up there for you and try to point out how it relates to you and your product. If you go to AZCOMP.com.blog, you can find this article about the one-year grace period for ICD-10. One of the things that’s highlighted as part of this grace period is that used of non-specified codes will still be paid.

They recognize that this is a big transition for everyone. They are going to allow payments still for those unspecified codes. They’re going to give you a year to start learning and using the more specified codes. That mapping tool is still going to successfully get you moving forward, however, again, the purpose of this is to help you with the transition. They want you to start using the more specified codes, and you may find that you need to load additional codes into your system in order to get those more specified codes.

That leads us to our other options that we have available of how you can build your library. Another option that we have is going to be, is a product called Codes on Disk. Codes on Disks resides outside of Medisoft. You can launch it from your desktop after it’s installed. There are several features to Codes on Disk. I’m just going to specifically talk about ICD-10. I’m going to jump right into this ICD-10 option. We’re going to load codes. You choose which practice. You can load codes to multiple practices, which is a nice benefit for that. I’m going to choose my practice here, and then this is going to pull up my list of everything that I can work from.

Instead of doing manual entry, it’s a real quick way to check, check, check, merge, and it’s done. You can either select all the entire ICD-10 library, and just load it all into there. Some people do that. If you want to not have to manage every single code in your particular database, you can just load the codes that are more specific to you. Even that process is just checking them off. It will still be faster.

Just to point out another resource for you. If you go to Road to 10, if you have not heard about this before, this is CMS’s website that they’ve established to assist physician practices with the transition to ICD-10. There’s a lot of really great information on this site. One thing I’ll just point out is they do have these specialty references, and they’re adding more all the time. You can find information here such as if I go to my family practice, it’s going to tell me some of the common codes that you may deal with, and give you suggestions on that.

Here, you may work off of a much more extensive list than this, but that’s just one way that you could potentially start to narrow down or find the codes that you would use. There are actually GEMs that are specific. They have other lists that are specific to specialties as well that can help you with that.

To show you how you might use that with the Codes on Disk, I can come in here and say go ahead and show me all my J02 codes, and you can see in here. I can just check, check, check whichever ones I wanted. Then pull up my next one, and then when I’m done, I’m just going to hit merge, and it’s all done for me. It’s accurate. I don’t have to worry about whether I’ve miskeyed or not. Again, that’s just one of the features of Codes on Disk. There are a few other cool things that are in that product that we talk about in one of our other webinars.

That’s options number 3 for you. Our last option that we have is also an add-on product. It’s integrated directly into Medisoft. This product is called Encoder Pro. If you are interested in a little bit of peace of mind with your product, we do offer a subscription based model of Medisoft. With that subscription model, you get Medisoft, the latest version of Medisoft, and you never have to worry about upgrading or anything like that because it the upgrades are always available to you as part of that subscription.

You’re just going to pay a low monthly fee, and you’ll get all the upgrades. You’ll also get the installation, your data conversion, and your technical support as all part of that package for usually less than what you would pay for everything upfront. You just pay a low monthly fee as part of a monthly subscription option. Right now, we’re also including in that package Encoder Pro for free. You’d also get this product if you were on the Medisoft subscription.

The way that Encoder Pro works is when I’m in the program, in the diagnosis list, I can click on new right here. You’ll see that it adds a little button on the right-hand side for Encoder Pro. It is completely integrated into the system. When I click on that, it’s going to launch Encoder Pro for me. Encoder Pro is going to give you a lot more than just a list of codes that I’ve shown you in the last few features. Encoder Pro is actually going to replace your coding books.

One of the nice things is you can search by using layman terms or layman descriptions. If I want to put like HTN, I can search by that, which is some of the limitations sometimes of locating a code. You might call it something different than the clinical term for it that’s in the coding book, for example. You can see that I’m not thumbing through a book or anything like that. It’s just taking me directly to all the options that might have that in it.

You have the option to either searching for ICD-9 or ICD-10, and why I say it replaces your coding books it’s because you can drill down from here to find information. It is going to include things such as like if I were to just choose the 41 by itself, you can see that it’s telling me there’s an additional digit required. Here’s everything that it includes. Here’s everything that it excludes. It even gives me links to click on those options, jump directly over to those if I need to.

When I find my particular code then it does allow me to, you can see down here in the lower left-hand corner, whenever I choose it’s going to put down here. One of the great benefits is that it also includes the mapping. I can either go backwards or forwards, meaning that I can start with ICD-9, a code that I’m familiar with. I can even search for that code and find it. Then I can look to see what the ICD-10 code for that would be, and I can map it.

I’m going to actually pull up the ankle pain one just to show you the differences. I’m going to pull up ankle pain, the one that we created with that mapping tool in Medisoft. When we mapped it in Medisoft, it actually was this 719.47. Under ICD-10, it actually only gave us the one-to-one mapping of unspecified. You can see with this tool, you actually get to see where all the options are. When you select those, you can choose that’s the one I just had , and I’m going to go ahead and map that. Hit OK. Then it will come in here and create that code for you.

Again, without going into total detail about Encoder Pro, you can see it’s a much more sophisticated tool that replaces the cost of having those coding books, and makes it a whole heck of a lot easier for you to find your codes, and to either map them properly, which I think is a really great thing to do in your system. It really will help you through this transition to have the codes mapped and not just created as individual either ICD-9 or ICD-10 codes.

That wraps up what our options are today. In closing, I’m just going to go ahead just review the pros and cons of each one of those for you just to reiterate what your options are. The first again is your manual entry. The pros on that is it’s your codes, you way, like that Burger King motto. Make it with your terms and descriptions so that it’s easy for you to find, and you can set it up however you want. The cons on that of course were that, I skipped right past that, but the cons were that it’s going to take a little bit longer usually for you to do that. There is room for error.

The ICD-10 mapping tool that comes standard with the product is that it’s going to use the GEMs and look at the codes that you currently have in your system. Really quickly and easily it’s going to load all the mapped codes for you. The only downside of that one is that again it’s not always going to show you more than the unspecified codes. A lot of the mappings are just going to those unspecified. While you may be good in the short term, you may find that you’re going to have to start adding additional codes for some of the scenarios where there might be something more specific that you could be coding for.

Then we have that Codes on Disk add-on. The pros on that one is that we have that bulk import capability. There are additional features that come with it. The con on it is that it does not include code mapping between ICD-9 and ICD-10. Then finally, our Encoder Pro option, it’s integrated directly in Medisoft. It is going to replace your coding book. It does include the code mappings and it’s super easy to search. It gives you a bunch of additional information and tools.

The con on that one is that the codes must be imported one at a time. It’s not a bulk type scenario. You can either go in there ahead of time and just go through your superbill and whatever and pull them in individually, or as needed. You always have access to that full library. You can find your codes and import them as needed.

That really wraps up today’s informational session on how to load codes into Medisoft. If you have additional questions, you can call us at 877-544-4433. If you are not already subscribed, we keep you up to date with the latest and the greatest and current news through our blog. You can go to www.AZCOMP.com/blog and if you want information such as information on the grace period from CMS, and read up about any of those types of things, or anything Medisoft, or industry news, join us there. If you subscribe you automatically get those updates as they’re posted.

If you want more in-depth ICD info, please join for our ICD-10 webinars. If you are interested in that Medisoft total subscription bundle package, please give us a call, and we’re happy to get you pricing and information on that as well. Thanks again for joining us today, and good look with everything moving forward with ICD-10.

Join Us For Our ICD-10 Conference

ANNOUNCING: ICD-10 Prep Conference

Find Out What Every Practice Needs To Know To Effectively Prepare for ICD-10

icd10 prep event banner 3

Now is a good time to panic about the ICD-10 deadline.

If you’ve been ignoring every piece of ICD-10 advice and guidance for the past three years, and you are not prepared for the deadline, you should be panicking.

But instead of a panic attack, let’s just get started on preparing for ICD-10. It is time to get way beyond serious and make ICD-10 happen by October 1.

Join Us For Our FREE ICD-10 Training Conference, Live at Our Office in Gilbert, AZ

Get critical ICD-10 information specific to your software. ICD-10 is literally right around the corner. Make sure you’re ready & have all the critical information you need to get your software and your staff ready.

Even if you feel that you are already prepared, join us at the training so you can shore up what you’ve already learned, maybe learn a few more tips & tricks, and learn from your colleagues.

Don’t miss our FREE ICD-10 Prep where we’ll show you how to:

  • Convert your Existing ICD-9 Codes to ICD-10
  • Easily Do a Mass Import of ICD-10 Codes
  • Effectively Handle Giant Superbills
  • Correctly Setup Your Software for Testing Claims
  • Quickly Search for Codes (Without a bulky code book)

This will be critical for your practice to know how to do…and we’ll teach it to you for FREE!

Who Should Attend?

This conference is for anyone who uses Medisoft or Lytec for billing and claims. This includes any version of Medisoft, any version of Lytec, Medisoft Clinical, and Lytec MD users.

Due to the nature of the ICD-10 regulations it is HIGHLY RECOMMENDED that the Doctor, Office Manager, and Biller attend.

The Conference is FREE, but registration is REQUIRED for each person who wants to attend.

Click Here To Register.

icd-10 prep register here

 

ICD-10 Code Training

Are You Looking For ICD-10 Code Training?

icd-10 (01)

Lately we have been getting a lot of questions about code training for ICD-10.

While we are experts for Medisoft and Lytec in the software and the tools available in the software, we admittedly are not experts in coding, nor do we give billing training or advice. We can educate you on the features inside the program and help you learn to use them, those looking for code training and billing training need to be getting that sort of training from an accredited resource.

When it comes to code training and billing training, multiple resources exist but the most well known and respected resources are the AAPC (American Academy of Professional Coders) and AHIMA (American Health Information Management Association). Both of these entities provide courses covering a wide range of specialties and staff roles.

For coding training, click either of these links:

AAPC

AHIMA

There may also be associations that are specific to your specialty that you should research for educational information and training.

ICD-10 Features Training for Medisoft or Lytec

If you are looking for information on how to use the ICD-10 features that are found in the latest versions of Medisoft and Lytec, we have ICD-10 training webinar recordings that you can access for free by clicking here.

How Do You Get The ICD-10 Codes Into Medisoft?

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Have you been wondering how to get all those new codes into Medisoft?

We have had many practices ask us how to get all of the new ICD-10 codes into Medisoft. We finally put this webinar together to help answer that question. It is a follow-up ‘Bonus’ webinar to our ICD-10 Webinar series we ran earlier this year. We broadcast this webinar on a very limited scale the other week and we are now making the recording available here.

In case you missed our ICD-10 Webinars, go to our Events page on our website to sign up and get access to the ICD-10 Webinar recordings.

In that series, you will learn all about all the new ICD-10 features that are loaded into Medisoft v20, and you will learn how to get all the new codes into Medisoft, and you will learn how to test your ICD-10 claims, and you will learn several other tips on how to make the transition to ICD-10 a little easier on yourself.

Right now though, we will specifically discuss how to get the ICD-10 codes into Medisoft.

Does Medisoft Come Pre-Loaded with ICD-10 Codes?

That answer to that question is “No”, but the good news is that we have options! Let’s take a look at the options.

Option 1 – The ICD-10 Mapping Tool

The ICD-10 Mapping Tool is one of the features built into Medisoft.  If you are on Version 19 or Version 20, you have this tool. This tool looks at the existing ICD-9 codes that you have in Medisoft and then using the GEMs (General Equivalency Mappings, which were produced by CMS) recommends one-to-one mappings, and one-to-multiple mappings for ICD-10 codes that you can use.

If you need how to use the mapping tool, go to our Events page on our website and watch our ICD-10 webinars and we’ll show you in detail how to use this tool, along with all the other ICD-10 tools in the program.

This is a very good tool, and you should use it. However, we like to call this a “good start” because it may not be enough for you. The reasons it may not be enough is because not all codes map or are included in the GEMs. Also, the GEMs were developed for the primary purpose of comparing and converting data (translating codes). And lastly, if everything was a 1-to-1 match then there would be no need for ICD-10!

As a note, if you are a new practice, and you do not have any ICD-9 codes yet, this tool will do nothing for you. You will need to build your own code library through one of the other tools we discuss below.

Option 2 – Medisoft Codes On Disk

If you are considering purchasing a physical code book, you need to instead consider to purchase Codes On Disk. Codes on Disk for Medisoft is a separate product you can purchase that will help you populate new codes into your program. It is a program that runs outside of Medisoft and will help you fill in all the gaps that the Mapping Tool left for you.

To start, Codes On Disk is the entire library of ICD-10 codes, and ICD-9 codes, and CPT codes, and Procedure codes.  It contains every code that is available to use by anyone. If you are a brand new practice, this program is a must. Using this program, you can import the entire code library in bulk, or you can review and select just the codes you want to import and then bring all of your selected codes in all at once.

Outside of just importing codes, there are many other reasons you would want this product, and when you watch the video below, we’ll show you all the benefits of Codes on Disk, and we’ll give you an overview of how to use the program.

Option 3 – Medisoft Encoder Pro

Medisoft Encoder Pro is another program that you can purchase separate from Medisoft, but it works directly inside of Medisoft. You don’t have to leave Medisoft to use Encoder Pro.

Encoder Pro exists to help you build your code library. It is not a bulk import like Codes On Disk, it helps you to find the specific diagnosis codes and procedure codes you need for specific situations, and is always available as a search engine of the entire code library.

Why would you spend money on a code book if you could spend money on Encoder Pro, and then use the software right inside of Medisoft which you can use to search for new codes and then import them into the program. It’s like Google versus the phone book. Google wins everytime!  Same with Encoder Pro!

Watch the webinar recording below to get more information on this amazing product, and to see how it works in the program.

Webinar Replay – How Do I Get My ICD-10 Codes Into Medisoft?

(Don’t forget to watch all of the other ICD-10 training videos we have! Go to www.azcomp.com/events to get access to the videos.)

Call us at (888) 799-4777 for more information or pricing for Codes On Disk & Encoder Pro.

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

icd-10

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!