Resolving Revenue Management “Connect, Create, Cancel”

Reconnecting Revenue Management in Medisoft

When attempting to connect to Revenue Management, you may encounter an error like the one shown below.


Typically this occurs when the system has lost its connection to the database due to either a reboot of the server or an outage at the office.

If your Revenue Management has been previously configured and connected, but has become disconnected, this video will show you how to reconnect to the database.

Reconnecting Revenue Management when it becomes disconnected in Medisoft



Check out our YouTube Channel, for more videos just like this.

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These webinars are free to everyone and held monthly. You can subscribe to receive notifications by visiting this page.

Eligibility Verification Medisoft

How To Fix Medicare Secondary Claims Rejections

How To Fix Medicare Secondary Claims Rejections 

Claims got ya’ feelin’ Coo-Coo? We can help!      Image via Google.

If you have been experiencing any rejections on claims sent, specific to Medicare showing as your secondary source of insurance for a patient, we are confident this blog post can help!

First and foremost, Medicare is typically for the elderly, so most patients will have this insurance as their primary insurance carrier. It is rare for claims to show Medicare Insurance as secondary, mostly being flagged by insurances to say, “hey, why is this showing as secondary and not primary?!”

We have a solution for you: When you are working within Medisoft, to correct these claims that may be rejected, there is a specific drop down box for this instance when maybe the patient is still of working age or disabled and does not have Medicare as their primary insurance carrier. If you are sending Medicare secondary claims, there is additional information that must be filled out, and we will show you how!

Getting started:

Common errors will show something like, “Medicare needs the identity of the primary payor” or “CO-16 error” on your Explanation of Benefits (EOB).

You need to make sure on all these electronic Medicare secondary claims that you have a Medicare Secondary Payor Type or more commonly known as MSP Type Code.

A complete list of these codes can be found here!

There are entered on the same page as the Medicare information when it’s entered as secondary in your Medisoft program.

Let’s see how it’s done:

This drop down list of these codes is found in the case and is always required if Medicare is the secondary insurance on a claim.  That is the only time these codes are needed and will appear for selection.

Now, If the drop down list is grayed out and won’t let you select from it, that means the Medicare insurance code is not setup as a Medicare insurance type.  It has to be a Medicare insurance type.

screenshot two

Let us know how this worked for you! Give us a call or leave a comment!

Need even more help? We are here for you!


Fly Me To The Moon

moon landing new york times

In a visit to NASA in 1962, President John F. Kennedy approached a man carrying a broom during his tour and said, “Hi, I’m Jack Kennedy. What are you doing?”

The man in the NASA issued uniform was only a humble janitor, but he responded, “Well, Mr. President, I’m helping put a man on the moon.”

From the perspective of most people, this man was just a janitor, there to sweep the floor and clean bathrooms. But this janitor had a bigger purpose. He was there to help put a man on the moon.

No matter how large or small your role, make a contribution to the bigger picture.

I’m an all or nothing kind of person. If I’m going to do something, I’m going all out. That applies to nearly everything in my life, whether taking my wife out on a date, going on a vacation, doing my work, or learning something new.

When I was a kid, my dad and I were fascinated by computers. My dad is an entrepreneur, so what started as something we were almost obsessively intrigued by quickly turned into a business venture for the two of us.

At 14, I was working with my dad delivering, installing, and repairing computers. We knew everything about these machines from the inside out, and while we were hard at work building custom computers for our customers, Dell was bringing the standard PC to people everywhere.

The custom built computer business just wouldn’t survive, so I started to learn more about the software as well as networking and other aspects of computers to branch out.

After serving a mission to Spokane, Washington at 19, I went back to working on computers and a little later started up with Medisoft (still keeping up with my own venture on the side). I was a quick study and became a good support technician for Medisoft. But, it was easy to see that I didn’t enjoy working for someone else. Like my father, I wanted to be my own boss so I could treat clients the way I knew they deserved to be treated.

While being a support rep gave me an inside look into how I wanted to work, it also connected me with what I wanted to do. Doctors are great at being doctors, and they should be since I’m entrusting life and limb to them! And yet, we really shouldn’t expect them to also be billing experts, computer wizards, and software Einstein’s.

When it comes to small and independent practices that is certainly the expectation though.

Most independent practices don’t have a large enough staff or enough resources to keep a full-time computer guy on staff, and an expert biller, and someone who knows all the intricacies of Medisoft and how to troubleshoot any problems, and someone who can research all of the latest and greatest tools available to them, and who can also keep up to date on all the new regulations and industry changes.

Because of this, all too often a simple misunderstanding leads to a whole host of practitioners wasting their time trying to be the expert of the technology world, which makes patient care less intuitive and more complicated than it needs to be.

So, with a dealer partnership through Medisoft, AZCOMP was born in a 250-square-foot room in the back of my dad’s insurance office. We had one goal: to allow our clients to do what they’re good at (be a doctor) while we dealt with the minutia of what we’re good at (computers).

Operating as a turn-key technology service for physicians everywhere, we’re living that dream! These days, we’re well beyond those 250 square feet and are serving close to 10,000 offices, most of those are repeat clients.

Does AZCOMP help doctors be better doctors?

Here is the point: We know we aren’t doctors and don’t even know the first thing about being one, but we do know technology for independent practices.

We know that when we are able to work on your software, train your staff, and manage your computers and network, that is our contribution to helping deliver better patient care. We also know we play a small role in healthcare, but we are also excited when we can partner with a provider to help make their technology world a little easier.

No matter how big or small your role, when you contribute to the bigger story within your life, or your business or organization, it is exciting and incredible things can happen.


Windows 10 Support Is Now Available For Medisoft & Lytec

Windows 10 Medisoft

You Can Now Upgrade to Windows 10

In a recent announcement, e-MD’s stated that Windows 10 support is now available for Medisoft and Lytec users.

Using Medisoft Clinical or Lytec MD? You Still Need To Hold Off

Within the same announcement, e-MD’s stated that they currently do not support Windows 10 for Medisoft Clinical and Lytec MD products. They continue to test but do not have a date for when support will be available.

Medisoft v20 Hotfix for Freezing on Startup

There is an intermittent issue with Medisoft v20 freezing on startup with some Windows 10 devices. When you upgrade to Windows 10, if you experience this problem you can download and install the Medisoft v20 Hotfix to resolve the issue.

Click here to go to our Medisoft downloads page to get the hotfix.

Need Medisoft or Lytec Help?

Become an AZCOMP Platinum Member and get UNLIMITED support for Medisoft or Lytec. Plans start as low as $99 per month for unlimited support. Learn more about our phenomenal support and service at our website here.

Windows 10 Medisoft

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.




Notice Regarding Print-Image Files and ICD-10

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

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

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

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

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

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

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

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

medisoft cms11 text file print image

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

Don’t Let Your Claims Get DENIED

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

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

Get On Board With Revenue Management

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

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

revenue management claim check screen shot

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

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

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

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

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

video play - no print image support

New WebView Setting – Patients Can Only View Lab Results or Notes AFTER Signed by Doctor

There is a new setting in WebView that stops patients from seeing lab results and notes BEFORE the provider.

This is an announcement for all users of Practice Partner, Medisoft Clinical and Lytec MD. You can now set up WebView so that patients will not be able to view lab results or the notes in WebView until after the provider has reviewed and signed them.

If you have upgraded to version 11 of Practice Partner, Medisoft Clinical or Lytec MD, there is a patch available that will turn off viewing of unsigned lab results and notes.

To add this setting, do this:

  1. Make sure that all of your patches are up to date.
    1. To keep your patches up to date, review this User’s Guide.
    2. Or, if you have a support contract with AZCOMP, we’d be happy to help out with this. Give us a call.
  2. Add the following highlighted settings to the WebView section of the ppart.ini file.






If you need any assistance in completing any part of this, please contact the AZCOMP support department and we’ll be happy to help you out. Contact us at (888) 799-4777.


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


Lytec 2015 Mobile App Full-Length Demonstration

Check out this full demo of the all new Lytec 2015 mobile app.

With the release of Lytec version 2015, there is an all-new mobile app available for use with the Client Server model of Lytec. Here is what you get with the all-new mobile app:

  • Lytec mobile is available for iPad and Android operating systems.
  • New patient intake system. Checking in patients for their appointments is now easier than ever before. Make all of your paper forms digital. Patients either add brand new info, or update old info. Plus patient can view and acknowledge any other forms (like your payment policy, or privacy policy, etc.) and then digitally sign. It is so easy that if your patients still have the ability to read, they will be able to easily complete the process. The best part is that all the information will transfer directly into Lytec.
  • Add a new patient to Lytec. While making rounds at the hospital, or if you take a new patient as a walk-in, quickly and easily add them to Lytec through the mobile app.
  • Electronic Superbill. Add your superbill to your tablet to give yourself easy access to all of those new ICD-10 codes. When the appointment is finished, with one click the superbill will be sent to your billing department.
  • Schedule management. You’ll have an overview of your schedule and be able to see the details of each appointment. From the appointment screen, easily click straight into the electronic superbill for that patient.

In this demo video we just released, we will walk you through all these features and show you how it all works within the app.

Watch the Lytec Version 2015 Mobile App Demo Here:

lytec 2015 mobile app demo

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.