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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!

Electronic Claims – Add Outbound Claims Folder To Your Favorites

Want A Time Saving Tip For Your Electronic Claims?

When you are using the Revenue Management tool for your Electronic Claims in Medisoft or Lytec, you frequently need to access your ‘Outbound Claims’ folder.  You can set this folder as a favorite so that you can access it much quicker saving you valuable time when you need to upload files to your clearinghouse.

Watch the short video here:

Revenue Management for Medisoft or Lytec - outbound claims folder

 

 

 

 

 

 

 

 Video Transcript:

This video will show you how to add your Outbound Claims folder in Revenue Management to a favorite spot so you won’t have to go browsing throughout your whole network and your whole computer every time you go to upload that claim file to your clearinghouse.

First we need to actually get to that folder that we’re talking about, and it’s usually found in your Metadata folder. Your Outbound is right here, and what we want to do is, this is where it’s always going to be, so we’re going to go up here to your favorites and right click and add current location to Favorites. That way next time we go looking for it we just click on the Outbound folder in your Favorites, and there’s your claims.

How to put a group NPI on a claim in Medisoft v19

AZCOMP Support Video: How to put a group NPI on a claim in Medisoft Version 19

medisoft tips and tricksThis video will show you how to put a group NPI number on a claim in Medisoft whether you are sending out a claim electronically or on paper.  Some insurance companies or payors require you to put the NPI number directly on the claim.  In this short video you will learn how to do that.

If you like this video or if you thought it was helpful, be sure to click the “like” or “thumbs up” button in YouTube.  If you want to see more videos like this you can subscribe to our channel to get the new videos when they come out.  Leave us a comment or ask us a question below in the comments section if you need help with anything else.

Did you know that when you are watching these videos you can make the video the same size as your entire screen?  If you want to watch this video using your whole screen, then click where the red arrow is pointing to in the little picture just below this sentence while watching the video.

youtube_expand_screen_button

Or in other words, click the button in the lower right hand corner of the youtube viewing screen while watching the video.  By clicking on that icon the video will be larger.

Now let’s watch the video…

How To Split A Claim In Medisoft

AZCOMP Support Video: Splitting Claims In Medisoft v19

You may need to split a claim in Medisoft for a few reasons.  One reason is that you are only allowed to have up to 50 transactions on any single electronic claim.  If you have more than 50 transactions on one claim, then you will need to split the claim.  Also on paper claims, large amounts of transactions on a single claim is not good and you may need to split the claim up into multiple claims.  So, in this video you can learn how to split the claims if you are using Medisoft.

If you like this video or if you thought it was helpful, be sure to click the “like” or “thumbs up” button in YouTube.  If you want to see more videos like this you can subscribe to our channel to get the new videos when they come out.  Leave us a comment or ask us a question below in the comments section if you need help with anything else.

No need to wait any longer….go ahead and watch the video.

How To Fix A Program File Error When Sending Claims In Revenue Management

AZCOMP Support Video: When sending claims in either Medisoft or Lytec, this video will show how to fix a program file error when sending claims.

tips and tricksThis video is about what happens when you are trying to send your claims and you get a program file error.  It just means that you don’t have a program file for that particular receiver.  So in this quick video, learn how to resolve that error.  Revenue Management is a program that integrates with both Lytec and Medisoft practice management systems and handles paper claims and electronic claims.  Josh from our support department breaks this down for you really simple.

If you have any other problems or need technical support for Medisoft, Lytec, EMR or Revenue Management, please call our support department at 888.799.4777 to establish a support account and we’ll be happy to help.

If you liked this video or thought it was helpful, please “like” it and feel free to leave us a comment as well.  We’d love to hear from you.

Video: How to fix a program file error when sending claims in Revenue Management

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

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

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

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

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

Medisoft-v19-upgrade-info

Setting up Medisoft 19 for the New Diagnosis Codes

Prior to Installation of Medisoft 19 for upgraders

Prior to installing Medisoft 19, print the Diagnosis Code grid as a reference for your existing diagnosis codes.

If your setup was non-standard, you may need to re-enter some codes after conversion.

During Conversion to Medisoft 19

When Medisoft 19 is installed, the following will take place automatically:

If the ICD-9 field (formerly the Code 2 field) was empty, all values in the old Code 1 field will be copied to the ICD-9 field. If the ICD-9 field was populated, no change will be made.

If the value in the old Code 1 field is copied, the description of the field will be copied into the Description field for the new ICD-9 field.

The ICD-10 field (formerly the Code 3 field) will be cleared. Any codes or other values that had been in this field must be re-entered after conversion to Medisoft 19. You can no longer use the old Code 3 field (now ICD-10 field) for ICD-9 codes. If your claims use this field, you must change them to use the ICD-9 field.

After Installation of Medisoft 19

Once the installation of Medisoft 19 is complete and your practice data has been converted, you can use the ICD-10 Code Mapping Utility to create ICD-10 equivalents for existing ICD-9 codes. For more information, see “Create ICD-10 Code Mapping Utility” on page 14. Where there is no direct correlation of an ICD-10 code to an ICD-9 code, you can make a choice based on your practice needs.

In addition, there is a new utility that quickly allows you to specify which code set (ICD-9 or ICD-10) your insurance carriers will be using. For more information on using this utility see the following blog posting: http://www.azcomp.com/blog/new-medisoft-v19-feature-setting-icd-version-utility/

If you have created custom labels for the old Code 1, 2, or 3 fields, you will need to recreate them.

After Installation–Electronic Claims for Upgraders

With Medisoft 19, you can no longer use Code 1 on the Diagnosis Entry screen for electronic claims, since this value is not specific to a version of the ICD code set. Instead, you must use the new Set ICD Version utility to set all of your carriers to use ICD-9. For more information on this screen, see the following blog posting: http://www.azcomp.com/blog/new-medisoft-v19-feature-setting-icd-version-utility/

After Installation–Paper Claims for Upgraders

If you had a customized insurance claim and it is possible that you set the claim to look at Code 1 or Code 3 (on the Diagnosis Entry screen) for box 21, you must change it to use the Code 2 field (now the ICD-9 field) when using the current CMS-1500 form.

Note: the table name in the report designer shows ICD-9.

The new claim delivered with v19 is already set to use the ICD-9 or ICD-10 fields.