ICD-10 Small Practice Guide

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ICD-10 is closer than you think. To help everyone prepare we have created a simple two page guide to help small practices understand the upcoming changes required of them.

Unlike past government mandates, this one requires far more than just updating the software. Medisoft v19 and Lytec 2014 are the only versions of Medisoft and Lytec compatible with ICD-10. Upgrade today if you still haven’t and get one thing off your list.

This easy to follow guide is a great jump start to prepare for ICD-10.

Download ICD-10 Guide:

ICD10 Small Practice Guide

ICD10 checklist cartoon

 

New Medisoft v19 Feature-ICD 10 Code Mapping Utility

Medisoft ICD-10 Code Mapping Utility Introduction

There is a new Create ICD-10 Code Mapping utility.

IMPORTANT: Have only ONE user at a time updating and creating codes.

New Menu Item

To access this screen, on the Tools menu, point to Services, and click Create ICD-10 Mappings.

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You can also open this screen by pressing the C key from this menu.

New Screen

Use the Create ICD-10 Mappings utility to automatically create new ICD-10 codes that are mapped to existing ICD-9 codes or update an existing ICD-10 code with an ICD-9 already in your list. The 1:1 Mappings tab will show you the codes that can be mapped automatically. Select those codes you want and click Create Selected Codes.

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An globe icon on a line item indicates that the ICD-10 code already exists in your list of diagnosis codes but it has not been mapped to an ICD-9 code. When you select the check box for this code, Medisoft will enter your ICD-9 code into the existing code in the table.

You can also change the code value listed in the New Code column by clicking in the field. In this way, you can customize a new code according to your needs.

The table below shows the fields and buttons on this screen with a description of each.

ElementDescription
GridThe box shows you the ICD-9 codes and their corresponding mappings.
New CodeSelect the check box to view the new code that will be created. If you want to change it, click in the column and enter your own code. If the new ICD-10 code already exists, you will receive a warning. You cannot have duplicate codes.In some cases, Medisoft will add a letter to the end of the new ICD-10 code. This will happen if there are several ICD-9 codes that can be directly mapped to a single ICD-10 code. Since you cannot map several codes to a single code, Medisoft will append a letter to create unique ICD-10 codes for each ICD-9 code. See Figure 17 on page 16.Note: the code with an appended letter is never used on claim forms. Claim forms will use the code in the ICD-9 or ICD-10 field, depending on the insurance carrier’s code set.
Your CodeThis column shows the code of the existing code, usually the ICD-9 code, if you have not entered any ICD-10 codes. This value comes from the Code field on the Diagnosis screen.
Your DescriptionThis column shows the description of the existing code. The description here comes from the Description field associated with the Code field on the Diagnosis screen.
ICD-9 CodeThis column shows you the ICD-9 code.
ICD-9 DescriptionThis column shows you the ICD-9 description.
ICD-10 CodeThis column shows you the ICD-10 code.
ICD-10 DescriptionThis column shows you the ICD-10 code’s description.
Select/De-Select AllClick this button if you want select or clear all codes in the box.
Create Selected CodesClick this button when you are ready to create the ICD-10 codes.
CancelClick this button to cancel all changes.

The Other Mappings tab shows you ICD-9 codes that have multiple mappings. Select the ones that apply to your practice and click Create Selected Codes.

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ElementDescription
Top GridThe box shows you the existing ICD-9 codes. Click a line item to see possible matches in the bottom grid.
Your CodeThis column shows the code of the existing Code in your diagnosis list. This value comes from the Code field on the Diagnosis screen.Select the check box to see possible matches in the bottom grid.When you select the check box, Medisoft will auto check all options in the bottom grid. You can clear items in the bottom grid. As long as one item below is selected, the top check box will remain selected. If you clear the top check box, then all selections in the bottom grid are cleared as well. If you manually clear all the check boxes in the bottom grid, the top check box will be cleared. If you use Select/Deselect All, the top check box will be selected or cleared depending on the state.
Your DescriptionThis column shows the description of the existing code. The description here comes from the Description field associated with the Code field on the Diagnosis screen.
ICD-9 CodeThis column shows you the ICD-9 code.
ICD-9 DescriptionThis column shows you the ICD-9 description.
Bottom Grid This section of the screen shows you the possible ICD-10 matches for the highlighted item in the top grid.
New CodeSelect the check box to view the new code that will be created. If you want to change it, click in the column and enter your own code. If the new ICD-10 code already exists, you will receive a warning. You cannot have duplicate codes.In some cases, Medisoft will add a letter to the end of the new ICD-10 code. This will happen if there are several ICD-9 codes that can be directly mapped to a single ICD-10 code. Since you cannot map several codes to a single code, Medisoft will append a letter to create unique ICD-10 codes for each ICD-9 code.Note: the code with an appended letter is never used on claim forms. Claim forms will use the code in the ICD-9 or ICD-10 field, depending on the insurance carrier’s code set.
ICD-10 CodeThis column shows you the ICD-10 that is a possible match.
Standard ICD-10 Long DescriptionThis column shows you the long description for the ICD-10 code.The short description is not shown but is displayed on the Diagnosis Entry screen. The long form appears here to help you with making decisions about which codes to map.
ICD-9 Code This column shows you the existing ICD-9 Code that would be matched to the ICD-10 code.
Standard ICD-9 Long Description This column shows you the existing description for the ICD-9 code that would be matched to the ICD-10 Code.
Select/De-Select AllClick this button if you want select or clear all codes in the box.
Create Selected CodesClick this button when you are ready to create the ICD-10 codes.
CancelClick this button to cancel all changes.

New Medisoft v19 Feature-Setting ICD Version Utility

Setting the ICD Version Utility in Medisoft

There is a new utility that you can use to specify which diagnosis code set each insurance carrier will use.

New Menu Option

On the Tools menu under Services, there is a new option called Set ICD Version. Click this to open the Set ICD Version utility.

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You can also open this screen by pressing the S key from this menu.

New Utility

The Set ICD Version utility will show all existing insurance carriers and the current default diagnosis code set for each one. Select which carriers you want to change to ICD-10.

When you are ready, click the Update Selected button to update your settings. You can run this utility as many times as you want.

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Field/Button/Check BoxDescription
Code SetSelect this check box if you want to make changes for the Code Set for the selected carriers
Update the default code set for claims toSelect which code set you want to use to update the selected carriers.
ICD 10 Effective DateUse the Icd-9 code set for claims with a date of service prior to: Select this check box if you want to make changes to the ICD-10 Effective Date for the selected carriers.Enter the effective date you want to use for the selected carriers. This date marks the day on which this carrier will stop using ICD-9 codes on claims.When the code set is ICD-10, claims with a date of service prior to this date will continue to use ICD-9 codes.These fields will be disabled if the value in the Update the default code set for claims to field is set to ICD-9. If there was a date in the field, it will be cleared and the field will be disabled.
CodeThis field shows the Insurance Carrier Code.
NameThis field shows the Insurance Carrier Name.
TypeThis field shows the type for the insurance carrier.
Code SetThis field shows the current default Diagnosis Code Set for the carrier.
ICD 10 Effective Date This field shows the date that ICD-10 codes will be used for the carrier.This field will be cleared and disabled if you change the code set for the carrier to ICD-9.
Select/De-select AllUse this button to select or clear the check boxes for all carriers, those next to the Code field in the grid.
Update SelectedUse this to run the utility after you have made your selections. Depending on your selections, all carriers with the check box selected next to their Code name will have their Code Set and/or Effective dates updated to your selections
CloseUse this to close the screen without making any changes.

You cannot change the code set for an insurance carrier whose record is open for edit in the Insurance Carriers screen. You must close the record first.

ICD-10 Makes Paper Superbills Obsolete

Why Paper Superbills Won’t Survive ICD-10 And What To Do About It.

ICD-10 Superbill Template for Family PracticeOne of the many steps practices will need to take in order to be ready for ICD-10 is updating their superbill. Codes are drastically increasing and that is definitely reflected in a paper superbill. What once was 2 pages has turned into 9 pages! At AZCOMP we just don’t see that as practical.

“Paper superbills with diagnosis codes on the back are about to become a thing of the past,” says Kim Pollock, RN,  “Using the same charge capture tool you used for ICD-9 just won’t be sustainable with ICD-10.”

Check out this Sample ICD-10 Superbill Template. You’ll quickly recognize that a giant superbill is more than impractical.

Now Is The Time To Switch From The Paper World To Electronic

Not only because of the sheer increase in paper- but because of the higher level of documentation required. Payers will need to see much more documentation and that will be extremely hard to meet with paper documentation.

2 Easy Options For Electronic Superbills

#1 – Go Mobile

For a fast way to take your superbill electronic, start using the Mobile Application available in both Medisoft and Lytec. This instantly alleviates the problem of massive paper work- but it has several other cool benefits as well.

On the Mobile App, providers enter charges on their iPad. Superbills that the doctor did in the hopsital won’t get lost. All superbills are available immediately for billing- and since the biller won’t have to rekey all the information, then the claims will go out sooner and providers will get paid faster.

Check out this quick Mobile App demo

#2 – Make The Switch To EMR

Of course if you want to go electronic the best long term solution is Electronic Medical Records. EMR is already known to get rid of the down-coding problem rampant among paper chart providers. You can stop down-coding because you can easily prove what was done, and that will be the same with the new level of detail required with ICD-10. And, with EMR costing as little as $349 a month- EMR is more affordable than ever!

Call for a consultation!

Find out more about the available mobile apps, and also our EMR options we have for your practice. We can set up a demo, get you pricing and answer questions. Call us at (888) 799-4777.