ICD-10 Readiness (*9/14/15) By PracticeHwy.com, Inc.
Notice Information in this document is subject to change without notice and does not represent a commitment on the part of PracticeHwy.com, Inc. Companies, names and data used in examples herein are fictitious unless otherwise noted. The software described in this document is furnished under a license and nondisclosure agreement. The software may be used or copied only in accordance with the terms of the agreement. It is against the law to copy this software on any medium except as is specifically allowed in the license or nondisclosure agreement. No part of this manual may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or information storage and retrieval systems, for any purpose, without the express written permission of PracticeHwy.com, Inc. PracticeHwy.com, eivf, eivf Connect, eivf Portals, from thought to conception... and respective graphics are trademarks or registered trademarks of PracticeHwy.com, Inc. All other names, products, services and logos referenced herein may be trademarks or registered trademarks of their respective owners. 2014 PracticeHwy Inc. All rights reserved. Support for eivf Support is available during business hours, Monday through Friday excluding holidays. (972) 247-3483 Support@practicehwy.com
Contents ICD-10 Readiness (*9/14/15)... i Notice... ii Support for eivf... ii Contents... i *Recent Updates (as of 9/14/15)... 1 Now and before October 1, 2015... 1 Overview... 1 What to do?... 1 Familiarize yourself with ICD-10 codes... 2 Overview... 2 From Patient Explorer... 4 From System Setup... 5 From Queries... 7 Make Mapping corrections... 8 Overview... 8 In System Setup... 8 To Map ICD-9 to correct ICD-10... 8 To Add New ICD-10... 9 What happens on October 1... 10 Overview... 10 Convert Patient ICD-9 to ICD-10... 11 Additional Resources... 12 CDC Link (ICD-9 to ICD-10)... 12 Training Videos... 12 Adding a new ICD-10 code... 12 Creating Query Reports... 12 Guide to Implementing eivf PracticeHwy.com, Inc. Contents i
*Recent Updates (as of 9/14/15) This document will only apply if you have Build # 61 or higher. (9/14/15) Do not mark any diagnosis codes as inactive. Please contact PracticeHwy for further instructions. (9/14/15) Do not add any ICD-10 codes to your database until you ve reviewed pg.9, To Add New ICD-10 codes (9/14/15) The easiest way to review ICD-9 and ICD-10 codes is to create query reports. Please see pg.7, From Queries. (9/14/15) Now and before October 1, 2015 Overview During the month of September 2015, PracticeHwy will be scheduling and updating all client databases to eivf 5.0 Build # 61 in preparation for ICD-9 to ICD-10 transition. What to do? 1. After updating to eivf 5.0 Build # 61, Clinical and Financial administrators will need to review the Diagnosis codes under System Setup. Please see sections Familiarize Yourself with ICD-10 codes and Make Mapping corrections in this document for further information and instructions. 2. Staff will continue to assign ICD-9 codes as usual by selecting the checkboxes next to the right of the ICD-9 code. However, they will notice two new columns ICD-10 Code and ICD-10 Description to the right of the ICD-9 codes. Each ICD- 9 code has a referenced ICD-10 code/s in the same row. There could be one or more ICD-10 codes for each ICD-9. In some instances, there may not be an ICD-10 code for an ICD-9 code, in which case they are known as unmatched codes. ** Staff will not select ICD-10 codes until October 1, 2015. Guide to Implementing eivf PracticeHwy.com, Inc. (9/11/15) *Recent Updates (as of 9/14/15) 1
Familiarize yourself with ICD-10 codes Overview On October 1, 2015, all Health Insurance Portability Accountability Act (HIPAA) covered entities, including infertility and ob/gyn practices will be required to use the International Classification of Diseases, Tenth Edition Clinical Modification (ICD-10-CM) for diagnostic coding. Some ICD-9 codes have been expanded. 2 Familiarize yourself with ICD-10 codes PracticeHwy.com, Inc. Guide to Implementing eivf
Guide to Implementing eivf PracticeHwy.com, Inc. (9/11/15) Familiarize yourself with ICD- 10 codes 3
While some ICD-9 codes have collapsed. From Patient Explorer The conversion of ICD-9 to ICD-10 codes for each patient are handled using the New Diagnosis icon. Conversion of an ICD-9 to an ICD-10 code in a patient s chart will not be allowed until October 1, 2015. 4 Familiarize yourself with ICD-10 codes PracticeHwy.com, Inc. Guide to Implementing eivf
To view diagnoses historically as well as currently, click on the Diagnosis History icon on the left side (vertical icons). From System Setup Listing of ICD-9 and ICD-10 codes loaded in your database can be found under System Setup. 1. Go to System Setup > Diagnosis > Diagnosis Guide to Implementing eivf PracticeHwy.com, Inc. (9/11/15) Familiarize yourself with ICD- 10 codes 5
2. Differentiating an ICD-9 vs ICD-10 code in Diagnosis List View. (See screenshot below) 3. ICD-9 codes that are unmatched or could not be referenced to an ICD-10 code will have an unchecked Mapped checkbox. 6 Familiarize yourself with ICD-10 codes PracticeHwy.com, Inc. Guide to Implementing eivf
From Queries Go to Data Analysis > Query Execution > ICD-10 Readiness and the user can generate the following three reports for export (Excel) for review outside of eivf. (See video Creating Query Reports to learn how to generate these reports easily) 1. ICD-9 to ICD-10 References 2. Unused ICD-9 codes 3. Unmatched ICD-9 codes Guide to Implementing eivf PracticeHwy.com, Inc. (9/11/15) Familiarize yourself with ICD- 10 codes 7
Make Mapping corrections Overview PracticeHwy does not convert ICD-9 to ICD-10 codes. We simply referenced ICD-9 to ICD-10 codes based on CMS suggestions using the link below: http://ftp.cdc.gov/pub/health_statistics/nchs/publications/icd10cm/2015/ Therefore, it is the practice s responsibility to review the ICD-9 to ICD-10 and ICD- 10 to ICD-9 code listing under System Setup for accuracy. If changes are needed, you ll do the following: In System Setup To Map ICD-9 to correct ICD-10 If you find that an ICD-9 is mapped to an incorrect ICD-10, please contact us by emailing us at support@practicehwy.com. It would be helpful to forward us a screenshot with the email. You may also call us to report the issue (972) 247-3483. 8 Make Mapping corrections PracticeHwy.com, Inc. Guide to Implementing eivf
To Add New ICD-10 We have already loaded ICD-10 codes and referenced them to the ICD-9 codes in your database. We believe it would be rare for the need to add any new ICD-10 codes to your database. However, if you need to, please do the following: 1) Go to System Setup > Diagnosis > Diagnosis> and click New. 2) Select appropriate Category 3) Select appropriate Subcategory 4) Type in ICD-10 code 5) Click on Get Info. (Fields # A and B will auto populate with matched ICD-10 Description and Long Description) 6) Click Save. (See video Adding a New ICD-10 code ) Guide to Implementing eivf PracticeHwy.com, Inc. (9/11/15) Make Mapping corrections 9
What happens on October 1 Overview Prior to October 1, 2015, every patient in the practice was assigned an ICD-9 diagnosis code for any rendered service/s. Starting on October 1, 2015, providers will be informed by an alert when accessing any patient account which has an ICD-9 code that needs ICD-10 conversion. 10 What happens on October 1 PracticeHwy.com, Inc. Guide to Implementing eivf
Convert Patient ICD-9 to ICD-10 1. Click on New Diagnosis icon (Please note: You ll notice that the ICD-9 column and ICD-9 checkbox column have switched places with ICD-10. ICD-10 will be on the left side while ICD-9 will be on the right side) 2. ** Click on Show Current Diagnosis to display assigned diagnosis codes in a concise view. 3. Select checkbox (highlighted in pink) to confirm the ICD-10 code on the left is the correct referenced code for the ICD-9 code on the right 4. Repeat Steps #1, #2, and #3 until all ICD-9 codes are confirmed with their referenced ICD-10 code. Guide to Implementing eivf PracticeHwy.com, Inc. (9/11/15) What happens on October 1 11
Multiple ICD-9 codes have been consolidated to one ICD-10 code. In the example below, you ll see multiple ICD-9 codes grouped together in one row (016.4, 016.40, 016.41, and 016.42). Simply click on the checkbox (highlighted in pink) to confirm the ICD-10 code on the left side of the checkbox is the correct referenced code for the listed ICD-9 codes on the right of the checkbox Additional Resources CDC Link (ICD-9 to ICD-10) http://ftp.cdc.gov/pub/health_statistics/nchs/publications/icd10cm/2015/ Training Videos Adding a new ICD-10 code Creating Query Reports 12 Additional Resources PracticeHwy.com, Inc. Guide to Implementing eivf