ICD-10 Preparation

Attention all Clients:

In preparation for ICD-10 implementation please confirm the following steps have been completed:

For cross-over episodes: Clients interfaced with clinical software should confirm their dual-coding worksheets have been completed (refer to Viewing ICD10 for Cross-over Episode Advisory). Non-clinical clients should refer to the ICD-10 Cross-over FAQ.

For all Billing Option Sets, Diagnosis Codes should be set to pull from the Treatment Plan, not from the Patient Diagnosis Tab. In the Billing>Electronic Claims menu, select the Option Set and click the 'Options' button. In the Billing Options Wizard window, scroll to Locator 2300.60 Diagnosis Codes and make sure it is set to pull from the 'Treatment Plan Diagnosis Codes'. Do the same for Billing> Printed Claims>UB04 for Locator Box 67 Diagnosis and Billing>Printed Claims>1500 for Locator Box 21.

(Note this step only needs to be performed if you are unsure whether you are pulling codes from the Treatment Plan. Electronic Claims will alert you if the wrong version of diagnosis codes are found.)

When running non-PPS Billing Audits, make sure not to use charge From and To Dates that span 10/1/2015. For example, do not run audits for dates 9/1/2015 to 10/31/2015 if you are specifying a Bill Date instead of using the "Use Last Day of Charge Month as Bill Date" option.

For Printed UB04 Claims, confirm the Baseline option set has been merged into your other option sets and that Box 66 Diagnosis Version is not set to Bypass unless you are printing claims on pre-printed Red Forms.

For non-hosted clients only, confirm you are on HBS version 1.2.8.10 or higher and that the Web Updates routine has been run to complete the Data File updates.

Please contact Support for assistance.

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