The Ins and Outs of ICD10 in Centricity™ Group Management May, 2015

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Agenda Constants Review Obtaining and Loading ICD-10 Codes Mapping Charge Posting and Claims Submission 4

The Constants 5

Insurance Codes ‘Hidden’ Default Date is 10/01/2015 Workers Comp claims will not require ICD-10s Update the ICD10 Date to 6/30/2029 6

Diagnosis Code Constant Alpha-numeric field (7 characters) ICD-10 Y/N flag Mapping fields 7

How to get the ICD-10 codes (without mapping) Create your own Spreadsheet – Use CONSTANTS Purchase the ICD10 codes from GE Healthcare – Use XCPT4 8

Create a Spreadsheet Access the CMS Website Download to PC as.txt files 9

Create a Spreadsheet Open CMS Code Description file in Microsoft ® Excel ® using Text Import Wizard Change all fields to TEXT Import only columns you need 10

Create a Spreadsheet Transfer Diag_Template.txt from /gpms 11 Open in Excel using Text Import Wizard

Create a Spreadsheet You have 2 Spreadsheets open Copy/Paste into Diagnosis Template for Code and Description

Create a Spreadsheet File – Save As Text (Tab Delimited) (*.txt) – Selected from Drop Down

Create a Spreadsheet Save Spreadsheet as.txt (icd10codes) Transfer to Server Upload using CONSTANTS

Upload the Codes Using CONSTANTS program Access Optional Programs (8, 5) Type constants Enter option 13

Upload the Codes Run in TEST MODE Review reports in Printer Management Run in LIVE MODE

Option 2 – Purchase codes from GE Healthcare Contact Support Services – , Opt. 3 Approve quote via eService ($500) GE Healthcare transfers to system Use XCPT4 to upload (instructions provided) No Mapping included

Using XCPT4 Access Optional Programs (8, 5) Type xcpt4 NOTE: No TEST mode and no Reports

ICD-9 Mapping 19

CMS’ GEMs Reimbursement Mapping Guide 95% of codes one to one translation 5% of codes map to a cluster code Handful of Duplicates

Mapping ICD-9 codes Layout based on CMS Reimbursement Mapping File

Create a Spreadsheet Open CMS Reimbursement Mapping file in Excel using Text Import Wizard Change all fields to TEXT Import only columns you need 22

Create a New Spreadsheet

Create a Spreadsheet Save Spreadsheet as.txt (icdmap) Transfer to Server Upload using CONSTANTS

Upload the Codes Using CONSTANTS program Access Optional Programs (8, 5) Type constants <ente Enter option 13

Upload the Codes Run in TEST MODE Review reports in Printer Management Run in LIVE MODE

Posting Charges 27

Posting Charges When date of service is equal to or greater than compliance date User enters ICD-10 codes for services Mapped ICD-9 codes will default on charge when defined within constants No mappings defined, user can manually enter ICD-9 code(s) on the charge ICD-9 code(s) will be required if payer is not ready

Posting Charges Primary Insurance is ICD-10 Ready 29

Posting Charges Primary Insurance is ICD-10 Ready, Secondary is not 30

Posting Charges Primary Insurance is ICD-10 Ready, Secondary is not 31

What is stored on the Charge? 32

What is stored on the charge? Both ICD-10 and ICD-9 codes

What about the Claim? 34

What about the Claim? Who is being billed Is the payer ready for ICD-10 codes?

What about the Claim? Testing Contact GE Healthcare Set up Test Practice Create Test Charges Work with Centricity™ EDI Services to send Test Claims 36

Final Thoughts 37

Final Thoughts – Get started now Download the ICD-10 code set Map the ICD-9 codes Upload spreadsheet into your class/test practice Get out there and Play! Contact GE Healthcare for Payer Testing

Thank you! 39