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

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

5. The Constants 5

6. 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

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

8. 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

9. Create a Spreadsheet Access the CMS Website http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html Download to PC as.txt files 9

10. 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

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

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

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

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

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

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

17. Option 2 – Purchase codes from GE Healthcare Contact Support Services – 1-888-436-8491, Opt. 3 Approve quote via eService ($500) GE Healthcare transfers to system Use XCPT4 to upload (instructions provided) No Mapping included

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

19. ICD-9 Mapping 19

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

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

22. 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

23. Create a New Spreadsheet

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

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

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

27. Posting Charges 27

28. 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

29. Posting Charges Primary Insurance is ICD-10 Ready 29

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

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

32. What is stored on the Charge? 32

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

34. What about the Claim? 34

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

36. 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

37. Final Thoughts 37

38. 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

39. Thank you! 39