1. ICD-10 Updates Screen & Inquiry Changes

2. Areas of Change Encounter Menu Encounter Entry Encounter History Inquiry/Screens CPOD Screens CMS 1500 Screens

3. Encounter Entry Menu ICD-9 vs. ICD-10

4. Encounter Entry Menu - Current

5. Encounter Entry Menu – ICD-10

6. ICD-10 – 2 New Menu Options

7. #1 Encounter Entry By PEF (ICD10)

8. Encounter Entry By PEF (ICD10) When this option is selected, you will receive the new encounter entry screen for the PEF# entered. This screen is designed for the new ICD-10 codes. This option is the same as ‘Encounter Entry By PEF Number’ option, except it will return the new encounter entry screen.

9. #2 Patient Encounter Entry (ICD10)

10. Patient Encounter Entry (ICD10) When this option is selected, you will receive a new encounter entry screen for the Patient ID entered. This screen is designed for the new ICD-10 codes. This option is the same as the ‘Patient Encounter Entry’ option, except it will return the new encounter entry screen.

11. Function to request Encounter Entry for ICD-10 XEBAPEFN XEBAPEFN 27008182 then Transmit

12. Encounter Entry Screens ICD-9 vs. ICD-10

13. ICD-9 Encounter Entry Screen

14. ICD-9 Entry area

15. ICD-9 Entry examples Up to 4 could be entered per CPT code Each ICD-9 had to be 5 characters If the ICD-9 code was less than 5 digits, dashes were use in place of the spaces.

16. ICD-10 Encounter Entry Screen

17. NEW Encounter Entry Screen Can enter up to 30 CPT codes over two pages Can enter up to 12 ICD-10 codes Units can be up to 4 digits The override section has increased to 25 characters

18. New fields on the ICD-10 Encounter Entry Screen

19. Primary ICD-10

20. Indicates which ICD-10 code is the primary ICD-10. Required Acceptable values – A through L

21. ICD-10 Codes

22. User can enter up to 12 different ICD-10 codes Format 9999.999 example A18.31 Must be entered in the order of the field label. A first, B second, C third and so on. You cant enter one in A and then the next in G.

23. ICD-10 Code example

24. ICD-10 Billing Order

25. The purpose of this field is for when the ICD-10 codes need to be ordered differently for billing purposes. The field is not required. If entered, it must be numeric. Zero will keep the ICD-10 code from being sent with the billing.

26. ICD-10 Billing Order example

27. ICD-10 Diagnosis Indicator

28. The purpose of this field is to designate which ICD-10 code needs to be associated with a specific CPT code. The field is not required. If entered, it must be A through L Multiple indicators can be entered for one CPT code.

29. ICD-10 Diag Indicator example

30. Page 2 Indicator

31. The purpose of this field is to request a second page for entering more CPT codes. This field is not required and should only be entered when the second page is needed. If entered, it must be Y or X. If the indicator is entered, when you transmit you will receive the second page.

32. Page 2

33. The purpose of this page is to allow users to enter more CPT codes if needed. This page will work the same as the first page. Some fields can’t be changed on the second page, such as the PEF number. Primary ICD-10 indicator and the ICD-10 codes will carry over from the first page.

34. Fields in red squares cant be changed on the second page

35. Primary ICD-10 and ICD-10 codes will carry to second page

36. Encounter History Inquiry/Screens ICD-9 vs. ICD-10

37. Inquiries The PERI function will still return a list of a patient’s PEFs. If you put an X next to a PEF, it will return the screen back in the format it was entered, either ICD-9 or ICD-10. The EHIE will return the Encounter History screen in the format the encounter was entered, ICD-9 or ICD-10.

38. CPOD Screens ICD-9 vs. ICD-10

39. Current CPOD - Medicaid

40. Current CPOD - Medicare

41. Current CPOD - Insurance

42. NEW CPOD - Medicaid

43. NEW CPOD - Medicare

44. NEW CPOD - Insurance

45. NEW CPOD – ICD-10 codes

46. NEW CPOD – ICD-10 pointers

47. NOTE: On the CPOD screens, if the encounter has more than 12 services that need to be re-billed, you will need to use the CMS-1500 screens

48. CMS-1500 Screens ICD-9 vs. ICD-10

49. The next 4 slides show the current CMS-1500 screens

50. CMS-1500 screen #1 ICD-9

51. CMS-1500 screen #2 ICD-9

52. CMS-1500 screen #3 ICD-9

53. CMS-1500 screen #4 ICD-9

54. The next 4 slides show the NEW CMS-1500 screens for ICD-10

55. CMS-1500 screen #1 ICD-10 – No change

56. CMS-1500 screen #2 ICD-10 – No change

57. CMS-1500 screen #3 ICD-10

58. CMS-1500 screen #3 ICD-10 codes

59. CMS-1500 screen #3 ICD-10 pointers

60. CMS-1500 screen #4 ICD-10

61. Remember When performing a PERI inquiry or EHIE inquiry, your screen will be returned in the format (ICD9 or ICD10) the encounter was originally entered.

62. Any Questions?