ICD-10 Updates

UPDATE: As ICD-10, after delay after delay, is finally looming in the near future, we're updating some previous posts with vital information about this new system and what you need to do before the deadline for ICD-10 compliance.

Are you ready for more ICD-10?! Don’t worry; we’ve passed the boring, basic, background information. It’s time to move on to the practical side of the ICD-10 implementation in Rexpert. If you have been following along with our ICD-10 blog series, then you will remember that Rexpert will follow a sequence of phases during the ICD-10 implementation. There will be two testing phases (to be done prior to 10/1/14 10/1/15) and the live phase on October 1, 2014 October 1, 2015. You will be expected to participate in the testing phases and provide feedback to Client Services on any errors or issues that occur during testing.

Now, so as not to bombard you with too much information all at once, we will save details on the testing procedures for a later blog post. To prepare you for the upcoming testing, it’s best to first become familiar with the testing parameters. So, today I will be guiding you through some of the updates that will be were made to Rexpert during the September 2014 release.

There are three important areas to be aware of while transitioning from ICD-9 to ICD-10. These fields will be used during both the testing phases as well as the actual live phase on October 1, 2014 October 1, 2015. Warning: These pictures are for reference ONLY. Do NOT change the settings of the fields in these pictures without first coordinating with Client Services.

System Options

The ICD-10 Starts On field has been added in R10. This date is set by Client Services and dictates the day on which a practice will transition to ICD-10. Access this field through Settings > System Options, Main Tab.

Charge Entry

Within the database, each charge will be internally and automatically marked to indicate whether it uses ICD-9 or ICD-10 diagnosis coding. All charges entered after the ICD-10 start date (mentioned above) will be coded as ICD-10. However, all charges entered prior to the ICD-10 start date will still be set to ICD-9. To create a smooth transition, Charge Entry has been updated to automatically adjust the diagnosis browse to display the correct code set. If a charge is set to ICD-10, the diagnosis browse links to the ICD-10 code list and [vice versa].

Payor Options 2 Tab

Individual payors can be set to accept ICD-10, ICD-9, or both by editing the new ICD version(s) accepted by this payor option that will be added to Rexpert in September. Access this options through Settings > People and Places > Payor, Payor Options 2 Tab. If a charge has been created using ICD-10 but the payor is not yet ready to receive ICD-10 claims, the GEMS ICD crosswalk will be used to translate the ICD-10 codes to ICD-9. The ICD translation takes place during the billing extract and the charge maintains the diagnosis codes entered by the user.

Keep these updates in mind when you check out our upcoming posts on Testing for Emdeon. And don't forget: September 30, 2013 is was Rexpert Release 10 and October 1, 2014 October 1, 2015 is the compliance date to implement ICD-10. If you have any questions about these new options, contact Client Services via the Feedback button or leave a comment below.