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Prime Clinical
Systems, Inc.
3675 E. Huntington
Drive
Pasadena,
CA 91107
626.449.1705
December
3, 2013
Dear Client,
In preparation
for ICD10, Prime Clinical has put together
a list of the most common questions we
receive regarding ICD-10. We will continue
to update this list as more information
becomes available.
Q. What
should we be doing at this time to prepare
for ICD-10?
A. Educate
yourselves and your Staff, especially
the Staff members who will be required
to know ICD-10 (Doctors, Billers, PA's).
Review the documentation provided by CMS
and other organizations, begin putting
together a list of the most commonly used
ICD-9 Codes, and then begin to understand
how ICD-10 will apply. We also suggest
you begin to compile your specialty ICD-10
codes by adding them to a 'text' or Excel
document. Share the list with the rest
of your staff.
Suggestion:
Intellect users may want to go to Management/Analysis/Utilization
and generate the Diagnosis Utilization
report which lists the ICD-9 codes used
by your practice, and the frequency of
use.
Q. Does
everyone need to change to ICD-10?
A. Yes,
ICD-10 transition will affect ALL entities
covered by HIPAA.
Q. When
does ICD-10 go into effect?
A.
Based on CMS, the Compliance date is October
1, 2014
Q. Will
PCS provide training on ICD-10 coding?
A. No,
your office will need to educate your
staff. There are a number of organizations
which provide ICD-10 training. For example,
the World Health Organization provides
free online training for ICD-10. You may
visit their online training
tool.
You may also find additional information
on the CMS website www.cms.gov/ICD10.
Q. What
are the ICD-10 timelines?
A. CMS
provides a detailed Implementation
Guide to ICD-10 which will guide you
step-by-step.
Q. How
will ICD-10 affect Clinical Documentation?
A. As
practices prepare for the October 1, 2014
transition to ICD-10, there's been a good
deal of discussion about the many new
codes ICD-10 offers and how clinical documentation
will be affected. Just as with ICD-9,
complete documentation is essential for
patient care and accurate selection of
ICD-10 codes. Click
here to view more.
Q. Do
we need to change our Superbills?
A. Yes.
See below:
If your Superbill is
being printed from Intellect:
Your office will
need to review any changes which will
be required for your Superbill. Any changes
that will be required will need to be
programmed and changed by our Forms Department
prior to the deadline. Send any Superbill
Changes to our support@primeclinical.com email.
Include
on the Subject line 'Attention: Forms'.
Include
in the body of the e-mail your Client
ID, Contact Name, and a 'CLEAR' copy of
the changes as an attachment.
If your Superbill is
being generated from PCM:
Your
office may make the changes yourselves.
If your Superbill in PCM is setup as a
TEXT type template, you should be able
to edit it right inside PCM. If your Superbill
in PCM is a scanned PEN type template,
you will need to re-create the Superbill
outside of PCM and then scan it in as
a template. This could include printing
a blank Superbill from Intellect and scanning
it into PCM.
Q. In
PCM, will we need to update the Custom
SB List (in the Diagnosis Search Screen)?
A. Yes,
a person who is familiar with the ICD
codes needs to review the Custom SB List
for accuracy; ICD codes can be added,
deleted or updated in this list.
Remember: There
is a link labeled "Search for ICD9,
ICD10, HCPCS Codes" on the Diagnosis
Search Screen. Clicking on that link opens
the website www.findacode.com, which offers
free and simple searches of the latest
ICD-9/ICD-10 codes. You can use this website
to verify that the codes in your custom
Superbill list are the latest.
Q. What
happens in PCM when an ICD code is retired
in Intellect?
A. When
a code is retired in Intellect, it will
no longer show in the PCM Custom Superbill
List.
Q. Will
our Software be ICD-10 compliant in time
for ICD-10?
A. Yes,
Prime Clinical Systems has been ICD-10
ready since the 5010 Electronic Billing
Requirements took effect.
Q. Will
PCS have a crosswalk to the ICD-10 codes?
A. Yes. Prime Clinical
Systems will only be loading the crosswalk.
For more information, please see
Utility/Diagnosis/Crosswalk
in
the online documentation. PCS will not
provide a copy of the actual ICD-10 codes.
However, your office may contact CMS and
or your AMA to find out if the ICD-10
codes can be downloaded and or purchased.
Q. Will
PCS load the ICD-10 codes for our office?
A. No.
However, we do have a General Import process
that will assist your office in loading
the ICD-10 codes. See Utility/Maintenance/General
Import ICD-10 for more information. PCS
will also have video tutorials on how
to load the ICD-10 codes using the General
Import option in Intellect. If you need
further assistance, please contact our
PCS Support Team.
Q. Do
the ICD-10 Codes need to be in a special
Format?
A. Yes.
The 'preferred format' is Excel; however,
'CSV-Short Text description' is also an
option. Acceptable field separators, other
then comma, are 'TAB' and PIPE (|).
Q. How do
I know what the field separator is in
my file?
A.
When purchasing or requesting the ICD-10
file, you must ask the vendor what type
of field separator is being used in the
file.
Sincerely,
Prime Clinical
Systems, Inc.
Support and
Training
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