Procentive is Ready for the Transition to ICD10
Take these 3 steps so you can be ready too!
[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]The October 1st deadline for ICD10 is fast approaching, and the good news is – Procentive is ready. We have been sending ICD10 claims as a part of the testing process, and our claims are passing those tests.Some of the tests have been submitted solely through Procentive, but others have been completed through our customers, with our assistance. Testing has been completed, or is in the process of being completed, for Availity, ClaimLynx, and Post-N-Track (our main cleainghouses), and for the payers CMS/Medicare Part B, Minnesota MA, Ucare, Wisconsin Medicaid, and Dean Health, for example.
In the end, the fact that we have passed the testing for CMS and these other payers gives us great confidence. The experts we are working with agree that passing the CMS testing, in particular, puts us “ahead of the game” and is a sign that our system meets the necessary standards and requirements for sending ICD10 claims. So even though some payers (such as Blue Cross/Blue Shield of MN) did not allow Procentive or our customers to participate in testing, we are still prepared and ready for October 1st.
So now – what can you do to get ready, too? There are three steps you can take to get ready, but (spoiler alert) steps 1 and 2 are CRUCIAL to your future success.
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Step 1: Make sure your staff are properly trained on ICD10.
The difference between an ICD9 diagnosis code and an ICD10 diagnosis code claim submission, from an electronic data standpoint, is minimal. But the difference in how clinicians document an ICD9 diagnosis code versus an ICD10 diagnosis code for a client has changed significantly. In fact, if denials happen, it will most likely be because the clinical documentation does not support the ICD10 code that was sent on the claim. And THAT is why training is so important. Make sure your clinical staff know how to select the right ICD10 code, and how to support that choice through documentation.
If your clinical staff need training on ICD10, we strongly recommend that you complete the training that we have available online. Click here to learn more.
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Step 2: Begin assigning ICD10 codes to each client in the client module diagnoses tab, and admissions tab (if you use it).
This step will come after you have correctly diagnosed your client and documented (in the clinical/charting module) which ICD10 the client needs. You must take this step in order to be ready for business on October 1st. You won’t be able to assign an ICD10 code to a service line in the time module, unless the ICD10 is first entered in the client module.
The Good News
The way you currently select (not diagnose, but select) an ICD9 code in the client module, is almost identical to the way you will select an ICD10 code.
Even Better News
We have training available to show you everything you need to know! To access this training, go to the Training Assignments Module and assign yourself to the “Special Training: ICD10.” This will cover everything you need to know when it comes to assigning ICD10 in the client module, time module, etc. The training also covers how to use the special conversion tool in the client module, to help you track which clients still need to be given an ICD10 diagnoses.
Note: You can click on the following links to access the same information:
- ICD10 Permissions
- ICD10 in Procentive (where will they appear?)
- The ICD10 Conversion Tool
- ICD10 Webinar
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Step 3: Ask your main payers if you can send your own test claims.
This last step is the least crucial of the three, since we have enough other successful testing results to be confident in our system. Plus, since any testing you do will require assistance from Procentive staff, we have a limited ability to help (we can only help a certain number of customers at once). Still, if you want to take the extra steps and send a test claim directly to one or two of your key payers, it is a good idea. Send us a ticket and we will guide you with the process.
In the end, we are hopeful that the transition to ICD10 will be smooth for all of our customers. We will continue sending test claims on our end, but we encourage you to take steps on your end as well – mostly in training your staff.
[/vc_column_text][vc_cta h2=”Please Contact Us With Questions”]If you have any questions, please contact us. We are here to support you in a successful ICD10 transition so that, when October 1st comes, you will be ready.Thank you!
Kevin Holmes[/vc_cta][/vc_column][/vc_row]
