Preparing for ICD-10 with Office Therapy

 

Beginning October 1^st, 2015, all claims with a Date of Service of October 1st or later must be submitted using ICD-10 diagnosis codes.

 

Here is what you will need to do:

1. You must be running Office Therapy version 11.6.1 or higher to file claims using ICD-10.

- Visit our Product Updates webpage to obtain a download link for the update. You must contact our Sales office for the installation password; this requires that you are current on maintenance. Product updates link: http://www.docutracinc.com/updates/ - Sales may be reached by phone at 800-850-8510.

 

2. You must update your clients so that an ICD-10 code is assigned.

- For more information on assigning ICD-10 codes, visit this article: http://docutracinc.com/kb/index.php?/article/AA-00386/12/Office-Therapy/How-to-Assign-ICD-10-Diagnosis-Codes-in-Office-Therapy.html

 

3. You must be using Claims Manager to process your claims. The “File Insurance (4010)” wizard does not support ICD-10.

- If you need assistance learning Claims Manager, please view our Claims Manager Training Video here: http://www.docutracinc.com/recordings/ClaimsManagerTraining20140212.wmv

 

Once the above conditions are met, please read this article that covers how to file your claims using ICD-10 codes:

http://docutracinc.com/kb/index.php?/article/AA-00387/12/Office-Therapy/How-to-File-Insurance-Claims-using-the-ICD-10-Diagnosis-Codes.html

To help illustrate ICD-10 assignment and filing, we have prepared a video which you may view by clicking this link: https://youtu.be/XkLhqa_mtFE

FAQs after updating to version 11.6.1:
THESE ASSUME YOU ARE RUNNING VERSION 11.6.1 OR HIGHER.

Q: How can I tell if a charge is ICD-10 compatible?
A: Open up the charge within the ledger and go to the "HCFA Details" tab. If there is a block of 12 Diagnosis Pointers, this charge is ICD-10 compatible. If you are viewing charges in Claims Manager, ICD-10 charges will have the "ICD9/10" box checked with a check mark. (Note that you cannot change this check box in Claims Manager).

Q: I have sent claims with "ICD10" selected under the "ICD" tab, but the claims have ICD-9 codes being sent with the ICD-10 indicator, and the claims were rejected.
A: Only claims that have the "ICD9/10" box CHECKED can be sent as ICD-10 claims (this is the check box on the far right in "List of charges ready to be filed"). De-select any charges that are not ICD-10 and process those as ICD-9, or if the DOS is 10/1 or later, convert the charges to ICD-10 charges by deleting and re-entering the charge in the clients ledger.

Q: I cannot change or check the "ICD9/10" check box (in the far right column of "List of charges ready to be filed")
A: This check box is read-only. It is meant to be a visual indicator to see if the charge can be processed as an ICD-10 claim. Only ICD-10 compatible charges will have a check mark in this box. If there is no check mark, you must delete and re-enter the Charge from the clients ledger to convert it to ICD-10.