Frequently Asked Questions about Lytec, ICD10 and the new CMS 1500 form

 

1.How is Mckesson to handle the upcoming switch to ICD10 with Lytec and Medisoft, which is scheduled for October 1st of 2014?

Answer: Lytec 2014 and Medisoft v19, which are slated to be released in December and November respectively, will have the capability of sending BOTH ICD9 as well as ICD10 codes. In addition, they are offering a built in tool which will help load your system with ICD10 codes based on the CMS General Equivalency Mapping (GEM) file. This means you will be able to start coding in ICD10 well before the switchover date, thereby minimizing the impact to your practice. This YouTube video uses Lytec 2014 to give you a brief overview of how the tool will help you with the implementation of ICD-10 codes. The Medisoft tool works similarly.

http://youtu.be/L6AAnuInp7I

 

2.How do I handle the much larger super bills that I will need to create now that ICD10 has so many more codes than ICD9 did?

While ultimately we recommend either Mckesson Practice Choice web based EHR, or the Client\Server LytecMD or Medisoft Clinical EHRs for coding claims with ICD10, we recognize that switching to an EHR solution is not the easiest solution for all offices. That is why Mckesson came out with the Mobile charge capture application for iPhone and iPad. With this app, Lytec and Medisoft users can customize an electronic Superbill on their iPhone or iPad and use it to view their schedule and patients, and submit electronic super bills directly to Lytec and Medisoft. You can find a video on the Mobile app here:

http://www.youtube.com/watch?v=S2DHAZJL4tw

 

3.I understand that the codes are longer, and that there are more of them. I am a small practice that has very few ICD9 codes anyway. Why should I be concerned at all about ICD10?

ICD-10 will have significant impact on your practice. CMS is recommending that practices have between 60 to 90 days cash in reserves for when the October 1st deadline hits. It is not just billers and coders who will be affected by ICD-10.  Everyone in the office will be affected, from the front desk to the physicians, as documentation will need to be much more specific than with ICD9. A large subset of the ICD10 codes deals with causality, which requires us to retrain our staff to ask questions we don’t normally ask. The following articles from ICD10 Watch are an excellent source of information regarding that impact.

http://www.icd10watch.com/blog/where-icd-10-codes-are-going-impact-your-medical-practice

http://www.icd10watch.com/headline/icd-10-starts-clinical-documentation

 

4.What is this I hear about a new paper CMS 1500 form? Can I just use my existing version of Lytec or Medisoft to send this form?

A new ICD-10 ready CMS-1500 form (version 02/12) becomes effective January 2014 and must be used by April 2014.  The new CMS-1500 form will be available with Lytec 2014 and Medisoft v19 for no additional charge. Any provider submitting paper claims for professional services MUST be using this new form no later than April 1st or their claims WILL be rejected. While PSS was one of just a handful of companies that customized claim forms for our clients on the last major change, customization of your existing Lytec or Medisoft system for use with the new forms is much more complex. The new form has numerous changes, including allowing for up to 12 ICD10 codes and the inclusion of a diagnosis code set (ICD9 or ICD10) and diagnosis code pointers which are alphabetical instead of numeric (A-L, not 1-4), and as such cannot be customized. 

 

5.When will LytecMD and Medisoft Clinical be Meaningful use stage 2 compliant? When will LytecMD and Medisoft Clinical be ICD10 compliant?

LytecMD and Medisoft Clinical Versions 11 which is due to be released in the first quarter of 2014, is both meaningful use stage 2 certified and ICD10 compliant. The reporting period for attestation for 2014 is a Medicare quarter (Jan-Mar, Apr-June, July-Sept, Oct-Dec) whether attesting for Stage 1 or Stage 2. 

LytecMD and Medisoft Clinical version 11 will also be ICD-10 compliant, and as such will include a way to send ICD10 codes back to Lytec or Medisoft in the form of pending transactions, and will have new fields for ICD10 codes available. Any previously customized templates or quick text will likely have to be reworked to include the new ICD-10 code set, and we will be more than happy to assist you with this.

 

6.We encourage everyone to attend one of McKesson’s free ICD-10 preparedness webinars. “Be Prepared, not Scared” Listed below are the times and dates for Medisoft or Lytec webinars with links to register for the event time that works for you.

Medisoft dates, times and registration links (Please note all times are Eastern Standard)

Date

Time (Eastern)

WebEx Link

Dial-in Number/Code

Friday, Nov. 22

9:00 a.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=742875674

888-778-9063/879425

Tuesday, Nov. 26

2:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=741920331

888-778-9063/879425

Wed., Dec. 4

7:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=741828295

888-778-9063/879425

Tuesday, Dec. 10

12:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=747970236

888-778-9063/879425

Thurs., Dec. 19

1:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=740828347

888-778-9063/879425

 

Lytec dates, times and registration links (Please note all times are Eastern Standard)

 

Date

Time (Eastern)

WebEx Link

Dial-in Number/Code

Thurs., Nov. 21

4:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=740083673

888-778-9063/477803

Tues., Nov. 26

1:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=741509243

888-778-9063/477803

Wed., Dec. 4

6:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=746636775

888-778-9063/477803

Tues., Dec. 10

11:00 a.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=741763609

888-778-9063/477803

Thurs., Dec. 19

2:00 p.m.

https://mck.webex.com/mck/onstage/g.php?t=a&d=740580579

888-778-9063/477803

Your team at PSS

1-877-527-2407 

support@emailpss.com

 

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