NextGen Provider Guide for ICD-10 Transition

Transcription

1 NextGen Provider Guide for ICD-10 Transition September This document describes the changes that will be made in NextGen once the ICD-10 configuration is placed in production, as well as reminding providers about functionality available to users in NextGen around problem management. Document created by: Kelly Casella, ASA III

2 NextGen ICD-10 Transition NextGen ICD-10 Preparation: There is not much that will change in NextGen for the ICD-10 transition. Here is a detailed summary of the changes: 1. ICD-10 Hotfixes will be installed on Saturday, September Providers will be able to search for assessments via the IMO Search by description and code (as they can currently) 3. There are new features using IMO Search 4. Dual-Coding for Encounters and in the Orders Module 5. ICD-10 codes will go outbound with lab orders to Quest via the Interface eff. 10/1/ Quest will contact the ordering provider location if the correct ICD code was not received for any reason 7. ICD-10 codes will be added to printed lab requisitions which will also still include the ICD9 code What we see now in NextGen via IMO Search: 1. Currently we see only ICD-9 codes (can search by description and ICD-9 code)

3 How we will search via IMO Search on October 1: 1. Search by description (IMO recommends that Providers include the beginning of each relevant word of the diagnosis for which they are searching. For example, diab mel preg will return relevant results for the diagnosis Diabetes mellitus, pregnancy related. 2. Search by ICD-10 Code (only ICD-10 codes are resulted) 3. Search by ICD-9 Code (only ICD-10 equivalent codes are resulted) How will lab orders via the interface be affected? Electronic Orders sent to Quest will have the ICD-9 code through September 30th. Effective October 1st, the interface will include the ICD-10 code with no change to the users existing workflow or no extra steps on the part of the user.

4 NextGen ICD-10 Transition What happens to Future Dated and Recurring Orders initially ordered with ICD-9? Some of these orders that cross the transition period will be updated by the system using codes entered during Dual Coding for Encounters. However, since the order was already sent to the Lab (electronically or by paper req) with only the ICD-9 code, most likely the Lab will contact the clinic for the appropriate ICD-10 code if the patient presents after 10/1/2015. What will happen to Lab orders with paper requisitions that contain ICD-9 Codes? Orders received by Quest with the wrong codes and/or missing codes will be addressed by their current process for missing billing codes. The Lab staff will call the clinic office to request the correct ICD-10 codes from the chart. What will happen to Printed Lab Requisitions? Effective September 21st, all printed requisitions will display both ICD-9 and ICD-10 codes to ease the transition to ICD-10 scheduled for October 1. The need for ICD-9 or 10 codes is based on the date of service at the Lab so the patient will be the ultimate determining factor based on when they go to the lab to receive services. ICD-9 & ICD-10

5 HOT SHEET TITLE: NextGen Provider Guide for ICD-10 Transition Using IMO Search Enterprise Edition September 2015 POSITIONS IMPACTED: Ambulatory Providers ISSUE: Overview of new features and tips for using IMO Search 1. The right-facing blue triangle shows that additional details can be specified, providing a more detailed ICD-10-CM code. Click on this triangle to expand. 2. Hover your mouse over a description to see the ICD9 code, as well as the ICD10 code. 3. Click on the diagnosis description to bring up this additional window displaying the ICD9 and ICD10 mappings.

6 NextGen ICD-10 Transition HOT SHEET TITLE: Enterprise Edition September 2015 NextGen Provider Guide for ICD-10 Transition New Dual Coding Functionality POSITIONS IMPACTED: Ambulatory Providers ISSUE: Using the dual coding functionality available on 9/21/15 with Hotfix Installation 1. New Dual Coding Button in EHR for Encounters in EHR main toolbar) Allows you to specify that the ICD-9 codes from a selected patient encounter are mapped to corresponding ICD-10 codes on the encounter and vice versa These mappings are saved for future use (i.e. documents, reports, etc.) When you click the button, the system compares the diagnosis on the patient table with previous mappings to determine whether an ICD-9 and ICD-10 code have already been mapped for this patient Both the ICD-9 and ICD-10 data is stored in the dual coding table, but only the ICD-9 codes are submitted with the encounter prior to 10/1 Allows you to build the ICD-10 diagnosis history before the transition date If a mapping exists between the ICD-9 and ICD-10 codes, the saved mappings display in green If there is no mapping available, the system lists appropriate mappings and allows you to select and save those mappings (red text indicates that mapping is required)

7 To map the ones in red, click the right arrow button to display suitable mapping options In some instances, there will be multiple ICD-10 codes available to one ICD-9 code. The appropriate ICD-10 code will need to be selected by highlighting and clicking Select to link to the ICD-9 code NextGen recommends to click on the Dual Coding button as you finalize each patient encounter 2. Dual Coding in the Orders Module Future orders entered on or after 9/21/15 can be dual coded with ICD-9 and ICD-10 codes Dual Coding in the Orders Module will only be needed for a limited timeframe to address orders that cross the transition