In preparation for ICD-10, Therabill has released dual ICD-9 and ICD-10 entry of diagnosis codes for your patients. This new diagnosis entry form also allows for the entry of up to 12 diagnosis codes for your patients in preparation for the new CMS-1500 revision 02/12.
ICD-10 does not begin until October 1st, 2015
While ICD-9 is still required on insurance claims for sessions that have a date of service prior to October 1st, 2014, Therabill is allowing you to enter your ICD-10 codes early in order to be prepared for the switch to ICD-10 on October 1st, 2015.
The American Medical Association is not releasing the ICD-10 data set until April 2014
Therabill is currently using the ICD-10 data set released by CMS. Therabill cannot guarantee that ICD-10 codes will not be modified.
Converting from ICD-9 to ICD-10
At this time, Therabill can only offer the ICD-10 database to you. In the near future, Therabill will be offering tools to help you crosswalk your ICD-9 codes to ICD-10 codes. However, keep in mind that there is not a one to one matching from ICD-9 to ICD-10. CMS offers resources for providers for help with transitioning from ICD-9 to ICD-10 at http://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html
Therabill recommends that all providers attend as many webinars and tutorials offered through CMS or your professional association for tips specific to your profession.
Am I required to enter ICD-10 codes?
At this time, Therabill does not require that you enter ICD-10 codes. ICD-9 codes are required if you are going to create insurance claims for the patient. It is highly recommended that you begin entering ICD-10 codes as soon as possible. For dates of service after October 1st 2014, ICD-10 is required to be used by all entities covered by HIPAA. If you do not use ICD-10 after October 1, 2015, you will not be reimbursed for your services under HIPAA covered payers. ICD-10 is coming and will be required.
How to enter diagnosis codes
The diagnosis code entry form, when you first open up the add client form in Therabill will appear as shown in the image to the right. When there are no ICD-9 nor ICD-10 codes entered, you will see red text indicating to click the edit icon to enter your ICD-9 and ICD-10 codes. When you have ICD-9 or ICD-10 codes entered, Therabill will display the codes as a comma separated list instead of the red text. Click the edit icon to open up the diagnosis code entry form (see image to the lower right).
The diagnosis code entry form has two columns. The first column labeled ICD-9 code entry is on the left and the ICD-10 code entry is on the right.
ICD-9: This is where you can enter up to 12 ICD-9 codes for the patient. NOTE: While using CMS-1500 Revision 08/05, the first 4 diagnosis codes will be displayed on the claim form. You can enter up to 12 diagnosis codes to display on the new CMS-1500 revision 02/12.
ICD-10: This is where you can enter up to 12 ICD-10 codes for the patient. NOTE: The ICD-10 codes will not show up on any claims until the October 1st 2014 switch to ICD-10.
Both the ICD-9 and ICD-10 entry text boxes will search the corresponding diagnosis database as you type in the code. The search does not begin until the second character is typed in. When Therabill searches the diagnosis code database, it will display the results with the corresponding ICD-9 code as well as the short description of that code. The ICD-9 description is supplied by the American Medical Association data set and the ICD-10 description is from the CMS ICD-10 data set.
What is the case name?
If you are going to be entering multiple sets of diagnosis codes (different cases) for the patient. You may want to name your cases. You can enter a short name (description) of the case in the case name text box.
Once you have entered all of the information, click the Update button at the bottom of the form to go back to the add/edit client form. On the add / edit client form, you can edit the diagnosis codes at any time by clicking the edit icon associated with the case to open back up the diagnosis code entry form.
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