STRENGTH. SERVICE. KNOWHOW. VISION.
ICD10 Hotfix Review
EHR Transition Tools and Dual Coding
Presented by:
Carol Helminen –Support Specialist II
and
Gina Ehni- Training Consultant
Copyright 2013 MMIC • All rights reserved
Agenda
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Hotfix review
Dual Coding
Transition Toolkit
Intercept Tool
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Confused? Don’t know which direction to take?
And running out of time?
Copyright 2013 MMIC • All rights reserved
ICD-10 Hotfix versions
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8.3.0 HF1
8.3.1 HF1
8.3.2 HF1
8.3.3 HF2
8.3.4 HF2
8.3.5 HF3
8.3.6 HF2
8.3.7 HF2
8.3.8 HF11
8.3.8 OPH HF11
8.3.10 HF1
8.3.8 Base if never installed any 8.3.8 hotfix
8.3.8 Cumulative if installed previously released 8.3.8 hotfix
Copyright 2013 MMIC • All rights reserved
KBM ICD10 Hotfix
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Updated templates with hard coded ICD-9 codes
Fix defects associated with ICD-10 workflows
Update Dx Groups for My Plan order sets with ICD-10
KBM sub document to print dual coded information on
documents
– Clients can add this where needed
• Sub report for crystal reports to print dual coded
information
– Available on - but can be added where needed
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LabCorp
Radiology
Quest
Generic Lab
Copyright 2013 MMIC • All rights reserved
ICD 10 Hotfix Contents
• Corrected Defects in PM, EHR and KBM
• Compatibility for ICD-10 checking -Medical Necessity
• ICD Intercept Tool – To catch ICD-9 codes after mandate
date to convert to ICD-10 prior to sending to PM
• Transition Toolkit – Tool to identify templates, Dx Groups,
Order Sets, Quick Notes, Quick Saves and Template
default. As well as tools for favorites and for testing
• Dual Coding Option – Prior to mandate date, map ICD-9
codes to ICD-10 per patient
• Orders – Use Dual coding to map ICD-9’s to ICD-10’s for
future and recurring orders from orders module
Copyright 2013 MMIC • All rights reserved
ICD 10 Hotfix - Other Tools
• Optik – Leverage Charge Intercept for on-hold orders to
prevent ICD-9 when save over transition
• NextGen Shared ICD Reports – To identify memorized
reports in which an ICD-9 code are utilized
• Dashboard – Includes ICD-10 in addition to ICD-9’s
• Nextgen Mobile –
– Disable invalid codes from being selected
– Utilize ICD-9 Intercept Tool
– Utilize ICD Legacy lookup
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Dual Coding
• Available for all 5.8 versions
• Access to Dual Coding
– Tools -> Enc Dual Coding
– Top Toolbar
– Order Module – new order
• Best practice- use dual coding in Prod prior to 10/1/15
– Encounters have both codes on them and can be updated after
to 10/1/2015 to ICD10 code
– Future or recurring orders- use dual coding to substitute ICD9 to
ICD10 Code
• Sub document and crystal report updates to display
ICD9 to ICD10 mapping
– Sub_ICD_dual_coding.ndx
– White paper crystal report
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Transition Toolkit
• System Template
• Tool to assist in identifying ICD-9 codes in your database
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Templates, including triggers, variables and labels
Delete Provider Favorite codes ICD-9
Quick Saves, Quick Notes and Template Defaults
Diagnosis Groups
• Functionality
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Access Transition Toolkit
Run specific search
Optional export to spreadsheet
Analyze the results
Make corrections
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Transition Toolkit
• Downloading and installing package
– Importing templates
• System / Practice templates checkbox
– Copying of images to Nextgenroot\EMR\Templates\Images
folder
– Run stored procedure script against database
• ICD20_Toolkit_Complied_SP.sql
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Nextgen Knowledge Exchange
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Transition Toolkit
• Panel Review
– Hardcoded ICD Code Search Tool
• Brings in anything with a *99.9 format, need to make sure is indeed
an ICD code
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Dx Groups and Template Defaults, Quick Saves, Quick Notes
Remove ICD-9 codes from Provider Favorites
ICD-10 Immunization and Dual Coding Scripts
ICD Intercept Tool
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Transition Toolkit
Making Corrections
• Adding a Dx Group on the Practice Template Common
Dx Framework
• Assign an ICD-10 to a Diagnosis Group
• Updating Triggers and Conditions within Template Editor
– Field length for ICD-10 should be 10 characters for the code and
255 for the description
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Transition Toolkit
Remove ICD-9 Codes from Provider Favorites
• Click on Search button
• Able to filter per User, Category and Dx Code
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Transition Toolkit
ICD-10 Immunization and Dual Coding Scripts
• ICD-10 Immunization Script
– Updates the vaccine inventory from an ICD-9 code to an ICD-10
code
• Dual Coding
– If using Dual Coding prior to transition these will be added to the
patient diagnosis list
– Run Twice
• On morning of Transition date (10-1-15) with an end date ensuring
all encounters up to that date are complete and locked
• Second time run after all encounters up to 9-30-15 are complete
and locked with an end time of 10-1-15
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Transition Toolkit
Activate the ICD Intercept Tool
• Used to intercept ICD-9 codes submitted to Superbill
after the ICD-10 transition date
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ICD-9 Code Intercept Tool
Purpose: Catches the ICD-9 codes on submission.
Displays the Procedure Charge Mapping dialog box to
select an ICD-10 code on or after the compliance date.
3 Possible Scenarios
• 1 – 1 Match
• 1 – Many Match
• You may need two or more ICD 10’s to be equal to 1
ICD-9 code
Copyright 2013 MMIC • All rights reserved
Copyright 2013 MMIC • All rights reserved