View source for Testing your Electronic (837) claims for ICD-10 Readiness

===Testing your Electronic (837) claims for ICD-10 Readiness===

The new implementation date for ICD-10 is still on track for October 1, 2015.  Are you ready?  In an effort to assist our <br>
clients with the ICD-10 transition, we are offering this guide to assist you with testing claims via your respective clearinghouse. <br>
We encourage you to contact your clearinghouse for their specific guide and area that they wish for you to upload your electronic claims.<br>
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'''Where do I get ICD-10 codes?'''<br>
<br>
ICD-10 codes are available on http://www.cms.gov/Medicare/Coding/icd10/ .  CMS.gov also offers guidance for the ICD-10 transition.<br>
If you have previously purchased AMA codes from us, we are in process of importing the data set of ICD-10 codes directly into<br>
your database.  To make sure that you received the ICD-10 import, you can go to the Support tab>Procedures/Diagnosis>Diagnosis.<br>
Select "Code Type:" ICD-10, and click "Search".  You should have over 69,000 ICD-10 codes in your Diagnosis Table. If you are unable<br>
to retrieve ICD-10 codes, please call or e-mail our Support Desk, and we will review and make sure that you have your ICD-10 codes.<br>
We will cover how to add diagnosis codes in this guide.<br>
<br>
'''Payers and patient claims to test'''<br>
<br>
We suggest that you test with your top five payers – a few claims with each payer with a variety of encounter types.  If you have an <br>
EMR (Electronic Medical Record) vendor, you can send test claims via your normal method through your EMR, create your claim with ICD-10 codes<br>
and gather for testing.  If you are not ready to test with your EMR vendor, you can create your claims manually.<br>
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'''Diagnosis Management – Add/Edit'''<br>
<br>
Please select the link below to access the Diagnosis Management Guide:<br>
<br>
http://help.duxware.com/index.php/Diagnosis_Add/Edit <br>
<br>
<br>
'''Payer Setup Option for ICD Level Selection'''<br>
<br>
ICD Level Option in Payer Setup<br>
<br>
Once ICD-10 is fully implemented, the practice will have an option to select the ICD level for payers in their database.<br>
For example, there will be payers that will not be required under HIPAA regulations to process claims with ICD-10 codes. <br>
The Practice Administrator or designated billing staff will need to watch their respective clearinghouse payer list to know which <br>
payers will not accept ICD-10 codes. Once the compliance date has come to implement ICD-10, and a payer does not accept<br>
ICD-10 level codes, you will have to access the payer's setup in DuxWare, and select ICD Level 9 as illustrated in the help link below: <br>
<br>
To access payer setup: Select Support/General/Payer Setup <br>
<br>
http://help.duxware.com/index.php/ICD_Level_Option_in_Payer_Setup<br>
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'''Submitting your ICD-10 test file via the Claim Manager'''<br>
<br>
We suggest that you file all other ICD-9 claims and clear claims out of the Claim Manager when you get ready to test your ICD-10 claims.<br>
If you are a busy practice, some ICD-9 claims may be included in the batch, you can de-select them to remove them from <br>
your test file. <br>
After reviewing and preparing your ICD-10 test claims and payers, you will need to change your ANSI setup (Production/Test) ISA15 from <br>
Production to Test in the Claim Manager.  If you don’t feel comfortable editing the Claim Manager ANSI setup, please call our Support Line<br>
at 1-800-248-4298, and one of our Support Staff will change it for you.  You’ll just have to remember to call us when you want it changed<br>
back to “Production” mode.<br>
<br>
See illustration below:<br>
Select the edit icon for your clearinghouse setup.<br>
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[[File:clmmgredit.png]]
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Select the “Submitter” tab, then change the ISA 15 to “Test”.  Click Save.<br>
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[[File:Submittertab.png]]
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'''IMPORTANT:''' Remember to change the ISA15 back to Production after you submit your test file.<br>
Gather your test file for submission to the clearinghouse. <br>
Remember to de-select non-test claims before creating the test batch.<br>
Select the clearinghouse setup to gather claims for your ICD-10 test file:<br>
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<br>
[[File:Ansisetup.png]]
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<br>
[[File:Select.png]]
<br>
<br>

When you have selected your test claims, you will go through the normal batch creation and submission process.<br>
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[[File:Createbatch.png]]
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<br>
[[File:Createnew.png]]
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<br>
[[File:Submit.png]]
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<br>
[[File:Savefile.png]]
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<br> 
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Once you have saved your test file, you can log in to your clearinghouse, and follow their guide for where to upload your ICD-10<br>
test file for analysis.<br>
<br>
When you have completed creating and submitting your test file you will need to:<br>
* Change your ANSI Clearinghouse setup back to “Production”
* Delete your test claims. (If you don’t delete test claims, it will negatively affect your daily reporting. You can always un-delete.<br>
:the test claim for re-testing.)<br>
* Check the analysis report with your clearinghouse and report any problems to our Support Staff, so that we can assist with a resolution.