The countdown to October 1, 2015 continues as we all wait to see if the implementation of ICD-10 really happens or not. Many of you have been using the ICD-9 code sets when billing medical insurance for procedures like TMJ, sleep apnea, and trauma. However, we are now seeing the use of diagnostic coding in the adoption of EHR and practices that are billing Medicaid. After October 1, we are going to see many more requirements for diagnostic coding. So how can you prepare?
- Find out if your practice management software will be ready for ICD-10 by October 1. This is critical if you have already been including diagnostic codes on your claims because the insurance providers will start denying claims without ICD-10 after October 1. I reached out to the Dentrix product manager and Dentrix G6.1 will be ready for ICD-10 … but you will still be responsible for adding the codes into the system.
- Make sure you are using the ADA 2012 claim form because it has been upgraded to accommodate diagnostic coding. Within Dentrix, you can use the DX2012 or the DX2012F claim form to add diagnostic codes. Email me directly at email@example.com if you would like an instructional PDF from the ADA on how to fill out the claim form.
- Check your state Medicaid requirements to find out what diagnostic codes will be required. If you are already billing Medicaid, you are already familiar with the ICD-9 coding and hopefully you have already been informed about the looming October 1 deadline. Email me directly if you need more information about Medicaid requirements.
- Start asking the insurance payers if they will pay for additional services if you are submitting the proper diagnosis codes. Many dental plans are now paying for additional preventative cleanings because of the direct relationship between periodontal disease and diabetes and heart disease.
As I get more information about his topic, I will keep you informed as much as possible. However, you can do your own research by clicking on the links below. Also, email me if you would like any of the information I discussed in this blog.
CLICK HERE for ICD and CDT Coding Examples, you must be an ADA member to use this service.
CLICK HERE for the definition and final release from the CDC
Dayna loves her work. She has over 25 years of experience in the dental industry, and she’s passionate about building efficient, consistent, and secure practice management systems. Dayna knows that your entire day revolves around your practice management software—the better you learn to use it, the more productive and stress-free your office will be. In 2016, Dayna founded Novonee ™, The Premier Dentrix Community, to help cultivate Dentrix super-users all over the country. Learn more from Dayna at www.novonee.com and contact Dayna at firstname.lastname@example.org.