Agencies will need to obtain Main Office Software version 5824 dated 9/29/2015 and Clinical Point of Care Software version 2364 dated 9/29/15. The ICD 10 Instructions found on the main menu screen have been updated. Previous instructions included direction for two different OASIS and PPS billing scenarios. The update will include directions for additional OASIS and PPS billing scenarios in the form of a billing chart.
Please note, Start Of Care episodes with a Start of Care date 9/27 thru 9/30 and a M0090 date as the date the assessment was completed as 10/1/15 or later will need to be in ICD 10 format. These assessments will need ICD9 Billing Override codes populated for RAP billing. ICD 9 Billing Override codes data entry fields may be found in Edit PPS billing screen for the assessment or in the Changes button for the assessment that can be found in the View screen. Recertification assessments completed (M0090 date) 9/27/15 thru 9/30/15 whose certification period is 10/1/15 or later will need to be in ICD 9 format. The ICD 10 Transition codes will need to be completed for these Recertification assessments and will be used for RAP and Final claims.
Please monitor Allegheny messages for notification of software version updates over the next week as we continue with the transition to ICD 10 to ensure your agency software is updated to accommodate any additional programming changes.