Allegheny Messages

A new tool has been added to Main Office Software Version 6033 dated 10/03/16 and to Clinical Point of Care Software Version 2490 dated 10/03/16 to assist agencies with coding/Diagnosis assignment with the ICD 10-CM code set update.  An ‘ICD Check’ (an actual check mark) button has been added to the patient diagnosis screen in the medical information  area and at the bottom of the View screen for OASIS (comprehensive and OASIS Only) and 485 Plan of Care Documents.  The button can also be found inside of the documents on the Diagnosis and Additional Diagnosis tab in the 485 Plan of Care and the M1021, M1023 tab/screen in OASIS documents.

Once selected, the button will open a screen and provide agencies with a summary of Primary, Secondary and Additional Diagnosis assigned.  Warnings will display if a diagnosis is duplicated, if diagnosis used is not valid for the date of the document such as a code invalid as of 10/01/16 was used for a document dated later then 10/01/16.  Diagnosis that no longer are assigned diagnosis groups or switched diagnosis groups for PPS billing will be identified.

Agencies will need to update the main Office and Clinical Point of Care Software prior to October 1, 2016 to receive the updates for the ICD 10 CM code set and PPS Billing Grouper.  Over 5,500 ICD 10 changes were made to the code set and will be effective October 1, 2016.  Agencies will need Main Office software Versions 6028 dated 9/26/16 or later.  Clinicians will need Clinical Point of Care Software Version 2489 dated 9/26/16 or later.  Updates to the grouper for medicare PPS billing are included in the version updates.