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Version 19 using the electronic billing option

Posted: Wed Aug 19, 2015 3:24 pm
by RICKEYMIKE
Upgraded last year in time for the 2-12 format. Been sending my claims electronically to my clearinghouse without a problem. Now that I want to test with the clearinghouse for icd 10, I'm finding out that the electronic batch file that I create and save (text file) is not compliant. When I open the raw data file, the claims are in the old 1500 format. Apparently Medisoft did not update this area. Paper claims print fine. Is there some fix so that I can send claims after 10/1 or do I have to ditch V19 or send ALL claims by paper.

Re: Version 19 using the electronic billing option

Posted: Wed Aug 19, 2015 4:45 pm
by Gavin Walker
You are sending print image claims. You need to switch to ANSI 5010 claims. You can work with a VAR who can set this up for you. We can setup ANSI 5010 claims for Medisoft or Lytec. Just browse here and select Revenue Management Setup.

Re: Version 19 using the electronic billing option

Posted: Thu Aug 20, 2015 12:36 pm
by RICKEYMIKE
Gavin, I submitted a test file using my usual method.
The results from my clearinghouse states:

"Adjusted old hcfa format scanner to allow for icd-10 codes."
You can send your ICD-9 codes as normal and when ICD-10 hits you should be good to go!

Does this look like I'm OK for Oct 1? When you say you can setup ANSI 5010, are you saying you can go into my Medisoft and change something that will allow print image files to generate in the new 2-12 format? Or are you talking about additional software that I would use to send claims. I've heard of the software called "SIMPLE" that a local vendor is touting as a fix. But it comes with a $500 price tag.

Re: Version 19 using the electronic billing option

Posted: Thu Aug 20, 2015 3:39 pm
by Gavin Walker
You need to switch to ANSI 5010 claims. Print image will continue to send ICD-9 codes after the cut-over date and your clearinghouse can't up code ICD-9 to ICD-10. Save your money on Simple837, Medisoft already comes with the software you need. It just needs to be setup. Follow the like I put on the previous post if you need us to set it up for you.

Re: Version 19 using the electronic billing option

Posted: Fri Aug 21, 2015 10:50 am
by RICKEYMIKE
Gavin, On my test file, the icd-10 codes are coming out on the raw data image but the pointers are still 1,2,3,4 instead of ABCD. Print image is NOT sending ICD-9 codes. This is when I "print/send" electronic claims, then save to a text file.
If I change from "electronic" to "paper" claims, hit print/send, then "export" file and save, the raw data file is in the 2-12 format with the ABCD pointers. So I have two choices to send to my clearinghouse. I don't believe that I have "Revenue Management" If you have the time, can you give me a call so that I can understand further. My email is rickeymike at aol dot com

Re: Version 19 using the electronic billing option

Posted: Mon Aug 24, 2015 4:13 pm
by Gavin Walker
I will email you the Rev. Mgmt. Manual.

Re: Version 19 using the electronic billing option

Posted: Tue Aug 25, 2015 7:28 pm
by RICKEYMIKE
Gavin, I sent a test batch with ICD-10 codes to my clearinghouse. They said that I was good to go and they would handle any conversion of data on their end. I even called them again to make sure of what they told me and they said it was guaranteed. So at least for the forseable future I should be OK. Thanks, Rickey

Re: Version 19 using the electronic billing option

Posted: Wed Aug 26, 2015 12:46 am
by Gavin Walker
Hi Rickey, I tried to email you but it bounced back saying the AOL email service was unavailable. They are quite touchy about spam, so you can try white-listing our domain - medtechsys.net and it might go through. Otherwise, do you have another email we can use?