ICD 9 codes missing in HCFA
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ICD 9 codes missing in HCFA
In Medisoft V20, set default code set to ICD-10 with effective date of 10/1/15 for all payers.
For a date of service before 10/1/15, HCFA claim file generated using 'Claim Management', 'Print/Send' button
has no ICD codes at all, neither ICD 9 nor ICD 10. Positions which have diagnosis codes are all blank.
However, the same claim when generated as paper shows correct ICD 9 codes as expected.
I would like to find out if there is any workaround to get the generated HCFA file have ICD 9 diagnosis codes.
I am using 20.0.2.68 build of Medisoft Version 20.
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Re: ICD 9 codes missing in HCFA
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788
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Re: ICD 9 codes missing in HCFA
gets uploaded to the clearing house.
The way the HCFA file is generated is as follows:
Open 'Claims Management' window.
Click on 'Print/Send' button.
On the window that comes up, choose the 'Electronic' radio button and click on 'OK' button.
On the next window that comes up, click on 'Create File' button.
This should dump all claims in 'Ready to Send' status into the supplied file name.
ICD 9 codes are missing in this generated file. It is not that I don't know where to look for
diagnosis codes in the generated file, the submitted HCFA file was rejected by the clearing house
because of no diagnosis code for any claim in the contained file. For the first claim inside a HCFA file,
diagnosis code start in line 37 and line 37 is blank now.
Building the same claim in paper works fine and shows ICD 9 codes.
What is broken is the generated HCFA file for electronic processing.
The only workaround I can think of is to submit everything by paper instead of
clearing house.
Is this a known problem with Medisoft V20?
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- First Paid On ICD-10
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Re: ICD 9 codes missing in HCFA
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Re: ICD 9 codes missing in HCFA
enabling ICD10 as default code set and setting any date for ICD 10 migration.
This is most likely a problem after doing ICD10 migration in Medisoft, does not
matter V19 or V20.
I wanted to undo the ICD10 migration to see if the problem goes away, but
'Tools/Services/Set ICD Version' window has
'ICD-10 Effective Date' grayed out indicating ICD 10 migration is a one way path.
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- Location: Springfield, MO
- Contact:
Re: ICD 9 codes missing in HCFA
Support Team
MedTech Medical Management Systems
3058 S Delaware Ave
Springfield, MO 65804
Ph: 417.890.6777 | Fax: 417.890.6788
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- Joined: Fri Oct 02, 2015 11:24 am
Re: ICD 9 codes missing in HCFA
ravi wrote:The ICD9 codes are missing not in some custom claim report, but in the generated HCFA claim file itself which
gets uploaded to the clearing house.
The way the HCFA file is generated is as follows:
Open 'Claims Management' window.
Click on 'Print/Send' button.
On the window that comes up, choose the 'Electronic' radio button and click on 'OK' button.
On the next window that comes up, click on 'Create File' button.
This should dump all claims in 'Ready to Send' status into the supplied file name.
ICD 9 codes are missing in this generated file. It is not that I don't know where to look for
diagnosis codes in the generated file, the submitted HCFA file was rejected by the clearing house
because of no diagnosis code for any claim in the contained file. For the first claim inside a HCFA file,
diagnosis code start in line 37 and line 37 is blank now.
Building the same claim in paper works fine and shows ICD 9 codes.
What is broken is the generated HCFA file for electronic processing.
The only workaround I can think of is to submit everything by paper instead of
clearing house.
Is this a known problem with Medisoft V20?
-
- Posts: 6
- Joined: Fri Oct 02, 2015 11:24 am
Re: ICD 9 codes missing in HCFA
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- Posts: 6
- Joined: Fri Oct 02, 2015 11:24 am
Re: ICD 9 codes missing in HCFA
- Gavin Walker
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- Joined: Wed Apr 04, 2007 10:11 pm
- Location: Springfield, MO
- Contact:
Re: ICD 9 codes missing in HCFA
We recommend switching to ANSI 5010 claims using Revenue Management which supports ICD-10.
Walker Tek Solutions, LLC
417-890-6777 x0
fax: 417-763-6386