Medical Billing Forum

Coding => Coding => Topic started by: rdmoore2003 on November 04, 2010, 11:12:35 AM

Title: 5010 changes
Post by: rdmoore2003 on November 04, 2010, 11:12:35 AM
Does anyone have an update of the 5010 changes? 
Title: Re: 5010 changes
Post by: oneround on November 04, 2010, 05:56:50 PM
Anything in particular?  We begin our implementation almost a year ago and s/b be ready for the 2011 implementation.
Title: Re: 5010 changes
Post by: rdmoore2003 on November 05, 2010, 02:22:09 PM
Has the date changed?   The info that I have shows 2012.   Please HELP with anything you have.
Title: Re: 5010 changes
Post by: oneround on November 05, 2010, 03:07:32 PM
typo, my apologies.  Our tranisition begin alomst a year ago and we will be running mocks thoughout 2011 for the Jan. 2012 full swing conversion. I have a couple of PP's on the 5010/ICD-10 factors that can give you an overall consenses.  give me a day or two and I'll pull them off my drive and forward them.  I do knoew that the AMA site has some good 5010 info on this also.
Title: Re: 5010 changes
Post by: rdmoore2003 on November 10, 2010, 02:41:16 PM
ok great.   It would be very helpful.   I have been doing alot of searching and everything I find is different than the last information.   I just need a break down of the new changes.   Some sites are stating that new code books for icd-10 version isnt even complete and revisions are being done until 2011.    Our Tech Support on our programming isnt being very helpful, either.   They are basically waiting until the last moment and that is going to be a "not so pretty picture with the providers."
Title: Re: 5010 changes
Post by: PMRNC on November 11, 2010, 06:24:54 AM
You don't want to wait until last minute, there are MANY online courses and courses being offered for ICD 10 implementation, providers should have already gone through this and if not they should be doing it now!
Title: Re: 5010 changes
Post by: rdmoore2003 on December 27, 2010, 11:50:55 AM
Do you have any suggestions for online courses.  I have went through a couple different ones, however, I continue to get different (confusing) information.    One course says one thing another course says something completely different (from out of left field)   
Title: Re: 5010 changes
Post by: Buglet10 on June 18, 2011, 10:27:36 AM
I am very interested in the best and latest courses for 5010 conversion and ICD changes.  I use Therapist Helper and they, as yet, have not come up with changes in their software.  They say later in the summer they will.  I don't totally understand the changes yet (I know why they're changing just not what the changes will be). 
Thanks,
Pati
Title: Re: 5010 changes
Post by: Michele on June 20, 2011, 06:30:41 AM
I am not aware of any courses on the 5010, just that software must be ready.  I'm surprised they are waiting to so close to the deadline.  Are they currently testing?  But just not going to put out the updates until testing is complete?
Title: Re: 5010 changes
Post by: Buglet10 on June 22, 2011, 04:40:26 PM
I'm not sure.  Do you mean internal testing at Therapist Helper themselves.  I hope they are.  I'm really suprised that they are letting it go so close to the time also and am worried about learning and testing for myself in such a short time.   I do billing at a therapy office and then billing at home also so I hope it's not too big a learning curve.  I always get so nervous about these things.
Title: Re: 5010 changes
Post by: Michele on June 24, 2011, 08:26:34 AM
Yes, internal testing.  It shouldn't be a learning curve for you.  It's more of an internal change when the batches are created.
Title: Re: 5010 changes
Post by: mom4td on June 24, 2011, 05:56:39 PM
There is a lot of info. On the AMA website.  I found this webinar helpful:  http://www.getready5010.org/

Cheri Freeman, CMRS

Title: Re: 5010 changes
Post by: Buglet10 on July 22, 2011, 08:05:05 AM
I recently contacted therapist helper, my software company, and they told me that they were not ready yet for 5010.  The man then went on to tell me that they mental health billing does not need to be 5010 compliant until 2013.  I told him I didn't think this was right but he was adamant.  I told him that was for icd 10 but not 5010.  Does anyone know anything about this?  Anyone using Therapist Helper with news on this?
Thank You,
Pati
Title: Re: 5010 changes
Post by: pattil88 on July 23, 2011, 11:02:49 AM
He needs to visit the website Cheri mentioned above. The 5010 format is effective 1-1-12 - it contains the format changes necessary to begin submitting ICD-10 codes effective 10-1-13. There are other changes in the 5010 format that should be tested that affect all claims - including mental health. Things like no PO boxes in the Billing Provider field, zip+4 address requirements, patient/subscriber being the same, etc. They're all explained in greater detail on the getready5010 website.
Title: Re: 5010 changes
Post by: Michele on July 24, 2011, 07:42:35 PM
I haven't heard of any exceptions based on specialty.  Anybody else??   ???
Title: Re: 5010 changes
Post by: rdmoore2003 on July 25, 2011, 12:02:38 PM
As far as I know,  this is required across the board.    (fyi: this is one reason why we got rid of therapist helper)
Title: Re: 5010 changes
Post by: pattil88 on July 26, 2011, 06:44:46 AM
I haven't heard of any exceptions either - basically any service that's currently billed through the 4010/4010AA electronic format has to be reformatted to meet the 5010 requirements. Most practice management software vendors/clearinghouses should be able to translate them with little difficulty. (Of course, where have we heard that before??!!) That's why so many are promoting testing now - even though the payer side seems a little slow to adopt the new standards.
Title: Re: 5010 changes
Post by: PMRNC on July 27, 2011, 02:41:12 PM
Yet one of the many reasons I don't like Therapist Helper..  they are wrong. They need to be compliant. PERIOD. All NON 5010 transactions will be rejected after 1/1/2012.

"Practices that perform one or more of the HIPAA transactions electronically, such as submitting a claim, or checking a patient's eligibility, or rely on a billing service and/or clearinghouse to do this on their behalf is effected by this change".

Now this is ONLY my guess.. but Therapist Helper uses DSM codes.. <g> it's my guess that MAYBE they are saying or think it won't effect them? But.. as I tell my providers over and over..throw away your DSM books, they are completely worthless for billing purposes.  AGAIN..this is JUST my guess.. not for me to say why they think they don't have to be ready.
Title: Re: 5010 changes
Post by: Buglet10 on July 28, 2011, 09:46:30 AM
T.hanks so much for all your help.  One of the therapists I work with is great at dealing with problems so I will have him call therapist helper right away.  I, too, will be calling.  I thought this sounded crazy and now know it is.  Thanks everyone.