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With the looming Oct. 1, 2015, deadline approaching that will require all medical professionals to start coding using ICD-10, using the right software can simplify the process. Because electronic health records (EHRs) and practice management software can automatically generate and transmit the correct ICD-10 information, Vision Monday asked the following software providers to share what they are doing to help eyecare professionals make the transition as smooth as possible:

MaximEyes from First Insight
We’ve been ICD-10 ready since August 2014 and made it easy with our intuitive ICD-10 Selection Tool, which provides dynamic search capabilities for both ICD-9 and ICD-10 codes. It automatically prompts the user for modifiers when necessary, and the Google-like search on a word or number allows the user to quickly find codes. It cross walks the user from the ICD-9 to the proper ICD-10 codes.

Compulink
As Compulink migrates practices from ICD-9 to ICD-10 diagnosis codes, we will: Ensure our Advantage EHR and practice management software supports ICD-10 well before the Oct. 1 cutover date to give staff the time to practice and train. Participate in industry ICD-10 events and test with all our electronic data interchange clearinghouses and payers to ensure readiness.

Update our Advantage EHR to ensure continuity of patient care, including tools for accurate documentation and coding. Our goal is for our product to automatically determine the correct ICD-10 codes. Provide the ability to enter both ICD-10 along with legacy ICD-9 codes to ensure claims can be processed by those payers who do not yet support ICD-10. Provide training and support to make the transition. Put procedures in place to ensure minimal disruption and financial impact to your practice.

MaximEyes EHR’s intuitive ICD-10 Selection Tool helps users convert diagnosis codes.
Uprise from VisionWeb
Uprise was built on ICD-10, so there isn’t any need for conversion with our system. It’s also automatically mapped back to ICD-9, so there’s literally nothing for the practice to do differently between now and Oct. 1 with our system. There is no change in workflow whatsoever. We also built Uprise to help simplify the documentation for the doctor and ensure that the documentation supports the increased specificity demanded by ICD-10. We had the benefit of knowing that it was coming when we were in development so we went straight to ICD-10 from the start.

My Vision Express from Insight Software
We have successfully tested ICD-10 code claim submission and included enhancements to streamline the diagnosis selection. We have applied the crosswalk concept by introducing the reversible option of translating all ICD-9 codes to their ICD-10 equivalent. Our electronic medical record (EMR) software is smart enough to pull in the correct diagnosis code based on the location of the documented finding.

The diagnosis search tool in the EMR gives the user access to both code types in one window and can be searched by its former ICD-9 code or by description. Additional information such as diagnosis history and a favorite diagnosis list can be viewed in this window. This same search tool can be accessed for our practice management customers and can be submitted electronically or printed on the updated CMS 1500 forms.

Optometrists can choose ICD-10 codes using Acuitas activEHR’s Code Selection Tool.
Eyefinity from VSP Global
The change to ICD-10 impacts every part of the office, and since education, awareness and product readiness are the three primary areas of focus for VSP Vision Care and Eyefinity, some of the things we have done to date include: Creating an ICD-10 resource center, which includes FAQs, industry updates, tips on preparing, and ICD-10 specific webinars. Producing a video overview, sharing with providers what’s changing due to the switch to ICD-10. Eyefinity is also conducting webinars specific to preparing for ICD-10.

Acuitas activEHR from Ocuco
Our mandate was to maintain the providers’ current workflow, introducing a minimal learning curve during the transition over to new coding. The Acuitas activEHR application will aid with correlating findings during a patient’s visit with a filtered list of ICD-10 CM codes to select from. The tubular and alphabetic indexes are always available to widen the search when necessary. A “favorite” list can be used by a provider to filter through the 68,000 codes. The medical industry has put great emphasis on making sure the “principal” (first) diagnosis code is accurately documented and so have we with associating instructional notations to codes for easy guidance. The notations will advise when “additional codes” are required, cross-reference a principal code as “code first” and provide all exceptions.

Practice Director from The Williams Group
To prepare Practice Director for the ICD-10 change, we made updates to a few specific areas. First, we added a Code Info Icon to allow customers to research the specific code to ensure its correct selection. We also built in functionality to make frequently used codes “favorites” for quicker future selection. Five new training videos explain in more detail how to use the new coding system and how Practice Director makes it easy and fast to select the right codes. We recommend that your office manager or billing manager be fully trained on ICD-10 codes prior to the deadline to ensure a smooth transition.

RevolutionEHR
RevolutionEHR embedded ICD-10 codes in the infrastructure of the system in 2014. A methodical, increasing presentation of the codes is being staged throughout the summer of 2015. First, users will see their “Common ICD-10 diagnosis list” populated with those ICD-10 codes that match the historical ICD-9 codes in their system. Then they will see an automated conversion of ICD-9 codes that are assigned to patient records in instances when one-to-one mapping is available. In other cases, they will be provided an easy-to-use conversion display that automates the most likely matches for historical patient diagnoses to allow for the most efficient transition from ICD-9 to ICD-10. Finally, each patient examination will have an increased level of auto-diagnosis codes captured in a “Today’s Findings” list that allows the doctor to quickly review pertinent positives from the visit for creation of assessments and associated care plans for the patient’s go-forward care.