CHARTS Patch090 Documentation

 

Patch090– July 2015 Update - Complete CHARTS Release

 

The update includes: 1) instructions on migrating to ICD 10,  2) updates to 270/271 eligibility reporting to eMedNY and CMS and 3) instructions for entering information related to Employer Provided Health Care Coverage required for 2015 IRS reporting.



Migrating to ICD 10



Effective October 2015 the health care world is moving to ICD-10 for diagnosis coding.

With this deadline less than 3 months away, facilities are encouraged to actively start entering ICD-10 codes for all residents currently in the facility and for all new admissions to the facility.

ICD-10 Overview:

General notes about the change to ICD-10:

The CHARTS Transition to ICD-10:

 

Diagnosis Entry ICD-10:

Change Resident ICD-10 Codes [CC, 5, 5]

The fields are the far right of the screen are used to indicate - 'A' - Use in Part A / R&B bill, 'B' - Use for Medicare part B bill, 'CL' - Use for clinical reporting. Mark 'Y' or 'N'.

Note that if left blank - the ICD-10 code will be used in all instances - that is, for Part A, Part B and in all clinical reporting. 

 



General Equivalence Mappings (GEMs)



RHS has made use of  the GEMs code set to create a report that can be used to assist the facility in the conversion from ICD-9 to ICD-10.

Mappings between ICD-9 and ICD-10 will play a critical role in the successful transition to ICD-10. The Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention created the General Equivalence Mappings (GEMs) to ensure consistent national data when the US makes the transition.

The GEMs act as a translation dictionary to bridge the language gap between ICD-9 and ICD-10. They help users understand, analyze, and manage the translation of one code set to the other. They also help users create their own applied mappings as needed.

The GEMs are more complex than a simple one-to-one crosswalk. They reflect the relative complexity of the code sets clearly so that applications that use them can be managed effectively.

The GEMs were developed to serve a specific, limited, short-term need—to allow the industry to migrate systems, applications, and data from ICD-9 to ICD-10. They are intended to be used primarily for translations of code lists or code tables used by an application or other coded data when codes in one code set are the only source of information.

The GEMs are not intended to be a substitute for using ICD-9-CM and ICD-10-CM/PCS directly. The code sets should be used to look up the applicable codes if the health record or the clinical terms describing a diagnosis or procedure are available.

The report can be accessed by typing GEMS from any menu [CC, 5, 6]. 

 



Eligibility Verification (270/271) - Medicaid NYS and Medicare



Eligibility checking  Medicaid (eMedNY) or Medicare (CMS) 270/271 - ELIG270 [AR, 3, 8, 8]

The Medicaid (eMedNY) eligibility verification program has been updated with the following enhancements since earlier releases:

 

The Medicare (CMS) eligibility 271 Excel file has been updated with the following enhancements:



Affordable Care Act (ACA) Employer Reporting Requirements



Under the Affordable Care Act starting in 2015 (for filling in 2016) large employers are required to provide information statements to employees and to provide information returns to the IRS that contain details about employees' health care coverage benefits.

Statements to employees must be provided annually by January 31st. IRS forms must be submitted when filing on paper by February 28th or March 31st when filling electronically.

Facilities are encouraged to contact their accounting or legal advisors so that they become familiar with the new reporting requirments.

This update contains a preliminary release of the screen that can be used to enter data that is required for reporting purposes.

ACA- Employee Offer and Coverage [PR, 8, 9]