This patch includes:
1) an updated list of ICD-10 diagnosis codes effective October 2023, and
2) the availability to send a 276 – Claim Status Inquiry file to eMedNY.
ICD-10 Diagnosis Codes Update
The Centers for Medicare & Medicaid Services (CMS) recently released the 2024 version of the ICD-10-CM files. These recently released files contain information on the ICD-10-CM coding updates for the 2024 fiscal year. These 2023 ICD-10-CM codes are to be used for billing for discharges occurring from October 1, 2023 through September 30, 2024, and for patient encounters occurring from October 1, 2023 through September 30, 2024.
This release incorporates these new ICD 10 diagnosis codes into the CHARTS ICD 10 diagnosis tables.
After loading this update, it is recommended that facilities run a LIST RESIDENT ICD10 CODES REPORT – “LISTICD” [CC, 5, 7] with ‘Print Only Currently Invalid Diagnosis’ set to ‘Y’ to determine which diagnosis codes currently on file will become invalid in October 2023.
276/277 Claim Status Inquiry
HIP5010C [AR, 3, 8, 7] – Medicaid Hipaa 5010 Billing Part II
The ability to send a claim status inquiry file to eMedNY has been added to CHARTS. The 276 Claim Status Inquiry should be sent a few hours after the initial 837 billing has been sent. Shortly after the Claim Status Inquiry is sent, a 277 response file will be available on the eMedNY web site. This file contains a listing of those claims that have been scheduled for payment as well as a listing of claim processing errors that need to be corrected or resolved.
When running the last step of the billing process in addition to the standard MEDHIPPA.TXT file that is created, an option exists to create a 276 Claims Inquiry File. That file will be created in the same directory where the MEDHIPP.TXT file is located. The 276 Claims Inquiry file can be sent to eMedNY a few hours after the 837 billing file was sent.
RESPONSE [AR, 3, 8, 4] – Response Reader
The response file will be available at the eMedNY web site and can be loaded to your server. The process is similar to loading any other output file from eMedNY, such as 999 response files and 835 cash remittances. The RESPONSE program can then be run to produce a detailed report of claims that will be paid as well as a list of claims with errors. The program also allows for a listing of only those claims with errors and the error codes associated with the claim.
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