Medisoft Version 18 from McKesson
ICD-10 Readiness at 5% OFF.
New Features in Medisoft 18
Medisoft Mobile for the Apple iPad or iPad Mini, iPhone or iPod Touch.
HIPAA X12 Version 5010 (ANSI
These changes include new windows/tabs, restructured windows or moved fields, menu changes, new fields, additional options, and other changes.
New Windows or Tabs
Edit Claim window, new EDI Note tab (for Claim level
Restructured Windows and Moved Fields
Several fields have been moved, and windows have been restructured and rearranged to accommodate the moved fields.
Allergies and Notes, as well as EDI Notes, have been moved to the Comments tab of the Case window.
Condition Codes have been moved from the UB04 window, FL 4 to 41 tab to the Condition tab of the Case window to accommodate changes that allow condition codes to be used in professional claims. Condition Codes will not be copied if the user uses Copy Case.
Additional Diagnosis Codes: The program now allows you to have up to 12 diagnosis codes for a case. The following fields and windows are affected:
Program Options, Data Entry tab: Number of diagnosis codes can now be set from 4-12.
Transaction Entry: You can now have columns for up to 12 diagnosis codes, as well as up to 12 column check boxes to specify if the code is being used for that procedure.
Unprocessed Transactions: You can now have up to 12 columns for diagnosis codes on the List window, as well as the Edit window.
Case Window, Diagnosis Tab: You can now have up to 12 default diagnosis fields.
Patient/Guarantor, Name, Address Tab, Sex Field: Added the option Unknown
Case Policy 1, 2, and 3 tabs: Relationship to Insured has several new options.
Case Window, Condition Tab: First Consultation Date field is now called Initial Treatment Date.
Case Window, EDI Tab: Timely Filing Indicator field is now a drop-down instead of a free-form text field.
Case Window, EDI Tab: The EPSDT Referral Code field is now a drop-down.
Insurance Type Code: Removed this field from the EDI tab on the Case window.
Claim Filing Indicator Code: Added four new items to the drop-down:
Dental Maintenance Organization
Federal Employees Program
Other Federal Program
Commercial Insurance Co
Relationship to Insured: Items in the list have been rearranged so that values valid for ANSI 5010 are on top and legacy values for ANSI 4010 are on the bottom.
Timely Filing Indicator: This is now a drop-down with preset values, to ensure that a valid value is always selected.
Revenue Management ERA Changes to
Meet ANSI 5010
Updates to the 5010 RelayHealth IG. These updates include:
For the 835 IG, the TRN02 element has increased size to a maximum of 50 characters.
The N407 element (Country Subdivision Code) in Loop 1000A AND Loop 1000B has been added to the 835 IG. It is situational and has a maximum length of 3 characters. It is required when the address is not in the United States of America, including its territories, or Canada, and the country in N404 has administrative subdivisions such as but not limited to states, provinces, cantons, etc.
Several new elements for Loop 1000A (Payer Identification) in the 835 IG that are not active yet but must be added. In this way, if they are received, the ERA will not be discarded.
The reports include:
Appointment Eligibility Analysis - Detail
Appointment Eligibility Analysis - Summary
Electronic Claims Analysis - Detail
Electronic Claims Analysis Summary
Each of these reports offers several filters for controlling the information that shows. In addition, several summary values appear on each report so that you can see the information at a glance.
Enhancement: Audit Reports
The following types of information are included as part of the audit reports:
Custom reports, including claims and statements
When printed from either Transaction Entry or Statement Management, but not the Report menu or Report Designer, the audit reports include.
Office Hours data
Final Draft reports or data printed or saved to disk
Within Medisoft, you can control several aspects of what prints on your statements, including which credit cards you accept, service messages you want to print, printing of account summaries and aging, and printing up to six messages to appear on statements. For more information, go to the Program Options - BillFlash tab.
Options on the Activities, BillFlash menu allow you to enroll with BillFlash, view and approve statements that have uploaded to BillFlash, see your account settings at www.BillFlash.com, and view reports such as the Disposition report. Each one of these menu options will open a different page on the BillFlash website.
The following windows in Medisoft have quick access to the eView page of the BillFlash website via a new View eStatements button. (In addition, when a patient is selected and Ctrl + F7 is clicked, the eView page will open for any statements for that patient.)
Enhancement: Revenue Management
Claims will be auto-checked so that the user does not need to click Check Claims. There is a new option on the Medisoft tab in Revenue Management Preferences called Auto Check Claims. Selecting this option will enable the program to auto check the claims when the user selects Process > Claims.
Claim edit checks and Implementation Guide (IG) edit checks have been combined into one step and executed when you select Claims from the Process menu. Errors are displayed on the Claims Preview report, as well as under each individual claim.
One click removal of all claims marked with a red X has been added, eliminating the need to click Remove Claim many times. A red X icon appears next to the Remove Claim button on the Claim Preview window. Clicking this icon will remove all claims marked with a red X.
A Failed Claim report has been added that will be displayed when the Send button is selected from the Claim Preview window. This report will display all claims that were removed, eliminating the need to preview this report separately.
Claims that fail any edit and are removed from the transmission file will be written back to Medisoft and the status in Medisoft changed to Alert. Denial information will be written to the History tab in Revenue Management and the Comments tab on the Claim window in Medisoft.
The OK button that is displayed after clicking Send from the Claim file saved message has been removed. The Transmission Has Been Received button that displayed after the file was sent/received has been removed.
Revenue Management Configuration
and Setup Changes
Eliminated the Alias table for ERA processing. The user will not need to choose the practice or payor information for ERA processing. Instead, information from the ERA file itself is used to process the ERA file. The Pay To field from Loop 1000B (practice or provider) and the Payer Name field from Loop 1000A Segment N102 (payor information) directly match the information sent out on the claim and will be used, eliminating these steps.
Allow the user to edit the Receiver table directly, bypassing the wizard. Certain sections of the table remain locked, however.
Allow the user to log in to Revenue Management automatically from Medisoft.
Simplify the setup of ERA.
Assign Posting codes will be populated by default with the appropriate
payment codes that reference carrier-specific codes in Medisoft. In
addition, there is a set of default ERA posting defaults in the Remit
Posting Code window in Revenue Management. If Use Insurance Posting
Codes is checked and there are no carrier-specific codes, these new
Default Posting Codes will be sent.