DONE ?

Task

Instructions

Upgrade to the latest version of DELPHI

 

Note: If you are using "DELPHI In-the-Cloud", YOU DO NOT NEED TO COMPLETE THIS STEP!!!  The cloud version of DELPHI is automatically updated for you.  Otherwise, continue with this step.

Update to the latest version of DELPHI from our web site at www.delphipbs.com.  When updating your version of DELPHI from our web site, please make sure that you first exit the DELPHI software before downloading and installing the newer version.  Also, PLEASE follow the directions provided during the update.  If you updated the DELPHI correctly (and followed the instructions provided to you), then next time you start DELPHI, the version should be dated August 2015 or later.

Up to October 1st, 2015, you will continue to use the existing ICD9 diagnostic codes.  Beginning on October 1st, 2015, each client within DELPHI will need to be assigned the correct ICD10 code.  The correct ICD10 code should be entered beginning October 1st, 2015 in the client information screen for each client.  It would be wise to complete all insurance billing at the very end of September with the existing ICD9 codes before beginning to diagnose with the ICD10.  You simply do not want sessions from September 2015 with ICD9 codes to be mixed with sessions from October 2015 with ICD10 codes. 

*Note:  If you are billing electronically via Office Ally and you decided not to bill your September claims before Oct 1, 2015, then you will have to change the diagnostic codes for September sessions to ICD-10 before uploading them to Office Ally.  This needs to be done in both the Client Information screen, and in the Session History screen for each session.

Import ICD-10 codes

BEFORE Oct1, 2015

Go the the SETUP MENU in DELPHI and select DIAGNOSTIC CODES.  In the lower right corner of the Diagnostic Codes Setup Screen is a button labeled "Import DSM5/ICD10 Codes."  Click on this button and select "Yes" to import the ICD10 codes.  This will add the ICD10 codes to your existing list of ICD9 codes.   Both sets of codes will be required during your transition to the new codes.

*Note:  The ICD10 codes are 99%+ correct, but If you encounter a missing code and/or a description of a code that you disagree with, you can always add or edit diagnostic codes in the Setup Menu under Diagnostic Codes.

Use the correct insurance claim form called the CMS (02-12)

Back in April of 2014, a newer version of the CMS form (02-12) was introduced, which replaced the older version of the CMS form (08-05).  The newer version of the version of the new CMS (02-12) was designed specifically to accommodate the ICD10 codes, which were originally slated to go into effect on October 1st, 2014.  The October 1st, 2014 deadline was extended one year to October 1st, 2015.  Most of our customers began using the NEW CMS form last year, but many of our customers have not switched to the new form.  If you have not switched to the NEW CMS form, you will have to do so immediately and before attempting to bill with the new ICD10 codes. 

In order to use the NEW CMS form (paper or electronic), you will need to go to the Setup Menu under Insurance Carriers and edit each Insurance company to select the NEW CMS form (paper or electronic.)  Additionally, you will need to edit each patient's Insurance Coverage screen to select the NEW CMS form (paper or electronic.)  

In order to aid you with the conversion from ICD-9 to ICD-10 codes, we have added a report to DELPHI which list CLIENTS sorted by PROVIDER OF SERVICE and each of their existing diagnostic codes.  You can print this report by selecting REPORTS -> SUPER REPORTS -> LOAD AN EXISTING REPORT, and then selecting "DIAGNOSTIC CODES SORTED BY PROVIDER".  This report should be handed to the providers within the practice, so that they can complete the task of providing the billing staff the correct ICD10 codes on or before October 1st, 2015.

This requires homework to be completed by a licensed mental health care professional before October 1st, 2015.  Each time a client is seen before October 1st, the licensed mental health care professional should determine the appropriate ICD10 code and share that with their office staff and billing people. 

The important point here is that it is the responsibility of the licensed mental health care professional to complete this step by referencing the DSM-5.  This job cannot be placed on the shoulders of the office staff or DELPHI, neither of which have the credentials for diagnosing clients.  In the majority of cases, there is a one-to-one correspondence between the ICD9 and ICD10 codes.  However, there are many cases where an ICD9 codes could translate to three different ICD10 codes based on a mild, moderate, or severe classification.  Finally, there are many resources on the internet which help provide a "CROSSWALK" between the two sets of codes.  Entering the terms "ICD10" and "crosswalk" into any search engine will list many available resources for potential correlation between the two code sets.  Each of these resources clearly state that they take absolutely ZERO liability for correctly correlating the two code sets.  DIAGNOSING CLIENTS/PATIENTS IS THE SOLE RESPONSIBILITY OF THE LICENSED MENTAL HEALTH CARE PROFESSIONAL.