BlueCross BlueShield of Tennessee

Transcription

1 BlueCross BlueShield of Tennessee ICD-10 Program Provider Testing Desk-Level User Guide Version 2.4 7/15/2014 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association

2 Overview Welcome to the BlueCross BlueShield of Tennessee ICD-10 Professional Provider Testing activity and thank you for your interest in testing with us! This user guide has been designed to provide you assistance with completing the tests in a straight-forward and efficient manner. The guide is divided into three distinct sections; Registration, Preparation, and Execution. Each section presents recommendations or step by step instructions to guide you as you work through the testing activity. Each test presents a unique combination of health care encounters, in a format which allows Providers to enter ICD-10 codes which they would submit if presented with similar cases. The answers will be entered free form versus a multiple choice format. Responses will be evaluated within our test infrastructure and results will be presented back to the Provider. Tests will be Provider type and specialty specific to ensure that we are presenting health care encounters which are relevant to each Provider. Each test will be cataloged and cross referenced to the BlueCross BlueShield of Tennessee test infrastructure components associated with the unique health care encounter. This will allow us to process responses quickly as we have already completed the backend tasks associated with each test. Before you start Prerequisites to completing the test successfully include ensuring that the resources that will support this activity have the necessary training and tools. ICD-10 training for coders can be acquired via several different routes from a variety of industry and professional training organizations. BlueCross BlueShield of Tennessee does not endorse any specific vendor as each Provider likely already works with a combination of national and state level associations and vendors as part of their current ICD-9 coding activities. ICD-10 tools which are traditionally used by coders can also be acquired from both industry associations and thru professional vendors. While BlueCross BlueShield of Tennessee does not endorse any specific vendors, we do recommend that the resources that will support the medical scenario testing have ready access to ICD-10 coding manuals and others tools normally used in their day-to-day activities. Page 2 of 17 Version 2.4

3 Table of Contents ICD-10 Provider Testing User Guide 7/15/2014 Registration Registration Process... 4 Preparation Getting Started... 7 Viewing the Instructions... 7 Printing your First Scenario... 8 Execution Returning to the Site... 9 Questions, Comments, and Concerns Entering your Codes Not a Valid Code Troubleshooting Proceeding to the Next Narrative Comments & Remarks Review & Submit Viewing your Final Reports Page 3 of 17 Version 2.4

4 Registration In order to participate in the ICD-10 Professional Provider Testing activity, providers need to register with BlueCross BlueShield of Tennessee through the Provider Testing Registration Tool. The registration process consists of the following activities: Once you access the site, you are presented with the Provider Registration Landing Page. To start the registration process, select the Begin button. The next step is to select the specialty or specialties that your organization would like to test. To select multiple specialties, hold down the ctrl key. Once you have all of your selections highlighted in blue, select Submit to continue. Page 4 of 17 Version 2.4

5 After selecting Submit, the next page requires you to enter your necessary information for the specialty listed. Once you have filled out the form, select Submit for processing. You have now successfully registered for your first specialty. If you have chosen multiple specialties, select Register Another Specialty / Participant, and repeat the previous step (your information will be saved, provided you select the box marked Apply Current Organization Information ). Once you have finished, you may exit the tool by selecting Exit Page 5 of 17 Version 2.4

6 Note: If you have not received a received an for each registered specialty within 1 hour, be sure to check your spam folder. Page 6 of 17 Version 2.4

7 Provider Testing User Guide Once you have completed registration and received your unique web address via , you may now access the site to begin completing scenarios. The first thing to do is familiarize yourself with the site. Click View Instructions to start. Here is an example of the Instructions page. Again, we advise that you read this thoroughly before starting. Page 7 of 17 Version 2.4

8 After you have read the initial instructions, the next step is to print the scenarios out and complete your ICD-10 code research outside of the tool. Click on the first available scenario to begin. Next, click on Printing, located on the left-hand side. Page 8 of 17 Version 2.4

9 You are now presented with the print view of the scenarios. Select File -> Print (right-click / Print Preview ), or Ctrl + P on your keyboard. It may be necessary to change the print orientation from portrait to landscape. Once you have printed the available scenario, we advise that you now exit the site, and complete your research for the ICD-10 codes. Once you have completed your research, return to the site using the URL provided, and again clicking on the first available scenario. Page 9 of 17 Version 2.4

10 Before you begin, If you have any questions, comments, or concerns, feel free to us at or through the Us link in the Resource Information area in the lower left portion of the website. In this area, you can also access the CMS and HIMSS sites. Once you have finished your research for the ICD-10 codes, and are ready to input your data, click Begin to start. Note: You can also start inputting data by selecting one of the narrative hyperlinks located on the left-side column. Page 10 of 17 Version 2.4

11 To enter the ICD-10 codes associated with a specific narrative, click on the field next to the green plus icon Enter your first code. Page 11 of 17 Version 2.4

12 Click the icon to add the code (or hit Enter on your keyboard). Repeat this process until all codes have been entered. Note: Please enter the Primary Diagnosis Code for your first narrative entry Page 12 of 17 Version 2.4

13 Repeat this process until all codes have been entered. This will be repeated until all narratives are complete. The current narrative will be highlighted in yellow in the left navigation. If a code is invalid, a Not a Valid Code message will appear. To remove the invalid code, click the red minus icon. You can re-enter the corrected code by clicking the field, typing the new code, and clicking the green plus icon (or Enter key). Note: You will only be able to continue / submit your scenario after all invalid codes are removed or corrected. Page 13 of 17 Version 2.4

14 Once you have entered all of your valid codes for the narrative, you may continue. Click Next to proceed to the next narrative. Alternatively, you can go back to your previous narrative by clicking the Previous button. Note: By clicking Next, your work up to that point will be saved. You are now able to leave the website and return with your entries intact. Continue completing entry for all three narratives. Feel free to make remarks for each one in the specified text field. Page 14 of 17 Version 2.4

15 Once you have completed all three narratives, clicking the Next button on your third narrative will present you with a Review & Submit page. Select the Submit button to enter your responses, or click Return to specific narratives for any corrections. select the Submit button to enter your responses, Page 15 of 17 Version 2.4

16 Once you have completed a scenario, you will be able to view a report showing your entries and how they compare to other providers. To view this report, go back to the initialization page and select the Available link next to your completed scenario. Page 16 of 17 Version 2.4

17 You will now be taken to a separate page which shows a summary for each narrative, the number of total respondents, and a graph showing your answer vs. other responses for the primary diagnosis code. Note: These reports will only be available after you successfully complete and submit a scenario. If no data is contained in the report, this indicates that no provider has submitted responses for the selected specialty. Please check again at a later date. Page 17 of 17 Version 2.4