Group Rule: Separate Mental Health vs Primary Care Dx
Group Rule: Separate Mental Health vs Primary Care Dx
The group rule "Separate Mental Health vs Primary Care Dx" will allow for diagnosis codes to be assigned to Mental Health (MH), Primary Care (PC) or Both. When the rule is enabled (Security Administrators contact ICANotes Support to enable), an automatic backfill will occur where, upon entry into the diagnosis work areas of a note, existing diagnoses will have MH vs PC automatically populated based on the following:
If the ICD-10 code begins with F*, then the code will be assigned to "MH" (Mental Health)
*Excluding substance abuse diagnosis codes F10-F19, which will be classified as "Both"
If the ICD-10 code does not begin with F, then the code will be assigned to "Both"
Before the group rule is enabled, diagnosis codes are not specified as MH, PC, or Both:
After the group rule is enabled and the work areas are accessed, automatic backfill occurs:
MH vs PC can also be set when adding a new diagnosis code from a note. Click into the field and make a selection:
For billing purposes, individual users/providers can be set in the Security Center to:
Provider Type = Mental Health
Provider Type = Primary Care
Security Administrators will click into the dropdown field to set the Provider Type:
When a note/claim is prepped for electronic or paper billing with this group rule enabled, and based on the note owner's Provider Type, the diagnosis code(s) within the note will be excluded as follows:
If Provider Type = Mental Health, then All PC Dx are Excluded
If Provider Type = Primary Care, then ALL MH Dx are Excluded
If no Provider Type is set, then all codes go to the claim
For example, this sample patient has five (5) diagnoses marked as a mix of MH, Both, and PC:
After prepping the claim (Primary with Secondary) in the Billing/Productivity Report, we see on the paper CMS 1500 that only the diagnoses marked MH or Both are included due to the note owner's Provider Type being set to Mental Health, excluding the PC diagnosis code.
Likewise the ANSI for the electronic claim includes only the appropriate diagnosis codes:
For this claim, the Primary Care ("PC") designated diagnosis codes are excluded from billing.
To enable this group rule for your account, Security Administrators should reach out to ICANotes Support at 443-569-8778 or via ticket@icanotes.com.
Related Articles
Group Rule "Require TP Before Note Creation"
In the June 2020 release, we introduced a new group rule, "Require TP Before Note Creation". When enabled, a clinical user (whose discipline is not Office or Administrator) will be prevented from creating a new progress note until a Treatment Plan ...Group Rule: ICANView CCD Renderer
This Knowledge Base Article will demonstrate how to view CCDs with the ICANView CCD Renderer. To have this group rule enabled for your group, please contact Support. A Security Administrator can email the request to have this feature enabled to ...Primary Care Note
Index Sections Primary Care Note Creating a Primary Care Note Primary Care Note A Security Administrator can request to have the Primary Care Note enabled by emailing ticket@icanotes.com. For primary care providers who will be utilizing auto coding ...Group Rule: Only Discharge Rx in Summary
Group Rule: Only Discharge Rx in Summary When the Group Rule “Only Discharge Rx in Summary” is enabled for your account, any standard medications checked for Discharge will be present in the medications field in the Final Exam Summary with.This guide ...Group Rule: Set Authorizations by Service Code
ICANotes has introduced a new group rule, "Set Authorizations by Service Code". When enabled, this rule will allow a Managed Care Authorization number to be linked to multiple service codes. When a specified service code is entered into a note, the ...