The product update released January 30th, 2019, includes both new and enhanced features. New with this release comes the capability to automatically link ICD-10 diagnosis codes to a claim, and the power to see all the places where a fee schedule has been assigned. Updated features include patient notes that remember your sort preference, and the ability to retake images in an exam that has already been completed.
ICD-10 Codes Automatically Included in Claims
It is true that few commercial carrier require ICD reporting in dental claims—for now. Even so, some dental plans allow additional benefits for certain medical conditions, and some medical insurance reimburses dental procedures. Are you needing to be compliant with your state Medicaid, or maybe you are looking for improved reimbursement opportunities? Either way, Dentrix Ascend will be ready when you need to include ICD-10 diagnosis codes along with procedure codes when submitting a claim to a dental carrier.
How it works:
- Diagnose a condition using the Quick Exam module. This is key, because here is where conditions are automatically pre-linked with diagnosis codes.
- Plan treatment for the condition using the Quick Exam module.
- Pre-authorization requests for treatment you plan in Quick Exam can now include ICD-10 diagnosis codes.
- Complete the treatment.
- Create a claim. Notice that 1) ICD-10 codes are automatically attached and that 2) the codes can be removed or re-added. If you need a reminder, when you hover your cursor over the ICD-10 code the diagnosed condition name will pop up.
- When you print or electronically submit the claim, the ICD-10 codes appear in box 34 of the standard dental claim form.
ICD-10 diagnosis codes were linked to conditions in a previous software update. There is no need to edit the standard condition codes in your system to add ICD-10 codes.
As always, remember that simply reporting or including diagnoses codes does not guarantee reimbursement by either medical or dental payers.
Fee Schedule Associations
Have you ever attempted to clean up your database, and when you got to some old fee schedules that need to be deleted, been foiled by a message like this one?
The error was hard to resolve because you had to explore multiple pages in order to discover all the places where the fee schedule could be implemented. Now, a new tab in the Fee Schedules page makes this exponentially easier. Select a fee schedule and then click the Associations tab to see a list of locations, insurance plans, providers, or patients where it currently is assigned.
Click the arrows or the Expand All link to expand the list of associations and see the detail.
To remove connections, go to the source (for example, a provider user account) and either change or remove it there; you cannot make any configuration changes from here. The tab just provides visibility. But it is a great way to check your configuration. For more information on maintaining fee schedules, see Updating fee schedules in the Resource Center.
Updating the Month of Benefit Renewal
With this update, the implementation of changes to the Benefit renewal month are very straightforward. The change becomes effective starting in the next instance of the month, in either this year or next. If you change to a month that has already passed, it will take effect when the month arrives in the next year.
Patient Notes Enhancements
Three changes have been implemented to improve the usability of patient notes.
- Whether in the Patient Notes widget on the Overview page or in the Notes tab of the Patient Information page, when you change the note sort order Ascend will remember your preference. This is on a per-user basis, meaning your preference will follow you if you log out of this device and log in on another. The default is still to show the oldest note on top.
- Within the note composition area you can now add today’s date by clicking a new Insert Date button. The date inserts at your cursor location. You can still set the overall date of the note with the calendar picker.
- The three dots icon was removed to make it easier to get at what they revealed—an edit icon and a delete icon. Now you just click directly to edit or delete. As before, you must confirm in order to complete a deletion.
The Imaging module has several enhancement and new features, including direction integration with VistaScan image plate scanners. Other items include:
Resume Completed Exams
This update adds ability to resume an exam even when it is full of images; that is, you can retake any image even though the exam is already completed. You can replace of the images as many as you need to.
Select Image Load Size
A new button in the tool bar helps with diagnosis by allowing you to load intraoral and extraoral x-ray images at a smaller size, thereby retaining the original image quality and imitating some programs with which you may have been familiar before coming to Ascend. By default Dentrix Ascend displays images as large as it can, and this caused the images from some older sensors look fuzzy or grainy. Click this button to make them smaller and sharper.
Pan Control Added to Zoom
A Pan control panel now pops up directly above the Zoom slider bar when you zoom in on image. This makes it quick and easy to place the image in the view area.
CAD/CAM Scan and 3D Volume
As part of Phase 1 for support of CAD/CAM and 3D Volume imaging devices, new imaging exam types named CAD/CAM Scan and 3D Volume have been added to the Imaging Procedures list. And to support these scan types, new custom procedure codes named CADCAM and VOLUME are automatically associated with these procedures.
Please note that the above initial integration is called Phase I of our 3D and CAD/CAM integrations. Phase II will allow the CBCT and CAD/CAM scans to be saved and viewed directly from the cloud in the web browser. The first two Phase I integrations for 3D and CAD/CAM are via Planmeca Romexis and/or Sirona Sidexis. Ascend Imaging communicates with the Sidexis or Romexis 3D or CAD/CAM imaging software, and after you acquire a scan Ascend automatically receives a 2D representation of the scan, where it is stored just like any other 2D image. You are also able to load the scan back and forth from the Romexis or Sidexis device for editing within its native interface.
Note: The custom CADCAM and VOLUME procedure codes cannot be deleted from your system.
Contact Support for assistance with setting up communication between Dentrix Ascend and your Romexis or Sidexis device. If you currently do not have Ascend Imaging and would like to add it, contact your sales rep or call Dentrix Ascend Sales at 855-232-9493.
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The Customer Success section of the Dentrix Ascend Resource Center is a blog platform for the Customer Success team. Follow Dentrix Ascend > Knowledgebase > Customer Success for Dentrix Ascend to discover ideas and resources to help you make the most of Dentrix Ascend. For example, here you can learn how to track your performance to make sure you are hitting your goals. Recent posts include:
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