Serene,
I have stayed with 6.3.3. I have trialed V8, and noted the new features, but there is nothing in it that I need. I am not doing MU any longer, nor do I bill with AC. I'll upgrade eventually, but for now, I am happier being with a known simple and fast version. I also like that I can modify/customize the diagnosis code list which cannot be done in V8.
Here is how I make it work for ICD10. I prep my charts before each visit.
1. Go to summary sheet, change all the existing diagnoses to inactive.
2. Pull up the inactive list, then click Add to bring up the code entry box. Move the code box down on the screen so you can see your list of diagnoses.
3. Search for your code.
4. When you find the ICD9 code you want, click edit code, enter the ICD10 code in the code box and save. Doing it this way does not remove your ICD9 code, but it adds your new ICD10 code with the same description. The ICD10 codes will be at the end of the list when your search thereafter since they start with letters instead of numbers. Then, add the diagnosis for the patient.
5. When you have finished this for each diagnosis, your active list will contain the diagnoses with their ICD10 codes.
6. After you have done a number of patients, you will have a good number of your common diagnoses in the code database to select, so it will be quicker to add diagnoses since you will not have to edit the ICD9s.
It takes a few minutes per patient, but you will only have to do it once for each patient.
Then your summary sheet has the ICD10 diagnoses which you can use for encounters.
When you print an order, it will have the ICD10 codes.
If you need an ICD10 code that does not exist in ICD9, use the Add button in the code list to add it. It will show up in yellow in the list since it was not modified from an existing known diagnosis. So, when a note is signed off, it will give a message about an incomplete code which can just be ignored.
If this is not clear, let me know.
