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HIPAA 5010 & ICD-10 Transition

Now is the Time to Manage the Transition toHIPAA 5010 and ICD-10

With the most signicant change in diagnosis classication and procedure code

sets in 30 years, the adoption of ICD-10-CM & PCS promised to provide far reaching

benets. It will not, however, come without signicant implications for health

care organizations. In these times of economic uncertainty is your organization

ready to meet the challenges of budgetary restrictions and the demand for better

health information management? Are you ready to face the challenges related to

advanced technology in health care and ever increasing regulatory mandates?

Phase 1: The Readiness Workshop

Making the transition from ICD-9 to ICD-10 requires a signicant amount of strategic planningand tactical execution. During the Readiness Workshop, Infogain educates and develops and

awareness of all the implications around this very important strategic initiative. Topics covered

during the workshop include:

1. Understand the Prerequisites to ICD-10

lWhat is the relationship between the diagnostic classication coding structure

and the HIPAA x12 5010 Transaction standards?

l Are the changes between the HIPAA x12 4010A1 and 5010 understood?

l Are the benets and the complexity of moving to HIPAA x12 5010 understood?

2. Denition of ICD-10

lWhat is ICD-10-CM and ICD-10-PCS?

l How does ICD-10 compare to ICD-9 code structure and format?

3. Recognize Organizational Impact of ICD-10

lWhat are the key information systems that will be aected?

lWhat are the business processes that will be aected?

lWho are the people that will be aected?

4. Identify challenges of ICD-10

l How will the organization manage crosswalk tables to avoid manual processes

and loss of historical data?

l How will the organization prevent improper payments, fraud and abuse?

l How will your vendors readiness impact your organization?

ICD10CM & PCS

READINESS WORKSHOPInfogains ICD-10-CM & PCS

Readiness Worshop provides

the thought leadership and the

strategic next step guidance

required to ensure a successful

transition to the HIPAA x12

5010 by Jan 1, 2012, and to

ICD-10 by October 1, 2013.

Topics include:

lUnderstand the Prequisites

to ICD-10

lDention of ICD-10

l

Understand the Prequisitesto ICD-10

lRecognize Organizational

Changes

lLeverage Benets of ICD-10

lBest Practic Approach to

ICD-10 Success

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INDIA: +91-120-244 5144

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Copyright Infogain Corporation, 2010. All rights reserved.

HIPAA 5010 & ICD-10 Transition

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5. Leverage the Benets & Opportunities of Implementing ICD-10

lWhat benets will you derive from the new coding structure?

l How can you position your organization to be a Market Leader through the

innovative use of ICD-10 data?

6. Best Practice Approach to ICD-10 Success

l Strategy Planning the Approach

l Operations Assessment and Roadmap

lTechnology Supporting the Approach

Phase 2: Roadmap to Assessment

In this phase, Infogain undertakes the mission critical task of discovery. Discovery sessions

cover the aected components of People, Process and Technology. Infogain carefullly

inventories and evaluates systems and processes.

l Strategic Overview

l Implementation Project Planning

l Information Technology

l Functional/Operational AreasnProduct Development - Plan and Benet Design

nEnrolment & Premium Billing

nClaims Management

nProvider Contracting

nFinance

nCustomer Service (Member, Provider, Employer, Broker)

nHealth and Medical Management

nRating, Underwriting & Actuarial Services

Phase 3: Implementation

Implementation is based on the results of the Assessment and provides the support to perform

the transition of all the aected components to ICD-10, crafted to meet your organizationsunique needs.

lDriven by the Needs Identied in the Assessment, including:

nSystem & Technology Procurement / Implementation

nBusiness Process Alignment

nEducation & Training Program

nQA & Testing

nSystem Integration

nHIPAA 5010 Implementation

nApplication Development & Remediation

lThe following services are involved:

nProject Management

nTechnical Architects

nBusiness and Technical Analysts

nEDI Analysts and Developers

nTesting Management and Testing Analysts

nProcurement Management

nHIPAA Transaction Implementation Consultants

CORE OFFERINGS

HIPAA ANSI Version 4010 to ANSI

Version 5010 Transition

l5010 Impact Assessment

l5010 Project Management

l5010 Implementation

ICD-10-CM & PCS Transition

lReadiness Solution

nOperational Impact Analysis

nRemediation Strategy

nCompliance Framework

lImplementation Solution

nProject Management

nEducation and TrainingnBusiness Process Alignment