Superia ICD-10 Migration Service

 

 

The 5010/ICD 10 mandate poses a major exigency for all stakeholders in the
healthcare  industry.  Providers  and  Payers  have  to  comply  with  HIPAA 5010

standards by 1st January 2012 and ICD-10 by 1st October, 2013.

 

With the ICD-10 transition approaching, you may be wondering what will change in your practice.

The ICD-10 transition affects everyone covered by the Health Insurance Portability
and Accountability Act (HIPAA), even those who do not submit Medicare claims. If
you are a provider, here are a few of the many areas where the transition to ICD-

10 will affect your practice:

•   More codes. Codes will grow from 17,000 to 140,000, but remember that
     you only need to know the codes that relate directly to your area of specialty
     and/or  those  that  you  use  most  frequently.  Code  books  and  styles  will
     completely   change.   More   detailed   knowledge   of   anatomy   and   medical
     terminology will be required. Physicians, nurses, and billing and coding staff
     will all need to be trained on the new codes.

 

•   Updated policies and procedures. Any office policy or procedure tied to a
     diagnosis code, disease management, tracking, or PQRS must be changed.

•   Medical  record  documentation.  ICD-10  codes  will  better  reflect  the
     specificity already inherent in the patient’s medical record. Physicians will
     need to continue to document the patient’s plan of care to include laterality,
     stages of healing, weeks in pregnancy, episodes of care, etc. Other health
     care professionals will also need to continue to document patient information
     with specificity. This will also include the old documents generated using ICD-

9 to facilitate a cross walk.

On January 1, 2012, all electronic claims must use Version 5010, and anyone covered by HIPAA must use ICD-10 diagnosis codes for services provided on or after October 1, 2013. To be prepared for both of these transitions, you should begin planning now if you haven’t done so already.

HealthCare Payer and provider’s business processes and systems will be impacted because of ICD-10 migration.

 

 

Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com


 

 

 

 

 

 

 

Technology applications as well as business processes will have to be modified to accept and utilize the ICD-10 codes.

Superia will help you to develop a migration roadmap and guide your team to
compliance. Our multi-phased approach will help you to make a smooth transition.

Following are the adoption phases for ICD-10 migration.

•       Assessment and Blueprint Preparation

•       Remediation

•       Testing

•       Training

•       Mapping

•       Translation

Superia Assessment and Blueprint Preparation Service

Business   Assessment:   We   build   and   validate   your   migration   strategy   by aggregating   information   for   each   of   your   organization’s   business   processes, prioritizing the nature of impact across People, Process and Technology.

System  Assessment:  The  impact  on  software  applications  can  help  us  to understand and comprehend the business impact. We will carry out an iterative, detailed technical assessment on your applications to identify the critical as well as non-critical ICD-10 impacted components.

Blueprint Preparation: In this phase, we develop a detailed project plan with release  planning  and  release  scheduling  based  on  business  need  prioritization. Using effort estimation results, we also develop a resource and release plan and assist  in  forecasting  the  budget  allocation  for  the  various  migration  phases presented in the form of a detailed dashboard.

 

 

 

 

 

 

 

Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com


 

 

 

 

 

 

 

 

 

 

Superia ICD-10 Remediation Service

It will include all applications which are impacted by ICD-10 migration. Every

organization’s needs and resources are varied and this variation leads to the

adoption of different strategies by different organizations. To take care of the

distinctive requirements of each organization, we suggest an approach that allows processing both ICD-9 and ICD-10 code systems.

•       Application Remodeling & Enhancement

•       Business Rule Enhancement

•       Data Migration

•       Product Interface remediation

•       Dual Code Processing

•       Deployment and Support

 

 

Superia ICD-10 Testing Services

Superia has the most comprehensive testing approach for ICD-10 which

encompasses all phases of the software testing life cycle - planning, design,

execution and closure. This integrated ICD-10 testing methodology will be aided by
automated tools to significantly increase the probability of successful remediation.

 

 

• Test planning will be aligned to ICD and business-as- usual (BAU) release plans

• Test strategy will ensure adequate testing to cover the high volume of code changes

• Dual transaction testing both ICD-9 and ICD-10 codes during transition period

• Testing to ensure accurate reimbursements and interoperability

 

 

 

 

Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com


 

 

 

 

 

 

 

 

 

 

• Extensive testing to ensure successful integration/ interfacing amongst provider and payer systems.

 

• Database testing to validate new codes and transactions

Superia ICD-10 Training Services

Superia will provide comprehensive online/onsite training to successfully conclude the migration to ICD-10.

 

•   We will plan a customized training according to the business requirements

•   Hands on training on mapping, translation tools

•   Hands-on Coding Exercises and Documentation Case Studies

 

 

Superia ICD-10 Mapping Services

After compliance is achieved, maintaining smooth business functions and continuity is a top requirement, demanding precise mapping to be in place.

Most of the businesses use out-of-the-box tools for Mapping. However, it only provides one-to-one mapping for only 80% of the codes. The challenge is the remaining 20% of the codes with one-to-many alternatives, and can give rise to uncertainties in a healthcare organization’s processes, data, and systems.

This  is  where  mapping  customizations  come  into  play.  Customized  mappings narrow down the one-to-many options between ICD-9 and ICD-10 and provide the closest ICD code match. Our domain experts and consultants will derive the most optimal mapping approach that promises to cover the tangential elements of each business area’s implementation plan so that your organization can take advantage of cross-functional collaboration opportunities.

 

Superia ICD-10 Translator

Translator  provides  rapid,  accurate  bi-directional  translation  and  side-by-side
comparison while keeping the risk, scope and cost under control. As a translator, it
allows healthcare organizations to function in dual mode where both old and new
codes can be used with confidence. And as an intelligent engine, it does much more
than translate.

 

Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com


 

 

 

 

 

 

 

 

 

 

 

 

Key Features:

Forward and Backward Lookup-Serves as a look up to find the ICD-10 code for a particular user-entered ICD-9 code and ICD-9 code for

•     entered   ICD-10   code,   thereby   supporting   both   forward   and   backward

mapping facility.

•     Data Analysis- Establishing equivalence between ICD-10 and ICD-9 requires

making a choice from a list of possible combinations and in many of the
complex mapping cases the clinical nature of the options would be very
similar.

•     Section Mapping- It provides a facility to map a category of ICD-9 codes to a

category of ICD-10 codes. It provides a facility to look up the best category that can be used for the existing ICD-9 category.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com