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ICD10 Remediation Service
1.
Phone ‐ (773) 649 9134 Email ‐ info@superiainc.com
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.
2.
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.
3.
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
4.
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.
5.
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.