ICD-10 Upgrade Consulting
- Overview|
- HL7 Consulting & Implementation|
- HIPAA Consulting & Implementation|
- ICD-10 Upgrade Consulting
International Classification of Diseases (ICD) codes are alphanumeric designations given to every diagnosis, description of symptoms and cause of death attributed to human beings. More importantly, it enables global organizations to compile mortality and morbidity statistics.
Moving to ICD-10 is expected to impact all the care providers. Due to the increased number of codes, change in the number of characters per code, and increased code specificity, this transition will require significant planning, application upgrades, thorough test plans and other ancillary investments. Centers for Medicare & Medicaid Services (CMS) has mandated that ICD-10 codes must be used on all HIPAA transactions, including outpatient claims with dates of service, and inpatient claims with dates of discharge on and after October 1, 2013. Meeting this stringent deadline is being dubbed as the Y2K equivalent of the healthcare industry. However, Silicus believes that with the right and disciplined approach, the ICD-10 transition can be done in a timely and cost-effective manner.
Jose Ramon Mosteiro
Ford Oxaal
Dayon Kane
John Ferrari
Umesh Verma
Dan Boehm
Bo Keyslay
Michael VaughnSilicus offers following services for ICD-10 transition:
Gap Analysis
- Impact analysis of ICD-10 coding system on current operations, IT applications and EDI transactions
- Understanding available documentations, SOPs, reports and coding to identify applications/functionalities/processes that will be affected
- Evaluating system re-engineering, new developments and outsourcing options
- Estimating efforts, timelines, budgets and resources to make relevant applications ICD-10 compliant
General Equivalence Mapping (GEM) Analysis
- Mapping CMS guidelines for electronic transactions based on ANSI X12 5010
- Setting translation requirements of current code sets to ICD-10-CMs and ICD-10-PCS as outlined by General Equivalence Mappings (GEMs)
Implementation Support
- Review of current EMR, claims and billing systems to understand interaction with new coding system
- Assistance and implementation support for executing ICD-10 translation after evaluating suitable assessment and translation tools (like 3M ICD Transition Management Tool which is recommended by CMS and other similar online support tools)
Independent Testing
- Testing to ensure consistency of business processes across ICD-9 and ICD-10 code versions as per General Equivalence Mappings (GEMs) tool published by CMS
- Adherence to HIPAA 5010 standards for electronic transaction submission
- Ensure accuracy and consistency of data mappings according to updated standards
- End-to-end Software Quality Assurance to ensure quality, safety, and efficacy of care
- Test acceptance of ICD-10 data flow to external organizations and trading partners like clearinghouses, labs, payers etc.