HCL's ICD-9 to 10 Transition Services
Regulations were published which finalized the proposal to replace the ICD-9-CM (Clinical modification) code set with ICD-10-CM and ICD-10-PCS with a compliance date of October 1st 2013 in United States of America. This transition will affect both payer and provider organizations enormously having impact on most of the IT applications, which will include code sets, interfaces and reports used in clinical, financial and quality analysis, organization training needs etc. All these will lead to significant expenditure for healthcare industry.
As the ICD-10 compliance date is approaching close both payers and providers are under pressure to decide on the tools, methodology and roadmap for transition. Timely planning, training and project management can help organizations contain costs, minimize disruption and realize the full potential of ICD-10 transition.HCL has developed methodologies and tools to help the organizations have a smooth, timely and successful transition.
HCL follows a well defined 5 phased transition approach inclusive of the methodology and tools for all its phases.
HCL’s ezCODES ICD-10 Transition Methodology
C-Consult Phase:- HCL with its proprietary Enterprise Discovery Framework explores the business-application-technology-data of the entire enterprise at the People, Process and Technology level and prepares AS-IS reports
O-Organize Phase:- HCL uses it’s eXact Methodology (eXplore, Analyze, Craft and Transform) to calculate the impact across all the applications and processes of the entire enterprise and accordingly defines the TO-BE landscape. Based on the impact analysis remediation plan is finalized.
D-Deploy Phase:- Based on the remediation plan which covers all the tasks and activities system enhancements are done
- System Upgrade:- The system upgrade is done as per the impact assessment report at all the levels from database to screen.
- Testing:- HCL has proprietary test automation tools and a compliance testing toolkit consisting of library of testing scenarios & test cases at unit, system and functional level.
- Crosswalk Solution:- This phase also includes the deployment of Crosswalk reimbursement Solution as per the Organization need and requirement.
During the transition phase, the upgraded applications and workflows will start working and the new system will support both ICD-9 and 10 codes till the cut off date for use of ICD-9.
E-Educate Phase:- HCL has well defined training program which can be tailored as per the organization needs. Training material will be shared which will include code description tables, system enhancements and reference manuals to help participants gain a better understanding of the new coding system.
S-Support Phase:- Continue monitoring of the data accuracy and integrity with respect to ICD-10 standard for error free transactions. Value added services like Post live handholding for the end users and 24*7 Support for providers and payers help them to provide uninterrupted services to their customers.
HCL helps Providers and Payers to move to ICD-10 with the support of:-
- Fleet of SMEs, domain experts consisting of physicians, nurses, medical coders to insure smooth transition services.
- HCL developed methodologies and tools to help the organizations have a smooth, timely and successful transition.
- HCL comprehensive consulting, training, program management services.
- HCL healthcare COE having existing knowledge base for impacted policies, business processes, work flows, entities and fields for ICD-10 transition.
