The Health division of Wolters Kluwer, a leading global provider of information and point of care solutions for the healthcare industry, has released additional ICD-10 remediation capabilities that enable payers and providers to build a solid foundation for long-term clinical, financial, and operational success in a post ICD-10 environment. The enhancements are included in the latest version of LEAP I-10, part of the Health Language® family of services and solutions.
“The transition to ICD-10 is not a one-time event. Its effects will continue far beyond October 2015, and success will depend upon a continuous and relentless focus on minimizing the anticipated impacts on productivity and reimbursement,” said David A. Del Toro, President and CEO of Clinical Software Solutions at Wolters Kluwer.
The new remediation capabilities include the ability to import ICD-10 claims and analyze ICD-10-to-ICD-9 DRG shifts, helping pinpoint areas of reimbursement risk. The enhancements also enable users to:
- Analyze new ICD-10 claims to identify payment variances and view detailed results by service line, specialty, facility, provider, and DRG.
- Use different groupers, including MS-DRG versions 32 and 33 and APR-DRG.
- Generate detailed reports to view the frequency of unspecified ICD-10 codes, with insights into which providers, clinics, and service lines are using the problematic codes
- Convert ICD-9 codes within legacy reports with custom maps from ICD-10 to ICD-9 and vice versa.
- Stratify potential DRG shifts by financial impact to identify root causes.
Also part of the enhanced LEAP I-10 offering, the Health Language team of experts can work with healthcare organizations, analyzing inpatient and outpatient claims, developing remediation plans, and providing terminology (such as CPT-to-PCS) maps that can help remediate legacy systems, enable ICD-10 reports and analytics initiatives, and develop effective risk mitigation strategies.
“ICD-10 is an important component of the system-wide strategy to improve the quality and cost of and patient satisfaction with care,” said Del Toro. “By leveraging our Health Language ICD-10 remediation services and solutions, healthcare organizations can develop effective risk mitigation strategies that extend far beyond the transition date so they can focus on the areas that matter most; clinical documentation, chart review and education programs.”