“With more than a decade of international ICD-10 experience under our belt and the software, content and services offered via our Health Language terminology management portfolio, we are in a unique position to help healthcare organizations cross the ICD-10 finish line successfully,” said Leo Barbaro, Vice President & General Manager, Clinical Terminologies and Surveillance, Wolters Kluwer Health, Clinical Solutions. “As the reality of the 2015 transition deadline comes into focus, it is our goal to help payers and providers speed readiness strategies by equipping clinical, financial and IT teams with the tools and knowledge needed to best position for the future.”
The ICD-10 Readiness Package addresses three key areas critical to ensuring a successful transition:
- Mitigate Financial Risk: Driven by the Health Language claims analytics methodology, the readiness solution simulates ICD-10 claims to identify priority areas for clinical documentation improvement strategies, dual coding, and chart review activities prior to the transition.
- Remediation of Clinical and IT Systems: List mapping and testing services are targeted to establish a pragmatic approach for remediating systems that currently rely on ICD-9 codes – including pick lists, superbills, decision support systems, quality measures, medical policies, and claims adjudication systems.
- Post Go-Live Checkup: An ICD-10 financial analysis check-up conducted after October 2015 ensures that remediation plans are working as planned. By analyzing newly created ICD-10 claims, organizations can assess the effectiveness of their clinical documentation improvement programs, remediation of their longitudinal reports and analytics, as well as highlighting any outstanding financial risks as a result of the new coding system.
The pending ICD-10 transition deadline presents a significant challenge for healthcare organizations. With less than five months left to execute transition strategies, organizations will need to take the necessary steps to protect the integrity of their revenue cycle. Providers will need to ensure clinicians are capturing the required specificity, while maintaining coder productivity and accuracy. Payers will need to minimize over-payments and denials by ensuring their claims processing systems are properly remediated to accept the new coding system beginning October 2015.
