Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Phone ‐ (773) 649 9134          Email ‐ info@superiainc.com 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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ICD10 Remediation Service

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ICD10 Remediation Service

  1. 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. 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. 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. 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. 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.

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