1. EDI 4010 TO 5010 CONVERSION Is a detailed plan in place? Is there work required now? Can you afford to wait? In January HHS released the final rule announcing a revised compliance date for 5010 transactions to January 1, 2012 moving from the original proposed date of April 1, 2010. This announcement will motivate some Payers to postpone implementation plans for 5010 projects – but it shouldn’t . Several time-sensitive issues remain. Jawood LLC, a systems and technology solutions firm known for its’ compliance implementation experience with HIPAA, NPI and Medicare, is positioned to support Payers who need to launch or maintain momentum for their 5010 initiatives. 5010conversion.com 888.822.5984 www.jawood.com
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3. Business, technical and project management staff to support a conversion project through the entire SDLC Exclusive use of a robust 4010 to 5010 test tool (see example) Proven capabilities to manage the complexities of major compliance projects Complete 4010 to 5010 transaction knowledge Business and technical analysts that can evaluate the 5010 changes and develop requirements unique to the environment Jawood Expertise 5010conversion.com 888.822.5984 www.jawood.com EDI 4010 TO 5010 CONVERSION Requirements Gathering Transaction Mapping Staff Augmentation Test Preparation, Execution and Validation Project Planning and Management
4. Example of Jawood’s Capabilities Jawood has exclusive use of a proprietary test suite to analyze mapping requirements. 5010conversion.com 888.822.5984 www.jawood.com EDI 4010 TO 5010 CONVERSION 5010 Requirement Jawood Solution Changes will need to be made to claims, inquiry and membership systems Proven testing platform to track and verify changes Multiple cycles of membership & claims databases must be tracked, stored and analyzed Jawood testing solution designed to cover all file formats for various payer product systems Processing & comparisons of Inbound & Outbound data must be loaded, processed and compared Proprietary test suite provides detailed analysis and tracking reports
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6. Scoring: 14 or less: You may not think you need outside help, but you will soon 15-22: Move this issue to the priority list now 23-30: 5010 is in your near future, but you have time to learn and plan 31 or more: You’re probably already tackling 5010. Aren’t you? Where are you starting from? DISAGREE AGREE Jawood is a national service company with a rich history in the healthcare market offering value-add business and technology solutions to customers for over 20 years. Our business model is designed specifically to support the complexities of major Payer compliance initiatives. 5010conversion.com 888.822.5984 www.jawood.com EDI 4010 TO 5010 CONVERSION This quiz will help determine your readiness Leadership understands the complexity and scope of the conversion Budget has been approved for the conversion We have considered the impacts of 5010 with other IT projects currently underway A Readiness Assessment has been completed We have begun alerting and notifying our vendors of the impending mandates We have begun planning for ICD-10 conversion We have identified tools that could help accelerate key tasks of the project We have documented the impact of 5010 on our major strategy initiatives 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5