ICD-10 Consulting
FluidEdge provides a wide range of consulting services to the health care industry, and will work with our clients to realize a smooth transition to ICD-10/ANSIv5010. These projects will introduce significant challenges, yet it is also true that ICD-10/ANSIv5010 codes can provide benefits for providers and payers. FluidEdge staff has real world experience and will help customers realize those benefits while working through the challenges being faced.
To prepare for ICD-10/ANSIv5010, healthcare organizations should be preparing now by appointing a cross-functional team to assess and evaluate the impact of the new code sets on critical business processes, major strategic initiatives, applications and budget. FluidEdge can assist our clients by providing insight, experience and strong assessment management skills to deliver a full evaluation of current to future state. Payers should be including representatives from areas such as IT, Finance, Operations, Provider Management, Health Services and Corporate Reporting. Providers should be including representatives from Health Information Mgt, Patient Financial Systems, Revenue Cycle, Quality and Case Management. The general areas to expect impact are:
- EHR initiatives
- Payment Management/Billing Systems
- Benefit definition and product development
- Customer Service
- Provider Management and contracting
- Claims payment systems
- HIPAA Transaction sets
- Case mix systems, DRGs
- Medical Records
- Decision Support Systems
- Utilization Management
- Quality Management
- Case Management
- Disease Management
- Clinical Protocols
- Performance Measurement Systems
- Provider Profiling systems
- Aggregate data reporting, Data Warehouses, Datamarts
Once the assessment of impacts is complete, payers and providers will need to implement changes to existing processes and systems. FluidEdge will help lead and support your organization in comprehensive strategic planning, mapping strategies, gap analysis, best practices and business process reengineering to modify identified process and systems changes. We will also support our clients in evaluating the need for upgrades to existing vendor systems as well as negotiations with vendors for timing and pricing of required upgrades.
The successful transition to ICD10/ANSIv5010 with a focus on optimization requires strong strategic planning, superior project management and skilled resources to ensure that your organization not only complies but extracts benefits and efficiencies. FluidEdge is the partner with the experience and proven methodologies that will make it happen for your organization.