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Hospitals and physician practices face increased scrutiny and new legislation —all with limited resources to ensure compliance. With an effective strategy, you can not only prepare for but capitalize on the regulatory requirements.
With nearly 5x more diagnosis codes and 29x more procedure codes, the ICD-10 transition means significant changes for your organization. This includes a massive overhaul of the coding scheme and will require field size expansion, change to alphanumeric composition and complete redefinition of code values and their interpretation. Understanding these changes and optimizing processes around them will be critical to your success, as it includes everything from coding rules for morbidity to standardized definitions/data to statistical data regulations An undertaking this large can be daunting without the right preparation and strategies in place. We help you transition by providing impact planning, gap analysis, implementation and education services.
The intent of 5010 is to create industry standards that assist health care providers in streamlining the EDI transaction sets. Clarification around many of the confusing optional segments and clearer guidelines on requirements and format were added to ensure all stakeholders are expecting and delivering information in the same manner. Inherent in the 5010 version of HIPAA transactions are data content requirements that impact the business of the transactions (claims, eligibility, remittance advice, etc.). This means that moving to a new version of the standards will not only impact the exchange of data described by the HIPAA standards but also the clinical systems and processes that feed the generation and processing of the transactions. We can help mitigate the affect that HIPAA compliance may have on your business. Our HIPAA 5010 consulting services include business readiness assessments, program implementation services, report development, change management, documentation and companion guide publication, and advocate services. Additionally, our consultants work with you to identify opportunities for improvement that result from mandatory process changes so that you can make the most of the transition.
