Healthcare information provider Wolters Kluwer has announced that its ICD-10 Readiness Package is available to payers and providers to meet the fast approaching October 2015 deadline. Offered through its Health Language® family of products, the Readiness Package is designed to mitigate financial risk, remediate clinical and IT systems, and ensure systems are performing optimally post go-live across the customer's enterprise.
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.
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, organisations can assess the effectiveness of their clinical documentation improvement programs, remediation of their longitudinal reports and analytics, as well as highlight any outstanding financial risks as a result of the new coding system.
The pending ICD-10 transition deadline presents a significant challenge for healthcare organisations. With less than five months left to execute transition strategies, organisations 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 minimise over-payments and denials by ensuring their claims processing systems are properly remediated to accept the new coding system beginning October 2015.
