The Health division of Wolters Kluwer, a global provider of information and point of care solutions for the healthcare industry, has released additional ICD-10 remediation capabilities that enable payers and providers to build a solid foundation for long-term clinical, financial, and operational success in a post ICD-10 environment. The enhancements are included in the latest version of LEAP I-10, part of the Health Language ® family of services and solutions.
The new remediation capabilities include the ability to import ICD-10 claims and analyze ICD-10-to-ICD-9 DRG shifts, helping pinpoint areas of reimbursement risk. The enhancements also enable users to: analyze new ICD-10 claims to identify payment variances and view detailed results by service line, specialty, facility, provider, and DRG; use different groupers, including MS-DRG versions 32 and 33 and APR-DRG; generate detailed reports to view the frequency of unspecified ICD-10 codes, with insights into which providers, clinics, and service lines are using the problematic codes; convert ICD-9 codes within legacy reports with custom maps from ICD-10 to ICD-9 and vice versa; and stratify potential DRG shifts by financial impact to identify root causes.
Also part of the enhanced LEAP I-10 offering, the Health Language team of experts can work with healthcare organisations, analysing inpatient and outpatient claims, developing remediation plans, and providing terminology (such as CPT-to-PCS) maps that can help remediate legacy systems, enable ICD-10 reports and analytics initiatives, and develop effective risk mitigation strategies.
Brought to you by Scope e-Knowledge Center, a world-leading provider of abstraction, indexing, entity extraction and knowledge organisation models (Taxonomies, Thesauri and Ontologies).
