ICD-10:

Providing Quality Compliant Solutions

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As the ICD-10 compliance date is approaching both payers and providers are constrained to decide on the tools, methodology and roadmap for transition. Timely planning, training and project management can help organizations contain costs, minimize disruption and realize the full potential of ICD-10 transition. HCL has developed methodologies and tools to facilitate a smooth, timely and successful transition. HCL follows a well defined transition approach inclusive of the methodology and tools for all its phases.

HCLs ICD-10 Transition Methodology

HCL with its proprietary Enterprise Discovery Framework explores the business-applicationtechnology-data of the entire enterprise and prepares AS-IS reports HCL uses its eXact Methodology (eXplore, Analyze, Craft and Transform) to do impact anylysis across all the applications and processes of the entire enterprise and accordingly defines the TO-BE landscape. Based on the impact analysis remediation plan is finalized.

Sessions 1. ICD-9 to 10 Overview 2. Transitioning to ICD-10 3. ICD-9 to 10 Relation 4. ICD-10 Diagnosis Code 5. ICD-10 Procedure Code 6. Application Training 7. Hand holding

HCL provides both online and class room training as per the organizations needs.
Training
Phases

Discovery and Analysis System Upgrade Validation and verification

Transition and Support

HCL Frame work

HCL Discovery Framework & eXact Methodology

HCL Zero Disruption Transition Methodology

HCL Onsite /Offshore Testing Methodology

During the transition phase, the upgraded applications and workflows will start working and the new system will support both ICD-9 and 10 codes till the cut off date for use of ICD-9. Continuous monitoring of the data accuracy and integrity with respect to ICD-10 standard for error free transactions will be done. Value added services like Post live handholding for the end users and 24*7 Support for providers and payers help them to provide uninterrupted services to their customers.

HCL Support Framework

HCL Online/Onsite Training Methodology ? System Enhancements ? Historic Patient data ICD-9 To 10 Transition ? Computer based Online/Classroo m Training ? Unit Testing ? Functional Testing ? Integration Testing ? Regression Testing ? User Acceptance Testing ? Dual Code Support for ICD-9 & ICD-10 ? 24*7 Support Services L1-L4

? Enterprise discovery ? Explore ? Assess

Services

? Craft ? Transform

Based on the remediation plan which covers all the tasks and activities system enhancements are done which includes changes at all levels from database to screen. HCL has proprietary test automation tools and a compliance testing toolkit consisting of library of test scenarios & test cases at unit, system and functional level. HCL has a well defined training program which can be tailored as per the organization needs. Training materials will be provided which includes code description tables, system enhancements and reference manuals to help participants gain a better understanding of the new coding system.

HCL helps Providers and Payers to move to ICD-10 with the support of:
?SMEs, domain experts consisting of physicians, nurses, medical coders Fleet of

to insure smooth transition services

? HCL comprehensive consulting, training, program management services. ? HCL healthcare COE having existing knowledge base for impacted policies,

business processes, work flows, entities and fields for ICD-10 transition.

HIPAA 5010:
Providing Quality & Compliant Solutions
As payers and providers are getting ready to transform themselves with the HIPAA 5010 changes, HCL is ready to enable your transition to HIPAA 5010 using ediTTM 5010 Solution. It consists of well defined components for each phase starting from discovery to transition. These components also work in isolation, targeting specific needs of our customers such as Impact analysis, System Changes, Testing etc. HCL has developed Partner Enablement Program for its customers to help them and their trading partners to migrate to HIPAA 5010. The plan comprises of: Outreach and education program; Partner enablement services and Migration to Production Environment Support. HCL helps business entities lay out a complete plan for transition based on the trading partners plan for transition.

5010 Upgrade using HCL's ediTTM 5010 solution

Consulting/ Assessment Phase
Remediation Methodology

Implementation Phase
System Enhancement

Support
Support Partner Enablement Transition support - dual workflow Post implementation support

Discovery Phase Identification of system controls Transactional control mapping to business processes and IT assets Identify magnitude of impact in each area

Impact Analysis Identification of system controls Transactional control mapping to business processes and IT assets Identify magnitude of impact in each area

Testing Integrity testing Functional testing Integration testing Regression testing Data migration testing Dual workflow testing

Migration platform enablement Application code changes Database changes Business flow changes Interface changes Reporting changes

HCL uses its proprietary Enterprise Discovery Framework along with eXact Methodology (eXplore, Analyze, Craft and Transform) during the impact analysis to analyze the AS-IS view of business-application-technology-data of the entire enterprise and define TO-BE landscape. HCL Technology consulting framework along with the implementation expertise provides end-to-end solution for all your B2B electronic data interchange needs. HCL HIPAA 5010 implementation services comprises of platform enablement, system enhancements and testing services. HCL considers Independent Verification & Validation to be a critical component of a successful transition to the HIPAA 5010 standards; a way to insure that the transition is completed with no revenue or patient impacts. To achieve that goal, HCL has a READY compliance testing toolkit consisting of a library of testing scenarios & test cases at unit, system and functional level, incorporating all the 5010 changes. We provide Integration testing services with our own test automation tool called xFIT which automates integration & database testing customized for HIPAA 5010 requirements.
Certifica tion Recomm ended

ediT 5010 Solution

TM

Discovery Framework Knowledge Base -Guides

eXACT Methodology

Transformation Toolkit

Integration Testing xFIT Compliance testing toolkit

Partner Enablement Tool Kit EDI Toolkit

Since there are lot of systems as per the nature of business a covered entity is in, HCL recommends that the time window provided should be used judiciously. Our team of Techno-domain experts provides end to end services in areas such as consulting, package implementation, systems integration, application development and maintenance, testing services, business process outsourcing and infrastructure support services to the Hospitals, Physician Practices, Health Plans & also ISV addressing these industries. HCL can help you to resume the Business as Usual mode in minimal time by: Having HIPAA, PAHM, CPHIMS certified professionals Resources with Clinical background and 4010 implementation experience HIPAA 5010 - Impact Analysis Tools and Templates like Governance, Risk & Compliance manager, E-Discovery etc Testing Methodology Internal Testing (including WEDI types 1-7 edits) & Testing b/w Trading partners Providing Radically different Business models such as Output & Outcome based models Resources with experience on X12

Testing Complete

HC L - Lib Compli a - Te rary of nce Te T s s - Te t Case est Sce ting To s (U st A nit nario ol Kit u HCL Ctomatio , Syste s om m n - Librar pliancFrame , Func Security y of Te e Testwork ing To tiona - Test ol st Sce Testing C narios xFKit l level) IT - Test ases (Unit, System Autom , Func ation Fr tio amew Documentation ork xF nal level) IT Testing

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Volume & Interoperab ility Testing

Ready

ion of Validat X12 ed receiv 5010

Impact Analysis

Test Planning
Identify Impacted Test Cases Integrity Testing

Testing Approach

Regression Testing

Code Set Testing HIPAA TR3 Requirement & Situation Testing Functional Testing - Application UI testing - Business Flow testing - Report Testing - Error Handling Testing Internal Testing

Use case Sign off

Validation of Segments and Data Elements

Hello, Im from HCL. We work behind the scenes, helping our customers to shift paradigms & start revolutions. We use digital engineering to build superhuman capabilities. We make sure that the rate of progress far exceeds the price. And right now, 62,000 of us bright sparks are busy developing solutions for 500 customers in 26 countries across the world. How can I help you? www.hcltech.com healthcare@hcl.in