HIPAA 5010 & ICD-10 Transition
Now is the Time to Manage the Transition to
ICD-10-CM & PCS
READINESS WORKSHOP
Infogain’s ICD-10-CM & PCS
Readiness Worshop provides
the thought leadership and the
strategic “next step” guidance
required to ensure a successful
transition to the HIPAA x12
5010 by Jan 1, 2012, and to
ICD-10 by October 1, 2013.
Topics include:
l Understand the Prequisites
to ICD-10
l Defintion of ICD-10
l Understand the Prequisites
to ICD-10
l Recognize Organizational
Changes
l Leverage Benefits of ICD-10
l Best Practic Approach to
ICD-10 Success
HIPAA 5010 and ICD-10
With the most significant change in diagnosis classification and procedure code
sets in 30 years, the adoption of ICD-10-CM & PCS promised to provide far reaching
benefits. It will not, however, come without significant implications for health
care organizations. In these times of economic uncertainty is your organization
ready to meet the challenges of budgetary restrictions and the demand for better
health information management? Are you ready to face the challenges related to
advanced technology in health care and ever increasing regulatory mandates?
Phase 1: The Readiness Workshop
Making the transition from ICD-9 to ICD-10 requires a significant amount of strategic planning
and tactical execution. During the Readiness Workshop, Infogain educates and develops and
awareness of all the implications around this very important strategic initiative. Topics covered
during the workshop include:
1. Understand the Prerequisites to ICD-10
l What is the relationship between the diagnostic classification coding structure
and the HIPAA x12 5010 Transaction standards?
l Are the changes between the HIPAA x12 4010A1 and 5010 understood?
l Are the benefits and the complexity of moving to HIPAA x12 5010 understood?
2. Definition of ICD-10
l What is ICD-10-CM and ICD-10-PCS?
l How does ICD-10 compare to ICD-9 code structure and format?
3. Recognize Organizational Impact of ICD-10
l What are the key information systems that will be affected?
l What are the business processes that will be affected?
l Who are the people that will be affected?
4. Identify challenges of ICD-10
l How will the organization manage crosswalk tables to avoid manual processes
and loss of historical data?
l How will the organization prevent improper payments, fraud and abuse?
l How will your vendors’ readiness impact your organization?

CORE OFFERINGS
HIPAA ANSI Version 4010 to ANSI
Version 5010 Transition
l 5010 Impact Assessment
l 5010 Project Management
l 5010 Implementation
ICD-10-CM & PCS Transition
l Readiness Solution
n Operational Impact Analysis
n Remediation Strategy
n Compliance Framework
l Implementation Solution
n Project Management
n Education and Training
n Business Process Alignment
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INDIA: +91-120-244 5144
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HIPAA 5010 & ICD-10 Transition
5. Leverage the Benefits & Opportunities of Implementing ICD-10
l What benefits will you derive from the new coding structure?
l How can you position your organization to be a Market Leader through the
innovative use of ICD-10 data?
6. Best Practice Approach to ICD-10 Success
l Strategy – “Planning the Approach”
l Operations – “Assessment and Roadmap”
l Technology – “Supporting the Approach”
Phase 2: Roadmap to Assessment
In this phase, Infogain undertakes the mission critical task of discovery. Discovery sessions
cover the affected components of People, Process and Technology. Infogain carefullly
inventories and evaluates systems and processes.
l Strategic Overview
l Implementation Project Planning
l Information Technology
l Functional/Operational Areas
n Product Development - Plan and Benefit Design
n Enrolment & Premium Billing
n Claims Management
n Provider Contracting
n Finance
n Customer Service (Member, Provider, Employer, Broker)
n Health and Medical Management
n Rating, Underwriting & Actuarial Services
Phase 3: Implementation
Implementation is based on the results of the Assessment and provides the support to perform
the transition of all the affected components to ICD-10, crafted to meet your organization’s
unique needs.
l Driven by the Needs Identified in the Assessment, including:
n System & Technology Procurement / Implementation
n Business Process Alignment
n Education & Training Program
n QA & Testing
n System Integration
n HIPAA 5010 Implementation
n Application Development & Remediation
l The following services are involved:
n Project Management
n Technical Architects
n Business and Technical Analysts
n EDI Analysts and Developers
n Testing Management and Testing Analysts
n Procurement Management
n HIPAA Transaction Implementation Consultants
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