ICD 10 Conversion Services

Standards set forth by the United States Department of Health and Human Services on Jan. 15, 2009 specify that X12 Electronic Data Interchange (EDI) transaction definitions for version 5010 – used in conjunction with HIPAA transactions – must be completed by January 2013. The new standards also require healthcare providers to comply with an International Classification of Diseases (ICD) standard update, from ICD-9 to ICD-10 by October 2013.

The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases, signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO) The code set allows more than 155,000 different codes and permits tracking of many new diagnoses and procedures which is a significant expansion on the 17,000 codes available in ICD-9.

Technosoft offers a complete solution or individual components to address your most pressing planning, implementation and execution requirements to comply with ICD-10.  Services that we provide include:

Impact & Gap Analysis: We provide customers with a detailed Gap Report that identifies all the required changes in applicable transactions, business applications and business processes.

Solution & Strategy development: Based on the gap analysis and impact assessment, our consultants will provide tailor-made solutions that meet customer requirements. The solution and strategy accounts for time and resource constraints and provides recommendations for vendor based tools, solution strategy or customized application development and maintenance.

Application Remediation: Applying deep and diverse experience with Application Development and Maintenance (ADM) Technosoft provides effective remediation of all applications that participate in the ICD-10 transactions.  Remediation may include partial to complete remediation based on the solution and strategy adopted.

Data Extraction, Conversion and Reporting: Depending on the transition strategy, there may be a need for customers to extract, transform and convert ICD-9 to ICD-10 format for operations. Leveraging our expertise in Business Intelligence (BI) and Data Warehouse (DW) projects, Technosoft will provide tailored solutions based on specific customer needs.

Process Re-engineering to support ICD-10: Additional data elements proposed in ICD-10 present unique opportunities for all healthcare entities to leverage the new information to their advantage.  Utilizing our IT, Healthcare and business domain expertise, Technosoft helps customers reengineer business processes as required.

Compliance Verification & Validation: Before going to production, Technosoft provides verification and validation services of all external interfaces with trading partners.  We assure 5010 compliance and that all changes to the applications are working as desired.

Transition Management: Since ICD-9 does not always map uniformly to ICD-10 and based on the clinical context, ICD-10 codes can map in a complex manner with a number of embedded conditions, a need may arise to work in the dual mode for a considerable period of time. Technosoft’s customized solutions provide not only business continuity through the transition but also ensure minimal impact to productivity and customer/partner satisfaction.

Training: Because of the magnitude and pervasiveness of this change, the need to train a large number of users on updated applications and business process may pose scalability issues. Technosoft training capabilities alleviate scalability issues.

Consulting Services to effectively and efficiently use ICD-10: To help organizations leverage added capabilities and intended usages of the new data elements, Technosoft offers consulting services based on customer business improvement objectives.