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In today’s healthcare environment, ICD-10 compliance is the need of the hour in the light of capturing greater specificity, clinical detail, and new technological procedures to enhance public health decision making. As per the US Federal mandate, effective October 01st 2013, ICD-10 Clinical Modification and Procedure Code Set will completely replace the ICD-9 code set.

Industry Challenges
  • Data standardization prior to and after ICD conversion to handle reimbursement and mass claim adjustment
  • Technology enhancement – handling conversion during the claims adjudication process within the SLA limit
  • Resource and budget constraints

Our Offerings
As an end to end solution for ICD-10 conversion, we offer following services:

Business Benefits
  • Reduced cost and duration of implementation by 50% to 60% due to our investments in creating automated tools and solutions.
  • Improved coding of diagnostics, diseases and procedures, leading to better analytics translating into reduced costs and better plans for satisfied customers
  • Accuracy in reimbursement and claims adjudication due to better mapping specificity
  • Reduced number of Appeals and Grievances due to data granularity and payment hierarchy
  • Support for Reimbursement Mapping to reduce one-to-many mapping scenarios
  • Preventing and detecting healthcare fraud and abuse


Blogs

Enhancing the Insurer-Consumer Relationship
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Consumer Engagement – A Healthcare Industry Mandate
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Choosing the Right Partner to Migrate from ICD-9 to ICD-10
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Health on Mobile – Stay Strong, Live Long
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