Why Trust HCT with Your ICD-10 Needs?

We have 15 years of experience in the health care IT industry. Unlike generalist IT companies, we have a working knowledge of Medical Electronic Data Interchange (EDI) X12 data structures and understand field level information.

Specialized consultants:

With over a decade of experience, HCT technology specialists and business analysts are uniquely qualified to migrate your existing data, upgrade your systems and provide consulting and training services for ICD-10 implementation.

Configurable software – customized for your organization:

Our ICD-10 conversion tools are web based, user friendly and easy to implement. HCT’s ICD-10 conversion engine can be customized for your organization; using your current ICD/CPT coding procedures we create customized mapping tables to meet your institution’s specific needs. HCT’s consultants will leverage our training, analytics tools and audit/verification software to ensure that your ICD-10 conversion effort is successful.

ICD-10 Overview

On October 1, 2013, ICD-10 will replace the ICD-9 code sets used to report medical diagnoses and inpatient procedures. To accommodate the ICD-10 code structure, the new 5010 EDI standard was implemented earlier this year.

This transition is necessary because ICD-9 can no longer represent all the data required for diagnosis and procedure reporting. Additionally, limitations in the ICD-9 structure restrict the number of codes that can be created. At this point, many ICD-9 catagories are completely full.

Who is Affected?

All HIPAA-covered entities that transmit electronic claims must transition to the ICD-10 standard. These include:

• Physicians, health care providers;
• Payers;
• Clearinghouses; and
• Billing services

By October 1, 2013, ICD-10 diagnosis and inpatient procedure codes must be used for all services provided in the U.S. Claims with ICD-9 codes for services provided on or after this date cannot be paid.

We Can Help You Prepare

There are numerous changes required for the ICD-10 upgrade, and many organizations are insufficiently equipped to complete the transition by the mandated deadline. Preparation should begin as soon as possible, and HCT can help you get started.

Providers

• Develop an implementation strategy that includes:
  • Impact assessment;
  • Project plan;
  • Detailed timeline; and
  • Budget.
• Customized software tools for medical record/coding conversion
• Training program for clinical, IT and billing staff
• Conversion of historical medical data

Payers

• Review payment policies for new code set
• Custom conversion software specific to your legacy and current data
• ICD-10 compliance auditing
• Training for claims specialists, IT staff and marketing teams