Post on 01-Jan-2016
description
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ICD10 ProgramDOBI ICD10 Task
Force Testing Update
April 22, 2013
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2013-2015 ICD-10 Program Timeline
HorizonCrossDomainTesting
Tier 1,2,3837I AcquisitionTesting
Tier 1,2,3837/835 orRemittanceAdviceTesting
Blue CardGlobalCertificationTestingNUMEROUS LEVELS OF
TESTING ARE
PLANNED FOR, or are
now in PLANNING,
PRIOR TO AND IN
PARALLEL TO,
PROVIDER TESTING
HorizonSystemTesting
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Drill Down: Delivery Areas
Claims adjudication has
been decomposed into
capabilities to allow
advanced incremental
testing of systems and
processes without the
need for all remediation
to be completed
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Drill Down: Production Readiness
Continual review of
requirements for gaps in
system and human
processes and
remediation of these gaps
are part of production
readiness. Initia
tion of
contingency plans for
requirements changes
and pre-live planning
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Drill Down: Provider Readiness
Horizon/AviorProvider Readiness
Governance
OutreachReadiness
Testing
NUMEROUS LEVELS OF
TESTING ARE
PLANNED FOR, or are
now in PLANNING,
PRIOR TO AND IN
PARALLEL TO,
PROVIDER TESTING
66
Horizon/Avior ICD-10 Governance, Provider Risk and Compliance Program
ICD-10SolutionPack
Provider Readiness Testing and Trading Partner Coordination
Providers ICD-10 ProgramManagement
ProviderClearinghouseManagement
Analytics
BCBS References•Michigan•Massachusetts•WellPoint•California
Assessmentand
Remediation
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WEDI ICD-10 Topics of Discussion for May 2013 Conference
• National Provider ICD-10 Coder Readiness
• National Provider Outreach Strategies and Preliminary Participation Findings
• Claims Acquisition Systems Future Date or pre-10/1/2013 Claims Acceptance Limitations and Remediation Strategies
• Clearinghouse Readiness and Collaboration
• Budgeting Impacts/Creative Mitigation Strategies