10 Steps to a Successful ICD-10 Assessment and ICD-10 Transition

ICD-10 Assessments should lead to actionable approaches using an ICD-10 Financial Risk Assessment, ICD-10 Business roadmap, ICD-10 training for coders, ICD-10 training for physicians, ICD-10 specialty training, ICD-10 vendor readiness, ICD-10 test plan, ICD-10 test data, and an ICD-10 pre-go-live ICD-10 risk assessment.

More and more health care companies are realizing that as the deadlines approach, they will need outside help to achieve HIPAA 5010 and ICD-10 compliance.  In some cases, RFPs (requests for proposals) are being issued by health plans and large providers to secure an ICD-10 Assessment.   The ICD-10 Assessment should include these phases:

  1. ICD-10 Financial Risk Assessment using Predictive Analytics
  2. ICD-10 Business roadmap development
  3. ICD-10 Training
  4. ICD-10 High-level review and skills inventory
  5. ICD-10 In-Depth Assessment and ICD-10 Gap Analysis
  6. ICD-10 Implementation Planning & Design
  7. ICD-10 Implementation
  8. ICD-10 Vendor Readiness Assessments
  9. ICD-10 Test Plan Review
  10. ICD-10 Risk Assessment

Partnering with a company that understands all aspects of the move to HIPAA 5010 and ICD-10 will be key.  Seek a partner that possesses the lenses to see the health care landscape from all perspectives, helping to ensure that all entities from trading partners to members can move more smoothly to these new standards:

  • Health Plans
  • Providers
  • Employers
  • Members
  • Vendors
  • Regulatory Agencies

If your company is preparing an RFP or is inquiring about Assessments, our nationally recognized team of experts can help.

Michael F. Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, studies at Harvard Medical School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims). Mr. Arrigo has been quoted in the Wall Street Journal, New York Times, and National Public Radio.

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