ICD 10 Impact Sourcing Framework

Considering the stringent deadline of 1st October 2013 and the extent of its impact, ICD-10 transition has turned out to be a Herculean task for US healthcare industry that had expenditure worth $ 2.76 trillion in 2010.
Health Insurers face severe business challenges as the transition to ICD-10 will impact their major business processes and IT systems necessitating the need for Business Process Re-engineering, Application Systems and Interfaces modifications, Training and Change Management. This disruptive change also opens the door for Insurers to re-design their processes and improve efficiencies to develop significant competitive advantage in the coming years.
Zensar has developed an ICD-10 Impact Sourcing Framework that offers an end-to-end ICD 10 transition methodology that assesses impact on the “As-Is” IT landscape and determines compliance readiness of providers and partners in terms of cost and effort to achieve the mandatory compliance. Zensar offers a flexible approach for managing ICD-10 implementation including forward and reverse crosswalks as well as Enterprise Remediation Strategy. Depending on the client’s business objectives, an ICD 10 implementation approach will be finalized using tools, best practices of project management and other Zensar accelerators to ensure a quick and smooth transition.

IMPACT SOURCING METHODOLOGY:

This is a unique methodology that will enable high performance for organizations in the coming future. A best-of-breed COBIT framework & ITIL methodologies are deployed to generate a future roadmap tailored for organizations to meet their optimization needs. We facilitate our clients in formulating and implementing strategies, reducing costs, increasing efficiencies, driving innovation and expanding into new markets. Following are the steps used for implementing Impact Sourcing methodology

  • Assessment and solution identification
  • Roadmap Creation
  • Measure
  • Implement
  • Measure Impact
  • Continuous Improvement

Methodology

Diagram: Life Insurance MethodologyDiagram: Life Insurance Methodology

Value Proposition

  • ICD 10 architectural frameworks for smooth transition and generating value beyond immediate compliance requirements
  • Process consultants experienced in managing HIPAA 5010 conversions for a Fortune 500 US health insurer will be managing ICD 10 implementation
  • Predefined process along with templates and resources for crosswalk coupled with a tool-based transition for lower cost and risk
  • Implementation using DUAL shore model for cost optimization
  • Phase-wise release without affecting Business-As-Usual operations
  • Compliance enabled testing methodology for Insurance testing – ensuring quick in meeting regulatory mandate
  • Bi-directional crosswalk implementation
 

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