ICD-10 Considerations Payers & Providers Oughta Think About

Here are some specific areas payers and providers may want to consider:

1. Application Inventory & Identification of Software Changes (Data, Logic & UI)
2. Identifying Impacts to Core System Setup, Administration & Reporting
3. Utilizing Methodologies, Best Practices, Checklists, Tools, and Templates
4. Identifying, Communicating, Managing & Validating Impact of External Entities
5. Remediation: Design Specs, Construction, Validation & Implementation
6. Leveraging ICD-10 Investment Beyond October 2013
7. What’s the Difference Between Mapping, Crosswalks & General Equivalencies?
8. Marrying Business & Conversion Strategies – Pre & Post October 2013
9. Financial Neutrality: Medical Loss Ratio, Predictability & Profitability
10. Impacts to Actuarial, Underwriting, Contracting and Reimbursement
11. ICD-10's Impact to Medical Policy, Care Management & Disease Management Programs
12. Fraud & Abuse: Challenges and Opportunities from Increased ICD-10 Granularity
13. Understanding Impacts to DRG’s, HCC’s, Case Rates, APG’s, Carve Outs & Other Groupings
14. How Might/Could/Will ICD-10 Impact P4P, ACO’s, Meaningful Use & Other Reforms?
15. Bridging the Digital Divide & Data Fog Due to the ICD-9 & ICD-10 Transition Period
16. Considerations and Impacts Related to Dual Processing of I-9’s and I-10’s
17. Contingency Planning for Nov 2013 – Preparing to Avoid the Hangover Effect

I'm ready to help those who ask me to expound on any of the above.

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