Patni Enhances HIPAA 5010, ICD-10 Offerings

Mumbai: Patni Computer Systems Ltd, a global IT services and BPO provider, introduced enhanced versions of its HIPAA 5010 and ICD-10 assessment and migration service offerings. Leveraging the company's extensive experience in the healthcare domain and its strategic alliance with Milliman consulting, Patni created an assessment framework designed to help healthcare organizations successfully convert from the HIPAA 4010 electronic transaction set to the 5010 set and from ICD-9 code sets to ICD-10.
While conversion complexity differs by organization depending upon the number, type and flexibility of affected processes and systems, the Patni approach provides a proven roadmap to meet critical deadlines, while enabling payers to seize opportunities for organizational improvement and operational efficiency. With the compliance challenge exacerbated by slow economic recovery, mounting pressures of healthcare reform and conflicting business priorities, healthcare payers will be motivated to seek outside assistance from service providers such as Patni and Milliman.
“Facing regulatory deadlines in 2012 and 2013, and with ICD-10 compliance impacting nearly every core process, system and interface, healthcare organizations must begin their remediation efforts sooner rather than later,” said Ganesh Iyer, Senior Vice-President and Global Head, BFSI, at Patni.
“Payers face substantial remediation and migration costs — from $2 million for Tier 3 companies up to $5 million for Tier 1 organizations,” Iyer continued. “They'll need to update existing systems and provide employee education and communications until all coding issues have been resolved. They will generate cost benefits from improved disease management and improvements in claims adjudication and payment processes, but it will require significant changes in their IT infrastructures and methods of data retention, reporting and analysis.”
Working together, Patni and Milliman will utilize their tested processes, methodologies and tools to assist with HIPAA 5010 and ICD-10 conversion from the initial assessment phase through remediation, implementation and training phases to ensure a smooth transition. They can also assist organizations in defining business intelligence and analytical requirements and capabilities to leverage the granular data received as a result of ICD- 10 coding.
Patni's phased approach in the HIPAA 5010 and ICD-10 data conversion deployments includes expert handling of assessment, pre-planning, design and mapping, technical and business impact analysis, integration and testing, and documentation and knowledge transfer processes.