What This Means to Your HealthCare Business

HIPAA 5010 and ICD-10 provide opportunities that impact group, practices and structures in healthcare organizations. We believe that executing HIPAA 5010 and ICD-10 as mere policies accelerates full potential of improving the efficiency and lowering costs of healthcare delivery and administration. There are opportunities to amplify and perk up profits streams by divulging new business processes into your venture.

The four project phase approach for the HIPAA 5010 conversion initiatives includes:

• Assessment
• Design and Mapping
• Customization, Integration and Testing
• Documentation and Knowledge Transfer

Our team has the requisite skills and experience to help you achieve HIPAA 5010 compliance cost effectively.

HIPAA 5010 Services

Implementation of the ASC X12 5010 standards can produce numerous benefits to health plans such as:

• Eligibility transaction (270/271) – Clearer benefit and coverage information that will assist with treatment decisions
• Authorization and Referral transactions – More timely and appropriate decisions for authorizations
• Remittance transactions (835) – Better automation of reimbursement
• Claims transactions (837) – Expedited payment and reduced AR days

While implementation of HIPAA 5010 will provide numerous benefits, 5010 is complex and will require a strong understanding of the detailed implementation guides for each transaction and substantial testing efforts.

HIPAA 5010 services include:

• 4010 to 5010 Readiness Assessment
• Development of the 5010 Compliance Roadmap
• Development of the 5010 Solution Architecture
• HIPAA 5010 Program / Project Management
• Detailed Analysis of Business Rules
• Creation of the 4010 to 5010 Cross Walks
• Development of X12 5010 Wrapper and EDI Gateway
• Production Validation of X12 5010 Transactions
• 5010 Transaction Testing
• HIPAA 5010 Training

Similarly, the four phase approach for the ICD-10 conversion initiatives includes:

• Pre-Planning
• Impact Analysis
• Customization, Integration and Testing
• Documentation and Knowledge Transfer

Client's CaseStudy

CareSource

For more information, please dial us on 1-630-355-6292 (Monday - Friday: 8AM to 6PM), alternatively you can email us at info@royalcyber.com or Contact us and our team of consultants will assist you further.