The clock is ticking fast and the regulatory timeline for ICD 10 is fast approaching. Healthcare organizations are surrounded with the most complex regulatory challenge – Transitioning to ICD 10 standard. ICD 10 has pervasive impact on business processes of Healthcare Payers and Providers and requires significant investment in upgrading the IT systems. Some of the key components of the IT Systems / product modules that need overhauling to meet the ICD-10 are presented below.

---

Nous Infosystems’ Healthcare solutions are designed to assist organizations to take the best advantage of the transition investment and go beyond achieving the basic compliance.

---

Nous’ offering for payers:

• Consulting and impact assessment service – Gap assessment, provide compliance road map and transition planning
• Develop mapping layer/cross walk solutions for ICD 10 transition and migrating existing business rules to new standards
• Upgrading the claim processing system and rating engine to accommodate the data format
• Creating/enhancing the reports sent to regulatory and third party agencies
• ICD 10 Readiness check and development of mapping layer/cross walk solutions for the transition
• ICD 10 testing service – Migration testing and QA

---

Nous’ offering for providers:

• Assessment and Implementation of the volume of changes required for the electronic systems which capture and report diagnosis codes for the upgrade from ICD9 to ICD10

Including:-

• Upgrading Electronic Health Record (EHR) and Electronic Medical Record (EMR) system    to accommodate the data format for ICD10
• Upgrading Practice Management system to accommodate the data format for ICD10

• Updating HIPAA transaction from version 4010 to 5010
• Assessment/Implementation of the changes required for the Encounter forms or Super bills
• Upgrading of the claim processing system to accommodate the data format for ICD10
• ICD 10 testing service

---

Validation/Testing Services:

Nous’ Independent Verification & Validation division, Samhitha, undertakes overall testing & QA services for ICD 10 migration comprising:

• Due Diligence / System Study / Scope of Testing
• Test Plan
• Test Environment Set-up
• ICD – 10 Test Case Preparation & Review
• Test Execution
  • Unit Testing
  • System Testing
  • Regression Testing
  • Non Functional Testing (Performance and Privacy/Security)
  • Internal End-to-End Testing (Level 1)
  • External End-to-End Testing (Level II)