ICD-10 QA

The American Healthcare industry is at the threshold of a significant transformation with organizations preparing to migrate from ICD-9 to ICD-10 by October 2014. Healthcare organizations are investing in planning and developing well defined strategies to guarantee a smooth and uninterrupted ICD-10 transition. The implementation of US ICD-10 CM (68,000 codes) and ICD-10 PCS (76,000 codes) represents a huge industry opportunity to improve healthcare information at a granularity never available before.

In this transition, one of the monumental challenges that companies are faced with, apart from the successful remediation of systems, processes and functions is validation. The key to minimizing financial risk lies not only in the remediation of code, but also in the clinical and financial accuracy of data, processes and displays. Healthcare organizations need a testing and validation strategy that has an end to end, business driven view to ensure optimized operational effectiveness during and post remediation.

Virtusa is a trusted IT services vendor specializing in QA testing for many of the leading global healthcare organizations. Our in-depth experience in ICD-10 migration strategies with leading healthcare organizations helps us understand the comprehensive business impact of remediation on the entire healthcare cycle. Virtusa's ICD-10 Testing & Validation solution provides a structured approach that identifies business impacts at every step of the migration journey, ensuring immediate operational readiness post remediation. This ensures the clinical accuracy of data and subsequent processing by leveraging a clinically verified, transaction data set that has been dual coded in ICD-9 and ICD-10.

Virtusa's ICD-10 Testing and Validation offering goes beyond just testing to ensure financial neutrality to current ICD-9. It identifies potential ICD-10 clinical abnormalities, validates pricing at the granular level of ICD-10 and provides ongoing monitoring of errors, fraud, and abuse using:

• ICD-10 Strategy Assessment
• ICD-10 Remediation Functional Testing Assistance
• Business Process focused end to end Three-Phase Validation:
  • Functionality Validation
  • Clinical Validation
  • Financial Validation