Memorial Hermann Selects Edifecs as its Strategic ICD-10 Partner

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Nationally Ranked Health System Will Use Edifecs ICD-10 Solution to Mitigate Risk and Simplify Code Mapping

Today, Edifecs, Inc., a leading provider of healthcare software solutions specializing in regulatory compliance tools for healthcare providers and health plans, announced that Memorial Hermann has selected Edifecs as its strategic technology partner for implementing ICD-10. Memorial Hermann is one of the top-ranked healthcare provider systems in the country, including winning accolades for its rehabilitation hospital and being awarded the National Quality Healthcare Award from the National Quality Forum.

The Edifecs ICD-10 solution helps healthcare providers and health plans achieve operational and financial neutrality by understanding and mitigating risks at each stage of the ICD-10 transition. By leveraging and analyzing its own historical data to prioritize remediation and testing efforts, Memorial Hermann can take a data-driven, pragmatic and iterative approach for a smooth transition. Using Edifecs ICD-10 Impact Analytics and ICD-10 Code Management solutions, Memorial Hermann can now prioritize its efforts, moving from the “what” of ICD-10 migration to the “what first and with whom” analysis and remediation that is essential for a solid project plan.

“Edifecs’ risk assessment and code management capabilities were the deciding factors in our selection process,” said Carol Paret, System Chief, Health Information Management at Memorial Hermann. “We evaluated several other solution providers, and none gave us the same level of confidence. The Edifecs ICD-10 solution will provide critical insight into the operational and financial risk associated with ICD-10. With Edifecs, we can use historical claims data to identify and mitigate risk, reduce costs associated with bringing providers online, and create better code maps through intelligent tools—all of which will help us plan and execute a smooth transition to ICD-10.”

The transition from ICD-9 to ICD-10 represents one of the most wide-ranging impacts to a healthcare provider’s business. Given the dramatic increase in codes from roughly 18,000 to more than 140,000, processes for scheduling, care delivery, diagnostics, billing, and analytics will likely change in some way. One of the biggest concerns, however, is revenue cycle neutrality. Providers could experience significant payment variation under ICD-10 compared to ICD-9, depending on which codes they use when submitting claims.

Memorial Hermann selected the Edifecs ICD-10 solution because of the depth and quality of its impact analysis capabilities and the ease of code mapping between ICD-9 and ICD-10. For large, multi-facility hospital systems like Memorial Hermann, these capabilities are particularly important, due to the complexity of internal IT systems and the relationships they have with various health plans.

“Memorial Hermann is one of the top-ranked health systems in the country, and it has built a system of care that delivers timely, accurate, safe and effective treatments,” said Sunny Singh, CEO of Edifecs. “Given Memorial Hermann’s rigorous focus on quality and patient satisfaction, we are proud to have been selected as its ICD-10 solution. Our Edifecs team prides itself on delivering the same rigorous focus on ensuring a smooth, revenue-neutral ICD-10 transition for each and every Edifecs customer.”

About Memorial Hermann
An integrated health system, Memorial Hermann is known for world-class clinical expertise, patient-centered care, leading edge technology, and innovation. The system, with its exceptional medical staff and more than 20,000 employees, serves to advance health in Southeast Texas and the Greater Houston community. Memorial Hermann’s 12 hospitals include three hospitals in the Texas Medical Center, including the Texas Trauma Institute – a Level I trauma center, which houses the Life Flight® air ambulance – a hospital for children and a rehabilitation hospital, eight suburban hospitals, and a second rehabilitation hospital in Katy. The system also operates three Heart & Vascular Institutes, the Mischer Neuroscience Institute, two Ironman Sports Medicine Institute locations, cancer centers, imaging and surgery centers, sports medicine and rehabilitation centers, outpatient laboratories, a chemical dependency treatment center, a home health agency, a retirement community and a nursing home. As an Accountable Care Organization, the system also offers employers health solutions and health benefit plans through its wholly owned MHealth, Inc. and MHealth Insurance Company.

About Edifecs, Inc.
An industry leader since 1996, Edifecs provides healthcare software solutions that improve operational performance by streamlining the exchange of information among health plans, hospitals, and other healthcare organizations, while enabling compliance with current mandates such as HIPAA 5010 and ICD-10.

Today, more than 250 healthcare customers use Edifecs technology to unify transactions from any information channel source and input mechanism, while automating manual business processes such as enrollment, claims and payments management.

Edifecs is currently recognized as one of the 100 Fastest Growing Private Companies in the state of Washington, 100 Best Places to Work in the state of Washington, an Inc. 5000 fastest-growing private company and one of the 500 Fastest Growing Companies in North America by Deloitte. Edifecs is headquartered in Bellevue, WA. For more information, please visit http://www.edifecs.com.

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Robin Rees
Edifecs
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