Edifecs Experts to Present Challenges and Best Practices for ICD-10 Testing at MESC 2012

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Session Discusses Ways Collaborative Partner Testing can Minimize Operational Risks

ICD-10 experts from Edifecs Inc., a leading provider of healthcare software solutions, will discuss the challenges and best practices for ICD-10 testing at next week’s Medicaid Enterprise Systems Conference (MESC) in Boston. The session will outline potential risks and provide recommendations for minimizing operational impact through ICD-10 collaborative partner testing.

Edifecs’ Dr. Parag Patel and Kristine Weinberger will lead the discussion on ICD-10 testing, one of the most difficult testing projects many organizations will tackle due to the size of the change, cross-functional impact and dependencies with many trading partners.

The ICD-10 mandate is one of the most extensive conversion projects State Medicaid Programs and Medicaid providers will face. While a more strategic approach to testing requires new levels of collaboration and information sharing among trading partners, a failure to do so may result in significant coding and payment issues once the mandate is in full affect. Testing will be a key process for successful adoption of ICD-10 across the entire healthcare industry.

The mandate ushers in a new level of granular information that has the potential for taking the healthcare industry to a greater level of patient care by providing specific documentation to enable better health outcomes. Earlier this year, the Department of Health and Human Services proposed a one-year delay to the ICD-10 compliance deadline giving health plans and provider organizations additional time to assess the impact of ICD-10 and implement testing scenarios with trading partners.

WHEN: Thursday, August 23, 2012 at 8:30 AM EDT at the MESC Conference in Boston

WHAT: A discussion focused on the best practices Medicaid Programs and their providers can use to minimize disruption to both financial and operational processes through the industry’s transition to ICD-10. The session will share lessons learned from current testing efforts and discuss alignment of testing for various initiatives. Additionally the session will outline:

  •     The transition requirements that make ICD-10 testing complicated
  •     Methods for sample testing that capitalize on collaboration
  •     Challenges in clinical and policy testing strategies
  •     The key benefits and challenges of collaborative testing approaches

WHO: Parag Patel, MD, MHA heads the ICD-10 Advisory Services and Implementation Consulting team at Edifecs. In this role, he is responsible for managing delivery of Edifecs ICD-10 services to the company’s enterprise customers, many of whom are the largest healthcare payer, Medicaid and provider organizations in the country. He is a healthcare business process engineering expert, with extensive experience in developing IT-enabled business solutions and conducting comprehensive impact and risk analyses.

Kristine Weinberger, Senior Healthcare Business Consultant at Edifecs, has more than 23 years of healthcare industry experience with Medicaid fiscal agents, state government, and technology solution providers. She is a nationally recognized expert in analyzing the impacts of HIPAA and ICD-10 and is actively involved with industry organizations such as X12, the National Medicaid EDI Healthcare (NMEH) Workgroup, and the Workgroup for Electronic Data Interchange (WEDI), where she serves as co-chair of the ICD-10 Crosswalks sub workgroup.

The annual MESC (formerly known as the MMIS Conference) brings together thought leaders from the public and private sectors to share ideas and information related to Medicaid information systems and initiatives.

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—including 31 of State Medicaids—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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Karalee Sargent
Raffetto Herman Strategic Communications
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