| HIPAA 5010 Solutions and Services |
| Challenges |
| Health care organizations know they need to lay considerable groundwork to effectively operate under the new Health Insurance Portability and Accountability Act (HIPAA) 5010 electronic transaction standard. But where to begin given its enormous scope and powerful implications? |
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| The new standard significantly modifies its 4010A1 predecessor. It accommodates the massive, five-fold increase in ICD-10 code sets and touches everything from billing to reimbursement to administrative functions: |
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- Electronic data interchange (EDI)
- Claims adjudication
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- ecision support
- Pay-for-performance support
- Practice management
- Utilization management
- Patient and provider satisfaction
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| The U.S. Department of Health and Human Services implementation deadline of January 1, 2012 leaves little time to identify, design, test, and launch the new systems, processes, and protocols required for a smooth transition. All health care organizations from government agencies to the payers, hospitals, physicians, and vendors they work with need to begin preparing for 5010 immediately. EZEN's unmatched combination of 5010-specific services can help streamline the process. |
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| Why EZEN? |
| EXPERTISE |
| Expertise matters, especially in an undertaking this big. We're established, tested, trusted, and just as important, experienced in health care best practices. EZEN has long been at the forefront of coding, transaction standards, and payment and reimbursement methodologies. |
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| Our team comprises accomplished talent and successful executives who know how to transform good ideas into tangible, practical solutions that make more disciplined, more cost effective and are more likely to produce improved outcomes. |
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| BREADTH |
| We service every facet of the health care industry and therefore have a wide strategic perspective. We understand how payers, providers, and government interplay and how they can work together to not only manage the HIPAA 5010 transition, but to prosper under it. |
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| In addition, our team has knowledge and expertise that extends far beyond electronic data interchange (EDI) transaction standards, and as a company, we have long delivered innovative services, and consulting to improve our clients operations. |
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| FLEXIBILITY |
| Our expertise in transactions, technology, and federal regulations can help you minimize disruption to your everyday operations before, during, and after the transition. Our services are flexible and customizable to meet your needs from beginning to end or at any point of your transition. We'll help you understand which 5010 changes will improve operating effectiveness and should be heeded immediately and which can safely receive less attention. |
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| Our services include: |
- Business Strategy and Process Re-engineering
- Organizational development to establish a culture in your company that both enables and embraces change brought about by H.I.T.
- EDI Evaluation and Data Management, including Use Cases and Step by Step Audit Frameworks
- Strong regulatory, standards, and systems perspectives to provide the realistic mentoring to our clients
- Ontology of knowledge of standards
- On-staff consultants and a network of over 500 health care IT professionals with relevant experience.
- Health information exchange design based on service oriented architecture, HIPAA EDI data transport, HIPAA coding standards.
- Systems Integration
- Training & Education
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| Our experienced and professional services team can support and augment your internal 5010 migration and ICD-10 upgrade initiatives in the following roles: |
- Audit and review of migration requirements, whether developed by us or the client
- Project Management
- HIPAA Migration Readiness Survey
- 5010 Migration Strategic Planning
- 5010 Standards Subject Matter Experts
- 5010 Migration Testing and Validation
- As Is and To Be Process Models, Facilitation, and Re-Engineering
- Review of Requirements Development Process
- General Equivalence Mapping (GEM) situational reviews to determine an implementation approach with your systems
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