At Hexaware, we understand that our customers in the healthcare industry today face unique challenges balancing cost to serve, consumer demands, and government regulations. Our Healthcare Center of Excellence was created to build innovative automated solutions/services in the Healthcare and Life Sciences domain with specialization in regulatory compliance solutions (HIPAA, ICD) and testing. We believe the ICD Assurance Framework, Hexaware’s ICD-10 transition solution, is unique in the marketplace with its end-to-end capabilities that include automation to facilitate an efficient, effective, and compliant transition

The ICD Assurance Framework spans across all phases of the Software Development Life Cycle (SDLC) as it applies to the ICD-9 to 10 conversion process:

Pre-assessment, Strategy, Design, Development, Testing/Training and Transition.

In the Pre-Assessment Phase, we perform pre-assessments to gauge the size and complexity of the Assessment Phase. These include:

• Executives, Subject Matter Experts (SMEs) and other stakeholder interviews.
• Collect sample dataset and code base.
• Automated reviews of all sample database and codebase.
• Identify new reports or customization to existing reports that would need elaboration during the Assessment phase.

In the Strategy Phase, we perform assessments. These include:

• Executives, Subject Matter Experts (SMEs) and other stakeholder interviews.
• Automated review of all relevant databases and codebase.
• Business process reviews, potential interactions with the ICD code changes.

In the Design Phase, we

• Develop detailed system requirements and a high-level development task list.
• Extract an assessment of the relative effort of each task, based on the system where the change will be made and the relative difficulty of the change.
• Derive the priorities for the development process.
• Create implementation strategy guided by industry best practices.

In the Development Phase, we

• Create a detailed work plan for the conversion effort, including system changes, development and testing, and all training tasks.
• Estimate effort before development begins.

In the Testing and Training Phase, we

• Provide testing requirements with detailed business processes by user role. These will be the primary inputs to the manual and automated testing effort.
• Provide inputs into training plans on most frequently used ICD 9 codes.

Overall Business Benefits

• End-to-end capability offering to enable transition from ICD-9 to 10
• Conserves IT bandwidth – existing IT team can focus on executing relevant aspects of the transition rather than trying to ascertain impacted areas.
• Customizable Database Scan – Selectively assess specific tables or the entire database for all records or batches of records. This helps to prioritize the assessment by starting with tables that are already known to have ICD-9 columns or have a large number of records.
• Non-intrusive: Picks up only ICD-9 columns and hence complies with HIPAA norms with respect to Electronic Protected Health Information (EPHI).
• Identifies business rules that need to be changed to accommodate ICD-9 codes that have approximate or complex ICD-10 matches.
• Provides a detailed project plan for each of the phases of ICD-9 to ICD-10 transition project based on which various stakeholders groups can plan and budget finances and resources.
• Customizable analytical reports to help stakeholders to prioritize and plan training.
• Support for Reimbursement Mapping to reduce one-to-many mapping scenarios.
• Reduces ICD-9 to 10 transition time and effort by 50 to 60%.
• Utilize HPower10 for a host of technology platforms, since the tool is platform agnostic.
• Leverage automated testing development for Facets, MetaVance, and similar systems and integration points.
• Nearly automatic creation of high-impact training components based on a cross reference of data, tests and user roles.