Are You Ready?

COUNTDOWN
TO OCTOBER 1, 2013

We Will Get You There!

The United States healthcare system is migrating to the use

of the International Statistical Classification of Diseases
and Related Health Problems 10th Revision (ICD-10), for
coding diagnoses and inpatient hospital procedures.

Resources. Solutions. Results.

The United States Healthcare system is migrating
to the use of ICD-10-CM for diagnosis coding and
ICD-10-PCS for inpatient procedure coding.
Transactions for outpatient claims for dates of service and inpatient
claims for discharge date must be submitted with ICD-10 code sets
effective October 1, 2013. Migration from ICD-9 to ICD-10 requires an
organizational overhaul. Healthcare entities must evaluate and re-
view all of their systems, processes, practices and policies. Forward
thinking organizations are reviewing the transition process to ICD-10
as a business improvement opportunity.
The magnitude of change incurred in moving from ICD-9 to
ICD-10 is evidenced in the raw number of codes used expanding from
about 18,000 to 141,000 due to changes in format, syntax and greater
specificity of coded data. Coding and reimbursement practices will
change dramatically in response to this change taking place. Assign-
ing codes that accurately represent the severity and intensity of ser-
vices provided will require a heightened level of detail in provider
care documentation. Reimbursement and service eligibility will also
be impacted by this same set of codes.
Valued benefits will be derived with organizations wisely using the
more granular and specific coding to:

Improve the effectiveness of the care rendered by using the

coded data to improve the care process including disease
management, provider performance, and research for better
outcomes.
Improve the efficiency and accuracy of healthcare administra-
tion by eliminating some of the inefficient review processes
and allowing for enhanced accuracy of reimbursements for
services rendered.
Advance the long-term outcome of care management world-
wide by using the data for global reporting and care compari-
sons as most other developed countries are already use
ICD-10 coding.
Overall, improved reimbursement for medical services
and better fraud detection to curb the escalating cost of
healthcare.
SOURCECORP HealthSERVE has the resources to help you navigate SOURCECORP
this change to ICD-10 for medical diagnosis and inpatient procedure HealthSERVE
coding.
helps customers
COUNTDOWN transform their
TO OCTOBER 1, 2013
business process
and accelerate
their business
SOURCECORP HealthSERVE
WE WILL GET YOU THERE! performance.
 SOURCECORP HealthSERVE is a leader in the healthcare market and established
full service Health Information Management consulting firm with over 30 years of ex­
perience and a reputation of providing exceptional service. SOURCECORP HealthSERVE
offers hospitals, physicians and medical centers an ICD­10 Readiness Program which
is a comprehensive end­to­end migration and compliance solution for ICD­10­CM and
ICD­10­PCS.
You will benefit from our seasoned project managers and healthcare experts who are knowledgeable about your
system requirements, operations and compliance needs. Our process begins by conducting an environmental as-
sessment and performing a risk analysis, then, providing you with the information you need to formalize a plan
for financial and technical success. Our solutions include:

Project Management
Environmental Assessment
Risk and Impact Analysis
Project Planning and Budgeting
Monitoring of Milestones and Key Performance Indicators

Coding and Auditing for ICD-10

Coding Audits for Readiness
Coder Readiness Assessments
Provider Documentation Reviews for ICD-10
Coding Support for Transition

Operational Compliance for ICD-10

HIM Departmental Review
Policy and Procedure Development
System Reviews
Workflow Analysis

Education and Training for ICD-10

ICD-10 Awareness
Coder Training
Provider Documentation Integrity Program
GEMS Education
Data User Training

Reimbursement Modeling for ICD-10

Contract Modeling
GEMS Mapping Assistance
Third Party Payer Contracting

Revenue Integrity for ICD-10 Reimbursement

Contractual Allowance Calculation and Posting
Underpayment Identification Analysis
Denials Management
Payment Accuracy Analysis and Collections
 Project Management
Seasoned project managers deliver on-time, qual-
ity results throughout the entire ICD-10 process. Pro- ICD-10 REPORTS & FORMS
IT SYSTEMS

prietary tools and industry best practices are used to

assess systems, processes and operations to provide a
PROCESSES ANCILLARY
DATA INDICATORS

comprehensive view of the impact of ICD-10 changes CONTRACTS

on your enterprise. A risk analysis is performed to en- COLLECTIONS

sure your most important tasks receive priority atten- CLAIMS/ BILLING

tion. Information is compiled to create a comprehen- CHARGE/ CODE

sive ICD-10 project plan inclusive of a schedule of tasks CLINICAL RECORD
and events, identification of project milestones and key CASE MANAGEMENT
performance indicators customized for you. The plan FINANCIAL COUNSELING
is the guiding document for ongoing communication AUTHORIZATON/ ELIGIBILITY
on the status of your ICD-10 compliance. SOURCECORP PATIENT ACCESS
HealthSERVE Management then oversees program PRE-REGISTRATION
functions including but not limited to:
a. Assessment Oversight
b. Risk Analysis Operational Compliance
c. Project Plan Development
Team members with health information and opera-
d. Schedule Management
tional management experience assess your opera-
e. Financial Impact Analysis tions to maximize ICD-10 capabilities. Assessors review
f. Communications Management workflow, coding compliance policies, medical record
g. Change Management documentation integrity, and develop best practice
h. Contingency Plan Definition guidelines for governance, efficiency, effectiveness and
compliance. Operational reviews are designed to assess
the impact of the ICD-10 transition on workflow pro-
cesses, identify obstacles and provide recommenda-
tions for improvement.

Education and Training

ICD-10 Educational solutions provide a high level of
ICD-10 readiness for your team. Education is designed
to increase the awareness of how to receive maximum
benefits from ICD-10. Training is available for senior
management, clinical and medical staff, admission and
patient finance personnel, case and utilization manage-
ment, coding and others who benefit from an enhanced
Coding and Auditing understanding of ICD-10 and its impact on the organi-
zation. Customized sessions are also provided for spe-
Experience migrating to ICD-10 shows that more coding
cialty areas in your facility.
resources are needed to complete the same amount of
work. ICD-9 and ICD-10 coding resources are available
for all your record types. Coding audits are performed
to focus on your ICD-10 coding issues. Provider docu- u Technology Compliance
mentation reviews are performed, as well as concurrent
review services, to improve the documentation that
Project Environment Risk Project
leads to proper code assignment and optimal coding.
Management Assessment Analysis Plan
Coders and auditors are available for on-site or remote
work. All ICD-10 coding personnel are AHIMA Creden-
tialed, ICD-10 certified, and educated by our AHIMA ap-
proved coder development program.

Reimbursement Modeling
Our unique contracts modeling and enhance-
ment tool identifies revenue enhancement op-
portunities for your facility and models contract
terms using your data. As a subscriber to your
837i process, your reimbursement data is load-
ed for quick review of the financial impact of
contract changes and term modifications. GEMS
mapping issues are identified and results of vari-
ous payment scenarios using complex contract
terms are modeled. Your actual data is used to
provide you clear expectations and to help save
you time and money.
Are You Ready?
t
u Operational Readiness
t Records Code Operational
Coding Auditing Compliance
Revenue Integrity
Revenue Integrity provides service guarantees around your
payment processes. Our tool ensures the integrity of your re-
imbursement process and is available for use before and after
ICD-10 activation. The application is 5010 compliant, easy to in-
stall, flexible, cost effective and simple to use. It allows for calcu-
lation and posting of contractual allowances, monitoring of un-
derpayments, and management of denials. Plus, it can handle
complex contract terms including carve-outs, DRG reimburse-
ment scenarios, bundled payments and the like.
Resources. Solutions. Results.
SOURCECORP HealthSERVE experts utilize their years of prac-
tical experience to find opportunities to innovate change for
you during this time of transition. ICD-10 is implemented in
your work environment by working closely together with you
to achieve compliance. We combine this program with the ex-
tensive experience of sophisticated software development and
testing partners to provide you a comprehensive migration and
solutions program for ICD-10 compliance.
This ICD-10 migration and solutions program is flexible in meet-
ing your individual requirements and priorities. All of our ca-
pabilities are deliverable as a complete or partial package. We
provide customized solutions working beside your staff, and fo-
cused project management, staff augmentation, tools and tips,
throughout the entire process. Let us offer you preparation and
adoption solutions that guarantee you the confidence of suc-
cess with your ICD-10 Readiness Plan.
At SOURCECORP we believe the formula for success with
ICD-10 is preparation, experienced project management, and a
heritage of coding and contracting.
t uFinancial Managementt
Education Revenue
Documentation and Training Reimbursement Integrity
Integrity Modeling
 SOURCECORP HealthSERVE offers end-to-end
ICD-10 migration and ongoing compliance solutions with:
Experienced Project Management
Comprehensive Assessment, Analysis and Planning
Trained and Certified ICD-10 Coders, Auditors and Educators
Predictive Contract Modeling
Expertise in Operational Compliance
Integrity Programs for Revenue and Documentation Accuracy

Resources. Solutions. Results.

COUNTDOWN
TO OCTOBER 1, 2013

SOURCECORP HealthSERVE
WE WILL GET YOU THERE!

Customize Your Solution

Contact SOURCECORP HealthSERVE at 877-369-0344 or www.sourcecorp.com/icd10/
3232 McKinney Avenue, Suite 1000, Dallas, TX 75204