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ICD Conversion Testing Framework

Migration from ICD9 – ICD 10 standards as well as from HIPAA 4010 to HIPAA 5010 standards will involve significant changes to existing business application being used by Providers. Given the number of discrete systems typically used by Providers, coordinating changes to these systems and verifying that all systems have been upgraded as desired is a big challenge.

Given the risk involved in implementing this transformation, it is imperative that the changes made are tested thoroughly to ensure that all business scenarios have been implemented as desired in the system. The aggressive compliance timelines combined with the enormity of the testing effort will put undue pressure on Providers’ IT staff that can otherwise be used productively for other critical operational activities.

V2 Health has developed a unique testing framework that covers both manual as well as automated testing of systems that move from ICD 9 to ICD 10. This framework is provided as a hosted solution that acts as an intermediary between Provider and Payer systems.

This framework ensures complete test coverage of all business scenarios with minimal time and effort. Business rules unique to each Payer – Provider combination are encoded and stored within this framework’s repository. This set of rules is used to validate various transactions that are included under the scope of the testing effort. This configurable business rule repository makes in very easy to handle changes to the business scenarios with minimum effort.

The V2 Testing Framework:

  • Minimizes validation and testing costs for Payers and Providers.
  • Supports validating transactions by integrating with multiple Clearing House / Payer systems easily.
  • Ensures test coverage by validating all business rules encapsulated in Payer contracts.
  • Reduces testing time and effort by automating test runs.
  • Provides a visual dashboard for quick identification of root causes of errors.

Please call on contact us to know more about how our testing framework can validate the transition from ICD 9 – ICD 10 in a timely, cost-effective and predictable manner.

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