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HIPAA Compliance

ICD-10 Compliance

A Critical System Compliance Issue

For state Medicaid programs, the pressure is on to comply with the new HIPAA standards enabling transformation to electronic healthcare records. The new generation of diagnosis and procedure codes as well as updated standards for health care and pharmacy transactions must be adopted. Migration to the Accredited Standards Committee (ASC) X12 version 5010, National Council for Prescription Drug Programs (NCPDP) version D.0, and International Classification of Diseases and Related Health Problems 10th Revision (ICD-10) code sets represent a monumental shift in the data and transactions used to communicate among healthcare trading partners.

Achieving compliance is not easy – especially when states are grappling with budget deficits, furlough days and staff retirements. The level of effort required to migrate to new versions of NCPDP and X12, and to adopt the ICD-10 standards, is one of the most daunting challenges in many years. Are your staff and systems vendors prepared to meet the deadlines? Do you have to develop risk mitigation and business continuity strategies to get there?

Are You at Risk? How Can You Be Sure?

CSG combines our deep experience in state healthcare systems with our CSG REALizeSM framework to ease the way to HIPAA 5010 and ICD-10 compliance. CSG REALizeSM speeds the process of gathering, analyzing and reporting to identify risks and compliance issues across program and IT groups. We help you protect the integrity of health information while creating bridges between the “As-Is” and “To-Be” state of diagnosis and inpatient procedure reporting.

Successful migration plans address the entire breadth of the enterprise. CSG REALizeSM facilitates the identification of cross-functional areas of impact and the creation of collaboration, communication and integration plans. We help you realize the business benefits of the new transaction and code sets, enabling your organization to enhance the healthcare experience for the community, partners and individuals you serve.