Whitepapers

Health Reform - Independent Validation

With the advent of Health Reform and ICD-9 to ICD-10 mandates, testing is a critical function in every Payer's company. A comprehensive testing/QA program will not only make these transitions smoother, but will lower development costs, identify areas that are in need of remediation and provide management with tools that identify status, progress and concerns.
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Health Reform - Effects on Payers

The 2010 Reconciliation Act amends the healthcare reform legislation included in the Patient Protection and Affordable Care Act. Health insurance companies will feel the effects of these two major legislative changes more than any other industry. But they may also benefit by having more insured lies through coverage expansions in the insurance exchanges.

Payers will have to react quickly to ensure they are compliant with the new regulations that will become effective within the first six months after enactment.

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Healthcare ICD-10

Over the next few years, the healthcare industry will face the daunting task of upgrading essential systems and processes to comply with two complex initiatives. The Department of Health and Human Services mandated that all healthcare organizations convert from ICD-9 to ICD-10 (International Classification of Diseases, 10th Edition) by October 1,2013.

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