We've combined decades of Payer testing expertise with advanced data analytics and conversion tools to help Payers control costs and mitigate risks associated with the ICD-10 transition.
Our ICD-10 solution leverages the FX Healthcare Engine, which features a suite of technology tools designed to help Healthcare IT organizations in the planning, business alignment, systems change management, and testing of the ICD-10 migration activities. The tools assist in mapping codes, integrating crosswalk solutions, integrating data conversion techniques, as well as payout analysis reporting.
Features & Benefits
- Subject matter expert(s) support
- Analyze, map, convert, down convert, test & report
- CMS GEMs / Plan specific mappings loaded
- Powerful if-then rules engine for custom mappings
- Loads post claim processing propriety files
- Generate claims operational reports
- Achieve no change in first pass rate, revenue neutral payout
- Achieve no disruption to providers, accounts, billers, TPA, clearinghouse, members