Healthcare Transformation Framework Solves Coding Compliance Needs

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Innovative a2c ICD-9 to ICD-10 “Healthcare Transformation Framework” saves over $5m; accelerates compliance for BCBS Insurer: Healthcare Transformation Framework Solves Your Coding Compliance Needs -C. D. Trombley

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Innovative a2c ICD-9 to ICD-10 “Healthcare Transformation Framework” saves over $5m; accelerates compliance for BCBS Insurer...“This unique and versatile solution is not limited to ICD-9/ICD-10 conversion efforts, but has application in a variety of coding compliance programs in virtually any industry vertical where mandates require significant and costly system overhauls; Ms. Markham and the a2c team designed the Healthcare Transformation Framework to be a scalable, turn-key and adaptable solution. In an industry such as healthcare, code revisions are a constant; even now conversion mandates from CPT-4 to CPT-5 are pending."

Transcript of Healthcare Transformation Framework Solves Coding Compliance Needs

Page 1: Healthcare Transformation Framework Solves Coding Compliance Needs

Innovative a2c ICD-9 to ICD-10 “Healthcare Transformation Framework” saves over $5m; accelerates compliance for BCBS

Insurer:

Healthcare Transformation

Framework Solves Your

Coding Compliance

Needs

-C. D. Trombley

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An innovation in code translation…

This unique and versatile solution is not limited to ICD-9/ICD-10 conversion efforts, but has application in a variety of coding compliance programs in virtually any industry vertical where mandates require significant and costly system overhauls.

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An innovation in code translation…

Program Manager Katherine Markham and the a2c team designed the Healthcare Transformation Framework to be a scalable, turn-key and adaptable solution.

Page 4: Healthcare Transformation Framework Solves Coding Compliance Needs

An innovation in code translation…

In an industry such as healthcare, code revisions are a constant; even now conversion mandates from CPT-4 to CPT-5 are pending.

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a2c Healthcare Transformation Framework SolutionsResponse to government mandated use of

ICD-10 codes has resulted in costly business process and systems modifications to

ensure compliance by all HIPAA-covered entities. Faced with the challenge of meeting these mandates, a2c Consultant and Program Manager Katherine Markham

successfully brought an innovative solution to a potentially costly program to fruition this month.

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a2c Healthcare Transformation Framework Solutions

The veteran a2c consultant was able to place the

Blue Cross Blue Shield healthcare insurer “far ahead of the curve” prior to the October 1, 2014 implementation date for the code transition. In revising the scope of the ICD-10 program, a2c

consultant Markham was able to provide over $5m in realized cost savings by incorporating an adaptable, scalable, stand-alone Healthcare Transformation Framework into the company’s existing systems.

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“This is the first time that a compliance initiative has the

potential for revenue implication…”for the initiating organization, and

return on investment.

The Healthcare Transformation Framework will permit access by business partners,

all of whom have the capacity to utilize and share in the cost of this product.

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“It enables business partners who are behind the curve to leap into compliance, and is particularly effective for those who are involved in mergers, acquisitions, or are in a fluctuating environment” and need to become compliant quickly.

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The Healthcare Transformation Framework

can be rapidly deployed into any existing system, allowing the concerned

entity to continue to “do business as usual” and to quickly meet mandated

regulations …

a2c can provide the blueprint to a successful transition…

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Keeps Revenue Flowing…Business as Usual

Claims enter system from provider with ICD-10 codes

Claims are filtered through a2c H. T.

Framework; ICD-10 codes are translated

into ICD-9 Codes

Claims are processed through existing system with ICD-9

Codes. Insurer continues to do ´Business as Usual.µ

Claims re-enter a2c H.T. Framework so

that payment can be issued to provider

under compliant ICD-10 code

If required: Simultaneous Production of New Structure Development with ICD-10 Codes Fully Implemented

Revenue stream

continues uninterrupted

Full complianceis achieved

�͞The Healthcare Transformation Framework can be rapidly deployed into any existing system, allowing the concerned entity to continue to �͞do business as

usual, �͞maintain an uninterrupted revenue stream, and to quickly meet mandated regulations. �͞

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National Healthcare Practice Leader, Katherine Markham led her team to meet this challenge as a2c Program Manager.

Experienced a2c leadership will help you develop optimal

solutions…

Ms. Markham has accumulated over 24 years of expertise in interpretive analysis and implementation of compliance systems which adhere to governing mandates including those issued by HIPAA, Medicare, and Centers for Medicare and Medicaid Services.

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Experienced a2c leadership will help you develop optimal

solutions…The veteran consultant’s proficiency in her field is widely acknowledged; she has co-authored professional articles and books on provider and payer collaboration, and a whitepaper specifically addressing her recommended “Approach to ICD-10 & ANSI v5010 Legislation.”

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Competitive Advantage

The founders of a2c were part of the fastest growing privately held IT consulting and staff augmentation firm in the U.S. from

1994-2002. Our Executive Management Team has over 100 years of collective experience and has been responsible for

delivering over a half billion dollars of IT Consulting and staff augmentation revenue from 1994 through the present day.

Alliance Consulting, Inc.1999, 200, 2001

CEO, Alliance Consulting Group, Craig Spitzer 2001

CEO, Craig Spitzer Pres., Scott King CTO, John DiPietro CRO, Brian Cassidy Managing Sales Dir.,

Managing Dir. of Relationships & Business Devel., Kevin P. O’Donoghue

Joe Cattie

CIO Review Top Twenty Most Promising Data Analytics Consulting

Companies 2013

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a2c can show you how to plan for your future…

a2c engages a flexible approach to helping clients with their initiatives using:Project-based SolutionsStaff AugmentationManaged Service Offerings – “On-Shore

QA, Development & Application Support”Executive & Professional Search

a2c is a Technology Solution Consultancy headquartered in Philadelphia with regional offices in New York and Boston servicing Healthcare, Life Science, Tel-Com and Financial Services industries with recent obtainment of GSA schedule to pursue Federal Government opportunities. a2c has a Consultant base of over 2500 proven IT professionals throughout the North East Region with a recruiting network which provides national coverage.

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capable of producing quality results on-demand for our clients. Resource Managers continually “Silo” disciplines with available candidates who have proven their abilities with a2c over the past decade. The a2c solutions organization is instrumental in the screening and selection process to ensure that candidates submitted to clients are an ideal match.

a2c’s Recruiting Engine and Methodology is one of the Best in the Industry…

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The a2c teama2c’s culture provides an ability to attract and retain the best talent in the industry and fosters creativity, integrity, growth and teamwork.

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Alternative Solutions…a2c provides

clients with an alternative

solution to a “Big 4” consultancy at

substantial savings for

projects that are between $500K and $5M due to

flexibility, agility and focus.

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Let a2c help with all your Business Solutions

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Connect to a2c

a2c.com

a2c Philadelphia1801 Market StreetSuite 2430Philadelphia, PA 19103215-789-4816contact: Joe [email protected]

a2c Boston100 Grandview RoadSuite 215Braintree, MA 02184781-848-0005contact: Scott [email protected]

a2c New York401 Greenwich Street3rd FloorNew York, NY 10013212-913-0933contact: John [email protected]

To read entire text click here: Innovative a2c ICD-9 to ICD-10 “Healthcare Transformation Framework”

saves over $5m; accelerates compliance for BCBS InsurerFor Further information on the Healthcare Transformation Framework please contact:

John DiPietro, CTO or Kevin P. O’Donoghue, Managing Dir. of Relationships & Bus.

Devel.

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