ICD-10

Our process

How we enable clients to migrate there people, process and technology on a ICD-10 platform. We at Plato Technologies have created a process over time with our extensive experience.

1. Analyze

  • Report on most-used codes
  • Provide Statistics to help Test Team
  • Provides Demographic of 9 & 10 codes
  • Analyze large volumes of current claim data

2. Map

  • CMS GEMS/ Plan specific mappings loaded
  • Powerful if-then rules engine for custom mappings

3. Convert

  • Generate ICD-10 data files
  • Use date driven logic
  • Generate multiple claims based on single input claim

4. Test/Reporting

  • Parallel Testing
  • Revenue Neutrality
  • Ability to load custom Reimbursement Files
  • Detail breakup of Groups, Heavy Hitter Codes, Provider, Benefit Categories

The ICD-10 Planning Checklist

With the ICD-10 transition deadline set for October 1, 2014, providers, payers, and vendors need to focus on planning their ICD-10 transitions. Below is a checklist of essential planning activities.

The ICD-10 Planning Checklist

Whether you’ve already started or are just beginning your ICD-10 transition, you will need to thoughtfully plan for the transition and then communicate those strategies to internal staff and external partners. Below are a few steps to help guide your planning process:

  • Seek Resources on the ICD-10 transition. CMS and professional and membership organizations have developed information and resources to guide you through ICD-10 implementation.
  • Establish an ICD-10 Project Team. This team will be responsible for overseeing the ICD-10 transition, and will vary based on the size of your organization. Larger practices should have a team with representatives from different departments (e.g., executive leadership, physicians, and IT). Smaller practices may only have one or two individuals responsible for helping the practice make the switch to ICD-10.
  • Develop an ICD-10 Communication and Awareness Plan. This plan will map out how your organization will communicate with internal staff and external partners about ICD-10 throughout the transition.
  • Revisit and Revise Your Implementation Timeline. Since the ICD-10 compliance deadline is now October 1, 2014, your timeline for ICD-10 implementation activities will need to be updated.
  • Share Your Implementation Plans and Timelines. Discuss the new ICD-10 compliance deadline and share your revised implementation plans and timelines with internal staff and external partners to ensure transition activities are coordinated.