Diginuvo ensures effective risk management and compliance with a number of regulatory and accreditation standards in a cost-effective manner.
- HIPPA Compliance: Our HIPPA compliance engagement entails a multi-stage process comprising assessment analysis, solution architecture, reference model customization,compliance remediation, and final testing. After the implementation, we focus onmaintaining the current compliance levels by conducting periodic compliance audits,defining control mechanisms and validating compliance practices (privacy and security)
- ICD-10 Migration: Transitioning to ICD-10 is an expensive process that involves an overhaul of the current coding systems. Diginuvo has the knowledge and expertise to migrate to ICD-10 cost effectively and with minimal service interruptions. We evaluate core as well as peripheral systems, such as claims adjudication, rating engines, EMR, and HIM systems, to identify the impact areas. Based on the analysis, we prioritize transition checklists, as well as conversion roadmap, to remediate the impact. We examine the readiness of data sources and applications to adopt the new codes. We analyze various scenarios through diverse case mixes, from ER to in-patient, and evaluate DRG-based payment impact. We evaluate all RCM-specific and clinical interfaces to identify the remediation points based on transmission and clinical standards such as UB-04 and HL7.We provide rating engine annex to support consolidation of coding schemes, which allows current rating engines to continue working against the historical data based on dual code sets. Our attribute-driven crosswalk offers a higher level of flexibility in adopting code conversion according to specific business needs. Finally, we provide outsourced coding support for both ICD-9 and ICD-10, and offer training programs to boost productivity during transition.
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