Cardinal Innovations Healthcare Solutions Achieves ICD-10 Compliance

Cardinal Innovations Healthcare — October 13, 2014

CHARLOTTE, N.C. Oct. 13, 2014 – Cardinal Innovations Healthcare Solutions has achieved compliance with the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) system more than a year before the Oct. 1, 2015, deadline set by the federal Centers for Medicare & Medicaid Services (CMS).

Healthcare companies are required to upgrade the system of codes used to report medical diagnoses and inpatient procedures to increase the level of detail included in reports. The old system, ICD-9, used approximately 20,000 codes for reporting diagnoses and inpatient procedures. The new ICD-10 system has 80,000 codes.

Becoming compliant early is one more way Cardinal Innovations, a managed-care organization specializing in behavioral health, is helping to provide the highest level of service to its consumers and providers.

“We, in Network Operations, are thrilled to have worked with our IT partners to ensure ICD-10 readiness well in advance of the required deadline. Having our system ready to go before the deadline will help ensure our providers have a seamless transition to ICD-10,” said Deidra Cook, Director of Corporate Network Operations.
The change to ICD-10 will provide greater specificity and accuracy than the previous ICD-9 system allowed.

Completing the upgrade before the CMS deadline will allow Cardinal Innovations to support the ICD-10 testing timeline that will be forthcoming from the North Carolina Department of Health and Human Services.

“Upgrading our systems well in advance will help facilitate a smooth transition to ICD-10 across the state,” said Rick Pickett, Director of Information Technology for Cardinal Innovations.

Cardinal Innovations set up a task force consisting of subject matter experts within key areas of the company, as well as industry experts, who worked together to oversee the effort to move from ICD-9 to ICD-10. This included a detailed gap analysis, requirements and development of IT systems, and business processes and policies needed to accommodate the ICD-10 conversion. Technical changes to the platform included expansion of data fields to accommodate the new length of ICD-10 codes, use of code set identifiers, updates to effective end dates, and a number of other updates. Additionally, all internal and external CMS1500, UB04 and 837 interfaces were modified to accommodate ICD-10.


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