ICD-10 readiness


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The transition from version 9 of the International Statistical Classification of Diseases and Related Health Problems (ICD-9) to the upcoming version 10 will be time and resource-intensive.

Because the preparation process will likely take multiple years for most covered entities, the time to begin preparing for ICD-10 compliance is now. Every tool, system, report, program and interface in an organization involving ICD-9 diagnosis or procedure codes must be adapted for ICD-10.

Milliman's expertise covers all aspects

As organizations begin grappling with how to integrate ICD-10 throughout every aspect of their business, Milliman offers expertise across many needed fields—clinical, actuarial, financial, claims, analytical, and particularly, information technology. Our team's deep comprehension of ICD-10 issues allows us to offer clients comprehensive guidance on how to complete this difficult transition. We understand health plan operations, systems, data, and most importantly, ICD-10 code sets.

Our experts can assist healthcare organizations in understanding the potential effects of ICD-10 on their business. We have guided health plans' early efforts to prepare for ICD-10, gaining hands-on experience and valuable insight into effective transition methods.

We offer assistance in the following operational areas:

  • actuarial, finance, and underwriting
  • claims administration
  • healthcare analytics
  • medical management
  • provider contracting

Milliman can help coordinate each stage of ICD-10 implementation, from identifying affected areas and determining resource needs through budgeting, planning, testing, execution, and the critical post-implementation transition period.