Are You Ready for the HIPAA and ICD-10 Changes?
We’ll Help You Get ThereArchived and Available Online
Virtual Seminar Series Presented by:
"The U.S. currently lags behind other countries in upgrading to ICD-10, which is vital to facilitating virtually all financial aspects of the health care business, including claims and reimbursements. AHIP has recognized the significance of this change for its members, and we are pleased to develop the training support critical to help health insurance plans convert to ICD-10 by 2013."
Dave Biel, Principal, Deloitte Consulting LLP.
Implementing revised HIPAA standards and ICD-10 codes could potentially have the largest operational and technological impacts on the health care industry since Y2K. It’s also a significant undertaking for health insurance plans that requires extensive planning and execution.
Will your organization be ready? We can help.
America’s Health Insurance Plans (AHIP) and Deloitte Consulting LLP (Deloitte) have developed a nine-part Virtual Seminar series that will address key components of the HIPAA and ICD-10 regulatory changes mandated by the Department of Health and Human Services (HHS). Topics include:
- Health care transactions in ASC X12 Version 5010 Technical Report 3s (HIPAA 5010)
- Pharmacy transaction standards NCPDP Telecommunication Version D.0, Batch Version 1.2, and Medicaid Subrogation Version 3.0 (NCPDP)
- and The adoption of ICD-10 diagnosis and inpatient hospital procedure codes.
This seminar series will help you to understand:
- your compliance responsibilities
- how the new requirements will impact your administrative and business operations
- how your organization’s implementation fits within larger efforts by other industry stakeholders (providers, vendors and clearinghouses)
- how ICD-10 may provide value to your organization (e.g., how ICD-10 codes can be leveraged to support quality and pay-for-performance programs).
Session Fees
Pick the Sessions that Fit Your Needs.
The AHIP/Deloitte nine-part virtual seminar series may be viewed in its entirety, as a single session or a combination of sessions. Pick the number and combination of sessions that best fit your needs.
Don’t miss the opportunity to participate in this important educational series. Each event is archived and available one year from the date of purchase.
The fee for 1 Virtual Seminar:
AHIP Member__________ $ 100
Non-member__________ $145The fee for any 3 Virtual Seminars:
AHIP Member __________ $ 250 (save $50)
Non-member__________ $ 385 (save $50)The fee for any 6 Virtual Seminars:
AHIP Member__________ $ 450 (save $150)
Non-member__________ $ 720 (save $150)The fee for all 9 Virtual Seminars:
AHIP Member __________ $ 650 (save $250)
Non-member__________ $1055 (save $250)
Click here to Register (.pdf)
Please note: Registrants will be emailed information on how to view each archived event once their registration form is processed.Session Descriptions
The HIPAA 5010/ ICD-10 seminar series features two session categories: Foundational and Advanced. Sessions are either 90 or 120 minutes in length, including 30 minutes for questions and answers:.
- Two Foundational courses, F100 & F101, provide a high-level introduction to the basic tenets of ICD-10 and HIPAA 5010, their impact on health insurance plan processes and systems, and possible value opportunities.
Foundational sessions’ content is appropriate for health insurance plan executives at all levels and functions who want to expand their knowledge of HIPAA 5010 and ICD-10.- Seven Advanced sessions (A100 through A106) feature in-depth discussions on specific topics related to ICD-10 and HIPAA 5010 implementation, including effective practices and value opportunities in focused areas such as medical management and pricing, vendor management and architectural solution design.
The target audience for each Advanced session varies; please refer to the course descriptions for more information. Representative functions include, but are not limited to, actuarial, medical management claims processing, provider contracting, program management and application management.Click on the courses below for further information:
Course: F100: Exploring ICD-10 and HIPAA 5010; Conducting Effective Impact Assessments Description:
Review the basic tenets of ICD-10 and HIPAA 5010, including an overview of the regulatory changes embodied in the published rulings; the implications to health insurance plan processes and systems; the regulatory timeline and possible scenarios based on provider and HHS/CMS behaviors.Also, discuss the recommended techniques and tools that health insurance plans can use to conduct an ICD-10 and HIPAA 5010 impact assessment. Review the principles of an effective, well-executed assessment and obtain an overview of Deloitte’s ICD-10 Impact Assessment tool. Discuss why it is important for health insurance plans to begin their assessment now in preparation for the 2010 budget cycle.
Learning Objectives:
- Understand HIPAA 5010 and ICD-10 regulatory changes and their implications to health insurance plan processes and systems
- Understand effective practices for conducting a HIPAA 5010 and ICD-10 impact assessment
- Describe and use the necessary techniques and tools to conduct HIPAA 5010 and ICD-10 impact assessments
- Access Deloitte's ICD-10 Impact Assessment tool
- To get access to Deloitte’s ICD-10 Impact Assessment Tool, please register for the archived session. Details below.
Recommended Prerequisite: N/A
Presenters:
Target Audience:
- David Biel, Principal, Deloitte Consulting LLP
- Cindy Patterson, Principal, Deloitte Consulting LLP
- Melinda Reno, Senior Manager, Deloitte Consulting LLP
- Anyone in a covered entity that will be involved with HIPAA 5010/ICD-10 remediation
- Health insurance plan Senior Leadership, CxOs, SVPs, VPs and Directors
- Appropriate for other Covered Entities
- Provider
- Life Sciences/ Pharmacy
- Other
Course: A100: Preparing for HIPAA 5010 and its Impacts Description:
Learn how to prepare for HIPAA 5010 and NCPDP implementations. Examine how a HIPAA 4010 implementation will impact the HIPAA 5010 upgrade. Review HIPAA 5010/NCPDP impacts on business operations and the potential value opportunities. Discuss tools, how to assess the impact and design solutions that can close the existing gaps and deliver value, as well as how to create a roadmap for remediation.
Learning Objectives:
Recommended Prerequisite: F100
- Demonstrate an understanding of the HIPAA 5010 Final Rule requirements (including NCPDP changes) and the impact of an organization’s HIPAA 4010 implementation on the HIPAA 5010 upgrade
- Gain awareness of requirements and potential challenges in high-impact business domains
- Be able to follow guidelines for creating an effective implementation solution and roadmap
- Understand how to manage and staff the upgrade effort
Presenters:
- Ian Bonnet, Senior Manager, Deloitte Consulting LLP
- Gary Beatty, Senior Manager, Deloitte Consulting LLP
- Melinda Reno, Senior Manager, Deloitte Consulting LLP
Target Audience:
- Anyone in a covered entity that will be involved with HIPAA 5010/ICD-10 remediation
- Appropriate for both business and IT focused individuals
- Health insurance plan Directors responsible for HIPAA, compliance, EDI and core administration
- Health insurance plan Directors and Managers in:
- Claims Processing
- Servicing
- Medical Management
- Actuarial
- Underwriting
- Finance
- Provider Relations
- Network Contracting
- Pharmacy
- Medicare
- Compliance
- IT and Systems
- Others
Course: F101: Unlocking the Value of ICD-10; Developing Architectural Solutions Description:
Explore potential opportunities to derive value from ICD-10 regulation. Review an ICD-10 adoption maturity model that identifies three strategic responses (Pragmatists, Collaborators and Innovators) and provides guidance on how to move beyond remediation cost. Examine possible value initiatives relative to probability, predictability and cost/value. Evaluate architectural solution approaches to support ICD-10 compliance, with an in-depth case study of a sample health plan’s approach. Conclude with a discussion on the necessity of a crosswalk solution for successful ICD-10 implementation.
Learning Objectives:
- Describe the potential value-creation options possible through ICD-10 implementation
- Understand the need to think proactively and strategically about value plays
- Demonstrate an understanding of high-level architectural solutions to support ICD-10 compliance
- Identify the potential cost and risk implications of ICD-10 solution approaches
Recommended Prerequisite: F100
Presenters:
- David Biel, Principal, Deloitte Consulting LLP
- Ian Bonnet, Senior Manager, Deloitte Consulting LLP
- Dan Carmody, Vice President, Information Strategy & Solutions, Cigna
- Casey Graves, Principal, Deloitte Consulting LLP
Target Audience:
- Anyone in a covered entity that will be involved with HIPAA 5010/ICD-10 remediation
- Health insurance plan Senior Leadership, CxOs, SVPs, VPs and Directors, Technology Directors
Course: A101: Creating an Effective ICD-10 Remediation Program Description:
Discuss why ICD-10 is a business problem that requires a combined business and technology solution. Examine how ICD-10 remediation should be aligned with the organization’s business and technology strategy and integrated with the corporate project portfolio. Learn about best practices related to developing an effective remediation program, governance structure and other critical program management activities needed to support the implementation.
Learning Objectives:
- Gain an understanding of how to align your ICD-10 implementation roadmap to corporate strategies
- Articulate best practices related to developing an effective ICD-10 remediation program including:
- Program Design
- Governance structures
- Project ownership and staffing
- Communication and Business Readiness
- Risk Management
Recommended Prerequisite: F100, F101
Presenters:
- Melinda Reno, Senior Manager, Deloitte Consulting LLP
- Selma Ferhatbegovic-Fede, Manager, Deloitte Consulting LLP
Target Audience:
- Health insurance plan VPs and Directors responsible for ICD-10 remediation, operations, and/or IT
Course: A102: Managing Vendors to Meet ICD-10 Compliance Description:
Learn how to manage your vendor relationships and gain vendor support to meet the compliance deadline. Examine how to assess your vendors and determine a course of action based on their readiness. Explore the risks vendors could introduce to an ICD-10 upgrade and identify a suitable mitigation strategy.
Learning Objectives:
- Understand how to prepare and conduct a ICD-10 technical assessment of your vendors
- Identify the right questions to ask your vendors, the relevant outreach approach for each vendor and the most suitable tool for each approach
- Analyze the results of the vendor assessment and categorize your vendors
- Determine the steps to eliminate vendor misalignment based on compliance, timeline, cost and approach
- Demonstrate an understanding of the ICD-10 specific risks
- Develop effective contingency plans & vendor governance programs for risk mitigation
Recommended Prerequisite: F100, F101
Presenters:
- Derek Hamilton, Principal, Deloitte Consulting LLP
- Keith Fengler, Senior Manager, Deloitte Consulting LLP
Target Audience:
- Health insurance plan VPs and Directors responsible for HIPAA 5010 and ICD-10 remediation, operations, and/or IT
- Project and Program Managers
Course: A103: The Effects of ICD-10 on Care Management Description:
Discuss how ICD-10 can impact Care Management. Outline potential effects and discuss methods to prepare your Care Management people, process, and technology for ICD-10. The presenters will detail specific Care Management areas, focusing on four key medical management programs: wellness management, utilization management, disease management, and condition management. Learn how ICD-10’s more granular code set can facilitate better identification of high-risk patients and enhance segmentation.
Learning Objectives:
- Understand the implications of provider adoption of ICD-10 on Care Management and the difficulty of living with both code sets
- Understand the breadth of training and preparation that needs to take place prior to compliance day
- Describe how ICD-10’s more granular code set could improve a health insurance plan’s ability to identify high-risk patients and enhance segmentation
- Recognize the potential improvements that can be gained by fully implementing ICD-10 in the Care Management process
Recommended Prerequisite: F100Presenters:
- Mike Van Den Eynde, Director, Deloitte Consulting LLP
- Pam Fromelt, Specialist Leader, Deloitte Consulting LLP
Target Audience:
- Rating, Underwriting, and Actuarial VPs and Directors
- Medical Management Directors
- Data Analytics and Decision Support
Course: A104: Impacts of ICD-10 on Reimbursement and Coding Trends Description:
Discuss how ICD-10 impacts contract pricing and reimbursement methods. Examine the issues related to provider chargemasters, coding, and crosswalks/reimbursement mapping. Explore what Health Plans can do to prepare for the complexities ICD-10 adds to claim payment. Discuss the coding learning curve as well as potential misrepresentations.
Learning Objectives:
- Describe how ICD-10 could affect contract pricing and reimbursement
- Realize the complexities of reimbursement mapping
- Understand the difficulties with determining revenue neutrality
- Become aware of the effects of ICD-10 upon provider contracting
- Understand the changes that duplicate check and fraud and abuse detection applications will require
Recommended Prerequisite: F100
Presenters:
- Dan Feucht, Deloitte Consulting LLP
- Franklin Stevens, Principal, Deloitte Financial Advisory Services LLP
- Ian Bonnet, Specialist Leader, Deloitte Consulting LLP
Target Audience:
- Rating, Underwriting, and Actuarial VPs and Directors
- Provider Contracting VPs and Directors
- Fraud and Abuse Program Leaders
Claims Directors- Legal Staff
Course: A105: Understanding the Provider Perspective: Roundtable Discussion on HIPAA 5010 and ICD-10 Readiness Description:
A roundtable discussion among select CIOs from large hospital systems, physician groups and community hospitals concerning how providers are preparing for HIPAA 5010 and ICD-10. An industry luminary will facilitate the discussion.
Learn how providers intend to use the ICD-10 code set and discover how to deliver the full-value capabilities of ICD-10 by driving the use of more comprehensive code sets through financial incentives, training, etc. (Experience with ICD-9 billing practices indicates that only a small percentage of the codes are being used today.)
Learning Objectives:
- Understand how providers intend to use the ICD-10 code set in the future
- Discover how to deliver the full-value capabilities of ICD-10 by utilizing the entire ICD-10 code set to bill and code
Recommended Prerequisite: F100, A102, A103 and A104
Presenters:
- David Biel, Principal, Deloitte Consulting LLP
- Cindy Patterson, Principal, Deloitte Consulting LLP
- Christine Armstrong, Principal, Deloitte Consulting LLP
- Health Care Service Corporation
- Kaiser Foundation Health Plan, Inc
- Community Health System
- CIGNA Healthcare
- Tufts Health Plan
- Christus Health
- Partners
- Mayo Clinic
Target Audience:
- Anyone in a covered entity that will be involved with HIPAA 5010/ICD-10 remediation
- Health insurance plan Senior Leadership, CxOs, SVPs, VPs and Directors
Course: A106: Current Industry Trends and Issues Description:
Receive an industry update addressing the strategic opportunities ICD-10 may create and review the Health Care industry progress toward compliance. Hear about the essentials of conducting a Crosswalk / Mapping Evaluation. Learn about pitfalls Large Scale Testing and how to mitigate the risks. Finally, we will look at Payer/Provider Communication Planning.
Learning Objectives:
- Understand the opportunities ICD-10 provides to the Health Care industry
- Review the Health Care industry progress with HIPAA 5010 and ICD-10
- Drill down into:
- An approach on how to conduct a crosswalk or mapping exercise
- ICD-10 Large Scale Testing challenges, lessons learned, and mitigation strategies
- Have an awareness of the topics that Payers and Providers need to discuss and come to an understanding upon
Recommended Prerequisite: F100, A102, A103, A104, A105
Presenters:
- David Biel, Principal, Deloitte Consulting LLP
- Kim Beckendorf, Specialist Leader, Deloitte Consulting LLP
- Ian Bonnet, Specialist Leader, Deloitte Consulting LLP
- Kathy Fleck, Principal, Deloitte Consulting LLP
Target Audience:
- Anyone in a covered entity that will be involved with HIPAA 5010/ICD-10 remediation
- Health insurance plan Senior Leadership, CxOs, SVPs, VPs and Directors
AHIP Virtual Seminars || AHIP Conference Schedule || AHIP Home