11

ICD10 ProgramDOBI ICD10 Task

Force Testing Update

April 22, 2013

22

2013-2015 ICD-10 Program Timeline

HorizonCrossDomainTesting

Tier 1,2,3837I AcquisitionTesting

Tier 1,2,3837/835 orRemittanceAdviceTesting

Blue CardGlobalCertificationTestingNUMEROUS LEVELS OF

TESTING ARE

PLANNED FOR, or are

now in PLANNING,

PRIOR TO AND IN

PARALLEL TO,

PROVIDER TESTING

HorizonSystemTesting

33

Drill Down: Delivery Areas

Claims adjudication has

been decomposed into

capabilities to allow

advanced incremental

testing of systems and

processes without the

need for all remediation

to be completed

44

Drill Down: Production Readiness

Continual review of

requirements for gaps in

system and human

processes and

remediation of these gaps

are part of production

readiness. Initia

tion of

contingency plans for

requirements changes

and pre-live planning

55

Drill Down: Provider Readiness

Horizon/AviorProvider Readiness

Governance

OutreachReadiness

Testing

NUMEROUS LEVELS OF

TESTING ARE

PLANNED FOR, or are

now in PLANNING,

PRIOR TO AND IN

PARALLEL TO,

PROVIDER TESTING

66

Horizon/Avior ICD-10 Governance, Provider Risk and Compliance Program

ICD-10SolutionPack

Provider Readiness Testing and Trading Partner Coordination

Providers ICD-10 ProgramManagement

ProviderClearinghouseManagement

Analytics

BCBS References•Michigan•Massachusetts•WellPoint•California

Assessmentand

Remediation

77

WEDI ICD-10 Topics of Discussion for May 2013 Conference

• National Provider ICD-10 Coder Readiness

• National Provider Outreach Strategies and Preliminary Participation Findings

• Claims Acquisition Systems Future Date or pre-10/1/2013 Claims Acceptance Limitations and Remediation Strategies

• Clearinghouse Readiness and Collaboration

• Budgeting Impacts/Creative Mitigation Strategies