ZirMed announces comprehensive ICD-10 strategy

Sept. 13, 2013

Louisville, KY – September 10, 2013 – With the ICD-10 deadline quickly approaching, providers are scrambling to coordinate new processes and workflows needed to ensure consistent revenue and operational efficiency through the transition. Therefore, ZirMed, a leading health information connectivity and management solutions company, announced today its proactive strategy for helping its clients prepare for ICD-10 with comprehensive training, education and mapping tools.

“We’re seeing many clearinghouses and other vendors take a very reactive approach to ICD-10, which will lead to a lot of claims getting rejected and providers not getting paid in a timely manner,” said Tom Butts, CEO, ZirMed. “ZirMed holds itself accountable to help our clients succeed through ICD-10. In the KLAS Clearinghouse 2012 Report, ZirMed had the highest ICD-10 confidence score and the fewest 5010 problems reported by clients. We have worked hard to achieve our clients’ trust and the highest first-pass claims acceptance rates in the industry because we know how important it is for our clients to get paid quickly and accurately. We are dedicating resources and full-time staff to support our proactive payer and partner strategy to make the ICD-10 transition easier.”

ZirMed’s ICD-10 strategy is designed to meet the needs of providers, payers, and patients, and includes:

  • A multi-purpose educational and mapping tool that will help clients identify appropriate ICD-10 codes and back-code from ICD-10 to ICD-9. ZirMed is also creating a list of the most commonly used input codes for providers to use as a reference to prepare for the transition.
  • Invalid codes will be flagged up front and simple, straightforward guidance on payer edits will be provided on how to fix them before they are submitted to a payer.
  • ZirMed will analyze rejected claims information in ICD-10 and – using its SimpleResponse messaging technology – translate payer feedback into easy-to-understand guidance.
  • ZirMed’s analytics and reporting technology will help providers identify incorrect coding procedures and adjust processes for optimal reimbursement under ICD-10.
  • ZirMed will actively monitor payer ICD-10 capabilities and policies and communicate with its clients to ensure providers are only submitting codes that can be processed appropriately.

As part of its ICD-10 strategy, ZirMed is also working directly with payers in the U.S. to conduct ongoing testing and implement additional improvements for users. ZirMed will also accept 5010 files with ICD-10 codes from their clients in the ZirMed self-test area. ZirMed has provided this service for several months and expects that client utilization will continue to increase as the industry is closing in on the one-year go-live date.

“We realize the complexity of ICD-10 and the challenges facing providers during the transition,” said Betty Gomez, Director of Regulatory Strategy, ZirMed. “While the mapping tool provides a ‘quick fix’ to help ease the process,  we are also giving our clients the resources and tools so they can learn from errors as quickly as possible and be able to code natively and submit codes correctly the first time.”

ZirMed has also partnered with ICD-10 expert Precyse to provide online training to ZirMed clients to complement their comprehensive assortment of educational resources and webinars. As an industry expert in health information and management services, Precyse has been a leading voice in ICD-10 preparation and will be an additional source of expertise to help providers prepare for the transition.

ZirMed leverages its national database of healthcare payment information to cure administrative burdens and increase financial performance. ZirMed’s solutions aggregate and leverage data from across its national network of payers, providers and patients to facilitate, manage, and analyze clinical and financial communications among providers, payers, and patients and drive patient engagement. ZirMed solutions include clinical connectivity solutions, comprehensive analytics, eligibility verification, online payment, credit/debit card processing, claims management, coding compliancy and reimbursement management, electronic remittance advice, patient statements, patient estimation, patient e-commerce solutions and lockbox services.

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