IBM approach to implementing ICD-10, X12 5010 for health care payers

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IBM approach to implementing ICD-10, X12 5010 for health care payers

While at the America’s Health Insurance Plans (AHIP) health care reform conference held in June 2009 in San Diego Ms. Barbara Archbold, Partner, Payer Industry for IBM Global Business Services is interviewed by Mike Arrigo, CEO of No World Borders.

Ms. Archbold recommends that health insurance payers approach the issue from a business point of view, start planning now for the new medical coding standard ICD-10, that they create a strategy and approach to reduce risk and cost for modernizing legacy systems by “touching these systems only once.”

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About the Author:

Michael is Managing Partner & CEO of No World Borders, a leading health care management and IT consulting firm. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $4 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, Stanford Medical School - Biomedical Informatics, Harvard Law School - Bioethics.
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