ICD-10 Migration Options 

1. Remediation - Run parallel ICD-9 and ICD-10 based systems

In this approach, the remediation of virtually all existing application systems has to be performed to handle both ICD-9 and ICD-10 codes. It is complex and time consuming to correct the data in current application systems. It will cause huge investments raising the need for recruiting new staff to handle the remediation process and also results in processing errors.

2. Replacement - Operates in both ICD-9 and ICD-10 worlds

Replacement of all ICD-9 based applications with all new ICD-10 based systems - dual platforms/processes operational for some time. It is time consuming to update existing systems while operating in both the ICD-9 and ICD-10 worlds. It will lead to huge investments for resource training and new staff recruitments to perform replacement.

3. Normalization - Neutralize ICD 10 until its adoption and educated understanding of new business & clinical relationships has a statistically valid foundation

This approach will prepare you for the slow adoption rate to ICD-10 that isolates your back-room operations by providing space to perform the required analytics. It reduces cost by enabling increased automation of claims assessment process and more precise determination in payment process, thus encouraging business continuity. Payers have to decide which of the above approaches will suite them through enterprise-assessment, following a poised approach which will balance compliance needs and business profits.