ICD-10 Conversion: Maximizing the Strategic Advantage of Your Compliance Efforts

• Overview of the landscape and opportunities ICD-10 creates for organizations that successfully leverage ICD-10 effort with their enterprise strategy.
• Blueprint for sequencing Health IT and business process initiatives and incorporating nto strategic planning.
• Operational challenges including workforce shortages & getting buy-in from clinical staff.
• How to leverage ICD-10 for strategic advantage while reducing the cost of the remediation.

The costs and resources required for ICD-10 adoption are enough to swamp some healthcare organizations as they face simultaneous investments related to the build-out of a national health information network, EMR/EHR implementation, pay for performance, comparative effectiveness analysis and compliance with section 5010 of HIPAA – all within a four-year timeframe.

Most healthcare executives are wondering about where they should begin and what the proper sequencing of events should be.

The ICD-10 extension now gives healthcare organizations a realistic timeframe for adoption. Waiting could lead to a costly crisis. The sooner healthcare organizations comply with ICD-10 requirements, the better they able they will be to turn the costly requirement into a strategic advantage.
   

• Overview of the changing healthcare landscape and opportunities ICD-10 creates for healthcare organizations that successfully leverage the ICD-10 effort with their enterprise strategy.
• Proposed blueprint for sequencing Health IT and business process initiatives and incorporating ICD-10 into strategic planning.
• Operational challenges healthcare organizations will face, including dealing with workforce shortages, getting buy-in from clinical staff.
• How to leverage ICD-10 for strategic advantage while reducing the cost of the remediation.

• CEOs, COOs, CFOs, CMOs and CIOs
• Chief Strategy Officers, Strategy and Planning Executives
• Operations executives
• Claims Executives
• Compliance Executives
• Clinical Executives
• Employer Benefit Executives
• Management Staff involved with or affected by ICD-10 conversion

Attendees would represent organizations including

• Health Plans
• Third Party Administrators
• Hospitals
• Provider Networks
• Medical Groups
• Government
• Employer
• Business Process Outsourcing Organizations
• Solutions Providers
• Associations, Institutes and Research Organizations
• Media

Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
    

Mark Williams
Partner, PricewaterhouseCoopers

Mark Williams is a leader in the PricewaterhouseCoopers LLP central market Payer and Provider Solution Sets.  Mark has over 25 years of healthcare care experience in payer/provider health care management and operations, regulatory compliance, program development, product management and clinical nursing.  His consulting responsibilities and experience includes assisting clients in analyzing, developing and implementing effective business and operations processes, as well as compliance programs, including strategic positioning, developing and delivering HIPAA-related services; assessing and delivering revenue enhancement and recovery services; and providing successful litigation support.  Mark is currently co-leading the firms efforts regarding the industry conversion to ICD-10.  Client types include payers (regional and national), providers and governmental entities.

Prior to joining PwC, Mark was formerly an Executive Director with a major Midwest managed care organization, with responsibilities in compliance, operations and product management, as well as in delivery system design, implementation, and direct provider contracting.  His payer experience spans commercial as well as Medicare products, including traditional and Medicare Advantage arenas.  Mark's clients include all of the large national health care insurance companies, many of the regional one, as well as many large provider organizations across the country.
  

 Jeff Fusile
Partner, PricewaterhouseCoopers

Jeff Fusile is the Office Managing Partner for the Indianapolis, Indiana office of PricewaterhouseCoopers and serves as the overall relationship partner for the PwC – WellPoint relationship. He has nearly 20 years of experience focused on regulatory compliance, process improvement and litigation support matters. His 15 most recent years have been focused exclusively in the health care industry and has recognized expertise in the area of ICD-10 diagnosis and inpatient procedure codes, electronic transactions as well as the Privacy and Security components associated with the HIPAA legislation. Jeff served as leader of the PwC's nationally recognized health insurance advisory business and prior to that as the national leader of the PwC health insurance regulatory compliance team. He has focused his most recent experience and study on the issues related to the health care industry's goals to streamline administrative processes and data strategies, especially as they relate to diagnosis and procedure codes. While his health care experience is most pronounced in the health insurance industry, Jeff also brings strong knowledge of the many stakeholders in the health care arena (Payers, Providers, Pharma, Clearinghouses, Employers and Financial Institutions). He is also a licensed CPA in the states of Florida, Georgia and Indiana, an Executive Board Member of the Workgroup for Electronic Data Interchange (WEDI) and an associate member of the Institute of Certified Fraud Examiners.