The expense of testing information systems and demonstrating mandate compliance is rising rapidly, straining resources. This pressure will only escalate as new mandates appear and additional systems change. The effects of ICD-10, however, will be particularly powerful. Consider its impact upon internal testing methods and potential to adversely affect business performance, risking the overall net neutrality of health plans.
Historically, many of the tasks needed to develop and maintain test data have been manual. That drives up testing costs upstream and downstream. Many organizations also apply insufficient test data, which gives inaccurate pictures of both total scope and complexity of operations. This not only increases error rates but provides poor test coverage as well. The internal system and business readiness testing required of ICD-10 isn’t possible with most current infrastructure. It doesn’t scale to enterprise levels to satisfy ICD-10 or other compliance mandates. Nor does it support continuing changes to benefits and contracts, new products, upgrades and migrations and policy updates.
Edifecs Test Management is an enterprise healthcare testing platform. It enables health plans to address the increasing and multiple testing initiatives of the business. Test Management includes a number of important modules such as a centralized test data repository and volume data generator. Others provide ICD-10 pruning/noise reduction, comparison reporting, dynamic search and custom queries.
Three of the nation’s largest health plans use Edifecs for mandate and system testing, as well as a variety of state Medicaid programs, commercial and Blue plans.
Business and EDI testers can easily create, edit and manage data using intuitive screens. They can share results in addition to automating analysis. Edifecs Test Management includes a prebuilt test data repository. It holds the capability to derive test data from customer-production transactions. A centralized repository allows data to be shared with users across the organization or saved in standard formats, such as HIPAA 5010, or in or custom/proprietary ones to support multiple testing activities.
Edifecs Test Management is delivered as a web-based service that can be deployed quickly to support multiple initiatives. It reduces the cost and effort required for 5010 testing, and prepares organizations for future transactions and compliance mandates such as ICD-10.