Cooperative Exchange, the national association representing organizations in the healthcare information technology and transaction industry, held its membership meeting last month in San Diego during the MGMA National Conference on October 8.
The number one topic of discussion: Transitioning from ICD-9 to ICD-10 on October 1, 2014, and the clearinghouse role. The 17 clearinghouse members agreed that we are the EDI subject matter experts capable of assisting with end-to-end testing—the movement of data that is within the X12 transaction—and that’s where our strengths lie.
Clearinghouses have the ability to deploy proven testing solutions/products early in the project, whether they require movement of claims data, remit data, or eligibility data between providers and health plans. A clearinghouse can develop testing guidelines and schedules between providers and payers to keep them from getting too close to the deadline as well as getting them into the proper cycle when there are many entities testing at once.