Infosys iTransform™ for ICD-10 Transition
Fast-Track Compliance and Ensure Neutrality with Integrated ICD-10 Product
Suite and Services
www.infosyspublicservices.com
ICD 10 compliance, as mandated by the Affordable Care Act, presents unique opportunities and challenges to state sponsored plans and
Medicaid organizations. Strategically, ICD 10 will transform Medicaid organizations by aligning/integrating with major Health Information
Technology (HIT) initiatives, reducing overall costs and improving quality of care. However, in the short term, it poses significant clinical,
financial and operational burdens. Addressing ICD 10 transition related challenges requires the right mix of technology products and services
that streamline transition while minimizing risks, disruptions and costs.
Infosys iTransform™ Product Suite
Infosys’ iTransformTM is an integrated product suite with best-in-class, modular and configurable components that support ICD-9 to ICD-10
transition. The suite provides choice and flexibility to meet distinct ICD-10 compliance requirements while cost-effectively accelerating transition
and ensuring clinical, financial and operational neutrality.
Coupled with end-to-end ICD-10 migration services, Infosys iTransformTM helps Medicaid organizations address interdependencies to align
different initiatives and successfully manage the entire transition life-cycle.
iTransform™
Reference Architecture
A web-based business impact assessment tool that shortens the duration required for
high-level process assessment and planning
iTransform™
Impact Analyzer
iTransform™
ICD Mapping+
Infosys
iTransform™
iTransform™
Payout Simulator
iTransform™
Code Helper
iTransform™
ICD Transition Simulator
iTransform™ component
Features
An enterprise code management tool that simplifies the ICD-10
mapping complexities and helps custom map creation over and
beyond General Equivalence Mappings (GEM)
A powerful analytics tool to surface the financial impact of ICD-10
transition, stratify risk at each code, DRG level and help achieve
financial neutrality
A self-learning and training tool for ICD-10 that helps business users to
better understand and apply ICD-10 knowledge
An optimal ICD-10 testing solution that automates the generation of large volumes of test
files with varied combinations of ICD-10 codes
Features
iTransform™
• Web based repository with generic processes
• Inbuilt framework for estimation, capturing and storing requirements
iTransform™
• Extensive reports for planning, estimation and remediation
• Supports all major programming languages
iTransform™
• Centralized repository of custom maps and translated business rules
• Out of Box Ontology based maps for faster mapping decisions
iTransform™
• Advanced analytics and actionable reporting through intuitive interfaces
• Complete solution for ICD-10 neutrality benchmarking
iTransform™
• Web-based self-learning tool for complete and accurate coding
• Improved coding compliance through support of CMS coding guideline
Reference Architecture
Key
A powerful code crawler to auto search the deep-seated impact of ICD-10
changes across different code bases and LOCs
Impact Analyzer
ICD Mapping +
Payout Simulator
Code Helper
iTransform™
Transition Simulator
2 | Infosys Pubilc Services
• Supports large volume of historical claims
• Loaded with out of the box scenarios (clinical, financial) to reduce script creation
effort by upto 70%
ICD-10 Migration Services
Infosys’ ICD-10 migration services leverage deep domain and technical expertise and iTransform™ product to define a phased approach that
addresses interdependencies to align different initiatives, streamlines transition and accelerates overall remediation.
• Assessment (Business, IT, Partner),
Planning & Solution Ideation
• Program Management
• Change Management
Consulting S
erv
ice
s
• Solution Design
• Business & IT
Remediation
• Installation Support
• Post Compliance
Support
Testin
gS
iation Services
med
Re
erv
ice
s
• Test Strategy
Formulation, Test
Planning
• Neutrality TestingClinical, Financial,
Operational
iTransform™
Neu
t ra
lit
An
y
•
•
•
•
•
Financial
Clinical
Operational
Benefit
Revenue
Enterprise
Neutrality
aly
tic s
C li n i c a
rv
l Se
ice
s
• Mapping, Clinical Data
Modeling & Validation
• Clinical Policy, Benefits
& Contract Review
• CDI & Training
Value Proposition
• End to End solution portfolio and services for a smart, risk-free and cost-effective ICD-10 transition
• Customizable components work in isolation and in tandem, targeting specific business needs out–of-the-box, to address most common
ICD-10 program requirements
• Significant automation in every phase to fast track overall program – up to 50% reduction in effort, cost and risk/rework irrespective of
ICD-10 compliance strategy
• Rich consulting services to align/integrate program with major HIT initiatives and drive measurable business value
• Advanced analytics to ensure neutrality and minimize cash-flow impact
Blue Cross and Blue Shield Association (BCBSA)
has selected Infosys’ iTransform™ product suite
to be part of a national purchasing arrangement
for ICD-10 transition
– Infosys and BCBSA press release, June 2011
Infosys Pubilc Services | 3
Client Success Story
Medicaid Managed Care Services Company
A leading US Multi-state Medicaid plan, serving over 4 million individuals, leveraged Infosys
iTransform™ product components and ICD-10 consulting services to assess impact on payouts
due to ICD-10 transition and develop a remediation plan to ensure financial, clinical, operational
neutrality. Infosys’ tools and services enabled client to fast-track their financial neutrality
assessment program, accurately identify and categorize risks across different claims types and
enabled effective contract re-negotiation.
About Infosys Public Services
Infosys Public Services is a U.S. based subsidiary of Infosys (NASDAQ: INFY),
a global business consulting & technology services company.
Infosys Public Services helps Healthcare & Public sector clients to
transform, innovate and optimize their organizations to build tomorrow’s
enterprise. We blend 30 years of commercial best practices with
innovative industry solutions, best-of-breed partner content and proven
execution to deliver measurable business value with predictability.
For more information, contact askus@infosyspublicservices.com
www.infosyspublicservices.com
© 2012 Infosys Public Services, Plano, Texas, USA. Infosys Public Services believes the information in this publication is accurate as of its publication date; such information is subject to change
without notice. Infosys Public Services acknowledges the proprietary rights of the trademarks and product names of other companies mentioned in this document.