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Ensuring Enterprise Neutrality with Infosys
   ICD-10 Neutrality Analytics Solution
What is required when ICD-10 goes into effect in 1st Oct, 2014?

    Jan 1st              Oct 1st
    2012                 2014
   ICD-10 PROJECT ACTIVITIES
                                                        Start of 2015               End of 2015                        Future

                                            Continuous Data Analytics Period                                      STEADY STATE


                                                                                                                        ALL
                                       Contracts in                                                                  Contracts
                                       ICD-9 & ICD-10                                  Initiate Final -
       HIPAA 5010                                                   Final ICD-10                                     in ICD-10
                                                                                       Base lined
       Implemented                                                  DRG’s by CMS
                                                                                       Contracts in ICD-10


                                           Evaluate                Evaluate
                     ICD-10                Reimbursements                                                Strategic ICD-10
                                                                   Reimbursements
                     Compliance Date       in ICD-10                                                     Implementation
                                                                   in ICD-10
Risk of
variance in
 payment
  levels
Neutrality
                         “Sweet Spot”




Financial Optimization                  Clinical Integrity




                  Operational Stability


         Enterprise Neutrality
Analyze high risk
codes to optimize
revenue across
multiple
dimensions
Analyze DRG
changes with
respect to
code maps
Claims Modeling                                               Next Generation
Engine                                                       Analytics Platform


                          Payout              HealthViews™
                         Simulator              Analytics




                                       Liability
                                     Computation
        Member Benefit                 Engine
        Analyzer
Actionable Insights
         Adaptability
      Affordability
           Automation
                      Adoption
Analysis at
multiple risk
Identify
indicators
hierarchies for
across
scientific Input
multiple
to contract re-
dimensions
negotiation
Automated
Automated
analysis of of
 analysis
 multiple what-
multiple what-
 if’s
if’s
ICD
                     Code Impact
                       analysis
                                         Benefit
Claims DRG /                             / policy
HCC / edit rule                       Member liability
  analysis                              analysis

                    iTransform™
                  ICD-10 Neutrality
                      Analytics
Plan / Product                         Provider and
  / Employer                          clinical service
     level                            segmentation
segmentation
                      UM / DM /
                     Patient risk
                    segmentation
UNITED STATES                                                 CANADA                                                    INDIA
                  12021 Sunset Hills Road                                5140 Yonge Street                            Plot No. 44 & 97A, Electronics City
                  Suite 340                                                  Suite 1400                                          Hosur Road
                  Reston, VA 20190                                       Toronto Ontario M2N 6L7                       Bangalore , Karnataka - 560 100




                                                              askus@infosyspublicservices.com
                                                               www.infosyspublicservices.com
The contents of this document are proprietary and confidential to Infosys Public Services and may not be disclosed in whole or in part at any time, to any third party without the
                                                                prior written consent of Infosys Public Services.
© 2013 Infosys Public Services. All rights reserved. Copyright in the whole and any part of this document belongs to Infosys Public Services. This work may not be used, sold,
 transferred, adapted, abridged, copied or reproduced in whole or in part, in any manner or form, or in any media, without the prior written consent of Infosys Public Services

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Icd 10 neutrality analytics solution pps

  • 1. Ensuring Enterprise Neutrality with Infosys ICD-10 Neutrality Analytics Solution
  • 2. What is required when ICD-10 goes into effect in 1st Oct, 2014? Jan 1st Oct 1st 2012 2014 ICD-10 PROJECT ACTIVITIES Start of 2015 End of 2015 Future Continuous Data Analytics Period STEADY STATE ALL Contracts in Contracts ICD-9 & ICD-10 Initiate Final - HIPAA 5010 Final ICD-10 in ICD-10 Base lined Implemented DRG’s by CMS Contracts in ICD-10 Evaluate Evaluate ICD-10 Reimbursements Strategic ICD-10 Reimbursements Compliance Date in ICD-10 Implementation in ICD-10
  • 3. Risk of variance in payment levels
  • 4. Neutrality “Sweet Spot” Financial Optimization Clinical Integrity Operational Stability Enterprise Neutrality
  • 5. Analyze high risk codes to optimize revenue across multiple dimensions
  • 7. Claims Modeling Next Generation Engine Analytics Platform Payout HealthViews™ Simulator Analytics Liability Computation Member Benefit Engine Analyzer
  • 8. Actionable Insights Adaptability Affordability Automation Adoption
  • 9. Analysis at multiple risk Identify indicators hierarchies for across scientific Input multiple to contract re- dimensions negotiation
  • 10. Automated Automated analysis of of analysis multiple what- multiple what- if’s if’s
  • 11. ICD Code Impact analysis Benefit Claims DRG / / policy HCC / edit rule Member liability analysis analysis iTransform™ ICD-10 Neutrality Analytics Plan / Product Provider and / Employer clinical service level segmentation segmentation UM / DM / Patient risk segmentation
  • 12. UNITED STATES CANADA INDIA 12021 Sunset Hills Road 5140 Yonge Street Plot No. 44 & 97A, Electronics City Suite 340 Suite 1400 Hosur Road Reston, VA 20190 Toronto Ontario M2N 6L7 Bangalore , Karnataka - 560 100 askus@infosyspublicservices.com www.infosyspublicservices.com The contents of this document are proprietary and confidential to Infosys Public Services and may not be disclosed in whole or in part at any time, to any third party without the prior written consent of Infosys Public Services. © 2013 Infosys Public Services. All rights reserved. Copyright in the whole and any part of this document belongs to Infosys Public Services. This work may not be used, sold, transferred, adapted, abridged, copied or reproduced in whole or in part, in any manner or form, or in any media, without the prior written consent of Infosys Public Services

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