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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
4. Neutrality
“Sweet Spot”
Financial Optimization Clinical Integrity
Operational Stability
Enterprise Neutrality
7. Claims Modeling Next Generation
Engine Analytics Platform
Payout HealthViews™
Simulator Analytics
Liability
Computation
Member Benefit Engine
Analyzer
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
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