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Infosys iTransform™ for ICD-10 TransitionFast-Track Compliance and Ensure Neutrality with Integrated ICD-10 Product Suite and Services

2 | Infosys Pubilc Services

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 SuiteInfosys’ 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

A powerful code crawler to auto search the deep-seated impact of ICD-10 changes across di�erent code bases and LOCs

iTransform™ICD Mapping+

An enterprise code management tool that simpli�es the ICD-10 mapping complexities and helps custom map creation over and beyond General Equivalence Mappings (GEM)

iTransform™Payout Simulator

A powerful analytics tool to surface the �nancial impact of ICD-10 transition, stratify risk at each code, DRG level and help achieve �nancial neutrality

iTransform™Code Helper

A self-learning and training tool for ICD-10 that helps business users to better understand and apply ICD-10 knowledge

iTransform™ICD Transition Simulator

An optimal ICD-10 testing solution that automates the generation of large volumes of test �les with varied combinations of ICD-10 codes

InfosysiTransform™

Key

Feat

ures

iTransform™ component

iTransform™Reference Architecture

iTransform™ICD Mapping +

iTransform™Code Helper

iTransform™Impact Analyzer

iTransform™Payout Simulator

iTransform™Transition Simulator

Features

• Webbasedrepositorywithgenericprocesses• Inbuiltframeworkforestimation,capturingandstoringrequirements

• Centralizedrepositoryofcustommapsandtranslatedbusinessrules• OutofBoxOntologybasedmapsforfastermappingdecisions

• Web-basedself-learningtoolforcompleteandaccuratecoding• ImprovedcodingcompliancethroughsupportofCMScodingguideline

• Extensivereportsforplanning,estimationandremediation• Supportsallmajorprogramminglanguages

• Advancedanalyticsandactionablereportingthroughintuitiveinterfaces• CompletesolutionforICD-10neutralitybenchmarking

• Supportslargevolumeofhistoricalclaims• Loadedwithoutoftheboxscenarios(clinical,financial)toreducescriptcreation

effort by upto 70%

Infosys Pubilc Services | 3

ICD-10 Migration ServicesInfosys’ 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.

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

iTransform™

• Solution Design• Business & IT

Remediation• Installation Support• Post Compliance

Support

• Assessment (Business, IT, Partner), Planning & Solution Ideation

• Program Management• Change Management

• Mapping, Clinical Data Modeling & Validation

• Clinical Policy, Bene�ts & Contract Review

• CDI & Training

• Test Strategy Formulation, Test Planning

• Neutrality Testing- Clinical, Financial, Operational

• Financial• Clinical• Operational• Bene�t• Revenue

Neutrality Analytics Clinical Services

Test

ing

Serv

ices

Consulting Services Rem

ediation Services

EnterpriseNeutrality

‘‘–InfosysandBCBSApressrelease,June2011

BlueCrossandBlueShieldAssociation(BCBSA)has selected Infosys’ iTransform™ product suite to be part of a national purchasing arrangement for ICD-10 transition

For more information, contact askus@infosyspublicservices.com www.infosyspublicservices.com

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.

© 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.

Medicaid Managed Care Services CompanyA 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.

Client Success Story