ICD-10 Services

According to the US Department of Health and Human Services, all healthcare organizations have to be ICD-10 compliant by October 1, 2013. Implementation of ICD-10-CM/PCS will advance healthcare in many ways, with benefits accruing across five major categories - quality measurement, public health, research, organizational monitoring and performance, and reimbursement.

Our Offerings

MphasiS ICD 9 to 10 services, called as iNTELLi-10services, helps healthcare organizations plan their remediation cycle in a way that leads to minimum disruption in day-to-day activities. This comprehensive solution helps Healthcare Insurance Payer assess the impact of the change on their systems, create strategic roadmap for compliance either through complete remediation of the systems based on their business needs or through tactical cross-walk tool. The suite also provides comprehensive testing repository to verify and validate the impacted areas - internal and external systems - and assesses the degree of compliance with respect to the standards.

Healthcare Solutions

iNTELLi 10 Suite comprises:

• iNTELLi Analyzer: This is a quick analysis framework to assess the impact to the business processes and IT application/systems due to the ICD-10 transition. The features include:
  • Three dimensional framework to assess impact on people, process, and technology
  • Scoring mechanisms to prioritize change based on business needs and assess risk involved in upgrading systems
• iNTELLi Diagnoser: This is an automated tool that thoroughly scans through the Payers IT environment such as applications, databases, web pages, and identify the impacted areas due to ICD-10 transition. The features include:
  • Assess impact to applications using bottom-up, iterative search driven by specific keywords
  • Technology agnostic tool supporting variety of payer platforms and architectures
• iNTELLi Mapper: This is a cross-walk management tool specifically designed to meet the forward and backward mapping requirements of Healthcare Insurance Payers. The features include:
  • Processing, storage, and display of GEMs, reimbursement, and client defined maps
  • Processing of inbound/outbound and internal payer transactions for mapping decisions
  • Built-in intelligence to identify the most accurate and best match for a given ICD code
  • Ability to define baseline maps, store default mapping decisions, and maintain forward and backward mapping data
• Test Accelerator: (ICD 9-10 testing, HIPAA 5010 testing, Payer testing): A readymade set of easily customizable test scenarios and test cases with features such as:
  • Repository of ready test scenarios for Healthcare Payer Testing, ICD 9-10 testing and HIPAA 5010 testing
  • Use of proven processes and best practices for testing
  • Testing teams with strong domain experience
  • Maximized tool based testing

Benefits

• Extremely secured and highly configurable
• Quick compliance with least possible changes to the IT environment
• Downstream applications can continue working with ICD-9 till they are remediated
• Extremely easy to use due to Usability engineering techniques used for UI
• Technology agnostic thus enabling integration/interfacing with any IT environment
• Faster translation from ICD 10 to ICD 9 and vice versa
• Complete automation for upload of CMS or client defined maps
• Ability to work with different versions of the maps
• Test Accelerator provides 90% functional coverage and overall 30% cost savings
• Reduced risks for product release