ICD 9 to 10 Translation Tool Slide 1

Agenda Framework Overview Functional Coverage Feature List Screenshots Conversion Approach Framework Architecture Addressed Mappings Slide

Framework Overview Web enabled Accessible from external systems, portals via web services Customizable to support business needs Conversion based on GEMs, Reimbursement mapping Extensible to support MS-DRG conversions Ability to update periodic changes Slide 3

Functional Coverage Forward Conversion Backward Conversion Backward Conversion Code Categorization Code Categorization Configuration Reporting & Compatibility Features Suggested Mapping Config Default Value Config Codes based on Reimburse ment Predefined Default Config Business Parameter Conversion Excel – Export / Import Slide 4

Feature List Forward and Backward conversion – Forward Conversion - ICD-9 to ICD-10 GEMs Mappings – Backward conversion - ICD-10 to ICD-9 GEMs Reimbursement Mappings Forward and Backward conversion – Forward Conversion - ICD-9 to ICD-10 GEMs Mappings – Backward conversion - ICD-10 to ICD-9 GEMs Reimbursement Mappings ICD 10 CM Code Categorization – Tabular view – Tree View Listing – Auto suggest search – Code or Description – Keyword based search ICD 10 CM Code Categorization – Tabular view – Tree View Listing – Auto suggest search – Code or Description – Keyword based search Pluggable/configurable to an existing Application – Web URL Integration – Web service integration – Ready made scripts for migration Pluggable/configurable to an existing Application – Web URL Integration – Web service integration – Ready made scripts for migration Slide 5

Feature List Configurations – Add/Update ICD Codes ICD 9 ICD 10 – Mapping & Configuring default code ICD 9 ICD 10 – Configuration of Keywords Chapter Block Code Configurations – Add/Update ICD Codes ICD 9 ICD 10 – Mapping & Configuring default code ICD 9 ICD 10 – Configuration of Keywords Chapter Block Code Export of codes and configuration – ICD 9 to 10 GEMs Mapping – ICD 10 to 9 GEMs Mapping – ICD 10 Master codes in Tabular view Export of codes and configuration – ICD 9 to 10 GEMs Mapping – ICD 10 to 9 GEMs Mapping – ICD 10 Master codes in Tabular view Import of codes and configuration – ICD 9 to 10 Mapping – ICD 10 to 9 Mapping – ICD 10 Master codes Import of codes and configuration – ICD 9 to 10 Mapping – ICD 10 to 9 Mapping – ICD 10 Master codes Slide 6

Conversion Screen Slide 7

Tabular List View Slide 8

Configuration Slide 9

Add/Update ICD Code & Mapping Slide 10

Accepts ICD 9/10 Codes With the help of GEMs/Reimburse ment mappings, extracts all the mapped ICD Codes Analyze whether Business Rule Execution is required Yes or No Send output to the respective request Conversion Approach Generate destination ICD 9/10 Codes AnalyzeWebserviceInputOutputWebservice Business Rules -ICD 9 Master Data -ICD 10 Master Data -GEMs data -Reference Tables Slide 11

Framework Architecture Slide 12

Addressed Mappings Forward and Backward conversion scenarios handled One to One Mappings One to Many MappingsMany to One Mappings One to Zero Mappings Slide 13

Thank You Slide 14