ICD 9 to 10 Translation Tool

Slide 1

Agenda

Framework Overview

Functional Coverage

Feature List

Screenshots

Conversion Approach

Framework Architecture

Addressed Mappings

Slide 2

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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

BackwardConversion

CodeCategorization

Configuration

Reporting & Compatibility

Features

Suggested Mapping

ConfigDefault Value Config

Codes based on

Reimbursement

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

• 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

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

• 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

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/Reimbursement 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

AnalyzeWebservice Input Output Webservice

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 Mappings

Many to One Mappings

One to Zero Mappings

Slide 13

Thank You

Slide 14