The ICD-10 Transition | Simplified Kunal Bajaj, Principal kbajaj@ordysy.com | 703-863-2297

Summary About Ordysy What is ICD-10? Example Current View of ICD-10 Implementations Challenges with ICD-10 Ordysy and CodeFlex Solution Introduction Value Proposition ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future.

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ICD = International Classification of Diseases What is ICD-10? ICD = International Classification of Diseases October 1st, 2014 is the healthcare industry’s deadline to migrate to ICD-10, the latest set of diagnosis and procedure codes The currently-used ICD-9 codes contain 13,000+ permutations, vs. the 170,000+ codes for ICD-10 Affects providers, payors, clearing houses, research organizations, public health orgns, non-profits ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future.

GEMS = General Equivalency Mapping System Example of ICD-10 GEMS = General Equivalency Mapping System ICD-9 ICD-10 8470 Sprain of Neck S134XXA Sprain of ligaments of cervical spine, initial encounter S138XXA Sprain of joints and ligaments of other parts of neck, initial encounter ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future.

Other possible matches Example of ICD-10 Other possible matches ICD-9 ICD-10 8470 Sprain of Neck S138XXS Sprain of joints and ligaments of other parts of neck, sequela S139XXA Sprain of joints and ligaments of unspecified parts of neck, initial encounter S139XXD Sprain of joints and ligaments of unspecified parts of neck, subsequent encounter S139XXS Sprain of joints and ligaments of unspecified parts of neck, sequela ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future.

Opportunity Payors: Collaboration and Testing Large Providers: Collaboration and Testing Mid and Small Providers: Wide open opportunity http://www.icd10watch.com/blog/wedi-completes-another-icd-10-readiness-survey WEDI Survey PAYORS PROVIDERS % Complete % In Progress Impact Assessment 50% 40% 20% Readiness 33% ? Testing 0% ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future.

Top 3 Impacts of ICD-10 (based on 50+ conversations with ICD-10 PMOs) How do we create custom maps from ICD-9 to ICD-10 and vice-versa for each specialty? How do we identify matching of codes with physicians? How do we identify and provide appropriate training to physicians, nurses and coding staff? How do we manage the rise in DNFB (Discharged Not Final Billed)? How do we forecast DRG Shifts and reimbursement changes? How will increased rejections & denials impact cash flow? Finance & Revenue Cycle Clinical Operations ICD-10 Operations & Information Technology ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future. How do we identify and plan upgrades of impacted applications/ systems? How do we maintain business continuity? How can we accelerate upgrade of impacted systems?

The CodeFlex Solution To support the ICD-10 transition, our solutions are built inside 3 CodeFlex modules: Module 1: Code Translating Modeling Module 2: Financial Impact Analytics Finance & Revenue Cycle Clinical Operations ICD-10 ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future. Operations & Information Technology Module 3: Collaboration Lifecycle Management

Module 3: Collaboration CodeFlex: Module Overview Module 1: Code Translation Modeling Baseline map built by clinicians to provide single best-case map for a given ICD-9 code Code analyzer capability that identifies reasonable and valid ICD-10 alternatives for specific ICD-9 codes Premier Code Group Manager that allows effective management of translation of groups of codes Module 2: Financial Impact Analytics Analyze usage of ICD-9 codes and identify key areas of concern Reimbursement Delay Analytics models effect of ICD-10 on receivables delay DRG Shift Simulation & Forecasting: Execute scenario analytics on reimbursement changes Over 40 dashboards and reports to analyze financial impact of ICD-10 Clinical Operations Finance & Revenue Cycle ICD-10 Operations & Information Technology Module 3: Collaboration Lifecycle Management Industry-leading Collaboration Software for deadline-driven mandates such as ICD-10 Pre-built TOGAF* based Enterprise Architecture model for impact analysis and planning IT initiatives Pre-built templates for Requirements across specialties Pre-built Testing scenarios with Simulation capability to shorten testing and delivery cycles ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future. * The Open Group Architecture Framework

Faster Implementation Delivering Value to Our Clients IT Implementation Resources ICD-10 READY! No CodeFlex ICD-9 Organization Systems Discovery Planning & Requirements Execution & Testing - ICD-10 READY! With CodeFlex ICD-10 should yield more than a check on an Audit form. Embracing the ICD-10 initiative opens up un-thought of opportunities. An answer exists to questions not previously asked. Until now, many organizations did not have an inventory of systems and applications that generate ICD-9 codes. An ICD-10 transition done correctly will enable an organization to become nimble to meet future compliance changes. This is the time to create a blue print of business processes and how technology ties to them. This effort will also enable decision makers to identify bottlenecks, ask questions about redundancies and substantiate improvements through data to back up decisions. By undertaking a holistic approach as opposed to a silo based approach, organizations can use ICD-10 as the initiative to lay a foundation for the future. = Faster Implementation Increased Quality Less Resources

Please contact Kunal Bajaj Questions and Answers Please contact Kunal Bajaj kbajaj@ordysy.com Thank you! CodeFlex simulates claims in ICD-9 to facilitate remediation and analyze the shift in DRGs. CodeFlex takes the ICD-9 code and generates all possible combinations in the ICD-10 code set. This is also a mechanism for going deeper into Financial analysis.