ICD-Mapping+
Features
- Preloaded content repository for GEM, CMS reimbursement map, DRGs, SNOMED–CT, ICD codes and consumer friendly terminology
- Automates mappings for one-to-one maps; fine-tunes the remaining complex mapping through reference data and business decision
- A robust rule engine that facilitates bridging gap between GEM and custom maps by configurable rule-based mapping
- Enhanced mapping governance to facilitate iterative improvement of mapping quality, optimized for revenue and clinical neutrality
- Enables easy access to all processes and systems that need to consume ICD-10 mapping and translation rules - “Build once, use multiple times”
- Supports real-time and batch integration with other applications through APIs and web services
- Action oriented reporting facilitates faster decision making
Key Differentiators
- Comprehensively meets your ICD-10 crosswalk challenge, reduces risk, ensures data integrity and helps you achieve compliance
- Helps override standard CMS mappings to create a custom map for your business, ensuring both clinical and financial neutrality
- Provides a closed-loop governance process to leverage multi-functional business decisions in the mapping exercise
- Supports various input formats, including flat file (UB92, UB04 etc.), XML files, and EDI
- Supports 3-tiered mapping above and beyond GEMS (custom maps, custom rules, clinical rules)
- Simplifies conversion complexity by narrowing down target code lists (in one-to-many and combination scenarios) using key claims attributes
- Eases integration with your existing and other third-party systems and is scalable enough to support the next level of transformation
Brochures
Infosys iTransform™ - The Smoothest Road to ICD-10 Compliance for Payers 
Infosys iTransform™ - The Smoothest Road to ICD-10 Compliance for Providers