Payout Simulator
Features
- Supports volumetric data analysis and varied finances around ICD-10 for different payment mechanisms
- Out-of-the-box support for Reimbursement analysis at both the ICD code and DRG level
- Extracts and loads large volumes of data from any relational data base or using structured templates
- On-the-fly creation of user-defined scenarios and data models for Reimbursement analysis
- GEM based extrapolation of ICD-9 records to create prospective ICD-10 data sets
- Preloaded with CMS DRG grouper (Version 24) and MS DRG grouper (Version 26, 27, 28)
- Generates actionable reports – including Reimbursement Variance at Claim, ICD Code, DRG Level; DRG Mismatch; ICD Code to DRG Mapping
Key Differentiators
- Helps define ICD-9 to ICD-10 and ICD-10 to ICD-9 mapping from the standpoint of financial neutrality
- Ability to auto-generate complex claims pricing logic for simulation, devoid of any pricer integration
- Easily integrates with any customized or new version of grouper software and strategic pricer applications
- Provides easy crosswalk between two different versions of grouper software (CMS to MS DRG, APR to MS DRG, etc), that enables quick financial analysis of claims prior to DRG transition in the ICD-10 world
Brochures
Infosys iTransform™ - The Smoothest Road to ICD-10 Compliance for Payers 
Infosys iTransform™ - The Smoothest Road to ICD-10 Compliance for Providers