ICD9210 – Legacy ICD-9 Code Convertor

On Oct. 1, 2013, the U.S. health care delivery system faces one of its’ most daunting challenges yet - the government mandated implementation of ICD-10. The transition to ICD-10 will involve significant changes to business and information systems throughout a healthcare organization. It touches on almost every aspect of provider treatment and billing and payment claims processing. The International Classification of Diseases, Tenth Revision contains 140,000 codes in its two systems (CM and PCS) as compared to its predecessor, ICD-9-CM with only 18,000 codes. How will your organization meet this mandate and achieve regulatory compliance?

To assist in your organization’s ICD-10 implementation, Aviana Global is proud to offer our Automated ICD9₂10™ Converter as part of the solution for your ICD-10 transition. Much more than a mere “translator,” the ICD9₂10™ Converter is a powerful tool that can convert large volumes of ICD-9-CM codes into ICD-10 codes using both mapping technology and Aviana’s patent pending natural language processing (NLP) text engine to read diagnostic and procedural text from your medical records. The resulting ICD-10 codes are then processed through the ICD9₂10™ Converter’s “Smart Assistant” module, a proprietary analyzer.The result is more and consistent ICD-10 codes processed per batch. Results. Realized

Forward Mapping From ICD-9 to ICD-10

ICD-9-CM diagnosis codes with only one ICD-10-CM translation alternative	11,344
ICD-9-CM diagnosis codes with more than one ICD-10-CM translation alternative	2,971 (20%)
ICD-9-CM diagnosis codes with no translation in ICD-10-CM	416
ICD-9-CM procedure codes with only one ICD-10-PCS translation alternative	352
ICD-9-CM procedure codes with more than one ICD-10-PCS translation alternative	3,486 (90%)
ICD-9-CM procedure codes with no translation in ICD-10-PCS	209

Healthcare payers and providers have to select a single ICD-10 code for each transaction, where the choices expand from 17,800 codes under ICD-9 to approximately 165,000 under ICD-10!

Even as providers scramble to modify their IT systems and train their internal staff to meet this deadline, one often overlooked aspect of this change is the impact of ICD-10 on reporting and analysis using legacy data. At the transition, legacy data will exist in ICD-9 whereas current information will come in using ICD-10. This would make it difficult to report and make decisions related to quality of care, rate contract negotiations and other areas that rely on ICD code sets. Coding teams may not have the bandwidth to convert legacy medical records.

Aviana’s ICD9₂10™Legacy ICD-9 code converter leverages artificial intelligence and Natural Language programming (NLP) algorithms to efficiently parse legacy ICD-9 based medical records to generate corresponding accurate ICD-10 values automatically. This approach, significantly reduces the amount of human intervention involved, making it cost effective to convert legacy data for decision support.

ICD9₂10™ can optionally be coupled with Aviana’s powerful analytical platform based on the Agile Data Core™ engine, which provides sophisticated financial scenario modeling, quality reporting and other analytical capabilities to support a wide range of decision support needs.

Features

Business Rules engine that leverages Natural Language Processing (NLP) algorithms to accurately identify ICD-10 codes
Comprehensive data dictionary of medical terms and synonyms that improves accuracy of code conversion
Custom Synonyms dictionary for provider specific code conversions
Smart Assistant module for exception handling and manual conversion of codes with insufficient source data
No software to buy. ICD9₂10 is available on a Software as a Service (SAAS) model
Rapid deployment and execution. Compress a year’s worth of coding effort into days.

For more information on ICD9₂10™ please call (714) 674-0260 or e-mail info@avianaglobal.com