Case Study: JFK Health System achieves ICD-10 financial neutrality with Infosys iTransform Payout Simulator

JFK Health System reduces ICD-10 reimbursement risk with Infosys

JFK Health System, a New Jersey-based healthcare provider, faced the significant challenge of preparing for a federally mandated transition from the ICD-9 to the ICD-10 medical classification standard. This conversion posed a major financial risk, as it was embedded in their reimbursement processes and threatened to disrupt revenue if not managed correctly. To mitigate this risk and aim for a revenue-neutral outcome, JFK engaged Infosys Public Services and utilized their automated Infosys iTransform™ Payout Simulator product for a comprehensive financial impact analysis.

Infosys implemented a solution using its Payout Simulator to analyze historical claims data, simulating how reimbursements would change under ICD-10. This provided JFK with a clear picture of potential financial impacts and exposed vulnerabilities in their clinical documentation. The results gave JFK actionable insights to prepare for the transition, reduce the risk of future claim denials, and provided scientific data for renegotiating contracts with health insurers on a revenue-neutral basis. Infosys helped the health system proceed with greater confidence by replacing uncertainty with concrete, actionable analysis.

JFK Health System