Webinar 3 - New Coding Systems - SNOMED, ICD-10 and MU Changes in DigiDMS_20140402

Webinar 3: New Coding Systems:

SNOMED & ICD-10, MU Changes in DigiDMS

Tuesday, April 1, 2014 at 3:30 PM EST Wednesday, April 2, 2014 at 4:30 PM EST

EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

Coding System Quick Facts


Active Problems: SNOMED/ ICD-9/ ICD-10 Assessment: ICD-9/ ICD-10 Billing Claims: ICD-9/ ICD-10 CQM: SNOMED/ ICD-9/ ICD-10 CCDA: SNOMED/ ICD-9/ ICD-10 Family Health History: SNOMED SMOKING STATUS: SNOMED

SNOMED-CT Quick Facts


SNOMED-CT = Systematized Nomenclature of Medicine – Clinical Terminology

SNOMED-CT enables providers and electronic medical records to communicate in a common language, thus increasing the quality of patient care across many different provider specialties.

SNOMED-CT will also improve the accuracy of patient data analysis. Knowing that a standard medical terminology is being used across the enterprise, and within other hospitals, simplifies the query and resulting report. Users can be confident that they haven’t missed anything in their definition of a diagnosis and rely on a complete report for this patient population.

Sounds simple. Unfortunately, SNOMED is far from simple. It is structured into “hierarchies” – 19 of them -- which further define the clinical concept. These hierarchies are then broken down into increasing granularity, resulting in very specific clinical concepts to define a patient’s condition. Whew! We think the ICD-10 coding hierarchy is complex – it’s nothing compared to SNOMED-CT.

http://ihtsdo.org/fileadmin/user_upload/doc/download/doc_StarterGuide_Current-en-US_INT_20140222.pdf


Browsing SNOMED-CT


ICD-9 vs SNOMED-CT


ICD-10 ICD-10-CM/PCS consists of two parts: � � ICD-10-CM – The diagnosis classification system developed by the Centers for Disease Control and Prevention for use in all United States (U.S.) health care treatment settings. Diagnosis coding under this system uses 3–7 alpha and numeric digits and full code titles, but the format is very much the same as ICD-9-CM; ICD-10-PCS – The procedure classification system developed by the Centers for Medicare & Medicaid Services (CMS) for use in the U.S. for inpatient hospital settings only. The new procedure coding system uses 7 alpha or numeric digits while the ICD-9-CM coding system uses 3 or 4 numeric digits. http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD-10Overview.pdf

http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD-10Overview.pdf




Structural Differences Between ICD9 and ICD10


ICD-10 Examples vs ICD-9


Getting Started with Coding System

Select Default Coding System Active Problems Billing Diagnosis

Define Favorites Configure Mapping for Most commonly used ICD9

codes Identify one-time mapping or permanent mapping


Mapping Analysis of

8 Different Clinics

1-1 Map (%) 1-1 Aprox (%) 1-Many (%) No Map (%) 33.49 45.93 19.56 0.99 31.85 43.95 22.22 1.97

31.1 46.88 21.21 0.79 31.36 47.72 18.54 2.36

31.1 39.25 29.15 0.48 29.19 45.99 23.77 1.03 31.36 47.72 18.54 2.36 37.65 37.29 23.217 1.82


Selection of Default Coding systems


Code System Configuration


Active Problems


Encounter Note: Active Problems


Encounter Note: Assessment


Claim Details

DigiDMS PM


DigiDMS MU Implementation



Questions & Answers

?

Thank You!


Webinar 3 - New Coding Systems - SNOMED, ICD-10 and MU Changes in DigiDMS_20140402

Documents

Transcript of Webinar 3 - New Coding Systems - SNOMED, ICD-10 and MU Changes in DigiDMS_20140402