DigiDMS is an integrated Medical Information Management Company, which offers Electronic Health Records (EHR), Medical Billing, and Transcription Services. Our EHR includes integrated Appointment Scheduling, Billing Modules, Electronic Medical Records, Online Prescriptions and accessibility of information anywhere, anytime. Our services have evolved to a level where we can be deemed a Virtual Secretary targeted for hospitals, clinics, and independent doctors. The company is promoted by technical experts from diversified industries. In a relatively short span of 6 years, we have been able to transform 300+ medical offices nationwide into efficiency engines. Our strategy is to build productivity through the use of technology, highly trained personnel, and customized consulting services. With resources composed of 32+ employees nationwide and 175+ employees overseas, we have found a solution for all the problems in running a medical practice resulting in better clinical, revenue cycle, and employee management. We are the sole proprietors of the Electronic Health Records software, the Medical Billing service, and the Transcription Service. This allows us to streamline all our respective services into one effective solution for running a medical practice. Currently we are servicing clients in New Jersey, New York, Pennsylvania, Connecticut, North Carolina, Virginia, Florida, Indiana, Illinois, Texas, Tennessee and expanding throughout the United States of America. Our offices are based in New Jersey, Texas and North Carolina.

1. 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

2. Coding System Quick Facts
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
 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

3. SNOMED-CT
Quick Facts
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
 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

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

5. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Browsing SNOMED-CT

6. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
ICD-9 vs SNOMED-CT

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

8. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Structural Differences Between ICD9 and ICD10

9. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
ICD-10 Examples vs ICD-9

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

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

12. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Selection of Default Coding systems

13. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Selection of Default Coding systems

14. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Selection of Default Coding systems

15. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Code System Configuration

16. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Code System Configuration

17. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Active Problems

18. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Encounter Note: Active Problems

19. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Encounter Note: Assessment

20. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Claim Details

21. DigiDMS PM
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

22. DigiDMS MU Implementation
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

23. DigiDMS MU Implementation
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

24. DigiDMS MU Implementation
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

25. EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Questions & Answers
?

26. Thank You!
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging