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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
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
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
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Browsing SNOMED-CT
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
ICD-9 vs SNOMED-CT
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
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Structural Differences Between ICD9 and ICD10
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
ICD-10 Examples vs ICD-9
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
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
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Selection of Default Coding systems
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Selection of Default Coding systems
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Selection of Default Coding systems
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Code System Configuration
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Code System Configuration
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Active Problems
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Encounter Note: Active Problems
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Encounter Note: Assessment
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Claim Details
DigiDMS PM
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
DigiDMS MU Implementation
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
DigiDMS MU Implementation
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
DigiDMS MU Implementation
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Questions & Answers
?
Thank You!
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

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Webinar 3 : New Coding Systems - SNOMED, ICD-10 and MU Changes | DigiDMS.com

  • 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