Health Language Blog

Remediate Your Clinical and IT Systems

Posted on 07/02/15 | Comments

Healthcare providers are all looking forward to the day when semantic interoperability is a foregone conclusion. The day when one single, user-friendly platform handles clinic management, EHR data, and the automatic communication of accurate billing codes to payers, with everything represented in the correct terminology, all housed under one roof. But even though Health Language is working on solutions that get you closer to such a reality, the fact is, healthcare is not there yet.

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Topics: IT Systems

Outpatient Claims: Optimize Clinical Documentation that Supports ICD-10

Posted on 06/23/15 | Comments

There has been a great deal of discussion around ICD-10 and how it will impact DRG’s – but what about the outpatient setting?

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Topics: ICD-10

Why Do you Need to Map to LOINC?

Posted on 06/18/15 | Comments

The bulk of the recent media attention directed at clinical terminology standards has, for quite obvious reasons, been focused on the the impending October 1, 2015 deadline for ICD-10 conversion. SNOMED, the terminology meant to standardize the way interactions between patients and clinicians are recorded in EHRs, also often gets mentioned in the context of their relative relationship to the ICD-10 overhaul. But despite all the buzz surrounding these high-profile terminologies and their impact on the future of health care, it’s important for providers to remember that Meaningful Use standards apply to more than just attestation these days.

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Topics: LOINC

The Difference Between Intensional and Extensional Value Sets

Posted on 06/03/15 | Comments

Value sets, also referred to as code groups, help healthcare providers and payers define clinical concepts.

Each value set is essentially a bag of codes that can represent a particular disease or a type of medicine. A value set consists of terms and their associated numerical codes, which are taken from standard terminologies such as ICD-10, SNOMED CT®, RxNorm and LOINC®.  Value sets have a number of use cases. Those include creating Clinical Quality Measures (CQMs), defining a patient population cohort, defining decision support rules, and developing application pick lists.

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Topics: value sets

How to Minimize Lost Revenue Associated with Inaccurate Clinical Documentation

Posted on 05/29/15 | Comments

Healthcare providers depend on accurate diagnoses and procedure coding to bring in revenue for their services. 

Inaccurate clinical documentation, however, has been a problem organizations have grappled with for many years. A report published in Health Services Research, and available through the National Center for Biotechnology Information, reported diagnostic and procedure coding error rates as high as 80 percent.

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Topics: innacurate clinical documentation

Why You Should Normalize Your Clinical and Claims-Based Data

Posted on 05/27/15 | Comments

Health IT systems housing administrative/claims and clinical data operate in isolation and the data is encoded via conflicting terminologies. Clinical information exchanges that want to aggregate data from those two sources are in a tough spot: the lack of semantic interoperability between claims and clinical data makes it nearly impossible to derive anything meaningful.

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Topics: claims-based data

How to Mitigate Risks Associated with the ICD-10 Conversion

Posted on 05/21/15 | Comments

The inability of your healthcare delivery organization to adequately adopt the new ICD-10 coding structure could mean you’re administrative staff will be faced with a large amount of denied claims to fix.  Even worse, payment delays for rejected claims could take months to sort out. Many organizations are ramping up their clinical documentation improvement program, coder education and engaging in discussions with payers to ensure that they have their bases covered for October 1st.

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Topics: ICD-10 implementation

How Provider Friendly Terminology can help the ICD-9 to ICD-10 Conversion

Posted on 05/19/15 | Comments

Keeping up with clinical terminology standards can be a full-time job.  As a clinician, we tend to use colloquial language when documenting diagnoses, procedures and findings and are used to writing (or scribbling) this information in paper charts and now with the EMRs, we want to continue to use our shorthand expressions for searching.

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Topics: icd-9 to icd-10 conversion

How to Get Executive Buy-In on Your Data Normalization Solution

Posted on 05/14/15 | Comments

Welcome back to the Data Normalization blog!  In the last post, I outlined the key steps to take your project to the next level or get started at a high level. This post focuses on the first step toward implementation: obtaining executive buy-in.

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Topics: data normalization

Five Conflicts that Can be Avoided by Enterprise Terminology Management

Posted on 05/12/15 | Comments

The healthcare industry is rife with clinical terminologies, both proprietary vocabularies and those based on industry standards.

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Topics: enterprise terminology management