Health Language Blog

Implications to Using Old and Outdated Codes

Posted on 05/18/16 | Comments

Many were relieved after the ICD-10 implementation deadline. But, though October 1st 2015 is now long past, it does not mean the end of dealing with healthcare terminologies and the complexities set into motion for healthcare providers and payers.  

As we all know, healthcare is a constantly changing industry. New medical breakthroughs as well as newly discovered diseases lead to new treatments and innovative solutions. All of these changes must be represented in evolving medical terminologies. Terminologies, standards for treatment and care, and scientific developments are rarely set in stone. Code systems and terminology sets may be updated daily. If you and your organization cannot keep up with all of the changes, your entire organization is at risk.  

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Topics: ICD-10, terminology, enterprise terminology management

Data Normalization: Mapping to Existing Standards vs Creating Local Standards

Posted on 05/11/16 | Comments

If you’ve followed the previous steps outlined in this blog series, you should have a good idea of how to pursue data normalization within your healthcare organization. But challenges will continue to arise once you get underway. One of the decisions a healthcare provider or payer will face in the course of a project is whether to use an existing industry standard or create a local terminology. As it turns out, the answer isn’t cut and dried, and will depend to a large degree on the use case involved.

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Topics: data normalization, selecting standards, mapping, local standards

The Benefits of Mapping CPT to LOINC

Posted on 05/04/16 | Comments

Payer-based care and utilization management programs are essential for managing member health, closing care gaps, and managing risk. Research data indicates that capturing members’ vast healthcare histories and normalizing that information for consumption can enable a care management program that enhances the effectiveness of provider-based care initiatives.

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Topics: LOINC, Payers, mapping, CPT, Care management

Are you Dealing With Lackluster Data Analytics?

Posted on 04/18/16 | Comments

Missed_Target.jpeg A recent HealthITAnalytics.com article, “Quality Metrics, Data Analytics are Top Value-Based Care Fears,” highlighted some of the problems that health systems and ACOs are having with data management and analytics. Author Jennifer Bresnick wrote, “...providers confess that the big data analytics competencies required to make the most of value-based reimbursements may be too much for them to handle.”

In fact, the article references a recent Xerox Healthcare Attitudes 2016 survey that revealed that 80% of providers “expressed some level of uncertainty about not being able to leverage their patient data for improved outcomes.” Additionally, the same number of providers said “a lack of claims data transparency may inhibit their ability to perform comprehensive data analytics and population health management.”

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Topics: Analytics

5,500+ Updates Are Coming to ICD-10

Posted on 03/30/16 | Comments

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It has been five years since those of us in the healthcare industry have had to prepare for updates to the ICD code set. During this time, updates were put on hold while the industry prepared for and underwent the ICD-10 transition. Now that ICD-10-CM and ICD-10-PCS have been successfully implemented, it is time to prepare for long-awaited revisions and additions. Beginning October 1, 2016, we can now expect that there will be annual revisions to the ICD-10 code set, bringing the industry back to the regular update cycle.

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Topics: ICD-10

How to Normalize Your First Project with Your Data Normalization Solution

Posted on 02/24/16 | Comments

So far we have outlined the steps from securing executive buy-in to establishing a governance process—you should be ready to start your first normalization project (I know I am!).

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Topics: data normalization, selecting standards, mapping

Webinar Recap: Code Groups – The Building Blocks for Your Analytic Initiatives

Posted on 02/08/16 | Comments

Code groups and analytics initiatives—the two go hand-in-hand. Healthcare organizations are increasingly realizing that effective management of code groups (also known as value sets) is imperative for aligning with healthcare’s Triple Aim and positioning within the value based landscape.

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Topics: code groups

Webinar Recap: Code Groups - The Building Blocks for Your Analytic Initiatives

Posted on 12/11/15 | Comments

 

Whether you’re providing patient care or managing coding and patient data, you have no doubt felt the impact of managing code groups on your day-to-day responsibilities, whether you know it or not. The use of code groups, otherwise known as value sets, is becoming a necessity for healthcare providers – but the technology to manage them is only now just beginning to catch up with the need.  

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Topics: code groups

Establish a Governance Process with Your Data Normalization Solution

Posted on 12/08/15 | Comments

In our last blog, we discussed selecting your first project to use for data normalization. A healthcare provider or payer pursuing a normalization project must establish a governance process to ensure the organization doesn’t revert to a chaotic data state. This post discusses the creation of a solid governance structure that preserves your investment in good data. 

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Topics: data normalization

Prioritize Your Data Normalization To-Do List with an Impact Anaysis

Posted on 10/14/15 | Comments

Welcome back!  So you have:

Now it’s time to decide on your first data normalization project. In this blog post I will provide insights into how to choose a project that you can complete successfully.

Even though you now have executive buy-in, it is key to demonstrate the value of that first project as quickly as possible. That’s the focus of the next step in the data normalization lifecycle: conducting an impact analysis to prioritize your data normalization to-do list.

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Topics: data normalization