Health Language Blog

Areas of Focus to Navigate from ICD-9 to ICD-10

Posted on 04/28/15 | Comments

As the healthcare industry migrates from ICD-9 to ICD-10 many organizations find that with less than six months to go before the October 1, 2015 compliance deadline they’re applying new strategies, shifting focus and addressing critical areas that need urgent attention.

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Topics: ICD-10

Are You Ready for the ICD-10 Conversion?

Posted on 04/03/15 | Comments

How many times has your ICD-10 leadership team asked themselves the dreaded question: Are we ready for ICD-10 conversion? With the senate scheduled to vote on a permanent fix of the reimbursement formula for Medicare physicians in a couple of weeks (this was the legislation that delivered the ICD-10 delay last year), October 1, 2015 looks to be the deadline the industry is racing towards.

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Topics: ICD-10

Further Delay in ICD-10 Will Cost the Health Industry $1-6 Billion

Posted on 03/31/14 | Comments

As some of you may have heard, the House approved on Thursday an 'SGR patch' bill, which would be yet another delay in implementing the SGR formula for Part B payments.

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Topics: ICD-10

Health Language (June) “Did You Know?”

Posted on 06/30/13 | Comments

 

Did_You_Know

We are excited to announce the launch of a new blog series called “Did You Know?” that will include one post each month on an interesting fact that you might not know about clinical terminology management, standardized vocabularies, industry regulations and more!

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Topics: ICD-10, Medical vocabulary, ICD-10 Transition, ICD-9 to ICD-10, clinical terminology management, ICD-10 implementation, Standardized vocabularies, Dr. Brian Levy

2013 Terminology Trend Watch: A Mid-Year Update

Posted on 06/12/13 | Comments

At the beginning of the year, we presented three terminology management trends to watch for in 2013. You can read the full post here, but in summary, we predicted that the trends providers would be most focused on this year would involve: Meaningful Use; ICD-10; and a lesser discussed concept, Hierarchical Condition Categories (HCCs). 

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Topics: Meaningful use, ICD-10, HCCs, LOINC, Hierarchical Condition Categories, Trends, technology, RxNorm

Empowering the Patient: Big Data and the Rise of DIY Healthcare

Posted on 05/06/13 | Comments

A tsunami of big data, and the evolving methods of making all that data meaningful and useful, has huge potential for changing the way we deliver and consume healthcare services.

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Topics: ICD-10, medical terminology management, Healthcare interoperability

The Emerging Role of Clinical Terminology Management for Payers

Posted on 05/03/13 | Comments

With the internal transition to ICD-10 well underway for most payers, now is the time to shift your focus to other industry initiatives, such as Stage 2 Meaningful Use. The move to ICD-10 has provided your organization with a breadth of granular codes, and it’s critical that you determine how best to incorporate these codes in your data strategy in order to maximize the benefits of this detailed patient and billing information.

Along with federal legislation, the rise in health information exchanges, ACOs and health insurance exchanges has shed light on the importance of data normalization beyond ICD-10. With interoperability at the heart of each of these initiatives, payers and providers alike will be required to use standardized terminologies for documenting and sharing patient information. Some of the most significant benefits of clinical terminology standardization and management for your organization in a value-based healthcare environment include:

  • More timely and accurate provider reimbursement due to consistent code usage;
  • Decreased administrative costs;
  • Streamlined communication with customers; and
  • Enhanced analytics for identifying cost-effective treatments offered by providers and supporting population health management.

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Topics: ICD-10, HCCs, Medical Plans, LOINC, medical terminology management

National Library of Medicine and Meaningful Use

Posted on 02/21/13 | Comments

Meaningful Use and the impending ICD-10 implementation is all the buzz!  Understanding terminology management for SNOMED-CT, ICD-9-CM and ICD-10-CM/PCS leaves many folks with their heads spinning.  What does this all mean?  Is there a one stop shopping to help me (save me)?  The good news is that there are resources available. The not so good news is that availability does not necessarily equal ease of use.

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Topics: Meaningful use, ICD-10, Standard terminologies, Medical vocabulary

The Significance of Normalizing Your Data to the Future of Healthcare

Posted on 01/24/13 | Comments

On January 10, the Centers for Medicare and Medicaid Services (CMS) announced the formation of 106 new Accountable Care Organizations (ACOs), bringing the grand total to more than 250 ACOs. Comprised of physicians, hospitals and health systems, each of these ACOs must be able to exchange data on the designated population of Medicare patients included in the CMS program. What’s more, they need to be able to analyze the data to determine if they are meeting 33 distinct quality measures concerning care coordination, patient safety, preventive health services, at-risk populations, and patient/caregiver experience of care.

However, if the stakeholders in these ACOs aren’t all sharing and analyzing data that uses the same data terminologies, their success could be impacted. This is where data “normalization” comes in. It can greatly improve operational efficiencies and patient outcomes not just for ACOs, but for all healthcare providers and payers nationwide.

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Topics: Meaningful use, ICD-10, HIE, Coding Challenges, Data Warehousing

Top Three Terminology Trends to Watch For in 2013

Posted on 01/22/13 | Comments

With the recent presidential election behind us, 2013 promises to be a significant year for the healthcare industry. As the industry moves away from fee-for-service care and closer to value-based care, terminology management will be crucial for organizations to achieve compliance with industry regulations.

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Topics: Meaningful use, ICD-10, HCCs