Health Language Blog

The Strategic Role of Health Plans and Providers in the Opioid Battle

Posted on 01/29/20 | Comments

Is your organization equipped with the right code sets?

The opioid crisis remains a critical public health issue. Every day more than 130 die from overdosing on opioids, and current industry estimates suggest that the total economic burden related to misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.

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Topics: value sets, MIPS, CMS, quality measure reporting, HEDIS, opioid epidemic, opioid crisis, PQA Quality Measures

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 Code Groups are the Building Blocks of Important Health IT Initiatives

Posted on 12/29/14 | Comments

Code groups (also known as value sets ) are codes and terms taken from standard terminologies which are used to define clinical concepts.

In essence, code groups are collections of codes that represent such ideas as a category of drugs or a reportable disease. For example, a health system could group together all of the ICD-9, ICD-10, SNOMED-CT and RxNorm codes that could indicate patients with diabetes. In this case, “patients with diabetes” is the clinical concept defined by the code group.

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Topics: Meaningful use requirements, code groups, value sets