Medical Coding_Katalyst HLS

1. Medical Coding:
1 11/20/2017Katalyst Healthcares & Life Sciences

2. Icons Used
Questions
Demonstration
Hands on
Exercise
Coding
Standards
A Welcome
Break
Tools
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Referenc
e
Test Your
Understandi
ng
Contacts

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OVERVIEW
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OBJECTIVES
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DO YOU KNOW
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PRE-CODING PROCESS
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PRE-REQUISITES FOR ASSIGNING A DICTIONARY
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Clinical Data
Management System
Coding Dictionaries
MedDRA/ WHODD
Auto-Coding Manual Coding
Reviewed
by coder:
Is term
codeable?
All terms are coded
and mapped to the
dictionary
END
START
Site enters data
in eCRF (Case
report forms)
Resolution
received from
site
Query issued to
site
No Yes

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CODING DICTIONARIES
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Dictionary Version release
MedDRA Twice a year – In March and September
WHODD Quarterly – In March, June, September and
December
WHO-ART Quarterly
BNF Twice a year

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PURPOSE OF DICTIONARY CODING
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WHY ARE DICTIONARIES USED ?
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• LOWEST LEVEL TERM
CODE
• NUMERIC IN NATURE ‘ALPHA NUMERIC’
STRUCTURE OF DICTIONARIES
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19. • Dictionaries are Hierarchical code files
• Dictionaries are of two types:
– Standardized Dictionaries
– Published classification systems
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Dictionary Category and
Hierarchy

20. Dictionary Category and Hierarchy
: Standard Dictionaries
• The most preferred Standard Dictionaries are as follows :
MedDRA
____________________
Medical
Dictionary for
Regulatory
Activities
____________________
➢ Symptoms
➢ Signs
➢ Diseases
➢ Diagnosis
➢ Therapeutic Indications
➢ Names & Qualitative results of
investigations
➢ Surgical & Medical Procedures
➢ Medical/Social/Family History
WHO Drug
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World Health
Organization -
Drug Dictionary
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➢ Study Drugs
➢ Concomitant Drugs
➢ Previous Drugs
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21. Dictionary Category and Hierarchy
: Published classification systems
• The Published classification systems are as follows :
ICD- 10 -CM
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International
Classification of
Diseases - 10th Edition
Clinically Modified
__________________
➢ Cause of Death
➢ Medical History
➢ Concomitant Illness
➢ Primary Diagnosis
➢ Secondary Diagnosis
➢ Subject Drug Indications
➢ Non Drug Treatment
BNF
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British National
Formulary
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➢ Study Drugs
➢ Concomitant Drugs
➢ Previous Drugs
WHO - ART
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World Health
Organization -
Adverse Reaction
Terminology
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➢ Adverse Events
- Serious
- Non-Serious
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24. MedDRA Dictionary : SOC
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25. MedDRA Dictionary : HLGT
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26. MedDRA Dictionary : HLT
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27. MedDRA Dictionary : PT
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28. MedDRA Dictionary : LLT
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ATC
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ATC
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ATC
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ATC
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PN

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35. QUESTIONS
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TEST YOUR UNDERSTANDING
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SUMMARY
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38. You have successfully completed - Medical Coding
Thank You
&
Questions
11/20/2017
Contact:
Katalyst Healthcare’s & Life Sciences
South Plainfield, NJ, USA 07080.
E-Mail: info@KatalystHLS.com