Webinar 3 : New Coding Systems - SNOMED, ICD-10 and MU Changes | DigiDMS.com

Webinar 3:
New Coding Systems:
SNOMED & ICD-10,
MU Changes in DigiDMS
Tuesday, April 1, 2014 at 3:30 PM EST
Wednesday, April 2, 2014 at 4:30 PM EST
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

Coding System Quick Facts
 Active Problems: SNOMED/ ICD-9/ ICD-10
 Assessment: ICD-9/ ICD-10
 Billing Claims: ICD-9/ ICD-10
 CQM: SNOMED/ ICD-9/ ICD-10
 CCDA: SNOMED/ ICD-9/ ICD-10
 Family Health History: SNOMED
 SMOKING STATUS: SNOMED

SNOMED-CT
Quick Facts
 SNOMED-CT = Systematized Nomenclature of Medicine – Clinical Terminology
 SNOMED-CT enables providers and electronic medical records to communicate in a common
language, thus increasing the quality of patient care across many different provider specialties.
 SNOMED-CT will also improve the accuracy of patient data analysis. Knowing that a standard
medical terminology is being used across the enterprise, and within other hospitals, simplifies the
query and resulting report. Users can be confident that they haven’t missed anything in their
definition of a diagnosis and rely on a complete report for this patient population.
 Sounds simple. Unfortunately, SNOMED is far from simple. It is structured into “hierarchies” – 19 of
them -- which further define the clinical concept. These hierarchies are then broken down into
increasing granularity, resulting in very specific clinical concepts to define a patient’s
condition. Whew! We think the ICD-10 coding hierarchy is complex – it’s nothing compared to
SNOMED-CT.
http://ihtsdo.org/fileadmin/user_upload/doc/download/doc_StarterGuide_Current-en-
US_INT_20140222.pdf

Browsing SNOMED-CT

ICD-9 vs SNOMED-CT

ICD-10
ICD-10-CM/PCS consists of two parts:
™™
ICD-10-CM – The diagnosis classification system developed by the Centers for
Disease Control and Prevention
for use in all United States (U.S.) health care treatment settings. Diagnosis coding
under this system uses 3–7
alpha and numeric digits and full code titles, but the format is very much the same
as ICD-9-CM;
ICD-10-PCS – The procedure classification system developed by the Centers for
Medicare & Medicaid Services
(CMS) for use in the U.S. for inpatient hospital settings only. The new procedure
coding system uses 7 alpha or
numeric digits while the ICD-9-CM coding system uses 3 or 4 numeric digits.
http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD-10Overview.pdf

Structural Differences Between ICD9 and ICD10

ICD-10 Examples vs ICD-9

Getting Started with
Coding System
 Select Default Coding System
 Active Problems
 Billing Diagnosis
 Define Favorites
 Configure Mapping for Most commonly used ICD9
codes
 Identify one-time mapping or permanent mapping

Mapping Analysis
of
8 Different Clinics
1-1 Map (%) 1-1 Aprox (%) 1-Many (%) No Map (%)
33.49 45.93 19.56 0.99
31.85 43.95 22.22 1.97
31.1 46.88 21.21 0.79
31.36 47.72 18.54 2.36
31.1 39.25 29.15 0.48
29.19 45.99 23.77 1.03
31.36 47.72 18.54 2.36
37.65 37.29 23.217 1.82

Selection of Default Coding systems

Code System Configuration

Active Problems

Encounter Note: Active Problems

Encounter Note: Assessment

Claim Details

DigiDMS PM

DigiDMS MU Implementation

Questions & Answers
?

Thank You!

Webinar 3 : New Coding Systems - SNOMED, ICD-10 and MU Changes | DigiDMS.com

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Webinar 3 : New Coding Systems - SNOMED, ICD-10 and MU Changes | DigiDMS.com