Post October 2014 Providers are mandated to use only ICD-10 codes for billing. ICD-9 to ICD-10 migration is a huge change for the healthcare industry. Separately, in Meaningful Use Stage 1 healthcare providers used to capture patient information using ICD-9 or SNOMED CT, but for Stage 2 they need to use only SNOMED CT.
Healthcare providers are looking to overcome the challenge of getting medical coders up to speed and some providers are also choosing dual coding, raising quality concerns.
SNOMED is a huge collection of Medical terms—over 300,000 active concepts—while ICD-10 has 68,000 diagnosis codes and 87,000 procedure codes mainly used for billing purpose. So is there a way to tie Meaningful Use and ICD-10 changes to ease the lives of Healthcare providers?
Yes there is! Providers can leverage SNOMED CT for:
- Terminology Mapping
- Better Analytics
Let’s dig deeper to see how!
Organizations need to use existing maps to convert SNOMED CT to ICD-10—National Library of Medicine provides a map which converts approximately 32000 SNOMED CT Concepts to ICD-10. Additionally EHR/EMR product companies also provide similar options. By using these maps Providers can avoid loss of revenue and also ease some of the performance pressure on their Medical Coders. With SNOMED CT providers can easily convert codes to LOINC, CPT, etc. based on the requirement. Providers can also invest in a Detailed Terminology Tool to streamline the multiple standards using SNOMED CT.
SNOMED is clinically very rich and hence any analytics performed using SNOMED v/s ICD will be more insightful and possibly more effective. Text analytics tools can help convert Physician’s/Nurse’s notes into standard data using SNOMED, as the underlying terminology asset. SNOMED is fast becoming the preferred terminology for Analytics to provide better decision support, quality measures (PQRI), and disease management.
Harish C. Rijhwani is a Delivery Manager at Syntel with 14+ years of experience in Healthcare...