5 things to know: IMO’s January clinical terminology release

IMO updates its clinical terminology several times a year, ensuring each Regulatory release is as smooth as possible for clients. Here are some recent highlights.
January Clinical Terminology-01

Grounded in industry-leading clinical terminology, IMO’s solutions are integral to the function of electronic health records (EHRs) throughout the country. And a major reason why 89% of US physicians, nurses, and PAs have relied on our solutions year after year is our commitment to continuously updating our terminology content so it is always current, accurate, and easy to integrate.

Want to know more about what you’ll find in our latest terminology release? Here are 5 highlights:

1. HCCs: CMS

IMO’s January clinical terminology release includes the 2023 regulatory updates for the Centers for Medicare & Medicaid Services’ (CMS’) Hierarchical Condition Categories (HCCs). Notably, IMO has adopted the 2023 V08 RxHCC risk adjustment model. This supports the Medicare Advantage (MA) RxHCC regulations. Furthermore, it no longer supports Program for All-Inclusive Care for the Elderly (PACE) organizations using the 2020 RxHCC model. For 2023, CMS also added 204 HCC codes and deleted 20 previous codes.

2. HCCs: HHS

Additionally, this release aligns IMO’s terminology with the Department of Health & Human Services (HHS’) HCCs for 2023. IMO has updated our HHS HCC coverage to reflect the 302 HCC additions and remove the 32 codes that are no longer supported by the Department.

3. Behavioral health terminology

IMO’s latest release also includes broader behavioral health terminologies corresponding with Zero to Three’s Diagnostic Classification of Mental Health and Developmental Disorders at Infancy and Early Childhood, or DC:0—5™. These 48 new base terms support clinical documentation of behavioral health situations for young children aged zero to five years old.

4. Home health reporting

This release also includes updated clinical terminology and associated mappings that are required for home health reporting. IMO’s precise problem terminology now includes the details of Patient Driven Grouping Model (PDGM) clinical groupings along with comorbidity adjustment flags for the primary term searched. There are 12 subgroups for clinical grouping, which are identified under the PDGM clinical group column.

5. Fair and equitable terminology

IMO continues its commitment to providing fair and equitable terminology for use in clinical documentation. In our January release, we evaluated and updated words that may stigmatize or be offensive, including updating the term monkeypox to mpox. This change is in line with the World Health Organization’s (WHO’s) recommendation for the name of the disease. Underlying connections to historical terms and coding sets behind the scenes will be maintained as necessary.

What’s next when it comes to coding updates? Check out IMO’s 2023 code calendar to keep track of relevant release dates here.

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