Supporting strong clinical documentation through terminology

If any year could highlight the massive effort it takes to keep clinical terminology updated, 2020 – with its release of several different emergency code updates related to COVID-19 – was it. So, how do we help keep clinical documentation and EHR workflows going? Read more in the blog below.
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At IMO, we’re proud to support healthcare providers in their mission to deliver high-quality care by providing industry-leading clinical interface terminology. What does this work look like? In 2020, it involved nearly 400,000 unique updates across our clinical terminologies – which are used to support electronic health record (EHR) workflows around the country.

How we do it

IMO’s team of expert clinical terminologists have years of experience in a variety of fields, like patient care and informatics. These skilled individuals carefully curate our industry-leading clinical terminology by:

  • Thoroughly monitoring all regulatory coding systems, like ICD-10-CM, SNOMED CT®, and Current Procedural Terminology (CPT)®.
  • Staying abreast of regulatory coding changes and updating IMO’s code mappings behind the scenes – allowing our clients to confidently and credibly complete regulatory reporting requirements.
  • Closely following the latest updates to clinical practice and research; continually assessing client requests for new terms; and monitoring ongoing changes to quality assurance metrics.
  • Packaging these updates together in a user-friendly format so our clients have the latest clinical terminology with minimal disruption to clinical, billing, and other EHR workflows.

In 2020 alone, IMO processed more than 50 updates from over 10 clinical terminologies used to support standardized coding, reporting, and interoperability needs – including ICD-10-CM, CPT, SNOMED CT, and LOINC. More than 20 of these updates were unplanned, emergency code releases to support the national response to the COVID-19 pandemic.

For ICD-10-CM and CPT alone, we updated over 2,500 individual codes. This means our clinical and health information management (HIM) teams reviewed more than one million related terms in order to ensure compliance with those updates.

At IMO, we are dedicated to ensuring that our customers have the most up-to-date terminology to support rich clinical documentation, and seamless billing workflows.

Schedule a demo today to see how IMO can help your organization.

SNOMED and SNOMED CT® are registered trademarks of SNOMED International.

CPT is a registered trademark of the American Medical Association. All rights reserved.

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