Medical Coding

Article

Five things to know about the 2021 ICD-10-CM updates

It’s been quite a year for clinical terminology, with the need for new medical coding terms never seeming to stop. Whether clinicians are documenting complexities related to COVID-19 or describing electric scooter mishaps, the latest updates to ICD-10-CM are here to help. Below, we take a look at five interesting changes to the standardized coding system that went into effect on the first of October.

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Article

The struggle to standardize clinical terminology in the UK

In the US, structured clinical terminology is integrated into most electronic health records. However, across the pond there is no standard clinical terminology that is widely being used for documentation. This means clinicians must often go directly to code sets such as ICD-10 or SNOMED®* to document clinical encounters. IMO’s Senior Vice President of Global Clinical Services, Steven Rube, MD, takes a look at the reasons for this difference in the capture of patient data from a clinical informatics perspective.

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Article

A helping hand for health information exchanges

Since medical records are electronic, it’s easy to think that patient data is naturally compatible and easy to aggregate for analytic purposes. But, that’s not necessarily the case. In fact, many health information exchanges that collect this information struggle to maximize the insights they get from the records. That’s where normalization services can help.

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How COVID-19 is changing health data management
Article

How COVID-19 is changing health data management

As the threat of COVID-19 continues to grow, so too does the urgent need for health IT solutions, like updated coding and terminology and telehealth services. To learn more about how the coronavirus pandemic is shaping the health IT space, IMO asked experts throughout the field to share their thoughts in our latest insight brief.

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Clinical Terminology Codes
Article

Codes and caution for the dog days of summer

The pandemic has put a pause on some of summertime’s most beloved activities, but when it comes to health and safety, the season still has its hazards. As you head out to enjoy the warm weather, have fun, be careful, and keep the following ICD-10-CM codes in mind. You know what they say about an ounce of prevention…

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Article

At a glance: Medical coding system updates for 2020-2021

Every set of standardized clinical terminology has routine adjustments and updates. For some, there are annual revisions and for others, changes happen multiple times a year. Then, there are the medical coding terms that need to be added off-cycle. Having trouble keeping up? We’re here to help.

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Article

The evolution of the EHR

The transition from paper charts to electronic health records hasn’t been easy, but there’s no denying the power and potential of the EHR. Andrew S. Kanter, MD, and Steven Rube, MD, reflect on the early days of the technology and what the future holds for patients and providers.

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Article

The hazards of working from home

Working from home has its advantages, but months into the pandemic, the novelty of sleep-ins and sweatpants is waning for many. We explore some of the perils of working from home and the ICD-10-CM codes that are cropping up in EHRs nationwide.

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