Diagnostic Coding with ICD-10; the Current Key to Communication | Managing Managed Care
Thu, 2014-11-06 12:17 -- Dr. Kaplan
Coding systems that support clinical decision-making and 'measurement and management,' the modus operandi of Managed Care.
Dr. Andrew Wiesenthal* recommends that we take a hard look at the ICD-10 coding system and consider moving towards Convergent Medical Terminology (CMT), which is mapped to the Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT©). It is more transferable or sharable than the ICD alternative and it is an internationally-accepted standard vocabulary and classification system. Most importantly, it supports clinical decision-making because it is hierarchical (rather than simply an ICD-like list). Wiesenthal says it is "a lot closer to doctor- and nurse-speak," [For instance,] "If you want to identify a diabetic person with kidney disease, there is a unique naming in Snomed for diabetic neuropathy. It's in the diabetes and the kidney hierarchy."
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