Wolters Kluwer Health announced that Henry Schein MicroMD, a practice management and electronic medical record (EMR) solution, will be using Health Language Clinical Interface Terminology (CIT) to quickly map over a million medical abbreviations, typos, incomplete terms, and acronyms to standardized terminology. As a result, clinicians using MicroMD can easily search for diagnoses and procedure codes using their own day-to-day jargon with Wolters Kluwer Health Language Provider-Friendly Terminology (PFT).
“Unspecified diagnosis codes can have a significant financial impact for a medical practice. To avoid revenue loss, it’s critical that patient encounters be documented correctly at the point of care,” said Kristen Heffernan, General Manager at MicroMD, a Henry Schein company. “The integration of Wolters Kluwer’s provider-friendly terminology solutions can help enable clinicians to document more quickly and accurately, help reduce rejected claims, and help increase patient time with their providers.”
Health Language PFT is built upon tools that deliver a computer-processable collection of medical terms providing codes, terms, synonyms and definitions used in clinical documentation and reporting, such as ICD-10-CM, ICD-9-CM, and SNOMED CT®. Sophisticated search algorithms convert a clinician’s problem or diagnosis search into a standard, compliant code using a continually updated array of related terms, including synonyms, misspellings, word order variants and partial words. For example, clinicians using MicroMD can search familiar clinical shorthand or jargon such as AFib, A-Fib, atrial fib, or AF and PFT will consistently provide the corresponding ICD or SNOMED CT codes for atrial fibrillation.
“Our technology solution uses more than 300,000 attributes to help clinicians navigate the complexities of ICD-10 and pinpoint appropriate codes,” said Karen Kobelski, Vice President and General Manager, Clinical Surveillance, Compliance & Data Solutions at Wolters Kluwer Health. “With just a few clicks, clinicians are able to narrow 1,000 ICD-10 codes down to the one they need using their own terms. This significantly improves the physician documentation experience and the accuracy of the revenue cycle.”
For medical practices, PFT can improve clinical documentation, increase clinicians’ satisfaction with their EHR, support clinician productivity and reduce revenue losses associated with inaccurate or incomplete clinical documentation.