visolveemr wrote on Monday, September 07, 2015:
Hello All
In ICD 9 to ICD 10 conversions, there are one to one mapping and one to N mappings available.
Having said this, Has anyone created/customized an interactive ICD 10 search box in the fee sheet with help of the GEM tables available ?
Thanks
OpenEMR Customization/Support Team,
ViSolve Inc
services@visolve.com | Phone: 408-850-2243
Demo’s @ ViSolve Demo Library
fsgl wrote on Monday, September 07, 2015:
No report here in the Fora of a converter within OE thus far.
This webpage is the closest we have to a mechanism for mapping.
For most practices, only about 10 to 20 diagnosis codes are used on a daily basis; therefore it is unnecessary & time poorly spent to map all ICD-9 codes to ICD-10.
For example, we’ve never had the occasion to use this code, with or without eye involvement, in many decades of practice.
It would be more efficient to convert a cheat sheet worth of codes, be done with it, rather than having to repeat the conversion each time the Fee Sheet is used.
visolveemr wrote on Tuesday, September 08, 2015:
Hello fsgl
Yes as you said, for a specialized clinic, they may use 10 - 20 codes on a daily basis. But when considering a general clinic, where it serves lot of specialities, they may need a wide range of codes. In this case, this enhancement could be helpful for them to map the ICD 9 codes to ICD 10 and find the appropriate match very easily without much manual matching.
Just exploring out to find, whether this could be a useful enhancement to OpenEMR.
Thanks
OpenEMR Customization/Support Team,
ViSolve Inc
services@visolve.com | Phone: 408-850-2243
Demo’s @ ViSolve Demo Library
fsgl wrote on Tuesday, September 08, 2015:
I think that it still would be easier for each specialty in a multi-discipline setting to have its own cheat sheet. Ophthalmology is not going to use Urology’s codes. If we are talking about a huge clinic owned by the local hospital, it is more likely that another EHR would be used.
The billing clerk for each specialty should learn the new ICD-10 subset to complete the transition. After a few months she should know that H25.10 is the old 366.16 & hopefully key it in without resorting to the cheat sheet.
Clients may request a built-in converter; but in terms of work flow, it will not help staff gain proficiency in coding.
jcahn2 wrote on Tuesday, September 08, 2015:
And then there is Family Medicine.
fsgl wrote on Tuesday, September 08, 2015:
Peds + Internal Medicine.
2 index cards.
Not likely Fuchs’ Heterochromic Iridiocyclitis would be needed.
Only used it twice myself since residency.
mdsupport wrote on Tuesday, September 08, 2015:
Since at this time chances of anyone actively updating ICD9 are minimal and relationship between ICD9 to ICD10 are available from the source (CMS), wouldn’t it make sense to update the search function such that when user enters partial text :
To @fsgl’s point, when a practice is working with handful of codes they would probably recall them from memory or have a cheat sheet. But when dealing with unusal situation or in our case where our practices will be replacing the ICD9 codes associated with issues as they come up during appointments, these tables are real timesavers.
fsgl wrote on Tuesday, September 08, 2015:
If the entire ICD-10 code set has been downloaded & a patient walks in with one green eye & 1 blue eye, this online converter will give this webpage.
If the developer wishes to add a converter to the Fee Sheet, the application is open source, this is a free country; by all means.
jcahn2 wrote on Tuesday, September 08, 2015:
You must know those 2 cards are a bit over simplified. With ICD9 we were coding the visit in the exam room and dropping the bill that evening. With ICD10, the billing flow will now require a “coding competent” person to review each record before coding and billing the visit (after the dictated note is typed) with the accompanying delay in reimbursement. All in the name of progress. (I actually had 2 patients with pheochomocytoma in my 40 years :>) )
fsgl wrote on Tuesday, September 08, 2015:
If the physician is in solo practice & can check off the ICD-10 code on the Superbill, the index cards can be kept to a reasonable size.
Things become more complicated in a group practice & if/when we are mandated to code for laterality/severity/comorbidities.
Fortunately the young folks don’t know about the “good old days” (& they can’t retire even if they want to); otherwise no physicians will be left to care for patients.
harleytuck wrote on Tuesday, September 08, 2015:
I’m curious about cost/ benefit: how long would it take to develop such a tool /vs/ how long would it be in use? Can it be deployed quickly enough to be worthwhile? Plus, wouldn’t people change their workflows to use the crosswalk tool, then have to change them again after ICD-9 disappears? Just convert, learn the new system and be done with it!
visolveemr wrote on Wednesday, September 09, 2015:
Hello Harley Tuck
This Implementation can be done quickly and deployed to usage. Yes, of course this maping will not be needed down the road, when the ICD 9 is completely obselete. But, we can implement the search to function(both way),
When ICD 9 is no longer needed, we can disable that from the configurations, so that the search will function purely for ICD 10 search. The main idea is, to make the physicians life easier to find the appropriate ICD 10 mapping, instead of by hearting or searching for the match. This may save the time, which is very crusial in an Healthcare field.
Thanks
OpenEMR Customization/Support Team,
ViSolve Inc
services@visolve.com | Phone: 408-850-2243
Demo’s @ ViSolve Demo Library
docaltmed wrote on Wednesday, October 28, 2015:
ViSolve said, “When ICD 9 is no longer needed, we can disable that from the configurations,”
Is there a way to do that currently? Right now, ICD9 is set as the default, can I change that, or eliminate ICD9 entirely?
fsgl wrote on Wednesday, October 28, 2015:
Link.