Clinical Coding News from Healthcode

Gut Investigations Most Common Hospital Procedures Says Healthcode

Clinical codingGastrointestinal endoscopies and biopsies were the most common procedures carried out on insured patients in UK private hospitals during 2014, according to Healthcode, the official clearing company for the private healthcare sector.

Read more: Gut Investigations Most Common Hospital Procedures Says Healthcode

Healthcode's Clinical Coding Toolkit helps Independent Providers enter Information Age

body-mapHelp is at hand for independent healthcare providers so they can meet the Competition & Markets Authority’s (CMA)1 demand for high quality performance data to guide patients and their doctors. The latest Clinical Coding Toolkit from Healthcode, the experts in online solutions for the private health sector, will support the use of ICD-10 and OPCS-4 coding systems, ensuring Quality and Outcomes information is comparable with the NHS, without compromising the billing process for insured patients.

Peter Connor, Managing Director of Healthcode said: “The private healthcare sector has reached a watershed moment. The CMA’s call for providers to assist effective patient choice by publishing robust Quality and Outcomes information, means that we risk undermining the excellent care available if we do not record the necessary clinical data.

“As Healthcode has pointed out in our two recent white papers2 on this important subject, clinical coding has historically only been seen by independent providers as part of the billing process and the sector has been held back by an antiquated set of diagnosis codes known as ICD-9. This started to change as private sector hospitals began treating NHS patients and treatment had to be coded in line with NHS systems but now we have an even more pressing reason to adopt recognised coding standards. 

Read more: Healthcode's Clinical Coding Toolkit helps Independent Providers enter Information Age

Industry Standard Codes (ISC) - publication of the new Radiology Chapter

ccsdCCSD is pleased to publish an update to the ISC Schedule of Diagnostic Tests, with a new Radiology Chapter to be applied across the Independent Sector. The Schedule of Diagnostic Tests has been developed as an industry-wide initiative driven by CCSD following a request by the ABI and its members for a more transparent and standardised mechanism for the coding of diagnostic tests.

Insurers and providers alike are welcome to adopt the new Radiology codes. CCSD recognises that most organisations across the sector will look to retain existing charge codes and have appointed Healthcode to manage the implementation, while minimising operational disruption for those organisations. Healthcode will map all charge codes (both insurers and providers) to the new Radiology codes, which will allow them to continue to use their existing charge codes.

Read more: Industry Standard Codes (ISC) - publication of the new Radiology Chapter

New Diagnostic Schedule for Private Healthcare

CCSD is introducing a new industry standard schedule of diagnostic tests to drive further standardisation of coding. This will increase transparency of information in the independent sector in line with the recently published Provisional Findings from the Competition Commission’s investigation.

The new schedule is largely based on NHS codes to ensure comparability with the public sector, creating the most current, relevant and comprehensive classification of such services available today.

Read more: New Diagnostic Schedule for Private Healthcare

Introduction of Industry Standard Codes (ISC) for Diagnostic Tests

ccsdCCSD is pleased to launch the new classification for Diagnostic Tests to be applied across the Independent Sector. The ISC Schedule has been developed as an industry-wide initiative driven by CCSD following a request by the ABI and its members for a more transparent and standardised mechanism for the coding and reimbursement of diagnostic tests.

The launch of the ISC Schedule is timely and consistent with the recently published Provisional Findings from the Competition Commission’s Investigation into the Private Healthcare Market[1]. It will help further to drive transparency, consistency and comparability across the sector.

Read more: Introduction of Industry Standard Codes (ISC) for Diagnostic Tests

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