www.healthcode.co.uk

Experts in Online Solutions for Smarter Healthcare

Clinical Coding Toolkit for HospitalsHealthcode’s Clinical Coding Toolkit provides a secure online facility to look-up and translate between different sets of clinical codes utilised in the healthcare market.

Healthcode’s Clinical Coding Toolkit is offered as part of our ‘Premium+’ service package. For more information about our service packages or for price enquiries, please contact our Business Development

team on 01784 263 150 or email busdev@healthcode.co.uk.

How do I use the toolkit?The main deliverables of the service is to create a platform of clinical codes across the private and NHS sectors. You can take advantage of the benefits of accurately producing SUS submissions for billing for NHS patients and facilitating the reporting process by using Healthcode’s Clinical Coding Toolkit.

Key features• Provides mapping between classifications of common

clinical codes between the private and public sectors

• Includes look-up and reference facilities across a range of classifications covering procedure and diagnosis code sets

• Comorbidity reference feature allowing providers to quickly look-up common secondary patient diagnoses

• Embedded HRG Grouping software to enable determination of tariff for NHS patients

Code Converter The code converter tool allows you to look-up and translate between the different procedure and diagnosis code sets.

OverviewWith Healthcode’s Clinical Coding Toolkit, private hospitals and NHS Private Patient Units treating NHS patients have the ability to determine HRG tariffs in order to accurately prepare NHS submissions to Secondary Uses Service (SUS) in support of Payment by Results (PbR) tariff and Hospital Episode Statistics (HES) contracted obligations.

Healthcode’s Clinical Coding Toolkit offers a broad range of benefits to healthcare providers, including clinicians and administrative staff, to support healthcare professionals in their administrative and reporting duties. It also enables a clinical coder to work with the independent sector code sets which they’re familiar with and allows them to translate codes to NHS standards.

What are the benefits?• Assists providers in accurately producing records for NHS

patients in accordance with NHS standards

• Enables providers to produce accurate clinical records for private patients for outcomes and reporting purposes

• Provides a platform of common understanding between codes in use within the private and NHS sectors

• Allows private providers to record patient diagnoses using ICD10 codes across their entire patient base without compromising billing for insured patients

• Supports better clinical governance

www.healthcode.co.uk

Experts in Online Solutions for Smarter Healthcare

Healthcode’s Clinical Coding Toolkit is offered as part of our ‘Premium+’ service package. For more information about our service packages or for price enquiries, please contact our Business Development

team on 01784 263 150 or email busdev@healthcode.co.uk.

The toolkit allows Hospitals to look-up and reference the below procedure and diagnosis code sets.

Clinical Coding Toolkit for Hospitals

HRG Calculator Using the HRG calculator you can determine the HRG tariff for your NHS patients.

Generation of Healthcare Resource Groups (HRG’s)Patient data are assigned HRG codes using an algorithm known as a Grouper. Grouping is the process by which OPCS (procedure codes) and ICD10 (diagnosis codes) are assigned to a HRG. Our Clinical Coding Toolkit embeds the Grouper application supplied by the NHS Information Centre to determine the HRG.

The HRG system is an activity-based payment system used throughout the NHS. PbR is the payment system under which commissioners pay healthcare providers for each patient treated, taking into account the complexity of the patient’s healthcare needs.

Clinical Coding Toolkit (UK)

Diagnosis codes and classifications

ICD10 to ICD9 - Insurer Billing Mapping

The system includes a license to Healthcode’s ICD10 to ICD9 mapping service that enables providers to code to ICD10 whilst delivering ICD9 codes to insurers for billing.

ICD9 and ICD10 – Retrieval

The system delivers a front-end retrieval engine for ICD9 and ICD10 codes based on entry of the code or description.

ICD9 and ICD10 – Conversions

Retrieved ICD9 or ICD10 codes can be converted between the formats via Healthcode’s deployment of ICD9 – ICD10 translator tables.

Procedure codes and classifications

CCSD and OPCS4 – Retrieval

The system delivers a retrieval engine for CCSD and OPCS4 codes based on entry of the code or description.

CCSD and OPCS4 – Conversion

Retrieved CCSD or OPCS4 codes can be converted between the formats via Healthcode’s deployment of a procedure code translator table.

Generation of Healthcare Resource Groups (HRG’S)

Supported groupers are:

• Local Payments Grouper

• Reference Costs Grouper

Additional groupers can be plugged in as and when they become available.

Healthcare Resource Groups can be derived for the following areas:

• Admitted Patient Care

• Non-Admitted Consultations