Solution Information Sheets

Reference Data Management is a best-practice for managing growing volumes of data, and a crucial first step in implementing a larger data management strategy. Reference Data Management provides the framework for organizing an array of disparate terminologies and codes around a single source of truth.

Healthcare organizations use reference data every day to drive accurate data aggregation and support regulatory compliance, revenue optimization, and meaningful analytics for population health and clinical care initiatives. Our suite of services help your organization implement sound data governance strategies and enable accurate clinical and data analytics.

Terminology is core to everything in healthcare. A set of current, approved, and up-to-date terminologies, maps, and code groups that can be readily compared and shared across systems is a prerequisite for today’s modern healthcare IT environment.

Code Group Manager is a web-based software application that simplifies the management of clinical, billing, or other administrative codes that are grouped together as value sets for use in quality measures, clinical decision support rules, and population cohorts. It lets you streamline data management so you can improve analytics and accelerate your population health initiatives.

Code Explorer is a simple, browser-based enterprise code search tool with access to over 150 terminology sets to search and find diagnoses, procedures, medical devices, laboratory tests, medications, and more.

Data normalization is the process of translating local and proprietary disparate data to industry standards such as LOINC®, RxNorm, SNOMED CT®, and ICD-10. Mapping data to standard terminologies unlocks the true value of the data, allowing for accurate analytics, reporting, and data warehousing.

Healthcare organizations rely on data integrity for reporting accuracy, patient safety, and cost reduction. Our suite of services helps your organization map and normalize clinical and claims data to standards, so you can make informed decisions, enhance your population health initiatives, and establish a foundation for reliable analytics and quality reporting.

Normalizing proprietary labs and medications to standard terminologies is a critical first step to provide high quality data to accurately analyze patient populations, produce impactful analytics, and realize your organization’s population health goals.

More than 80% of healthcare data is locked in unstructured text, including medical history and clinician notes captured in free-text fields. Too often, valuable patient insights captured in unstructured text are overlooked due to the manual review and coding processes required to make the information compatible with healthcare IT systems.

The healthcare system is adopting value-based reimbursement models to control costs and improve outcomes. In response, health plans are transforming their operations by investing in data governance and the quality of their data assets–improving their claims, quality, and member management programs.

The healthcare system is adopting value-based reimbursement models to control costs and improve outcomes. In response, health plans are transforming their operations by investing in data governance and the quality of their data assets–improving their claims, quality, and member management programs.

Health Language offers a variety of revenue cycle data files and services to meet your coding, compliance, and analytics needs–whether it’s to power your enterprise data warehouse, enable your EMR with the appropriate codes for billing, or properly license your claims processing system.

Ease of use is critical to ensure EHR and clinician adoption. PFT leverages sophisticated search algorithms to match terms to appropriate codes. PFT accepts abbreviations, misspellings, word order variances, and word stems without impacting performance.

Is your organization prepared to integrate the latest ICD-10 changes within your business rules, claims processing, medical policies and other downstream systems? As of October 1st, 2018, the General Equivalency Maps (GEMs) will no longer be maintained by the Centers for Medicare and Medicaid Services (CMS) to include the latest ICD-10 updates. 

Health Language can help you comply with CMS requirements and reduce your risk of Part C and Part D audit penalties by offering a consumer-friendly description content solution that improves communication to your members.

Protecting sensitive patient and member information is critical. Sensitivity Codes is a proprietary content set that contains six categories of sensitive information including Substance Abuse, Mental Health, Family Planning, Genetic Testing, HIV, and STDs.