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Mike Uretz is a nationally-recognized Dental software and Electronic Health Records (EHR) expert. Mike has helped hundreds of individual practices and multi-clinic groups properly evaluate and select software vendors and solutions, structure and negotiate pricing and contracts, provide implementation oversight and vendor management. Mike was a member of the Certification Commission for Health Information Technology EHR vendor certification workgroup, and has been a member of various federal and state working committees for EHR business practices and policy. Having been involved with the EHR Incentive program from day one, Mike has helped a number of states, to evaluate and select EHR vendors, structure contracts and agreements, and manage vendor issues. As co-chairman of the Best practices advisory committee for EHR Contracts, Mike has been instrumental in developing standards for structuring vendor contracts and pricing for use by state programs nationwide He is the founder and editorial director of DentalSoftwareAdvisor.com, a trusted and objective online resource on all matters related to dental software. He is also the point person for Advanstar’s coverage of dental EHRs and their evolving role in the dental industry and can be reached by e-mail at firstname.lastname@example.org.
The dental industry is rapidly changing with the introduction and adoption of dental EHRs. This technology affords us the ability to have functionality that we could have never done before on a manual level. One of the big changes that's happening is the introduction of new, more detailed granular and sophisticated coding sets.
We are moving more toward the need for more detailed descriptions of problems and procedures. The growth of oral systemic health has fueled this, as well as the movement towards more detailed documentation regarding a patient's problems and procedures. Also, there are changes predicted in insurance reimbursements where the payers will require more specific codes and descriptions.
This was addressed in the medical industry years ago by the integration of SNOMED CT codes. A subset of SNOMED CT, known as SNODENT, has been developed to address dental specific problems and procedures. Some of you that have looked at various dental software systems might have seen the ability to pick problems offered by the EHR, but, more commonly than not, these lists were either developed by the vendor, the practice or a combination of both and were inconsistent.
At any rate, these don't use any kind of standard terminology. In the long run, SNODENT descriptions will be mapped to underlying ICD codes so technically you can enter problems and procedures based on descriptions and the appropriate billing codes will just flow through under the covers to claims processing.
The concept of SNODENT that has been around for a while now, is to standardize coding and present lists of problem and procedure terminology that are very detailed and granular in nature, with the goal of covering all possibilities. The first shot across the bow at bringing this into dentistry on a large scale is a requirement that dental EHRs have during their certification process. The dental software vendors are required to put hooks in their software that will integrate the SNOMED CT database and thus bring along the SNODENT codes in the process.
To get a sense of the types of terms that are being incorporated into the SNOMED/SNODENT database, here is a search tool that you can play around with: http://www.snomedbrowser.com/
Just type a dental-related problem or procedure into the search box and check out the results that come up. Note that you can also filter the results list by findings, procedure, etc. SNODENT codes and terminology are being continually developed on an international level by organizations such as the Dentistry Special Interest Group for SNOMED CT, so there will be many more terms added over time.
According to Mark Jurkovich, international chairman of this special interest group, the future of this standard is bright and will lead to more efficiency in documenting visits and interoperability between EHRs. He is also working with the ADA on improving coding for dental EHRs to improve patient documentation across the industry. To listen to my podcast with Mark on how SNODENT and SNOMED could affect your future, click here.
About the author
Mike Uretz is a nationally-recognized dental software and Electronic Health Records (EHR) expert. He is the founder of DentalSoftwareAdvisor.com as well as the Dental EHR Editor for Dental Products Report and conducts a popular podcast on dental software related topics.
As a leading industry consultant and educator Uretz has helped both individual and group practices evaluate and select software vendors and solutions, structure and negotiate vendor contracts, and provide vendor management. He also has assisted practices with obtaining subsidy payments through the federal EHR Incentive Program.
Mike can be reached at email@example.com or 425-434-7102