As regulatory bodies and market drivers gradually proceed towards a nationally connected health information landscape, the growing necessity for the acceptance and adoption of industry standards for the exchange of clinical and practice management data becomes increasingly clear. Concurrently, rising concerns and regulations surrounding patient health information security, integrity and safety require a solid, well designed framework for the capture, viewing and exchange of this vital information in clinical situations.
MedcomSoft not only supports and incorporates a wide variety of accepted standards for data exchange and security natively inside its software products; but is also an active participant in the community of the development of emerging standards and initiatives towards increasingly efficient, accessible and secure exchange of patient health information.
MedcomSoft products support the following messaging and coding standards and are involved or comply with the following industry initiatives:
CCHIT - The mission of the Certification Commission of Health Information Technology (CCHIT) is to accelerate the adoption of robust, interoperable HIT throughout the US healthcare system, by creating an efficient, credible, sustainable mechanism for the certification of HIT products. MedcomSoft actively follows this initiative and has contributed extensive commentary to the Commission during comment periods. MedcomSoft will ensure that it follows the activities of this Commission in order that MedcomSoft Record is a certified product.
To learn more on the CCHIT certification process please visit CCHIT.
ANSI ASC X12 - Developed by the Accredited Standards Committee, X12 is the standard format for practice management EDI. MedcomSoft includes native support for a variety of ANSI ASC X12 transactions, including professional claims (837-A1), claim acknowledgements (997), claim responses (277), insurance eligibility requests (270) and responses (271), and electronic remittance advice (835-A1); allowing users to significantly reduce the time to perform important practice management tasks, deal with less paperwork and improve cash flow.
HL7 - Health Level 7 standards are used to exchange clinical and demographic information between information systems. MedcomSoft Record users can electronically submit lab order requests (ORM) and receive results (ORU) to and from laboratories and other diagnostic facilities, and can receive patient demographic information (A04) from any HL7 ready clinical information system. Additionally, import and/or share information from other practice management systems, reducing duplicate data entry and errors.
ASTM CCR - As a participant of the AAFP Partner for Patients program, the CCR Acceleration task force, and a member of the ASTM E31.28 committee, MedcomSoft supports the sending, receiving and viewing of the Continuity of Care Record, and recognizes benefits to users as a means of communicating vital healthcare information efficiently and effectively.
XML - The generic standard for many interface communication types, XML is used as the architectural backbone of both standard message types (as in CCR and some HL7 messages) and specific customized message types between partnered healthcare information systems.
MEDCIN - Developed by Medicomp, it includes over 250,000 clinical data elements encompassing symptoms, history, physical examination, tests, diagnoses and therapy. This clinical vocabulary contains over 26 years of research and development as well as the capability to cross map to leading codification systems such as SNOMED, CPT, ICD, GSM and LOINC. The MEDCIN coding system is the ideal coding system for point-of-care documentation and architecture. MedcomSoft Record is embedded with MEDCIN, and produces fully structured and numerically codified patient charts that enable the aggregation, analysis, and extensive mining of all clinical and practice management data related to a disease, a patient or a population.
SNOMED - The industry standard for clinical reference terminologies, SNOMED CT provides a common language that enables a consistent way of capturing, sharing and aggregating health data across specialties and locations of care. MedcomSoft Record allows the output of data in SNOMED terminology, and incorporates cross mapping for clinical comprehension.
CPT - Maintained and copyrighted by the American Medical Association (AMA), Current Procedural Terminology (CPT) is the official coding system for physicians to report their professional services and procedures to third parties for payment. MedcomSoft Record automatically generates CPT codes from encounter documentation, and scrubs, edits and validates codes before billing submission to ensure correct usage and coding based on national and local guidelines.
HCPCS - HCFA Common Procedural Coding System is an expansion of CPT codes to account for additional services such as ambulance transport, supplies and equipment. MedcomSoft Record automatically scrubs, edits and validates codes before billing submission to ensure correct usage and coding based on national and local guidelines.
ICD-9 - Published by the World Health Organization, the International Classification of Diseases (ICD) is designed to promote international comparability in the collection, processing, classification, and presentation of morbidity and mortality statistics. The ninth revision is commonly used to aid in the process of billing for clinical encounters. MedcomSoft Record automatically generates ICD-9 codes from encounter documentation, and scrubs, edits and validates codes before billing submission to ensure correct usage and coding based on national and local guidelines.
NCPDP - Developed by the National Council for Prescription Drug Program, NCPDP enables users of MedcomSoft Record to write and order e-Prescriptions, and transmit them directly to pharmacies, thereby eliminating the inefficiencies associated with handwritten or lost prescriptions.
LOINC - Developed by the Regenstrief Institute for Health Care, Logical Observation Identifiers, Names, and Codes (LOINC) is a database protocol aimed at standardizing laboratory and clinical codes for use in clinical care, outcomes management, and research. MedcomSoft Record can automatically generate LOINC codes from encounter documentation, and utilizes the LOINC coding system for interface purposes.
NDC - Maintained by the Food and Drug Administration, the National Drug Codes are a medical code set that identifies prescription drugs and some over the counter products, and that has been selected for use in a variety of messaging standards, including the HIPAA X12 transactions, and the ASTM CCR. MedcomSoft Record includes the listing of NDCs and generates NDCs from the prescription module, leveraging for use in writing and electronically ordering e-Prescriptions.
HIPAA - The Health Insurance Portability and Accountability Act of 1996 is intended to reduce the costs and administrative burdens of health care by making possible the standardized, secure, electronic transmission of many administrative and financial transactions that are often still carried out manually on paper. MedcomSoft Record can generate HIPAA compliant ANSI X12 transactions, and has been independently certified by EDIFECS, a leading HIPAA EDI certification organization in this regard. MedcomSoft upholds a commitment to HIPAA standards, laws and guidelines, and strives towards ensuring that its clients reap the benefits of the efficiencies gained through HIPAA compliance.
DOQ-IT - Doctor's Office Quality Information Technology (DOQ-IT) promotes the adoption of electronic health record (EHR) systems and information technology (IT) in small-to-medium sized physician offices with a vision of enhancing access to patient information, decision support, and reference data, as well as improving patient-clinician communications. MedcomSoft Record currently supports the capture and clinical data codification of all prospective data necessary for DOQ-IT reporting.
AMA Physician Performance Measures - Developed by the American Medical Association, Physician Consortium for Performance Improvement TM (Consortium) and the National Committee for Quality Assurance (NCQA) in collaboration with the Centers for Medicare & Medicaid Services (CMS), the AMA Physician Performance Measures are clinical performance measurement tools designed to support physicians in their efforts to enhance the quality of patient care. MedcomSoft Record currently supports the capture and clinical data codification of all prospective data necessary for AMA Physician Performance Measures reporting.
AAFP Partners for Patients - AAFP's Center for Health Information Technology has signed historic agreements with leading companies whose software, hardware, and networking products and services are important adjuncts to the modern practice of medicine. These companies are the members of the CHiT's Partners for Patients group (P4P). MedcomSoft is a strong supporter of the Partners for Patients initiative, and is involved in various P4P projects including the acceleration and adoption of the CCR.
EHRVA - HIMSS Electronic Health Record Vendors Association (EHRVA) is a trade association of Electronic Health Record (EHR) vendors that addresses national efforts to create interoperable EHRs in hospital and ambulatory care settings. MedcomSoft is an active member of the EHRVA, collaborating and contributing to this industry organization.
IHE - Integrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care. MedcomSoft is an active member in IHE, and has been involved in various IHE projects including the Connect-a-thon and the HIMSS Interoperability Showcase.
CCR Acceleration Task Force - The CCR acceleration task force is a collaborative effort between the physician societies (including: MMS, AMA, AAFP, AAP) and health systems vendors designed to hasten the development and adoption of systems exchanging health data through the CCR standard, providing a pool of expert resources for developers of such systems. MedcomSoft is a proud member of the CCR acceleration task force, and has developed its interface of the CCR through the joint knowledge pool offered by the effort.