ICD-10 Jeopardy

ICD-10 Jeopardy
ICD-10
Basics
ICD-10 CM
ICD-10
PCS
Advanced
ICD-10
ICD-10
Administrati
ve Matters

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ICD-10 Basics-100
Effective date for ICD-10 implementation
ICD-10 Basics-100
What is October 1, 2014?





ICD-10 Basics-200
The name of the organization that created
ICD-10
ICD-10 Basics-200
What is WHOWorld Health Organization?






ICD-10 Basics-300

The authorized adaptation to WHOs diagnoses and
condition codes made by NCHS (National Center for Health
Statistics) for use in the United States.

ICD-10 Basics-300
What is CM (Clinical Modification)?


ICD-10 Basics-400
These codes are used to code outpatient/ambulatory
procedures
ICD-10 Basics-400
What are CPT codes?






ICD-10 Basics-500
The acronym for the ICD-10 coding system for inpatient
procedures
ICD-10 Basics-500
What is PCS (Procedure Coding System)?



ICD-10 CM-100
The general number of diagnosis codes replacing the
13,000+ ICD-9CM codes
ICD-10 CM-100
What is 68,000?


ICD-10 CM-200
The code designation used to distinguish conditions occurring
on the right-side of the body from the left-side
ICD-10 CM-200
What is Laterality?






ICD-10 CM-300
The placeholder character for preserving the structure of
diagnosis codes
ICD-10 CM-300
What is X?




ICD-10 CM-400
The ICD-10 code for Hypertension
ICD-10 CM-400
What is I10?






ICD-10 CM-500
The role of the 7
th
character position in
ICD-10 diagnosis codes
ICD-10 CM-500
What is the character for
Visit / Encounter or Sequelae?


ICD-10 PCS-100
The number of characters required in a valid ICD-10
procedure code
ICD-10 PCS-100
What is 7?





ICD-10 PCS-200
The alpha-characters that are not used in PCS codes

ICD-10 PCS-200
What is O and I?

Too easily confused with zero (0) and one (1)

ICD-10 PCS-300
The number of Body System categories (2
nd
character
position) and the number of Root Operations designated by
the 3
rd
character in a PCS code
ICD-10 PCS-300
What is 31?
ICD-10 PCS-400
The position in a PCS code that indicates the presence of a
Device
ICD-10 PCS-400
What is the 6
th
character?




ICD-10 PCS-500
The Root Operation for taking or cutting out solid matter
from a body part e.g. removal of foreign body
ICD-10 PCS-500
What is Extirpation?





Advanced ICD-10-100
The set of CMS tables that cross-walk ICD-9 codes with
ICD-10 codes
Advanced ICD-10-100
What is GEMs?
(General Equivalency Mappings)

Advanced ICD-10-200
What this U.S. coding group (AHA, AHIMA, CMS and
NCHS) is named
Advanced ICD-10-200
What are the Cooperating Parties?




Advanced ICD-10-300
The timeframe that AHIMA credentialed professionals have
to obtain their minimum number of ICD-10 CEs
Advanced ICD-10-300
What is Jan 1, 2011- Dec 31, 2014?
The total number of ICD-10-CM/PCS continuing education units
(CEUs) required, by AHIMA credential, is as follows:
CHPS 1 CEU
CHDA 6 CEUs
RHIT 6 CEUs
RHIA 6 CEUs
CDIP 12 CEUs
CCS-P 12 CEUs
CCS 18 CEUs
CCA 18 CEUs
Advanced ICD-10-400
The Root Operation for Mesh Herniorraphy?
Advanced ICD-10-400
Alteration
Bypass
Change
Control
Creation
Destruction
Detachment
Dilation
Division
Drainage
Excision
Extirpation
Extraction
Fragmentation
Fusion
Insertion
Inspection
Map
Occlusion
Reattachment
Release
Removal
Repair
Replacement
Reposition
Resection
Restriction
Revision
Supplement
Transfer
Transplantation
Advanced ICD-10-400
What is the PCS root operation Supplement





Double
Jeopardy
Correct Answer Earns 1000 points
Advanced ICD-10-500
The rule that prohibits the use of routine pregnancy codes
from being used with O obstetric condition codes
Advanced ICD-10-500
What is the Z34 rule?





ICD-10 Administrative Matters-100
The process of coding the same encounter with both ICD-9
and ICD-10
ICD-10 Administrative Matters-100
What is Dual Coding?

ICD10-Monitor article 9/17/2013 Show Me The Money
excellent resource for Benefits, Cost Calculations, etc.
ICD-10 Administrative Matters-200
The amount of time AHIMA recommends to teach
CLINICIANS about ICD-10
ICD-10 Administrative Matters-200
What is 3-12 hours?
- Number of hours depends upon
- Role played in code selection
- Extent of the number of codes pertinent to the practice eg Family
Practice has many more than OB
- Recommend breaking the training time into mini-sessions
- Emphasize needed documentation
ICD-10 Administrative Matters-300
The national program for the testing of ICD-10
ICD-10 Administrative Matters-300

What is HIMSS/WEDI ICD-10 NPP?

http://www.himss.org/icd10nationalpilotprogram
CMS has announced that it has no intention of conducting testing
with providers or clearinghouses. CMS states that they have done
extensive and successful internal testing of claims processing
through their system. As long as providers and clearinghouses can
submit ASC X12 compliant claims and are able to receive ASC X12
remittances then there is no need for full end-to-end testing!!



ICD-10 Administrative Matters-400
A recommended strategy for weathering potential cash flow
delays which may result during initial implementation of
ICD-10
ICD-10 Administrative Matters-400
What is a Credit Line?


HIMSS ICD-10 Playbook recommends at least 6 months of
operating capital
ICD-10 Administrative Matters-500
The amount of additional time AAPC anticipates that
clinicians will have to spend charting to provide sufficient
documentation for correct code assignment
ICD-10 Administrative Matters-500
What is 15-20%?



Final Jeopardy
CMS Director who announced the ICD10 implementation
delay from 2013 to 2014
Final Jeopardy
Who is Marilyn Tavenner, RN, MHA






Principal Deputy Administrator
And Chief Operating Officer
CMS
Final Jeopardy
State of Missouris featured AHIMA CodeWrite contributing
author
Final Jeopardy
Who is Judy Bielby, MBA, RHIA, CPHQ, CCS






Clinical Assistant Professor
University of Kansas