CHEAT SHEETS ARE THEY REALLY SAVING YOU ANYTHING? Preparing for - - PowerPoint PPT Presentation
CHEAT SHEETS ARE THEY REALLY SAVING YOU ANYTHING? Preparing for - - PowerPoint PPT Presentation
CHEAT SHEETS ARE THEY REALLY SAVING YOU ANYTHING? Preparing for the Transition to ICD-10 The Use of Cheat Sheets Do not use cheat sheets!! Wheres my cheat sheet? What does it look like? Turning a blind eye
The Use of Cheat Sheets
- “Do not use cheat sheets!!”
- “Where’s my cheat sheet?”
- What does it look like?
- Turning a blind eye towards that
Pandora’s box!
The Problem with Cheat Sheets
- What’s the expiration date on that cheat
sheet?
- It wouldn’t be called a cheat sheet if it’s
more than one page!
- There’s more to coding
than just looking it up in the book!!!
The NEW Problem s with Cheat Sheets
- With ICD-10-CM there are approximately
55,000 new codes.
- With ICD-10-PCS there are approximately
85,000 new codes. SO WHAT DOES THIS MEAN?
- A 1-page cheat sheet turns into several
pages.
RADIOLOGY CHEAT SHEET
ICD‐9 Description ICD‐9 Code Hemorrhage, brain ( non‐ traumatic) 431 Hemorrhage, subdural (non‐traumatic) 432.1 ICD‐10 ICD‐10 Description I61.9
Nontraumatic intracerebral hemorrhage, unspecified
I61.0
Nontraumatic intracerebral hemorrhage in hemisphere, subcortical
I61.1
Nontraumatic intracerebral hemorrhage in hemisphere, cortical
I61.2
Nontraumatic intracerebral hemorrhage in hemisphere, unspecified
I61.3
Nontraumatic intracerebral hemorrhage in brain stem
I61.4
Nontraumatic intracerebral hemorrhage in cerebellum
I61.5
Nontraumatic intracerebral hemorrhage, intraventricular
I61.6
Nontraumatic intracerebral hemorrhage, multiple localized
I61.8
Other nontraumatic intracerebral hemorrhage
I62.00
Nontraumatic subdural hemorrhage, unspecified
I62.01
Nontraumatic acute subdural hemorrhage
I62.02
Nontraumatic subacute subdural hemorrhage
I62.03
Nontraumatic chronic subdural hemorrhage
I62.1
Nontraumatic extradural hemorrhage
I62.9
Nontraumatic intracranial hemorrhage, unspecified
More of the Sam e Problem …
Injury, Unspecified type Elbow/forearm/wrist 959.3
S59.901A Unspecified injury of right elbow, initial encounter S59.901D Unspecified injury of right elbow, subsequent encounter S59.901S Unspecified injury of right elbow, sequela S59.902A Unspecified injury of left elbow, initial encounter S59.902D Unspecified injury of left elbow, subsequent encounter S59.902S Unspecified injury of left elbow, sequela S59.909A Unspecified injury of unspecified elbow, initial encounter S59.909D Unspecified injury of unspecified elbow, subsequent encounter S59.909S Unspecified injury of unspecified elbow, sequela S59.911A Unspecified injury of right forearm, initial encounter S59.911D Unspecified injury of right forearm, subsequent encounter S59.911S Unspecified injury of right forearm, sequela S59.912A Unspecified injury of left forearm, initial encounter S59.912D Unspecified injury of left forearm, subsequent encounter S59.912S Unspecified injury of left forearm, sequela S59.919A Unspecified injury of unspecified forearm, initial encounter S59.919D Unspecified injury of unspecified forearm, subsequent encounter S59.919S Unspecified injury of unspecified forearm, sequela S69.90xA Unspecified injury of unspecified wrist, hand and finger(s), initial
encounter
S69.90xD Unspecified injury of unspecified wrist, hand and finger(s), subsequent
encounter
S69.90xS Unspecified injury of unspecified wrist, hand and finger(s), sequela S69.91xA Unspecified injury of right wrist, hand and finger(s), initial encounter S69.91xD Unspecified injury of right wrist, hand and finger(s), subsequent
encounter
S69.91xS Unspecified injury of right wrist, hand and finger(s), sequela S69.92xA Unspecified injury of left wrist, hand and finger(s), initial encounter S69.92xD Unspecified injury of left wrist, hand and finger(s), subsequent
encounter
S69.92xS Unspecified injury of left wrist, hand and finger(s), sequela
Fixing Cheat Sheets Might Be Im possible
- In ICD-10-PCS = less standardized codes
- ∙ “Doesn’t matter…
HIM will correct the codes”.
- How about an electronic cheat sheet?
- Pandora’s box – opened!!
To Make Matters Worse…
Encounter forms = cheat sheets
Suggested Next Steps
Perform an inventory of all the places that cheat sheets are currently used.
Communicate the impact on your organization’s reimbursement and compliance efforts.
Form work teams that involve the users, IT, and
- HIM. Find solutions now!
CONT NTACT HRS – T HRS – WE’RE HERE T E’RE HERE TO HELP! HELP! 800-329-0365 or 800-329-0365 or www www.HRSc .HRScoding.c
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