Wow! Really? So Why are you doing this ?
Revised, Reviewed Awaiting Approval
If It's not documented.. then it didn't happened
Just Coding
Hmmm..this sounds familiar
100
*The United States is the last industrialized country to implement the system. *Currently at 14,315 and will increase to approximately 74000 *It will improve reporting, which leads to improved patient safety, quality of care, public health, and bio-terrorism monitoring. Will rely on improved physician documentation. *It goes into effect on October 2013
What is ICD-10-CM/PCS?
100
Accounts identified with an “H” in Quantim will have a pre-bill review conducted by the Seton Coding Quality Review Coordinators.
What is the HAC Pre-bill review policy ?
100
1. MR# and FIN # 2. Patient first and last name 3. Date of service or discharge date 4. What is the specific question you are asking 5. Specify location of documentation in the record
What is the methodology for query request to CDIP staff?
100
A deficiency in all three elements of the blood, i.e. red blood cells-anemia, white blood cells-leukopenia, and platelets-thrombocytopenia.
What is pancytopenia?
100
This flu has to be confirmed by a doctor in a hospital setting.
What is H1N1?
200
True or False: ICD-10-CM is a 6 digit alphanumeric system.
This is false.
200
This revised coding policy and procedure states that Seton Coders and Contract staff are required to report 30 hours of coding education each year.
What is the coder continuing education policy?
200
1. Method of debridement 2. Instruments used 3. Tissue type/level
What is documentation required to code debridements?
200
Codes that cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for long-term consequences of the disease.
What are aftercare codes?
200
This code may be used when it is documented by the provider that a patient is on do not resuscitate status at any time during the stay.
What is code V49.86?
300
In ICD-10-PCS this Root Operation is defined as Cutting out or off without replacement, of all of a body part.
What is Resection?
300
Seton does not code category V57.xx as a first listed diagnosis on outpatient Rehab accounts because Blue Cross and Trailblazer will deny the claim.
What is a specific payor policy?
300
*Respiratory Failure *Myocardial Infarction *Stage 3 or 4 Decubitus Ulcer *Sepsis *Acute Blood Loss Anemia *Protein calorie Malnutirion
What are common MCC's and CC's?
300
Coding Clinic 3rd qtr pg 11 instructs Excisional debridement of the fascia to the bone should be reported with this code.
What is code 83.39? or( excision of lesion of other soft tissue)
300
These types of coding resources such as “Briefings on APC’s”, “Briefings on Coding Compliance Strategies” and “Medical Records Briefings” are located on this drive.
What is the N Drive?
400
In ICD-10-PCS this Root Operation is defined as taking or cutting solid matter from a body part. DAILY DOUBLE!!!!!!
What is Extirpation?
400
A coder is asked to review a chart that was coded and finalized 1 month ago because a addendum has been added to the discharge summary.
What is the Discharge Summary Addendum Policy?
400
Scenario: Patient seen in the ED/ER feeling tired, weak, mentally not clear, and fever. UA shows bacteria. ED/ER MD documents “Urosepsis” as the admitting diagnosis. H&P reports the patient is also hypotensive and is taken to ICU with IV antibiotics. Diagnosis is “Urosepsis” on the H&P and discharge summary after six days. • Query written to phyisican - Dear Dr. XX, it appears this patient has clinical indications of Sepsis. Please document a sepsis diagnosis in the space below. Thank you.
What is a Leading query?
400
4th Qtr 2010 Coding Clinic instructs the coder to do the following when physicians document "hypertensive urgency,"
What is a query? Because it is necessary to determine the specific type of hypertension. (Fourth quarter, p. 9) DAILY DOUBLE!!!!!
400
Patients with COPD or other chronic respiratory conditions may require this type of procedure.
What is a transtracheal oxygen catheter placement?
500
Is Identifed by 7 characters that denotes the category of the procedure.
What is ICD-10-PCS?
500
This policy states the CDIP staff will query the physician after the patient is discharge becasue a diagnosis or procedure has been determined to meet the guidelines for reporting, but has not been clearly or completely stated within the medical record; or when ambiguous or conflicting documentation is present ; or when documentation is unclear for POA indicator assignment.
What is the Inpatient Query Policy or Coding and Documentation for Inpatient Services Policy?
500
Used to enter data during the initial and subsequent CDIP chart review by the CDIP nurses. Also a comminication and education tool that is reviewed by the coders during the coding process. Also used for DRG validation and reconcilation by comparing it to the coding summary
What is a CDIP worksheet?
500
*Excisional debridement *Lung biopsies *Adhesiolysis *Modifier 59 *Respiratory Failure
What are RAC Focus or Target areas? DAILY DOUBLE!!!!
500
When there is no additional diagnosis available to cover a Medical Necessity edit
What is Non covered?
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