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!!” • “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 ICD ‐ 10 ICD ‐ 10 Description Hemorrhage, brain ( non ‐ traumatic) 431 I61.9 Nontraumatic intracerebral hemorrhage, unspecified I61.0 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical Nontraumatic intracerebral hemorrhage in hemisphere, cortical I61.1 I61.2 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified I61.3 Nontraumatic intracerebral hemorrhage in brain stem I61.4 Nontraumatic intracerebral hemorrhage in cerebellum Nontraumatic intracerebral hemorrhage, intraventricular I61.5 Nontraumatic intracerebral hemorrhage, multiple localized I61.6 I61.8 Other nontraumatic intracerebral hemorrhage I62.00 Nontraumatic subdural hemorrhage, unspecified Hemorrhage, subdural (non ‐ traumatic) 432.1 I62.01 Nontraumatic acute subdural hemorrhage I62.02 Nontraumatic subacute subdural hemorrhage I62.03 Nontraumatic chronic subdural hemorrhage I62.1 Nontraumatic extradural hemorrhage Nontraumatic intracranial hemorrhage, unspecified I62.9

More of the Sam e Problem … S59.901A Unspecified injury of right elbow, initial encounter Injury, Unspecified type S59.901D Unspecified injury of right elbow, subsequent encounter Elbow/forearm/wrist 959.3 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 oding.com om