ICD 10 Awareness - June, 2012 - r2

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  1. The "PCS" in ICD - PCS is
    Provider Corrective Services
    Payer Claims Summary
    Patient Coding Survey
    Procedure Classification System


  1. The "CM" in ICD- CM is
    clinical methods
    clinical modifications
    cultural metrics


  1. ICD 10 PCS codes are:
    only used in a hospital setting
    only used in an outpatient surgery setting
    only used in clinics
    are used for outpatient services as well as services rendered in acute care setings


  1. ICD- 10 CM codes are
    only used in a hospital setting
    only used in an outpatient surgery setting
    only used in clinics
    are used for outpatient services as well as services rendered in acute care setings


  1. The conversion to ICD -10 will only impact claims processing.
    True
    False


  1. What does GEMS stand for?
    General Equivalency Methodology
    Generic Educational Models
    General Equivalency Maps
    General Electric Manufacturing Standards


  1. What is the most notable difference betwen ICD- 9 and ICD-10?
    The sheer increase in the number of codes
    The addition of PCS
    ICD- 9 codes are outdated and ICD - 10 are new
    None. The code sets are relatively the same


  1. ICD-CM and ICD- PCS are unique to the United States.
    True
    False


  1. The conversion to ICD 10
    will affect the CPT and HCPCS terminology sets
    will not affect the CPT and HCPCS terminology sets
    will eliminate the CPT and HCPCS terminology sets


  1. ICD -10 codes will not provide more accurate information compared to ICD-9.
    True
    False


  1. ICD- 9 codes were not originally developed for reimbursement purposes.
    True
    False


  1. ICD - 10 codes use a combination of letters and numbers.
    True
    False


  1. ICD - 10 compliance was set for October 1, 2013, We now expect it to be:
    October 1, 2014
    October 1, 2015
    October 31, 2014
    still scheduled for October 1, 2013


  1. What additional questions do you have about ICD 10 ?


  1. CPT stands for _________ Procedural Terminology
    Comprehensive
    Current
    Classified


  1. ICD actually stands for
    Intermedical Coding System of Diagnoses
    International Coding System of Diseases
    International Classification of Diseases
    Intermediate Coding Service for Detroit


  1. Why is the industry moving from ICD- 9 to ICD-10?
    ICD-9 codes are outdated
    ICD - 10 codes better reflect current medical practice
    ICD - 10 codes allow for greater specificity when classifying new diseases and procedures
    all of the above reasons


  1. A code is simply a piece of information that has been assigned a unique value
    True
    False


  1. Transitioning from ICD-9 to ICD - 10 is simply a " find and replace" activity".
    True
    False


  1. There is always an exact ICD- 9 to ICD-10 match.
    True
    False


  1. Reimbursement for payers, quality of care indicators and statistics are examples of
    the differences between ICD- 9 and ICD- 10
    the different purposes or uses for ICD code sets
    no longer use any ICD code sets
    None of the above


  1. HCPCS stands for Healthcare Common Procedures __________ System
    Coding
    Claims
    Centralized


  1. ICD was developed by
    L.A. Care Health Plan
    The World Health Organization
    Western Homeopathy Organization
    CMS - Health and Human Services


  1. Please select your department
    Claims
    Accounting/ Finance Services/MPSS
    Regulatory Affairs and Compliance
    Family Resource Centers
    Product Management
    Sales and Outreach
    Membership Information
    Financial Compliance
    Medicare Operations
    Member Services
    Health Education/Culture and Linguisitics
    Quality Improvement
    Credentialing
    Medical Management/UM
    HO&A/HEDIS
    HITEC-LA
    Pharmacy and Formulary
    HIT/e-Consult
    Facility Site Reviewe
    PNO
    Provider Relations
    IS Business Solutions
    IS - EDI
    IS- Health Data
    IS - Administrative Services
    ISD- Systems Configuration
    ALL OTHER DEPARTMENTS


  1. Recalling the example of John Doe, which is the ICD -10 code for John's sprain?
    S93.401A Sprain of unspecified ligament of right ankle, initial encounter
    SP18.4 Muscle sprain of lower leg
    845.00 Sprains and strains of ankle, unspecificed site
    None of these





Mark Strunin