Audio: The Cost of “One and Done”

Presented by: Karna Morrow, CPC, RCC, CCS-P, Approved AHIMA ICD-10-CM Instructor

Time: 56 minutes

Bio: Karna Morrow—CPC, RCC, CCS-P, AHIMA Approved ICD-10-CM Trainer-—possesses over 15 years of experience within community and academic hospitals, as well as private practices and third-party billing companies in areas from billing and collections to coding and compliance, revenue enhancement and process improvement. Karna provides Coding Strategies clients with coding support, audits and customized, on-site training. Her areas of specialty include Diagnostic Radiology, Interventional Radiology, Cardiology and Evaluation & Management. Karna holds a Bachelor of Science from Weber State University.

Objective:

Each listener will have a great understanding of the way diagnosis coding affects the practice.

Topics covered:

  • Define “One and Done”
  • Explore the role of diagnosis codes
  • Review the impact of change

Question and Answers:

1) When discussing “One and Done” what type of codes are they referring to?

a) HCPCS

b) CPT

c) ICD-9-CM

d) ICD-10-CM

2) True or false: A medical record demonstrate must support of the intensity and frequency of the E/M Service met but that it did not exceed the patient’s clinical needs

a) True

b) False

3) How does the speaker tie in the Wizard of Oz theme with the medical record?

a) The lion, scarecrow and tin man all needed medical assistance

b) The Wizard controls all just like a doctor with a patient

c) The song words “Because…because…because…because…”

d) ICD-10 has a code for a house falling on you

4) What are the three sub-components of medical decision making?

a) Data, PHI, diagnoses

b) Risk, data, diagnoses

c) Diagnoses, HPI, PFSH

d) Data, risk, HPI

5) How many diagnoses codes/management options must be reviewed in order to support a MDM level of moderate complexity?

a) Minimal

b) Limited

c) Multiple

d) Extensive

6) Which type of codes determine “if” you get paid?

a) CPT®

b) ICD-10

c) HCPCS

d) Modifiers

7) What year does the administration expect that payments made in Medicare will be judged on a variety of quality measures including whether a patient is healthier after they receive treatment?

a) 2016

b) 2017

c) 2018

d) 2019

8) What does the diagnosis code provide?

a) A story of the reason the patient is being seen

b) A point of reference for the insurance company to determine coverage availability

c) Something to match CPT codes against

d) A reason to see the physician

9) What are the four main areas that the speaker says needs to be captured in order to tell the reason for the patients visit?

a) Location, location, location, location!

b) Location, context, story, history

c) Location, history, chief complaint, treatment options

d) Location, context, severity, story

10) When discussing productivity in the office which of the following can be considered factors that can cause a shift in productivity?

a) Comparing coverage guidelines

b) Entering more codes

c) Learning code set

d) All of the above