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CodeMappingDirections.docx

Code Mapping Directions

The I-MAGIC (Interactive Map-Assisted Generation of ICD Codes) Algorithm utilizes the  SNOMED CT to ICD-10-CM Map  in a real-time, interactive manner to generate ICD-10-CM codes. You will use the I-MAGIC map to analyze the mappings, verify the SNOMED CT and ICD-10-10 codes, and make necessary corrections.

Directions:

1. Download the  template  Download template . This file contains the mapping of SNOMED CT codes and ICD-10-CM codes for ten diagnoses.

2. Open the following link:  I-MAGIC Mapper.   

3. Enter the diagnosis description, such as “low back pain” into the “Problem” field.

4. Click on “GET ICD Codes.” You may have to further refine the problem to locate the correct code.

5. Evaluate  both the SNOMED CT and ICD-10-CM codes.

6. Make any necessary corrections directly on the spreadsheet.

7. Enter the ICD-10-CM Code name. Make sure you include the entire ICD code name, not just a portion - you will not receive points if the names are not an exact match.

8. Click on the “Back to Problem List” to start with the next description.

9. After making the necessary corrections to the code mapping, submit your completed Excel file.

CodeMapping1.xlsx

CodeMap

Diagnosis SNOMED CT Code ICD-10-CM Code ICD-10-CM Name
Low back pain 279039007 M44.5
Cluster headache 37796009 G439.09
ACL rupture, unspecified knee (initial encounter) 239725005 S83.511A
Parkinson's disease 49049000 G20.A1
Blood in urine 344436003 R30.9
Geographic tongue 5903200120 K14
Paroxysmal atrial fibrillation 49436004 I48.91
Simple laceration of neck (initial encounter) 110146007 S11.91X‑
Farmers’ lung 118690003 J6.70
Carpal tunnel syndrome 507406009 G56

JCDelinquentChartsDirections.docx

JC Delinquent Charts Directions

Scenario: You are the HIM Director at a hospital recently surveyed by the Joint Commission. Your department is using hybrid records. The following areas of noncompliance were reported:

· Operative reports are delinquent

· H&Ps are delinquent

In response, the Performance Improvement Committee has established a performance indicator threshold of 98.5% for monitoring ongoing compliance with meeting the operative report and H&P JC standards (measured against the average monthly operations and average monthly discharges, respectively). 

You have run a report of delinquencies for the past year and now must prepare the data for presentation to the PI committee.

Directions

1. Download the  2023 Delinquent Data Report  Download 2023 Delinquent Data Report (Excel file). You will input your answers on the spreadsheet and submit the completed Excel file.

2. Calculate the average monthly discharges for the year and enter in cell B15 (highlighted in yellow).

3. Calculate the average monthly operations for the year and enter in cell B16 (highlighted in red).

4. Calculate the allowable number of delinquent records based on a 50% requirement (hint: multiply the average monthly discharges by 50% - this is the number of records allowed to be delinquent). Enter in cell B17 (highlighted in blue).

5. Compare the figure from #4 to each month's total delinquent records to determine which months are out of compliance. Add a column to the spreadsheet to capture this data.

6. Calculate the allowable number of delinquent H&Ps based on the requirement of 98.5% completion. Compare this figure to each month's delinquent H&Ps to determine which months are out of compliance. Add a column to the spreadsheet to capture this data.

· Hint: This means only 1.5% of records may be delinquent. Use the average monthly discharges in your calculations.

7. Calculate the allowable number of delinquent operative reports based on the requirement of 98.5% completion. Compare this figure to each month's delinquent op reports to determine which months are out of compliance. Add a column to the spreadsheet to capture this data.

· Hint: This means only 1.5% of records may be delinquent. Use the average monthly operations in your calculations.

8. Format the data (add title/headings, remove highlighting, change column sizes to accommodate text, text formatting, etc.). It should be professional, easy to understand, and ready for committee presentation.

9. Extra credit: Use the built-in Excel formula functions for your calculations. +2 points for each correct use of formula.

2023DelinquentDataReport.xlsx

Sheet1

Month Discharges Operations Delinquent H&P Delinquent Ops Total Delinquent Records*
Jan 1445 369 47 11 934
Feb 1589 342 22 7 729
Mar 1791 384 34 9 902
Apr 1701 401 36 8 701
May 1697 359 35 9 971
June 1825 385 40 6 944
July 1748 368 36 8 910
Aug 1742 311 32 7 859
Sept 1697 283 30 13 873
Oct 1722 329 35 8 808
Nov 1981 396 37 11 815
Dec 1723 408 45 8 965
*includes signatures, discharge summaries, etc., in addition to delinquent H&Ps and Ops
Average Monthly Discharges
Average Monthly Operations
Allowable Delinquencies