Newsletter Date : 2nd Quarter 2013
Volume 1, Issue 3
The Specialist : The CAISS Newsletter
AISC.B - Board Chairperson’s Corner
- Wa n d a Bo w e n , C AI S S
With Memorial Day 2013 behind us and summer’s increased trauma data
volume ahead of us we plan. It seems as though summer and early fall have
increasing numbers of trauma patients for most institutions with many of the
patients having lengthy injury listings. The increasing need to participate in
national, state, and/or regional databases results in more data needed,
shorter deadlines for data submission and more expert injury data. Within
your own institution there may be the need for trauma research publications
and/or injury related poster presentations—all needing to use expert injury
information from your trauma database. Do you export data for the IRB approved trauma research
projects? Do you summarize injury data in report formats for design of poster presentations? If you
are using your injury severity data in either of these ways, we would like to hear from you. It is always
of interest to each of us how are others using their data once it is abstracted, coded, scored, input
and validated. A large percentage of labor hours go into processing trauma data and we are
interested in the ways in which you use your data. I would like to hear from you and compile a list to
share within the next publication of this newsletter. Send an email to: Wandabo@ulh.org
My Question Is…..
How are YOU using your Injury Severity Information
once it is completely processed into your database?
CAISS Test Questions
The Professional Testing Corporation provides a full range of customized services including test
development and administration. Sallyann Henry, PhD., President of PTCNY is always in need of
proposed CAISS test questions for future designs of the examination. Please write your test
question suggestions along with four (4) answers to choose from and also indicate the correct
answer. You can then submit these directly to SHenry@ptcny.com Proposed test questions with
answers are then processed through a test item review group for acceptance into the CAISS
test item bank held by PTCNY. You can submit as few as two or three questions or as many as
you would like.
A test item review is being conducted by both AISC.B members and CAISS from the Minnesota
area early June 2013 at which time previously submitted questions and answers will be
reviewed.
The Specialist :
Newsletter
Special Points of Interest
 Next Certification Exams:
September 14-28, 2013
 Application Deadlines:
August 15, 2013
 Fees:
AAAM Member $250
Non-Member $290
Upcoming AIS Training:
IN PERSON COURSES:
Kansas City, Missouri
9/30/13 - 10/1/13
Phoenix, Arizona
11/15/13 - 11/16/13
ONLINE COURSES:
Monday & Thursday 1pm CT
10/28/13 - 11/21/13
$750.00 per person
for In Person & Online Courses
Inside this issue:
Meet The Board
2
Purpose of Certification
2
Fill in the Blank Review
3
ICD-10-CM/PCS Trauma
Course
4
Current AISC.B Members
4
Coding Questions
4
AAAM Contact Information
4
Page 2
The Specialist : The CAISS Newsletter
Meet the Board
This issue we will introduce you to three board members. In future issues, we will introduce other members of the board and include information
about each person along with their email address should you wish to contact them.
Mark R. Zonfrillo, MD, MSCE, CAISS
Dr. Zonfrillo is a pediatric emergency medicine physician, a clinical epidemiologist, and Assistant
Professor of Pediatrics at The Children’s Hospital of Philadelphia (CHOP) and Perelman School of
Medicine at The University of Pennsylvania. His research focuses on pediatric motor vehicle occupant injuries, concussion, and disabling injuries. He has received funding from the National Institutes of Health, Center for Disease Control and Prevention, National Science Foundation, and
private industry. He also serves on the AAAM Board of Directors. His business email address:
zonfrillo@email.chop.edu
Debra L. Anderson, RN, CAISS
Debra has worked at Saint Mary’s Hospital—Mayo Clinic for 38 years. She graduated from NIACC in
Mason City, IA and worked as a RN on the orthopedic unit, emergency department, and utilization
review. You will find her now in the trauma center as the lead registrar for adult, pediatrics,
transport, orthopedics and ICU databases. Debra is married with three children. Her business email
address: Anderson.Debra@mayo.edu
Patricia Radke, RHIT, CCS, CCS-P, CAISS
Patricia has an extensive history of ICD-9 and ICD-10 coding as well as trauma registry experience.
She worked for the University of Texas Health Science Center as Coding Manager for the Surgical
Service Department, moved into military coding contract services for Air Education Training Command as lead trainer for the air force physicians services, and in 2004 worked for the first military
Combat Theater Trauma Registry (JTTR). She most recently accepted a position with KJ Trauma
Consulting LLC as a Trainer/Trauma Data Specialist. She is a member of Bluebonnet Equine Rescue,
has several rescued dogs as well as two Dobermans, enjoys reading and trail riding with her Arabian mare. Her business email address: pabcodingdak@txun.net
Purpose of Certification
To promote competence in use of the Abbreviated Injury Scale by:
1.
Recognizing formally those individuals who meet the eligibility requirements of the AISC.B and pass the Certification Examination for AIS Coding Specialists.
2.
Encouraging continued personal and professional growth in the practice of injury severity scoring using the AIS.
3.
Establishing and measuring the level of knowledge required for certification in injury severity scoring using the AIS.
4.
Providing a standard of knowledge requisite for certification, thereby assisting the employer, public and members of the injury scoring community in the assessment
of the AIS Coding Specialist.
Page 3
Volume 1, Issue 3
Fill in the Blanks
Read the statement and fill in the blank(s) with the most appropriate word from the list.
1.
Long bone fractures are classified as to their location on the bone _______, _______, _______ .
2.
The neck and thorax chapters include both ________ and ________ injuries.
3.
Rule number one is code ______________.
4.
Into the joint is referred to as __________ articular.
5.
Injuries must be _____________ .
6.
Fractures are coded as _____ if caused by a GSW.
7.
A fracture described only as ________ or displaced should be matched to the AIS descriptor of not
further specified.
Word List
Acetabulum
Mastoid
Closed
Open
Combined
Partial
Complete
Petrous
Conservatively
Proximal
Contusion
Ring
8.
The uvea is part of the _____ .
Distal
Saliva
9.
__________ articular involves the entire surface of the joint.
Duct
Shaft
10.
A subtrochanteric fracture should be coded to ______ shaft.
Esophageal
Skull
11.
A lung _______ should be coded only if there is a history of chest trauma & supporting documentation.
External
Squamous
12.
______ involvement applies to gallbladder, liver and pancreas.
Extra
Substantiated
13.
The temporal bone consists of three portions ________, _________, ________.
Eye
Thorax
14.
________ articular means no joint involved.
Femur
Tracheal
15.
Parotid duct transports ________ .
16.
The pelvis is divided into the pelvic _____ and _______.
17.
Code burns to the most severe if they are only described as ________ degrees.
18.
Inhalation injury is coded under _________.
19.
If only “frontal sinus fracture” documented, code to the _________.
20. Multiple abrasions should be coded under the _______ chapter.
The Specialist :
ICD-10-CM/PCS Coding Course with Trauma Emphasis
Everyone is gearing up for the transition in the United States from ICD-9-CM/PCS to
ICD-10-CM/PCS and it’s not without apprehension. The way in which trauma data
professionals look at a healthcare record is an art. An ICD-10-CM/PCS course with a
strong emphasis on trauma has been developed with AHIMA approval for 10 CEUs and
is available to anyone responsible for trauma data management.
AAAM
PO Box 4176
Barrington, IL 60011-4176
For more information contact: Kathy.Cookman@gmail.com
Phone: 847-844-3880
Fax: 847-844-3884
E-mail: info@aaam.org
Website: www.carcrash.org
CODING QUESTIONS:
Questions arrive almost daily. Test your knowledge. (Answer below)
1.
Is an open basilar skull fracture with no additional information available considered “Complex” with a
code of 150206.4?
2.
Would an isolated pterygoid plate fracture be considered a facial fractures (it is included in LeFort) or a
skull base fx as it is technically part of the sphenoid?
The most current version of
the AIS dictionary is:
AIS 2005 Update 2008
The Specialist Newsletter
For Injury Scaling classes
offered online and in
person, visit the AAAM
website at
www.carcrash.org
We would like to hear from you about your injury data coding/scoring experiences. If you
would like to write a short article for inclusion in The Specialist, let us know. Please contact
the newsletter editor, Kathy.Cookman@gmail.com
Current AISC.B Members in alphabetical order:
Rebeca Abajas Bustillo, CAISS
Spain
Debra Anderson, CAISS - Vice Chairperson
Minnesota
Wanda Bowen, CAISS - Chairperson
Kentucky
Kathy Cookman, CAISS
Florida
Janet Price, CAISS - Ex-Officio
Texas
Patricia Radke, CAISS
Texas
Mark Zonfillo, MD, CAISS
Pennsylvania
The Specialist is a Quarterly
Publication of the AISC.B
1.Proximal, Shaft, Distal 2. Esophagus, Tracheal 3. Conservative 4. Partial 5. Substantiated 6. Open 7. Closed 8. Eye 9. Complete 10. Femur
11. Contusion 12. Duct 13. Squamos, Petrous, Mastoid 14. Extra 15. Saliva 16. Ring, Acetabulum, 17. Combined 18. Thorax 19. Skull 20. External
Fill in the blanks:
Newsletter Editor/Publisher:
Kathy J. Cookman, BS, CSTR, CAISS
Email: Kathy.Cookman@gmail.com
Telephone: (614) 226-4777
When pterygoid plates are included in a LeFort diagnosis, they are coded as part of the LeFort to the face. If a patient does not meet
the criteria for LeFort, then pterygoid fractures are coded to the skull base.
2.
Yes
1.
Coding Answers: