march 2013 medical coding q&a webinar

Coding Certification Q & A Webinar - March 2013

Laureen Jandroep, CPC Sr. Instructor, CodingCertification.Org

Twitter Chat

•  http://tweetchat.com/room/ccochat •  Who will have the most tweets? :) •  Poll

Who is Laureen? • Graduated with a Bachelors in Occupational Therapy

• Owned and Managed Rehab Agency

• Owned and Managed Medical Billing Company

• Owned and Managed Billing and Coding School - brick and mortar as well as online

• Started National Coding Discussion List "Coding & Reimbursement Network" - now the CCO-L

• Sold Online School which is now operated by AAPC

• Currently works full time for 3M HIS/CodeRyte as a Clinical Development Specialist

• Teaches Coding Certification Review Blitz as well as other coding seminars.

• Has taken and passed the CPC, CPC-H, CCS-P, CCS, RCC and currently maintains her CPC, CPC-I and new CPPM credentials

• Married since 1989 with 5 kids (1 grown step-son and 4 little ones

age 7 and under.

Who is Laureen?

Who is Alicia? •  Held several jobs in the medical field from, CNA, EMT, Pharmacy technician

and Medical Records Abstractor, Analyst and Nursing. •  Joined the AAPC and became certified as a CPC in 2011 •  Working towards Masters in Healthcare Administration with an emphasis on

education. •  Former Instructor at a private college teaching medical coding and billing

and medical law and ethics. •  Working now as a remote Medicare Advantage Coder for Optum. •  Alicia will tell you that not only does she love medical

coding but she has a passion for teaching it. •  Presently Alicia lives in West Texas and is married

with six children (no that is not a typo!)

Who is Alicia?

• Master of Ceremonies for CCO Q&A Webinars • Web Administrator for CodingCertification.Org • Business coach

Who is Boyd?

And the rest of the CCO Webinar Team? Abdi Shakur – Social Media Associate

Ruth Sheets, CPC-A, Administrative Specialist Sylvia Ann Wiegand, Administrative Assistant – Helpdesk

Read More http://www.codingcertification.org/about-us/

Poll

Poll - How many webinars is this for you?

Stay to the End

For...

•  Course & Webinar Updates •  Giveaways and •  Special Coupon Codes

Dalene Binkley, CCS-P (passed 2/23/13)

Jennifer Howard (passed 3/7/13)

Brandy Blue-Smith (passed 2/28/13)

Anyone else out there who passed recently?

Congratulations to...

I recently passed the CPPM® -

Certified Physician Practice Manager - exam!

New Certified Physician Practice Manager!

Anyone else thinking of getting this credential? (Poll)

Medical Terminology & Anatomy Course (MTA) Physician Based Coding Course (PBC) Review Blitz Video Package (included in PBC) 150 Question Downloadable Practice Exam (included in PBC) Combo MTA + PBC Course (includes all of the above) NEW - Facility Based Medical Coding (FBC) (CPC-H course) CEU Webinars ICD-10-CM MiniCourse

CodingCertification.Org/Products

Quick Outline of Product Lineup

Student Case Studies Our Special Guest Tonight...

Brenda Moonyham, CPC-A CCO MTA Student Graduate Current ICD-10 Mini-Course Student

Poll

Poll - Are you certified?

Our Facility Based Coding (FBC) Course is built and accepting students NOW - will you be one of them? Prepares you for the CPC-H® which is Non-Inpatient Hospital Coding.

$300 Off Until?...... Anyone else thinking of getting this credential? (poll)

CPC-H® Course Opening Next Month!

Coding Manuals Sandy stated,

"I am thinking about a career in medical coding and have heard that I will need to purchase manuals. When I looked into this it seemed there were a lot of different types. Where do I start?" ANSWER

Question on a recent practice exam I took in preparation for the CPC® exam:

Patient undergoes construction of apical aortic conduit with an insertion of a single ventricle ventricular assist device. The four options are:

a) 33404 - Construction of apical-aortic conduit b) 33975 - Insertion of ventricular assist device... c) 33977 - Removal of ventricular assist device... d) 33975, 33404

ANSWER

Code 33975 vs 33975/33404

Poll - Which Organization?

Poll - •  AAPC •  AHIMA •  PAHCS •  Multiple

Luna asks "What kind of terminology might you find in a patient's record that would indicate abuse vs. dependence?"

ANSWER

Drug Abuse vs. Drug Dependence

EKG Reimbursement Hi there: Do you know of any way to code and bill for

reimbursement On EKG's done at the same time the annual routine visit is done. This year more than ever we are not getting reimbursed. Both the Dr's & patients seem to think that the EKG is part of the yearly physical. Thank you. - Anna S ANSWER

Hello I have a question, I'm having trouble getting my 2nd assistant paid the main surgeon bills charges we bill duplicate charges but 2 assistants from same group help surgeon both assisted my question is for my first assistant I use modifier AS but I'm having trouble getting my 2nd assistant paid they state for 2nd assistant I need to use correct modifier but I don't want to use a surgeon modifier because this is an assistant /pa /rnfa even when I appeal with records they state I need to add a correct modifier can you help with this -Stephanie

ANSWER

Modifier for Assistant/RNFA surgery

Otitis Media Acute vs Allergic .. question is what is the difference between 381.01 Otitis Media Acute and

381.3, Otitis Media Allergic? ANSWER

Hey Laureen, I have taken the exam several times, and there is always several questions that start with or end with "This is a medicare patient" . My questions is for example: Patient seen for a colonoscopy, no history of colon cancer, he is 74 yrs old & a medicare patient. SO ...then on the answer choices 2 of them have medicare code G0008, & regular CPT, and the other 2 answers have just regular cpt's for screening. If the scenario says medicare do you automatically go to the answers with medicare codes in them?????? Thanks!! - Leslie

Medicare G0008 vs CPT

HCPCS Anesthesia Codes With the Blitz.. I believe Anesthesia video or maybe Modifiers video.. You

suggested writing the HCPCS anesthesia codes in the guidelines.. but only 5 of them.. Was wondering what the reasoning for those 5 (AA, QS, QX, QI, QZ). I realized they are all administration codes (who administered anesthesia).. are they the 'more common' codes or something? I was also informed that they have added Medicare Reimbursement questions to this years CPC and I'm taking my exam March 30th. Do you have any insight into this recent addition? ANSWER

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