Certification Coaching Q & A Webinar

April 2016

This Month’s Q & A Webinar Agenda: 90-120 min

II: Q&A from the CCO Community

I: Introduction● CCO News and Updates

JoAnne Sheehan: * Contraceptive Placement of IUD and Changes in the 2016 HCPCS codes

Alicia Scott: * First Credential to go for - Medical Biller or Medical Coder?* Coding Ulcers of the Amputation Stump* Best Practice Coding Tips For Obesity/Weight Management Visits* Integumentary ICD-10 skin issues

Laureen Jandroep: * Excludes Notes in ICD-10* CABG Coding Review

This Month’s Q & A Webinar Agenda: 90-120 min

IV: Your Questions in the ChatIII: Close - @ 90 min-’ish’● Wrapup● Drawing● CEU Certificate Download Link

Ask Along the way in the Questions box.

NOTE: We can’t answer every question.

If your question isn’t selected, post it on our forum where fellow coders can help:

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Why Stay To The End?

Giveaway! Free Drawing of Your Choice of 1 of the following:

Blitz Video Package | 2 CEU Webinars | 1 Hour Session with Laureen or Alicia

and...

Your AAPC CEU link for 1.5 CEUs(a change tonight)

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CONGRATULATIONS!

Leslie Elliott 03/19/2016 Completed CPC Course (PBC)

Jessica Galley 04/14/2016 Completed CPC Course (PBC)

Lilybeth Rivera Garcia 03/31/2016 Completed CPC Course (PBC)

Kathy Rundman 03/19/2016 Passed CPC Exam

Lilybeth Rivera Garcia 03/31/2016 Passed CPC Exam

Leslie Elliott 03/19/2016 Passed CPC Exam

Janice Boylan 04/02/2016 Passed CPC Exam

Kathleen Vawter 04/02/2016 Passed CPC Exam

Jessica Galley 04/14/2016 Passed CPC Exam

Q & A From the Community

Jo-Anne Sheehan, CPC, CPC-I, CPPMCCO Sr. Instructor / Coach

Alicia Scott, CPC, CPC-I, CRCCCO Education Director

Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPMCCO Founder and CEO

Question:

I found a discrepancy in the 2016 Workbook regarding the HCPCS code for the Mirena IUD. The J7302 appears deleted. Can you help me figure out the correct answer? ANSWER

Jo-Anne Sheehan, CPC, CPC-I, CPPM

CCO Sr. Instructor / Coach

Contraceptive Placement of IUD and Changes in the 2016 HCPCS codes

First Credential to go for- Medical Biller or Coder?

Question: What is the best way to study for the certificate exams? Also, what order would you recommend to take if I wanted be a Medical Biller and Coder?

ANSWER

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

https://www.facebook.com/cco.us/

Excludes Notes in ICD-10

Question: Hi Laureen I am desperate for your words of understanding. YOU have a way of making things clear for me. I have a question about Excludes notes in ICD 10. Provider documented both M54.17 and M51.17. M54.17 has the excludes1 for M51.17. So, does that mean I only code the M54.17? I am confused when both are documented and which code I am suppose to use. Could you PLEASE help clear up my muddy water? Thank you SO much!! I have read the guidelines, but that isn't clicking either --Debbie

ANSWER

Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM

CCO Founder and CEO

Coding Ulcers of the Amputation Stump

Question: Patient had pressure ulcer on BKA stump and now she is has BKA revision. I wanted to do primary T87.89 (other stump complication) however coding tips reflect “Do not assign a code for complication of an amputation stump for an ulcer (due to pressure, diabetic ulcer, arterial, trauma, stasis, or other) of the amputation stump. Ulcers of the amputation stump are not considered amputation stump complications.” How do I code it?

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

ANSWER

Need Presentations for Your Local AAPC Chapter?

The Local AAPC Chapter of Savana GA for"What is HCC/Risk Adjustment Coding"

More Information: http://www.cco.us/remote-presentations/

CCO Presents Free! Topics include:

Need Presentations for Your Local AAPC Chapter?

More Information: http://www.cco.us/remote-presentations/

The Local AAPC Chapter of Columbus GA for"EM Coding: Locate Your HEM in Time"

EM: “Locate your HEM in Time – A Unique Way to Understanding EM Coding”

What is HCC/Risk Adjustment Coding

How to prepare for CPC Exam

Modifiers – It’s All About The MoneyHow to “Prepare for ICD-10 Proficiency without

Stress”

CPT Coding updatesAny section of the CPT Manual – Anesthesia,

Integumentary, Digestive, Medicine

Any section of ICD manual or guidelines

Any topic you’d like developed!

“Cardiology Section of CPT”Jackson MS

Best Practice Coding Tips For : Obesity/Weight Management Visits

Question:

What are some best practice coding tips for Obesity/Weight Management Visits?

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

ANSWER

Integumentary ICD-10 skin issuess

Question:

Can you please discuss ICD-10 coding for skin wounds, ulcers, abscesses, infections and cellulitis? I am looking to clarify the difference between wound and the other types of skin issues previously listed.

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

ANSWER

CABG Coding Review

Question: I need clarification on the differences in use between 33533 and 33534, 33535, 33536. This stems from a question on a practice exam "72 year old undergoes a two vessel autogenous coronary bypass for one vein and one artery."

It may be an easy response but the theory does not click with me yet. I am taking my test on Saturday and know that a CABG will be on it.

ANSWER

Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM

CCO Founder and CEO

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Case Study: Did CCO Help Your Medical Coding Career?

Q: What Benefits Have You Experienced From Working With CCO?A: free practice tests on CPC exam; Blitz Videos; monthly Q and A webinar

Q: What Specific Results Have You Gained From The Education At CCO ?

A: gained CPC credential and my ICD-10 proficiency completed; confidence in my Medical Coding skills and efficiency

Q: Does CCO Training Help You In your Career or Your Work Place? Does It Save You Time Or Money?A: My training at CCO has not only given me the tools to pass my CPC and ICD-10 requirements but they have given me the confidence that I am worth more in my career. I have saved money using CCO instead of paying the normal college level prices for courses in Anatomy and Physiology and Medical Terminology. I loved the fact that the time I spent with the lectures from CCO was all based on my own time and that I could hear each module as many times as I needed too.

Teresa O'Mally CPC

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Your Questions from the Chat

Questions In The Chat- April 2016

Your Webinar Chat Team

Medicare Annuals

Question: Would love to know more about Medicare Annuals, as we know they are not physicals

COSC Specialty

Question: Hi! I am planning to take the COSC certification exam but needs help in finding resources that will help me prepare to the test aside from the study guide and practice exams offered by AAPC. I have been an orthopedic coder for 1 1/2 years now but ortho is a very complicated specialty. I appreciate any help. Thank you.

Discharge Diagnoses

Question: When coding diagnoses on discharge, the guidelines state that for inpatient, you should code the “possible, suspected, and/or rule out” conditions, but would this be the same for present on admission if a rule out is listed? Ex.. parkinson’s disease, rule out cerebral vascular insufficiency

OASIS Review

Question: What certification do you recommend for a RN who wants to do OASIS review and coding

CCA and CPC

Question: I'm taking the CCA with AHIMA to begin with. Should I also consider taking the CPC in a couple years. I'm coding now at my job and doing billing as well. Holly

Manifestations in Physician Charts

Question: Is it a requirement for manifestations to be documented in the physician chart note for ex DM w/nephrology with linking terms?

Happy Coding!

The Local AAPC Chapter of Columbus GA The Local AAPC Chapter of Savana GA