Coding Certification Q & A Webinar - August 2013

Laureen Jandroep, CPC Sr. Instructor, CodingCertification.Org

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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?

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?

Lisa Perez – Marketing Director, Newsletter Editor

Ruth Sheets, CPC-A, Administrative Specialist

Sylvia Ann Wiegand, Administrative Assistant – Helpdesk

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

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Ariane Jackson (passed CPC 7/22/13)

Jennifer Purk (passed CPC 7/22/13)

Alicia Bryant (passed CPC 7/27/13)

Amy Garcia (passed CPC 8/2/13)

Christy Halbert (passed CPC 7/20/13)

Siddhartha Roy (passed CPC 8/7/13)

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Student Case Studies

Our Special Guest Tonight...

Tamara Lucus, CPC-I, CPC-H

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Medical Terminology & Anatomy Course (MTA) Physician Based Coding Course (PBC) (CPC course) Facility Based Medical Coding (FBC) (CPC-H course) Review Blitz Video Package (included in PBC) Mini-Mock Practice Exams CEU Classes (On Demand) ICD-10-CM MiniCourse

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Medical Terminology & Anatomy Course (MTA) 40 CEUs!

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CEU Classes (On Demand)

http://CodingCertification.Org/Products

Need CEUs?

Burn - Multiple sites

If I have a patient with more than one burn site with multiple

degrees how do I code that? Now, what will happen with

2nd degree for both anatomical site? Do I go to higher

percent? What if there's no percent that is mentioned? What

if both anatomical sites had burns with the same percent?

ANSWER

I am trying to figure out these new GA and GX

modifiers and where and when to use them with

physical therapy in an office setting. Does

anyone know more about this? Some

secondary insurances will still pay for PT after

the Medicare benefit runs out so which one do

you use and when? ANSWER

GA & GX Modifiers for PT

Malignant Ascites Primary Site unknown

I am having a disagreement with my fellow coder. It states

under 789.51 that you are to code the primary and/or

secondary malignancy first and it states 197.6 for the

secondary malignant neoplasm of retro-peritoneum and

peritoneum. So I think its 197.6 and 199.1? please help?

ANSWER

I have been billing heart cath and angioplasty and

stent codes 93458-26,-59, 92928 I added modifier

59 to indicated that this were two different

procedures but I am still getting denials in the

EOB it says they are bundled codes. So my

question is how can I get paid for this two

procedures if they are done the same day?

ANSWER

Stent Codes

Cardiac Diagnosis Codes

Common Cardiac Codes You Need To Know

414.00, 414.01

443.9, 429.2

412

ANSWER

I have a pt that was being discharged from the

hospital from one physician & within a couple of

hours she was admitted by a different physician.

Can we use the admit/discharge code (99234,

99235, or 99236)? If you can not bill this code

could you give a reason why we could not?

Thank you, Debi

ANSWER

Discharge and Admit within hours

RA Rheumatoid Arthritis 714.0

714.0, HCC 38, RxHCC 41

What should a coder know about RA?

ANSWER

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