Certification Coaching Q & A WebinarAugust 2016

From the MedicalCoding

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, CPPM

CCO Founder and CEO

Chandra Stephenson, CPC, CIC, COC, CPB, CPCO,

CPMA, CPPM, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC,

CGSC, COaaSC, CRC, CCC

CCO Program Director

Q&A

Hear and See Us Okay? Yes: Type #1 in Questions Box | No: Type #2

August 2016

WELCOME!

First Time?Overview:

General webinar about all things medical business certification and

medical coding, billing & practice management related.

Welcome to the CCO Community!

- We can’t hear you ;)- You can type a question in the chat:

we will ATTEMPT to answer during the webinar BUT it’s not easy… - Stay to the end for free giveaway and CEU’s

First Webinar With Us?

Poll How many

CCO webinars have you attended?

August 2016 | Q & A Webinar Agenda: 90-120 min

II: Q&A from the CCO Community

I: Introduction● CCO News and Updates

JoAnne Sheehan: *Transitional Care Management (TCM) - Medical Decision Making (MDM) LevelingAlicia Scott: *Breast Cancer: Specific Details Now Required*Wound Care CentersChandra Stephensen: *HTN: Controlled vs. Uncontrolled*Abdominal Aortic Aneurysm Repair CodingLaureen Jandroep: *Cardiac Cath Clarification - Congenital Defects

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

IV: Your Questions in the Chat

III: 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.

IV: Your Questions in the Chat

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:

http://www.cco.us/forum/

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)

CCO Graduates July Update

CONGRATS! CCO Courses

Recent Exam Passers!Crystal Braddock CPC 04/23/2016 Using CPC Blitz

Pamela Wolf CPC 06/11/2016 Using CPC Blitz

Rosemarie Belan CPC 07/16/2016 Using CPC Blitz

Joell Peters CPC 07/23/2016 Using CPC Blitz

Jennifer Steinlauf CPC 07/16/2016 Using CPC Blitz

Patricia Perdue CPC 07/28/2016 Using CPC Blitz

Marquette Johnson Green CPC 07/16/2016 Using CPC Blitz

Dave Tidwell CPC 06/04/2016 Using CPC Blitz

CONGRATS! CCO Courses

Recent Exam Passers!Rosanne Barnett CPC 08/06/2016 Using CPC Blitz

Mary Yabut CPC 07/16/2016 Using CPC Course (PBC)

Jennifer Wilkerson CPC 07/09/2016 Using CPC Course (PBC)

Malinda Wildey CPC 03/22/2012 Using CPC Course (PBC)

Susan Dowe CPB 07/19/2016 Using CPB Course (PBB)

Carolyn Cassady CPC 07/16/2016 Using CPC Course (PBC)

Mary Yabut CPC 07/23/2016 Using CPC Course (PBC)

CONGRATS! CCO Courses

Recent Exam Passers!Terrance Parmegiani CPC 07/16/2016 Using CPC Blitz,

Practice Exams

Denise Frazier CPC 07/29/2016 Using CPC Blitz, Practice Exams

Kathy Maloney CPC 08/10/2016 Using CPC Blitz, Practice Exams

Justin Bustamante CPC 08/06/2016 Using CPC Blitz, Practice Exams

Melanie Bleem CPB 08/06/2016 Using CPB Course, Practice Exams

Jeanette Springer COC 08/12/2015 Using COC Blitz

Lisa Dietrich-Blocker CPC 07/22/2016 Using CPC Blitz, PBC Course, MTA and Practice Exams

CONGRATS! CCO Courses

Recent Exam Passers!Gena Maher CPC 07/23/2016 Using CPC Blitz,

Practice Exams

Susan Bonenfant CPC 07/23/2016 Using PBC Course, Practice Exams

Denise Hess CRC 08/01/2016 Using CRC Blitz, CPC Blitz, Practice Exams

Sharon Andersen CRC 08/06/2016 Using CRC Blitz

Poll

Poll

Poll - Are You Certified?

Q&A

August 2016

Let’s Do This!

Question:

I would like for you to go over TCM leveling for the physician's office. My understanding is that it is based on the medical decision making only, but I would like to learn more about it. Could you possibly discuss this in the next monthly Q&A webinar?

Answer

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

CCO Sr. Instructor / Coach

Transitional Care Management (TCM) - Medical Decision Making (MDM) Leveling

Free Job Aides and Coding Reports

http://www.cco.us/free-tools-reports-and-exams-for-medical-coding-and-billing/

Testimonials and Reviews

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

Poll

What AAPC coding credential do you HAVE?

Breast Cancer: Specific Details Now Required

Question:Can you present something on Breast and Cancer areas, since treatment is now being focused on the unique or rare type the patient is felt to have?

ANSWER

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

What coding credential do you WANT?

Poll

CPT 2017 Print + Digital Bundle

● CPT® Professional Book 2017● CPT Assistant Digital Archive, contains all articles (1991-

2016) and...● CPT® Professional App, featuring a handy code lookup

tool, a powerful E/M code selection wizard and hyperlinks to pertinent CPT Assistant articles. Use on up to 5 devices!

Includes 3 Products Packed with Information

Provides 2 Ways to Find the Correct CPT Code: Traditional book lookup using the time-tested organization and indexing of CPT Professional, or the digital power of the CPT Professional App. The app contains:

● Quick CPT code lookup capability;● Complete 2017 CPT code descriptions, augmented with vignettes,

clinical examples, RVUs and CPT Assistant references; plus● E/M code selection wizard, offering CPT, CMS 95 or CMS 97

guidelines at thecoder’s option● Download instant cloud updates and corrections

Pre-Order the 3-in-1 Bundle

$149.95http://cco.pe/cptbundle

Wound Care Centers

Question:There is really not many resources out there for coders in Wound care and it is a very busy department with lots of hurdles to go thru for payment of these services. We have Skin substitutes, HBO treatment, Debridement. Even just coding the Diabetic Ulcers themselves, with ICD-10 codes that don't reflect the Wagner Grade system my providers use, is a nightmare!

ANSWER

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

$100 off CCO Courses

Sale Ends August 31, 2016 Midnight EDT

HTN: Controlled vs. Uncontrolled

Question:How do you make a distinction between controlled and uncontrolled HTN?

Answer

Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,

CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC

CCO Program Director

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

Wednesday 2PM EasternLunch and Learn Coding

Abdominal Aortic Aneurysm Repair Coding

Question:

Can you cover abdominal aortic aneurysm repair coding in a future webinar?

Answer

Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,

CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC

CCO Program Director

Poll - What region of the country are you from?

Poll

Cardiac Cath Clarification - Congenital Defects

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

CCO Founder and CE

Question: In reference to the CPC Blitz Medicine Video covering Cardiac Caths for congenital defects, I understand they are coded in 3 parts- cath, injection and imaging. However in the video, and in the guidelines, I am confused as how to code for the imaging. Is it 93567- add on code for supravalvular aortography or is it coded from the radiology section. Also, could you point out where in the guidelines or parenthetical notes it directs us to code the imaging? It seems so vague, I must be missing something!

Answer

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

New Blitz Reviews Ready for You

➢ CPC Review ➢ ICD-10-CM ➢ ICD-10-PCS ➢ COC - Outpatient➢ CIC - Inpatient➢ RA - Risk Adjustment➢ 2016 CPT Updates

Your Questions from the Chat

Questions In The Chat- August 2016

Your Webinar Chat Team

PFSH leveling in EM coding

Can you go over how to level PFSH in EM coding? On your form you show 1-2 is pertinent and 3 is complete but if it is an established patient 2-3 is considered complete?

http://emuniversity.com/PFSH.html

Preparing for the CPB Exam

Joanne, I am going to be taking my CPB exam on 9/10 any advice? What to study? Thanks :-) JenniferKnow how to read and apply the NCCI with choosing CPT codes, know modifier usage. Understand reports such as an A/R reports. Know insurance models such as HMO, PPO etc., BCBS, Medicare, Medicaid, Work Comp, Commercial carriers and TRICARE. Know the different laws involving Fraud and Abuse, Truth in Lending, False Claim Act, etc., requirements for credentialing, how to register a patient, and verify insurance coverage. Review CPT, ICD-10-CM and HCPCS.Know the rules for medical necessity involving NCCI, NCD and LCD. Know how to fill out a CMS-1500 form and a UB-04. Know about EDI. Retake your chapter tests as often as you can for practice and to gain speed and efficiency.

Resources for Chiropractic Billing

Question: I self-taught myself coding through AAPC course and successfully passed the CPC on my first attempt! I also started a new job two weeks as the ONLY Biller and Coder at a small chiropractor and NP office... Any resources you can think of to help a newbie find out 1) more about billing for a medical and chiropractic office and 2) any chiropractor or billing specific FB groups? I know Jo-Anne is the chiro expert would love any suggestions. Thanks so much! See next slide

Resources for Chiropractic Billing

● Chiropractic billing is very different than medical billing. I would recommend going onto each payer website to get their specific requirements for coding and billing.

● Medicare has very specific requirements. They are restrictive. They do not pay for X-Rays, office visits, modalities, manipulation of extremities.

● Medicare also requires a specific modifier against the manipulation codes.

● NP practices have to abide by state laws and they vary widely. Contact the Board of Nursing for your state and understand the NP’s role on certain procedures such as giving BOTOX injections.

● There is a book called Nurse Practitioner’s Business Practice and Legal Guide, 2nd Edition by Carolyn Buppert. (See next slide)

Resources for Chiropractic Billing

Rules re: non treating provider

I do wound care coding...where can I find the "legal" document pertaining to a provider who is on vacation and another provider doing a "new" refill rx? I think that the non treating provider can put in notes stating they have read and agree with the treating provider - do they also have to explain why they are doing the refill as the non treating provider? Need help please.

Rules re: non treating provider

● Look up the rules on Locum Tenens and Substitute Physicians under Reciprocal Billing. https://www.cms.gov Enter the key words in the search bar.

● There are specific guidelines for both so match the criteria that applies to your office.

● Modifiers are required:

● Q5 is a service furnished by a substitute physician under a reciprocal billing arrangement.

● Q6 is a service furnished by a locum tenens physician.

See next slide

Rules re: non treating provider

LOCUM TENENS

● The regular physician is unavailable to provide the visit services.● The patient has arranged or seeks to receive the visit services from the

regular physician.● The locum tenens provider is paid for his/her services on a per diem or similar

fee-for-time basis.● The substitute physician does not provide services to Medicare patients over

a continuous period of longer than 60 days.

Rules re: non treating provider

Reciprocal Billing

Digital CPT

Is the electronic CPT for just phones or is it a app that can be used on tablets?

The electronic CPT can also be on a tablet such as the IPad.

LIKE us on Facebook

http://facebook.com/cco.us 

Help Us Get The Word Out

Links Referenced in the Webinar

Forum - http://www.cco.us/forum/ Testimonial - http://www.cco.us/testimonials/ BookStore - http://store.cco.us/ Swag Store - http://www.cafepress.com/CCOSwag MAUD Webinar Link - http://www.cco.us/medical-coding-auditor ICD-10 Blitz - http://go.cco.us/icd10-blitzICD-10 Full - http://go.cco.us/icd-10-cm-full-courseRA HCC - http://cco.pe/10qGz8gMCB - http://go.cco.us/medical-coding-billing-course-bundle Course List - www.cco.us.com Replay Club - http://go.cco.us/webinar-replay-club Facebook - http://facebook.com/cco.us YouTube - www.YouTube.com/MedicalCodingCert CEU Link - http://go.cco.us/ceu-freezingCCO VIP Program - http://www.cco.us/webinarvip Risk Adjustment 2.0 - http://www.cco.us/certified-risk-adjustment-coder-crc-course-exam-preparationFree Practice Exams- Job Tools- Coding Reports http://www.cco.us/free-tools-reports-and-exams-for-medical-coding-and-billing

Jo-Anne

Alicia

Laureen

Chandra

Darcy

Happy Coding!

Join our Coding Community

http://www.cco.us/webinarvip

Thanks For Coming!