Coding Certification Q & A Webinar - May 2013

http://tweetchat.com/room/ccochat Laureen Jandroep, CPC Sr. Instructor, CodingCertification.Org

Poll

Poll - How many CCO webinars have you attended?

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? Lisa Perez – Marketing Director

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

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

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•  Giveaways •  AAPC CEU Index Code for 1 CEU

Special Announcement: WEBINAR CEU's !

Monthly CCO Webinars: •  * Now worth 1 CEU •  per meeting

•  * 12 free CEUs per year

-Regular Attendees -Replay Club Members

http://go.codingcertification.org/webinar-replay-club

Laurie Hardin (passed CPC 4/20/13) Carmen Lassiter (passed CPC 04/25/13) Amarjit Singh (I am CPC as of December 2012 and my wife as of January 2013)

Deborah Riddle (passed CPC) Kimberly Kerr (passed CPC) Diann DeAngelis (passed CPC) Denise Hattub (passed CPC)

Anyone else out there who passed recently?

Congratulations to...

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Poll - What coding credential do you have?

Student Case Studies Our Special Guest Tonight...

Diann DeAngelis, CPC-A Blitz customer and a Nurse Thank you note

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Poll - What coding credential do you WANT?

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

Coding Detached Retina

A case of patient being seen for a detached retina.

ANSWER

During my internship I've noticed that some CPT codes are reported to Medicare using a HCPCS code (often a G code). I assume 'somewhere' on the CMS site I can find a correlation of these codes, so I can write them in my book, but I have not yet. Any idea where I could look? Thanks!

ANSWER

CPT vs HCPCS codes

Coding for Physicals- V70.0 vs V72.3x

Sharla asks -

When pt presents for annual physical and has GYN components to the exam, which ICD-9 would be used as primary dx V70.0 or V72.3x? There is conflicting information out there on this subject, it seems some folks use both codes with V70.0 as primary and some only use V72.3x.

ANSWER

I would love to hear some discussion on the differences of the diagnostic/therapeutic wedge resections (32666 - 32668) and also the wedge resections/biopsies (32607-32608). There is a lot of confusion with these codes between our coders, surgeons, and auditing department. Many times the surgeons will leave out wording such as 'complete resection' or 'attention to margins' and we have been told to then code it as a 32608 (for a lung mass) - even though the number of incisions and the rest of the op note and path report matches the description for a therapeutic wedge. The reimbursement is considerably different and this is causing a great deal of stress between departments. I'd really enjoy

some information on this!! ANSWER

Coding for Lungs and Pleura Procedures

EMR Vendors

I keep hearing about different EMR vendors. What are the more common ones that I should be aware of?

ANSWER

I work in a Outpatient Cancer Center Facility and have a question on a new patient E&M visit. We have a new patient that scheduled a Second Opinion/New patient consultation appt. Patient's family came into the office without the patient for second opinion regarding his disease management. The patient was too ill to come into the appointment. Do you know if there is a New Patient E&M visit that we can bill? The visit was more than 30 minutes with more than 50% of the time in counseling.

ANSWER

New Pt Consult w/Family & Pt not Present

Nerve Block Follow up Care

When coding continuous nerve blocks 64415, 64446 or 64448 how do you code for the follow up when the patient is sent home with the catheter and the follow up is being done via telephone by the anesthesiologist?

ANSWER

If a patient's cc is throwing up/diarrhea, and the patient received an IV Push of Zofran & hydration for 2 hours, would it be coded as 96374, 96361 (2)? Also, are there any cheat sheets or flow charts that explain how to code infusions, pushes & hydration's? - Kathy O

ANSWER

IV Push/Hydration

Elevated Troponin

What is the correct code for elevated troponin, without mention of any definite diagnosis-790.5/790.6 or 790.99?

- Sujidha

ANSWER

Coding Difficult Op Reports Bilateral Myocutaneous Pectoralis Muscle Flap

ANSWER

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