Certification Coaching Q & A Webinar

May 2016

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

II: Q&A from the CCO Community

I: Introduction● CCO News and Updates

JoAnne Sheehan: * Back to Basics Physician Billing - The Very First Step* How to Determine if OS Site is Primary or SecondaryChandra Stephensen: *ER and Probable DX*Vaccine Administration

Alicia Scott: *Which credential is the best after CPC®? *ICD-10 Impact on RA

Laureen Jandroep: *Cardiac Cath clarification question*PCI (Percutaneous Coronary Intervention) CPT Coding

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:

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)

First Webinar With Us?

Poll How many CCO webinars

have you attended?

Poll - What region of the country are you from?

Poll

CCO Monthly Q&A Webinar CEU Changes

Webinar Attendees: Accessed within 24 hours● * $5 - Worth 1 to 1.5 CEU per meeting

● Webinar Attendees: After 24 hours (only available

to Replay Club Members):* $0 - Included in your membership

($19.95 month)

http://go.cco.us/webinar-replay-club

Don’t need CEU’s? Continue to attend the CCO webinar for free!

CONGRATULATIONS!

Myrna Jackson 05/03/2016 Completed CPC Course (PBC)

Rockeisha Clarke 05/09/2016 Completed CPC Course (PBC)

Renee Holl 05/10/2016 Completed CPC Course (PBC)

Janice Boylan 04/02/2016 Completed CPC Course (PBC)

Dawn Crotty 03/26/2016 Completed CPC Course (PBC)

Sandy Martin 04/25/2016 Completed CPC Blitz

Ashley Brown-Pacheco 05/07/2016 Completed CPC Blitz

Merlin Samson 04/21/2016 Completed CPC Practice Exam

CONGRATULATIONS!

Anjee Brazelton 04/19/2016 Passed COC Exam

Rockeisha Clarke 05/09/2016 Passed CPC Exam

Merlin Samson 04/21/2016 Passed CPC Exam

Dawn Crotty 03/26/2016 Passed CPC Exam

Sandy Martin 04/25/2016 Passed CPC Exam

Myrna Jackson 05/03/2016 Passed CPC Exam

Renee Holl 05/10/2016 Passed CPC Exam

Ashley Brown-Pacheco 05/07/2016 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

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

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

COaaSC, CRC, CCC

CCO Program Director

Question: I can’t seem to get my first claim transmitted without some type of denial coming back. I am checking the CPT and ICD-10-CM codes and it all links together. What is going on?

Answer

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

CCO Sr. Instructor / Coach

Back to Basics Physician Billing - The Very First Step

Question: Can we discuss coding osteoarthritis? I often see it diagnosed as osteoarthritis with a specified site but not if it is primary or secondary.

Answer

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

CCO Sr. Instructor / Coach

How to Determine if OS site is Primary or Secondary

Poll

Poll

Poll - Are You Certified?

Which Credential to Get After CPC®?

Question:

Which credential is the best after CPC®?

ANSWER

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

Free COC Practice Exam Now Available

http://go.cco.us/free-coc-online-practice-exam

ICD-10 Impact on RA

Question:How has ICD-10-CM impacted risk adjustment conditions? Depression is an example. It will be important for the provider to mention the severity (mild, moderate, severe) or clinical status since Depression (ICD-9-CM: 311) now maps to Major Depressive Disorder, Initial Episode, Unspecified (ICD-10-CM: F32.9). If the provider mentions the severity or clinical status then it will risk adjust. Are there any conditions that the other coders are aware of?

ANSWER

Alicia Scott, CPC, CPC-I, CRC

CCO Education Director

Poll

What AAPC coding credential do you HAVE?

What coding credential do you WANT?

Poll

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

ER and Probable DX

Question: Are Emergency Dept visits diagnoses which state "suspected," "presumed," etc, to be coded following the inpatient or outpatient guidelines? That is, are coders to follow inpatient guidelines of "confirmed" if the patient is admitted through the ED to Observation/Inpatient status and use the outpatient guidelines of "not confirmed" if patient is discharged from ED to home? Can you please give me direction on this.

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

Poll

Poll - Joining Us on Facebook Live?

This webinar is being simulcast on

Go To:

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

Vaccine Administration

Question:

What should be the correct coding sequence about the vaccine? Code first the vaccine and then the route of administration? But some will start their coding the administration then the vaccine? What is the correct sequence code?

Answer

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

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

CCO Program Director

Facility Based Coding Course (FBC) Price Increase

http://go.cco.us/facility-based-coding-course

$1495$548

Final Days to Save! $350 Price Increase On May 22nd at Midnight EDT

New

Facility Based Coding Course (FBC) PLUS Medical Terminology & Anatomy for Medical Coders (MTA) Course Price Increase

http://go.cco.us/fbc-mta-bundle-course

$1852$509

New

PCI (Percutaneous Coronary Intervention) CPT Coding

Question:

Please review PCI (Percutaneous Coronary Intervention) CPT Coding

Answer

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

CCO Founder and CEO

Choice ofBlitz Video

Package

or

2 CEU Webinars

or

1 Hour Session with Laureen

(or Alicia)

Free Drawing! Your Choice of:

Let’s Pick A Winner!

or

Your Questions from the Chat

Questions In The Chat- May 2016

Your Webinar Chat Team

Removal of Prosthesis

Question: How do I code the repair of large omphalocele when the removal of prosthesis, final reduction and closure happens in bed side and not in OR. Can you give the appropriate code for this procedure.

Maxillofacial or Dental Codes

Question: Does CMS require DDS provider billing for maxillofacial with CPT codes or the dental CDT code? Thank you so much!

OA

Question: If you query, are physicians usually forthcoming when giving the specific info you need to code OA correctly?

Osteoarthritis

Question: If HPI ROS and exam states pt has osteoarthritis of left hip but provider codes osteoarthritis hip unspecified (because they don't want to find the specific code) can you code the left hip from the above mentioned?

RHIT-CCA

Question: I have an RHIT-CCA thru AHIMA how is this compared to the credentials on the screen?

Z51.89

Question: When coding inpatient is anyone else using Z51.89 for patients who are admitted for rehab or is it specific only to physical or occupational therapy coding?

It’s FREE!

Join Now! Limited Seats Available!

Details & Register Now:http://www.cco.us/webinarvip

Thanks For Coming! Got Value?

http://www.cco.us/webinarvip

Happy Coding!

Did You Know: Facebook 2PM Every Wednesday