november 2015 medical coding q&a webinar

Certification Coaching Q & A WebinarNovember 2015

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

II: Q&A from our Instructors

● JoAnne: New Coder working as a Biller● JoAnne: TCM Leveling● JoAnne: Readmission after a C-Section

● Alicia: Gastric Bypass Surgery / Obesity Coding● Alicia: Family Planning● Alicia: Fetal Echocardiography Ultrasound ● Alicia: ICD-10 Infant Weight Chart

● Team Discussion:

I: Introduction● Why stay?● Where is everyone from?● Recent CCO Graduates/ You Too?● CCO VIP Program :)● Announcements and Course Updates

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.

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

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

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

New Webinar CEU Pricing Starting NOVEMBER 2015 *

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

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?

CONGRATULATIONS to...

Kammy Hall 10/31/2015 Completed CPC Course

Indu Rajesh 11/2/2015 Completed CPC Course

Roxanne Weller 11/5/2015 Completed CPC Course

Marie Davis 11/9/2015 Completed CPC Course

Michelle Lavoie 10/10/2015 Passed CPC Exam

Kim Johnson 10/17/2015 Passed CPC Exam

Eric Farrington 10/18/2015 Passed CPC Exam

Viktoriya Rebrik 10/18/2015 Passed CPC Exam

Roberta Burkhart 10/19/2015 Passed CPC Exam

Shauna Roefer 10/20/2015 Passed CPC Exam

Kristy LaCaze 10/21/2015 Passed CPC exam

CONGRATULATIONS to... Valerie Alvarado 10/21/2015 Passed CPC exam

Todd Vandevender 10/23/2015 Passed CPC Exam

Todd Vandevender 10/23/2015 Passed CPC Exam

Kim Johnson 10/25/2015 Passed CPC Exam

Charlotte McLaughlin 10/29/2015 Passed CPC Exam

Alicia Plavsic 10/29/2015 Passed CPC Exam

Ellie Sebti 10/31/2015 Passed CPC Exam

Deorey Schneider 11/2/2015 Passed CPC Exam

Deborah Wolf 11/2/2015 Passed CPC Exam

Marva Nitti 11/3/2015 Passed CPC Exam

Barbara Roberts 11/5/2015 Passed CPC Exam

Grace :-) 11/6/2015 Passed CPC Exam


Donna Mitchell ---- Passed CPC Exam

Cora Germany 10/30/2015 Passed CRC Exam

Carolyn Heath 9/3/2015 Passed ICD-10 Assessment

Janice Little 10/2/2015 Passed ICD-10 Assessment

Maria Langsdon 9/3/2015 Completed FBC course

Maria Langsdon 9/15/2015 Completed MTA course

Kammy Hall 10/20/2015 Completed MTA course

Wanda Pavlat 10/24/2015 Completed PBC course

Denise Campos 10/24/2015 Completed PBC course

John Nettleton 9/28/2015 Passed CCS Exam

Oneka Pieters 10/24/2015 Passed COC Exam

Anna Burnham 11/5/2015 Passed COC Exam


Kasey Deason 11/12/2015 Completed CPC Course

Elizabeth Grant 11/12/2015 Completed CPC Course

Sharon Potts 11/7/2015 Passed CPC Exam

Vicki Johnson 11/11/2015 Passed CPC Exam

Charlotte McLaughlin 11/12/2015 Passed CPC Exam

Sumerta Ochani 11/12/2015 Passed CPC Exam

Clara Dugan 11/12/2015 Passed CPC Exam

Roxanne Weller 11/13/2015 Passed CPC Exam

Paul Alberque 11/14/2015 Passed CPC Exam

Janet Keller 11/16/2015 Passed CPC Exam

Barb Rogers 10/31/2015 Passed CRC Exam

Shelley Moore 11/12/2015 Completed MTA course


Charlotte McLaughlin 11/17/2015 Completed CPC Course

Wendy McClellan 10/31/2015 Completed CPC Course

Lilibeth Rivera Garcia 11/18/2015 Completed CPC Course

Marlease Wolfe 11/14/2015 Passed ICD-10 Assessment

Michelle Frazier 11/8/2015 Passed ICD-10 Assessment

Angela Glielmi 11/1/2015 Passed ICD-10 Assessment

Viktoriya Rebrik 11/17/2015 Passed ICD-10 Assessment

Joey Ibarra 11/18/2015 Passed ICD-10 Assessment

Lisa Molt 11/19/2015 Passed CPC Exam

Interested In the CCO BLIZZARD for 2016?

CPT | ICD-10-CM / PCS | COC | CIC | RA | CPT Update

Interested In the CCO BLIZZARD for 2016?

Attend in Person (Tampa FL) or Virtually from Your Home Computer

Details & Register Now:LINK: http://go.cco.us/blizzard

CPT | ICD-10-CM / PCS | COC | CIC | RA | CPT Update

Sessions Starting: Thursday 12/3/2015 > Tuesday 12/8/2015

http://go.cco.us/blizzard

So what are our Students saying about us?

TESTIMONIALS about CCO Courses and BLITZ EVENTS*CPC Blitz - “I am so happy. I love this course and so happy you have this option for me ... I love all the extras that I have purchased and every time I log-in, it is all there in one place. Your program is very professional ... your organization is outstanding for helping students. Thank you very much.” - Connie B.

Risk Adjustment (*new Blitz coming) - “RA-HCC is my second course with CCO. I recently sat for my CRC the exam and passed with 82%. I have no experience in risk adjustment and now have my CRC with assistance of the course… where you get in-depth knowledge as it relates to MA risk adjustment with assistance from Alicia. I highly recommend you to sign up for this course.” - Lenora S.

When You Become A CCO VIP...You Do Stuff… & Earn Rewards!

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The VIP Dashboard

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(and a whole lot more)

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Do We Have Badges!

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150 points

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Challenges/ Community/ Referrals / Rewards



Challenges/ Community/ Referrals / Rewards



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The CCO Bookstore!

● The Instacode Institute● AMA● AAPC● Cengage ● Elsevier

CCO bookstore -- now available from our CCO partners:

Go to: http://store.cco.us/

!! NOTICE !!

Inpatient Facility CodingWe are looking for experts for additional

content development (CIC/CCS), practice exam development,

student coaching, and generalized SME tasks.

CCO quest for Subject Matter Experts in

Is this YOU??? Candidates need to have experience in

Inpatient Facility Coding/Billing/Compliance, etc.

(CIC or CCS certification preferred) ------------------------------------------------------------------------------------------------------------------------------

If you are interested, please message Chandra - [email protected]

------------------------------------------------------------------------------------------------------------------------------

>>> put "CIC/CCS subject matter expert" in the subject line please and provide a

short synopsis of your experience.

mailto:[email protected]

”CCO Swag - Pay it Forward” Program

http://www.cafepress.com/CCOSwag

CCO-BRAND SPECIALTY STORE

Here is where CCO wants to partner with YOU so we can all “Pay it Forward”.

The profit from all CCO Swag purchases will go into a scholarship fund for worthy students trying to afford CCO courses in their quest to

enter the profession.

You can purchase at the CCO Store now, or earn some items through the CCO VIP Program!


Still need to Pass your Proficiency Exam?ICD-10 CCO Style

● ICD-10-CM Blitz* - $395 - NOW $197○ Prepare to pass the Proficiency Assessment

exam with ease!!○ 16 hour course equivalent

* Textbook sold separately

● ICD-10-CM Full Course **Payment Plan Now Available**○ 80 hour course equivalent○ using “Understanding ICD-10-CM” text by Bowie

● ICD-10-CM Practice Exams○ Free 25 Question Exam○ Paid 50 Question Exam - $29.95

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http://go.codingcertification.org/free-icd-10-cm-online-practice-exam



http://go.codingcertification.org/icd-10-cm-practice-exam

Risk Adjustment presented by Alicia Scott, CPC, CPC-I, CCO Education Director

with Content contribution by Subject Matter Expert:

Holly Cassano, CPC

CRC Credential- Risk Adjustment HCC Coding Course

Our HCC Course has 16 jam-packed Modules on

register here: http://go.cco.us/risk-adjustment-hcc-coding-training-course

http://go.cco.us/risk-adjustment-hcc-coding-training-course

CCO Helpdesk

helpdesk.cco.us(You can search the knowledge base,

create a ticket and check up on existing tickets)

Poll - What region of the country are you from?

Poll

● JoAnne: New Coder working as a Biller● JoAnne: TCM Leveling● JoAnne: Readmission after a C-Section

● Alicia: Gastric Bypass Surgery / Obesity Coding● Alicia: Family Planning● Alicia: Fetal Echocardiography Ultrasound ● Alicia: ICD-10 Infant Weight Chart

● Team Discussion:

Coding Q & A Topics

Alicia ScottCPC, CPC-I, CRC

Jo-Anne SheehanCPC, CPC-I, CPPM

New Coder as a Biller

Question: I am a NEW coder, now working as a biller. I see errors often, typically sequencing. How do I protect my license as I am being utilized as a biller and where is the line drawn?

ANSWER

https://docs.google.com/document/d/1Jc7AIJbUPxN_Yfi3zfzzCMNCYGI584OIagntDbhl7-w/edit

TCM Leveling

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

https://docs.google.com/document/d/1zhzePpuC7jwl8C4EJfgsfsXQRhBTBYFNyH1etrA0Kfo/edit

Readmission after a C-Section

Question: What code would be billed if a patient had a C-section and then after discharge was admitted back to the hospital a week in a half later for seroma and the delivering physician is called in to see the patient by the attending/admitting physician?

ANSWER

https://docs.google.com/document/d/1eWqDZVBGHlVWxlrubEa76cBtnkOj0hM_NPdKUIX8c1I/edit

Poll

What AAPC coding credential do you HAVE?

Gastric Bypass / Obesity Coding

Question: A patient is ordered to have “Obesity Counseling” for 6 months prior to her Gastric Bypass surgery. G0447 is not a covered benefit with her insurance. For this type of counseling, where her Obesity is considered an illness in and of itself – wouldn’t you bill 99408 (brief intervention services), or would you bill 99401 (preventive counseling)?

ANSWER

https://docs.google.com/document/d/1Y9bDAc4axtGLSi9DOd7ZWlUFDhMk-erzOe5007-FLBU/edit

Family Planning /Sterilization/ Vasectomy Consults

Question: What CPT code should be used for Family Planning / Sterilization / Vasectomy Consults? I have found some Coders use E&M codes while others use Consult codes and others use Preventive Counseling codes.

ANSWER

https://docs.google.com/document/d/1_I1oCAJ6YU-1EXvkplBvIu427fCWGCumP46Fun-nMVI/edit

Fetal Echocardiography Ultrasound Documentation

Question: Is any specific report documentation (other than a heading of fetal echocardiography and listing of what was viewed and its findings) that is required to bill for a fetal echocardiography (76825) or doppler fetal echocardiography (76826) and to show it was not just an ultrasonic view of the heart?

ANSWER

https://docs.google.com/document/d/1EimPGNGTejTkEa4I25pbqYIAL5pwYSn-Zob9CSZLM1Q/edit

ICD-10 Infant Weight Chart

Question: I am not familiar with the weight of infants, especially now in ICD-10 .. it is by grams. Is there a chart that can be used as a reference? I guess it could be a cross-reference weight into grams. Do you know a site to get a chart? When they talk 4.6 lbs,oz in their questions, the book is by grams....

ANSWER

https://docs.google.com/document/d/1GwPYWjlljlBC6Ld_n8GmT2k3jJ5BafqWdNVmByduZ_Q/edit

Poll

What coding credential do you WANT?

Team DiscussionTesting Experience - CCO Style

Team Discussion:

Testing for an AAPC credential- Your first resource:

www.aapc.com


Team Discussion:

Testing - PreparationWhat should I do to prepare?


Team Discussion:

Testing - What ‘should’ I bring with me? What ‘can’ I bring with me?

Blitz Video Package

or

2 CEU Webinars

or

1 Hour Session with Laureen

(or Alicia)

Free Drawing! Your Choice of:

Let’s Pick A Winner!

http://www.miniwebtool.com/random-name-picker/



Questions In The Chat

ANSWERS

Your Webinar Chat Team

https://docs.google.com/presentation/d/1pU6wSnoc22LYCpA8GZtuJT9aKOqDSiy8AV26URWdB2U/edit#slide=id.gb4478bb99_1_0

Chat Q & AWebinar- Nov 2015

Follow-up and Global

Question: Is the follow up check up after two days from hospital discharge of post-op is it under the global package? Should the patient pay for the follow up check up?

Answer: xxx

ICD-10 Prep

Question: Will the ICD 10 CM Proficiency Assessment Workbook be beneficial for preparing for the exam? What other resources did you recommend?

Answer: xxx

Initial and Subsequent

Question: Can you explain the difference or give examples on the difference of the initial and subsequent and when it switch from the one to the other.

Answer: xxx

TCM Readmitted

Question: What happens when a TCM patient is readmitted within the 30 days from discharge?

Answer: xxx

CPB through AAPC vs AMBA

Question: What is the difference between CPB through AAPC and the billing certification through AMBA?

Answer: xxx

CCS Job

Question: Is it possible to get a job as an inpatient coder with only a CCS and no work experience?

Answer: xxx

Behavior Counseling

Question: Would a Behavioral Counseling Visit be okay in a telemedicine type setting?

Answer: xxx

BMI & Obesity

Question: Should you bill the bmi dx code without obesity dx?

Answer: xxx

Payers - How to Bill

Question: Hi Alicia, most payers nowadays will tell you, "We are not coders, and we cannot tell you how to bill" in order for them not to have to "give you the answer". Unfortunately. Has anyone come across this problem when calling?

Answer: xxx

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 CCO Blizzard - Dec 3-8 - http://go.cco.us/blizzard CCO VIP Program - http://www.cco.us/webinarvip

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

http://www.cco.us/testimonials/

http://store.cco.us/


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http://facebook.com/cco.us

http://www.youtube.com/MedicalCodingCert

http://go.cco.us/ceu

http://go.cco.us/blizzard



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november 2015 medical coding q&a webinar

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