september 2015 medical coding q&a webinar

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Certification Coachi ng Q & A Webinar September 2015

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Page 1: September 2015 Medical Coding Q&A Webinar

Certification Coaching Q & A Webinar

September 2015

Page 2: September 2015 Medical Coding Q&A Webinar

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

II: Q&A from our Instructors ● JoAnne: Radiology Coding● JoAnne: Back to Basics: CPC Coding/

payment policy

● Alicia: ICD-10 Code of myocardial infarction

● Alicia: Back to Basics: Practicode Case● Alicia: Lesions 10,000 Series● Alicia: Wound Care

● Laureen: Apligraf skin graft

I: Introduction● Why stay?● Where is everyone from?● Recent CCO Graduates/ You Too?● 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/

Page 3: September 2015 Medical Coding Q&A Webinar

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

Page 4: September 2015 Medical Coding Q&A Webinar

First Webinar With Us?

Poll How many CCO webinars

have you attended?

Page 5: September 2015 Medical Coding Q&A Webinar

CONGRATULATIONS to...

Tiffany Whilhem 8/15/2015 Passed CPC

Melanie Bleem 8/24/2015 Passed CPC

Sarah Lindahl 8/25/2015 Passed CPC

Denise Adkins 8/28/2015 Passed CPC

Lori Conley 8/30/2015 Passed CPC

Antonia Lopez 8/31/2015 Passed CPC

Lori Conley 9/4/2015 Passed CPC

Patricia May Exconde 9/5/2015 Passed CPC

Gail Quinn 9/5/2015 Passed CPC

Pam Schulman 9/12/2015 Passed CPC

Barbara Michelle Bess 9/13/2015 Passed CPC

Alicia Espinosa 9/14/2015 Passed CPC

Page 6: September 2015 Medical Coding Q&A Webinar

CONGRATULATIONS to... Melody Mason 8/22/2015 Passed COC

Cindi Duran 8/26/2015 Passed ICD-10 Assessment

Angela Kline 8/28/2015 Passed ICD-10 Assessment

Kendra Johnson 9/4/2015 Passed ICD-10 Assessment

Marcia Hayes 9/9/2015 Passed ICD-10 Assessment

Katherine Jade Martinez 9/14/2015 Passed ICD-10 Assessment

Elizabeth Otto 9/15/2015 Passed ICD-10 Assessment

Anna Burnham 9/15/2015 Passed ICD-10 Assessment

Anna Burnham 9/15/2015 Completed FBC Course

Carol Swedensky 8/23/2015 Completed MTA+PBC Course

Madea DeHaven 9/5/2015 Completed MTA+PBC Course

Sarah Lindahl 8/25/2015 Completed PBC Course

Page 7: September 2015 Medical Coding Q&A Webinar

The CCO Bookstore!

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

CCO bookstore -- now available from our CCO partners:

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

Page 8: September 2015 Medical Coding Q&A Webinar

Examples of Specialty Manuals from InstaCode

Instacode Specialty Manual Subjects Behavioral HealthCardiology/VascularChiropractic Dentistry DermatologyEmergency MedicineENT OtolaryngologyGastroenterologyInternal MedicineInterventional RadiologyLaboratory PathologyNeurology / NeurosurgeryUrology / Nephrology

Obstetrics / GynecologyOMS - Oral Maxillofacial SurgeryOncology / HematologyOphthalmology / OptometryOrthopedicsPain ManagementPediatricsPhysical TherapyPodiatryPrimary Care / Family PracticeRadiologyRheumatology

Page 9: September 2015 Medical Coding Q&A Webinar

”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 store now.

Page 10: September 2015 Medical Coding Q&A Webinar

Don’t forget to sign up …

Alicia ScottCPC, CPC-I, CRC

Laureen JandroepCPC, CPC-I, COC, CMSCS,

CHCI, CPPM

MODIFIERS

Risk Adjustment/HCC

Page 11: September 2015 Medical Coding Q&A Webinar

The Future of Coding >> ICD-10 Prep - CCO Style

● ICD-10-CM Blitz - new!○ Prepare to pass the Proficiency Assessment

exam with ease!!○ 16 hour course equivalent

● 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

Page 12: September 2015 Medical Coding Q&A Webinar

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 Is Here!

Our HCC Course has 16 jam-packed Modules on

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

Page 13: September 2015 Medical Coding Q&A Webinar

How to Become a Certified Medical Coder or a Medical BILLER

Without The Staggering Costs of Traditional Local Schools

Full educational coding and billing bundle package :

$2475

(Over $5100 value)

SUMMER SPECIAL winding down>>> Very limited time: MCB Bundle

http://go.cco.us/medical-coding-billing-course-bundle

Page 14: September 2015 Medical Coding Q&A Webinar

CCO Helpdesk

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

create a ticket and check up on existing tickets)

Page 15: September 2015 Medical Coding Q&A Webinar

Poll - What region of the country are you from?

Poll

Page 16: September 2015 Medical Coding Q&A Webinar

● JoAnne: Back to Basics - Radiology Coding● JoAnne: Back to Basics - Applying Coding to

Payment Policy

● Alicia: Back to Basics - Practicode Case ● Alicia: ICD-10 Coding of subsequent acute

myocardial infarction● Alicia: Lesions 10,000 Series ● Alicia: Wound Care

● Laureen: Apligraf skin graft

Coding Q and A Topics

Alicia ScottCPC, CPC-I, CRC

Jo-Anne SheehanCPC, CPC-I, CPPM

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

Page 17: September 2015 Medical Coding Q&A Webinar

Back to Basics - Radiology Coding

Question: Can you elaborate and give tips on Radiology Coding?

ANSWER

Page 18: September 2015 Medical Coding Q&A Webinar

Back to Basics - Applying Coding to Payment Policy

Question: Please explain CPC coding and payment policy.

ANSWER

Page 19: September 2015 Medical Coding Q&A Webinar

Back to Basics - Practicode Case

Alicia presents a Practicode case

ANSWER

Page 20: September 2015 Medical Coding Q&A Webinar

Poll

What AAPC coding credential do you HAVE?

Page 21: September 2015 Medical Coding Q&A Webinar

ICD-10 Subsequent Acute Myocardial Infarction

This example comes from AAPC Quick Reference. I want to know why we need 2 codes. Is this only a ICD-10 rule? A patient suffers an acute MI of the inferior wall 2 weeks after suffering an acute MI of the left anterior descending coronary artery. He is admitted for the new MI. I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall I21.02 ST elevation (STEMI) myocardial infarction of left anterior descending coronary artery In this example, the second MI occurs within four weeks of the first, so it is a subsequent MI coded from category I22. The patient is admitted for the new MI, so the subsequent MI is the first listed ‐code, followed by the initial MI.

ANSWER

Page 22: September 2015 Medical Coding Q&A Webinar

Poll

What coding credential do you WANT?

Page 23: September 2015 Medical Coding Q&A Webinar

Wound Care

Question: Can you elaborate on wound care coding?

ANSWER

Page 24: September 2015 Medical Coding Q&A Webinar

Lesions 10,000 Series

Question: I get confused when it comes to report per lesion and report number of lesions in the 10,000 series.

Please help!

ANSWER

Page 25: September 2015 Medical Coding Q&A Webinar

Apligraf skin graft

Question: Can you go over coding for Apligraf skin graft procedures?

ANSWER

Page 26: September 2015 Medical Coding Q&A Webinar

Want to Say Something About Us?Like the Webinar?

http://www.cco.us/testimonials

Problems? Try different browsers

Page 27: September 2015 Medical Coding Q&A Webinar

I can't thank you enough for your amazing Blitz program. I took the CPC exam 2 Saturday's ago and passed on my first try with an 87%! I only wish that I had taken your full training program as you teach exactly how I learn best. You are an awesome teacher and I will recommend your program to anyone looking for coding training. Bubble and highlight all the way! THANK YOU!!! Mary H., CPC

So what are our Students saying about us?

TESTIMONIALS about the CCO CPC Blitz Videos

Share Your Own CCO Testimonial: http://www.cco.us/testimonials/

Page 28: September 2015 Medical Coding Q&A Webinar

COURSES★ Medical Terminology & Anatomy Course (MTA)★ Physician Based Coding Course (PBC) - (CPC

course)★ Facility Based Medical Coding (FBC) - (COC

course)★ ICD-10-CM Course★ ICD-10-PCS Course★ Medical Billing Course (PBB)★ Medical Coding Auditing Course (PBMA) ★ Physician Practice Management Course (PPM)★ HCC Risk Adjustment Course★ Medical Coding Practicum (MCP) Course with Pr

acticode

Quick Lineup of CCO Courses

Reviews & Mock Exams

★ CPC Exam Review Blitz Package

★ CPC Mini-Mock Practice Exams

★ ICD-10-CM Blitz Package

★ ICD-10-CM Mini-Mock Practice Exams

For full listing see: cco.us/products

Page 29: September 2015 Medical Coding Q&A Webinar

Poll

Are you interested in any of our course subjects you haven’t yet taken?

Page 30: September 2015 Medical Coding Q&A Webinar

Medical Terminology & Anatomy Course (MTA) 40 CEUs!

CEU Classes (On Demand) ranging from 1 - 4 CEUs each

ICD-10-CM Blitz Course (ICD-10 CM Proficiency Assessment) 16 CEUs!

ICD-10-CM Full Course 40 CEUs!

Facility Based Coding Course (FBC) 40 CEUs!

Physician Practice Manager (PPM) 6.5 CEUs!

Physician Based Billing Course (PBB) 18.5 CEUs!

Physician Based Medical Auditing (PBMA) 12.5 CEUs!

Looking to Fulfill Your CEU Requirement?

More CEUs from CCO! http://cco.us/products

Page 31: September 2015 Medical Coding Q&A Webinar

WEBINAR CEU's - REPLAY CLUB

Monthly CCO Q&A Webinars:

● * Worth 1 to 1.5 CEU per meeting

Replay Club:● * up to 12 free CEUs (or more) per

year ● (for indicated Webinars)

- Regular Attendees - Replay Club Members

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

Page 32: September 2015 Medical Coding Q&A Webinar

LIKE us on Facebook

http://facebook.com/cco.us 

Help Us Get The Word Out

Page 33: September 2015 Medical Coding Q&A Webinar

www.YouTube.com/MedicalCodingCert

Page 34: September 2015 Medical Coding Q&A Webinar

If you don’t already receive our newsletter, send a message to

helpdesk.cco.us

request to join ‘The Insider’s Club’

(Send from the email address you wish to receive your newsletter)

Join the “CCO Insider’s Club” Monthly Newsletter

● Timely Industry Announcements● New Course Announcements● Remote Seminar Partners● Congratulations to our Grads!● Testimonials - what are people saying?● Current Blog links

Gain Access to Our Best Free Medical Coding and Reimbursement Resources!

Introducing our New Weekly Newsletter Format

“Heads-Up Tuesdays”Short and Sweet Links to:

Page 35: September 2015 Medical Coding Q&A Webinar

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!

Page 37: September 2015 Medical Coding Q&A Webinar

Chat Q & AWebinar- Sept 2015

Page 38: September 2015 Medical Coding Q&A Webinar

Modifier 33 and Vaccine

Can you shed any light on the modifier 33 and the Affordable Care Act and vaccine coding with a preventative visit?

Page 39: September 2015 Medical Coding Q&A Webinar

Modifier 33 and Vaccine-Answer

A HCPCS Code G0121 is a colorectal screening colonoscopy on individual NOT MEETING criteria for high risk-DX V76.51 Screening colon cancer. If you use 45378 which is also a colonoscopy but it is a screening with V76.51, you would add modifier 33 to indicate it was a preventive.

Page 40: September 2015 Medical Coding Q&A Webinar

G0179

What should I do for a patient with Medicare primary and BCBS of SC secondary and the physician office bills G0179. Medicare processes and pays, secondary is denying for invalid code?

Page 41: September 2015 Medical Coding Q&A Webinar

G0179 - Answer

G0179 is a physician re-certification for MEDICARE-COVERED home health services under a home health plan of care. There is no CPT code that matches the exact description of this Medicare code so a secondary payment is highly unlikely.

Page 42: September 2015 Medical Coding Q&A Webinar

Unspecified Codes

I have heard if you use unspecified codes the insurance companies are going to "PIN" the claims and request for additional documentation?? Is this true?

Page 43: September 2015 Medical Coding Q&A Webinar

Unspecified Codes -Answer

Unspecified diagnosis codes are not typically queried unless a high level office visit (ex: 99215) is associated with an unspecified diagnosis not qualifying for such a high level of service. THEN you get flagged and documentation must be provided in order to get paid.

Page 44: September 2015 Medical Coding Q&A Webinar

1995 or 1997 Guidelines

Q: Which guidelines do you suggest to use for E/M?1995 or 97?

A: I find that 1997 is the most common guidelines that physicians use. More comprehensive.

Page 45: September 2015 Medical Coding Q&A Webinar

Modifiers Change

I'm trying to get an answer on how modifiers will change since ICD10 is so much more specific now. Like we will still be using modifiers in coding after ICD10 is implemented?

Page 46: September 2015 Medical Coding Q&A Webinar

Modifiers Change-Answer

Modifiers are still required on CPT codes and must match the diagnosis code. Example, cerumen removal, bilateral 69210-50 and diagnosis code for impacted cerumen, bilateral is H61.23. The last character 3 indicates bilateral. If it ends in 0, it is unspecified, 1 is right ear, 2 is left ear.

Page 47: September 2015 Medical Coding Q&A Webinar

Newborn 92586

Any insight on newborn hearing cpt 92586? Certain payers are denying inclusive to facility but we own the equipment and are providing tc and pc so not being billed with a 26 modifier.

Page 48: September 2015 Medical Coding Q&A Webinar

Newborn 92586 - Answer

92586 seems to be listed strictly as global while 92585 and 92587 use 26 and TC. 92586 seems to just present as global.

Page 49: September 2015 Medical Coding Q&A Webinar

Different kinds of coding

What is the difference between the different kinds of coding (CCA, CCS, RHIT, etc)

Page 50: September 2015 Medical Coding Q&A Webinar

Hospital Follow-up

Can you have hosp follow-up as a chief complaint without any further details but follow-up?

Page 51: September 2015 Medical Coding Q&A Webinar

Transition Care Management

Wouldn't a hospital follow up be a TCM? Transition Care Management? The patient has to be contacted by a certain time as well as other guidelines pertaining to TCM?

Page 52: September 2015 Medical Coding Q&A Webinar

Code G83.23

Code G83.23 patient is left handed, for code G83.24 Monoplegia of upper limb affecting left non-dominant side, is patient left handed or right handed?

Page 53: September 2015 Medical Coding Q&A Webinar

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 Helpdesk - helpdesk.cco.us 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 Apiligraf Link - http://www.apligraf.com/professional/what_is_apligraf/index.html

Page 54: September 2015 Medical Coding Q&A Webinar

Thanks For Coming! Get Value?http://www.cco.us/testimonials