september 2016 medical coding q&a webinar
TRANSCRIPT
From the MedicalCoding
CommunityQ&A
September 2016
Hear and See Us Okay? Yes: Type #1 in Questions Box | No: Type #2 (leave and log back in)
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, CRC, CPC-I, CCS, CANPC, CCC, CEMC,
CFPC, CGSC, CIMC, COBGC, COSC
CCO Program Director
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
September 2016 | Q & A Webinar Agenda: 90-120 min
II: Q&A from the CCO Community
I: Introduction● CCO News and Updates
JoAnne Sheehan: *Reporting Unethical Practices*Developing a Compliance ManualAlicia Scott: *Wound Care Centers: Diabetic Ulcers & Wagner Grade SystemChandra Stephensen: *Practicode: External Cause Code Errors*Determining Principal or First-Listed Procedure*Non-traumatic Rhabdomyolysis vs. Traumatic RhabdomyolysisLaureen Jandroep: *Modifier 26 on Radiology Codes in Medicine Section
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)
CONGRATS! CCO Courses
Recent Exam Passers!Paula Farbolin CPC 08/31/2016 Using CPC Blitz
Anna Bulmash CPC 08/27/2016 Using CPC Blitz
Kim Reid CPC 08/31/2016 Using CPC Blitz
Sarah Wood Rodriquez CPC 11/01/2015 Using CPC Blitz
Melissa Orozco CPC 03/12/2016 Using CPC Blitz
Renee Davis CPC 09/14/2016 Using CPC Blitz
Christine Ordonez CPC 08/26/2016 Using CPC Course (PBC)
CONGRATS! CCO Courses
Recent Exam Passers!Ella M Vandenlangenberg CPC 08/20/2016 Using CPC Course
(PBC), Practice Exams
Catherine Adams CRC 09/10/2016 Using CRC Blitz
Jeanette Springer COC 08/12/2015 Using COC Blitz
Misty Ferguson COC 09/10/2016 Using COC Blitz
Question:Could you cover ethical concerns in a future webinar?
Attempting to notify the facility of unethical practices could lead to termination and adverse effects on future employment.
Should coders keep quiet for the sake of their career? Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC
CCO Sr. Instructor / Coach
Reporting Unethical Practices
Question:
Does CCO have any info on developing a compliance manual?
Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC
CCO Sr. Instructor / Coach
Developing a Compliance Manual
What’s Changing in CPT & ICD-10-CM for 2017?
http://www.cco.us/cpt-icd10cm-update-webinars-2017
On October 1, 2016, thousands of ICD-10-CM codes will be deployed after a long 2-year freeze.
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 the coder’s option● Download instant cloud updates and corrections
Pre-Order the 3-in-1 Bundle
$149.95http://cco.pe/cptbundle
Wound Care Centers: Part 2Diabetic Ulcers & Wagner Grade System
Question: Original question: There are really not many resources out there for
coders in Wound care and it is a very busy department with lots of
hurdles to go through 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.
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
Part 2: Now we will talk about Diabetic Ulcers and the
Wagner Scale System.
ANSWER
Practicode: External Cause Code Errors
Question:Do any of you know why Practicode marks external cause codes as incorrect and don't provide them in their answers?
I had a scenario in which the patient had a gunshot wound that happened while he was walking down the street. Are there rules?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CRC, CPC-I, CCS,
CANPC, CCC, CEMC, CFPC, CGSC, CIMC, COBGC, COSC
CCO Program Director
Determining Principal or First-Listed Procedure
Question: I am currently an inpatient CCS. One question for outpatient and primary dx:
If patient comes for completely different reason (their CC), and doc treats for something different that has a higher RVU for procedure, can we put the 'unexpected' higher RVU procedure first?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CRC, CPC-I, CCS,
CANPC, CCC, CEMC, CFPC, CGSC, CIMC, COBGC, COSC
CCO Program Director
Non-traumatic Rhabdomyolysis vs. Traumatic Rhabdomyolysis
Question: What is the difference between rhabdomyolysis M62.82 and traumatic T79.6?
For example if someone falls and cannot get up but has no significant injuries but developed rhabdo from being on the floor too long, is this traumatic rhabdo or just rhabdo M62.82?
ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CRC, CPC-I, CCS,
CANPC, CCC, CEMC, CFPC, CGSC, CIMC, COBGC, COSC
CCO Program Director
Modifier 26 on Radiology Codes in Medicine Section
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CE
Question:
Do you need Modifier 26 on Radiology Codes in Medicine Section?
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
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 - September 2016
Your Webinar Chat Team
Medicare and Medicaid
We have a patient with Medicare primary and Medicaid secondary and we can't get the claim to crossover from Medicare to Medicaid and this patient is very ill with no family to help. Who can we get the claim to cross over electronic
IV Infusion
Can i get information on how to code IV infusion in an office setting when administering antibiotics
Links Referenced in the Webinar
Flash Sale - http://www.cco.us/flashsale/Video Livestream Notification - http://www.cco.us/fblive/Forum - http://www.cco.us/forum/ Testimonial - http://www.cco.us/testimonials/ BookStore - http://store.cco.us/ Swag Store - http://www.cafepress.com/CCOSwag 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 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-powerRisk 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