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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 Secondary
Chandra 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, CPPM
CCO Sr. Instructor / Coach
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
Laureen Jandroep, CPC, CPC-I,
COC, CMSCS, CHCI, CPPM
CCO 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 Money
How to “Prepare for ICD-10 Proficiency without
Stress”
CPT Coding updates
Any 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 of
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!
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

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May 2016 Medical Coding Q&A Webinar

  • 1. Certification Coaching Q & A Webinar May 2016
  • 2. 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 Secondary Chandra 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
  • 3. 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/
  • 4. 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)
  • 5. First Webinar With Us? Poll How many CCO webinars have you attended?
  • 6. Poll - What region of the country are you from? Poll
  • 7. 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!
  • 8. 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
  • 9. 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
  • 10. Q & A From the Community Jo-Anne Sheehan, CPC, CPC-I, CPPM CCO Sr. Instructor / Coach Alicia Scott, CPC, CPC-I, CRC CCO Education Director Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM CCO 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
  • 11. 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
  • 12. 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
  • 14. Which Credential to Get After CPC®? Question: Which credential is the best after CPC®? ANSWER Alicia Scott, CPC, CPC-I, CRC CCO Education Director
  • 15. Free COC Practice Exam Now Available http://go.cco.us/free-coc-online-practice-exam
  • 16. 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
  • 18. What coding credential do you WANT? Poll
  • 19. 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 Money How to “Prepare for ICD-10 Proficiency without Stress” CPT Coding updates Any 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
  • 20. 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
  • 22. Poll Poll - Joining Us on Facebook Live? This webinar is being simulcast on Go To: https://www.facebook.com/cco.us
  • 23. 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
  • 24. 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
  • 25. 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
  • 26. 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
  • 27. Choice of 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! or
  • 28. Your Questions from the Chat Questions In The Chat- May 2016 Your Webinar Chat Team
  • 29. 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.
  • 30. 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!
  • 31. OA Question: If you query, are physicians usually forthcoming when giving the specific info you need to code OA correctly?
  • 32. 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?
  • 33. RHIT-CCA Question: I have an RHIT-CCA thru AHIMA how is this compared to the credentials on the screen?
  • 34. 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?
  • 35. It’s FREE! Join Now! Limited Seats Available! Details & Register Now: http://www.cco.us/webinarvip
  • 36. Thanks For Coming! Got Value? http://www.cco.us/webinarvip
  • 37. Happy Coding! Did You Know: Facebook 2PM Every Wednesday