1. Certification Coaching
Q & A Webinar
August 2016

2. From the Medical
Coding 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, CPPM, CPC-I, CCS, CANPC, CEMC, CFPC,
CIMC, CGSC, COaaSC, CRC, CCC
CCO Program Director
Q&A
Hear and See Us Okay?
Yes: Type #1 in Questions Box | No: Type #2
August 2016

3. 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

4. First Webinar With Us?
Poll
How many
CCO webinars
have you attended?

5. August 2016 | Q & A Webinar Agenda: 90-120 min
II: Q&A from the CCO Community
I: Introduction
● CCO News and Updates
JoAnne Sheehan:
*Transitional Care Management (TCM) - Medical Decision
Making (MDM) Leveling
Alicia Scott:
*Breast Cancer: Specific Details Now Required
*Wound Care Centers
Chandra Stephensen:
*HTN: Controlled vs. Uncontrolled
*Abdominal Aortic Aneurysm Repair Coding
Laureen Jandroep:
*Cardiac Cath Clarification - Congenital Defects

6. 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/

7. 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)

8. CCO Graduates July Update

9. CONGRATS! CCO Courses
Recent Exam Passers!
Crystal Braddock CPC 04/23/2016 Using CPC Blitz
Pamela Wolf CPC 06/11/2016 Using CPC Blitz
Rosemarie Belan CPC 07/16/2016 Using CPC Blitz
Joell Peters CPC 07/23/2016 Using CPC Blitz
Jennifer Steinlauf CPC 07/16/2016 Using CPC Blitz
Patricia Perdue CPC 07/28/2016 Using CPC Blitz
Marquette Johnson Green CPC 07/16/2016 Using CPC Blitz
Dave Tidwell CPC 06/04/2016 Using CPC Blitz

10. CONGRATS! CCO Courses
Recent Exam Passers!
Rosanne Barnett CPC 08/06/2016 Using CPC Blitz
Mary Yabut CPC 07/16/2016 Using CPC Course
(PBC)
Jennifer Wilkerson CPC 07/09/2016 Using CPC Course
(PBC)
Malinda Wildey CPC 03/22/2012 Using CPC Course
(PBC)
Susan Dowe CPB 07/19/2016 Using CPB Course
(PBB)
Carolyn Cassady CPC 07/16/2016 Using CPC Course
(PBC)
Mary Yabut CPC 07/23/2016 Using CPC Course
(PBC)

11. CONGRATS! CCO Courses
Recent Exam Passers!
Terrance Parmegiani CPC 07/16/2016 Using CPC Blitz,
Practice Exams
Denise Frazier CPC 07/29/2016 Using CPC Blitz,
Practice Exams
Kathy Maloney CPC 08/10/2016 Using CPC Blitz,
Practice Exams
Justin Bustamante CPC 08/06/2016 Using CPC Blitz,
Practice Exams
Melanie Bleem CPB 08/06/2016 Using CPB Course,
Practice Exams
Jeanette Springer COC 08/12/2015 Using COC Blitz
Lisa Dietrich-Blocker CPC 07/22/2016 Using CPC Blitz, PBC
Course, MTA and
Practice Exams

12. CONGRATS! CCO Courses
Recent Exam Passers!
Gena Maher CPC 07/23/2016 Using CPC Blitz,
Practice Exams
Susan Bonenfant CPC 07/23/2016 Using PBC Course,
Practice Exams
Denise Hess CRC 08/01/2016 Using CRC Blitz, CPC
Blitz, Practice Exams
Sharon Andersen CRC 08/06/2016 Using CRC Blitz

13. Poll
Poll
Poll -
Are You Certified?

14. Q&A
August 2016
Let’s Do This!

15. 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
Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC
CCO Sr. Instructor / Coach
Transitional Care Management (TCM) - Medical Decision
Making (MDM) Leveling

16. Free Job Aides and Coding Reports
http://www.cco.us/free-tools-reports-and-exams-for-medical-coding-and-billing/

17. Testimonials and Reviews
https://www.facebook.com/cco.us/reviews

18. Poll
What AAPC coding
credential do you HAVE?

19. Breast Cancer: Specific Details Now Required
Question:
Can you present something on Breast and Cancer areas, since
treatment is now being focused on the unique or rare type
the patient is felt to have?
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director

20. What coding credential
do you WANT?
Poll

21. 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 thecoder’s option
● Download instant cloud updates and corrections
Pre-Order the 3-
in-1 Bundle
$149.95
http://cco.pe/cptbundle

22. Wound Care Centers
Question:
There is really not many resources out there for coders in
Wound care and it is a very busy department with lots of
hurdles to go thru 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!
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director

23. $100 off CCO Courses
Sale Ends August 31, 2016
Midnight EDT

24. HTN: Controlled vs. Uncontrolled
Question:
How do you make a distinction between controlled and uncontrolled
HTN?
Answer
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director

25. https://www.facebook.com/cco.us/
Wednesday 2PM EasternLunch and Learn Coding

26. Abdominal Aortic Aneurysm Repair Coding
Question:
Can you cover abdominal aortic aneurysm repair coding in a
future webinar?
Answer
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director

27. Poll - What
region of
the country
are you
from?
Poll

28. Cardiac Cath Clarification - Congenital Defects
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CE
Question:
In reference to the CPC Blitz Medicine Video covering Cardiac
Caths for congenital defects, I understand they are coded in 3
parts- cath, injection and imaging. However in the video, and in
the guidelines, I am confused as how to code for the imaging. Is it
93567- add on code for supravalvular aortography or is it coded
from the radiology section. Also, could you point out where in the
guidelines or parenthetical notes it directs us to code the
imaging? It seems so vague, I must be missing something!
Answer

29. 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

30. New Blitz Reviews Ready for You
➢ CPC Review
➢ ICD-10-CM
➢ ICD-10-PCS
➢ COC - Outpatient
➢ CIC - Inpatient
➢ RA - Risk Adjustment
➢ 2016 CPT Updates

31. Your Questions
from the Chat
Questions In The Chat- August 2016
Your Webinar Chat Team

32. PFSH leveling in EM coding
Can you go over how to level PFSH in EM
coding? On your form you show 1-2 is
pertinent and 3 is complete but if it is an
established patient 2-3 is considered
complete?
http://emuniversity.com/PFSH.html

33. Preparing for the CPB Exam
Joanne, I am going to be taking my CPB exam
on 9/10 any advice? What to study? Thanks
:-) Jennifer
Know how to read and apply the NCCI with choosing CPT codes, know modifier
usage. Understand reports such as an A/R reports. Know insurance models such
as HMO, PPO etc., BCBS, Medicare, Medicaid, Work Comp, Commercial carriers
and TRICARE. Know the different laws involving Fraud and Abuse, Truth in
Lending, False Claim Act, etc., requirements for credentialing, how to register a
patient, and verify insurance coverage. Review CPT, ICD-10-CM and
HCPCS.Know the rules for medical necessity involving NCCI, NCD and LCD.
Know how to fill out a CMS-1500 form and a UB-04. Know about EDI. Retake your
chapter tests as often as you can for practice and to gain speed and efficiency.

34. Resources for Chiropractic Billing
Question: I self-taught myself coding through
AAPC course and successfully passed the
CPC on my first attempt! I also started a new
job two weeks as the ONLY Biller and Coder
at a small chiropractor and NP office... Any
resources you can think of to help a newbie
find out 1) more about billing for a medical
and chiropractic office and 2) any
chiropractor or billing specific FB groups? I
know Jo-Anne is the chiro expert would love
any suggestions. Thanks so much! See next slide

35. Resources for Chiropractic Billing
● Chiropractic billing is very different than medical billing. I would recommend
going onto each payer website to get their specific requirements for coding
and billing.
● Medicare has very specific requirements. They are restrictive. They do not
pay for X-Rays, office visits, modalities, manipulation of extremities.
● Medicare also requires a specific modifier against the manipulation codes.
● NP practices have to abide by state laws and they vary widely. Contact the
Board of Nursing for your state and understand the NP’s role on certain
procedures such as giving BOTOX injections.
● There is a book called Nurse Practitioner’s Business Practice and Legal
Guide, 2nd Edition by Carolyn Buppert. (See next slide)

36. Resources for Chiropractic Billing

37. Rules re: non treating provider
I do wound care coding...where can I find the
"legal" document pertaining to a provider
who is on vacation and another provider
doing a "new" refill rx? I think that the non
treating provider can put in notes stating they
have read and agree with the treating
provider - do they also have to explain why
they are doing the refill as the non treating
provider? Need help please.

38. Rules re: non treating provider
● Look up the rules on Locum Tenens and Substitute
Physicians under Reciprocal Billing. https://www.cms.gov Enter
the key words in the search bar.
● There are specific guidelines for both so match the criteria
that applies to your office.
● Modifiers are required:
● Q5 is a service furnished by a substitute physician
under a reciprocal billing arrangement.
● Q6 is a service furnished by a locum tenens physician.
See next slide

39. Rules re: non treating provider
LOCUM TENENS
● The regular physician is unavailable to provide the visit services.
● The patient has arranged or seeks to receive the visit services from the
regular physician.
● The locum tenens provider is paid for his/her services on a per diem or similar
fee-for-time basis.
● The substitute physician does not provide services to Medicare patients over
a continuous period of longer than 60 days.

40. Rules re: non treating provider
Reciprocal Billing

41. Digital CPT
Is the electronic CPT for just phones or is it a
app that can be used on tablets?
The electronic CPT can also be on a tablet such as the IPad.

42. LIKE us on Facebook
http://facebook.com/cco.us
Help Us Get The Word Out

43. 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-blitz
ICD-10 Full - http://go.cco.us/icd-10-cm-full-course
RA HCC - http://cco.pe/10qGz8g
MCB - 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-freezing
CCO VIP Program - http://www.cco.us/webinarvip
Risk Adjustment 2.0 - http://www.cco.us/certified-risk-adjustment-coder-crc-course-exam-
preparation
Free Practice Exams- Job Tools- Coding Reports http://www.cco.us/free-tools-reports-
and-exams-for-medical-coding-and-billing

44. Jo-Anne
Alicia
Laureen
Chandra
Darcy
Happy Coding!

45. Join our Coding Community
http://www.cco.us/webinarvip
Thanks For Coming!