The educational topics presented during the October 2016 Q&A Webinar included Cranioplasty with Autograft and Add-on Code Incision and Retrieval of Subcutaneous Cranial Bone Graft, Practice Manager Role in Managing Write-Offs, ICD-10-CM: Hypertension and Heart Disease, ICD-10-CM Possible Diagnosis in Outpatient Setting, Anesthesia: Hernia Repairs on Infants (00834 – 00836), Decompression of Meniscal Cysts, Physical and Occupational Therapy Examples (code 97535), and The Ins and Outs of GI Scopes. New pricing for the CPC Blitz was also discussed, as well as the BHAT™ Technique. Laureen Jandroep also reminded attendees about her “Facebook Live” called “Live with Laureen” which views Tuesdays at about 10 a.m. Eastern time and “Did You Know CCO” which Chandra Stephenson presents on Wednesdays at 2 p.m. Eastern. Information about CCO Remote Presentations for local chapters was also mentioned. Attendees’ questions on various coding topics were answered. Educational topics were presented by Jo-Anne Sheehan, CPC, CPC-I, CPPM; Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CRC, CPC-I, CCS, CANPC, CCC, CEMC, CFPC, CGSC, CIMC, COBGC, COSC; Alicia Scott, CPC, CPC-I, CRC; and Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.

1. Certification Coaching
Q & A Webinar
October 2016

2. From the Medical
Coding CommunityQ&A October 2016
Hear and See Us Okay? Yes: Type #1 in Questions Box | No: Type #2 (leave and log back in)
Jo-Anne Sheehan, CPC, CPB, COC,
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, CRC, CPC-I, CCS, CANPC, CCC,
CEMC, CFPC, CGSC, CIMC, COBGC, COSC
CCO Program Director

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. October 2016 | Q & A Webinar Agenda: 90-120 min
II: Q&A from the CCO Community
I: Introduction
● CCO News and Updates
JoAnne Sheehan:
*Cranioplasty with autograft and add-on code incision
*Practice Manager Role in Monitoring Write-Offs
Alicia Scott:
*ICD-10-CM: Hypertension and Heart Disease
*ICD-10-CM: Possible Diagnosis in Outpatient Setting
Chandra Stephensen:
*Anesthesia: Hernia Repairs on Infants (00834-00836)
*Decompression of Meniscal Cysts
Laureen Jandroep:
*CPT®: Physical Therapy Examples (code 97535)
*CPT: Colonoscopy and EGD Coding

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/topic-
request/

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. 1.5 CEU’s | CCO Monthly Q&A Webinar
Don’t need CEU’s?
Continue to attend the CCO webinar for free!
*CEU Link at the end of the webinar (+/- 90 min)

9. CCO Graduates October 2016 Update

10. CONGRATS! CCO Courses
Recent Exam Passers!
Tierra Bush CPC 09/15/2016 Using Practice Exams
Shana Ameral-Booth CPC 09/17/2016 Using CPC Blitz
Alice Brock CPC 09/23/2016 Using CPC Blitz,
Practice Exams
Lisa Wilcox CPC 09/17/2016 Using CPC Blitz
Deanna M Cornejo CPC 09/17/2016 Using CPC Course
(PBC)
Anrea du Toit CPC 09/29/2016 Using CPC Course
(PBC)
Jacqueline Corrado CPC 08/27/2016 Using CPC Blitz

11. CONGRATS! CCO Courses
Recent Exam Passers!
Pamela Hebert COC 09/17/2016 Using COC Blitz
Frances Woodard COC 09/17/2016 Using COC Blitz,
Practice Exams, CPC
Course (PBC)
Gale Tobin COC 09/03/2016 Using COC Blitz, CPC
Blitz
Carolyn Cassady CRC 09/17/2016 Using CRC Blitz, CPC
Course (PBC)
Kathy M Jones CRC 09/10/2016 Using CRC Blitz
Catherine Hooker CRC 09/24/2016 Using CRC Course,
CRC Blitz
Lesa de Fluiter CPC 09/23/2016 Using CPC Bitz

12. CONGRATS! CCO Courses
Recent Exam Passers!
Michelle Hembree CPC 09/24/2016 Using CPC Blitz, MTA
Course, Practice Exams
Jiayi Ni CPC 09/24/2016 Using CPC Blitz, CPC
Course (PBC)
Kim West CPC 09/24/2016 Using CPC Blitz
Alberta Silveri CPC 09/24/2016 Using CPC Blitz,
Practice Exams
Sherry Tutor CPC 08/27/2016 Using CPC Blitz, COC
Blutz, Practice Exams
Bakhtiyar Yusupov CPC 09/10/2016 Using CPC Blitz,
Practice Exams
Perrietta Troum CPC 09/17/2016 Using CPC Blitz, CPC
Course (PBC), Practice
Exams

13. CONGRATS! CCO Courses
Recent Exam Passers!
Quinton Jones CPC 10/08/2016 Using CPC Blitz
Brandie Horton CPC 08/06/2016 Using CPC Blitz
Shana Ameral-Booth CPC 09/17/2016 Using CPC Blitz,
Practice Exams
Robyn Berry CPC 08/20/2016 Using Practice Exams
Rasheed Adeyemi CPC 10/12/2016 Using CPC Course
(PBC), Using CPC Blitz,
MTA Course
Kathleen K DiPietro CPC 08/20/2016 Using CPC Blitz
Cynthia Lasnier Unger CPC 09/24/2016 Using CPC Blitz,
BHAT™ System

14. CONGRATS! CCO Courses
Recent Exam Passers!
Maria D. Weber, CPC-A CPC 10/20/2016 Using CPC Blitz
Rhonda Crouch CPMA 09/17/2016 Using BHAT™ System

15. Poll
Poll
Poll -
Are You Certified?

16. Q&A
October 2016

17. Question:
This topic is about understanding how to code a
cranioplasty with autograft as well as the incision and
retrieval of subcutaneous cranial bone graft for
cranioplasty, if performed.
This procedure will be described in detail as well as how
the codes work together.
Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC
CCO Sr. Instructor / Coach
Cranioplasty with Autograft and Add-On Code Incision

18. Question:
Practice managers need to make sure that steady cash is flowing
and that all jobs linked to the practice's financial success are being
managed properly. Understand the various types of write-offs within
a practice and the steps required to make certain EOBS are being
posted properly and appeals being made and not just being written
off. Know some of the reasons why billers write off outstanding
claims when they should not.
Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC
CCO Sr. Instructor / Coach
Practice Manager Role in Monitoring Write-Offs

19. 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.

20. Poll
What AAPC coding
credential do you HAVE?

21. ICD-10-CM: Hypertension and Heart Disease
Question:
Is there an assumed relationship between heart
disease and hypertension if the patient has
exacerbated CHF with a history of HTN?
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
ANSWER

22. ICD-10-CM: Possible Diagnosis in Outpatient Setting
Question:
If a physician uses the word possible as in possible
nonunion of fracture in the CPT world can we code the
procedure as a nonunion of fracture repair? In the op
note the physician did not document repair of non-
union.
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
ANSWER

23. What coding credential
do you WANT?
Poll

24. Anesthesia: Hernia Repairs on Infants (00834-00836)
Question:
I am trying understand CPT® codes 00834 and 00836. I think
00834 is saying is the baby was born full term, meaning beyond
37 weeks, and is younger than a year old when the hernia repairs
happen. Unlike CPT® code 00836 which, I think, would be for a
baby who was not born full term but has to have the repair done
before they are 50 gestational weeks old. If I am understanding
both of these codes correctly, how would you code for a baby
that was not full term but had the repairs after they are older then
50 week gestational?
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

25. Decompression of Meniscal Cysts
Question: I need help in finding a CPT code for
decompression of meniscus cysts. Documentation states,
"In the meniscus, there were multiple cysts along the
anterior tibial lateral condyle and Hoffa synovitis. Using
shavers and radiofrequency probe, cysts were
decompressed and synovectomy was performed." I am
thinking it is a separate procedure from the synovectomy, or
synovectomy is bundled with the decompression.
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

26. http://www.cco.us/medical-coding-certification-cpc-review-blitz
CPC Blitz New Pricing

27. http://www.cco.us/fblive/
Tuesday 10 AM EasternLive with Laureen

28. http://www.cco.us/fblive/
Wednesday 2 PM EasternDid You Know CCO

29. CPT®: Physical Therapy Examples (code 97535)
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CE
Question:
I would like some examples of when it is okay to code
97535 for Physical Therapy.
Answer

30. CPT: Ins and Outs of GI Scopes
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CE
Question:
I would like a walk through a colonoscopy and EGD.
What makes a colonoscopy one with a biopsy of a polyp
(45380) versus an ablation of a polyp (45388)?
Answer

31. Are You Using the BHAT™ System?
Poll

32. BHAT Technique
http://www.cco.us/bhat/

33. 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

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

35. 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

36. Your Questions
from the Chat
Questions In The Chat - October 2016
Your Webinar Chat Team

37. Dehisced Wound
On the I&D question, this is a wound care
office, pt came in for follow-up of the
dehisced wound. I was told to use the 10061.
Dr note said I&D of abscess but no abscess
was found, so 12021 is more appropriate?

38. Hypertension
HTN is not curable unless well controlled, can
we code it? It may not a Hx code.

39. 11042-11047
Can you explain how to add the
measurements for wound debridement codes
11042-11047

40. Lab and 99212
If patient go for lab and do not see doctor
than which code we do? 99212 or not code?

41. Procedures and Modifiers
Can we add all procedure and bill together or
do separately and add modifier?

42. Coding and Billing
I know that coding and billing go in hand and
hand. Is it wrong to do billing first and then
coding?

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

44. www.YouTube.com/MedicalCodingCert

45. 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-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
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-power
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

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