The September 2016 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, presented a variety of topics of interest to medical coders and billers. The topics presented included Reporting Unethical Practices, Developing a Compliance Manual, Wound Care Centers: Diabetic Ulcers & Wagner Grade System, Practicode: External Cause Code Errors, Determining Principal or First-Listed Procedure, Non-traumatic Rhabdomyolysis vs. Traumatic Rhabdomyolysis, and Modifier 26 on Radiology Codes in Medicine Section. The CCO VIP opportunity and CCO’s Lunch & Learn Coding on FB Live, were also discussed. 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
September 2016

2. From the Medical
Coding 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, 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. 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 Manual
Alicia Scott:
*Wound Care Centers: Diabetic Ulcers & Wagner Grade System
Chandra Stephensen:
*Practicode: External Cause Code Errors
*Determining Principal or First-Listed Procedure
*Non-traumatic Rhabdomyolysis vs. Traumatic Rhabdomyolysis
Laureen Jandroep:
*Modifier 26 on Radiology Codes in Medicine Section

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!
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)

10. 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

11. Poll
Poll
Poll -
Are You Certified?

12. Q&A
September 2016

13. 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

14. 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

15. 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.

16. 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
$149.95
http://cco.pe/cptbundle

17. Poll
What AAPC coding
credential do you HAVE?

18. Wound Care Centers: Part 2
Diabetic 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

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

20. What coding credential
do you WANT?
Poll

21. 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

22. www.cco.us/flashsale
Ending SOON

23. 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

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

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

26. 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

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

28. 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

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. 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

32. Your Questions
from the Chat
Questions In The Chat - September 2016
Your Webinar Chat Team

33. 2016 Guidelines
Why are the 2016 guidelines included in my
2017 ICD-10-CM coding manual?

34. 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

35. IV Infusion
Can i get information on how to code IV
infusion in an office setting when
administering antibiotics

36. External Codes
When are external codes absolutely
necessary to apply?

37. ICD-10 Codes on Billing Form
How many ICD 10 codes can be placed on the
UB 04 billing form?

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

39. www.YouTube.com/MedicalCodingCert

40. www.cco.us/flashsale
Ending SOON

41. 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

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