September 2016 Medical Coding Q&A Webinar

Laureen Jandroep
Laureen JandroepCCO Founder and CEO à Certification Coaching Organization, LLC
Certification Coaching
Q & A Webinar
September 2016
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
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
First Webinar With Us?
Poll
How many
CCO webinars
have you attended?
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
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)
CCO Graduates July Update
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
Poll
Poll
Poll -
Are You Certified?
Q&A
September 2016
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
$149.95
http://cco.pe/cptbundle
Poll
What AAPC coding
credential do you HAVE?
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
Testimonials and Reviews
https://www.facebook.com/cco.us/reviews
What coding credential
do you WANT?
Poll
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
www.cco.us/flashsale
Ending SOON
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
http://www.cco.us/fblive/
Tuesday 10 AM EasternLive with Laureen
http://www.cco.us/fblive/
Wednesday 2 PM EasternDid You Know CCO
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
Poll - What
region of
the country
are you
from?
Poll
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 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
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 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 - September 2016
Your Webinar Chat Team
2016 Guidelines
Why are the 2016 guidelines included in my
2017 ICD-10-CM coding manual?
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
External Codes
When are external codes absolutely
necessary to apply?
ICD-10 Codes on Billing Form
How many ICD 10 codes can be placed on the
UB 04 billing form?
LIKE us on Facebook
http://facebook.com/cco.us
Help Us Get The Word Out
www.YouTube.com/MedicalCodingCert
www.cco.us/flashsale
Ending SOON
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
Happy Coding!
Jo-Anne
Alicia
Laureen
Chandra
Darcy
1 sur 42

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September 2016 Medical Coding Q&A Webinar

  • 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)
  • 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
  • 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
  • 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
  • 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
  • 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
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  • 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?
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