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March 2016 Medical Coding Q&A Webinar


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The March 2016 Q&A Medical Coding Webinar from Certification Coaching Org (CCO),, discussed a variety of topics of interest to outpatient and inpatient medical coders. The topics discussed included “Review of X {EPSU} Modifiers (modifier 59 alternatives)”, “Can a Z code be a Primary/Admitting Dx?”, “Modifier, Global and Bundle”, “E/M Codes 99201-99205”, “Chiropractic versus Medical Coding”, “ICD-10-PCS Code for ALIF”, “E/M during Post-Op Period (GSP)”, and “Path & Lab 80300 - 80304 CPT codes”. Also discussed was the CCO Risk Adjustment Course V2.0 which is coming soon, and the CCO VIP opportunity. Attendees’ questions on various coding topics were answered. Educational topics were presented by Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC; Alicia Scott, CPC, CPC-I, CRC; Jo-Anne Sheehan, CPC, CPC-I, CPPM, and Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.

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March 2016 Medical Coding Q&A Webinar

  1. 1. Certification Coaching Q & A Webinar March 2016
  2. 2. This Month’s Q & A Webinar Agenda: 90-120 min II: Q&A from our Instructors ● JoAnne: Review of X {EPSU} Modifiers (modifier 59 alternatives) ● Alicia: Can a Z code be a Primary/Admitting Dx? ● Chandra: Modifier, Global and Bundle ● Laureen: E/M Codes 99201-99205 ● JoAnne: Chiropractic versus Medical Coding ● Alicia: ICD-10-PCS Code for ALIF ● Chandra: E/M during Post-Op Period (GSP) ● Laureen: Path & Lab 80300 - 80304 CPT codes I: Introduction ● Why stay? ● Where is everyone from? ● Any Recent Graduates Out There? ● Announcements and Course Updates 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. If your question isn’t selected, post it on our forum where fellow coders can help:
  3. 3. 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)
  4. 4. 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) New Webinar CEU Pricing effective NOVEMBER 2015 * Don’t need CEU’s? Continue to attend the CCO webinar for free!
  5. 5. CONGRATULATIONS! Valeria Mirabella 02/14/2016 Completed ICD-10-CM Full Course Lydia Colon 03/01/2016 Completed CPC Blitz DeLisa Smith 02/17/2016 Completed CPC Blitz Francine Donahue 03/19/2016 Completed CPC Blitz Magnolia T. Reyes 02/27/2016 Completed CPC Blitz, Practice Exams Laura Zmolek 02/20/2016 Completed CPC Course (PBC) Linda LoPrete 02/29/2016 Completed CPC Course (PBC) Ninfa Webb 03/21/2016 Completed CPC Course (PBC) Landa Rader 03/07/2016 Completed CPC Course (PBC)
  6. 6. CONGRATULATIONS! Kirk Neal 03/08/2016 Completed CPC Course (PBC) Durga Shushama 03/12/2016 Completed CPC Course (PBC) Ella Vanden Lanngenberrg 02/21/2016 Completed CPC Course (PBC) Anjee Brazelton 02/26/2016 Completed COC Course (FBC) Jeannine Monagle 03/05/2016 Completed CPMA Course Trude Xanders 03/15/2016 Completed MTA Course Magnolia T. Reyes 02/27/2016 Passed ICD-10 Assessment DeLisa Smith 02/17/2016 Passed CPC Exam Landa Rader 03/07/2016 Passed CPC Exam Lydia Colon 03/01/2016 Passed CPC Exam
  7. 7. CONGRATULATIONS! Durga Shushama 03/12/2016 Passed CPC Exam Ella Vanden Lanngenberrg 02/21/2016 Passed CPC Exam Kirk Neal 03/12/2016 Passed CPC Exam Francine Donahue 03/19/2016 Passed CPC Exam Linda LoPrete 02/29/2016 Passed CPC Exam NInfa Webb 03/21/2016 Passed CPC Exam Jeannine Monagle 03/05/2016 Passed CPMA Exam
  8. 8. Review of X {EPSU} Modifiers (modifier 59 alternatives) Question: Can you review the X modifiers implemented January 1, 2015? ANSWER Jo-Anne Sheehan, CPC, CPC-I, CPPM CCO Sr. Instructor / Coach
  9. 9. Can a Z code be a Primary/Admitting Dx? Question: Can I use a Z code as a primary/first listed diagnosis? I am struggling with coding aftercare especially. ANSWER Alicia Scott, CPC, CPC-I, CRC CCO Education Director
  10. 10. Modifier, Global and Bundle Question: Can you explain a little about the Modifier, Global and Bundle? ANSWER Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC CCO Program Director
  11. 11. Chiropractic versus Medical Coding Question: I recently switched from coding & billing with a 97.5% collection rate to a Chiropractic Group. Now 50% of my claims are being denied- particularly with Medicare and I am not doing anything differently than I did at my prior job. ANSWER Jo-Anne Sheehan, CPC, CPC-I, CPPM CCO Sr. Instructor / Coach
  12. 12. E/M Codes 99201-99205 Question: What E/M code should I use when a new patient comes in to the physician office and the doctor documents the 99201- 99205 codes along with the preventive codes or well visit codes? I believe the 99201-99205 would be appropriate even though the physician states he did the well visit too. ANSWER Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM CCO Founder and CEO
  13. 13. ICD-10-PCS Code for ALIF Question: I am getting confused trying to code for ALIF in ICD-10- PCS. It seems so different from ICD-9-CM vol 3 codes. ANSWER Alicia Scott, CPC, CPC-I, CRC CCO Education Director
  14. 14. E/M during Post-Op Period (GSP) Question: Provider billed with modifier 24 with a diagnosis code for trigger thumb only. Does this justify the 24? Is this significant enough to warrant payment of E/M within global? ANSWER Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC CCO Program Director
  15. 15. Path & Lab 80300 - 80304 CPT codes Question: Can you go over Path & Lab coding for Presumptive Drug Class Screening (80300-80304)? ANSWER Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM CCO Founder and CEO
  16. 16. Coming Soon! Risk Adjustment Course V 2.0 Early Notification: (go there now!)
  17. 17. Case Study: Did the CCO Blitz Videos help you? Q: What was your biggest concern before buying the course? A: Was this course going to provide the method of learning I need, hands-on? Yes that concern went away after the first video. Q: What superpower did this course help you achieve in your medical coding career? A: Confidence!!! Q: Would you recommend the CPC Exam Preparation Videos to someone else? Why? A: In a heartbeat! I was holding myself back looking at coding with a "clinician" brain as a nurse rather than a "coding brain. Q: Anything else you've achieved with the help of our product? A: I landed the best job I have ever had. Karen Thomas, RN, CMT, CPC-A
  18. 18. It’s FREE! Join Now! Limited Seats Available! Details & Register Now:
  19. 19. ANSWERS Questions In The Chat- March 2016 Your Webinar Chat Team
  20. 20. Preventive and Problem Visit Question: Would you be able to bill 2 separate CPTs? Comprehensive preventive medicine and a problem visit? In situations when patient comes in for wellness visit and problem is identified.
  21. 21. Global Surgical Package Question: Global surgical package; what would neuroplasty median nerve be considered; minor or major? Also, can provider bill for application of short arm splint?
  22. 22. 25 Modifier Question: Must the 25 modifier be linked to a different diagnosis than the procedure?
  23. 23. 57 Modifier and Surgery Question: Question on 57 modifier, an auditor told me that if the decision for surgery was made 4 days prior to the actual surgery we must put the 57 on that E/M. I have not found anything regarding this, only that it is for the day before or day of surgery. Do you have any information on this? Thanks!
  24. 24. E/M Discharge Do’s and Dont’s Question: Can you explain E/M Discharge do's and dont's ..example DC note written on a day OTHER than the actual DC date. What is acceptable and what isn't.
  25. 25. Orthopedic Coding Question: I've recently been assigned to code for an orthopedic office. Can you tell me how I can find out more information on orthopedic coding? Thank you
  26. 26. Override Pull Question: What is "override pull" in nursing note when giving patient medicine?
  27. 27. Pathology Coroner Question: Off the wall question about pathology coding- does the coroner office bill for post mortum testing?? just wondering...
  28. 28. LIKE us on Facebook Help Us Get The Word Out
  29. 29. Links Referenced in the Webinar Forum - Testimonial - BookStore - Swag Store - MAUD Webinar Link - ICD-10 Blitz - ICD-10 Full - RA HCC - MCB - Course List - Replay Club - Facebook - YouTube - CEU Link - CCO VIP Program - Medicare Physician Fee Schedule Look Up Tool -
  30. 30. Thanks For Coming! Got Value?
  31. 31. Happy Coding!