1.
Certification Coaching
Q & A Webinar
March 2016

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:
http://www.cco.us/forum/

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.
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)
http://go.cco.us/webinar-replay-club
New Webinar CEU Pricing effective NOVEMBER 2015 *
Don’t need CEU’s?
Continue to attend the CCO webinar for free!

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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Coming Soon!
Risk Adjustment Course V 2.0
Early Notification: http://www.cco.us/ra-early
(go there now!)

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.
It’s FREE!
Join Now! Limited Seats Available!
Details & Register Now:
http://www.cco.us/webinarvip

19.
ANSWERS
Questions In The Chat- March 2016
Your Webinar Chat Team

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.
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.
25 Modifier
Question: Must the 25 modifier be linked to a
different diagnosis than the procedure?

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.
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.
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.
Override Pull
Question: What is "override pull" in nursing note
when giving patient medicine?

27.
Pathology Coroner
Question: Off the wall question about pathology
coding- does the coroner office bill for post
mortum testing?? just wondering...

28.
LIKE us on Facebook
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Help Us Get The Word Out

29.
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
Medicare Physician Fee Schedule Look Up Tool -
https://www.cms.gov/apps/physician-fee-schedule/overview.aspx

30.
Thanks For Coming!
Got Value?
http://www.cco.us/webinarvip

31.
Happy Coding!