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Certification Coaching
Q & A Webinar
November 2015
This Month’s Q & A Webinar Agenda: 90-120 min
II: Q&A from our Instructors
● JoAnne: New Coder working as a Biller
● JoAnn...
CCO Monthly Q&A Webinar CEU Changes
Webinar Attendees: Accessed within 24 hours
● * $5 - Worth 1 to 1.5 CEU per meeting
● ...
Why Stay To The End?
Giveaway!
Free Drawing of Your Choice of 1 of the following:
Blitz Video Package | 2 CEU Webinars | 1...
First Webinar With Us?
Poll
How many CCO webinars
have you attended?
CONGRATULATIONS to...
Kammy Hall 10/31/2015 Completed CPC Course
Indu Rajesh 11/2/2015 Completed CPC Course
Roxanne Weller...
CONGRATULATIONS to...
Valerie Alvarado 10/21/2015 Passed CPC exam
Todd Vandevender 10/23/2015 Passed CPC Exam
Todd Vandeve...
CONGRATULATIONS to...
Donna Mitchell ---- Passed CPC Exam
Cora Germany 10/30/2015 Passed CRC Exam
Carolyn Heath 9/3/2015 P...
CONGRATULATIONS to...
Kasey Deason 11/12/2015 Completed CPC Course
Elizabeth Grant 11/12/2015 Completed CPC Course
Sharon ...
CONGRATULATIONS to...
Charlotte McLaughlin 11/17/2015 Completed CPC Course
Wendy McClellan 10/31/2015 Completed CPC Course...
Interested In the CCO BLIZZARD for 2016?
CPT | ICD-10-CM / PCS | COC | CIC | RA | CPT Update
Interested In the CCO BLIZZARD for 2016?
Attend in Person (Tampa FL) or Virtually from Your Home Computer
Details & Regist...
So what are our Students saying about us?
TESTIMONIALS about CCO Courses and BLITZ EVENTS*
CPC Blitz - “I am so happy. I l...
When You Become A CCO VIP...
You Do Stuff… & Earn Rewards!
Details & Register Now:
http://www.cco.us/webinarvip
It’s FREE!
Signup
http://www.cco.us/webinarvip
The VIP Dashboard
1- VIP Basic
2- Raving Fan
3- Groupie
4- Rockstar
(and a whole lot more)
It’s FREE!
Details & Register Now:
http://www.cco...
It’s FREE!
150 points
Details & Register Now:
http://www.cco.us/WebinarVip
Get started!
Take a selfie on
the webinar right...
It’s FREE!
Details & Register Now:
http://www.cco.us/webinarvip
Challenges/ Community/ Referrals / Rewards
It’s FREE!
Details & Register Now:
http://www.cco.us/webinarvip
Challenges/ Community/ Referrals / Rewards
It’s FREE!
Details & Register Now:
http://www.cco.us/webinarvip
Challenges/ Community/ Referrals / Rewards
It’s FREE!
Details & Register Now:
http://www.cco.us/webinarvip
Join Now! Limited Seats Available!
The CCO Bookstore!
● The Instacode Institute
● AMA
● AAPC
● Cengage
● Elsevier
CCO bookstore -- now available from our CCO...
!! NOTICE !!
Inpatient Facility Coding
We are looking for experts for additional
content development (CIC/CCS),
practice e...
Is this YOU???
Candidates need to have experience in
Inpatient Facility
Coding/Billing/Compliance, etc.
(CIC or CCS certif...
”CCO Swag - Pay it Forward” Program
http://www.cafepress.com/CCOSwag
CCO-BRAND SPECIALTY STORE
Here is where CCO wants to ...
Still need to Pass your Proficiency Exam?
ICD-10 CCO Style
● ICD-10-CM Blitz* - $395 - NOW $197
○ Prepare to pass the Prof...
Risk Adjustment presented by
Alicia Scott, CPC, CPC-I,
CCO Education Director
with
Content contribution by Subject Matter ...
CCO Helpdesk
helpdesk.cco.us
(You can search the knowledge base,
create a ticket
and check up on existing tickets)
Poll - What
region of
the country
are you
from?
Poll
● JoAnne: New Coder working as a Biller
● JoAnne: TCM Leveling
● JoAnne: Readmission after a C-Section
● Alicia: Gastric B...
New Coder as a Biller
Question: I am a NEW coder, now working
as a biller. I see errors often, typically
sequencing. How d...
TCM Leveling
Question: I would like for you to go over
TCM leveling for the physician's office. My
understanding is that i...
Readmission after a C-Section
Question: What code would be billed if a
patient had a C-section and then after
discharge wa...
Poll
What AAPC coding
credential do you HAVE?
Gastric Bypass / Obesity Coding
Question: A patient is ordered to have “Obesity
Counseling” for 6 months prior to her Gast...
Family Planning /Sterilization/ Vasectomy Consults
Question: What CPT code should be used for
Family Planning / Sterilizat...
Fetal Echocardiography Ultrasound Documentation
Question: Is any specific report documentation
(other than a heading of fe...
ICD-10 Infant Weight Chart
Question: I am not familiar with the weight of
infants, especially now in ICD-10 .. it is by gr...
Poll
What coding credential
do you WANT?
Team Discussion
Testing Experience - CCO Style
Team Discussion:
Testing for an AAPC credential-
Your first resource:
www.a...
Team Discussion
Testing Experience - CCO Style
Team Discussion:
Testing - Preparation
What should I do to prepare?
Team Discussion
Testing Experience - CCO Style
Team Discussion:
Testing - What ‘should’ I bring with me?
What ‘can’ I brin...
Blitz Video
Package
or
2 CEU Webinars
or
1 Hour Session
with Laureen
(or Alicia)
Free Drawing! Your Choice of:
Let’s Pick ...
Questions In The Chat
ANSWERS
Your Webinar Chat Team
Chat Q & A
Webinar- Nov 2015
Follow-up and Global
Question: Is the follow up check up after
two days from hospital discharge of post-
op is it under th...
ICD-10 Prep
Question: Will the ICD 10 CM Proficiency
Assessment Workbook be beneficial for
preparing for the exam? What ot...
Initial and Subsequent
Question: Can you explain the difference or
give examples on the difference of the
initial and subs...
TCM Readmitted
Question: What happens when a TCM
patient is readmitted within the 30 days
from discharge?
Answer: xxx
CPB through AAPC vs AMBA
Question: What is the difference between
CPB through AAPC and the billing
certification through A...
CCS Job
Question: Is it possible to get a job as an
inpatient coder with only a CCS and no
work experience?
Answer: xxx
Behavior Counseling
Question: Would a Behavioral Counseling
Visit be okay in a telemedicine type
setting?
Answer: xxx
BMI & Obesity
Question: Should you bill the bmi dx code
without obesity dx?
Answer: xxx
Payers - How to Bill
Question: Hi Alicia, most payers nowadays
will tell you, "We are not coders, and we
cannot tell you h...
Links Referenced in the Webinar
Forum - http://www.cco.us/forum/
Testimonial - http://www.cco.us/testimonials/
BookStore -...
It’s FREE!
Details & Register Now:
http://www.cco.us/webinarvip
Join Now! Limited Seats Available!
Thanks For Coming!
Get Value?
http://www.cco.us/webinarvip
November 2015 Medical Coding Q&A Webinar
November 2015 Medical Coding Q&A Webinar
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November 2015 Medical Coding Q&A Webinar

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The November 2015 medical coding Q & A Webinar from Certification Coaches Og. (CCO) www.cco.us discussed a variety of topics of interest to Outpatient & Inpatient coders. Topics included:
CABG coding
Colonoscopy
Comparison - Elsevier Manual
Back to Basics - CPT 87798
Fiberoptic Bronchoscopy
Vaccine Administration
Certification Coaches Org.'s VIP was introduced. Attendees questions on various medical coding topics were answered. Educational topics & panel discussion were presented by Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC
CCO Program Director

Published in: Career
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November 2015 Medical Coding Q&A Webinar

  1. 1. Certification Coaching Q & A Webinar November 2015
  2. 2. This Month’s Q & A Webinar Agenda: 90-120 min II: Q&A from our Instructors ● JoAnne: New Coder working as a Biller ● JoAnne: TCM Leveling ● JoAnne: Readmission after a C-Section ● Alicia: Gastric Bypass Surgery / Obesity Coding ● Alicia: Family Planning ● Alicia: Fetal Echocardiography Ultrasound ● Alicia: ICD-10 Infant Weight Chart ● Team Discussion: I: Introduction ● Why stay? ● Where is everyone from? ● Recent CCO Graduates/ You Too? ● CCO VIP Program :) ● 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. 3. 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 Starting NOVEMBER 2015 * Don’t need CEU’s? Continue to attend the CCO webinar for free!
  4. 4. 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)
  5. 5. First Webinar With Us? Poll How many CCO webinars have you attended?
  6. 6. CONGRATULATIONS to... Kammy Hall 10/31/2015 Completed CPC Course Indu Rajesh 11/2/2015 Completed CPC Course Roxanne Weller 11/5/2015 Completed CPC Course Marie Davis 11/9/2015 Completed CPC Course Michelle Lavoie 10/10/2015 Passed CPC Exam Kim Johnson 10/17/2015 Passed CPC Exam Eric Farrington 10/18/2015 Passed CPC Exam Viktoriya Rebrik 10/18/2015 Passed CPC Exam Roberta Burkhart 10/19/2015 Passed CPC Exam Shauna Roefer 10/20/2015 Passed CPC Exam Kristy LaCaze 10/21/2015 Passed CPC exam
  7. 7. CONGRATULATIONS to... Valerie Alvarado 10/21/2015 Passed CPC exam Todd Vandevender 10/23/2015 Passed CPC Exam Todd Vandevender 10/23/2015 Passed CPC Exam Kim Johnson 10/25/2015 Passed CPC Exam Charlotte McLaughlin 10/29/2015 Passed CPC Exam Alicia Plavsic 10/29/2015 Passed CPC Exam Ellie Sebti 10/31/2015 Passed CPC Exam Deorey Schneider 11/2/2015 Passed CPC Exam Deborah Wolf 11/2/2015 Passed CPC Exam Marva Nitti 11/3/2015 Passed CPC Exam Barbara Roberts 11/5/2015 Passed CPC Exam Grace :-) 11/6/2015 Passed CPC Exam
  8. 8. CONGRATULATIONS to... Donna Mitchell ---- Passed CPC Exam Cora Germany 10/30/2015 Passed CRC Exam Carolyn Heath 9/3/2015 Passed ICD-10 Assessment Janice Little 10/2/2015 Passed ICD-10 Assessment Maria Langsdon 9/3/2015 Completed FBC course Maria Langsdon 9/15/2015 Completed MTA course Kammy Hall 10/20/2015 Completed MTA course Wanda Pavlat 10/24/2015 Completed PBC course Denise Campos 10/24/2015 Completed PBC course John Nettleton 9/28/2015 Passed CCS Exam Oneka Pieters 10/24/2015 Passed COC Exam Anna Burnham 11/5/2015 Passed COC Exam
  9. 9. CONGRATULATIONS to... Kasey Deason 11/12/2015 Completed CPC Course Elizabeth Grant 11/12/2015 Completed CPC Course Sharon Potts 11/7/2015 Passed CPC Exam Vicki Johnson 11/11/2015 Passed CPC Exam Charlotte McLaughlin 11/12/2015 Passed CPC Exam Sumerta Ochani 11/12/2015 Passed CPC Exam Clara Dugan 11/12/2015 Passed CPC Exam Roxanne Weller 11/13/2015 Passed CPC Exam Paul Alberque 11/14/2015 Passed CPC Exam Janet Keller 11/16/2015 Passed CPC Exam Barb Rogers 10/31/2015 Passed CRC Exam Shelley Moore 11/12/2015 Completed MTA course
  10. 10. CONGRATULATIONS to... Charlotte McLaughlin 11/17/2015 Completed CPC Course Wendy McClellan 10/31/2015 Completed CPC Course Lilibeth Rivera Garcia 11/18/2015 Completed CPC Course Marlease Wolfe 11/14/2015 Passed ICD-10 Assessment Michelle Frazier 11/8/2015 Passed ICD-10 Assessment Angela Glielmi 11/1/2015 Passed ICD-10 Assessment Viktoriya Rebrik 11/17/2015 Passed ICD-10 Assessment Joey Ibarra 11/18/2015 Passed ICD-10 Assessment Lisa Molt 11/19/2015 Passed CPC Exam
  11. 11. Interested In the CCO BLIZZARD for 2016? CPT | ICD-10-CM / PCS | COC | CIC | RA | CPT Update
  12. 12. Interested In the CCO BLIZZARD for 2016? Attend in Person (Tampa FL) or Virtually from Your Home Computer Details & Register Now: LINK: http://go.cco.us/blizzard CPT | ICD-10-CM / PCS | COC | CIC | RA | CPT Update Sessions Starting: Thursday 12/3/2015 > Tuesday 12/8/2015
  13. 13. So what are our Students saying about us? TESTIMONIALS about CCO Courses and BLITZ EVENTS* CPC Blitz - “I am so happy. I love this course and so happy you have this option for me ... I love all the extras that I have purchased and every time I log-in, it is all there in one place. Your program is very professional ... your organization is outstanding for helping students. Thank you very much.” - Connie B. Risk Adjustment (*new Blitz coming) - “RA-HCC is my second course with CCO. I recently sat for my CRC the exam and passed with 82%. I have no experience in risk adjustment and now have my CRC with assistance of the course… where you get in-depth knowledge as it relates to MA risk adjustment with assistance from Alicia. I highly recommend you to sign up for this course.” - Lenora S.
  14. 14. When You Become A CCO VIP... You Do Stuff… & Earn Rewards! Details & Register Now: http://www.cco.us/webinarvip It’s FREE!
  15. 15. Signup http://www.cco.us/webinarvip
  16. 16. The VIP Dashboard
  17. 17. 1- VIP Basic 2- Raving Fan 3- Groupie 4- Rockstar (and a whole lot more) It’s FREE! Details & Register Now: http://www.cco.us/WebinarVip Do We Have Badges!
  18. 18. It’s FREE! 150 points Details & Register Now: http://www.cco.us/WebinarVip Get started! Take a selfie on the webinar right now! Challenges/ Community/ Referrals / Rewards
  19. 19. It’s FREE! Details & Register Now: http://www.cco.us/webinarvip Challenges/ Community/ Referrals / Rewards
  20. 20. It’s FREE! Details & Register Now: http://www.cco.us/webinarvip Challenges/ Community/ Referrals / Rewards
  21. 21. It’s FREE! Details & Register Now: http://www.cco.us/webinarvip Challenges/ Community/ Referrals / Rewards
  22. 22. It’s FREE! Details & Register Now: http://www.cco.us/webinarvip Join Now! Limited Seats Available!
  23. 23. The CCO Bookstore! ● The Instacode Institute ● AMA ● AAPC ● Cengage ● Elsevier CCO bookstore -- now available from our CCO partners: Go to: http://store.cco.us/
  24. 24. !! NOTICE !! Inpatient Facility Coding We are looking for experts for additional content development (CIC/CCS), practice exam development, student coaching, and generalized SME tasks. CCO quest for Subject Matter Experts in
  25. 25. Is this YOU??? Candidates need to have experience in Inpatient Facility Coding/Billing/Compliance, etc. (CIC or CCS certification preferred) ------------------------------------------------------------------------------------------------------------------------------ If you are interested, please message Chandra - chandra@cco.us ------------------------------------------------------------------------------------------------------------------------------ >>> put "CIC/CCS subject matter expert" in the subject line please and provide a short synopsis of your experience.
  26. 26. ”CCO Swag - Pay it Forward” Program http://www.cafepress.com/CCOSwag CCO-BRAND SPECIALTY STORE Here is where CCO wants to partner with YOU so we can all “Pay it Forward”. The profit from all CCO Swag purchases will go into a scholarship fund for worthy students trying to afford CCO courses in their quest to enter the profession. You can purchase at the CCO Store now, or earn some items through the CCO VIP Program!
  27. 27. Still need to Pass your Proficiency Exam? ICD-10 CCO Style ● ICD-10-CM Blitz* - $395 - NOW $197 ○ Prepare to pass the Proficiency Assessment exam with ease!! ○ 16 hour course equivalent * Textbook sold separately ● ICD-10-CM Full Course **Payment Plan Now Available** ○ 80 hour course equivalent ○ using “Understanding ICD-10-CM” text by Bowie ● ICD-10-CM Practice Exams ○ Free 25 Question Exam ○ Paid 50 Question Exam - $29.95
  28. 28. Risk Adjustment presented by Alicia Scott, CPC, CPC-I, CCO Education Director with Content contribution by Subject Matter Expert: Holly Cassano, CPC CRC Credential- Risk Adjustment HCC Coding Course Our HCC Course has 16 jam-packed Modules on register here: http://go.cco.us/risk-adjustment-hcc-coding- training-course
  29. 29. CCO Helpdesk helpdesk.cco.us (You can search the knowledge base, create a ticket and check up on existing tickets)
  30. 30. Poll - What region of the country are you from? Poll
  31. 31. ● JoAnne: New Coder working as a Biller ● JoAnne: TCM Leveling ● JoAnne: Readmission after a C-Section ● Alicia: Gastric Bypass Surgery / Obesity Coding ● Alicia: Family Planning ● Alicia: Fetal Echocardiography Ultrasound ● Alicia: ICD-10 Infant Weight Chart ● Team Discussion: Coding Q & A Topics Alicia Scott CPC, CPC-I, CRC Jo-Anne Sheehan CPC, CPC-I, CPPM
  32. 32. New Coder as a Biller Question: I am a NEW coder, now working as a biller. I see errors often, typically sequencing. How do I protect my license as I am being utilized as a biller and where is the line drawn? ANSWER
  33. 33. TCM Leveling Question: I would like for you to go over TCM leveling for the physician's office. My understanding is that it is based on the medical decision making only, but I would like to learn more about it. Could you possibly discuss this in the next monthly Q&A webinar? ANSWER
  34. 34. Readmission after a C-Section Question: What code would be billed if a patient had a C-section and then after discharge was admitted back to the hospital a week in a half later for seroma and the delivering physician is called in to see the patient by the attending/admitting physician? ANSWER
  35. 35. Poll What AAPC coding credential do you HAVE?
  36. 36. Gastric Bypass / Obesity Coding Question: A patient is ordered to have “Obesity Counseling” for 6 months prior to her Gastric Bypass surgery. G0447 is not a covered benefit with her insurance. For this type of counseling, where her Obesity is considered an illness in and of itself – wouldn’t you bill 99408 (brief intervention services), or would you bill 99401 (preventive counseling)? ANSWER
  37. 37. Family Planning /Sterilization/ Vasectomy Consults Question: What CPT code should be used for Family Planning / Sterilization / Vasectomy Consults? I have found some Coders use E&M codes while others use Consult codes and others use Preventive Counseling codes. ANSWER
  38. 38. Fetal Echocardiography Ultrasound Documentation Question: Is any specific report documentation (other than a heading of fetal echocardiography and listing of what was viewed and its findings) that is required to bill for a fetal echocardiography (76825) or doppler fetal echocardiography (76826) and to show it was not just an ultrasonic view of the heart? ANSWER
  39. 39. ICD-10 Infant Weight Chart Question: I am not familiar with the weight of infants, especially now in ICD-10 .. it is by grams. Is there a chart that can be used as a reference? I guess it could be a cross-reference weight into grams. Do you know a site to get a chart? When they talk 4.6 lbs,oz in their questions, the book is by grams.... ANSWER
  40. 40. Poll What coding credential do you WANT?
  41. 41. Team Discussion Testing Experience - CCO Style Team Discussion: Testing for an AAPC credential- Your first resource: www.aapc.com
  42. 42. Team Discussion Testing Experience - CCO Style Team Discussion: Testing - Preparation What should I do to prepare?
  43. 43. Team Discussion Testing Experience - CCO Style Team Discussion: Testing - What ‘should’ I bring with me? What ‘can’ I bring with me?
  44. 44. 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!
  45. 45. Questions In The Chat ANSWERS Your Webinar Chat Team
  46. 46. Chat Q & A Webinar- Nov 2015
  47. 47. Follow-up and Global Question: Is the follow up check up after two days from hospital discharge of post- op is it under the global package? Should the patient pay for the follow up check up? Answer: xxx
  48. 48. ICD-10 Prep Question: Will the ICD 10 CM Proficiency Assessment Workbook be beneficial for preparing for the exam? What other resources did you recommend? Answer: xxx
  49. 49. Initial and Subsequent Question: Can you explain the difference or give examples on the difference of the initial and subsequent and when it switch from the one to the other. Answer: xxx
  50. 50. TCM Readmitted Question: What happens when a TCM patient is readmitted within the 30 days from discharge? Answer: xxx
  51. 51. CPB through AAPC vs AMBA Question: What is the difference between CPB through AAPC and the billing certification through AMBA? Answer: xxx
  52. 52. CCS Job Question: Is it possible to get a job as an inpatient coder with only a CCS and no work experience? Answer: xxx
  53. 53. Behavior Counseling Question: Would a Behavioral Counseling Visit be okay in a telemedicine type setting? Answer: xxx
  54. 54. BMI & Obesity Question: Should you bill the bmi dx code without obesity dx? Answer: xxx
  55. 55. Payers - How to Bill Question: Hi Alicia, most payers nowadays will tell you, "We are not coders, and we cannot tell you how to bill" in order for them not to have to "give you the answer". Unfortunately. Has anyone come across this problem when calling? Answer: xxx
  56. 56. 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 CCO Blizzard - Dec 3-8 - http://go.cco.us/blizzard CCO VIP Program - http://www.cco.us/webinarvip
  57. 57. It’s FREE! Details & Register Now: http://www.cco.us/webinarvip Join Now! Limited Seats Available!
  58. 58. Thanks For Coming! Get Value? http://www.cco.us/webinarvip

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