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October 2015 Medical Coding Q&A Webinar

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The October 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. Topics included “A Day in the Life of an RA-HCC Coder”, ICD Gastroesophagitis, ICD Pregnancy with Drug Use, ICD Degenerative Lesion, “Modifier, Global and Bundle”, Modifier 24 Scenario, and a panel discussion by CCO Instructors on “What’s the Scoop on ICD-10?”
Certification Coaching Org’s product offerings, the CCO Replay Club which allows members to review past monthly webinars and obtain CEUs, and Certification Coaching Org’s CEU offerings were also discussed. Attendees’ questions on various coding topics were answered. Educational topics and panel discussion were presented by Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC; Jo-Anne Sheehan, CPC, CPC-I, CPPM; Alicia Scott, CPC, CPC-I, CRC; and Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.

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October 2015 Medical Coding Q&A Webinar

  1. 1. Certification Coaching Q & A Webinar October 2015
  2. 2. This Month’s Q & A Webinar Agenda: 90-120 min II: Q&A from our Instructors ● Chandra: A Day in the life of an RA-HCC Coder ● Alicia: ICD Gastroesophagitis ● Alicia: ICD Pregnancy with Drug Use ● Alicia: ICD Degenerative Lesion ● Laureen: Modifier, Global and Bundle ● Team Discussion: What’s the Scoop on ICD-10? I: Introduction ● Why stay? ● Where is everyone from? ● Recent CCO Graduates/ You Too? ● 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. 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
  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: Accessed after 24 hours ● * $10 - Worth 1 to 1.5 CEU per meeting 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!
  5. 5. First Webinar With Us? Poll How many CCO webinars have you attended?
  6. 6. CONGRATULATIONS to... Nadine Colassaint 9/29/2015 Passed CCS-P Candace dos Santos 9/23/2015 Passed CPC GIGI WILLIAMS 9/19/2015 Passed CPC Janice Newman 10/7/2015 Passed CPC Jennifer Wood 9/19/2015 Passed CPC Karen Thomas 9/19/2015 Passed CPC Kathleen Carroll 10/2/2015 Passed CPC Kristi Mathews 10/8/2015 Passed CPC Kristy Parker 9/26/2015 Passed CPC Lisa Colbert 9/17/2015 Passed CPC Michele Krieg 9/23/2015 Passed CPC
  7. 7. CONGRATULATIONS to... Rhonda Crouch - TN :-) 9/19/2015 Passed CPC Stacy Amick 9/17/2015 Passed CPC Sue Aszmann 9/26/2015 Passed CPC Vicky Taylor 9/17/2015 Passed CPC Sandhya Semendy 9/26/2015 Passed CPC Nikki Kimmy 10/16/2015 Passed COC Exam Kelly Barnett 10/10/2015 Passed CPC Exam Jennifer Dixon 10/19/2015 Passed CPC Exam Carolyn Jeffrey 10/20/2015 Passed CPC Exam Darlene Britton 9/26/2015 Passed CPMA Schuyler Connell 10/00/15 Passed CPMA Exam
  8. 8. CONGRATULATIONS to... Stacey Amick 10/9/2015 Passed ICD-10 Assessment Sally Puff 10/10/2015 Passed ICD-10 Assessment Tammy Jones 10/12/2015 Passed ICD-10 Assessment Darlene Batcher 10/14/2015 Passed ICD-10 Assessment Anna Kelleher 9/28/2015 Passed ICD-10 Assessment Ashley Enciso 9/26/2015 Passed ICD-10 Assessment Michele Krieg 9/23/2015 Passed ICD-10 Assessment Nydia Robles 9/30/2015 Passed ICD-10 Assessment Dawn Crotty 10/9/2015 Completed PBC & MTA course Elizabeth Castellanos 9/15/2015 Completed PBC course Elaine Haddad 10/20/2015 Completed PBC course Laura Bissell 10/19/2015 Passed CPC Exam
  9. 9. Interested In the CCO BLIZZARD for 2016? Attend in Person (Tampa FL) or Virtually from Your Home Computer Sign Up for Event Notifications: LINK: http://go.cco.us/blitz-event-early-bird CPT | ICD-10-CM / PCS | COC | CIC | RA | CPT Update Sessions Starting: Thursday 12/3/2015 > Tuesday 12/8/2015 Plus, you'll also be eligible for a nice Early Bird discount!
  10. 10. So what are our Students saying about us? TESTIMONIALS about the CCO CPC Blitz Videos Live CPC Blitz Attendee “ I would recommend this course because it really gives you an in-depth knowledge of what to expect for the test. It goes through each section, highlighting each particular topic or subject that will be on the exam. She goes very detailed into what to expect, what not to expect, which questions will be and which not to be. I think most of all, the fact that she also mentions the real world coding experiences gives me that knowledge of knowing where to go back in my book and knowing how to code it.” Maritza Molina, CPC Sign Up for Blitz Event Notifications: LINK: http://go.cco.us/blitz-event-early-bird
  11. 11. The CCO Bookstore! ● The Instacode Institute ● AMA ● AAPC ● Cengage ● Elsevier CCO bookstore -- now available from our CCO partners: Go to: http://store.cco.us/
  12. 12. !! NOTICE !! CCO is looking for Subject Matter Experts in Inpatient Facility Coding We are looking for experts for additional content development (CIC/CCS), practice exam development, student coaching, and generalized SME tasks.
  13. 13. 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.
  14. 14. ”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 store now.
  15. 15. ICD-10 is here! >> 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
  16. 16. 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 Is Here! Our HCC Course has 16 jam-packed Modules on register here: http://go.cco.us/risk-adjustment-hcc-coding- training-course
  17. 17. CCO Helpdesk helpdesk.cco.us (You can search the knowledge base, create a ticket and check up on existing tickets)
  18. 18. Poll - What region of the country are you from? Poll
  19. 19. ● Chandra: A Day in the Life of an RAHCC Coder ● Alicia: ICD Gastroesophagitis ● Alicia: ICD Pregnancy with Drug Use ● Alicia: ICD Degenerative Lesion ● Laureen: Modifier, Global and Bundle ● Laureen: Modifier 24 Scenario ● Team Discussion: ICD-10 Rollout JoAnne / Laureen / Alicia / Chandra Coding Q and A Topics Alicia Scott CPC, CPC-I, CRC Jo-Anne Sheehan CPC, CPC-I, CPPM Chandra Stephenson CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC Laureen Jandroep CPC, CPC-I, COC, CMSCS,CHIC, CPPM
  20. 20. RAHCC Coding Question: Please describe a typical day in the life of an RAHCC coder. ANSWER
  21. 21. Poll What AAPC coding credential do you HAVE?
  22. 22. ICD Gastroesophagitis Question: How would you code gastroesophagitis? ANSWER
  23. 23. ICD Pregnancy with Drug Use Question: Can we code pregnancy complicated by drug use if the physician doesn't document a mental or behavioral effect? ANSWER
  24. 24. ICD Degenerative Lesion Question: How would you code a degenerative lesion of the labrum? M24.111? ANSWER
  25. 25. Poll What coding credential do you WANT?
  26. 26. Modifier, Global and Bundle Question: Can you explain a little about the Modifier, Global and Bundle? ANSWER
  27. 27. Modifier 24 Scenario Question: Provider billed with modifier 24 with an ICD-9 for trigger thumb only. Does this justify the 24? Is this significant enough to warrant payment of E/M within global? ANSWER
  28. 28. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ?
  29. 29. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? Myths: You heard what ??
  30. 30. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? What is different on 1/1/16 - anything?
  31. 31. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? Expectations:
  32. 32. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? What we are hearing:
  33. 33. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? What we know:
  34. 34. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? How can it be easier?
  35. 35. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? Suggestions for the coder / the workplace:
  36. 36. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Now that the initial rollout has happened, what is the scoop on ICD-10 ? Going forward:
  37. 37. ICD-10 ROLLOUT TEAM DISCUSSION Team Discussion: Your Feedback: The discussion format is new for us, what do you think? Respond in chat: 1 - Love the dynamics of the discussion team 2 - Not my cup of tea… straight Q&A is better
  38. 38. Want to Say Something About Us? Like the Webinar? http://www.cco.us/testimonials Problems? Try different browsers
  39. 39. Poll Are you interested in any of our course subjects you haven’t yet taken?
  40. 40. Need Help Choosing a Course?
  41. 41. Medical Terminology & Anatomy Course (MTA) 40 CEUs! CEU Classes (On Demand) ranging from 1 - 4 CEUs each ICD-10-CM Blitz Course (ICD-10 CM Proficiency Assessment) 16 CEUs! ICD-10-CM Full Course 40 CEUs! Facility Based Coding Course (FBC) 40 CEUs! Physician Practice Manager (PPM) 6.5 CEUs! Physician Based Billing Course (PBB) 18.5 CEUs! Physician Based Medical Auditing (PBMA) 12.5 CEUs! Looking to Fulfill Your CEU Requirement? More CEUs from CCO! http://cco.us/products
  42. 42. LIKE us on Facebook http://facebook.com/cco.us Help Us Get The Word Out
  43. 43. www.YouTube.com/MedicalCodingCert
  44. 44. If you don’t already receive our newsletter, send a message to helpdesk.cco.us request to join ‘The Insider’s Club’ (Send from the email address you wish to receive your newsletter) Join the “CCO Insider’s Club” Monthly Newsletter ● Timely Industry Announcements ● New Course Announcements ● Remote Seminar Partners ● Congratulations to our Grads! ● Testimonials - what are people saying? ● Current Blog links Gain Access to Our Best Free Medical Coding and Reimbursement Resources! Introducing our New Weekly Newsletter Format “Heads-Up Tuesdays” Short and Sweet Links to:
  45. 45. 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!
  46. 46. Questions In The Chat ANSWERS Your Webinar Chat Team
  47. 47. 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 Helpdesk - helpdesk.cco.us 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 xxx -
  48. 48. Chat Q & A Webinar- Oct 2015
  49. 49. Book for RA Coder Question: What is the best book for an RA coder? Answer: There isn't really an RA coding book...if they really want a good idea they should look at the participant’s guide for Medicare Advantage Plans...
  50. 50. HCC Positions Question: How can I know if an HCC coding position is legitimate? Is there anything I should look out for when looking for an HCC position? Answer: Do a little research on the company offering the position. Generally, these organizations will not ask you for $ and will allow you to ask a lot of questions up front to clarify what they are looking for, etc.
  51. 51. Importance of CPCs Question: Please help me as to how to inform (what to say, what evidence to quote) to the Deans at a Community College when I teach a Billing and Coding course as to how important CPCs are. They feel Certified Coders is no longer a needed profession to teach courses for, so we are only giving our students an overlay of all the positions in a doctor's office. Help please.
  52. 52. Importance of CPCs - Answer Answer: What I would do is explain the liability associated with incorrect coding and the amount of time the physician already does not have. We are seeing an increase in the number of providers and organizations recognizing the importance of coders and the value they add. I know a local review manager for a Medicare plan in the Midwest who advises their providers to have a CPC or other certified coder review anything before it is submitted for appeal.
  53. 53. ICD-10 Unspecified Codes Question: Can you touch on unspecified ICD-10 codes and if medicare, etc will pay these codes..thanks
  54. 54. Abnormal Finding Question: What is considered an abnormal finding during a routine preventative exam?
  55. 55. Abnormal Finding - Answer Answer: According to ICD-10-CM, an abnormal finding is anything found during the examination that the provider did not already know the patient had. Chronic problems do not count. Generally, it is something the provider finds that neither the patient nor the provider knew the patient had (i.e., heart murmur, uterine fibroids, etc)
  56. 56. Tobacco - Abuse vs Dependence Question: regarding the tobacco use diagnosis codes....abuse vs dependence. Z72.0 tobacco use and F17.210, my understanding that unless the physician documents dependence or the specific word "smoker" according to coding clinic then we code use Z72.0. Even if the patient smokes 2 packs a day unless the physician documents dependence we can't code it, is this correct?
  57. 57. Tobacco - Abuse vs Dependence Answer: You are correct, the Z72.0 code should be used unless the provider indicates the patient is "dependent." I have seen organizations develop policies where providers agreed on what constitutes "dependence". The reason they do this is they say there are certain things that automatically indicate the patient is dependent. Well, dependence is defined as developing a tolerance for a substance or going through withdrawal when a substance is removed. If a patient smokes 2 packs per day they typically have an increased tolerance to nicotine and will go through withdrawal if we take the nicotine away.
  58. 58. Annual Physical Question: ICD 10 question, if a patient is in for an annual physical and has chronic conditions like DM or HTN, would you use Z00.01?
  59. 59. Thanks For Coming! Get Value? http://www.cco.us/testimonials

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