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October 2016 Medical Coding Q&A Webinar

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The educational topics presented during the October 2016 Q&A Webinar included Cranioplasty with Autograft and Add-on Code Incision and Retrieval of Subcutaneous Cranial Bone Graft, Practice Manager Role in Managing Write-Offs, ICD-10-CM: Hypertension and Heart Disease, ICD-10-CM Possible Diagnosis in Outpatient Setting, Anesthesia: Hernia Repairs on Infants (00834 – 00836), Decompression of Meniscal Cysts, Physical and Occupational Therapy Examples (code 97535), and The Ins and Outs of GI Scopes. New pricing for the CPC Blitz was also discussed, as well as the BHAT™ Technique. Laureen Jandroep also reminded attendees about her “Facebook Live” called “Live with Laureen” which views Tuesdays at about 10 a.m. Eastern time and “Did You Know CCO” which Chandra Stephenson presents on Wednesdays at 2 p.m. Eastern. Information about CCO Remote Presentations for local chapters was also mentioned. Attendees’ questions on various coding topics were answered. Educational topics were presented by Jo-Anne Sheehan, CPC, CPC-I, CPPM; Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CRC, CPC-I, CCS, CANPC, CCC, CEMC, CFPC, CGSC, CIMC, COBGC, COSC; 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 2016 Medical Coding Q&A Webinar

  1. 1. Certification Coaching Q & A Webinar October 2016
  2. 2. From the Medical Coding CommunityQ&A October 2016 Hear and See Us Okay? Yes: Type #1 in Questions Box | No: Type #2 (leave and log back in) Jo-Anne Sheehan, CPC, CPB, COC, 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. 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. 4. First Webinar With Us? Poll How many CCO webinars have you attended?
  5. 5. October 2016 | Q & A Webinar Agenda: 90-120 min II: Q&A from the CCO Community I: Introduction ● CCO News and Updates JoAnne Sheehan: *Cranioplasty with autograft and add-on code incision *Practice Manager Role in Monitoring Write-Offs Alicia Scott: *ICD-10-CM: Hypertension and Heart Disease *ICD-10-CM: Possible Diagnosis in Outpatient Setting Chandra Stephensen: *Anesthesia: Hernia Repairs on Infants (00834-00836) *Decompression of Meniscal Cysts Laureen Jandroep: *CPT®: Physical Therapy Examples (code 97535) *CPT: Colonoscopy and EGD Coding
  6. 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/topic- request/
  7. 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)
  8. 8. 1.5 CEU’s | CCO Monthly Q&A Webinar Don’t need CEU’s? Continue to attend the CCO webinar for free! *CEU Link at the end of the webinar (+/- 90 min)
  9. 9. CCO Graduates October 2016 Update
  10. 10. CONGRATS! CCO Courses Recent Exam Passers! Tierra Bush CPC 09/15/2016 Using Practice Exams Shana Ameral-Booth CPC 09/17/2016 Using CPC Blitz Alice Brock CPC 09/23/2016 Using CPC Blitz, Practice Exams Lisa Wilcox CPC 09/17/2016 Using CPC Blitz Deanna M Cornejo CPC 09/17/2016 Using CPC Course (PBC) Anrea du Toit CPC 09/29/2016 Using CPC Course (PBC) Jacqueline Corrado CPC 08/27/2016 Using CPC Blitz
  11. 11. CONGRATS! CCO Courses Recent Exam Passers! Pamela Hebert COC 09/17/2016 Using COC Blitz Frances Woodard COC 09/17/2016 Using COC Blitz, Practice Exams, CPC Course (PBC) Gale Tobin COC 09/03/2016 Using COC Blitz, CPC Blitz Carolyn Cassady CRC 09/17/2016 Using CRC Blitz, CPC Course (PBC) Kathy M Jones CRC 09/10/2016 Using CRC Blitz Catherine Hooker CRC 09/24/2016 Using CRC Course, CRC Blitz Lesa de Fluiter CPC 09/23/2016 Using CPC Bitz
  12. 12. CONGRATS! CCO Courses Recent Exam Passers! Michelle Hembree CPC 09/24/2016 Using CPC Blitz, MTA Course, Practice Exams Jiayi Ni CPC 09/24/2016 Using CPC Blitz, CPC Course (PBC) Kim West CPC 09/24/2016 Using CPC Blitz Alberta Silveri CPC 09/24/2016 Using CPC Blitz, Practice Exams Sherry Tutor CPC 08/27/2016 Using CPC Blitz, COC Blutz, Practice Exams Bakhtiyar Yusupov CPC 09/10/2016 Using CPC Blitz, Practice Exams Perrietta Troum CPC 09/17/2016 Using CPC Blitz, CPC Course (PBC), Practice Exams
  13. 13. CONGRATS! CCO Courses Recent Exam Passers! Quinton Jones CPC 10/08/2016 Using CPC Blitz Brandie Horton CPC 08/06/2016 Using CPC Blitz Shana Ameral-Booth CPC 09/17/2016 Using CPC Blitz, Practice Exams Robyn Berry CPC 08/20/2016 Using Practice Exams Rasheed Adeyemi CPC 10/12/2016 Using CPC Course (PBC), Using CPC Blitz, MTA Course Kathleen K DiPietro CPC 08/20/2016 Using CPC Blitz Cynthia Lasnier Unger CPC 09/24/2016 Using CPC Blitz, BHAT™ System
  14. 14. CONGRATS! CCO Courses Recent Exam Passers! Maria D. Weber, CPC-A CPC 10/20/2016 Using CPC Blitz Rhonda Crouch CPMA 09/17/2016 Using BHAT™ System
  15. 15. Poll Poll Poll - Are You Certified?
  16. 16. Q&A October 2016
  17. 17. Question: This topic is about understanding how to code a cranioplasty with autograft as well as the incision and retrieval of subcutaneous cranial bone graft for cranioplasty, if performed. This procedure will be described in detail as well as how the codes work together. Answer Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC CCO Sr. Instructor / Coach Cranioplasty with Autograft and Add-On Code Incision
  18. 18. Question: Practice managers need to make sure that steady cash is flowing and that all jobs linked to the practice's financial success are being managed properly. Understand the various types of write-offs within a practice and the steps required to make certain EOBS are being posted properly and appeals being made and not just being written off. Know some of the reasons why billers write off outstanding claims when they should not. Answer Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC CCO Sr. Instructor / Coach Practice Manager Role in Monitoring Write-Offs
  19. 19. 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.
  20. 20. Poll What AAPC coding credential do you HAVE?
  21. 21. ICD-10-CM: Hypertension and Heart Disease Question: Is there an assumed relationship between heart disease and hypertension if the patient has exacerbated CHF with a history of HTN? Alicia Scott, CPC, CPC-I, CRC CCO Education Director ANSWER
  22. 22. ICD-10-CM: Possible Diagnosis in Outpatient Setting Question: If a physician uses the word possible as in possible nonunion of fracture in the CPT world can we code the procedure as a nonunion of fracture repair? In the op note the physician did not document repair of non- union. Alicia Scott, CPC, CPC-I, CRC CCO Education Director ANSWER
  23. 23. What coding credential do you WANT? Poll
  24. 24. Anesthesia: Hernia Repairs on Infants (00834-00836) Question: I am trying understand CPT® codes 00834 and 00836. I think 00834 is saying is the baby was born full term, meaning beyond 37 weeks, and is younger than a year old when the hernia repairs happen. Unlike CPT® code 00836 which, I think, would be for a baby who was not born full term but has to have the repair done before they are 50 gestational weeks old. If I am understanding both of these codes correctly, how would you code for a baby that was not full term but had the repairs after they are older then 50 week gestational? 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
  25. 25. Decompression of Meniscal Cysts Question: I need help in finding a CPT code for decompression of meniscus cysts. Documentation states, "In the meniscus, there were multiple cysts along the anterior tibial lateral condyle and Hoffa synovitis. Using shavers and radiofrequency probe, cysts were decompressed and synovectomy was performed." I am thinking it is a separate procedure from the synovectomy, or synovectomy is bundled with the decompression. 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
  26. 26. http://www.cco.us/medical-coding-certification-cpc-review-blitz CPC Blitz New Pricing
  27. 27. http://www.cco.us/fblive/ Tuesday 10 AM EasternLive with Laureen
  28. 28. http://www.cco.us/fblive/ Wednesday 2 PM EasternDid You Know CCO
  29. 29. CPT®: Physical Therapy Examples (code 97535) Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM CCO Founder and CE Question: I would like some examples of when it is okay to code 97535 for Physical Therapy. Answer
  30. 30. CPT: Ins and Outs of GI Scopes Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM CCO Founder and CE Question: I would like a walk through a colonoscopy and EGD. What makes a colonoscopy one with a biopsy of a polyp (45380) versus an ablation of a polyp (45388)? Answer
  31. 31. Are You Using the BHAT™ System? Poll
  32. 32. BHAT Technique http://www.cco.us/bhat/
  33. 33. 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
  34. 34. New Blitz Reviews Ready for You ➢ CPC Review ➢ ICD-10-CM ➢ ICD-10-PCS ➢ COC - Outpatient ➢ CIC - Inpatient ➢ RA - Risk Adjustment ➢ 2016 CPT Updates
  35. 35. 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
  36. 36. Your Questions from the Chat Questions In The Chat - October 2016 Your Webinar Chat Team
  37. 37. Dehisced Wound On the I&D question, this is a wound care office, pt came in for follow-up of the dehisced wound. I was told to use the 10061. Dr note said I&D of abscess but no abscess was found, so 12021 is more appropriate?
  38. 38. Hypertension HTN is not curable unless well controlled, can we code it? It may not a Hx code.
  39. 39. 11042-11047 Can you explain how to add the measurements for wound debridement codes 11042-11047
  40. 40. Lab and 99212 If patient go for lab and do not see doctor than which code we do? 99212 or not code?
  41. 41. Procedures and Modifiers Can we add all procedure and bill together or do separately and add modifier?
  42. 42. Coding and Billing I know that coding and billing go in hand and hand. Is it wrong to do billing first and then coding?
  43. 43. LIKE us on Facebook http://facebook.com/cco.us Help Us Get The Word Out
  44. 44. www.YouTube.com/MedicalCodingCert
  45. 45. 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
  46. 46. Happy Coding! Jo-Anne Alicia Laureen Chandra Darcy

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