http://codingcertification.org 165 attendees enjoyed asking questions of Laureen Jandroep, CPC, CPC-I, CMSCS, CHCI and Alicia Scott, CPC, Instuctor. For full replay of this webinar join the CCO replay club http://go.codingcertification.org/webinar-replay-club

1. Coding Certification Q & A
Laureen Jandroep, CPC
Sr. Instructor, CodingCertification.Org

2. Twitter Chat
• http://twebevent.com/cco
• Who will have the most tweets? :)

3. Who is Laureen?
•
Graduated with a Bachelors in •
Sold Online School which is now operated by
Occupational Therapy AAPC
•
Owned and Managed Rehab •
Currently works full time for 3M HIS/
Agency CodeRyte as a Clinical Development
•
Owned and Managed Medical Specialist
Billing Company •
Teaches Coding Certification Review Blitz as
•
Owned and Managed Billing and well as other coding seminars.
Coding School - brick and mortar as •
Has taken and passed the CPC, CPC-H,
well as online CCS-P, CCS, RCC and currently maintains
•
Started National Coding Discussion her CPC and CPC-I credentials
List "Coding & Reimbursement •
Married since 1989 with 5 kids (1 grown
Network" - now the CCO-L step-son and 4 little ones
age 7 and under.

4. Who is Alicia?
• Held several jobs in the medical field from, CNA, EMT, Pharmacy technician
and Medial Records Abstractor, Analyst and Nursing.
• Joined the AAPC and became certified as a CPC in 2011
• Working towards Masters in Health Care Administration with an emphasis on
education.
• Former Instructor at a private college teaching medical coding and billing and
medical law and ethics.
• Working now as a remote Medicare Advantage Coder for Optum.
• Alicia will tell you that not only does she love medical
coding but she has a passion for teaching it.
• Presently Alicia lives in West Texas and is married
with six children (no that is not a typo!)

5. Who is Alicia?

6. Who is Boyd?
•Master of Ceremonies for CCO Q&A
Webinars
•Web Administrator for
CodingCertification.Org
•Business coach

7. Poll
Poll - How many
webinars for you?

8. Stay to the End
For...
• Course & Webinar Updates
• Giveaways and

9. Poll
Poll - Are you certified?

10. Student Case Study
Ruth Sheets, CPC-A
Poughkeepsie, NY

11. Question - Intraocular Lens
What is the diagnosis code assignment for contraction of
the anterior capsule causing the intraocular lens implant to
be displaced following extraction of a cataract? The
physician uses a laser to repair the torn capsule and
reposition the lens.
Can you explain why X is the
correct choice?
A.996.69
B.996.53 ANSWER
C.998.82

12. V Codes
Can you help us with V-codes - in particular knowing WHEN
we would need to add one. For example if we are reading a
test question that we need to code the DX and TX how would
we know we also need to assign a V-code. E-codes just pop
out at you......PT fell at home and broke an arm. Code the
break and the E-code. But V-codes are much harder to know
just by reading a question that we need to code one. Thanks!
Linda ANSWER

13. Orthopedics - Casting & Strapping
Please review casting and strapping
coding. I get confused as to when it is
bundled and when it isn't.
ANSWER

14. Coding for GERD
What is the difference between 530.81 and 530.11?
530.81 Esophageal reflux
530.11 Reflux esophagitis
ANSWER

15. Bill First - ICD Sequencing
Is there a rule of thumb to which code should be billed
first if the ICD-9 does not state otherwise? For example
250.40 and 585.3, I understand that, but maybe a good
example might be dehydration due to flu. What is the rule
to "bill first". My thinking is, you would have the flu before
the dehydration, but then my over thinking kicks in and
thinks that you wouldn't maybe have an office visit if you
weren't dehydrated. Thank you for your
help on this biggie. ANSWER

16. Omit Code
Can you please explain the USE of "Omit Code" in the ICD-9?? I just don't get it!
If we are not to use this code then why have it in the book?!?!?!
This is what I am thinking it means - can you confirm or tell me what it does in fact
mean?
Example in volume 3 ICD-9 Hospital procedures 39.3 Suture of a vessel
Then under that it has an "Excludes note" and under that "Omit Code" and it lists
other codes like
39.52 49.95 57.93 39.41 21.00 - 21.09 60.94 28.7 = does it mean that if I am
coding anything from this list that I should not code anything in the 39.3 category
as well? ANSWER

17. Poll
Poll - AAPC or AHIMA?

18. Debridement and Skin Graft
A patient had a debridement and a skin graft in an acute
setting. Now patient is at a LTAC hospital. I have two
different thoughts concerning what to code.
• aftercare following surgery of skin and subq
• aftercare for organ transplant
Any thoughts on what to do? Thanks.
ANSWER

19. Hypertension & Chronic Kidney Disease
ANSWER

20. CEU's and the CPC
ANSWER

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23. Updates? MTA Course!
New "Medical Terminology & Anatomy for Medical Coders" course up and
running for $497 (15 module course)
• go at your own pace
• access to recorded lectures and tests for one year
• includes textbook "Medical Coding & Terminology for ICD-10 Coding" -
the only one geared toward medical coder
http://www.codingcertification.org/mta
And if you need both a medical terminology/anatomy
course + a coding course check out our
combo deal $1247 or $334.50 x 4 payments!

24. Updates?
• New CPCs?
• Testimonials
• Independent CCO Instructors
• ICD-10 Couse should be ready by
February 1st
• Podcasts coming

25. Find A Code Discount
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Enter “CCO” when you check out for any
FindACode Membership and save!

26. CEU Webinars!
Modifiers: E&M:
It's All About LocateYour
The Money HEM In Time
$ 67 $ 147
• 90 Minutes • 3 hours
• CEU Approved • CEU Approved
www.codingcertification.org/ceu-webinars

27. Coding Certification Review Blitz Videos

28. Free Drawing! Your Choice of:
Blitz Video
Package
or
2 CEU Webinars
or
1 Hour Session
with Laureen

29. 80 Hour Coding Course

30. Questions in the Chat?
HELP!

31. Thanks For Being With Us!