Certification Coaching Q & A Webinar

June 2015

This Month’s Q and A Webinar Agenda: 90-120 min

II: Q&A from our Instructors

● Joanne: Medicare Physicals● Joanne: Modifier QW● Alicia: Back to Basics - Cardio● Alicia: Ejection Fraction● Alicia: Epileptic Seizure Coding● Laureen: E/M 2 of 3 Office Est Patient● Laureen: Inpatient vs. Outpatient Coding● Laureen: Search Tools / Bubble Highlighting

I: Introduction

● Why stay?● 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

Ask Along the way in the Questions box

If your question isn’t selected, post it on our forum where fellow coders can help:

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First Webinar With Us?

Poll

How many CCO webinars have you attended?

CCO Congratulations to Recent Graduates!Recent and You’re Not Here? >> Type in the Questions Box | Certification/Date

Connie Knight 5/26/2015 Passed ICD-10 Assessment

Marlease Wolfe 5 / 2015 Passed CPC

Johnnie Rutledge (Danny) 5/22/2015 Passed CCS

Samantha Robles-Salgado 5/22/2015 CHIMA Achievement Award

Vibha Dhariwal 6/3/2015 Passed CPC

Rhonda Buehler 6/4/2015 Passed CPC

Linda Barbar 6/6/2015 Passed CPC

More Congratulations to...

Renee Lien 6/2/2015 Passed CPC

Cindy Arnett 6/16/2015 Passed CPC

Lucretia Jordan 6/16/2015 Passed CPC

Virginia Clark 6/16/2015 Passed CPC

Barb Ashlie Schaechtel 6/13/2015 Passed CPC

‘our own’ Alicia Scott 6/15/2015 Passed CRC

NEW WEBINAR ANNOUNCEMENT

Certification Coaching Organization

presents…

“HOW TO START A LIFELONG

CAREER AS A MEDICAL CODER

OR MEDICAL BILLER”

http://www.cco.us/mcb-webinar

New Name - New Website

and a new domain:

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(You can search the knowledge base, create a ticket and check up on existing tickets)

ICD-10-CM Official Guidelines for Coding & Reporting

ATTENTION:

FY 2015 - NEW CHANGES NOW POSTED

http://www.cdc.gov/nchs/data/icd/icd10cm_guidelines_2015.pdf

How to read the document:

● FY 2015 Narrative changes appear in bold text ● Items underlined have been moved within the guidelines since the FY 2014 ● Italics are used to indicate revisions to heading changes

The Future of Coding >> ICD-10 Prep - CCO Style

● ICD-10-CM Blitz - new!

○ Prepare to pass the Proficiency Assessment

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○ using “Understanding ICD-10-CM” text by Bowie

● ICD-10-CM Practice Exams

○ Free 50 Question Exam

○ Paid 50 Question Exam - $29.95

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://cco.pe/10qGz8g

Poll

What AAPC coding credential do you HAVE?

Joanne: Medicare Physicals

Joanne: Modifier QW

Alicia: Back to Basics - Cardio

Alicia: Ejection Fraction

Alicia: Epileptic Seizure Coding

Laureen: E/M 2 of 3 Office Est Patient

Laureen: Inpatient vs. Outpatient Coding

Laureen: Search Tools / Bubble Highlighting

Coding Q and A | June 2015

Laureen Jandroep

CPC, CPC-I, COC, CMSCS, CHCI, CPPM

Alicia Scott

CPC, CPC-I, CRC

Jo-Anne Sheehan

CPC, CPC-I, CPPM

Medicare Physicals

Question: I would like to know more about coding a medicare annual & subsequent visit comparing to a regular physical which we all know medicare doesn't cover.

They cover 1 welcome to medicare physical & then starts with the annual or subsequent visits.

ANSWER

Question: In May’s Webinar you referenced a CLIA WAIVED modifier - QW, that was linked to a Rapid Strep Test. How did you know to attach the QW? I am not even certain what it means.

Modifier QW

ANSWER

Back to Basics - Cardio

Question: I am having trouble putting it all

together! Reading a question and figuring out

what to do and cardio issues.

Can you go over Cardio?

ANSWER

Ejection Fraction

Question: What is an Ejection Fraction? Can I code

an Ejection Fraction of 0% as with occlusion?

ANSWER

Epileptic Seizure Coding

Question: Can I get opinions on the correct

diagnosis coding for seizure (in an epileptic patient)?

If final diagnosis code is seizure, but the patient also

has epilepsy, should you code to 780.39 or go to the

345.xx series of codes?

ANSWER

Question: Can you tell me if some of the leveling exercise answers may be incorrect? E/M

It says to "drop the lowest" on the 2 of 3 Office established patient so I ended up getting several wrong when I did that ( ie. PPL, I put, 212,212,213) and it said 212 would have been correct on the answer sheet I printed out.... maybe I'm not getting it?

ANSWER

E/M 2 of 3 Office Est Patient

Question: I'm having a difficult time distinguishing between how coding is done for each side (Inpatient - vs - Outpatient).

Are we coding everything (e.g. Signs & symptoms) in outpatient and just the definitive diagnosis on the inpatient, or do I have them confused?

ANSWER

Inpatient vs Outpatient Coding

Question: Can you share your tools for searches,

and explain briefly how you “bubble” sections in

the cpt book, etc.

ANSWER

Search Tools / Bubble Highlight

Poll

What coding credential do you WANT?

COURSES★ Medical Terminology & Anatomy Course (MTA)★ Physician Based Coding Course (PBC) - (CPC course)★ Facility Based Medical Coding (FBC) - (COC course)★ ICD-10-CM Course★ ICD-10-PCS Course★ Medical Billing Course (PBB)★ Medical Coding Auditing Course (PBMA) ★ Physician Practice Management Course (PPM)★ HCC Risk Adjustment Course★ Medical Coding Practicum (MCP) Course with

Practicode

Quick Lineup of CCO Courses

Reviews & Mock Exams

★ CPC Exam Review Blitz Package

★ CPC Mini-Mock Practice Exams

★ ICD-10-CM Blitz Package

★ ICD-10-CM Mini-Mock Practice Exams

For full listing see:

cco.us/Products

I PASSED!!!

Laureen - Thank You from the bottom of my heart! This was my second attempt and your system of breaking the information down during the blitz made the difference… Made ALL the difference. I was able to finish this time.

Last time I had 25 questions I had to guess at because I couldn't seem to manage my time. Your highlighting and bubbling gave me the extra focus I needed. Now on to tackle ICD-10! Thank you again.

B.A. Schaechtel LPN, CPCreceived on 6/17/2015

So what are our Students saying about us?

TESTIMONIAL

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Medical Terminology & Anatomy Course (MTA) 40 CEUs!

CEU Classes (On Demand) ranging from 1 - 4 CEUs each

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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!

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Questions In The Chat

ANSWERS

Your Webinar Chat Team

Chat Q & AWebinar- June 2015

Links

Links

Sequencing

Can you address sequencing? I sometimes struggle and wonder if sequencing in the order of the

What, Why, how, where would be the correct direction to take in coding sequence.

Annual Medicare Visit

If you go for a annual medicare visit (not initial) and you ask the patient if there are any areas of

concern or problems and they list their stomach has been sore but they think it's due to

overexertion, can you bill for checking the stomach separately?

Certification for Document

Is there a certification just for documentation specialist,and is this a good transition or step up for

someone who currently does coding only?

Thanks For Being With Us!