May 2015 Medical Coding Q&A Webinar

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Coding Certification Q & A Webinar- May 2015

Transcript of May 2015 Medical Coding Q&A Webinar

Coding Certification Q & AWebinar- May 2015

CCO May 2015 Q and A Webinar Agenda: 90-120 min

II: Q&A from our Instructors ● JoAnne: PPM - Denials and $$ take backs● JoAnne: Auto Liability● Alicia: IRF Coding● Alicia: HCC Requirements● Laureen: Separate Procedures● Laureen: Corneal Crosslinking

I: Introduction● Healthcon 2015 Headshots update● Recent CCO Graduates/ You Too?● Announcements and Course Updates

IV: Your Questions in the Chat 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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III: Close - @ 90 min-’ish’● Wrapup● Drawing● CEU Certificate Download

Why Stay To The End?

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Poll

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FYI: Headshots Sent Out

Reminder: Check Your Email: Subject: [CCO] Your Healthcon 2015 Headshots Have Arrived :)

CCO Congratulations to Recent Graduates! Recent Not Here? Type in the Questions Box | Certification/Date

Helen Glinski 4/18/2015 Passed CPC

Lois Cole 4/23/2015 Passed CPC

Lori Carson 4/14/2015 Completed ICD 10 course

Lori Carson 4/28/2015 Passed ICD-10 Assessment

Bonnie Taylor 4/1/2015 Passed ICD-10 Assessment

Michaelene Britt Buess 5/4/2015 Passed CCS

Connie Knight 3/26/2015 Completed HCC Course

Cynthia Garcia 5/10/2015 Passed CPC Blitz

Cynthia Garcia 5/10/2015 Passed CPC

Kari Heath 5/2/2015 Passed CRC

Christy Dale 5/9/2015 Passed CPC

Congratulations to...

Sharon Andersen 5/7/2015 Passed ICD-10 Assessment

Jackie Leslie 5/14/2015 CPC Blitz

Jackie Leslie 5/14/2015 Passed ICD-10 Assessment

Margaret Wagner 5/14/2015 Passed CPC

Kelly Link 5/17/2015 Passed CPC Blitz

Kelly Link 5/17/2015 Passed CPC

John Crescenti 5/9/2015 Passed COC

Lori Holtzinger 5/16/2015 Passed CPC

Kathleen Emery 5/20/2015 Passed CPC Blitz

Kathleen Emery 5/20/2015 Passed CPC

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

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

Risk Adjustment presented by Alicia Scott, CPC, CPC-I,

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Poll

Poll - What AAPC coding credential do you HAVE?

Coding Q and A | May 2015

JoAnne: Auto Liability

Joanne: PPM - Denials and $$ Take backs

Alicia: IRF Coding

Alicia: HCC Requirements

Laureen: Corneal Crosslinking

Laureen: Separate Procedures

Auto Liability

Q: Is it acceptable when a patient comes in for an e/m that is auto-liability (related to auto accident), but at the end of that visit expresses health related issues that physician addresses to bill an e/m code assessed for auto to the liability company and an e/m code to the health ins for the health problems the same day?

ANSWER

PPM Denials and $ Take backs

Q: I work for a busy 3-doctor orthopedic surgery practice. We have been experiencing serious revenue issues with increased denials and money take backs. I am not sure where to begin resolving the problems but the surgeons are getting very concerned. Do you have any recommendations?

ANSWER

IRF Coding

Q: Can anyone elaborate on IRF coding?

ANSWER

HCC Requirements

Q: Could you address what course work a Risk Adjustment/ HCC coder needs that is different than what was needed for CPC?

ANSWER

Poll

Poll - What coding credential do you WANT?

Corneal Crosslinking

Which CPT code can be used for corneal crosslinking?

ANSWER

Separate Procedure

Q: Could you review "separate procedure"?

And give examples.

ANSWER

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Questions In The Chat

ICD-10 DX Codes

My question for later is is it true that ICD-10 will only take (most insurance companies) only 4 dx codes? -Theresa

Questions In The Chat

Workers Comp

Question for Joann. If it is workers comp pt is it a problem for the doctor to put other conditions on the claim. Would this be a HIPAA problem?

Additional other conditions I mean like health conditions.

Questions In The Chat

Manuals for coders/billers

Do payers have manuals that coders/billers can use? Sounds like most have their own rules. Like CMS won't accept modifier 50, they want RT LT based on the internship workplace.

Questions In The Chat

Is HCC for Insurance Companies?

Is HCC Coding just for Insurance Companies or an Outpatient Office can code HCC?

Questions In The Chat

ICD-9 or ICD-10

Do I want to take the cpc for ICD-10 or go ahead with the ICD-9, as that is what I am studying for and hoping to take in June?

Thanks For Being With Us!