May 2016 Medical Coding Q&A Webinar
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Transcript of May 2016 Medical Coding Q&A Webinar
Certification Coaching Q & A Webinar
May 2016
May 2016 | Q & A Webinar Agenda: 90-120 min
II: Q&A from the CCO Community
I: Introduction● CCO News and Updates
JoAnne Sheehan: * Back to Basics Physician Billing - The Very First Step* How to Determine if OS Site is Primary or SecondaryChandra Stephensen: *ER and Probable DX*Vaccine Administration
Alicia Scott: *Which credential is the best after CPC®? *ICD-10 Impact on RA
Laureen Jandroep: *Cardiac Cath clarification question*PCI (Percutaneous Coronary Intervention) CPT Coding
This Month’s Q & A Webinar Agenda: 90-120 min
IV: Your Questions in the ChatIII: 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/
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)
First Webinar With Us?
Poll How many CCO webinars
have you attended?
Poll - What region of the country are you from?
Poll
CCO Monthly Q&A Webinar CEU Changes
Webinar Attendees: Accessed within 24 hours● * $5 - Worth 1 to 1.5 CEU per meeting
● Webinar Attendees: After 24 hours (only available
to Replay Club Members):* $0 - Included in your membership
($19.95 month)
http://go.cco.us/webinar-replay-club
Don’t need CEU’s? Continue to attend the CCO webinar for free!
CONGRATULATIONS!
Myrna Jackson 05/03/2016 Completed CPC Course (PBC)
Rockeisha Clarke 05/09/2016 Completed CPC Course (PBC)
Renee Holl 05/10/2016 Completed CPC Course (PBC)
Janice Boylan 04/02/2016 Completed CPC Course (PBC)
Dawn Crotty 03/26/2016 Completed CPC Course (PBC)
Sandy Martin 04/25/2016 Completed CPC Blitz
Ashley Brown-Pacheco 05/07/2016 Completed CPC Blitz
Merlin Samson 04/21/2016 Completed CPC Practice Exam
CONGRATULATIONS!
Anjee Brazelton 04/19/2016 Passed COC Exam
Rockeisha Clarke 05/09/2016 Passed CPC Exam
Merlin Samson 04/21/2016 Passed CPC Exam
Dawn Crotty 03/26/2016 Passed CPC Exam
Sandy Martin 04/25/2016 Passed CPC Exam
Myrna Jackson 05/03/2016 Passed CPC Exam
Renee Holl 05/10/2016 Passed CPC Exam
Ashley Brown-Pacheco 05/07/2016 Passed CPC Exam
Q & A From the Community
Jo-Anne Sheehan, CPC, CPC-I, CPPMCCO Sr. Instructor / Coach
Alicia Scott, CPC, CPC-I, CRCCCO Education Director
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPMCCO Founder and CEO
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO,
CPMA, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC, CGSC,
COaaSC, CRC, CCC
CCO Program Director
Question: I can’t seem to get my first claim transmitted without some type of denial coming back. I am checking the CPT and ICD-10-CM codes and it all links together. What is going on?
Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
Back to Basics Physician Billing - The Very First Step
Question: Can we discuss coding osteoarthritis? I often see it diagnosed as osteoarthritis with a specified site but not if it is primary or secondary.
Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
How to Determine if OS site is Primary or Secondary
Poll
Poll
Poll - Are You Certified?
Which Credential to Get After CPC®?
Question:
Which credential is the best after CPC®?
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
Free COC Practice Exam Now Available
http://go.cco.us/free-coc-online-practice-exam
ICD-10 Impact on RA
Question:How has ICD-10-CM impacted risk adjustment conditions? Depression is an example. It will be important for the provider to mention the severity (mild, moderate, severe) or clinical status since Depression (ICD-9-CM: 311) now maps to Major Depressive Disorder, Initial Episode, Unspecified (ICD-10-CM: F32.9). If the provider mentions the severity or clinical status then it will risk adjust. Are there any conditions that the other coders are aware of?
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
Poll
What AAPC coding credential do you HAVE?
What coding credential do you WANT?
Poll
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 MoneyHow to “Prepare for ICD-10 Proficiency without
Stress”
CPT Coding updatesAny 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
ER and Probable DX
Question: Are Emergency Dept visits diagnoses which state "suspected," "presumed," etc, to be coded following the inpatient or outpatient guidelines? That is, are coders to follow inpatient guidelines of "confirmed" if the patient is admitted through the ED to Observation/Inpatient status and use the outpatient guidelines of "not confirmed" if patient is discharged from ED to home? Can you please give me direction on this.
Answer
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
https://www.facebook.com/cco.us/
Wednesday 2PM EasternLunch and Learn Coding
Poll
Poll - Joining Us on Facebook Live?
This webinar is being simulcast on
Go To:
https://www.facebook.com/cco.us
Vaccine Administration
Question:
What should be the correct coding sequence about the vaccine? Code first the vaccine and then the route of administration? But some will start their coding the administration then the vaccine? What is the correct sequence code?
Answer
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
Facility Based Coding Course (FBC) Price Increase
http://go.cco.us/facility-based-coding-course
$1495$548
Final Days to Save! $350 Price Increase On May 22nd at Midnight EDT
New
Facility Based Coding Course (FBC) PLUS Medical Terminology & Anatomy for Medical Coders (MTA) Course Price Increase
http://go.cco.us/fbc-mta-bundle-course
$1852$509
New
PCI (Percutaneous Coronary Intervention) CPT Coding
Question:
Please review PCI (Percutaneous Coronary Intervention) CPT Coding
Answer
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO
Choice ofBlitz 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
Your Questions from the Chat
Questions In The Chat- May 2016
Your Webinar Chat Team
Removal of Prosthesis
Question: How do I code the repair of large omphalocele when the removal of prosthesis, final reduction and closure happens in bed side and not in OR. Can you give the appropriate code for this procedure.
Maxillofacial or Dental Codes
Question: Does CMS require DDS provider billing for maxillofacial with CPT codes or the dental CDT code? Thank you so much!
OA
Question: If you query, are physicians usually forthcoming when giving the specific info you need to code OA correctly?
Osteoarthritis
Question: If HPI ROS and exam states pt has osteoarthritis of left hip but provider codes osteoarthritis hip unspecified (because they don't want to find the specific code) can you code the left hip from the above mentioned?
RHIT-CCA
Question: I have an RHIT-CCA thru AHIMA how is this compared to the credentials on the screen?
Z51.89
Question: When coding inpatient is anyone else using Z51.89 for patients who are admitted for rehab or is it specific only to physical or occupational therapy coding?
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Happy Coding!
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