October 2016 Medical Coding Q&A Webinar

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Certification Coachi ng Q & A Webinar October 2016

Transcript of October 2016 Medical Coding Q&A Webinar

Certification Coaching Q & A WebinarOctober 2016

From the MedicalCoding

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, CRCCCO 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

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

First Webinar With Us?

Poll How many

CCO webinars have you attended?

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-OffsAlicia 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 CystsLaureen Jandroep: *CPT®: Physical Therapy Examples (code 97535)*CPT: Colonoscopy and EGD Coding

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/

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)

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)

CCO Graduates October 2016 Update

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

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

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

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

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

Poll

Poll

Poll - Are You Certified?

Q&A

October 2016

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

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

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.

Poll

What AAPC coding credential do you HAVE?

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

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

What coding credential do you WANT?

Poll

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

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

http://www.cco.us/medical-coding-certification-cpc-review-blitz

CPC Blitz New Pricing

http://www.cco.us/fblive/

Tuesday 10 AM EasternLive with Laureen

http://www.cco.us/fblive/

Wednesday 2 PM EasternDid You Know CCO

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

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

Are You Using the BHAT™ System?

Poll

BHAT Technique

http://www.cco.us/bhat/

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

New Blitz Reviews Ready for You

➢ CPC Review ➢ ICD-10-CM ➢ ICD-10-PCS ➢ COC - Outpatient➢ CIC - Inpatient➢ RA - Risk Adjustment➢ 2016 CPT Updates

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

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?

Hypertension

HTN is not curable unless well controlled, can we code it? It may not a Hx code.

11042-11047

Can you explain how to add the measurements for wound debridement codes 11042-11047

Lab and 99212

If patient go for lab and do not see doctor than which code we do? 99212 or not code?

Procedures and Modifiers

Can we add all procedure and bill together or do separately and add modifier?

Coding and Billing

I know that coding and billing go in hand and hand. Is it wrong to do billing first and then coding?

LIKE us on Facebook

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Help Us Get The Word Out

www.YouTube.com/MedicalCodingCert

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-blitzICD-10 Full - http://go.cco.us/icd-10-cm-full-courseRA HCC - http://cco.pe/10qGz8gMCB - 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-powerRisk Adjustment 2.0 - http://www.cco.us/certified-risk-adjustment-coder-crc-course-exam-preparationFree Practice Exams- Job Tools- Coding Reports http://www.cco.us/free-tools-reports-and-exams-for-medical-coding-and-billing

Happy Coding!

Jo-Anne

Alicia

Laureen

Chandra

Darcy