August 2016 Medical Coding Q&A Webinar
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Transcript of August 2016 Medical Coding Q&A Webinar
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Certification Coaching Q & A WebinarAugust 2016
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From the MedicalCoding
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, CPPM
CCO Founder and CEO
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO,
CPMA, CPPM, CPC-I, CCS, CANPC, CEMC, CFPC, CIMC,
CGSC, COaaSC, CRC, CCC
CCO Program Director
Q&A
Hear and See Us Okay? Yes: Type #1 in Questions Box | No: Type #2
August 2016
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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
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First Webinar With Us?
Poll How many
CCO webinars have you attended?
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August 2016 | Q & A Webinar Agenda: 90-120 min
II: Q&A from the CCO Community
I: Introduction● CCO News and Updates
JoAnne Sheehan: *Transitional Care Management (TCM) - Medical Decision Making (MDM) LevelingAlicia Scott: *Breast Cancer: Specific Details Now Required*Wound Care CentersChandra Stephensen: *HTN: Controlled vs. Uncontrolled*Abdominal Aortic Aneurysm Repair CodingLaureen Jandroep: *Cardiac Cath Clarification - Congenital Defects
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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/forum/
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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)
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CCO Graduates July Update
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CONGRATS! CCO Courses
Recent Exam Passers!Crystal Braddock CPC 04/23/2016 Using CPC Blitz
Pamela Wolf CPC 06/11/2016 Using CPC Blitz
Rosemarie Belan CPC 07/16/2016 Using CPC Blitz
Joell Peters CPC 07/23/2016 Using CPC Blitz
Jennifer Steinlauf CPC 07/16/2016 Using CPC Blitz
Patricia Perdue CPC 07/28/2016 Using CPC Blitz
Marquette Johnson Green CPC 07/16/2016 Using CPC Blitz
Dave Tidwell CPC 06/04/2016 Using CPC Blitz
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CONGRATS! CCO Courses
Recent Exam Passers!Rosanne Barnett CPC 08/06/2016 Using CPC Blitz
Mary Yabut CPC 07/16/2016 Using CPC Course (PBC)
Jennifer Wilkerson CPC 07/09/2016 Using CPC Course (PBC)
Malinda Wildey CPC 03/22/2012 Using CPC Course (PBC)
Susan Dowe CPB 07/19/2016 Using CPB Course (PBB)
Carolyn Cassady CPC 07/16/2016 Using CPC Course (PBC)
Mary Yabut CPC 07/23/2016 Using CPC Course (PBC)
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CONGRATS! CCO Courses
Recent Exam Passers!Terrance Parmegiani CPC 07/16/2016 Using CPC Blitz,
Practice Exams
Denise Frazier CPC 07/29/2016 Using CPC Blitz, Practice Exams
Kathy Maloney CPC 08/10/2016 Using CPC Blitz, Practice Exams
Justin Bustamante CPC 08/06/2016 Using CPC Blitz, Practice Exams
Melanie Bleem CPB 08/06/2016 Using CPB Course, Practice Exams
Jeanette Springer COC 08/12/2015 Using COC Blitz
Lisa Dietrich-Blocker CPC 07/22/2016 Using CPC Blitz, PBC Course, MTA and Practice Exams
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CONGRATS! CCO Courses
Recent Exam Passers!Gena Maher CPC 07/23/2016 Using CPC Blitz,
Practice Exams
Susan Bonenfant CPC 07/23/2016 Using PBC Course, Practice Exams
Denise Hess CRC 08/01/2016 Using CRC Blitz, CPC Blitz, Practice Exams
Sharon Andersen CRC 08/06/2016 Using CRC Blitz
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Poll
Poll
Poll - Are You Certified?
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Q&A
August 2016
Let’s Do This!
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Question:
I would like for you to go over TCM leveling for the physician's office. My understanding is that it is based on the medical decision making only, but I would like to learn more about it. Could you possibly discuss this in the next monthly Q&A webinar?
Answer
Jo-Anne Sheehan, CPC, CPC-I, CPPM, COC
CCO Sr. Instructor / Coach
Transitional Care Management (TCM) - Medical Decision Making (MDM) Leveling
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Free Job Aides and Coding Reports
http://www.cco.us/free-tools-reports-and-exams-for-medical-coding-and-billing/
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Testimonials and Reviews
https://www.facebook.com/cco.us/reviews
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Poll
What AAPC coding credential do you HAVE?
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Breast Cancer: Specific Details Now Required
Question:Can you present something on Breast and Cancer areas, since treatment is now being focused on the unique or rare type the patient is felt to have?
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
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What coding credential do you WANT?
Poll
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CPT 2017 Print + Digital Bundle
● CPT® Professional Book 2017● CPT Assistant Digital Archive, contains all articles (1991-
2016) and...● CPT® Professional App, featuring a handy code lookup
tool, a powerful E/M code selection wizard and hyperlinks to pertinent CPT Assistant articles. Use on up to 5 devices!
Includes 3 Products Packed with Information
Provides 2 Ways to Find the Correct CPT Code: Traditional book lookup using the time-tested organization and indexing of CPT Professional, or the digital power of the CPT Professional App. The app contains:
● Quick CPT code lookup capability;● Complete 2017 CPT code descriptions, augmented with vignettes,
clinical examples, RVUs and CPT Assistant references; plus● E/M code selection wizard, offering CPT, CMS 95 or CMS 97
guidelines at thecoder’s option● Download instant cloud updates and corrections
Pre-Order the 3-in-1 Bundle
$149.95http://cco.pe/cptbundle
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Wound Care Centers
Question:There is really not many resources out there for coders in Wound care and it is a very busy department with lots of hurdles to go thru for payment of these services. We have Skin substitutes, HBO treatment, Debridement. Even just coding the Diabetic Ulcers themselves, with ICD-10 codes that don't reflect the Wagner Grade system my providers use, is a nightmare!
ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
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$100 off CCO Courses
Sale Ends August 31, 2016 Midnight EDT
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HTN: Controlled vs. Uncontrolled
Question:How do you make a distinction between controlled and uncontrolled HTN?
Answer
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
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https://www.facebook.com/cco.us/
Wednesday 2PM EasternLunch and Learn Coding
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Abdominal Aortic Aneurysm Repair Coding
Question:
Can you cover abdominal aortic aneurysm repair coding in a future webinar?
Answer
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPPM, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
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Poll - What region of the country are you from?
Poll
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Cardiac Cath Clarification - Congenital Defects
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CE
Question: In reference to the CPC Blitz Medicine Video covering Cardiac Caths for congenital defects, I understand they are coded in 3 parts- cath, injection and imaging. However in the video, and in the guidelines, I am confused as how to code for the imaging. Is it 93567- add on code for supravalvular aortography or is it coded from the radiology section. Also, could you point out where in the guidelines or parenthetical notes it directs us to code the imaging? It seems so vague, I must be missing something!
Answer
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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
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New Blitz Reviews Ready for You
➢ CPC Review ➢ ICD-10-CM ➢ ICD-10-PCS ➢ COC - Outpatient➢ CIC - Inpatient➢ RA - Risk Adjustment➢ 2016 CPT Updates
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Your Questions from the Chat
Questions In The Chat- August 2016
Your Webinar Chat Team
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PFSH leveling in EM coding
Can you go over how to level PFSH in EM coding? On your form you show 1-2 is pertinent and 3 is complete but if it is an established patient 2-3 is considered complete?
http://emuniversity.com/PFSH.html
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Preparing for the CPB Exam
Joanne, I am going to be taking my CPB exam on 9/10 any advice? What to study? Thanks :-) JenniferKnow how to read and apply the NCCI with choosing CPT codes, know modifier usage. Understand reports such as an A/R reports. Know insurance models such as HMO, PPO etc., BCBS, Medicare, Medicaid, Work Comp, Commercial carriers and TRICARE. Know the different laws involving Fraud and Abuse, Truth in Lending, False Claim Act, etc., requirements for credentialing, how to register a patient, and verify insurance coverage. Review CPT, ICD-10-CM and HCPCS.Know the rules for medical necessity involving NCCI, NCD and LCD. Know how to fill out a CMS-1500 form and a UB-04. Know about EDI. Retake your chapter tests as often as you can for practice and to gain speed and efficiency.
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Resources for Chiropractic Billing
Question: I self-taught myself coding through AAPC course and successfully passed the CPC on my first attempt! I also started a new job two weeks as the ONLY Biller and Coder at a small chiropractor and NP office... Any resources you can think of to help a newbie find out 1) more about billing for a medical and chiropractic office and 2) any chiropractor or billing specific FB groups? I know Jo-Anne is the chiro expert would love any suggestions. Thanks so much! See next slide
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Resources for Chiropractic Billing
● Chiropractic billing is very different than medical billing. I would recommend going onto each payer website to get their specific requirements for coding and billing.
● Medicare has very specific requirements. They are restrictive. They do not pay for X-Rays, office visits, modalities, manipulation of extremities.
● Medicare also requires a specific modifier against the manipulation codes.
● NP practices have to abide by state laws and they vary widely. Contact the Board of Nursing for your state and understand the NP’s role on certain procedures such as giving BOTOX injections.
● There is a book called Nurse Practitioner’s Business Practice and Legal Guide, 2nd Edition by Carolyn Buppert. (See next slide)
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Resources for Chiropractic Billing
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Rules re: non treating provider
I do wound care coding...where can I find the "legal" document pertaining to a provider who is on vacation and another provider doing a "new" refill rx? I think that the non treating provider can put in notes stating they have read and agree with the treating provider - do they also have to explain why they are doing the refill as the non treating provider? Need help please.
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Rules re: non treating provider
● Look up the rules on Locum Tenens and Substitute Physicians under Reciprocal Billing. https://www.cms.gov Enter the key words in the search bar.
● There are specific guidelines for both so match the criteria that applies to your office.
● Modifiers are required:
● Q5 is a service furnished by a substitute physician under a reciprocal billing arrangement.
● Q6 is a service furnished by a locum tenens physician.
See next slide
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Rules re: non treating provider
LOCUM TENENS
● The regular physician is unavailable to provide the visit services.● The patient has arranged or seeks to receive the visit services from the
regular physician.● The locum tenens provider is paid for his/her services on a per diem or similar
fee-for-time basis.● The substitute physician does not provide services to Medicare patients over
a continuous period of longer than 60 days.
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Rules re: non treating provider
Reciprocal Billing
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Digital CPT
Is the electronic CPT for just phones or is it a app that can be used on tablets?
The electronic CPT can also be on a tablet such as the IPad.
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LIKE us on Facebook
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Help Us Get The Word Out
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Links Referenced in the Webinar
Forum - http://www.cco.us/forum/ Testimonial - http://www.cco.us/testimonials/ BookStore - http://store.cco.us/ Swag Store - http://www.cafepress.com/CCOSwag MAUD Webinar Link - http://www.cco.us/medical-coding-auditor 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 Course List - www.cco.us.com 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-freezingCCO VIP Program - http://www.cco.us/webinarvip Risk 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
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Join our Coding Community
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