Download - June 2015 Medical Coding Q&A Webinar
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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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
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OR MEDICAL BILLER”
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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
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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?
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Medical Terminology & Anatomy Course (MTA) 40 CEUs!
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Questions In The Chat
ANSWERS
Your Webinar Chat Team
Chat Q & AWebinar- June 2015
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!