march 2016 medical coding q&a webinar
TRANSCRIPT
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Certification Coaching Q & A Webinar
March 2016
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This Month’s Q & A Webinar Agenda: 90-120 min
II: Q&A from our Instructors ● JoAnne: Review of X {EPSU} Modifiers (modifier 59
alternatives)● Alicia: Can a Z code be a Primary/Admitting Dx?● Chandra: Modifier, Global and Bundle● Laureen: E/M Codes 99201-99205● JoAnne: Chiropractic versus Medical Coding● Alicia: ICD-10-PCS Code for ALIF● Chandra: E/M during Post-Op Period (GSP)● Laureen: Path & Lab 80300 - 80304 CPT codes
I: Introduction● Why stay?● Where is everyone from?● Any Recent Graduates Out There?● Announcements and Course Updates
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.
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 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
New Webinar CEU Pricing effective NOVEMBER 2015 *
Don’t need CEU’s? Continue to attend the CCO webinar for free!
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CONGRATULATIONS!
Valeria Mirabella 02/14/2016 Completed ICD-10-CM Full Course
Lydia Colon 03/01/2016 Completed CPC Blitz
DeLisa Smith 02/17/2016 Completed CPC Blitz
Francine Donahue 03/19/2016 Completed CPC Blitz
Magnolia T. Reyes 02/27/2016 Completed CPC Blitz, Practice Exams
Laura Zmolek 02/20/2016 Completed CPC Course (PBC)
Linda LoPrete 02/29/2016 Completed CPC Course (PBC)
Ninfa Webb 03/21/2016 Completed CPC Course (PBC)
Landa Rader 03/07/2016 Completed CPC Course (PBC)
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CONGRATULATIONS!Kirk Neal 03/08/2016 Completed CPC Course (PBC)
Durga Shushama 03/12/2016 Completed CPC Course (PBC)
Ella Vanden Lanngenberrg 02/21/2016 Completed CPC Course (PBC)
Anjee Brazelton 02/26/2016 Completed COC Course (FBC)
Jeannine Monagle 03/05/2016 Completed CPMA Course
Trude Xanders 03/15/2016 Completed MTA Course
Magnolia T. Reyes 02/27/2016 Passed ICD-10 Assessment
DeLisa Smith 02/17/2016 Passed CPC Exam
Landa Rader 03/07/2016 Passed CPC Exam
Lydia Colon 03/01/2016 Passed CPC Exam
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CONGRATULATIONS!
Durga Shushama 03/12/2016 Passed CPC Exam
Ella Vanden Lanngenberrg 02/21/2016 Passed CPC Exam
Kirk Neal 03/12/2016 Passed CPC Exam
Francine Donahue 03/19/2016 Passed CPC Exam
Linda LoPrete 02/29/2016 Passed CPC Exam
NInfa Webb 03/21/2016 Passed CPC Exam
Jeannine Monagle 03/05/2016 Passed CPMA Exam
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Review of X {EPSU} Modifiers (modifier 59 alternatives)
Question:Can you review the X modifiers implemented January 1, 2015? ANSWER
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
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Can a Z code be a Primary/Admitting Dx?
Question:Can I use a Z code as a primary/first listed diagnosis? I am struggling with coding aftercare especially. ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
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Modifier, Global and Bundle
Question:Can you explain a little about the Modifier, Global and Bundle? ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
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Chiropractic versus Medical Coding
Question:I recently switched from coding & billing with a 97.5% collection rate to a Chiropractic Group.
Now 50% of my claims are being denied- particularly with Medicare and I am not doing anything differently than I did at my prior job. ANSWER
Jo-Anne Sheehan, CPC, CPC-I, CPPM
CCO Sr. Instructor / Coach
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E/M Codes 99201-99205
Question: What E/M code should I use when a new patient comes in to the physician office and the doctor documents the 99201-99205 codes along with the preventive codes or well visit codes? I believe the 99201-99205 would be appropriate even though the physician states he did the well visit too.
ANSWER
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO
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ICD-10-PCS Code for ALIF
Question:I am getting confused trying to code for ALIF in ICD-10-PCS.
It seems so different from ICD-9-CM vol 3 codes. ANSWER
Alicia Scott, CPC, CPC-I, CRC
CCO Education Director
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E/M during Post-Op Period (GSP)
Question:Provider billed with modifier 24 with a diagnosis code for trigger thumb only.
Does this justify the 24? Is this significant enough to warrant payment of E/M within global? ANSWER
Chandra Stephenson, CPC, CIC, COC, CPB, CPCO, CPMA, CPC-I,
CCS, CANPC, CEMC, CFPC, CIMC, CGSC, COSC, CRC, CCC
CCO Program Director
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Path & Lab 80300 - 80304 CPT codes
Question: Can you go over Path & Lab coding for Presumptive Drug Class Screening (80300-80304)?
ANSWER
Laureen Jandroep, CPC, CPC-I, COC, CMSCS, CHCI, CPPM
CCO Founder and CEO
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Coming Soon!
Risk Adjustment Course V 2.0
Early Notification: http://www.cco.us/ra-early (go there now!)
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Case Study: Did the CCO Blitz Videos help you?
Q: What was your biggest concern before buying the course?A: Was this course going to provide the method of learning I need, hands-on? Yes that concern went away after the first video.
Q: What superpower did this course help you achieve in your medical coding career?
A: Confidence!!!
Q: Would you recommend the CPC Exam Preparation Videos to someone else? Why?
A: In a heartbeat! I was holding myself back looking at coding with a "clinician" brain as a nurse rather than a "coding brain.
Q: Anything else you've achieved with the help of our product?A: I landed the best job I have ever had.
Karen Thomas, RN, CMT, CPC-A
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It’s FREE!
Join Now! Limited Seats Available!
Details & Register Now:http://www.cco.us/webinarvip
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ANSWERS
Questions In The Chat- March 2016
Your Webinar Chat Team
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Preventive and Problem Visit
Question: Would you be able to bill 2 separate CPTs? Comprehensive preventive medicine and a problem visit? In situations when patient comes in for wellness visit and problem is identified.
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Global Surgical Package
Question: Global surgical package; what would neuroplasty median nerve be considered; minor or major? Also, can provider bill for application of short arm splint?
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25 Modifier
Question: Must the 25 modifier be linked to a different diagnosis than the procedure?
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57 Modifier and Surgery
Question: Question on 57 modifier, an auditor told me that if the decision for surgery was made 4 days prior to the actual surgery we must put the 57 on that E/M. I have not found anything regarding this, only that it is for the day before or day of surgery. Do you have any information on this? Thanks!
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E/M Discharge Do’s and Dont’s
Question: Can you explain E/M Discharge do's and dont's ..example DC note written on a day OTHER than the actual DC date. What is acceptable and what isn't.
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Orthopedic Coding
Question: I've recently been assigned to code for an orthopedic office. Can you tell me how I can find out more information on orthopedic coding? Thank you
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Override Pull
Question: What is "override pull" in nursing note when giving patient medicine?
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Pathology Coroner
Question: Off the wall question about pathology coding- does the coroner office bill for post mortum testing?? just wondering...
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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 Medicare Physician Fee Schedule Look Up Tool - https://www.cms.gov/apps/physician-fee-schedule/overview.aspx
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Thanks For Coming! Got Value?
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Happy Coding!