Slideshare: June 2015 Q&A Medical Coding Webinar

The June 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO),, discussed a variety of topics of interest to outpatient and inpatient medical coders. Topics included Medicare Physicals, Modifier QW, Back to Basics – Cardio, Ejection Fraction, Epileptic Seizure Coding, E/M 2 of 3 Office Established Patient, Inpatient vs. Outpatient Coding, Search Tools & Bubble Highlighting. Certification Coaching Org’s product offerings, the CCO Replay Club which allows members to review past monthly webinars and obtain CEUs, and Certification Coaching Org’s CEU offerings were also discussed.

Here are the topics discussed in the slide:

  • 1. Certification Coaching Q & A Webinar June 2015
  • 2. 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:
  • 3. 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
  • 4. First Webinar With Us? Poll How many CCO webinars have you attended?
  • 5. 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
  • 6. 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
  • 8. New Name – New Website and a new domain: short and sweet ~ bookmark it today!
  • 9. New Helpdesk (You can search the knowledge base, create a ticket and check up on existing tickets)
  • 10. ICD-10-CM Official Guidelines for Coding & Reporting ATTENTION: FY 2015 – NEW CHANGES NOW POSTED 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
  • 11. The Future of Coding >> ICD-10 Prep – CCO Style ● ICD-10-CM Blitz – new! ○ Prepare to pass the Proficiency Assessment exam with ease!! ○ 16 hour course equivalent ● ICD-10-CM Full Course **Payment Plan Now Available** ○ 80 hour course equivalent ○ using “Understanding ICD-10-CM” text by Bowie ● ICD-10-CM Practice Exams ○ Free 50 Question Exam ○ Paid 50 Question Exam – $29.95
  • 12. 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 >>

  • 13. Poll What AAPC coding credential do you HAVE?
  • 14. 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
  • 15. 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
  • 16. 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
  • 17. 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
  • 18. Ejection Fraction Question: What is an Ejection Fraction? Can I code an Ejection Fraction of 0% as with occlusion? ANSWER
  • 19. 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
  • 20. 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
  • 21. 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
  • 22. 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
  • 23. Poll What coding credential do you WANT?
  • 24. 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:
  • 25. 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, CPC received on 6/17/2015 So what are our Students saying about us? TESTIMONIAL Share Your Own CCO Testimonial:
  • 26. Medical Terminology & Anatomy Course (MTA) 40 CEUs! CEU Classes (On Demand) ranging from 1 – 4 CEUs each ICD-10-CM Blitz Course (ICD-10 CM Proficiency Assessment) 16 CEUs! ICD-10-CM Full Course 40 CEUs! Facility Based Coding Course (FBC) 40 CEUs! Physician Practice Manager (PPM) 6.5 CEUs! Physician Based Billing Course (PBB) 18.5 CEUs! Physician Based Medical Auditing (PBMA) 12.5 CEUs! Looking to Fulfill your CEU Requirement? More CEUs from CCO!
  • 27. WEBINAR CEU’s – REPLAY CLUB Monthly CCO Webinars: ● * Worth 1 to 1.5 CEU per meeting Replay Club: ● * up to 12 free CEUs (or more) per year ● (for indicated Webinars) – Regular Attendees – Replay Club Members
  • 28. Poll Are you interested in any of our course subjects you haven’t yet taken?
  • 29. LIKE us on Facebook Help Us Get The Word Out
  • 30.
  • 31. Blitz Video Package or 2 CEU Webinars or 1 Hour Session with Laureen (or Alicia) Free Drawing! Your Choice of: Let’s Pick A Winner!
  • 32. ”CCO Swag – Pay it Forward” Program CCO-BRAND SPECIALTY STORE Here is where CCO wants to partner with YOU so we can all “Pay it Forward”. The profit from all CCO Swag purchases will go into a scholarship fund for worthy students trying to afford CCO courses in their quest to enter the profession. You can purchase at the store now.
  • 33. If you don’t already receive our newsletter, send a message to request to join ‘The Insider’s Club’ (Send from the email address you wish to receive your newsletter) Join the “CCO Insider’s Club” Monthly Newsletter Monthly articles by Laureen — she wants you to be ‘In the Know’ ‘Snidbits’ by Alicia ● Timely Industry Announcements ● The Course Corner ● Remote Seminar Partners ● Congratulations to our Grads! ● Testimonials – what are people saying? ● Current Blog links Get Access to Our Best Free Medical Coding and Reimbursement Resources!
  • 34. Questions In The Chat ANSWERS Your Webinar Chat Team
  • 35. Chat Q & A Webinar- June 2015
  • 36. Links Links
  • 37. 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.
  • 38. 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?
  • 39. 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?
  • 40. Thanks For Being With Us!

Attendees’ questions on various coding topics were answered. Educational topics were presented by Jo-Anne Sheehan, CPC, CPC-I, CPPM; Alicia Scott, CPC, CPC-I, CRC; and Laureen Jandroep, CPC, CPC-H, CPC-I, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.

Find out More Details about Medical Coding Webinar

Slideshare: June 2014 Q&A Medical Coding Webinar

AAPC- Free Webinar: The Future of Practice Management

medical coding webinar june-2015

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