August 2013 Medical Coding Q & A Webinar from http://codingcertification.org covered many topics including Burns-TSBA and 948, GA & GX Modifiers for PT, Malignant Ascites Primary Site Unknown, Stent Codes, Cardiac Diagnosis Codes, Discharge and Admit Within Hours, RA Rheumatoid Arthritis. Presenters were Laureen Jandroep, CPC, CPC-I, CMSCS, CHCI and Alicia Scott, CPC, CPC-I.

1. Coding Certification Q & A
Webinar - August 2013
Laureen Jandroep, CPC
Sr. Instructor, CodingCertification.Org

2. Twitter Chat
• Twitter Chat Service is up again
• http://tweetchat.com/room/ccochat
• log in to your twitter account first then login
to tweetchat
• It automatically puts our hash tag #ccochat
on all messages

3. Poll
Poll - How many CCO
webinars have you
attended?

4. Who is Laureen?
•Graduated with a Bachelors in
Occupational Therapy
•Owned and Managed Rehab
Agency
•Owned and Managed Medical
Billing Company
•Owned and Managed Billing and
Coding School - brick and mortar
as well as online
•Started National Coding
Discussion List "Coding &
Reimbursement Network" - now
the CCO-L
•Sold Online School which is now operated
by AAPC
•Currently works full time for 3M
HIS/CodeRyte as a Clinical Development
Specialist
•Teaches Coding Certification Review Blitz
as well as other coding seminars.
•Has taken and passed the CPC, CPC-H,
CCS-P, CCS, RCC and currently maintains
her CPC, CPC-I and new CPPM credentials
•Married since 1989 with 5 kids (1 grown
step-son and 4 little ones
age 7 and under.

5. Who is Laureen?

6. Who is Alicia?
• Held several jobs in the medical field from, CNA, EMT, Pharmacy technician
and Medical Records Abstractor, Analyst and Nursing.
• Joined the AAPC and became certified as a CPC in 2011
• Working towards Masters in Healthcare Administration with an emphasis on
education.
• Former Instructor at a private college teaching medical coding and billing
and medical law and ethics.
• Working now as a remote Medicare Advantage Coder for Optum.
• Alicia will tell you that not only does she love medical
coding but she has a passion for teaching it.
• Presently Alicia lives in West Texas and is married
with six children (no that is not a typo!)

7. Who is Alicia?

8. Who is Alicia?

9. •Master of Ceremonies for CCO Q&A
Webinars
•Web Administrator for
CodingCertification.Org
•Business coach
Who is Boyd?

10. And the rest of the CCO Webinar Team?
Lisa Perez – Marketing Director, Newsletter Editor
Ruth Sheets, CPC-A, Administrative Specialist
Sylvia Ann Wiegand, Administrative Assistant – Helpdesk
Read More http://www.codingcertification.org/about-us/

11. Stay to the End
For...
• Giveaways
• AAPC CEU Index
Code for 1 CEU

12. WEBINAR CEU's !
Monthly CCO Webinars:
• * Now worth 1 CEU
• per meeting
• * 12 free CEUs per year
-Regular Attendees
-Replay Club Members
http://go.codingcertification.org/webinar-replay-club

13. Ariane Jackson (passed CPC 7/22/13)
Jennifer Purk (passed CPC 7/22/13)
Alicia Bryant (passed CPC 7/27/13)
Amy Garcia (passed CPC 8/2/13)
Christy Halbert (passed CPC 7/20/13)
Siddhartha Roy (passed CPC 8/7/13)
Anyone else out there who passed recently?
Congratulations to...

14. Poll
Poll - What coding
credential do you
have?

15. Student Case Studies
Our Special Guest Tonight...
Tamara Lucus, CPC-I, CPC-H

16. Poll
Poll - What coding
credential do you
WANT?

17. Medical Terminology & Anatomy Course (MTA)
Physician Based Coding Course (PBC) (CPC course)
Facility Based Medical Coding (FBC) (CPC-H course)
Review Blitz Video Package (included in PBC)
Mini-Mock Practice Exams
CEU Classes (On Demand)
ICD-10-CM MiniCourse
http://CodingCertification.Org/Products
Quick Outline of Product Lineup

18. Poll
Poll - What
region of the
country are you
from?

19. Medical Terminology & Anatomy Course (MTA) 40 CEUs!
Review Blitz Video Package 15 CEUs!
CEU Classes (On Demand)
http://CodingCertification.Org/Products
Need CEUs?

20. Burn - Multiple sites
If I have a patient with more than one burn site with multiple
degrees how do I code that? Now, what will happen with
2nd degree for both anatomical site? Do I go to higher
percent? What if there's no percent that is mentioned? What
if both anatomical sites had burns with the same percent?
ANSWER

21. I am trying to figure out these new GA and GX
modifiers and where and when to use them with
physical therapy in an office setting. Does
anyone know more about this? Some
secondary insurances will still pay for PT after
the Medicare benefit runs out so which one do
you use and when? ANSWER
GA & GX Modifiers for PT

22. Malignant Ascites Primary Site unknown
I am having a disagreement with my fellow coder. It states
under 789.51 that you are to code the primary and/or
secondary malignancy first and it states 197.6 for the
secondary malignant neoplasm of retro-peritoneum and
peritoneum. So I think its 197.6 and 199.1? please help?
ANSWER

23. I have been billing heart cath and angioplasty and
stent codes 93458-26,-59, 92928 I added modifier
59 to indicated that this were two different
procedures but I am still getting denials in the
EOB it says they are bundled codes. So my
question is how can I get paid for this two
procedures if they are done the same day?
ANSWER
Stent Codes

24. Cardiac Diagnosis Codes
Common Cardiac Codes You Need To Know
414.00, 414.01
443.9, 429.2
412
ANSWER

25. I have a pt that was being discharged from the
hospital from one physician & within a couple of
hours she was admitted by a different physician.
Can we use the admit/discharge code (99234,
99235, or 99236)? If you can not bill this code
could you give a reason why we could not?
Thank you, Debi
ANSWER
Discharge and Admit within hours

26. RA Rheumatoid Arthritis 714.0
714.0, HCC 38, RxHCC 41
What should a coder know about RA?
ANSWER

27. Like us on
Facebook
http://facebook.com/CodingCertification
http:
Help Us Get The Word Out

28. Follow us on Twitter
Subscribe and leave a comment on YouTube
Your Testimonials!
http://www.codingcertification.org/testimonials
Help Us Get The Word Out

29. Blitz Video
Package
or
2 CEU
Webinars
or
1 Hour
Session with
Laureen
Free Drawing! Your Choice of:
http://random.org

30. Our Facility Based Coding (FBC) Course is built and
accepting students NOW - will you be one of them?
Prepares you for the CPC-H® which is Non-Inpatient
Hospital Coding.
$300 Off Until?......
Anyone else thinking of getting this credential?
CPC-H® Course Open

31. Questions in the Chat?
HELP!

32. Thanks For Being With Us!