The June 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, 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. 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.

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:
http://www.cco.us/forum/

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

7. NEW WEBINAR ANNOUNCEMENT
Certification Coaching Organization
presents…
“HOW TO START A LIFELONG
CAREER AS A MEDICAL CODER
OR MEDICAL BILLER”
http://www.cco.us/mcb-webinar

8. New Name - New Website
and a new domain:
cco.us
short and sweet ~ bookmark it today!

9. New Helpdesk
helpdesk.cco.us
(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
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

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 >> http://cco.pe/10qGz8g

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:
cco.us/Products

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: http://www.cco.us/testimonials/

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! http://cco.us/products

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
http://go.cco.us/webinar-replay-club

28. Poll
Are you interested in any
of our course subjects you
haven’t yet taken?

29. LIKE us on Facebook
http://facebook.com/cco.us
Help Us Get The Word Out

30. www.YouTube.com/MedicalCodingCert

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
http://www.cafepress.com/CCOSwag
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
helpdesk.cco.us
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!