Slides from the May 2013 CCO Medical Coding Certification Q&A Webinar http://codingcertification.org

1. Coding Certification Q & A
Webinar - May 2013
http://tweetchat.com/room/ccochat
Laureen Jandroep, CPC
Sr. Instructor, CodingCertification.Org

2. Poll
Poll - How many CCO
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3. 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.

4. Who is Laureen?

5. 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!)

6. Who is Alicia?

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

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

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

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11. Laurie Hardin (passed CPC 4/20/13)
Carmen Lassiter (passed CPC 04/25/13)
Amarjit Singh (I am CPC as of December 2012 and my wife as of January 2013)
Deborah Riddle (passed CPC)
Kimberly Kerr (passed CPC)
Diann DeAngelis (passed CPC)
Denise Hattub (passed CPC)
Anyone else out there who passed recently?
Congratulations to...

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

13. Student Case Studies
Our Special Guest Tonight...
Diann DeAngelis, CPC-A
Blitz customer and a Nurse
Thank you note

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

15. Medical Terminology & Anatomy Course (MTA)
Physician Based Coding Course (PBC)
Review Blitz Video Package (included in PBC)
150 Question Downloadable Practice Exam (included in PBC)
Combo MTA + PBC Course (includes all of the above)
NEW - Facility Based Medical Coding (FBC) (CPC-H course)
CEU Webinars
ICD-10-CM MiniCourse
CodingCertification.Org/Products
Quick Outline of Product Lineup

16. Coding Detached Retina
A case of patient being seen for a detached retina.
ANSWER

17. During my internship I've noticed that some CPT codes
are reported to Medicare using a HCPCS code (often a
G code). I assume 'somewhere' on the CMS site I can
find a correlation of these codes, so I can write them in
my book, but I have not yet. Any idea where I could
look?
Thanks!
ANSWER
CPT vs HCPCS codes

18. Coding for Physicals- V70.0 vs V72.3x
Sharla asks -
When pt presents for annual physical and has GYN
components to the exam, which ICD-9 would be used as
primary dx V70.0 or V72.3x? There is conflicting information
out there on this subject, it seems some folks use both
codes with V70.0 as primary and some only use V72.3x.
ANSWER

19. I would love to hear some discussion on the differences of the diagnostic/
therapeutic wedge resections (32666 - 32668) and also the wedge
resections/biopsies (32607-32608). There is a lot of confusion with these
codes between our coders, surgeons, and auditing department. Many
times the surgeons will leave out wording such as 'complete resection' or
'attention to margins' and we have been told to then code it as a 32608 (for
a lung mass) - even though the number of incisions and the rest of the op
note and path report matches the description for a therapeutic wedge. The
reimbursement is considerably different and this is causing a great deal of
stress between departments. I'd really enjoy
some information on this!! ANSWER
Coding for Lungs and Pleura Procedures

20. EMR Vendors
I keep hearing about different EMR vendors. What are the
more common ones that I should be aware of?
ANSWER

21. I work in a Outpatient Cancer Center Facility and have a question on a new
patient E&M visit. We have a new patient that scheduled a Second
Opinion/New patient consultation appt. Patient's family came into the office
without the patient for second opinion regarding his disease management.
The patient was too ill to come into the appointment. Do you know if there
is a New Patient E&M visit that we can bill? The visit was more than 30
minutes with more than 50% of the time in counseling.
ANSWER
New Pt Consult w/Family & Pt not Present

22. Nerve Block Follow up Care
When coding continuous nerve blocks 64415, 64446 or
64448 how do you code for the follow up when the patient is
sent home with the catheter and the follow up is being done
via telephone by the anesthesiologist?
ANSWER

23. If a patient's cc is throwing up/diarrhea, and the patient
received an IV Push of Zofran & hydration for 2 hours,
would it be coded as 96374, 96361 (2)? Also, are there
any cheat sheets or flow charts that explain how to code
infusions, pushes & hydration's? - Kathy O
ANSWER
IV Push/Hydration

24. Elevated Troponin
What is the correct code for elevated troponin, without
mention of any definite diagnosis-790.5/790.6 or 790.99?
- Sujidha
ANSWER

25. Coding Difficult Op Reports
Bilateral Myocutaneous Pectoralis Muscle Flap
ANSWER

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29. 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.
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31. Thanks For Being With Us!