際際滷

際際滷Share a Scribd company logo
Coding Certification Q & A


 Laureen Jandroep, CPC
 Sr. Instructor, CodingCertification.Org
Twitter Chat

 http://twebevent.com/cco
 Who will have the most tweets? :)
Who is Laureen?

    Graduated with a Bachelors in         
                                              Sold Online School which is now operated by
    Occupational Therapy                      AAPC

    Owned and Managed Rehab               
                                              Currently works full time for 3M HIS/
    Agency                                    CodeRyte as a Clinical Development

    Owned and Managed Medical                 Specialist
    Billing Company                       
                                              Teaches Coding Certification Review Blitz as

    Owned and Managed Billing and             well as other coding seminars.
    Coding School - brick and mortar as   
                                              Has taken and passed the CPC, CPC-H,
    well as online                            CCS-P, CCS, RCC and currently maintains

    Started National Coding Discussion        her CPC and CPC-I credentials
    List "Coding & Reimbursement          
                                              Married since 1989 with 5 kids (1 grown
    Network" - now the CCO-L                  step-son and 4 little ones
                                              age 7 and under.
Who is Alicia?
   Held several jobs in the medical field from, CNA, EMT, Pharmacy technician
    and Medial Records Abstractor, Analyst and Nursing.
   Joined the AAPC and became certified as a CPC in 2011
   Working towards Masters in Health Care 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!)
Who is Alicia?
Who is Boyd?
Master of Ceremonies for CCO Q&A
 Webinars
Web Administrator for
 CodingCertification.Org
Business coach
Poll

Poll - How many
webinars for you?
Stay to the End

   For...


       Course & Webinar Updates
       Giveaways and
Poll

Poll - Are you certified?
Student Case Study

         Ruth Sheets, CPC-A
         Poughkeepsie, NY
Question - Intraocular Lens
What is the diagnosis code assignment for contraction of
the anterior capsule causing the intraocular lens implant to
be displaced following extraction of a cataract? The
physician uses a laser to repair the torn capsule and
reposition the lens.
                       Can you explain why X is the
                               correct choice?
A.996.69
B.996.53                       ANSWER
C.998.82
V Codes

 Can you help us with V-codes - in particular knowing WHEN
 we would need to add one. For example if we are reading a
 test question that we need to code the DX and TX how would
 we know we also need to assign a V-code. E-codes just pop
 out at you......PT fell at home and broke an arm. Code the
 break and the E-code. But V-codes are much harder to know
 just by reading a question that we need to code one. Thanks!
 Linda           ANSWER
Orthopedics - Casting & Strapping

Please review casting and strapping
coding. I get confused as to when it is
bundled and when it isn't.


             ANSWER
Coding for GERD
  What is the difference between 530.81 and 530.11?
  530.81 Esophageal reflux
  530.11 Reflux esophagitis
  ANSWER
Bill First - ICD Sequencing
Is there a rule of thumb to which code should be billed
first if the ICD-9 does not state otherwise? For example
250.40 and 585.3, I understand that, but maybe a good
example might be dehydration due to flu. What is the rule
to "bill first". My thinking is, you would have the flu before
the dehydration, but then my over thinking kicks in and
thinks that you wouldn't maybe have an office visit if you
weren't dehydrated. Thank you for your
help on this biggie. ANSWER
Omit Code
 Can you please explain the USE of "Omit Code" in the ICD-9?? I just don't get it!
 If we are not to use this code then why have it in the book?!?!?!
 This is what I am thinking it means - can you confirm or tell me what it does in fact
 mean?

 Example in volume 3 ICD-9 Hospital procedures 39.3 Suture of a vessel
 Then under that it has an "Excludes note" and under that "Omit Code" and it lists
 other codes like
 39.52 49.95 57.93 39.41 21.00 - 21.09 60.94 28.7 = does it mean that if I am
 coding anything from this list that I should not code anything in the 39.3 category
 as well?       ANSWER
Poll

Poll - AAPC or AHIMA?
Debridement and Skin Graft
A patient had a debridement and a skin graft in an acute
setting. Now patient is at a LTAC hospital. I have two
different thoughts concerning what to code.
  aftercare following surgery of skin and subq
  aftercare for organ transplant
Any thoughts on what to do? Thanks.

                       ANSWER
Hypertension & Chronic Kidney Disease
                ANSWER
CEU's and the CPC
               ANSWER
Help Us Get The Word Out


Like us on
Facebook
Help Us Get The Word Out
  Follow us on Twitter
  Subscribe and leave a comment on YouTube
  Your Testimonials!




   http://www.codingcertification.org/testimonials
Updates? MTA Course!
 New "Medical Terminology & Anatomy for Medical Coders" course up and
running for $497 (15 module course)
  go at your own pace
  access to recorded lectures and tests for one year
  includes textbook "Medical Coding & Terminology for ICD-10 Coding" -
   the only one geared toward medical coder
                   http://www.codingcertification.org/mta


    And if you need both a medical terminology/anatomy
           course + a coding course check out our
       combo deal $1247 or $334.50 x 4 payments!
Updates?
   New CPCs?
   Testimonials
   Independent CCO Instructors
   ICD-10 Couse should be ready by
    February 1st
   Podcasts coming
Find A Code Discount

  www.findacode.com Discount!

  Enter CCO when you check out for any
  FindACode Membership and save!
CEU Webinars!
Modifiers:                       E&M:
It's All About                   LocateYour
The Money                        HEM In Time

$ 67                             $ 147

 90 Minutes                      3 hours
 CEU Approved                    CEU Approved


       www.codingcertification.org/ceu-webinars
Coding Certification Review Blitz Videos
Free Drawing! Your Choice of:

  Blitz Video
   Package
      or


2 CEU Webinars
      or


1 Hour Session
 with Laureen
80 Hour Coding Course
Questions in the Chat?
         HELP!
Thanks For Being With Us!

More Related Content

November 2012 Medical Coding Certificaion Q&A Webinar

  • 1. Coding Certification Q & A Laureen Jandroep, CPC Sr. Instructor, CodingCertification.Org
  • 2. Twitter Chat http://twebevent.com/cco Who will have the most tweets? :)
  • 3. Who is Laureen? Graduated with a Bachelors in Sold Online School which is now operated by Occupational Therapy AAPC Owned and Managed Rehab Currently works full time for 3M HIS/ Agency CodeRyte as a Clinical Development Owned and Managed Medical Specialist Billing Company Teaches Coding Certification Review Blitz as Owned and Managed Billing and well as other coding seminars. Coding School - brick and mortar as Has taken and passed the CPC, CPC-H, well as online CCS-P, CCS, RCC and currently maintains Started National Coding Discussion her CPC and CPC-I credentials List "Coding & Reimbursement Married since 1989 with 5 kids (1 grown Network" - now the CCO-L step-son and 4 little ones age 7 and under.
  • 4. Who is Alicia? Held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor, Analyst and Nursing. Joined the AAPC and became certified as a CPC in 2011 Working towards Masters in Health Care 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 Boyd? Master of Ceremonies for CCO Q&A Webinars Web Administrator for CodingCertification.Org Business coach
  • 7. Poll Poll - How many webinars for you?
  • 8. Stay to the End For... Course & Webinar Updates Giveaways and
  • 9. Poll Poll - Are you certified?
  • 10. Student Case Study Ruth Sheets, CPC-A Poughkeepsie, NY
  • 11. Question - Intraocular Lens What is the diagnosis code assignment for contraction of the anterior capsule causing the intraocular lens implant to be displaced following extraction of a cataract? The physician uses a laser to repair the torn capsule and reposition the lens. Can you explain why X is the correct choice? A.996.69 B.996.53 ANSWER C.998.82
  • 12. V Codes Can you help us with V-codes - in particular knowing WHEN we would need to add one. For example if we are reading a test question that we need to code the DX and TX how would we know we also need to assign a V-code. E-codes just pop out at you......PT fell at home and broke an arm. Code the break and the E-code. But V-codes are much harder to know just by reading a question that we need to code one. Thanks! Linda ANSWER
  • 13. Orthopedics - Casting & Strapping Please review casting and strapping coding. I get confused as to when it is bundled and when it isn't. ANSWER
  • 14. Coding for GERD What is the difference between 530.81 and 530.11? 530.81 Esophageal reflux 530.11 Reflux esophagitis ANSWER
  • 15. Bill First - ICD Sequencing Is there a rule of thumb to which code should be billed first if the ICD-9 does not state otherwise? For example 250.40 and 585.3, I understand that, but maybe a good example might be dehydration due to flu. What is the rule to "bill first". My thinking is, you would have the flu before the dehydration, but then my over thinking kicks in and thinks that you wouldn't maybe have an office visit if you weren't dehydrated. Thank you for your help on this biggie. ANSWER
  • 16. Omit Code Can you please explain the USE of "Omit Code" in the ICD-9?? I just don't get it! If we are not to use this code then why have it in the book?!?!?! This is what I am thinking it means - can you confirm or tell me what it does in fact mean? Example in volume 3 ICD-9 Hospital procedures 39.3 Suture of a vessel Then under that it has an "Excludes note" and under that "Omit Code" and it lists other codes like 39.52 49.95 57.93 39.41 21.00 - 21.09 60.94 28.7 = does it mean that if I am coding anything from this list that I should not code anything in the 39.3 category as well? ANSWER
  • 17. Poll Poll - AAPC or AHIMA?
  • 18. Debridement and Skin Graft A patient had a debridement and a skin graft in an acute setting. Now patient is at a LTAC hospital. I have two different thoughts concerning what to code. aftercare following surgery of skin and subq aftercare for organ transplant Any thoughts on what to do? Thanks. ANSWER
  • 19. Hypertension & Chronic Kidney Disease ANSWER
  • 20. CEU's and the CPC ANSWER
  • 21. Help Us Get The Word Out Like us on Facebook
  • 22. Help Us Get The Word Out Follow us on Twitter Subscribe and leave a comment on YouTube Your Testimonials! http://www.codingcertification.org/testimonials
  • 23. Updates? MTA Course! New "Medical Terminology & Anatomy for Medical Coders" course up and running for $497 (15 module course) go at your own pace access to recorded lectures and tests for one year includes textbook "Medical Coding & Terminology for ICD-10 Coding" - the only one geared toward medical coder http://www.codingcertification.org/mta And if you need both a medical terminology/anatomy course + a coding course check out our combo deal $1247 or $334.50 x 4 payments!
  • 24. Updates? New CPCs? Testimonials Independent CCO Instructors ICD-10 Couse should be ready by February 1st Podcasts coming
  • 25. Find A Code Discount www.findacode.com Discount! Enter CCO when you check out for any FindACode Membership and save!
  • 26. CEU Webinars! Modifiers: E&M: It's All About LocateYour The Money HEM In Time $ 67 $ 147 90 Minutes 3 hours CEU Approved CEU Approved www.codingcertification.org/ceu-webinars
  • 28. Free Drawing! Your Choice of: Blitz Video Package or 2 CEU Webinars or 1 Hour Session with Laureen
  • 29. 80 Hour Coding Course
  • 30. Questions in the Chat? HELP!
  • 31. Thanks For Being With Us!