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July 2013 Medical Coding Q & A Webinar from http://codingcertification.org covered many topics including Medical Decision making Preventative Code & E/M, Late Effect vs. Residual Effect, Pressure Ulcers, Benign and Malignant Neoplasms, Multiple Dx’s, OB Coding for Mother and Baby. Presentors were Laureen Jandroep, CPC, CPC-I, CMSCS, CHCI and Alicia Scott, CPC, CPC-I.
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Coding Certification Q & A Webinar - July 2013
Laureen Jandroep, CPC Sr. Instructor, CodingCertification.Org
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Poll - How many CCO webinars have you attended?
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.
Who is Laureen?
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!)
Who is Alicia?
Who is Alicia?
•Master of Ceremonies for CCO Q&A
Webinars
•Web Administrator for
CodingCertification.Org
•Business coach
Who is Boyd?
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/
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Denise Herry (passed CPC 6/24/13)
Binta Campbell (passed CPC 6/27/13)
Natasha Johnson (passed CPC 7/2/13)
Delissa Angel Ortega (passed CPC-I 7/3/13)
Jacinte Lytle (passed CPC 6/29/13)
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V58.30, 915.8 and E920.5
Laureen, Can I ask a strange question. I had an issue with
using an E-code for a finger stick. E920.5 with a V58.30 or
915.8 as primary codes. I was told that the E-codes were
only for inpatient usage. I just want to confirm that for future
reference. Thanks. Cathy
ANSWER
AAPC says: A "late effect" is the residual effect
that remains after the acute phase of an illness
or injury has terminated. It also says: The
residual effect is coded first and is followed by
the "late effect" code to show the cause of the
late effect condition. ANSWER
Late effect vs Residual effect
Multiple DX's in 1 Category
Hi, If a chart has documented that the PT has substernal
chest pain radiating to LT shoulder. And when pain is at it's
worst feels pressure. Should we code only 786.51 or
786.51 AND 786.59?? Can we code 2 in the same
category? Thanks for any input! Linda
ANSWER
From Amanda: Please help me understand how to
properly code for a routine well-woman exam
(preventative yearly check-up) for an established pt
under 39 yrs, AND a separate issue, like depression.
(the primary reason for the visit is the preventative
care, but during the visit the 2nd reason, depression,
is discussed and pt issued rx for meds and/or
counseling). Wouldn't it be 99395, 99213-25? I'm SO
confused with modifiers. Thanks for helping.
ANSWER
Preventative Code + E/M with modifier?
Neoplasms, Benign and Malignant
What is the difference between benign and malignant
neoplasms.
ANSWER
In E/M , in Medical Decision Making , Number of
Diagnoses ( New Problem ) Maximum 1.What
does this mean ? Can someone explain this to
me .Thanks .
ANSWER
Medical Decision Making
Pressure Ulcers
Pressure Ulcers. Multiple sites at different stages, it says
code each site and each stage. BUT is that: site, stage, site,
stage OR site, site, stage, stage
ANSWER
OB Coding, Mother and Baby
Now my question. 655-656 fetal conditions affecting the mother's care. Are there
any codes here that would be recorded on the fetal record, or is everything on
the mother's record until the fetus is born and starts having complications after
birth? I know most so far goes on the mother's record but I guess I am confused
as to when the baby's record starts.
ANSWER
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