The August 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 NCCI Edits; NCCI - Commercial Insurance and Coding; 99211 CPT Code; New Baby Office Visits; Analyzing Financial Reports as a Practice Manager; HIV ICD9 and ICD10 Codes; Integumentary ICD9 Skin Issues; and Back to Basics - Cardiology. 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 Tammy Lucus, CIC, CPC, COC, CPC-I, CPMA; Jo-Anne Sheehan, CPC, CPC-I, CPPM; and Alicia Scott, CPC, CPC-I, CRC. The host for the webinar was Boyd Staszewski.

1. Certification Coaching
Q & A Webinar
August 2015

2. This Month’s Q & A Webinar Agenda: 90-120 min
II: Q&A from our Instructors
● Tammy: NCII Edits
● JoAnne: 99211 Codes
● JoAnne: New Baby Office Visits
● JoAnne: Analyzing Financial Reports as a PM
● JoAnne: NCII-Commercial Insurance & Coding
● Alicia: HIV ICD9 (and ICD10?) Codes
● Alicia: Integumentary ICD9 Skin issues
● Alicia: Back to Basics - Cardiology
I: Introduction
● Why stay?
● Where is everyone from?
● 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 Link
Ask Along the way in the Questions box.
NOTE: We can’t answer every question.
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. CONGRATULATIONS to...
Barb Rogers 7/4/2015 Passed ICD-10 Assessment
Rosetta Dellatte 7/30/2015 Passed ICD-10 Assessment
our own Sylvia Wiegand 8/3/2015 Passed ICD-10 Assessment
Darlene Shelton 8/4/2015 Passed ICD-10 Assessment
Barbara Michelle Bess 8/4/2015 Completed PBC Course
Kartika Budiarta 8/4/2015 Passed CRC
Teresa Ragusa 7/25/2015 Passed CPC
Shaida Ehlert 8/14/2015 Passed CPC
Marylou Bofill 8/19/2015 Passed CPC
Bonnie Patterson 8/4/2015 Completed FBC Course
Chandra Stephenson 8/19/15 Passed CRC

6. Announcing -- Our Bookstore!!
● The Instacode Institute
● AMA
● Cengage
● Elsevier
CCO is announcing a new series of books now available
from our CCO partners:
These textbooks and specialty subjects are available for
purchase through CCO at a competitive price. Go to:
http://store.cco.us/

7. Examples of Specialty Manuals from InstaCode
Instacode Specialty Manual Subjects
Behavioral Health
Cardiology/Vascular
Chiropractic
Dentistry
Dermatology
Emergency Medicine
ENT Otolaryngology
Gastroenterology
Internal Medicine
Interventional
Radiology
Laboratory Pathology
Neurology /
Neurosurgery
Urology / Nephrology
Obstetrics / Gynecology
OMS - Oral Maxillofacial
Surgery
Oncology / Hematology
Ophthalmology / Optometry
Orthopedics
Pain Management
Pediatrics
Physical Therapy
Podiatry
Primary Care / Family Practice
Radiology
Rheumatology

8. ”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.

9. GUESS who’s speaking this year?
Alicia Scott
CPC, CPC-I, CRC
Laureen Jandroep
CPC, CPC-I, COC, CMSCS,
CHCI, CPPM
MODIFIERS Risk
Adjustment/HCC

10. Medical Coding Auditing | Free Webinar | Tues Aug 25 8 PM EST
http://www.cco.us/medical-coding-auditor

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 25 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. How to Become a Certified Medical Coder or a Medical
BILLER
Without The Staggering Costs of Traditional Local
Schools
http://go.cco.us/medical-coding-billing-course-bundle
Full educational coding and billing
bundle package for:
$2475
(Over $5100 value)
SUMMER SPECIAL >>> MCB Bundle

14. CCO Helpdesk
helpdesk.cco.us
(You can search the knowledge base, create a ticket and check up on existing tickets)

15. ● Tammy: NCCI - Edits
● JoAnne: NCCI - Commercial Insurance & Coding
● JoAnne: 99211 Codes
● JoAnne: New Baby Office Visits
● JoAnne: Analyzing Financial Reports as a PM
● Alicia: HIV ICD9 (and ICD10?) Codes
● Alicia: Integumentary ICD9 Skin issues
● Alicia: Back to Basics - Cardiology
Coding Q and A | August 2015
Alicia Scott
CPC, CPC-I, CRC
Jo-Anne Sheehan
CPC, CPC-I, CPPM
Tammy Lucus
CIC, CPC, COC, CPC-I, CPMA

16. NCII - Edits
Question: Can someone can clarify some
confusion I have about when multiple
surgeries are done on a PT but the codes
the physician is using conflict with each
other because of cci edits. How is the
procedures billed if CCI edits say the CPTs
cannot be billed together?
ANSWER

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

18. NCCI - Commercial Insurance & Coding
Question: Can you speak to the relevance
of NCCI to commercial insurance and
coding encounters?
ie, if the patient is not Medicare, do NCCI
codes matter?
ANSWER

19. New Baby Office Visits
Question: How do I bill and get paid for
new baby visits in the Family Practice? I
have more denials than payments.
ANSWER

20. Question: What actions do I take with a
financial report as a Practice Manager?
ANSWER
Analyzing Financial Reports as a Practice Mgr

21. 99211 CPT Code
Question: Can someone please discuss the
99211 CPT Code?
ANSWER

22. Poll
What coding credential
do you WANT?

23. Poll
What AAPC coding
credential do you HAVE?

24. HIV ICD9 (and ICD10) Codes
Question: On the HIV codes, when do you
use the v code versus the 0 code? Would
you code the patient as being active if they
have a history of it?
ANSWER

25. Integumentary ICD9 Skin issues
Question: Can you please discuss ICD-9
coding for skin wounds, ulcers,
abscesses, infections and cellulitis? I am
looking to clarify the difference between
wound and the other types of skin issues
previously listed.
ANSWER

26. “I have been attending your Q&A webinars for a year now and
I absolutely love the teaching style of CCO. It was through
your Blitz videos that I was able to pass the CPC exam with
ease.
I am very excited about this next step in my career and that I
am able to do it through your company. Thank you for all that
you have done.” Schuyler C., CPC
So what are our Students saying about us?
TESTIMONIAL from an ongoing student
Share Your Own CCO Testimonial: http://www.cco.us/testimonials/

27. 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

28. 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

29. WEBINAR CEU's - REPLAY CLUB
Monthly CCO Q&A 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

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

31. www.YouTube.com/MedicalCodingCert

32. 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
● Timely Industry Announcements
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● Congratulations to our Grads!
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● Current Blog links
Gain Access to Our Best Free Medical Coding
and Reimbursement Resources!
Introducing our New Weekly Newsletter Format
“Heads-Up Tuesdays”
Short and Sweet Links to:

33. 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!

34. Medical Coding Basics - Cardiology
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

35. Questions In The Chat
ANSWERS
Your Webinar Chat Team

36. Links Referenced in the Webinar
Share your Testimonial: http://www.cco.us/testimonials/
CCO bookstore: http://store.cco.us/
MAUD webinar: http://www.cco.us/medical-coding-auditor

37. Chat Q & A
Webinar- Aug 2015

38. Documentation
I have physician that just do NOT listen to the
importance of documentation. I am looking to
get certified in that to make them listen! That
way I can put the fear of god in them to
document correctly! :)

39. Proficiency Test?
I have CPB and CPPM. Do I need to take the
proficiency test?

40. ICD 10 Manual
Do I need 2015 book for ICD 10 test or I can
use 2013

41. CPC and COC
Is CPC easier than COC?

42. Modifier 25
Our company we are with has "test edits" I
have Always used modifier 25 when our
patients have symptoms of UA. The E&M is
usually abdominal pain etc then the UA shows
UTI. I am told by them that modifier 25 is NO
LONGER used or needed when reporting
anything in the 80000's cpt. I need your
input/expertise!

43. Auditing Course
Is 1 year experience with CPC, CCS enough
to take the auditing course (2 years are
recommended, but I am going to get some
training on the job)?

44. 99304-99318
Where can I find examples of proper
documentation for 99304-99318?

45. Studying Guidelines
Outside of reading the guidelines in the
manuals and highlighting them, what is the
best way to study them? Talking about the
ICD-9 and CPT manuals

46. Gangrene 785.4
What terms in the EMR would you look for to
code the gangrene 785.4?

47. RHIT or CPC?
Is it better to be a RHIT or a CPC?

48. Thanks For Being With Us!