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Member of the Year May 2011 2010 Member of the Year Maryann Palmeter, CPC, CENTC Plus: 2011-2013 NAB • Modifier 33 • Template Caution • May MAYnia • Neurostimulation MLN CodingEdge Ad 5.2011 FINAL PRINT.pdf 1 3/9/11 12:29 PM R C M Y CM MY CY CMY K Contents 14 22 47 May 2011 [contents] In Every Issue 7 Letter from the President and CEO 8 Coding News 11 Letter from Member Leadership 12 Letters to the Editor 25 Kudos 42 Special Features Features Online Test Yourself – Earn 1 CEU 16 Modifier 33 Arrives Quietly But Packs a Punch go to www.aapc.com/resources/ Brad Ericson, MPC, CPC, COSC publications/coding-edge/archive.aspx 18 Use Templates with Caution 30 Welcome 2011-2013 NAB Peggy Stilley, CPC, CPMA, CPC-I, COBGC, ACS-OB 39 Audit Team Finds Paradise 22 Next Step in ED Leveling: Evaluation Methodologies Jim Strafford, CEDC, MCS-P 50 Minute with a Member 26 Educate Yourself on Proper E/M Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC Education 28 Maryann Palmeter: Coding, Compliance, and Cows 14 Ideas to Bring Your Chapter to Life Michelle A. Dick 38 Newly Credentialed Members 42 Append 22 to Unusually Difficult Procedures Sarah Reed, CPC, and G.J. Verhovshek, MA, CPC Coming Up 44 Learn What’s New for Neurostimulation G.J. Verhovshek, MA, CPC • Chapter of the Year • New AAPCCA 47 It’s Here: Rampant Health Care Fraud and Abuse Lynn Berry, PT, CPC • Interstitial Device Placement On the Cover: AAPC’s 2010 Member of the Year, Maryann C. Palmeter, CPC, CENTC, • Bundling Basics director of physician billing compliance at University of Florida Jacksonville Healthcare, Inc., found that the secret to happiness is the three Cs: coding, compliance, and cows. • Long Beach Conference Cover photo by Jon. M. Fletcher (www.jonmfletcher.com). www.aapc.com May 2011 3 Serving 102,000 Members – Including You Serving AAPC Members The membership of AAPC, and subsequently the readership of Coding May 2011 Edge, is quite varied. To ensure we are providing education to each segment of our audience, in every issue we will publish at least one article Chairman on each of three levels: apprentice, professional and expert. The articles Reed E. Pew will be identified with a small bar denoting knowledge level: [email protected] Beginning coding with common technologies, basic Vice President of Marketing APPRENTICE anatomy and physiology, and using standard code Bevan Erickson guidelines and regulations. [email protected] Vice President of ICD-10 Education and Training PROFESSIONAL More sophisticated issues including code sequencing, modifier use, and new technologies. Rhonda Buckholtz, CPC, CPC-I, CPMA, CGSC, CPEDC, COBGC, CENTC [email protected] Advanced anatomy and physiology, procedures and Directors, Pre-Certification Education and Exams EXPERT disorders for which codes or official rules do not exist, Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC appeals, and payer specific variables. [email protected] Katherine Abel, CPC, CPMA, CPC-I, CMRS [email protected] Director of Member Services Danielle Montgomery [email protected] American Medical Association .....................10 Director of Live Events www.amabookstore.com Bill Davies, MBA [email protected] American Society of Health Director of Publishing Informatics Managers ....................................9 Brad Ericson, MPC, CPC, COSC http://ashim.org [email protected] Advanced Career Solutions, LLC ..................20 Director of Editorial Development John Verhovshek, MA, CPC www.CodingCert.com [email protected] Advanced Career Solutions, LLC ....................6 Senior Editors Michelle A. Dick, BS Renee Dustman, BS www.CodingConferences.com [email protected] [email protected] advertising index CodingWebU .................................................51 Production Artist www.codingwebu.com Tina M. Smith, AAS Graphics Renee Dustman, BS [email protected] [email protected] Contexo Media ............................................. 46 Advertising/Exhibiting Sales Manager www.contexomedia.com Jamie Zayach, BS [email protected] HealthcareBusinessOffice LLC .....................25 www.HealthcareBusinessOffice.com Address all inquires, contributions and Ingenix® .........................................................21 change of address notices to: www.shopingenix.com Coding Edge PO Box 704004 NAMAS/DoctorsManagement ............... 13, 52 Salt Lake City, UT 84170 www.NAMAS-auditing.com (800) 626-CODE (2633) © 2011 AAPC, Coding Edge. All rights reserved. Reproduction in whole or in part, Medicare Learning Network® (MLN) ...............2 in any form, without written permission from AAPC is prohibited. Contributions are welcome. Official CMS Information for Medicare Fee-For-Service Providers Coding Edge is a publication for members of AAPC. Statements of fact or opinion are the www.cms.gov/MLNGenInfo responsibility of the authors alone and do not represent an opinion of AAPC, or sponsoring organizations. Current Procedural Terminology (CPT®) is copyright 2010 American Medical As- Navicure® ........................................................5 sociation. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT®. The AMA assumes no liability for the data contained herein. www.navicure.com CPC®, CPC-H®, CPC-P®, CPCOTM, CPMA® and CIRCC® are registered trademarks of AAPC. The Coding Institute, LLC .......................17, 45 www.SuperCoder.com Volume 22 Number 5 May 1, 2011 Coding Edge (ISSN: 1941-5036) is published monthly by AAPC, 2480 South 3850 West, Suite B. Salt Lake City, Utah, 84120, for its paid members. Periodical postage paid at the Salt Lake City mailing office and others. POSTMASTER: Send address changes to: Coding Edge c/o AAPC, 2480 South 3850 West, Suite B, Salt Lake City, UT, 84120. 4 AAPC Coding Edge This is your invitation to the country’s only multi-specialty conference in medical coding, billing and reimbursement. SUMMER 2011 VEGAS MEDICAL CODING, BILLING AND REIMBURSEMENT NATIONAL CONFERENCE June 24-26, 2011 The Cosmopolitan of Las Vegas This 2 1/2 day event is the only multi-specialty conference that NEW THIS YEAR! will equip you with the tools you need in correcting codes from CodingCon’s the start, avoiding claim denials, maximizing your productivity Clinical and increasing your practice’s bottom-line. Documentation A HCD Integrity Tracks in partnership with the Association for Integrity in Healthcare Documentation Registration Fees (AIHCD) Main Conference Sessions (June 25 & 26)* .............................................. $995 Specialties: Pre-Conference Workshop (June 24) ........................................................... $400 • Ob-Gyn • Cardiology *includes access to reception and fellowship night on June 25 • Pediatrics • Billing & Collection Call 866-251-3060 or visit www.codingconferences.com to register or • Urology for information on sending a team at special discounted rates. • Pathology • Pain Management • Anesthesia • Clinical Documentation Integrity ***NEW! ALUMNI DISCOUNT Were you a participant in any previous Coding Conferences event? CodingCon is extending an exclusive discount for valued member of our Coding Conferences family. Secure your spot TODAY and avail of a $50 OFF SPECIAL ALUMNI DISCOUNT. · Call 1-866-251-3060 to speak to a Conference Specialist TODAY or · Go on LiveChat when you visit www.CodingConferences.com Letter from the President and CEO You Make Us Exceptional In my 30 plus years in this industry, I’ve national leaders. come across a diverse group of personali- • Dedicating selflessly and tirelessly ty types, each bringing different strengths to promote coding excellence to the and experiences to our field and organi- highest degree. zation. AAPC is full of outstanding cod- • Stopping at nothing to improve ers, some of whom are recognized nation- coding and coders. ally by their chapters as officers or by their peers. Let’s acknowledge the characteris- • Making coding fun, even in tics of these extraordinary coders who help challenging situations. to makes AAPC an amazing organization. Recognize Our Every Day Heroes Our Outstanding Membership This month we honor our Member of the Many of you find satisfaction in knowing Year and the 2011-2012 National Advisory you do a great job. You take pride in doing Board (NAB). These members, along with your personal best by: all those dedicated to the success of our lo- cal chapters, help us all advance coding as a • Networking to find the correct valuable profession. answer or to provide coding expertise to help fellow coders. You can show another coder that you rec- ognize and appreciate his or her hard work • Promoting our profession and its and dedication. On a national level, one way importance in capturing correct is to nominate in the late fall an individual payment for physician services. for the AAPC Member of the Year Award. • Keeping abreast of coding updates Coding Edge is another good venue to recog- and changing guidelines, and quickly nize fellow coders’ accomplishments. You sharing those with others. can acknowledge coders or chapters who do • Educating providers with integrity to extraordinary things by sending your sto- “do the right thing” when selecting ries to [email protected]; or suggest one of codes, even if there is resistance. our unsung heroes to feature as a Minute Deborah Grider, • Spreading coding insight through with a Member by sending the name of the CPC, CPC-H, CPC-I, CPC-P, CPMA, local chapters, seminars, mentoring, member you’d like to highlight
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