The 2013 AAPC Conference Review

The 2013 AAPC Conference Review


That was as far as the main content. For anyone
that wants to stay on, Alicia is going to regale us with some of the wonderful things
she learned in the AAPC 2013 Conference sessions. Let me tell you, she found some really good
tips with networking from people so it’s definitely worth hanging on if you guys have the energy.
Alicia, take it away. OK. What I learned from talking with Alicia and
it was about some of the coding areas, or I should say, elective surgery, was some of
the things that you were talking about in some of our videos. You can check our YouTube
video on that one. So that’s a good one for me who’s involved always with lead generation
for companies and such. Right. The one thing that they talked about
that… there’s a couple of things that really stuck out in my mind, but one of the things
was for the future with all the healthcare changes, the companies that are making money
are surgery centers. Things like, procedures that insurance doesn’t pay for, let’s say
that for example. Because when insurance is paying, they’re ultimately dictating how much
money they will pay ultimately ,especially government plans, okay? But the ones that
don’t get dictated to, LASIK surgery for your eyes, like gastric bypass surgery and stuff.
That only got an ICD-9 code or a CPT code like in 2010, and they’re just barely starting
to pay, they’re really not. Like sleep procedures; they had to pay for that, out of pocket. Other
procedures that they have to pay for out of pocket, plastic surgeries and stuff. So, if you want to work for somebody that
you know is going to have money, go to surgery centers, go to the specialty doctors. They
usually have fantastic waiting rooms because there’s competition there, and their employees
get paid well, they get bonuses. Starting with that CPC-H that’s geared just for that
type of coding. That is going to be really interesting to see what happens in the future
with that. Another thing that really stood out in my mind is a lot that was done on risk
adjustment, and it falls into the HCC coding that I’m doing. The tide is going to turn in the next few
years that we’re not going to… the doctor’s aren’t going to be paid via what they do to
the patient like CPT codes, they’re actually going to get paid by how sick the patient
is, and that’s what HCC coding is all about. It’s Medicare advantage, and they give the
doctor an X amount of money by… if the person has diabetes, they get this much. If they
have diabetes and kidney disease they get X and Y, and if the person has neuropathy
and on top of that, they get even more money. So you’re going to see some changes with ICD-10
and that’s real interesting, so I’m excited about that because I’m an ICD-9 junkie. Now, the heads up about ICD-10, again, like
everybody has been saying, know your anatomy and physiology. I did a couple of classes
with that and they gave some examples of how specific it is, and you’re going to need to
know some things that you might not have known before. Now, can you learn this on your own?
Yes you can. Is it going to be easier to take a quick course and beef up your skills? Yes
it is. So, you might want to consider that before ICD-10 comes around. There were a lot of fears still about ICD-10
and doing that certification, they’re telling, they’re stressing it, you need to do ICD-9.
Get certified in ICD-9 first because ICD-9 is not going away. If you have Workman’s Comp.
and they give a list of three or four other things, they’re not using ICD-10; they’re
going to stay in ICD-9. Now, let’s say a person goes in to the hospital
and they have a heart transplant and it said… and we’re in full mode of ICD-9; but the date
goes by, there’s no leeway, you switch to ICD-10. So, you have to able to code an ICD-9
and ICD-10. Did they really push that? No. ICD-9 is going to help you with ICD-10 because
you look up everything the same. Everything ultimately is the same. A great example that was given by one of the
doctors, he said, “Let’s say you open up a catalogue and you’re going to order a shirt
from Sears. So, you pick out what kind of shirt you want. If it’s got a collar, it’s
a button-down shirt, and you want it in blue. So you take that little code they gave you.
You call up the operator and you order that shirt. Now, let’s say you want to order that
same shirt with JC Penny, guess what? You take their catalogue, different code, same
thing. ‘I want a collar, I want buttons, I want it them blue.’ You did everything the
same; it’s just a different code. That’s what ICD-10 is. It is the same except they can
even tell you that they’re going to give it to you in cotton, in linen, in polycotton,
and polyester. So that’s the difference. It’s really exciting. That’s good. I have up on the screen; this
is the video that Boyd took of Alicia and me last week. You’re so good Boyd, you got
that all the way up and you’re travelling to Israel, you’re amazing. And that’s our
little booth in the background and I was interviewing Alicia. This is how Boyd works. “Here’s the
microphone, talk to Alicia about the sashes… quick.” And so, I had my Minnie Mouse ears
on, but it turned up pretty good. That’s on the blog if you guys want to see it. Just
go to CodingCertification.Org/blog and scroll down and you’ll see it. You guys are very coachable, thank you for
being coachable. It was fun. Just do it! So, very good. Anything
else that you wanted to share? Yeah I could talk forever, but I won’t. Let’s
see, a couple of other things that were very exciting about the conference are the local
chapters. If you’re not familiar with how AAPC is set up, AAPC is national and worldwide
actually; but they divided everybody up in regions, they give them a color. Like I’m
in Region 5, so that was orange and everybody gets crazy about colors; and Texas and even
Missouri, my hometown, same one. So, if you’re wanting – and we had a question
come through, someone who wants to know about starting a local chapter. Call the AAPC; they
will get you on contact with your region. They will get you a mentor if you want to
start a local chapter and give you the information on how to get that started. They have a fantastic
support network. They’ve got a new group; I think it’s only a couple years old. Laureen,
you might have to correct me on that. That they have a board that supports the local
chapters. And there was a lot of information and a lot of support at the conference about
local chapters and how they are working to make life easier for coders. There’s a really
big support networking. I always tell everybody, go to your local chapter meetings, get to
know your people. They’re going to get you a job, these are your peers. I can’t tell
you enough about that, they drove that home as well there. If you can go to the next conference which
is going to be in Tennessee at — where that’s going to be? Nashville. You’re just so pumped.
The amount of information that you get is unbelievable, and I’ll have you know, I didn’t
know it was recorded, but I have access to all the slides for thirty days, so I’ve been
downloading slides like crazy. And we have permission to use those, I think, as teaching
tools. And so, one of the best ones I had was cardiothoracic surgery. I know you guys
know, my students and staff, that I ate that up. I mean, wow! That was really awesome!
Yeah 3D slides, that was just so cool. In fact, right before that interview, I was
telling Boyd about all these slides and how they could do this and that. It was really,
really awesome! They went into the heart, and it was great. So, it is a real high. And
if you can go, save your pennies; put money in the cookie jar. Even if you think, there
were people there that weren’t certified yet, they offer exams when you’re there. So that’s
great. Oh, reminds me, I want to give that shout
out for my roommate and my fellow local chapter member, Diana Sawyer, who also helped me with
one of the slides before this webinar, like ten minutes before the webinar, so she’s amazing.
And she took the new billing, beta tested the new billing exam.

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