Alpha Coding Podcast

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer

Episode 72 will cover Medical Coding Pro-Tips for Navigating Obstetrics Coding and Reporting

1. Know the stages of maternity care

2. Know the trimesters of pregnancy

3. Understand the maternity OB package CPT codes

4. Know which services are bundled into global maternity care

5. Know which services are not included in global maternity care package

6. Understand the ICD-10-CM coding guidelines and rules for OB care

7. The coding rules change for twin and pregnancies involving multiples

8. Only report for the OB services rendered to the patient

9. OB documentation is different than any other specialty

10. Get plugged into the right OB resources

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer

Episode 71 will cover Medical Coding Pro-Tips for Effective Project Management

1. Start with a mind-map

2. Identify the project requirements

3. Develop a customized action plan for each project

4. Define expectations for each project

5. Collaboration is a critical element

6. Anticipate challenges and risks

7. Create a feedback loop

8. Leverage project management technology

9. Test your deliverables

10. Reflect on what worked well and what can be better for future projects

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer

In episode 70, we sit down with special guest Yesenia Servin, the Founder of YS Credentialing. Yesenia has over 20 years of experience in healthcare credentialing, payer contracting and enrollment. Yesenia shares her best Pro-Tips for Navigating Medical Credentialing.

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing: [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 69 will cover Medical Coding Pro-Tips for Improving Your Work-Life Balance

1. Recognize the importance of balance

2. Calendar block for both work and life

3. Establish boundaries

4. The Pomodoro method works

5. Work smarter, not harder

6. Unplug from the world

7. Prioritize your health

8. Learn to say no and be guilt free about it

9. Everyone needs a break from the status quo

10. No one has a perfect work-life balance

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 68 will cover Medical Coding Pro-Tips for Navigating Gender Dysphoria Coding and Reporting

1. Understand the clinical definition of Gender Dysphoria

2. Terminology matters

3. The Affordable Care Act transformed treatment for Gender Dysphoria Patients

4. Medical necessity trumps everything

5. Establish workflows and protocols for recording data for Gender Dysphoria Patients

6. Know the appropriate ICD-10-CM Codes for Gender Dysphoria Patients

7. Report appropriate comorbidities

8. Understand the most common services reported for Gender Dysphoria Patients

9. Know what procedures are considered cosmetic for Gender Dysphoria Patients

10. Append the KX Modifier when appropriate

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 67 will cover Medical Coding Pro-Tips for Navigating Remote Patient Monitoring in 2021

1. Understand the goals of remote patient monitoring

2. Patient consent is required

3. RPM can be ordered and billed only by Physicians or NPPs

4. RPM is not exclusive to chronic care patients

5. There must be an established Patient-Physician/Provider relationship after the PHE expires

6. Biometric data transmission must be electronically collected

7. Know the RPM codes

8. Understand the interactive communication requirement

9. RPM Devices must meet the FDA’s definition of a medical device

10. RPM reporting should be patient-specific

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 66 will cover Medical Coding Pro-Tips for Mastering Physical Therapy Coding

1. Everything starts with the PT evaluation

2. Know the difference between time-based PT codes and service-based PT codes

3. Understand the 8-minute rule

4. Pay close attention to units for each CPT Code

5. Direct patient contact is required for one-on-one services

6. Be mindful of PT supervision requirements

7. Leverage technology with built-in PT billing calculations

8. Take note of the TelePT rule changes and expansion during the PHE

9. Verify payer policies on PT

10. Routine audits and education are a non-negotiable

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 65 will cover Medical Coding Pro-Tips for Navigating Medical Scribe Compliance

1. Understand the Medical Scribe’s role

2. Medical Scribes are not required to be licensed

3. Know the Joint Commission standards

4. Medical Scribes are not exclusive to Doctors

5. Medical Scribes do not require an employment relationship with the Practitioner

6. Medical Scribes require training and must comply with the same regulatory requirements as other personnel

7. Strong Attestations are key for compliance

8. Medical Scribes are not qualified to function as Medical Coders

9. You cannot bill separately for the Scribe’s time

10. Oversight and auditing protocols are crucial for compliance

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 64 will cover Medical Coding Pro-Tips for Effectively Managing Down

1. Get to know every member of your team

2. Set clear expectations and deadlines

3. Create an environment that enables growth

4. Give credit where credit is due

5. Encourage autonomy

6. Establish a consistent feedback loop

7. Make yourself accessible and available to your team

8. Leaders should speak last

9. Communicate the vision

10. The best Leaders serve others

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]

Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer!

Episode 63 will cover Medical Coding Pro-Tips for Minimizing Revenue Leakage

1. Make sure all Provider credentialing is accurate and up to date

2. Review Payer contracts at least once per year

3. Ensure accurate Patient data capture

4. Establish robust Patient eligibility, prior-authorization, and collections workflows and processes

5. Let Coders be the CODERS

6. Let Billers be the BILLERS

7. Invest in regular, ongoing staff training

8. Keep your Providers involved, engaged, and invested

9. Quality Payment Programs (QPP) should not be ignored

10. Recognize the only constant in healthcare is change

Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter!

If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing:  [email protected]