July 2017 www.aapc - Amazon Web Services

1 July 2017 Don't Let Healthcare Politics Rattle You: 13. Take the lead on healthcare reform Figuring Sedation Time Just Got Easier: 26. Get this moderate sedation calculator Are You a HIPAA Expert or a Flunky? 40. Take a quiz to find out July 2017 1. Advancing the Business of Healthcare Includes 2018. Guidelines in 1st Edition! We Heard You Loud and Clear AAPC 2018 Code Books are New and Improved AAPC Codebooks You asked, we listened. Our 2018 code books are far superior to anything we've ever developed. Thanks to you. In addition to being higher quality, we've added these features: More Color HCC Codes Identi ed in ICD-10-CM.

2 Highlighted MACRA Codes for Ease of Use Larger Font New Adhesive Tabs to Decrease Code Look-up Time Illustrations Exclusive AAPC Coding Tips and Learn More: Healthcare Business Monthly | July 2017. COVER | Coding/Billing | 28. GLOBAL PERIODS: Let's Make the Lingo Universal Chandra Stephenson, CPC, CDEO, CIC, COC, CPB, CPCO, CPMA, CPPM, CRC, CCS, CPC-I, CANPC, CCC, CEMC, CFPC, CGSC, CIMC, COBGC, COSC, AAPC Fellow [contents]. Coding/Billing Auditing/Compliance Practice Management 24 Approach Matters 46 Title IX Applies to 13 HEALTHCON: A Challenge to Lead for Spinal Arthrodesis Hospital Residency Program Brad Ericson, MPC, CPC, Oby Egbunike, Derek Teeter, JD, BA; and COSC, MACRA Proficient CPC, COC, CPC-I, CCS-P Lorinda Holloway JD, BA.

3 [continued on next page]. July 2017 3. Healthcare Business Monthly | July 2017 | contents 20 Member Feature 10 Peers and Coding in Las Vegas Brad Ericson, MPC, CPC, COSC, MACRA Proficient Coding/Billing 20 Make Cleft Lip and Palate Repair a Priority in July Renee Dustman, BS, MACRA Proficient 26 Moderate Sedation Calculator Comes to the Rescue Jyoti A. Shah, MCom, CPC, COC, CRC, COSC. 32 Encoder Versus ICD-10-CM Codebook 32 Kelly Mitchell, MHA, MSHI, CPC, CGCS, CPMA, CCS. 34 Coding Regulations and Quotas Got You Down? Stephanie Cecchini, CPC, CEMC, CHISP, AAPC Fellow, MACRA Proficient 36 Stay Current when Reporting Shoulder Procedures Margie Scalley Vaught, CPC, COC, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR.

4 Ruby Woodward, BSN, CPC, CPMA, CPB, COSC, CSFAC. Auditing/Compliance 40 HIPAA: Are You an Expert or a Flunky? Marcia L. Brauchler, MPH, FACMPE, CPC, COC, CPC-I, CPHQ. 44 Troubleshoot HIPAA Vulnerabilities with Risk Analysis and Assessment 52. Susan A. Miller, JD. Added Edge 50 Provide a Remarkable Teaching Experience Elizabeth Martin, RHIT, CPC, CPC-I. 52 Interview with Confidence Judy A. Wilson, CPC, COC, CPC-P, CPB, CPCO, CPPM, CANPC, CPC-I, CMRS, AAPC Fellow 54 Showcase Your Expertise Through Writing Michelle A. Dick, BS. COMING UP: DEPARTMENTS EDUCATION. Telemedicine 7 Letter from Membership Leader 58 Newly Credentialed Members Bipolar Disorder 8 I Am AAPC.

5 Virtual Teams Job Search Do's and Don'ts 14 Chat Room HEALTHCON Buzz Payer Perspective 16 AAPC National Advisory Board On the Cover: When you know the lingo of global periods, explains 19 AAPC Chapter Association Chandra Stephenson, CPC, CDEO, CIC, COC, CPB, CPCO, CPMA, CPPM, 56 Member Recognition Online Test Yourself Earn 1 CEU. CRC, CCS, CPC-I, CANPC, CCC, CEMC, CFPC, CGSC,CIMC, COBGC, COSC, AAPC Fellow, correct reimbursement comes naturally. 66 Minute with a Member healthcare-business- Cover illustration and design is by Mahfooz Alam. 4 Healthcare Business Monthly Looking to get certi ed? AAPC Distance Learning Students that complete our For more information or to enroll visit: courses are TWICE AS LIKELY.

6 To pass the certi cation exam. CPC COC CIC CRC. CPB CPMA CPPM CPCO. Serving 165,000 Members Including You! Go Green! HEALTHCARE. Why should you sign up to receive Healthcare Business Monthly in digital format? BUSINESS MONTHLY. Coding | Billing | Auditing | Compliance | Practice Management Here are some great reasons: July 2017. You will save a few trees. You won't have to wait for issues to come in the mail. Publisher Brad Ericson, MPC, CPC, COSC, MACRA Proficient You can read Healthcare Business Monthly on your computer, tablet, or other mobile device anywhere, anytime. You will always know where your issues are.

7 Managing Editor John Verhovshek, MA, CPC. Digital issues take up a lot less room in your home or office than paper issues. Go into your Profile on and make the change! Editorial Michelle A. Dick, BS. Renee Dustman, BS, MACRA Proficient HealthcareBusinessOffice, 31, 53. Advertiser Index The Coding Graphic Design Mahfooz Alam ZHealth .. 39 Advertising Sales Corey Stilson (801) 236-2225. Address all inquires, contributions, and change of address notices to: Healthcare Business Monthly PO Box 704004. Salt Lake City, UT 84170. (800) 626-2633. 2017 Healthcare Business Monthly. All rights reserved. Reproduction in whole or in part, in any form, without written permission from AAPC is prohibited.

8 Contributions are welcome. Healthcare Business Monthly is a publication for members of AAPC. Statements of fact or opinion are the responsibility of the authors alone and do not represent an opinion of AAPC, or sponsoring organizations. Ask the Legal Advisory Board CPT copyright 2016 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not From the HIPAA Privacy Rule and anti-kickback statute, to compliant coding, assigned by the AMA, are not part of CPT , and the AMA is not recommending their use. The to fraud and abuse, there are a lot of legal ramifications to working in AMA does not directly or indirectly practice medicine or dispense medical Services .

9 The AMA. healthcare. You almost need a lawyer on call 24/7 just to help you make assumes no liability for data contained or not contained herein. sense it all. As luck would have it, you do! AAPC's Legal Advisory Board (LAB) The responsibility for the content of any National Correct Coding Policy included in this is ready, willing, and able to answer your legal questions. Simply send your product is with the Centers for Medicare and Medicaid Services and no endorsement health law questions to and let the legal professionals by the AMA is intended or should be implied. The AMA disclaims responsibility for any hash out the answers.

10 Select Q&As will be published in Healthcare Business consequences or liability attributable to or related to any use, nonuse or interpretation of Monthly. information contained in this product. Medical Coding Legal Advisory Committee: CPT is a registered trademark of the American Medical Association. Timothy P. Blanchard, JD, MHA, FHFMA CPC , COCTM, CPC-P , CPCOTM, CPMA , and CIRCC are registered trademarks of AAPC. Julie E. Chicoine, JD, RN, CPC. Michael D. Miscoe, JD, CPC, CPCO, CPMA, CASCC, CCPC, CUC Volume 4 Number 7 July 1, 2017. Healthcare Business Monthly (ISSN: 23327499) is published monthly by AAPC, 2233 South Presidents Christopher A.