June 2017 www.aapc - Amazon Web Services

1 J u n e 2 017 2017 Strengthen Weak Hernia Coding: 16 four elements reinforce diagnosis reporting Reverse the Aging Process: 22 Manage denials for quick claim revenueSIU Record Request Protocol: 46 Keep calm and code onAAPC Hernia Awareness MonthThrough June 30th , get a FREE Study Guide & Practice Exam with the Certified General Surgery Coder (CGSC ) J u n e 2 017 3[contents] Coding/Billing[continued on next page]Healthcare Business Monthly | June 2017 Practice Management20 Don t Drown in Your Practice s A/R Joshua Caillouet, CPC, CASCC 46 Receive an SIU Records Request? Don t Panic Evelyn Kim, MBA, CPC, CPMA, CRC22 Reverse the Aging Process by Managing Denials Marcella Cicirello, MHA, CPC, AAPC FellowCOVER | Member Feature | 12 Chapter of the Year: Tulsa, OklahomaMichelle A.

2 Dick, BS Auditing/Compliance4 Healthcare Business MonthlyHealthcare Business Monthly | June 2017 | contents264852 DEPARTMENTS7 Letter from the President8 Alphabet Soup9 I Am AAPC10 Chat Room11 AAPCCA41 Free Webinars54 HBM News58 Recognition List66 Minute with a MemberEDUCATION59 Newly Credentialed Members Online Test Yourself Earn 1 CEU healthcare-business- UP: HEALTHCON Pay It Forward Global Periods Hospital Residency Moderate SedationOn the Cover: An ambitious group of coding professionals with big hearts, Tulsa, Oklahoma earns AAPC s 2016 Chapter of the Year award. Cover photo by Brandi Simons ( ).

3 AAPC Codebooks Coding/Billing16 Strengthen Weak ICD-10 Hernia Coding John Verhovshek, MA, CPC26 Keep an Eye on Diagnostic Ophthalmology Updates Nancy Clark, CPC, COC, CPB, CPMA, CPC-I30 Modifier 58 or 78? Lashel Church, CPC, CPC-I, CPB, CPPM, CEMC 32 Stay Informed About NCCI Policy Manual Changes Michael Strong, MSHCA, MBA, CPC, CEMC 36 Hard Facts of Coding Prolonged Services Kris Cuddy, CPC, CIMC40 Learn Teaching Physician Guidelines Dawson Ballard, Jr., CPC, CEMC, CPMA, CPC-P, CCS-P, AAPC Fellow42 Follow the Rules of Diagnostic Test Orders for Radiology Stacie L. Buck, RHIA, CIRCC, CCS-P, RCC, AAPC Fellow Auditing/Compliance48 Bipartisan Budget Act Section 603: Long-term Solution or Immediate Problem?

4 Bill Wong, CPC, CPMA, CDEO, CHC, CHPC, CCS; Michelle Ann Richards, BSHA, CPC, CPCO, CPMA, CPPM; and Donald E. Darling, Jr., JD, CHC Practice Management52 Don t Wait for the Storm Debra Cascardo, MA, MPA, CFP55 Become a MIPS Success Story Renee Dustman, BSDON'T WORRY!It's not too late to buy your 2017 code Z CodesAppendix withZ CodesIntuitive VisualAlertsNew ColorCodingLight Reflective Paper LargerFontShop for groceriesFeed the petsGet new code busy to get everything done?AAPC CodebooksDON'T WORRY!It's not too late to buy your 2017 code Z CodesAppendix withZ CodesIntuitive VisualAlertsNew ColorCodingLight Reflective Paper LargerFontShop for groceriesFeed the petsGet new code busy to get everything done?

5 6 Healthcare Business MonthlyVolume 4 Number 6 June 1, 2017 Healthcare Business Monthly (ISSN: 23327499) is published monthly by A APC, 2233 South Presidents Drive, Suites F-C, Salt Lake City UT 84120-7240, for its paid members. Periodicals Postage Paid at Salt Lake City UT and at additional mailing office. POSTMASTER: Send address changes to: Healthcare Business Monthly c/o AAPC, 2233 South Presidents Drive, Suites F-C, Salt Lake City UT 165,000 Members Including You!Advertiser IndexPublisherBrad Ericson, MPC, CPC, COSC, MACRA EditorJohn Verhovshek, MA, Michelle A. Dick, BS Dustman, BS, MACRA Proficient Design Mahfooz AlamAddress all inquires, contributions, and change of address notices to:Healthcare Business MonthlyPO Box 704004 Salt Lake City, UT 84170(800) 626-2633 2017 Healthcare Business Monthly.

6 All rights reserved. Reproduction in whole or in part, in any form, without written permission from AAPC is prohibited. 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 copyright 2016 American Medical Association. All rights schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT , and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical Services .

7 The AMA assumes no liability for data contained or not contained herein. The responsibility for the content of any National Correct Coding Policy included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse or interpretation of information contained in this is a registered trademark of the American Medical , COCTM, CPC-P , CPCOTM, CPMA , and CIRCC are registered trademarks of MONTHLYC oding | Billing | Auditing | Compliance | Practice ManagementGo Green!

8 Why should you sign up to receive Healthcare Business Monthly in digital format?Here are some great reasons: You will save a few trees. You won t have to wait for issues to come in the mail. You can read Healthcare Business Monthly on your computer, tablet, or other mobile device anywhere, anytime. You will always know where your issues are. Digital issues take up a lot less room in your home or office than paper into your Profile on and make the change!June 2017 Ask the Legal Advisory BoardFrom the HIPAA Privacy Rule and anti-kickback statute, to compliant coding, to fraud and abuse, there are a lot of legal ramifications to working in healthcare.

9 You almost need a lawyer on call 24/7 just to help you make sense of all the new guidelines. As luck would have it, you do! AAPC s Legal Advisory Board (LAB) is ready, willing, and able to answer your legal questions. Simply send your health law questions to and let the legal professionals hash out the answers. Select Q&As will be published in Healthcare Business Coding Legal Advisory Committee:Timothy P. Blanchard, JD, MHA, FHFMA Julie E. Chicoine, JD, RN, CPC Michael D. Miscoe, JD, CPC, CPCO, CPMA, CASCC, CCPC, CUC Christopher A. Parrella, JD, CPC, CHC Robert A.

10 Pelaia, Esq., CPC Stacy Harper, JD, MHSA, CPCH ealthcareBusinessOffice, LLC ..24, 31 Institute ..8 .. 39 J u n e 2 017 7 Letter from the PresidentGROWTH IS HAPPINESSH appiness in our professional lives stems from personal growth. We sow the seeds of hap-piness when we step out of our comfort zones, challenge ourselves, and take calculated risks. We cultivate our happiness through education, which provides the nourishment we need to f lourish. Don t Get Root RotOnce acclimated in a new job, don t get too comfortable. Personal growth requires you to push past your comfort zone and the status quo: Challenge yourself to reach your full potential.