Professional Medical Coding Training Module 13: Surgery of Endocrine and Nervous Systems The endocrine and nervous systems are essential to the regulation of necessary and/or desired changes to body functions and they work in tandem to control growth, maturation, and homeostasis (a state of equilibrium). The endocrine system is an information signal system like the nervous system, yet its effects and mechanism are classifiably different. The endocrine system's effects are slow to initiate, and prolonged in their response, lasting from a few hours up to weeks. The nervous system sends information very quickly, and responses are generally short-lived.
The endocrine system is the smallest CPT chapter, but the coding can be difficult. Coding for the endocrine system includes diseases of the pituitary gland, the pineal gland, thyroid and parathyroid glands, thymus, adrenal glands, pancreas, ovaries, and testes. For appropriate reimbursements, it is essential to use proper modifiers, which we will cover during this module. Endocrinology medical coding involves assigning the accurate diagnosis and procedure codes. Operations on the endocrine system are codes as (a) Operations on the thyroid and parathyroid glands. These codes refer to aspiration, incision, excision, and biopsy of the parathyroid and thyroid glands. (b) Operations on the other endocrine glands. These include incisions, exploration, excisions, and biopsies of the pineal gland, pituitary gland, thymus, and adrenal glands.
Coding for neurological procedures—particularly on the brain—can be very challenging. No worries here—we will review quickly the anatomy of this system to assist in understanding code descriptions. Many coders are intimidated by matching the descriptions to the procedures found in the operative reports. Epidural injections may also be confusing; there are specific guidelines that must be followed to code appropriately. We will also study CCI edits as time permits.
Lastly, we will embark on hands-on coding for procedures in these chapters. As available, the instructor may provide redacted operative reports for students to code.
At the conclusion of this module, a 30-minute quiz will be distributed to students to challenge their coding knowledge of nervous and endocrine systems coding.
Friday, March 4
9 a.m. to 4 p.m.
Eastern, B102, 1101 E 33rd St., Baltimore, MD 21218
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Mastering Your Memory
In this fun, fast-paced, and interactive workshop, you will learn techniques and applications of skills that will help you
+ Easily recall names
+ Lead meetings and give presentations without using written notes
+ Increase overall memory skills
+ Recall lists of useful information
In today's world we are expected to handle large volumes of information. This workshop will demonstrate how a well-trained memory will enhance both your professional and personal life.
Monday, March 7
9 a.m. to 4 p.m.
Eastern, A120, 1101 E 33rd St., Baltimore, MD 21218
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Speak Like a Pro
Speak Like a Pro offers the knowledge, skills, and abilities you need for effective presentations. You'll learn proven techniques for planning, practicing, and delivering public presentations. Further, you will receive expert feedback from your instructor, as well as personal responses and insights from your classmates.
Monday, March 7
9 a.m. to 4 p.m.
Eastern, B103, 1101 E 33rd St., Baltimore, MD 21218
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Communicating With Others: Your Style and Its Impact
The lifeblood of all strong relationships is good communication. Individual and group productivity are greatly enhanced by the ability to communicate well. Participants in this course will identify their preferences in verbal and nonverbal communication. You will uncover a tendency toward one of four communication styles: driver, analytic, relater amiable, and expressive. You will learn about your style's inherent strengths and trouble spots, and the impact of your style in the workplace. You will also explore attributes of effective communication and develop listening and assertion skills.
Tuesday, March 8
9 a.m. to 4 p.m.
Eastern, B101, 1101 E 33rd St., Baltimore, MD 21218
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Introduction to Molecular Biology Workshop: Recombinant DNA
Please bring P1000, P200, and P20 micropipettors (pipetmen) to each day of training.
Day One includes lecture and laboratory topics on each of the following: introduction to molecular biology, restriction enzyme use, DNA electrophoresis, purification of DNA fragments from agarose gels, and preparation of plasmid vectors for subcloning. Day Two includes lecture and laboratory topics on each of the following: features and uses of plasmid cloning vectors, DNA ligation reactions, and transformation of chemically competent E. coli and screening for recombinant clones. Day Three includes lecture and laboratory topics on isolation and analysis of recombinant clones from E. coli and a full workshop review and data troubleshooting session.
Wednesday, March 9, through Friday, March 11
9 a.m. to 4 p.m.
BioTechnical Institute of Maryland, 1101 W. Pratt Street, Baltimore, MD 21223
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Managing Multiple Priorities: The Discipline of Getting Things Done
Perhaps because it is an age-old dilemma—always having too much to do and not enough time to do it—few of us really learn how to master the art of managing multiple priorities. Yet few skills are as essential to achieving optimal productivity as well as a sense of control and accomplishment during our day. In this highly useful workshop, you will map an effective path to getting more done in less time, even when you have competing priorities that threaten to undermine your sanity.
Thursday, March 10
9 a.m. to 4 p.m.
Eastern, A120, 1101 E 33rd St., Baltimore, MD 21218
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Stress Management: Avoiding the S.W.A.T. Syndrome (Stress, Worry, Anxiety & Tension)
It is a busy world! Everyone struggles to keep up with growing technologies, changing social patterns, and coping with personal issues. This workshop will define stress and where it comes from, mentally and physically. Participants will learn a number of simple and practical techniques to control personal stress levels, reverse reactive responses, and recognize when they are a source of stress for others.
Workshop participants will set positive goals and leave with tips on how to identify and consciously control or eliminate damaging stress responses at home and in the workplace.
Thursday, March 10
9 a.m. to 4 p.m.
Eastern, B101, 1101 E 33rd St., Baltimore, MD 21218
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Don't Shoot the Messenger
Delivering bad news can be a difficult challenge. This workshop helps professionals deliver difficult information to any audience. You will learn the skills necessary to deliver difficult news and learn techniques for handling questions from an audience.
This workshop will teach you:
- To determine what's required before addressing this audience
- How to start your presentation
- The importance of the right body language
Friday, March 11
9 a.m. to 4 p.m.
Eastern, B103, 1101 E 33rd St. Baltimore, MD 21218
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Professional Medical Coding Training Module 6: Integumentary System
How confident are you in coding the largest organ system of the body? Do you know the guidelines for coding lesions versus biopsies?
Coding for dermatology and/or skin services can be challenging when you have multiple biopsies or excisions performed in different locations.
The course objectives are to identify the elements of coding Skin, Subcutaneous, and Accessory Structures services; review the main services in Nails, Pilonidal Cyst, and Introduction; understand the key components of skin, hair, nails and breasts; correct use of Modifier -59; understanding correct coding of flaps and grafts; understanding coding of repairs and closures and procedure-specific guidelines; identify the major factors in wound repair; take a step-by-step look at coding for breast procedures; state the important coding considerations in destruction, Mohs micrographic surgery, and breast procedures; recognize when other sections of CPT or ICD-9-CM should be accessed; and to know when HCPCS Level II codes or modifiers are appropriate.
During the class, we will be performing exercises with coding scenarios and surgery op reports.
At the conclusion of this course, a 30-minute quiz will be administered to challenge your coding knowledge.
Friday, March 11
9 a.m. to 4 p.m.
Eastern, B101, 1101 E 33rd St., Baltimore, MD 21218
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Impromptu Speaking
The ability to speak impromptu in a wide variety of situations is invaluable. This course will teach you how to get your point across quickly, succinctly and effectively.
This course will enable you to:
- Focus your thinking and speaking
- Keep conversation on track
- Be logical and concise
- Shorten interviews and meetings
- Facilitate listening
- Reinforce conversations and presentations
- Be effective in any interview
- Use questions and answers to make your point
- Heighten your confidence
- Get better results in your business and personal life
Wednesday, March 16
9 a.m. to 4 p.m.
Eastern, B103, 1101 E 33rd St., Baltimore, MD 21218
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Mindfulness and the Art of Stress Management
How much time do you spend second-guessing the past? Worrying about the future? And how much stress, anxiety and frustration does this cause you during the day, the week, the month, and beyond? Imagine if you could learn how to turn down the volume and intensity of these doubts and worries, what would that mean to your happiness, satisfaction and peace of mind? In this hands-on class, you will learn and practice how to use powerful mindfulness strategies – backedup by decades of research – to better manage the stress you experience duringthe day. You will learn how to enjoy more of the present instead of spending time regretting or reliving the past and agonizing about the future – a true mindshift that soon can have a powerful ripple effect through every facet of your life.
Thursday, March 17
9 a.m. to 4 p.m.
Eastern, A120,1101 E 33rd St., Baltimore, MD 21218
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The 7 Habits in Action
Based on Steven Covey's famous best-seller, this course will empower you to succeed in both personal and professional life. You will learn to set achievable goals, create the paradigms needed to reach them, and overcome the barriers that in the past have kept you from realizing your full potential.
Thursday, March 17
9 a.m. to 4 p.m.
Eastern, B101,1101 E 33rd St., Baltimore, MD 21218
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The Professional Administrative Assistant Module 5: Business Writing Skills
This class is fifth in an eight-course program.
Transform your written communication from average to sensational. As an administrative professional, your day is filled with tasks that require not just good, but exceptional writing skills. In this workshop, you will learn tested tools and techniques to help organize your thoughts and words, even if writing does not come to you naturally. You can begin writing with confidence knowing your letters, memos, and reports are on-target and error-free.
Thursday, March 17
9 a.m. to 4 p.m.
Eastern, B102 – 1101 E 33rd St. Baltimore, MD 21218
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Professional Medical Coding Training Module 14: Ear and Eye Surgery
Eye, Ocular Adnexa, and Ear comprise the final sets of codes of the CPT® Surgery chapters. The ophthalmology specialty encompasses the treatment of eyelid lesions, orbital repair, and reconstruction and eyelid repair. Many ophthalmologists practice in an ophthalmology subspecialty, such as treatment of the cornea, retina, lid reconstruction, cataract, glaucoma, and/or pediatric ophthalmology. Because of the diversity of procedures an ophthalmologist may perform, not all CPT® codes relating to the eye are found in the Eye and Ocular Adnexa section of CPT.
Surgical Coding for Ophthalmology requires a good working knowledge of medical terminology, including prefixes and suffixes. Therefore, we will take a quick review of med term as it relates to eye surgeries. Recent CCI edits in 2013, bundled all established patient exam codes (both E&M and Eye Codes) with all major and minor surgeries. This has created extensive erroneous information about the edits and the proper way to code these services. During this module, we will extensively review these coding changes including reviewing CMS guidelines on these modifications. Additionally, the instructor will assist coders in understanding how to correctly code for Part B patients who present without visual complaints but exam reveals a medical problem. With ophthalmology E/M services, what compromises a moderate MDM? Can we code a complex cataract surgery on patients who have had LASIK? When the physician removes a suture, can it be billed as a corneal foreign body removal? Nd no class would be complete without a review of strabismus surgery coding. All of these issues will be discussed to provide coders with the most current and accurate coding advice.
Otolaryngology surgery topics will include:
- Principles of procedure coding
- Selecting appropriate codes
- When and how to use procedure modifiers
- Ear and balance procedures
- Coding E/M & procedures on same DOS
- Office diagnostic procedures (0 & 10 day global)
Exercises will be performed during the class. At the conclusion of this module, a 30 minute quiz will be distributed to students to challenge their coding knowledge of Ear and Ear system coding.
Friday, March 18
9 a.m. to 4 p.m.
Eastern, B102 – 1101 E 33rd St., Baltimore, MD 21218
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Assertive Communication: On and Off the Job
This course focuses on practical ways to project self-confidence, recognize the differences between assertive, passive, and aggressive behavior, develop the skills needed to change the behavior of others, say no, give and receive criticism, listen more effectively, and resolve conflict.
Tuesday, March 22
9 a.m. to 4 p.m.
Eastern, B101 – 1101 E 33rd St. Baltimore, MD 21218
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Basic Supervision
The most important part of any supervisor's job is keeping staff motivated. This seminar will give you the skills you need to increase communication and cooperation, boost morale, and send productivity into orbit. Organized in four parts, this course will teach you to diffuse conflict, inspire employees, motivate your team, and open wider the channels of communication in any work group.
Tuesday, March 22
9 a.m. to 4 p.m.
Eastern, B102 – 1101 E 33rd St. Baltimore, MD 21218
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The Communication Challenge: Disarming Difficult People
A world without difficult people in our lives is a utopian dream that few - if any - of us are likely ever to enjoy. Whether it's difficult students, faculty, patients, doctors, coworkers, staff or bosses, their impact on our morale, stress level and daily productivity can range anywhere from barely tolerable to impossible. In this practical-minded course, you will learn how to disarm difficult people in a way that gives you greater confidence and a stronger sense of control during any challenging interaction.
Tuesday, March 22
9 a.m. to 4 p.m.
Eastern, A120 – 1101 E 33rd St., Baltimore, MD 21218
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Emotional Intelligence
Emotional Intelligence is a set of emotional and social skills that collectively establish how well we perceive and express ourselves, develop and maintain social relationships, cope with challenges, and use emotional information in an effective and meaningful way. Managing our emotions is key to success in every area of our lives from the daily interactions within a family to the ability of a leader to get the best out of his team. These skills, which form the building blocks of abilities such as communication, discipline, resilience, and social awareness, can be taught and enhanced leading to increased job competency, productivity, academic performance and other measures of success.
Potential Application in Your Workplace: This session will aid you in creating a strategy for connecting more effectively with colleagues and coworkers, especially those with whom you would like to have a more productive relationship. This workshop will help you listen more actively, avoid or manage conflict, motivate others, demonstrate composure, develop interpersonal savvy, and become a more skilled problem solver.
Thursday, March 24
9 a.m. to 4 p.m.
Eastern, B101 – 1101 E 33rd St. Baltimore, MD 21218
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Writing Effective Emails: Strategies and Tips for Productive Email Correspondence
Over 50 billion emails are sent each day, which makes it easy to undervalue the significance of electronic correspondence in the modern workplace. However, the popularity, ease, and speed of email often make employees overlook the rules of effective business writing and communication. Writing Effective Emails addresses ways to write more productive emails, including responding to messages in a timely manner, applying proven stylistic techniques to enhance understanding, and eliminating grammatical and mechanical errors that hinder clarity. This workshop will also examine the rise of "texting" as a preferred method of communication and how to avoid crucial mistakes when using this form of electronic correspondence.
Thursday, March 24
9 a.m. to 4 p.m.
Eastern, B104 – 1101 E 33rd St. Baltimore, MD 21218
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Conquering Negativity: Creating Optimism in the Workplace
Is negativity a problem in your workplace? If so, it may be causing a drop in morale that costs your organization lost productivity, ongoing quality problems, and the resignation of good people. This course is an ideal starting point for you and your co-workers to confront negativity quickly and constructively. In this workshop, participants will learn techniques to turn negative attitudes around, discover tips to rekindle enthusiasm among employees, and find out what you can do when influential people (top management, owners, outside consultants) are contributing to organization-wide negativity.
Friday, March 25
9 a.m. to 4 p.m.
Eastern, B101 – 1101 E 33rd St. Baltimore, MD 21218
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Success for Supervisors
This daylong session is designed to equip the first time supervisor or those new to managing at Hopkins with proven techniques needed to master the art and science of leading our most valuable asset, our staff. Course participants will explore the performance management cycle (planning, coaching, and evaluating), and learn more about Employee Relations at JHU, including tools to anticipate and respond effectively to a variety of challenging workplace issues. Case studies, videos, small and large group discussions will be used to enhance the learning process and provide real world usable skills that can be immediately put into action.
Tuesday, March 29
9 a.m. to 4 p.m.
Eastern, B102 – 1101 E 33rd St. Baltimore, MD 21218
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