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CCO BHAT™ System for Medical Coding Manuals

CCO BHAT™ System Barbara Chippini https://www.cco.us/bhat Boyd: Hi everybody. We’re talking today about the Bubble and Highlighting Technique which is now transformed into the BHAT Technique. So we’re interviewing you today to ask you a little bit about how you got started with this because I understand you’re one of the original people who heard about this technique back in 2000. Can you tell us a little bit about your first time hearing about bubbling and highlighting? Barbara: First time bubbling and highlighting, I took a course taught by Laureen when her school was called A+ Medical Education [?] back in 2000. I have my original CPT Manual here. I couldn’t get rid of it. It’s what got me into coding and – Boyd: Unique because it’s a three-ring binder, the last time that it was actually done. Barbara: Well, it is. Many people will not notice this. This is a three-ring binder. It is the last time they published it in that and I kept it. I also kept it to see how CPT has grown and how many pages this book was and how thick it is now for all the new coders, and to see all the changes. There are things in 2000 that are no longer done now. Boyd: So what did it look like back then? Has it changed that much since then, the whole technique? Barbara: Certain rules and guidelines have changed, but a lot of the things, the basic structure has stayed the same. The surgery section and we would… Laureen would teach us to highlight and bubble, and highlight certain sections. I’m hoping that you can see this. These are circles that are around like codes and inside each bubble we would put a note that is specific just for that area, that bubble, and we would go through the entire section and just put the like codes. And it would help us keep focused when we were taking the board exam or that was the instruction back in the day. It was very time-consuming. I hated it as a student. I didn’t think that it would make much sense. But after taking the CPC exam, I found that this was one of the most beneficial things that I could spend my time on. What we would do is each week, Laureen would teach us a different section. So part of our homework was bubble and highlight, so that we were ready for her instructions so we could put the notes that pertained to each bubble to get ready for the board exam. So over the years, I taught for Laureen. And since 2001, I’ve been bubbling and highlighting her book for all of her classes. And I also bubble and highlight for myself because I find it still assists me in my day-to-day work as an auditor when auditing outpatient claims. That I can go to my old books, see in the past years what was bubbled, what the notes were; then go to this year, see what’s changed, change the notes. But also to keep those and also I can lend them out to my fellow auditors. If they’ve never worked, say, in the nervous system and they’re auditing outpatient claims or physician claims in the nervous system, maybe they only did office work E/M codes. But now they’re in the auditing world, I say, “Well, here’s the nervous section and here’s the set of codes and these were the rules back two years ago. So you’re going to be doing all the 2014 claims, you’re going to need these. And you’re doing 2015, so they changed, so here’s my copy of my book for this year.” So it’s a method that’s tried and true since the year 2000, since we started doing it. And like I said, we do it every year going forward and we’re… it's 2016, you do the math. Barbara: It doesn’t seem that long and when Laureen told me that they were now, you know, calling it “the BHAT cave” and did I have anything or would I be interviewed for it and I said, “I’ve got one for you. I have the original CPT 2000 Manual from back in the day. Boyd: . Can you tell a little bit about what the student aspect of that, the reaction of learning this technique and how they kind of deal with that? Barbara: Sure. Again, it was quite like mine. They thought that is so time-consuming. Many of the students have full-time jobs and they’re trying to fit this in because it was one night a week. It was taught over 20 weeks, every week would be a different section of CPT and then the ICD-9 and the HCPCS thrown in there. So it was 20 weeks, each week they had to do this. But as I would say to them, the bubbling and the highlighting, you could really do on your downtime. I did it on the train going to Philadelphia when I went to work. So that part, you really didn’t need to focus on as much. It was just circling the like codes, highlighting the differences in the like codes from the parent code above. You didn’t really need to be reading it. You just needed to be able to eye where it was indented, find the semicolon, highlight, highlight, highlight, circle. What I would tell everyone, circle it first, then go through and highlight it. READ MORE HERE: https://www.cco.us/cco-bhat-system-me...    • CCO BHAT™ System for Medical Coding M...