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AAPC ST. LOUIS WEST CHAPTER NEWSLETTER

JANUARY 2013

|President: Ileana Stewart, CPC |Vice President: Marianne Schanthal, CPC |

|Email: president@ |Email: vp@ |

|Treasurer: Lydia Thomas, CPC, CCC |Secretary: Jamie Montgomery, CPC |

|Email: treasurer@ |Email: secretary@ |

|Education Officer: Shanell Crosswhite |Member Development: Barbara Fontaine, CPC |

|Email: education@ |Email: development@ |

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Letter from the President

The holiday season has come and gone. I hope this newsletter finds everyone happy, healthy and looking forward to the New Year. 2013 promises to be exciting and filled with opportunities for all.

It has been my pleasure to serve as your Treasurer and work with my fellow board members for the past two years. I feel honored to serve as your President for 2013. I am excited to be working with the rest of our new officers, Marianne Schanthal, Vice-President, Jamie Montgomery, Secretary, Lydia Thomas, Treasurer, Shanell Crosswhite, Education Officer and Barbara Fontaine, Member Development Officer.

As ICD-10 comes closer to the 2014 implementation date we are planning several educational events to better enable everyone to make this transition. Several members have requested that we hold additional Anatomy and Physiology classes again this year. Debbie Flieger, our 2012 President, has graciously offered her time and expertise in this area. We are also planning to center the Seventh Annual Local Conference around the ICD-10 theme.

When it comes to the needs of others St. Louis Professional Coders always has been ready with an open heart. I am always amazed at and very proud of the generosity of our members. In 2012 we raised $800.00 that was donated to the National Scholarship Fund. This Fund is a financial aid program created with the intent of assisting AAPC members with membership and certification in times of financial difficulty due to an unexpected hardship. It was developed by and is overseen by the AAPCCA Board of Directors. In 2013 we will be donating half of all 50/50 proceeds to this fund. We will also continue, as in years past, to donate canned goods and school supplies to local charities.

I look forward to the 2013 year and encourage all to get involved with the chapter. We are all ears and would love to hear your suggestions to make our chapter better for each of us.

I hope to see you all at the Chapter Meeting on January 17th at 6 pm.

Ileana Stewart, BS, CPC

President

Question from the President

Be sure to check out the Local Chapter Forum page at for this month’s question!

Bring the answer to the January meeting and earn 1 point for education!

January Chapter Meeting Info

Mark your calendar now and join us on Thursday January 17th at 6:00 pm for our chapter meeting.

Our speaker will be Paul Chandler, a member of the St. Louis East Chapter who will speak on starting an auditing program in your own office.

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Donations, Donations, Donations!

COMMUNITY SERVICE PROJECT

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Bring two canned goods to the January meeting and earn 1 point for education!!

Thank you!

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Your 2013 chapter meeting fee is $10 per meeting

Did you know??

You can get a whole year’s worth of meetings, by paying $100 at

either the January 17th or February 14th, 2013 meetings.

Also in 2013, New Members and Students can attend their first

meeting at no charge. After the first meeting, the $10 meeting fee applies.

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2013 Calendar of Events

7 am Meetings 6pm Meetings Exam Dates

Thursday February 14th Thursday January 17th (All on Saturday @ 6:30 am)

Thursday April 18th Thursday March 21st February 16th

Thursday June 13th Thursday May 16th April 27th

Thursday August 15th Thursday July 18th June 22nd

Thursday September 19th September 21st

Tuesday October 15th December 14th

Thursday November 21st

Thursday December 19th

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POINTS FOR EDUCATION INITIATIVE

With so many new members joining our Chapter each month we wanted to distribute the Points for Education Program information again! Please see below on how to earn points and how they are redeemed.

*The Points for Education Initiative is not the same thing as CEU’s.

*The Points for Education Initiative is a program where chapter members earn can

points toward their name badge and Chapter Bucks. This program is a way of

giving back to the members to further their education which can earn CEU’s.

Members can earn Points in a number of different ways:

• Donating 2 items to Community Service - 1 point

• Writing an article for newsletter – 1 point

• Attending a monthly chapter meeting – 2 points

• Single Committee membership – 2 points

• Dining 4 Kids Night – 2 points

• Attending Komen Race for the Cure – 2 points

• Attending local fundraising event – 3 points

• Serving on standing committee – 3 points

• Chapter officer proctoring certification exam – 3 points

• Chairing a committee – 4 points

• Submitting name as officer – 4 points

• Speaker at monthly chapter meeting – 5 points

• Non-officer proctoring certification exam – 5 points

• Local conference attendee – 7 points

• New member attending first meeting – 10 points

• Regional conference attendee – 12 points

• National Conference attendee – 18 points

• Attending local educational event – Equal CEU’s

• Other charitable contributions – TBD by President

After accumulating 19 points, the member has earned their chapter name badge, please see an Officer if you would like to order the badge, you may also opt to use these points toward Chapter Bucks.

Next, in 10 point increments a member earns $10 Chapter Bucks certificates which can be redeemed by the Treasurer for meeting fees, chapter educational programs offered for AAPC approved CEU’s, conferences (local, regional, or national), or teleconferences and other AAPC seminars and programs. The member must submit a paid receipt to the Treasurer with their Chapter Bucks to be reimbursed.

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PLEASE Save Your 2012 Coding Books!

Have you ever wondered what to do with your “expired” coding books? Did you know there are fellow chapter members who would LOVE to borrow those coding books?

The Hardship Scholarship Committee, formed as part of your AAPCCA Board, has discovered how important coding books from the previous year are to members who are struggling to retain their comprehension and maintain their credentials. So many members are out of work or not currently working in the coding field, and these books would be a tremendous benefit to them as they review the Coding Edge. Please consider donating your 2012 coding books to your chapter or fellow chapter members who might otherwise not have these resources.

WELCOME NEW ST. LOUIS WEST CHAPTER MEMBERS!!!

Alysen Bear Margaret Bogart, CPC-A Christel Cammack

Matthew Gain Linda Hickey, CPC Dannelle Johnson

Charles Johnson, CPC-A Don Melson, CPC-A Marie Moss, CPC, CPMA

Cathy Murphy, CPC, CPC-H Erin Patton Laura Purdom, CPC

Tammy Seel, CPC, CPMA I’Esha Shelton Theresa Sparks

Please welcome our newest AAPC and St. Louis West Local Chapter members! We are glad to have you as a part the AAPC and our chapter!

For information about our chapter, please contact Member Development Officer Barbara Fontaine at development@ or any chapter officer. [pic]

CONGRATULATIONS TO OUR RECENTLY CERTIFIED MEMBERS!!!!

Our chapter congratulates the following recently certified members:

Linda Hickey, CPC Charles Johnson, CPC-A Don Melson, CPC-A

Marie Moss, CPC, CPMA Cathy Murphy, CPC, CPC-H Laura Purdom, CPC

Tammy Seel, CPC, CPMA

WELL DONE CERTIFIED CODERS!!![pic]

SAVE THE DATE!!

2013 National Conference: Orlando, FL

Don’t miss AAPC’s National Conference April 14-17

This event combines comprehensive education with powerful networking opportunities.

Conference registration and hotel package includes:

Two (2) full tracks of ICD-10 Code Set Training

Free ticket to Disney World Theme Park

Free airport shuttle (on Disney’s Magical Express)

More than 72 educational sessions

Up to 18 CEUs

Our critically acclaimed Anatomy Expo

Free meals (see agenda)

Early Bird Registration ends January 23, 2013

Go to for registration information

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WPS Medicare News

2013 Participation Enrollment

Medicare contractors are required to mail a postcard notifying providers of the annual participation enrollment period.  The annual enrollment program for CY 2013 began on November 15, 2012 and will run through December 31, 2012.  

Providers who are currently participating and choose to continue participating in CY 2013 do not have to do anything.

Providers who decide not to participate in CY 2013 should do nothing if they are currently not participating.

Providers who are not currently participating and want to participate in CY 2013, must complete the Medicare Participating Physician or Supplier Agreement, at

(Leg -

J8 link to

J5 link to ) and submit it to Wisconsin Physicians Service and to any other Medicare contractor to which they submit claims.

Providers who are currently participating and choose not to participate in CY 2013 must write to each Medicare contractor, to which they submit claims, advising of the termination of their participation agreement effective January 1, 2013. This written notice must be postmarked prior to January 1, 2013.

Requests for Hard Copy Medicare Fee Schedule

Until further notice from the Centers for Medicare & Medicaid Service, Medicare contractors cannot fulfill any requests for hard copies of the Medicare Fee Schedule.

New Psychiatric Codes for 2013

A few of the new 2013 psychiatry codes are not listed on the fee schedule because they are carrier priced.  Until we process claims for these codes, we are not able to establish a price.  

WPS Medicare is currently updating our psychiatry policies with the new codes and expects to publish the revisions on the Policy page of our website during the first week of January 2013.

Both the 2013 edition of the Current Procedural Terminology (CPT) book and the CPT Assistant provide information about the new and or revised psychiatry codes.

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Please Pick Up Your Chapter Bucks!!

These are printed and ready for the Member Celebration each year. For several years we have had many chapter bucks that were never picked up. Due to the amount of time involved in making these the 2012 Board decided to only print the certificates for those who planned on attending the 2012 Member Celebration in December. There are many members who were unable to attend the meeting. Please contact Ileana Stewart to receive yours.

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A new addition to our Newsletter this year is ICD-10 Anatomy Prep by former Chapter President Debbie Flieger, CPC, CPPM, CPC-H. Feel free to print the following pages and use them as a study guide when preparing for you ICD-10 certification. This month’s review is over Skeletal Terms.

ICD-10 Anatomy Prep

By: Debbie Flieger CPC, CPPM, CPC-H

Here is just a little practice to help refresh your anatomy in preparation for ICD-10. Also practicing your med term is a great idea as well. Here is a link to some med term games that can be played online or on your favorite ereader. medical_terminology2.htm

Skeletal Terms Review

Bones are hard connective tissue; they make the framework of the body, protect the brain and organs, form all blood cells, store calcium, and serve as levers to allow efficient movement of the body.

Osteoblast – bone forming cells

Osteoclast – bone destroying cells

Osteocytes – bone maintaining cells.

Osteon – the basic unit of bone; osteocytes live in tiny circular caves that interconnect like layer on top of layer of spoke wheels arranged around a blood vessel. Between the spokes of the wheels the space is filled with a matrix of tough reinforcing fibers and hardened minerals. The spokes give each cell access to fluid from the blood vessel which provides oxygen and nutrients and takes away wastes

Compact bone – the spaces between osteons are filled with hardened matrix and the bone tissue becomes a solid mass.

Spongy bone – the spaces between osteons are left open making pits like a sponge.

Red bone marrow grows in the pits between osteons in spongy bone. All blood cells are made in red bone marrow.

206 bones – The number of bones in the average person.

Short bone makes the wrists, ankles, fingers and toes. It is thick, roughly cube shaped spongy bone coated by a thin layer of compact bone.

Flat bone makes the skull and shoulder blades. It is a thin layer of spongy bone coated by a thin layer of compact bone.

Irregular bone makes the vertebrae. It is thick irregularly shaped spongy bone coated by a thin layer of compact bone.

Long bone makes the arms, legs, feet and hands. It is the most complex bone.

Diaphysis – The long shaft of long bone made of compact bone.

Marrow (medullary) cavity – A hollow core that runs through the shaft of a long bone to keep it light.

Yellow bone marrow – Adipose (fat) tissue that fills the hollow core (marrow cavity) of a long bone.

Endosteum – A membrane that lines the hollow core of the shaft of a long bone, it contains bone destroying cells (osteoclasts) that hollow the core out more as the bone grows larger so that the bone does not get too heavy.

Epiphysis – Both enlarged, rounded ends of a long bone each made of spongy bone and lined with cartilage to make a freely movable joint.

Growth plate – An actively growing section of cells where the shaft joins each rounded end of a long bone that allows the bone to grow longer.

Periosteum – The membrane that covers the outside of a long bone, it contains bone forming cells (osteoblasts) that allow the bone to grow larger around and that can heal broken bones.

Fetal skeleton – Before birth the skeleton is made of cartilage and loose connective tissue.

Bone formation - The formation of osteons that harden the cartilage or loose connective tissue of the fetal skeleton into bone. Large blood vessels grow into the bone and then branch and branch again until they form tiny vessels that osteons form around. When the mineral matrix in the newly formed osteons hardens, it is bone. This process begins before birth but is not complete until the early twenties.

Bone marking – Anything that breaks up the smooth flat surface of a bone, each marking serving a purpose.

Head – A rounded, knoblike end attached to the rest of the bone by a more slender neck. A head makes the ball in a ball and socket joint.

Process – A blunt projection from a bone that muscles attach to.

Crest – An enlarged ridge at the edge of a bone used for muscle attachment.

Spine – A long, thin raised area on a bone used for muscle attachment

Foramen – A hole in a bone that blood vessels or nerves pass through.

Sinus – A cavity or air space inside of some bones in the skull.

Meatus – A short, cave-like channel through a bone like the external ear canal.

Axial skeleton – Includes the skull, the spinal column, the ribs and breast bone, and the sacrum and coccyx.

Skull – contains the cranial bones, that hold the brain, and the facial bones that form the face.

Cranial bones include the frontal, parietal, temporal and occipital bones.

Facial bones include the mandible, maxilla, zygomatic and nasal bones.

Spinal column – Seven (7) cervical (neck), twelve (12) thoracic (chest with ribs attached) and five (5) lumbar (small of the back) vertebrae.

Sacrum – A set of fused vertebrae that join the spinal column to the hip (coxal) bone.

Coccyx – The tail bone

Appendicular skeleton – Composed of the arms and legs and the bones that join them to the trunk.

Upper extremity – The arm and hand together.

Humerus – The bone in the upper arm that extends from the shoulder to the elbow.

Radius and ulna – Bones that are side by side in the forearm.

Elbow – The joint made by the joining of the ulna and the humerus.

Wrist – The joint made by the joining of the carpal bones with the radius on one side and the metacarpal bones on the other.

Carpal bones – A set of eight bones in the wrist.

Metacarpals – Five bones in the palm of the hand.

Phalanges – bones in the fingers and thumb and in the toes. The phalanges of the fingers and small toes have of three bones; the phalanges of the thumb and big toe have two.

Shoulder girdle – The bones that attach the humerus in the arm to the trunk; it includes the scapula and the clavicle.

Scapula – The shoulder blade.

Clavicle – The collar bone.

Lower extremity – The thigh, leg and foot together.

Femur – The thigh bone that extends from the hip to the knee.

Tibia and fibula – Two bones that are side by side in the lower leg.

Knee – The joint made by the joining of the tibia and the femur.

Ankle –The joint made by the joining of the tibia with a tarsal bone called the talus.

Talus – The tarsal bone that joins with the tibia to form the ankle joint.

Tarsal bones – Seven bones that form the ankle (the talus) and heel (the calcaneus) and join them to five metatarsal bones in the foot.

Calcaneus – A large tarsal bone that forms the heel.

Metatarsals – Bones that form the body of the foot joining to the tarsal bones on one side and the phalanges on the other.

Pelvic girdle – The two coxal bones that join the legs to the body; each coxal (pelvic or hip) bone provides a socket for the ball and socket hip joint and attaches to the sacrum, and is actually made from three fused bones, the ilium, ischium, and pubis.

Osteoporosis – A common disorder associated with changes of metabolism during aging that result in a gradual decrease in calcium and protein fibers in the bone matrix. This results in brittle, fragile bones.

Osteomyelitis – Inflammation of bone due to bacterial infection.

Tumors are most often in the large bones of the legs (femur and tibia), and most often affect children.

Kyphosis – An excessive forward curve of the thoracic vertebrae which pushes the shoulders, head, and neck forward in what is known as “hunchback”.

Lordosis – An excessive lumbar curve that pushes the chest and shoulders back.

Scoliosis – An unnatural side to side curve of the spine.

Cleft palate (deviated septum) – A congenital (genetic - something you are born with) deformity in which the bones that make the roof of the mouth (maxillary and palatine bones) do not develop well enough to join in the middle. This leaves a gap between them and provides an opening between the mouth (oral cavity) and the nasal cavities. Normally the maxillary and pallatine bones join at the middle of the roof of the mouth and turn up to make a septum (wall) that separates the nasal cavities. When these bones do not join they can not make this wall and instead of two nasal cavities there is one large nasal cavity that joins directly with the mouth. Because this wall (septum) does not develop and separate the nasal cavities cleft palate is also called deviated (not normal) septum.

Flat foot – A common disorder in which the tendons and ligaments that hold the bones of the foot in shape and make its arch weaken and stretch and allow the arch to straighten out (flatten; fallen arches). This leaves the foot less able to withstand the rigors of striding forward and the person can not walk for long distances without risking a further incapacitating breakdown of the feet.

Fracture – The alteration of the bone by trauma from its original sound, perfect state.

Closed fracture - A crack in or separation of the bone with the skin left intact.

Open fracture - A separation of the bone with part of the bone breaking through the skin.

Greenstick fracture – A fracture most often seen with children whose bones still have some cartilage in them; the bone separates on the outside edge but bends on the inside edge, like bending a green stick.

Spiral fracture – A fracture most often seen in children when a bone is twisted until it breaks.

Impacted fracture – The broken ends of bones are driven and wedged together.

Comminuted fracture – An impacted fracture made with such force that the bone is splintered or crushed.

Articulation - A joining of two bones, a joint. There are three basic types of joints; immovable, slightly movable, and freely movable.

Immovable joints – Joints that are held together by fibrous connective tissue sections called sutures and will not allow movement such as the joints between the bones of the skull.

Slightly movable joints – Joints normally made with cartilage that will flex a little, allowing a small amount of motion. The ribs are attached to the breast bone (sternum) with a few inches of cartilage that allows the chest to move in and out.

Freely movable joint – The most complex joint. Long bones in the arms and legs are held together by freely movable joints; these include the shoulder, elbow, and wrist; and the hip, knee, and ankle.

Joint capsule – A sheet of fibrous connective tissue that completely encloses the ends of the two bones in every freely movable joint in a water-tight wrap.

Synovial fluid – A lubricating fluid secreted by the inner lining (synovial membrane) of the joint capsule into the small space between the ends of the adjoining bones in freely movable joints.

Joint cavity – The small space between the ends of the adjoining bones in freely movable joints.

Synovial joints – Joints lubricated by synovial fluid; freely moveable joints.

Articular cartilage – Cartilage lining the ends of the bones in freely moveable joints; when this smooth cartilage is coated with lubricating synovial fluid there is very little friction in the joint.

Ligaments – Heavy fibrous connective tissue cords that hold the bones of freely movable joints securely in place.

Tendons – Heavy fibrous connective tissue cords that connect muscles to the bones of freely moveable joints.

Bursa – A fluid filled sack between a tendon and a bone that provides a cushion and prevents wear and inflammation as a muscle pulls the tendon over the bone.

Flexion – Bending a joint; moving a bone in such a way as to decrease the angle between the two bones at a joint.

Extension – Straightening a joint; moving a bone in such a way as to increase the angle between the two bones at a joint.

Abduction – Moving a bone away from a midline.

Adduction – Moving a bone toward the midline.

Circumduction – Moving the end of a bone in a circle, like drawing a circle on a chalkboard.

Rotation – Turning a bone around one point, like turning your head.

Supination – The motion that would turn the palms up if the elbows were bent so that the forearms were parallel with the floor.

Pronation – the motion that would turn the palms down if the elbows were bent so that the forearms were parallel with the floor.

Inversion – Turning the soles of the feet inward.

Eversion – Turning the soles of the feet outward.

Plantar flexion – Bending the ankle to push the foot down and stand a person on their toes.

Dorsiflexion – Bending the ankle to pull the foot up and stand a person on their heel.

Sprain – Stretching or tearing the ligaments that hold the bones of a joint in place.

Dislocation – Stretching or tearing the ligaments that hold the bones of a joint in place enough that the bone has moved out of the joint entirely.

Arthritis – Inflammation of a joint.

Osteoarthritis – Inflammation of a joint set in motion by wear and tear. Once it begins it is a disease process that just keeps getting worse (degenerative). The cartilage padding in the joint breaks down and the ends of the bones grind against each other and can develop knobs and spurs.

Rheumatoid arthritis – An autoimmune disease (the body attacks itself) in which the body’s defense cells (white blood cells) attack the synovial membrane of the joint. It becomes inflamed and secretes excess synovial fluid that swells the joint. As the disease progresses the cartilage and sometimes part of the bone is destroyed, scar tissue develops and binds the two bones together, and then the scar tissue is turned to bone fusing the two bones together and eliminating any motion.

|[pic] |Bones of the Head |

| |frontal bone |

| |mandible |

| |maxilla |

| |occiptal bone |

| |parietal bone |

| |temporal bone |

| |zygomatic bone |

| |Bones of the Neck and Chest |

| |acromion |

| |atlas |

| |cervical vertebra |

| |clavicle |

| |false rib |

| |floating rib |

| |scapula |

| |spine of scapula |

| |sternum |

| |thoracic vertebra |

| |vertibral column |

| |Bones of the Abdomen |

| |coccyx |

| |ilium |

| |ischium |

| |lumbar vertebra |

| |sacrum |

| |vertibral column |

| |Bones of the Arm |

| |carpus (carpals) |

| |epicondyle |

| |epitrochlea |

| |head of humerus |

| |humerus |

| |metacarpus (metacarpals) |

| |olecranon |

| |phalanx (phalanges) |

| |radius |

| |ulna |

| |Bones of the Leg |

| |calcaneus |

| |condyle of femur |

| |femur |

| |fibula |

| |head of femur |

| |metatarsus (metatarsals) |

| |neck of femur |

| |patella |

| |phalanx (phalanges) |

| |talus |

| |tarsus (tarsals) |

| |tibia |

The most common way to classify bone fractures is on the basis of different features of a fracture. This is known as orthopedic classification. Here is a list of the different types of bone fractures according to the orthopedic classification.

• Open fracture: An open fracture is a fracture where the broken bone is exposed. That is dangerous because of increased chances of infection. It is also called compound fracture.

• Closed fracture: Also known as simple fracture, a closed fracture is a fracture where the bone is broken, but the skin is intact.

• Complete fracture: The two pieces of the bone, resulting from the fracture, completely separate from each other.

• Incomplete fracture: In this, the two pieces of bone, resulting from the fracture do not completely separate from each other; the bone pieces are still joined to some extent. This happens when the crack (or fracture) does not traverse along the entire width of the bone.

• Multi-fragmentary fracture: In this the bone splits into multiple pieces.

• Compression fracture: A compression fracture is a closed fracture that occurs when two or more bones are forced against each other. It commonly occurs to the bones of the spine and may be caused by falling into a standing or sitting position, or a result of advanced osteoporosis.

• Avulsion fracture: An avulsion fracture is a closed fracture where a piece of bone is broken off by a sudden, forceful contraction of a muscle. This type of fracture is common in athletes and can occur when muscles are not properly stretched before activity. This fracture can also because of an injury.

• Impacted fracture: An impacted fracture is similar to a compression fracture, yet it occurs within the same bone. It is a closed fracture which occurs when pressure is applied to both ends of the bone, causing it to split into two fragments that jam into each other. This type of fracture is common in car accidents and falls.

• Stress fracture: It is a common overuse injury. It is most often seen in athletes who run and jump on hard surfaces such as runners, ballet dancers and basketball players.

• Linear fracture: In this the fracture is parallel to the bone's long axis.

• Transverse fracture: In this the fracture is at a right angle to the bone's long axis.

• Oblique fracture: In this the fracture is diagonal to a bone's long axis.

• Spiral fracture: In this at least one part of the bone has been twisted.

• Comminuted fracture: In this the fracture results in several fragments.

• Compacted fracture: In this the fracture is caused when bone fragments are driven into each other.

DECEMBER CHAPTER MEETING SUMMARY

|Saint Louis West AAPC Chapter Meeting |

|St. Louis Professional Coders |

|Minutes |

|December 14, 2012 |

|St Luke’s Hospital, Emerson Auditorium |

|CALLED TO ORDER: 6 pm Central time |

|Adjourned: 8:00 pm |

|Officers: Debbie Fleiger, president; Betsy Miller, Vice President; Barbara Fontaine, secretary; Ileana Stewart, Treasurer; Rhonda Bottoms, Member Development Officer |

|Officers Not Present: none |

|Excused: none |

|AGENDA ITEM |DISCUSSION/FINDINGS/ACTION |

|1. Member | The meeting was preceded by a catered dinner from “Off the Grill” The dinner was delicious and the only disappointing aspect of the meal was that |

|Celebration |approximately 30 members had RSVP’d that they would attend and did not, so that meals were ordered and paid for that were not used. The officers next |

| |year will consider having attendees prepay so that the chapter is not wasting funds. Extra dinners this year were donated to a homeless shelter so at |

| |least they were not discarded. |

|Business Meeting |At approximately 6:00 pm the business meeting began with a game designed to learn a bit of coding while networking and meeting new people. “Christmas |

| |Around The World” was written and presented by Ileana Stewart and Barbara Fontaine. During the presentation, holiday traditions from around the world |

| |were presented and then a fantasy story was told involving these traditions in which the celebrations went awry and accidents occurred that required |

| |coding. Each person was given an appropriate answer for the coding scenarios for different countries. The presentation was made a little difficult when |

| |the St. Luke’s computer failed to start but we were able to carry on for an hour to complete our CEU requirements. People were assigned to groups by |

| |country and asked to sit together following the questions answered. Then the groups were asked to talk amongst themselves for a few minutes to get to |

| |know one another. Following this, each person was asked to introduce at least one other person in their group. All were asked to look at the back of |

| |their answer and some were randomly marked. Those people with marks on the back of their answer were the first to choose door prizes from a giant stack |

| |of wrapped packages. |

|Business Meeting |Those members in attendance were awarded Chapter Bucks for 2012. |

| | |

| |Debbie thanked the members and officers for their support this year and invited everyone back for more fun and learning next year. She emphasized the |

| |importance of volunteering and participation in the chapter, not only for the success of the chapter, but for personal development. |

| | |

| |We then began drawing tickets for more door prizes which included multiple gift cards, chapter bucks and other gifts. No one knew what prize they chose |

| |as all had been wrapped by Debbie Fleiger and Jamie Montgomery. After everyone had drawn, there were still prizes left, so volunteers were chosen to |

| |perform for our entertainment. One group sang a carol, another danced a bit and there was lots of hilarity involved in distributing the left over door |

| |prizes. Everyone left happy with wishes for a great holiday and a happy new year in 2013. |

|2. Next Meeting |The January 17th meeting was announced. Our speaker will be Paul Chandler, a member of the St. Louis East Chapter who will speak on starting an auditing|

| |program in your own office. The meeting will begin at 6 pm. The meeting was adjourned about 8:00 pm. |

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JANUARY CODING CHALLENGE

Choose the Most Appropriate Answer!

1. Fruit can be added to your diet with:

a. Apples

b. Strawberry Pop-Tarts

c. Nuts

d. None of the above

e. A-C

2. To maintain my weight, all I need to do is:

a. Eat one meal a day

b. Exercise at least 3 times a day

c. Take in less calories than I burn

d. None of the above

e. A-C

3. Which of the following is “exercising”?

a. Washing a car

b. Weeding the flower beds

c. Filling up your water bottle at the water cooler

d. None of the above

e. A-C

4. Which of the following would reduce your caloric intake?

a. Nonfat milk rather than milk in coffee

b. English muffin instead of a bagel

c. Popcorn instead of chips

d. None of the above

e. A-C

5. Which of the following are considered “brain boosting food”?

a. Fish

b. Whole wheat foods

c. Iron rich foods

d. None of the above

e. A-C

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Positive Thought for January

"Your success and happiness lies in you. Resolve to keep happy, and your joy and you shall form an invincible host against difficulties." ~Helen Keller

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