Contempo Coding Podcast

Answering the Call of Medical Coding: A Sit-down with Beth Schleeper

• Victoria Moll • Season 2 • Episode 3

Share episode

What if immersing yourself in a sea of knowledge about medical coding could not only enhance your career but also empower you to establish your own successful business? That's exactly what we're chatting about with Beth Schleeper, the awesome CEO of Advanced Coding Services and TNT Consulting. Beth's here to spill the beans on her journey into medical coding, and she's got some great tips on online and in-person training. 

Medical coding isn't a walk in the park, and Beth and I are here to break down the challenges you might face. We'll talk about why it's super important to build a strong foundation and how the business of medicine retreats can make learning fun and effective. TNT Consulting is all about helping you not just learn the ropes but become a master. They offer full-service revenue cycle management and really believe in the power of mentoring.

Ready to start your own medical billing service? Let Beth be your guide! She's got priceless advice on getting the right education, setting goals you can reach, and taking things one step at a time. You'll also learn about knowing yourself and how to network like a pro to build a thriving business. Plus, we'll share some cool stories from Advanced Coding Services' retreats and tell you how to find out more about their awesome services.

Connect with Beth on:
Advanced Coding Services - https://advancedcodingservices.com/
LinkedIn - https://www.linkedin.com/in/beth-schleeper-b6226815/
YouTube -  @advancedcodingservices  
Facebook - https://www.facebook.com/AdvancedCoding

Screen Deep
A podcast decoding young brains and behavior in a digital world.

Listen on: Apple Podcasts   Spotify

Speaker 1:

It's time for the Contempo Coding Podcast Discussions knowledge and insight to help you succeed in the medical coding industry. And now here's your host, victoria.

Speaker 2:

Hey everyone, welcome back to the channel. Today I have with me Beth Schlieper. She is the CEO of Advanced Coding Services and that offers medical coding education and training, correct and TNT Consulting yes, and that provides full cycle revenue cycle services, right, yes, okay, so practice management, auditing, billing, credentialing and, I think, bookkeeping and tax services right, we do.

Speaker 1:

Yeah, that's part of it Awesome.

Speaker 2:

So how did you get into medical billing and coding? Was it like you graduated? Because now most people they don't graduate high school and they're like, yes, medical billing and coding, that's what I want to do now. It's usually always a story of some sort. So what was your story?

Speaker 1:

So back in the day I actually worked at an answering service and we answered services. That was back before, like everything was digital and electronic. We actually had to take messages for providers and then page them, Do you?

Speaker 2:

remember those days I got to.

Speaker 1:

We had to page them or we had to try to find them like page Dr. So and so overhead at the hospital intercom systems. Anyway, one of our clients was a physician and I developed a rapport with his office manager and she said hey, we're looking for a receptionist. I like how you do your job. Would you be interested in interviewing? So I went and interviewed, of course, got the job and I was there about three weeks and she and the doctor had a large blowout fight and she left and never came back and he said do you know anything about billing? And I said what he goes, I'm sending you to school. Will you learn? Sure, and the rest is history. I did little lunch and learns here and there back when the payers used to just do lunch and learns and try to update you on codes and such.

Speaker 2:

Okay, so I have a question because I'm not everyone remembers this far back, but I seem to recall at the very early stages of my career and I think it faded out shortly afterwards Didn't the vendors and some of the reps that came in give you like free code books? But they weren't like good quality ones, they were like whatever ICD-10 printed up Chebacca they could come up and then they, like, would slap their name on it yes, but it was ICD-10.

Speaker 1:

When I started, we had ICD-9s. Well, yes, icd-9s, yes.

Speaker 2:

Yes, okay, because I like I fever dream that, that, like we used to get free code books from the vendors, because I remember that, like at the very, very early stages of my career and okay, so I wasn't just picturing that in my head. So you offer both in-person training, yes, and you offer online training, right, yes, okay. So can you talk about some of the advantages of the in-person and the online and then how students determine, like, what is right for them, if they should be in-person or if they are, okay, online, right?

Speaker 1:

Okay, so in-person it's. Obviously it's a classroom setting and we are there every Tuesday night, every Thursday night, whichever night of the week, so it's one night a week for 20 weeks and we're usually 5.30 to 9.30 in the evening, so it fits in with people who are working. Yeah, it's a late night, it's a late night, but at least it's only one night.

Speaker 2:

Exactly, it's one night for 20 weeks.

Speaker 1:

I I love the in-person because then we're having those conversations, I can see people when they've got that aha moment and you're in a, you're in a classroom and so you're not the only student in the class and this is how you start developing your networking and your relationships with other people. So I love that setting. We also do the online. We have a couple of different platforms for online. We have the completely on your own, do it on your own kind of thing. That works for some people.

Speaker 2:

That's not my favorite, yeah. But the nice thing I think about offering the on-demand is, since you don't get that personal attention, you can kind of cut the price back a little bit and not charge as much for, like, an on-demand, because it's you don't have to invest the extra time in it. So for some people that are like, oh, I'm very self-motivated and I want to save some money, I think that's a good option.

Speaker 1:

I have had. I will tell you. I've had a handful of students who tried that and did not like it and we've just transitioned. I have stopped the on-demand. It's there, but you still have a weekly check-in with me and we every you know, we pick a day that works and we have a conversation 15, 20 minutes or longer, depending on the chapter you're on. Some weeks it's. I did my chapter and I don't have any questions. Can I move on to the next chapter? Absolutely, but I have that so that there's that accountability. So because at the end of the day, I never want a student to say I paid you and I didn't get through the program and I didn't, I wasn't successful. I want you to do this, but I want you to be successful, so there's accountability. So we have that online, that accountability.

Speaker 1:

But then we also have just regular online classes. I have a class right now that we're doing. We're actually almost done. We just did E&M last week where they're just, you know, where we meet every Thursday and we do regular thing. It's just like in person, but but you're still not together, so you're not connected. But that works. So, and I think the difference is really on the ground. We're in Phoenix, Arizona, so unless you're in Phoenix, that makes it, you know, difficult. But then it's just really the person's schedule, what works for them, and do we want to do a whole class, or do you want to just do it yourself, or how does that work?

Speaker 2:

So many of these college programs, I think, are unclear about their online education and they make it seem like it's going to be an online classroom and they're going to have a teacher and they're going to have classes, but it's really like they kind of pulled the ed to go out of the box and just plugged it into a platform and you see more and more of these students that are like I don't know, like they don't know how to look up a code, right, and they're reading it, but how it's so hard to make that transition from reading how to do it into. Okay, what page am I opening up into my book? What is this alphabetic index that they're talking about? Like I don't know how to find that Right no-transcript, a huge amount of time to go.

Speaker 2:

Okay, this is the alphabetic index, but that's, I think, the benefit of the in-person, because you can go okay, here's your book, we are on this page. No, not that page, this one, and you can go over here.

Speaker 1:

Well, and you can see when people are struggling, when you're in-person and you can see if they're completely in the wrong book. You're like, yes, that's your CPT, we're talking about your ICD-10 still. Yeah, oh, I'm in the wrong book. Yes, you are my friend and so we go to that. But even like my online classes, particularly the first couple of chapters, because chapters one through six are really laying the foundation for being a coder.

Speaker 1:

And so when we do three, four and five, which is all about ICD-10, it's let's get your book out and you might not have questions, but I want to make sure that you have done the steps and we're going to go through the book. And yes, I know you've done the lectures and I know you don't have any questions, but here's your alpha, here's your tabular. Let's look up a couple of codes, because I want to make sure that you've got this. And we kind of go through that to make sure. Even if they tell me they've got it, then show me you have it, because I don't want you to get further into the program and then you're like I don't know how to use these books.

Speaker 2:

Yeah, you don't want them to be ready to take your test, and then they're going. What does it mean when it says C condition? I looked under condition and it doesn't say anything. And you have. Where did we go wrong? Yes, so when your which students are going through your programs, either online or the in-person ones, what are some of the common challenges that students face when they're learning, and then how do you help them to overcome those common challenges?

Speaker 1:

I think truly, for the most part, the challenge is it's learning a new language? Yeah, truly. And so it's very early on. They're like I don't get this. This isn't making sense. It doesn't because you didn't come out of the womb learning French, unless you're from France. Right, you know, we all came out. I came out learning English, kind of we had to be taught, and so this isn't going to happen in three weeks, like you have to give it some time, and this is really just kind of laying the foundation. But the intent is that once you're through the program you'll be certified, but you're never going to stop learning, and so it's always learning and it's always growing and stretching yourself.

Speaker 2:

But it's just give yourself patience, give yourself grace to know that this is a new concept a new career and I think that's where I get upset sometimes with these like quick medical coding programs where they're like you can learn this in three days and I'm like, okay, if you're maybe an LPN, yeah, maybe you could, but if you're someone who's never worked in healthcare, you don't know.

Speaker 2:

Met right the anatomy, you know trick your way through the exam in three days, but you can't learn right medical coding practically to work in the environment. So yeah, I'm not a big fan of the quick. Past the exam and off you go.

Speaker 1:

So we do our program is full of 20 weeks. Yeah, I mean, we might get by with 18 or 19, depending on how fast we move, depending on if we combined a couple of chapters. But I don't do the 12 and 16 weeks, I just can. I I mean, yes, if I had an LPN or an RN or somebody come to me and say, hey, can I do this?

Speaker 2:

Yes, and then I don't have to teach you the anatomy and the terminology you really just need the concepts of coding, so you already know what a Medicare program is. You already, yeah, you know how an EMR works, yeah, then yes, we can accelerate you.

Speaker 1:

But if you're brand new to this, yeah, no, we're going to do that because for it's not the race, it's getting through the entire program and understanding it, and there's different concepts and different coding concepts and understanding them. It's not just can I code this? Yes, right, you know why did I code this. And understanding the concepts between the ICD-10 and the correlations to your CPT, your medical necessity and what your drivers are. So it's making sure that there's a great foundation there.

Speaker 2:

Yeah, the marathon, not the sprint.

Speaker 1:

That's exactly right.

Speaker 2:

So one of the cool things that you do in person is you have these business of medicine retreats, yes, and I haven't been to one yet, but everyone talks though they like pipe them up to me. They're like Victoria, you got to come to the retreat and I'm like, okay, some of them look like sleepaway camps, so maybe not that one, but this one, well, sorry.

Speaker 1:

It's kind of like sleepaway camp. We've done this on purpose because I want to make sure people are comfortable. We have limited it to no more than 100 people because, I mean, we've all come to health con, great conferences. It's amazing, but for some people there's so many people it's overwhelming.

Speaker 1:

I believe it or not, I am a closet introvert and I don't know if I'm saying that right. If I don't know you, I'm not talking to you. If you come up to me and go hey, your hair looks pretty or whatever, or like hey, you're just standing here in a corner, Are you okay? I will talk to you and suddenly we're friends and now I'm okay. But I'm not just going to go up and speak to people, and so I know that there's other people like that in the world, and so this is really kind of a way for people to come and have a safe conference, to feel like they're heard. You know there's questions. We have great presenters that are going to have conversation. This is where you don't feel embarrassed to ask the questions, to raise your hand, Because there's not 300 eyes on you.

Speaker 2:

Well, and we're all at the same level.

Speaker 1:

And the thing about the retreats is, all of our speakers are experts in the field and you are sitting and having breakfast, lunch and dinner with them. You're walking to breakfast, lunch and dinner with them. You're sitting, we have breaks together, you're sharing a meal with them, and so now they're not this amazing person that I've got on a pedestal. Hey, she puts her pants on the same way I do, and we have the same concepts. Yes, she might be a little further ahead in her career, I might be a little further ahead. It's just we're all at different places, but the intent is that we're all reaching back to pull the next person up and we don't want anybody to feel uncomfortable with that situation. So it's kind of like sleep away camp, because we all kind of sleep together. But I promise you, at the end of those retreats I have had, so many people say Beth, this is just amazing and I'm so glad I came and there is nothing else like this in the world. It's amazing.

Speaker 2:

And it's so important, I think, to have a variety of different types of education, because some people, just like, are better with different environments and not everything's going to be for everyone. Some people love the big 4,000 people conferences, other people don't. I know the coding cruises have started to come back now since the pandemic, and I'm just like I love a good cruise. I love medical coding. I don't know that I want to combine these two, but I could see where that would be appealing for a lot of people.

Speaker 1:

It could be.

Speaker 2:

Absolutely Not for me, but I totally get that. People would love that. Yeah, totally would get that, because I would go crazy, because I'd be like we're on dock at the beach and I want to go. I don't want to learn about modifier 25 for now. I want to be.

Speaker 1:

But I feel like, from what I have heard about the coding cruise, you only are in class while you're out to sea, so when you're in port there are no classes. I don't know, I feel like it would be. You know, we try it once and see.

Speaker 2:

Some people do that, like I said, just because I might not like something. There's tons of people out there that do Right and I always get fascinated when I come to conferences, because I'm a big nerd and I go to a lot of like video games and comic book conventions and it's so funny to see the difference between the atmospheres of like a comic book convention or something when you're coming to like a professional association convention. And every now and then I'm like I wonder if there would just be a way to have like a combination like we have Merge them, we have like a professional medical coding conference, but with the atmosphere of a comic book convention, like we come and wear crazy outfits.

Speaker 1:

Well, so kind of the retreat, so like we're a professional organization, but it's a little bit more it's way laid back, like we, as long as all the parts are covered, like that's the criteria, all the parts have to be covered. Like I've had people in shorts and flip flops and they were like this is good, because we just had a retreat in San Diego and they were in shorts and flip flops. They were like this is amazing. Like I'm at a coding conference, I am learning amazing content and I am in shorts and flip flops.

Speaker 2:

Yeah, I like that, yeah, so it's good too, because people are so used to being at home. A lot of people, the term now and I don't know if you've heard this when you have to put on like regular adult pants, is hard pants versus soft pants.

Speaker 1:

I have not heard that Like pajama bottoms or like soft pants.

Speaker 2:

Yes, like loungewear and you have to put on like officewear. Those are hard pants.

Speaker 1:

All right, I had not heard that term, but okay, makes sense.

Speaker 2:

So if you ever hear say anyone they don't want to put on hard pants, that means like they have to put on like appropriate officewear and go.

Speaker 1:

Somebody said that literally I don't know, yesterday, the day before, and I was like, what does that mean? But I didn't ask because I was like maybe I'm just dumb.

Speaker 2:

So you have the business of better synergies, which are, like so well received and so amazing. What other services do you offer and tell me about like? So there's advanced coding services and then there's TNT, right.

Speaker 1:

So advanced coding services. We do actual curriculum, the CPC, cpb. We also have memberships. So if you're struggling to get your CEUs or if you just want a planned event that you know where to get your CEUs, so we have memberships. It's two to four CEUs per month that we offer. It's every Wednesday about 10 o'clock in Arizona time. So we have the memberships and then we have the retreats so that we're we don't just teach you and leave you, we teach you and then we grow with you and help you continue in your career. And then we have TNT consulting, which is a full service revenue cycle management service. We do medical, we do all the billing, the patient statements, the education for the providers and then we also do bookkeeping and accounting for providers, for small businesses, as well as personal and professional income tax returns.

Speaker 2:

So it sounds almost like TNT is more the business side of it and then advanced coding solutions is more the education community, like it sounds very community based. You're growing and fostering a lot of people, building a comfort level with them, really helping them grow. Yes, do you do like mentoring?

Speaker 1:

too. We haven't, not for any purpose, we just haven't yet. But I have had people reach out to me like hey, I'm struggling with this. So I guess you would say I've mentored them in that way, but I've never officially labeled it mentoring or but people call me and ask for questions and ask for help and if I know something, that's my job to feed it to somebody else.

Speaker 2:

So what's kind of included into the membership, then package.

Speaker 1:

So the membership package is you get your membership, you get your CEUs every month or the weekly webinars, but you're getting the education. So you don't have to go find your CEUs. But really, for me, I always like to say any CEUs we offer you is really just icing on the cake because it's really just to validate the education. But we're really all about education and giving you more content. You know NCCI, ed, as we talk about those. We talk about. You know whatever's a hot topic going on, we talk about those. We talk about best practice management for front desk through 25 modifier.

Speaker 1:

Yes, yes, that's been a conversation a couple of times.

Speaker 2:

I can't believe that, like my entire coding career, we still are having issues with the 25 modifier.

Speaker 1:

Well, kind of going back to the very beginning of our conversation, we're still learning a new language, and sometimes it's English is still our only language, and we're still learning significant and separately identifiable. What does that mean and how does that apply? Medically necessary? Oh, medically necessary, yes, yes, I was having a conversation the other day about a provider who has their patients commit every 30 days for a medri-fill. That's great. And you know what's funny, but is that medically?

Speaker 2:

necessary. Yes, and you know what's funny? I saw someone and I did what they call a stitch. There was a patient complaining. They said I came in for my physical and you know I was charged for this visit and they didn't do anything. And I kind of stitched and explained I'm like, yeah, I said you know, if you're coming in for your physical, the fact that maybe you have chronic conditions, that doesn't mean that they just get to bill an extra visit because of that alone. Right, and you know management and stuff, yeah, but in normal circumstances, if you're just getting your physical and that's all you're getting and you have chronic, happen to, incidentally, have conditions.

Speaker 2:

Oh, I remember that it was a lady who got. They said that she had to. There was a lady too that said she went for a doctor's visit and they ordered labs and they wanted to schedule a visit to go over the labs in like two weeks or whatever. That she asked. I'm like why we don't know that anything was wrong with the labs? Why would you come in for a visit when you don't even have the results for the labs, especially if they're normal? There's no medical, there's no need why?

Speaker 2:

would you? Why would you? So it's funny to see how the internet is transitioning and more people are talking about this in a public forum and how other people are now chiming in and going oh yeah, we're having these same issues Right.

Speaker 1:

Well, you know, back in the day when we were doing ICD-9, you know, way back before the internet became a thing, the patients really didn't know and I think that as they're now getting a little more versed in medical billing and coding, there's also seeing their EOBs that they didn't use to see back in the day. Now they're seeing that and I've had patients who call me and they're like are you coded, this code, what does that mean and what? This diagnosis code is X, Y and Z and I've never been diagnosed with that. Why? So yes, now we have to. Now we're educating the patients on their EOBs and how to read them and really what they mean.

Speaker 2:

And sometimes I've even seen people where they're getting it wrong when they're going.

Speaker 2:

Oh, you know they shouldn't have billed me for such and such. And I'm looking at it and I'm going no, that's right. Especially and I think it's, the difficulty lies in ethically. Yes, I see where you're coming from. I don't think you should get billed for that either, but it's correct, right. Like we see, sometimes these stories pop up about women who give birth and they get charged for the skin, to get skin contact with the baby, and it's like that's a correct charge. Do I think you should get charged for it? No, in a perfect world, I don't think you should walk out of having a baby with any medical bills, right? But these practices that we have like this is what they are. They weren't incorrect, they're, you know. Maybe not what we want, but they're correct, right Billing.

Speaker 1:

Right, if you did skin to skin and it meets the definition of that code and it's what happened, yeah, we get to bill it, and I'm sorry that that's not what you wanted.

Speaker 2:

I see these comments from people time to time that they're just starting studying medical billing and coding and they're like, hey, I'm studying this, I'm going to open up my own billing service, Like they want to go right from. I just learned this and now I'm opening up my billing service and ask someone who's done independent billing and done consulting and whole revenue cycle stuff, what advice do you have for someone who has that hearty aspiration that they're like I'm going to go right from the entrepreneurial?

Speaker 1:

spirit. Yes, yes, okay. So it's funny that you ask that, because I actually am working on my own curriculum for helping those people, the people with entrepreneurial spirit. You're going to learn billing, you're going to learn coding and then you want to go do your own. My first advice is get your education, because, as somebody who's been in the business for longer than a day, I can't tell you how frustrating it is to have to clean up the mess from somebody who said I know how to do that and they really didn't. And when you're brand new, you don't know what you don't know. You don't know that that was wrong. You don't know to go digging and to find what happened with Medicare and why Medicare denied the claims. You don't have that information. So I would say, if you're very new to this, probably keep it simple. Don't take on more than you can chew really, and make sure that you're working with somebody maybe a consultant or somebody that's going to help you be successful, so that you don't get out the gate and burn yourself.

Speaker 2:

Yeah, you want to set realistic guidelines. Not, I'll just take whoever Right. No, and I've seen even in the past where people are like, oh well, I'm going to start offering my own services and I'm going to do consulting and I'm going to do expert witness work and I'm going to do legal consulting and I'm going to do your billing too, and it's like whoa, whoa, whoa, slow down. Let's try to master one thing at a time, not saying you can't eventually do all of these, but let's try it one step at a time.

Speaker 1:

What is your passion? What do you want to do? If you don't like credentialing, don't offer it, because you're never going to be successful at it. Can you do it and do it? Yes, but that's not going to be your passion, so you're just not going to be excited about it. So I would say one step at a time, you're right. Master one skill and then you can move on, and sometimes life has a plan for us that we don't know. You might want to be an expert witness. That's great, but unless you get involved in the case, or you get out there and you start meeting the right contacts which is all about networking, and it's who you know you might not get the opportunity to be an expert witness.

Speaker 2:

Yeah, and I you know, my friend Tony, does a lot of expert witness stuff, and when I started kind of making that entrepreneurial transition, she's like, well, you can come and do some stuff for me. I'm like what? She's like, well, I could have you be an expert witness. And I'm like, look, I love that for you. Yes, you are amazing at that. I have the highest respect for all of the pedigree that goes around it, but it's not for me. I love it, it's just it's.

Speaker 1:

Well, and I think that that's knowing your own strength. Knowing knowing your own strength and weaknesses and embracing them. Yeah, knowing what your skill set is and what it's not.

Speaker 2:

Yeah. Yeah, I fully respect the things like the decorum of the courtroom, but I know that that's not my decorum and I know that I would struggle with that not saying I can't do it Right, but I wouldn't want to.

Speaker 1:

You can and you would be good at it. Yes, but that's not really your heart.

Speaker 2:

Yes, I want to. I want to be like Gary Vaynerchuk.

Speaker 1:

I don't even know who that is, but OK, ok.

Speaker 2:

So what is next for you in your career? Do you have any kind of big goals, aspirations for yourself, the businesses?

Speaker 1:

So I'm working on. I actually have a couple goals that I'm working on, but the short term goal is, hopefully by the end of this year, to be able to launch that, you know, owning and operating your own medical billing service or revenue cycle management, and I'm partnering like with some attorneys and so that people can start their business correctly. Yes, and so it'll be twofold. One is owning it, and what does that look like? You know, legally, you know with the LLC and making sure that you're structured correctly. Right, that's important Because I didn't do that correctly.

Speaker 2:

I set up as a sole proprietorship, not thinking I was going to grow as big as I would. And then I'm like, oh, I really need to be an LLC. And then, having recurring conversations with my accountant, I'm like, didn't we talk about my going from a what's the term where you get a tax break? Oh, like, are you a C Corp? An?

Speaker 1:

S Corp yes an.

Speaker 2:

S Corp. That's what it is. And I'm like didn't we have conversations that when I hit a certain point, I should become an S Corp? She's like, looking right at my finances, she's like, yeah, you're at the point where the tax benefits for you as an S Corp, yes. So it's those things that you don't realize until you're at that point and you're like, oh, this is yeah.

Speaker 1:

Well, and so structuring. So we're going to talk about structuring because it's important to know you have you know your insurances and your training and that protection if you're an LLC as opposed to a sole prop, right, right. And so you want to make sure that you're isolated or that your businesses are isolated, so it's all about owning that and and you know what's it like to own it and what's the structuring, but then also making sure that you've got the education to service the providers. So I'm putting that together. We're working with some attorneys and some marketers so that it's everything that somebody's going to need if that's what they're looking for is to open their own billing service.

Speaker 2:

I love that and I think there's going to be such a bigger need for it too, because we are seeing this transition into a more creator economy and more people not wanting to have these these rigid regulations around them. You know, with the pandemic, people are trying to get pulled by their companies back to go in person. They're like no, I've gotten used to working from home, now I'm not doing it.

Speaker 1:

I'm safe with that.

Speaker 2:

Yes, and the ability and sometimes the way to do that is to become your own boss. So I think that's great. I'm, I'm, I'm looking forward to it. I'm going to, I'm letting you guys know as soon as this is up, I'm going to be sending you links, I'm going to be telling, I'm going to be telling Beth to send to, to send me everything, so I can get you all the guys, all the details, anything else coming up for you, or is because that's like a huge out I'm not taking.

Speaker 1:

Yes, that's huge, but September. So next month we're doing our business and medicine retreat in New York and I'd love for you to come join us and just come hang out as my guest. It's going to be at Hudson Valley, so I'm really excited because it's fall in New York and who doesn't want to do that? We have a great speaker lineup Christine Hall, Pam Vanderbilt, Sonal Patel is going to be there, Carling Dietrich is going to talk to us about Arisa and out of network benefits and appeals. Ruby Woodward is going to come share some stuff about NCCI edits and making sure that we're checking our manuals. And the theme for this is the season of change, because it's fall and so we're coming up with our new ICD-10 codes and we're coming up with our new ICD-10 guidelines and CPT's got some changes coming out, so this is the season of change. So we have our business of medicine retreat in New York September 22nd through the 24th and then we have in October October 6th, 7th and 8th our business of medicine retreat in Prescott, Arizona. Okay, awesome.

Speaker 2:

You're welcome to come with us further.

Speaker 1:

So and of course you know we have the great speaker lineup. Not each retreat is different. The speakers are different, the content is different, because each site is different. Yes, we meet at campgrounds, but we're not tent camping, we're kind of glamping. We're like we have cabins and stuff. There's running water, people get to shower I'm not kidding, like that's been a question. But the one in June is really, I would say, the favorite of most people, because we're in sunny San Diego in June on the campus of Point Loma Nazarene University and you stand in the room that, in our conference room, and you just it's just all wall of, it's a whole wall of window and we're just overlooking the Pacific Ocean. It's absolutely beautiful and amazing and most rooms where all of our attendees and the speakers stay are, I mean, you just there's a window and you just have a view of the Pacific.

Speaker 2:

Ocean everywhere.

Speaker 1:

Like you're closed in and it's absolutely beautiful and so, and then everybody just kind of walks away with that and suddenly they're like I, victoria has always been my idol and I've always wanted to meet her and she was here and I got to have lunch with her and she's a real person and and now these people know their speakers, they know their, and we get to know more speak we need to. We get to know the attendees and now we have friends. Yeah, and so it's just a great thing and yeah, so that's what's coming up for Advanced Coding Services All right, great Well, I'm going to link your information in my show notes.

Speaker 2:

I'm going to link it in my YouTube channel so that people know where to reach you, wonderful, and where to find you. Thank you so much for spending some time with me today.

Speaker 1:

Well, thanks for having me, it's been a joy.