Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Humana denials

We are having a problem getting Humana to pay for E/M exams with CMT. Anyone else having this problem?

First denial is almost always incorrect (ie. denying new patient exam when the patient is new or hasn’t been seen in over 3 years) We include documentation and a paragraph on why the doctor sees medical necessity for an exam. The second denial is just based on medical necessity and then we get a massive request for notes on past and current treatment. We don’t see anything in our contract about bundling E/M with CMTs like United Health Care does.

We don’t have many Humana commercial patients, but this is getting so annoying that we may consider dropping out of Humana network.

Any ideas would be appreciated!
pattiland

Medical Billing and Coding Forum