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

OIG Reports on Home Health and Hospice Fraud and Abuse

The Office of Inspector General (OIG) offers its fraud and abuse perspective for home health and hospice in its latest Semiannual Report to Congress — and it’s not a warm, fuzzy hug. For home health, the OIG lists two high-profile fraud cases. Case No. 1: SHC Home Health Services of Florida and its related entities […]

The post OIG Reports on Home Health and Hospice Fraud and Abuse appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Enhancing Transparency About Nursing Home Abuse and Neglect

A movement toward increased transparency about abuse and neglect will further help to ensure nursing home quality and safety. Earlier this month the Centers for Medicare & Medicaid Services (CMS) announced a significant enhancement of the information available to nursing home residents, families, and caregivers on the Agency’s Nursing Home Compare website. Beginning Oct. 23, […]

The post Enhancing Transparency About Nursing Home Abuse and Neglect appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

inpatient substance abuse treatment

Hi, i bill for a hospital in NY that does inpatient substance abuse treatment ( detox and rehab), they also do medication maintenance once patient is discharged, and pain management for patients who have to use opiates to treat medical conditions. I have been searching for days on the correct way to bill these encounters. as in correct cpt codes, pos when admitted and during outpatient visits. For all inpatient we are using cpt codes 99221-9922 and 99231-99233 with pos 21 for all admitted detox and rehab patients. Then for the medication management we use 99201-99205 or 99211-99215 with pos 23? can anyone tell me where to find help at.

Medical Billing and Coding Forum

Individual therapy 50 min substance abuse

Is there a new code to bill for these one on one therapy visits, billing on ubo4. I have had a few denials for the 0914, 90806. I use bill type 133; rev code 0906; cpt 90806.

Services are performed while in op either php/iop/op programming.

Just need clarification of what is correct rev code and cpt code.

Any help is much appreciated

thank you

**coder

Medical Billing and Coding Forum

Provider Seeing Pts at Substance Abuse Facility for Non Behavioral Health Issues

Hello All,
I have a provider who has been asked to see patients at a substance abuse facility. These are Ohio medicaid kids who are inpatients at the facility. She will be seeing them for routine care, sick vists etc. not related to their behavioral health. I’m trying to determine the correct POS and CPT’s to bill for these services. My thoughts are 99341-99350 with POS 55. Am I close?

Thanks for any input.

Tammie

Medical Billing and Coding Forum

Treating violence and abuse victims with PEARR

The worst thing a care provider can do when they suspect victimization, Gibbs says, is ignore the patient’s needs and concerns. “This is why we developed the PEARR Tool,” she says. “It offers step-by-step guidance for healthcare professionals to offer assistance to victims/survivors of violence. And it offers example statements to help get the conversation started. The best approach someone can take is one that prioritizes the potential victim’s wishes, safety, and well-being.”

HCPro.com – Briefings on Accreditation and Quality

Tobacco Abuse Counseling when done with Physicals

Wondering if when billing for Physical understanding that lifestyle counseling ,and age approriate health screening ,etc are elements of Physical. Can a seperate CPT code be used for Tobacco abuse couseling when time spent is documented is the required 3-10 minutes?This of course is for a patient who does smoke
It’s one thing to counsel regarding lifestyle choices and risk of same for those who do not smoke .For those who already smoke the focus is different with discussion of medications,goals support grups etc.
Hoping for some direction
Cher

Medical Billing and Coding Forum

substance abuse assessment and type of bill questions for detox and residential

Please help

I am new to the substance abuse field and have a few things I wanted to run by anyone who is willing to help. I switched over from cardiology, integ, and podiatry and am now billing for a detox facility, residential and php facility. I was curious if you could help me with two things.

First where can i find the type of bill code for box 4 required for bc claims? I have been searching all over their website and can’t find anything. I read one thread that said to use 11X but i’m not sure if that’s correct or if it would be 86X since we are not a hospital?

The other question I have is the previous billing company was billing intake assessments with the code H0001 and H0002 and they are all denied from all the insurance companies or reimbursing at a really low rate. Would I be able to use an e/m code such as 99408 or 99409? or is there a better code for an initial assessment and also a discharge assesment?

I would really appreciate the help.
Thank you
Sarah CPC
you can respond on here or feel free to email me at [email protected]

Medical Billing and Coding Forum

Behavioral Health & Substance Abuse Residential Facility

Have a client in our residential treatment program which we bill services with Revenue Code 1001. Client left facility at 11:30pm yesterday and transported to ER, has not returned yet. Question…can we bill the 1001 for yesterday even though they were not there after midnight?

Thank you!!

Medical Billing and Coding Forum