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

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

Practice Exam

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

CPC Exam Review Video

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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

Two-midnight Rule: Factors to Consider when Admitting a Patient

Meet Medicare requirements when a provider expects a patient to be admitted for an inpatient stay of at least two midnights. If you report hospital inpatient services for Medicare patients, you need to know about the two-midnight rule. If you haven’t heard of it, or could use a reminder, here are the facts. Cost Containment […]

The post Two-midnight Rule: Factors to Consider when Admitting a Patient appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Primary not the admitting

I’m confused as to why my scrubber continues to error our my 99222 claim. My physician is the patient’s PCP and did not admit the patient; however, he does see them each day they are in the hospital and does assist to manage care for the patient. When he is notified of the patient admission, he typically will go the next day. The admission date on the claim will be the date the patient was admitted, but my date of service for that claim is the date he saw the patient (typically the next day). My scrubber is erroring the claim stating that the date of admission must be the same date as the date of service. Am I missing a modifier? Any assistance would be appreciated, as I’m new to all of this.

Medical Billing and Coding Forum

TeleHealth CMS reg on admitting and discharging physicians

[SIZE=2][FONT=Garamond]I am being told by our billing company that per CMS rules a TeleHealth provider cannot be the admitting or discharging physician for our inpatient psychiatric facility.
I’m having trouble locating that rule anywhere on the CMS TeleHealth guidelines.

Does anybody have any experience with admitting or discharging physicians that do so via telehealth?

Thanks in advance!![/FONT][/SIZE]

Medical Billing and Coding Forum

CPT 99221 for non admitting physician?

I have seen coders use 99221 for an initial visit (consulting) for an inpt. encounter when requested by the admitting physician. CPT Guidelines for 99221 states …. By the admitting physician…" and that if the physician is not the admitting physician, they are to use 99251-99255 or 99231-99233. My question is: Is it appropriate to use 99221 for a physician who is requested to do a consultation for a patient (that is an inpatient) who is not the admitting physician?

Medical Billing and Coding Forum

L&D Admitting Dx and Labor Pains

Hi, I’m still an entry level coder, have not yet mastered the 2017 guidelines, and trying to adapt to the 2018 updated guidelines in chapter 15.

My main struggle has been and still is, "Labor pains" as stated in patients reason for admission.

My understanding for 2018 guidelines, Chapter 15-b-4 When a delivery occurs, "the condition that prompted the admissions should be sequenced as the principal diagnosis."

If "strong labor pains" or "labor pains" was stated, how do I code for that? I must be overlooking something because I searched the index under Pain, Labor, and Contractions, and haven’t not found one that I’m comfortable with.

Has anyone encountered this?

Already in desperate mode.

Thank you in advance.

Medical Billing and Coding Forum