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

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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

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

CMS Proposes to Allow Patient Outcomes to Be the Standard for Negotiating Prescription Drug Costs

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on June 17 that would base prescription drug payments on patient outcomes.

The post CMS Proposes to Allow Patient Outcomes to Be the Standard for Negotiating Prescription Drug Costs appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

New ICD-10-CM Codes Will Allow You to Report Social Determinants of Health

Healthcare practitioners may soon have 23 new ICD-10-CM codes to use for reporting social and environmental factors that affect their patients’ health. The American Medical Association (AMA) and UnitedHealthcare say they are collaborating to standardize data collection on the social determinants of health (SDOH). According to AMA senior news writer Andis Robeznieks, “The two organizations […]

The post New ICD-10-CM Codes Will Allow You to Report Social Determinants of Health appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Foley just to allow wound healing

Our Director of Nursing has placed a Foley cath so a patient can stay in bed while a pressure ulcer heals. I’ve coded the foley and the pressure ulcer, but she also wants a code to show that the foley is for wound healing. I’m coming up empty…I don’t think it exists. Anyone else have the same type of issue?

Medical Billing and Coding Forum

How to bill S9328 for non-par providers to allow MRC 2 pricing?

How can coders bill S codes for non-par providers for commercial insurance carriers (in this case – Cigna) so the MRC 2 pricing can be allowed? We are hitting a road block due to Medicare does not allow S codes.
The codes we are trying to bill for non-par providers to allow MRC 2 pricing are:

S9328 – can CPT 99601 be billed for this S code along with Equipment & Supplies code(s) – A4221, A4222, A4218 or A4305 and Medication code(s) – J3370, J1642, J7040, J7050, J2405?

S9500
S9502
S9501
S9374
S9351
S9366
S9367
S9338
S9326

Thank you,
Audrey

Medical Billing and Coding Forum

[Announcement] NCCI Will No Longer Allow 77300 and 77295 to be Reported Together

The 2016 National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services was released for services effective January 1, 2016. NCCI is a contractor for the Centers for Medicare and Medicaid Services (CMS) that aims to prevent improper payment when incorrect code combinations are reported.

Beginning January 1, 2016, NCCI will no longer allow the following CPT codes to be reported together:

77300: Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician.
77295: 3-dimensional radiotherapy plans, including dose-volume histograms.

 

CMS has implemented an edit on these codes because the agency believes the work of 77300 is integral to the work of 77295, and therefore is not considered a separately reportable procedure. 

The Medical Management Institute – MMI – Medical Coding News & MMI Updates