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

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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”

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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

I Am AAPC: Bradley Miller, CPC, CRC, CDEO, AAPC Approved Instructor

The year was 1998. I was swimming in a land of mediocrity regarding my potential teaching career as an elementary school teacher. I had to decide whether to keep banging my head against a wall as a substitute or aide OR take a leap of faith and change my job path and life. It was […]

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AAPC Knowledge Center

TAVR Approved Clinical Study

Transcatheter Aortic Valve Replacement
Transcatheter aortic valve replacement (TAVR – also known as TAVI or transcatheter aortic valve implantation) is a new technology for use in treating aortic stenosis. A bioprosthetic valve is inserted percutaneously using a catheter and implanted in the orifice of the native aortic valve.
CMS issued a Medicare National Coverage Determination on May 1, 2012 which allows coverage of TAVR under Coverage with Evidence Development (CED) with certain conditions.  The complete determination is available on our website.  As part of CED, we are identifying below the Medicare approved registry and Medicare approved clinical trials which have been reviewed and determined to meet the requirements of coverage.
Clinical Study Approvals
Study Title: REPRISE IV: Repositionable Percutaneous Replacement of Stenotic Aortic Valve through Implantation of LOTUS Edge Valve System in IntermediatE Surgical Risk Subjects
Sponsor: Boston Scientific
Clinicaltrials.gov number: NCT03618095
Investigational Device Exemption (IDE) Number: G160209
CMS Approval Date: 10/16/2018
Study Title: Transcatheter Aortic Valve Replacement (TAVR) With Medtronic TAVR System in Patients With Severe Bicuspid Aortic Valve Stenosis and at Low Predicted Risk of Mortality With Surgical Aortic Valve Replacement (SAVR)
Sponsor: Medtronic Cardiovascular
Clinicaltrials.gov number: NCT03635424
Investigational Device Exemption (IDE) Number: G160022
CMS Approval Date: 10/10/2018
Study Title: A Prospective, Single-arm, Controlled, Multicenter Study to Establish the Safety and Effectiveness of the CENTERA THV System in Intermediate Risk Patients Who Have Symptomatic, Severe, Calcific, Aortic Stenosis Requiring Aortic Valve Replacement
Sponsor: Edwards Lifesciences
Clinicaltrials.gov number: NCT03517436
Investigational Device Exemption (IDE) Number: G180045
CMS Approval Date: 07/05/2018
Study Title: Strategies to Prevent Transcatheter Heart Valve Dysfunction in Low Risk Transcatheter Aortic Valve Replacement
Sponsor: Medstar Health Research Institute
Clinicaltrials.gov number: NCT03557242
Investigational Device Exemption (IDE) Number: G150207
CMS Approval Date: 06/28/2018
Study Title: Transfemoral Replacement of Aortic Valve with HLT MeriDIAN Valve Early Feasibility Trial (RADIANT)
Sponsor: HLT Inc.
Clinicaltrials.gov number: NCT02799823
Investigational Device Exemption (IDE) Number: G160091
CMS Approval Date: 06/29/2017
Study Title: Evaluation of Transcatheter Aortic Valve Replacement Compared to SurveilLance for Patients With AsYmptomatic Severe Aortic Stenosis
Sponsor: Edwards Lifesciences
Clinicaltrials.gov number: NCT03042104
Investigational Device Exemption (IDE) Number: G160259
CMS Approval Date: 06/05/2017
Study Title: Edwards SAPIEN 3 TVH PARTNER 3 Aortic Valve-in-Valve Trial
Sponsor: Edwards Lifesciences
Clinicaltrials.gov number: NCT03003299
Investigational Device Exemption (IDE) Number: G150278
CMS Approval Date: 01/17/2017
Study Title: Transcatheter Aortic Valve Replacement to UNload the Left ventricle in patients with ADvanced heart failure: a randomized trial (TAVR UNLOAD)
Sponsor: Cardiovascular Research Foundation
ClinicalTrials.gov Number: NCT02661451
Investigational Device Exemption (IDE) Number: G150252
CMS Approval Date: 09/06/2016
Study Title: JenaValve AS EFS study
Sponsor: JenaValve Technology, Inc.
ClinicalTrials.gov Number: NCT02732691
Investigational Device Exemption (IDE) Number: G150035
CMS Approval Date: 07/20/2016
Study Title: JenaValve AR EFS study
Sponsor: JenaValve Technology, Inc.
ClinicalTrials.gov Number: NCT02732704
Investigational Device Exemption (IDE) Number: G150035
CMS Approval Date: 07/12/2016
Study Title: Low Risk TAVR
Sponsor: MedStar Cardiovascular Research Institute
ClinicalTrials.gov Number: NCT02628899
Investigational Device Exemption (IDE) Number: G150207
CMS Approval Date: 07/01/2016
Study Title: Medtronic CoreValve Evolut R US Clinical Study: Evolut 34R Addendum
Sponsor: Medtronic
ClinicalTrials.gov Number: NCT02746809
Investigational Device Exemption (IDE) Number: G140059
CMS Approval Date: 06/06/2016
Study Title: Medtronic Transcatheter Aortic Valve Replacement (TAVR) 2.0 US Clinical Study
Sponsor: Medtronic
ClinicalTrials.gov Number: NCT02738853
Investigational Device Exemption (IDE) Number: G160039
CMS Approval Date: 05/31/2016
Study Title: SAPIEN 3 THV PARTNER 3 Trial
Sponsor: Edwards Lifesciences
ClinicalTrials.gov Number : NCT02675114
Investigational Device Exemption (IDE) Number: G150278
CMS Approval Date: 03/17/2016
Study Title: Medtronic Transcatheter Aortic Valve Replacement (TAVR) with the Medtronic Transcatheter Aortic Valve Replacement System (TAVR) in patients at Low Risk for Surgical Aortic Valve Replacement (SAVR)
Sponsor: Medtronic
ClinicalTrials.gov Number: NCT02701283
Investigational Device Exemption (IDE) Number: G160022
CMS Approval Date: 03/17/2016
Study Title:  REPRISE III: REpositionable Percutaneous Replacement of Stenotic Aortic Valve through Implantation of Lotus™ Valve System – Randomized Clinical Evaluation
Sponsor:  Boston Scientific Corporation
ClinicalTrials.gov Number : NCT02202434
Investigational Device Exemption (IDE) Number:  G140090
CMS Approval Date: 09/13/2014
Study Title:  The Medtronic CoreValve™ Evolut R™ Clinical Study
Sponsor:  Medtronic
ClinicalTrials.gov Number: NCT02207569  
Investigational Device Exemption (IDE) Number: G140059
CMS Approval Date: 07/24/2014
Study Title: TranScatheter Aortic Valve RepLacement System a US Pivotal Trial (SALUS)
Sponsor:  Direct Flow Medical, Inc.
ClinicalTrials.gov Number: NCT02163850
Investigational Device Exemption (IDE) Number: G120160
CMS Approval Date: 06/05/2014
Study Title: Portico Re-sheathable Transcatheter Aortic Valve System US IDE Trial (PORTICO) Interventional Trial
Sponsor: St. Jude Medical
ClinicalTrials.gov Number: NCT02000115
Investigational Device Exemption (IDE) Number: G120263
CMS Approval Date: 03/25/2014
Study Title: SALUS Trial: The Direct Flow Medical Transcatherter Aortic Valve Replacement System US Feasibility Trial
Sponsor: Direct Flow Medical
ClinicalTrials.gov Number: NCT01932099
Investigational Device Exemption (IDE) Number: G120160
CMS Approval Date: 09/25/2013
Study Title: Alternative Access Approaches for Transcatheter Aortic Valve Replace (TAVR) in Inoperable Patients with Aortic Stenosis
Sponsor: The Society of Thoracic Surgeons and The American College of Cardiology Foundation
ClinicalTrials.gov Number: NCT01787084
Investigational Device Exemption (IDE) Number: G120291
CMS Approval Date: 02/07/2013
Study Title:  Medtronic CoreValve Surgical Replacement and Transcatheter Aortic Valve Implantation (SURTAVI)
Sponsor: Medtronic
ClinicalTrials.gov Number:  NCT01586910
Investigational Device Exemption (IDE) Number:  G120169
CMS Approval Date:  09/05/2012
Study Title: Medtronic CoreValve Expanded Use Study
Sponsor: Medtronic
ClinicalTrials.gov Number: NCT01675440
Investigational Device Exemption (IDE) Number: G100012
CMS Approval Date: 09/11/2012
Study Title:  PARTNER II Trial (Placement of AoRTic TraNscathetER Valves Trial II)
Sponsor: Edwards Lifesciences
ClinicalTrials.gov Number:  NCT01314313
Investigational Device Exemption (IDE) Number:  G090216
CMS Approval Date: 05/01/2012
Study Title: Medtronic CoreValve U.S. Pivotal Trial
Sponsor: Medtronic
ClinicalTrials.gov Number: NCT01240902
Investigational Device Exemption (IDE) Number:  G100012
CMS Approval Date: 05/01/2012
Study Title:  Medtronic CoreValve Continued Access Study
Sponsor: Medtronic
ClinicalTrials.gov Number: NCT01531374
Investigational Device Exemption (IDE) Number:  G100012
CMS Approval Date: 05/01/2012


Coding Ahead

Balance Billing when a gap/out of network waiver is approved?

Hello. Can someone help me? Our office is out of network with a few insurance companies which causes us to request a Gap Exception/Waiver , which authorizes us to be in network for a certain procedure they need. My question is, are we able to balance bill after insurance pays? The explanation of benefits usually states the patient responsibility is zero or just the copay, although I am being told I can tell the insurance company we want to balance bill them when requesting the gap? I thought the reason to get the waiver was to minimize patient responsibility?

Medical Billing and Coding Forum

CPC-I Becomes “Approved Instructor”

AAPC provides many curriculum opportunities to its members for teaching and licensing. In addition to the Certified Professional Coder (CPC®) credential, you can become licensed to teach the CPB, CIC, COC, CRC, CPMA, CPPM, CPCO, and coming soon, CDEO. With so many teaching opportunities, CPC-I is no longer an appropriate designation indicating AAPC instructor approval. […]

The post CPC-I Becomes “Approved Instructor” appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

COBGC Approved Reference

I am scheduled to take the COBGC this October and I’m in prep mode. I have a question about the approved reference that is allowed. I have the Optum360 Coding Companion, which I know is ok to take. I was wondering about the AMA CPT Coding Essentials for OB/GYN. I’m not sure if it falls on the non-approved list. If it’s allowed, I’d rather take it than the Coding Companion.

Thanks for any input!!!

Medical Billing and Coding Forum

CMS MIPS/MACRA Approved Registry

Hello everyone,

If anyone is looking for a great CMS Registry and or Medical Billing and Coding company, check out www.hpa-billing.com. They are registered on the cms.gov site and provides really great service. They have good references as well. Their fees are not as high as other companies.

Wishing everyone the very best!

Medical Billing and Coding Forum

Medical IPhone Approved by the FDA

Currently over 300,000 iPhone apps and 60,000 iPad apps are available from the iTunes Apps store and from third-party developers, and that number continues to climb every day. Thousands of iPhone apps provide endless hours of entertainment for Apple users worldwide. From gaming apps to cookbooks and apps that turns an iPhones into flashlights, there is literally an app for every interest or whim.

Contrary to popular belief, though, apps are not only about fun and games anymore. Of those available iOS apps, 1,500 are related to the area and study of health, and for the first time, the Mobile MIM iPhone app has finally acquired approval from the Food and Drug Administration.

The FDA Battle

Although it is already available in 14 languages throughout various countries, it has taken about three years and as many FDA approval applications for the iPhone app to gain its approval from the health conscious government department. The delay is attributed to a lack of communication between MIM developers and the administration, but patience and perseverance has paid off. The FDA’s approval means that the department found the app to be “substantially equivalent” to a comparable device that they had already approved.

MIM App FAQs

MIM Software Incorporated in Cleveland, Ohio, developed the software, called Mobile MIM. The iPhone app operates by way of a secure network, sending compressed images so that physicians may view them without waiting for film to be developed The app allows radiologists to remotely view CT scans, MRIs, and PET scans at the touch of the screen. In addition to displaying medical imagery, Mobile MIM also allows doctors to compare scale, make annotations, and highlight measurement lines, as well as areas of interest, such as blemishes that could medical abnormalities warranting further research.

The quality of the image – whether viewed on the iPhone, iPad, or iPod Touch – has been approved as being clear enough to take accurate and medically useful readings. In fact, a screen contrast test within the application tests luminance levels specifically to confirm or correct image quality, depending on the environmental lighting in which the app is being used.

What the Medical App Does Not Do

The FDA approved iPhone app is not meant to be used as a source of diagnosis, but rather it should be used in instances when a typical workstation is not accessible. For example, a radiologist looking for a second opinion on a CT scan may use the app while on vacation to show a colleague and acquire another professional opinion. The chairperson of the American College of Radiology confirms that this new medical-imaging software is by no means a primary medical tool.

Although it has been called a “radiology diagnostics app,” and others claim physicians may use it to make medical diagnoses, these statements can be misleading and even dangerous. The app is in no way as reliable or professional as the medical equipment used by radiologists. It has been suggested that the iPhone app be used mainly as an aid in explaining courses of treatments to patients. Likewise, non-radiologists can use the app while consulting and confirming treatments, although it is not meant for the average person to use, either.

However, the convenience of accessing MRIs, CT scans, and PET scans on a mobile device may tempt more and more medical professionals to depend on the app, which can lead to misdiagnoses and ensuing medical complications. While convenient and innovative, the Mobile MIM iPhone app should be used with an ounce of caution and as originally intended and only as a resource in times when a workstation is unavailable.

Bob T. Wilson is the technology writer at velocity guide, a site dedicated to keeping its readers informed of the constant advances in mobile computing technology and Mobile Internet.