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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

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

CPT 96127- which is Brief emotional/behavioral assessment (depression inventory, ADHD

Hi,

Urgent Question:

For Mental Health/Behavioral Health/Substance Abuse Services- For Medicare- Both IA & NE- is this code billable or do we have to bill similar CPT codes that would serve this purpose and are billable?

Also, how many units are billable for this service?

If 96127 is not billable- does anyone know of other CPT codes that would cover the same type of service as 96127- for MDs, Nurse Practitioners, and Licensed Therapists?

Thanks.

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

Practice Assessment Exams CPC or CRC…are there any out there?

I took my CPC exam in November and my CRC in March I passed both with 82-84%, in my eyes not too bad. I just took a very short HCC assessment exam, 11 questions got 6 out of 11 right. Needless to say I am bummed, I want to improve my coding skills and want to practice so I do better next time. My biggest fear is the ole if you don’t use it you lose it!! I miss having my nose in my coding books both HCC and CPT coding. I am looking at the Practicode however I have heard it is flawed so waiting to see if it goes on sale as it did last year, don’t want to pay full price for a product that may not be completely up to par, sorry just my honest opinion.

I know it is hard for a new coder to break in to the field just want to find a way to keep the dust from settling on my skills that I have worked so hard to get.

Thanks for any ideas you might have.

Katrina

Medical Billing and Coding Forum

Falls risk assessment billing

I work at a primary care office, and we recently hired a PA with a background in ortho. She is going to start seeing patients for Falls Risk Assessments. I’m a little stuck as to the best way to bill these. They are full assessments – physical, vision, and cognitive exams, potential hazards and risk factors, balance and gait assessments, etc – and she’ll generally be spending 60+ minutes with the patient. Because they are such extensive visits, we were hoping to bill something other than a general office visit code, but I’m coming up empty-handed. I’m leaning toward billing a 99215, and if she spends enough time, adding a prolonged services code. (We’ve discussed she needs to focus on documenting her counseling/coordination and medical necessity to substantiate this). I still have to wonder if there’s a better option out there – does anyone here have any thoughts?
I’m also wondering what ICD-10 codes I should be using. The bulk of the patient she sees will be Medicare, and the code she wants to use is Z91.81, "At risk for falling," since the idea is to catch people BEFORE they start falling. Obviously, Medicare won’t accept this as a primary diagnosis, but I’m at a loss as to what else I can use. Some of the patients may have specific conditions that are the main risk she’s assessing, but not all of them.
Thanks!
Christie Anna

Medical Billing and Coding Forum

Gait/Balance assessment CPT code for neurology

Hello everyone,
I have been working in the world of Multiple Sclerosis for the past year, which is a big change for me after spending 20 + years in direct care of the world of Developmental Disabilities. My role these days involves chasing after prior authorizations. I am still fairly new to the world of coding but this past year has helped me to understand the CPT codes much more. ICD-10 did not scare or bother me thanks to my previous roles with developmental disabilities.
Today before the end of the day I was asked to help billing decipher which CPT code they should be using for the new Gait and fall risk assessment room we now have.The codes they have billed under are not covered under neurology. I am guessing they should have been looking under the Therapeutic procedures, but that is just a guess as I have no idea what they are working with in the Gait and fall/risk room as far as machines. I’m at a loss until I go back in tomorrow morning and find out more details. However, I thought I would give this forum a shot to see if anyone else out there in the world of neurology has had experience in billing fo this type of assessment. I work with the infusion drugs so this is really a foggy area for me since this is my first involvement with it.

Thank you for any guidance.

Medical Billing and Coding Forum

Risk Assessment – Are Medical Treatments Overseas Worth It?

When it comes to medical treatments, one doesn’t typically think of traveling halfway across the world to have a surgery, but these days it’s definitely becoming a popular choice for many.

There are numerous associated risks with any kind of surgery, even in the best hospitals in the United States. However, when it comes to making a decision to have medical treatments abroad, one must take careful consideration of specific risks. These are just some of the drawbacks/risks of having surgeries abroad:

A lack of standard regulations around professional licensing and certification, which is common in the United States and Canada. Make sure you check the credentials of any doctor you would like to work with and ask to review patient testimonies. Once in the country, make sure to take a tour of the hospital facilities.
Most foreign countries have little or no legal system for pursuing a lawsuit, should malpractice or other problems occur.
The risk of traveling too soon after the surgery can cause possible complications such as swelling, infections, blood clots, or pulmonary embolisms; it is recommended that you allow for at least 1-2 weeks post-surgery recovery time before flying back home.
It’s your responsibility to be persistent and diligent in receiving follow-up care (post-operative care) for your treatment once you return home, whether at your local hospital or to return to the hospital overseas. Check with your existing healthcare provider or physician about the costs of follow-up visits.
You are more prone to getting infections while abroad because your body lacks the immunity to bacteria and other diseases native to those areas
It’s easy to get carried away in the festivities after your surgery and over enjoy your post-surgery/ vacation time by drinking, over exposure to the sun, and not resting enough. Be sure your recovery time is relaxing and don’t try to do too much sight-seeing.
Remember to give yourself more than adequate recovery time once you’re back at home. Even though you might think you’re feeling 100%, make sure you have a professional confirm the status of your health.

Despite some of the risks, many patients have very good experiences at hospitals overseas, see this article from the Chicago Tribune.

However, if you’re seriously considering a medical vacation, it’s important you are completely aware of any possible risks. Even if the price tag seems right, do your homework and don’t be easily fooled. Ask for everything in writing and ask for an estimate upfront; avoid hidden fees that can be associated with your treatment. Here’s more on checking hospital credentials.

It’s your body and you know it best!

Meghana Kamdar writes articles on current healthcare issues, examining debate over quality, affordability and access to healthcare around the world. She is a regular contributor of World of Medical Tourism. For the latest in travel requirements, u.s. passports, travel health, and more please visit OneEasyVisa. OneEasyVisa helps you stay focused on your trip and not the paperwork.

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