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

Tag Archives: Auditor

Auditor Reveals Common Coding Errors

Posted on by

These mistakes prove the devil is in the details. While most of us need to meet productivity standards, we also need to focus on quality and continue to perfect our medical coding skills. In our zest to reach and maintain the ever increasing and challenging productivity requirements, however, our quality and attention to the coding […]

The post Auditor Reveals Common Coding Errors appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Years of Experience before becoming an Auditor

Posted on by
Hi There –

I am curious, how many years of coding experience did you have before becoming an Auditor and passing the CPMA exam? I am currently a Coder and want to take the exam, however, I was wondering if it is possible to shadow someone already in the profession to see what a typical day looks like. I hear there is absolutely no coding involved. I don’t know if that is possible or not to shadow someone, but will look into it. :)

Medical Billing and Coding Forum

Industry Standards for Amount of Providers to 1 Auditor?

Posted on by
I’m looking for some information on what are the industry standards for how many providers 1 auditor should have? This would be based on a standard yearly audit for each provider, as well as fixing any errors that may come across our WQs as we call them. So far the consensus is, 1 Auditor: 50 Providers. Is there information somewhere on that?

Thanks!
Krystle

Medical Billing and Coding Forum

Auditor question about 4×4 method for PE

Posted on by
Pennsylvania Medicare auditors score a physical exam as Detailed when there are 4 or more exam items noted in the medical record for 4 or more body areas or organ systems. They use the 1995 E/M examination guidelines utilizing this 4×4 tool. Do you think the following is sufficient documentation for Detailed PE (4×4 method) or should there be more details?:
"She is awake, alert and oriented. Lungs are clear. Heart exam reveals regular rate and rhythm. Abdomen is soft and protuberant with hypoactive bowel sounds, significant tenderness in the upper abdomen without rebound."

Thank you!

Medical Billing and Coding Forum

Help finding an auditor

Posted on by
Does anyone know if there are any physicians out there that do audits? We are looking for a new auditing company and they prefer an M.D. to be the one to do the audits.

Also…Does anyone use audit software in the physician office? We perform random audits but it is not via any software. We use an E&M audit template and go through each note selected.

Any advise helps. Thank you so much! :)

Medical Billing and Coding Forum

Auditor states drug ordered as IV over 2 minutes must have a doc stop time?

Posted on by
Hello everyone,

We are currently experiencing a situation in which an auditor is stating that all IV drugs ordered by the physician with an expected duration of 1-2 minutes must have a documented stop time in order to charge the 96374, 96375 or 96376.

I have never encountered a situation like this in over 5 years. Perhaps I’ve missed verbiage in the CPT coding book that states it must be present?

Any help would be appreciated.

Medical Billing and Coding Forum

Experience Revenue Cycle and Medical Chart Auditor

Posted on by
I have 25 years’ experience in Medical billing with advanced knowledge in Federally Qualified Health Centers, Private Practice Management and Rural Healthcare. Upon arrival at Operation Samahan, Inc I discovered the organization was still using the 2014 Medicare PPS rate, this was updated. Then rebuilt the billing department, created and sent statements and collection letters for the first time in the history of the organization. Also, the organization was in debt to the State of California for $ 8.5M, and additional amount of $ 2.5M to be added for the FY17, I improved billing and reconciliation so that for the FY17 reconciliation with the State of California came to approximately $ 150K. Corrected the uploading of file for a Capitated plan, as OSI was not receiving capitation payments. While for a short period of time I over saw the call center, I implemented automated call reminders. Created a sliding fee discount tracking, reduced AR days from 106 to 30 and retrained all front desk and MA’s on registration. Cleaned the system up to reflect true A/R
Attached Files

Medical Billing and Coding Forum

Auditor Productivity Standards

Posted on by
I am looking for any information anyone might have on auditing productivity standards. Not coding productivity but Auditing. Is there a standard on the amount of records that an auditor should be able to do per hour, per day or per week? We have standards of about 11 records per hour but I believe that might be affecting accuracy.

Thanks

Medical Billing and Coding Forum