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

Tree Based Physicians Group and Neurologist Agree to Pay Almost One Million Dollars to Resolve False Claims Act Allegations

Jefferson Medical Associates, a now broke down, multi-strength restorative practice bunch in Laurel, and Dr. Aremmia Tanious, have consented to pay the United States $ 817,635.06 to determine asserts under the False Claims Act emerging from Medicare excessive charges to Jefferson Medical Associates and Dr. Tanious, reported U.S. Lawyer Mike Hurst.

Read The Full Story Here!

The post Tree Based Physicians Group and Neurologist Agree to Pay Almost One Million Dollars to Resolve False Claims Act Allegations appeared first on The Coding Network.

The Coding Network

Documentation Billing E/M based on time

We have a provider that would like to bill based on time. He documented the following in his note.

"Appointment billed for 1 hour, the majority obtaining history and trying to clarify her understanding, and whether she did have cancer, etc."

Does anyone have an opinion on whether his documentation meets the criteria for the coding guidelines?

“In the case where counseling and/or coordination of care dominates (more than 50%) of the physician/patient and/or family encounter (face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility). Time is considered the key or controlling factor to qualify for a particular level of E/M services."

Thank you!

Medical Billing and Coding Forum

RN CPC looking for remote job; based in Orlando, FL area. Resume posted.

Hi. I have been a RN since 2007 and have been working as a RN since then and as a coder since 05/2017. I obtained my CPC-A in 09/18 and I have sent the necessary forms to have my "A" removed. I have been coding for an outpatient surgery center and would love to be able to stop floor nursing and obtain a remote job.
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Medical Billing and Coding Forum

Office Based Procedure Billing

I work with a surgeon who has started doing minor surgical procedures in his office, some of which require an anesthesiologist. I am trying to verify if the anesthesiologist can bill insurance separately for these, or if the fee that the surgeon receives is all inclusive, in which case he would need to work out payment with the anesthesiologist. To me it would make sense that the anesthesiologists can bill insurance separately, but I’ve been unable to find anything that states how anesthesia for office based procedures is reimbursed! Is anyone familiar with this? Any resources you could direct me to would be useful!

I am not an anesthesia biller and know little about it – I work primarily with physicians and ASCs!

Medical Billing and Coding Forum

E/M Coding Based on MDM (Physician Practice)?

I have been coding for about six months now and I recently received some feedback on an official audit that was done on a couple of my providers. It was noted on the report, for example, that for established patients if the history and exam portions of the visit met a 99214, but the medical decision making of the same visit met a 99213, the visit should have been coded as a 99213.

I’m wondering if the accepted practice is to now always use the MDM plus either the history or exam portions to determine your E/M level when only 2 out of the 3 components are required? Or are you using just the history and exam portions in order to code at the highest level possible?

We are going to be having a discussion about this topic at work in a few days, so I’m interested in hearing what methods other coders are using. Thanks in advance!

Medical Billing and Coding Forum