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

Practice Exam

CPC Practice Exam and Study Guide Package

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

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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

Years of Experience before becoming an Auditor

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

Need diagnosis code for labs BEFORE first psych evaluation/first visit

What is the correct diagnosis code to use when ordering screening labs to be done before the patient is seen the first time for a psychiatric evaluation? This is required at my facility. Currently my facility is using Z79.899 (Long term current drug therapy) but I believe this is wrong because the patient is not yet on medication. I have exhausted my resources so I’m hoping someone else does this and can help me.

Thank you!

Medical Billing and Coding Forum

Pulmonary Function Test interpetation done before a New patient viist

Hello Everyone-

I am hoping someone can shed some light on this one.

Our doctors interprets pulmonary function tests for the hospital. Last year, the hospital sent one of our doctor’s a pulmonary function test on a patient to be interpreted, the patient was not one our patient. There was no face to face, just an interpretation. The interpretation was billed with the 26 modifier and paid. This year the patient came in to see one of our doctors for the first time. We billed a new patient visit, however the insurance company, a Medicare replacement plan, continues to deny the claim stating a "new patient code" is inappropriate.

I have sent two appeals already and they continue to advise to resubmit a corrected claim because the "new patient code" is inappropriate. Am I missing something here?

Thank you,

I

Medical Billing and Coding Forum

Fit NCCI Edits into Hospital Chargemaster Before Claims Submission

Scrubbing is the best way to ensure your claims are clean of unbundling overpayments. A hospital finance department should not treat National Correct Coding Initiative (NCCI) edits as irrelevant to inpatient billing simply because payers don’t use the NCCI to edit inpatient claims before payment. Instead, hospitals should institute internal controls to ensure claims are […]
AAPC Knowledge Center

Office Visit BEFORE Colonoscopy with Dx of Personal History Of Colon Polyps

Someone (and I forget where I heard this) told me it is acceptable to use Z09 as primary dx code when a patient comes into office with dx of Personal History Of Colon Polyps before a colonoscopy in order to get the office visit paid for. So you would bill Z09 as primary code and Z86.010 as secondary code. Anyone know if this is correct?

Medical Billing and Coding Forum

CMS proposal; Patients before paperwork

So I am putting this out there because I feel that if it’s not being talked about(LOUDLY) then that is a problem. CMS has a new proposal that would almost eliminate the need for documentation completely for E/M visit, specifically NP or EP OVs. I’ve included a link to the CMS site so that anyone can go and get educated on this topic.

https://www.cms.gov/About-CMS/story-…paperwork.html

Medical Billing and Coding Forum

CMS proposal; Patients before paperwork

So I am putting this out there because I feel that if it’s not being talked about(LOUDLY) then that is a problem. CMS has a new proposal that would almost eliminate the need for documentation completely for E/M visit, specifically NP or EP OVs. I’ve included a link to the CMS site so that anyone can go and get educated on this topic.

https://www.cms.gov/About-CMS/story-…paperwork.html

Medical Billing and Coding Forum