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

Dodge Third-Party Biller Compliance Conundrums

Even though your practice understands how to handle sensitive patient data, your business partners may not. That’s why it’s important to revisit compliance protocols with your billing associates on an annual basis and to investigate the protocols of third-party billers you’d like to hire — before you go into business with them.

The post Dodge Third-Party Biller Compliance Conundrums appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Medical Biller

I received a denial for my entire claim stating that claims for procedure code 99214, 94640 & J7613 violate the claims edit for the Medicare Advantage plan. Diagnosis codes used were j45909 and R062. I’m attempting to write an appeal, but wanted to see if anyone else is having a problem getting paid by Medicare advantage plans for these codes.

Thank you,
Linda

Medical Billing and Coding Forum

Medical Biller

I am a Medical Billing Expert having 14 years of experience in US healthcare Medical billing and coding, Having strong skills and abilities to resolve any denied or rejected claims, doing timely AR follow-ups, Payment Posting, Claims entry and submission, Insurance Eligibility verification, Obtaining Authorization, Denial Management, Patient appointment setting, Practice Management and Productivity Reports (Hourly/Daily/Weekly/Monthly).

Having great experience in submitting clean claims to the insurance both electronic & paper, Payment posting, Analysis of Explanation of Benefits of denied claims and take appropriate action. Refile the corrected claim to insurance carriers. Eligibility verification through phone and insurance web portal. Updating missing demographics, insurance information and refilling claims. Follow-up with insurance carrier if additional information needed, Denial Management, claim edits and taking Adjustments.
I am very well versed with all the leading billing softwares. I have excellent spoken and written English. I also carry a US number.

OVERALL RESPONSIBILITIES

– Claims Creation and Submission
– Clearing House Rejections
– Insurance Eligibility and Benefits Verification
– Accounts Receivables( AR Follow Up)
– Payment Posting
– Denial Management
– Provider Credentialing
– Submitting Electronic Medical Records
– Working on Referrals and Authorization

Medical Billing and Coding Forum

biller

I work for a physicians office that asks the patient’s to get there annual lab work done before there physical. The hospital that we send our patient’s to get the lab work done is saying they cannot get lab work done before the physical. They are stating that this doesn’t meet medical necessity. Can you please lead me to where I can find this information.
Thank you

Medical Billing and Coding Forum

CPC and biller for GI. Remote job needed

Hi, I’m looking for a remote coding job for outpatients. I have about 3 years of coding experience, doing both facility and professional coding. I am looking to expand my experience in aspects of outpatient coding. I am also familiar with the billing aspect of it as well. I can do data entry, post payments, insurance denials, etc. My resume will not attach to this thread for some reason but I have pasted it below.

Thank you!!

Experienced and motivated medical billing and coding specialist with expertise in ICD-10 and CPT coding, looking for a fulltime position where I can utilize and expand my skills in all aspects of inpatient and outpatient coding environments.

Education
Certified Outpatient Coder(COC) 02/2017-Present
AAPC Online Course
Anticipated completion: November 2018

Certified Professional Coder(CPC) 09/2015-05/2016
AAPC Online Course

Associates in General Studies Graduated 05/2016
New Hampshire Technical Institute Concord, NH

Professional Experience
Certified Professional Coder 10/30/2015-Present
Concord Gastroenterology Concord, NH
 Interprets medical reports and data to assign ICD-10 and CPT codes for outpatient procedures and E/M services in a fast-paced gastroenterology office consisting of eight providers and two physician assistants
 Enters diagnosis codes and patient information into Centricity billing software
 Collaborates with providers, coworkers, and patients by providing CPT and diagnosis codes when needed

Medical Biller 10/30/2015-Present
Concord Gastroenterology Concord, NH
 Accurately inputs diagnosis, CPT and modifier codes into the billing system and submits them electronically to insurance companies
 Processes insurance and patient payments and applies them to patient accounts
 Manages denials efficiently and effectively

Medical Records Technician 10/3/2012-10/30/2015
Concord Gastroenterology Concord, NH
 Prepared patient records for provider review
 Registered and assisted new patients
 Imported referrals from secure messaging into the patient’s electronic chart
 Organized and scanned records into the Electronic Medical Record(EMR) under the appropriate document type
 Supported outside physicians and patients with medical record requests

Volunteer Work May 2018-Present
NH Food Bank
 Worked as a team member to package and organize food
 Distributed food to families in need

Medical Billing and Coding Forum