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

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Laureen shows you her proprietary “Bubbling and Highlighting Technique”

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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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Kareo Blog – 3 Medical Coding Modifiers You Probably Need to Brush Up On

AAPC National Advisory Board Member Angie Clements  CPC, CPC-I, CEMC, CGSC, COSC, CCS, helped bring clarity to three medical coding modifiers that are most problematic to physician practices. The three challenging modifiers include -59, -25, and -24. Clements advises coders to review documentation to ensure it supports the modifier. Read Clements’ tips on the Kareo blog.
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The Ultimate Blog Post Checklist: A Case Study

The Ultimate Blog Post Checklist: A Case Study

This post about my Ultimate Blog Post Checklist is a little off topic but not really. You see, in order to reach as many people as possible with my medical billing blog I need to optimize my blog posts for search engines.

I recently joined a group called The Healthcare Writers Network. My new colleague Carol Bush spearheads the group. She was excited to see what I had done with Capture Billing’s blog and how it had grown from only a couple visitors a day to a couple thousand daily.

Carol interviewed me about my process and wrote the case study below. I thought I would share her article with you and let you in behind the scenes to show you what I do to get my blog posts out to you.

And if you haven’t started blogging for your medical practice, I would start today. It’s a great way for new patients to find you, and a great way to keep your current patients engaged.


 

Ultimate SEO Blog Checklist for Healthcare

 

Search engines are the #1 driver of traffic to content sites, beating social media by more than 300 percent. And, companies that blog have 434 percent more indexed pages than those that do not. Blogging, however, is not a post-it-and-see-results marketing channel; to be effective, it requires promotion and SEO optimization.

Optimizing a business blog can seem like a daunting task, especially in an industry such as healthcare that relies on trust and confidence between company and customer. However, many people don’t realize that a blog is one of the most important marketing channels, and that SEO optimization can be made easy.

Simply put, good search engine optimization for a blog will help businesses rank higher in search engines and increase their overall traffic, making it easier for people to find a business’s content on the web.

A Case Study in Blogging: Manny Oliverez & Capture Billing

Ultimate SEO Blog Post ChecklistManny Oliverez, CEO and Co-founder of Capture Billing, experienced success with taking a business blog from zero to hero status, all with the help of The Ultimate SEO Blog Post Checklist, which he created as a way to stay organized.

His business, which serves small to midsize practices that often lack the resources or capital to invest in high-end software or an outstanding billing staff, has taken over for other companies that charge more than Capture Billing does.

How has he accomplished this?

Oliverez is an active social media user who has learned the value of promoting his medical billing company and healthcare content through digital marketing and SEO optimization.

Blogging in the Healthcare Industry

When asked how he uses blogging as a marketing channel for his business in the healthcare industry, Oliverez simply replied, “The blog is an important way to get information out there. It is informational on how to bill, and it helps doctors, practice practice and billers.”

While Oliverez is well-known for his knowledge of the importance of quality blogs and online marketing content in any type of industry, he thinks it’s especially paramount for businesses in the healthcare industry to understand the effects that relevant, engaging content can have on a marketing campaign.

“Blogging for the healthcare industry is different in the sense that you are putting information there that has to be correct because healthcare is so regulated. You have to make sure your information is correct. So, we usually put references from Medicare or physician associations so people can see that what I’m saying is backed up.”

How the Checklist Changed the Blogging Process

Blog SEO ChecklistOliverez speaks about the checklist as a way to “stay organized and not to forget any piece of the puzzle. Really, blogging is a big SEO puzzle, and the checklist helps me make sure my posts are optimized the best they can be for Google.”

The checklist has changed the blogging process for Oliverez and many others, since it is designed to make forgetting obsolete. Simply put, the checklist is a combination of many things that make a blog successful designed in a way that allows for easier workflow and optimized organization.

“There are so many moving parts that it is easy to forget something. By checking things off as I go, I make sure I’m not forgetting a piece. I have a list to make sure I cover all of the smaller parts so it can become successful on a larger scale.”

Want to find out exactly how he did it? Take a look as we break down, step by step, just how easy managing a business blog can be.

Images Needed

As a shortcut, one image is needed for both Facebook and Twitter, with an aspect ratio of 1200×600, even though a bit of the edges will be cropped. Oliverez suggests remaining flexible on this step.

“Assuming that you have your copy already done, I would start on page two of the checklist with the SEO and the formatting. You don’t need your pictures just yet, and you may get your inspiration through working on the post for the right image. Assuming that people are using WordPress or something very similar that is easy to use, I would paste the copy into the editor and start with the formatting.”

All Post Images

This step includes 10 easy-to-check items that will set you up for a smoother uploading process. For Oliverez, this step is important. “You need to prepare all images before uploading them into WordPress, regardless of when you prepare them during your blogging process.”

Post Permalink

It is important to understand the audience you are trying to target and to know which keywords they are searching for. Regarding the permalink, Oliverez said, “Ensure that the permalink has no stop words (and, or, but, of, the, a, etc.) and contains keywords relevant to your blog’s SEO.”

Format Post

Oliverez said, of this crucial step, “I will add links to references so that the readers know what I’m talking about is correct. What’s also extremely important are links back to other popular content that I’ve already written. It adds authority to my new post and helps it rank a little faster.”

One link, either internal or external, for each 100 words is usually a good rule of thumb, but some posts lend themselves to more links. Afterwards, Oliverez said, “I make sure my keywords and synonyms are incorporated into the blog. I often ask myself, ‘How can I say the same thing in a different way that still makes sense?’”

Furthermore, adding tweetable quotes to your text not only makes the content more interactive with readers, it forces them to focus on a specific, important piece of information in your blog.

Some more questions Oliverez suggested asking are, “Does it have H2 headers? Are there indents and bullet points to make the text look interesting? If there is a huge block of text, forget it, people are going to bounce off the page and look for another website.”

Text Boxes

You can add text boxes for main points to direct readers’ attention to the most important information. “Sometimes, I will put boxes around the text to break it up to make it look better. It pops out some of the main points,” said Oliverez. 

THIS IS A TEXT BOX
Lots of people only scan a blog post so if you have a major point to get across to your readers, a text box like this will make your information stand out.

Call to Action

A solid call to action at the end of a blog post is essential in order to keep your readers interacting with not only your blog, but your website as a whole.

“It is crucial to understand your audience and how they interact with your business and social media,” Oliverez continued. “I have two avatars that I have developed recently. One is a doctor and one is an office manager. Who are these people? What do they do and what do they like? These are the two readers that I am speaking to when I am writing. These are the people I are trying to reach.”

Oliverez suggests following the checklist strictly here. In addition, adding a question to the end of the post allows readers to comment and engage with your blog and company. “I want people to comment,” he said, “so I will ask a question or ask them to leave their thoughts in the comment section below. Other readers will comment on the comments, so it becomes kind of a community.”

Write an Excerpt

Your excerpt should be so interesting that even you will want to click on the post and read it again! “Usually what happens is that Google takes a few words of the first paragraph, but if you write an excerpt you can tailor it more to what you want to get across,” said Oliverez.

If you have your blog post setup to only show a sentence or two, this is what readers are going to see on a Google search or when they search through your posts.

Yoast SEO Plugin (WordPress)

For this step, it is important to understand the platform to which you are posting. For social media write different Twitter and Facebook titles to cater content to the specific platforms and audiences you will be targeting.

“The title can be a little different than the title of the actual blog to make it more interesting or shorter,” reiterated Oliverez. “Keep in mind the platform you are working on, since different audiences will interact with the post on various platforms.”

Categories

Blog Post CategoriesSelect the categories that are most relevant to your post. Oliverez employs this technique by first understanding which categories his clients are searching for and clicking on.

“I see, through Google analytics, that people find us through the category listing on the website. Most of my stuff falls under medical billing and coding, but some things are specific to, let’s say, flu shots. I made another category for flu shots so that when someone is looking through the web, they might find that category.”

He added as a tip, “I usually choose a couple of categories so that people can, on the right-hand side, click on posts related to that category.”

Tags

Blog Post Tags

Typically, it is good to only select two to five appropriate tags. As an example, Oliverez pulled up a blog and notes, “This one is about how to code for medicare and flu shots, so my three relevant tags are: medicare, flu shots and coding.” It’s as simple as that!

Post Images

This works best with high-quality images that have been cropped to fit the aspect ratio of the blog. However many pictures you decide to have, this checklist is designed to make sure these are optimized for you.

“Images are also indexed,” added Oliverez. “I’m starting to add more images because everything is about images nowadays. The big thing about images is speed. Google likes your website to be fast, so optimize your images, it is paramount that they load fast, or else Google will rank you lower.”

Featured Image

The featured image should be shareable and relevant. Think of the types of images that catch your eye when you are browsing past posts on your Facebook feed.

“This is your main image. It’s usually at the top of the page. Typically, if readers share the post, that’s the image they go with it,” said Oliverez. For him, finding the perfect image can be the hardest part, as it conveys visually the entire story behind the post.

Ultimate SEO Blog Checklist for Healthcare Writers

Download the Ultimate SEO Blog Checklist for Healthcare – CLICK HERE

Oliverez’s Final Thoughts on the Checklist

While this checklist provides a comprehensive way to ensure you’re not missing any piece of the SEO puzzle, Oliverez simplified it all by stating the three most important aspects of any optimized blog are that:

  1. The blog is well-written.
  2. The blog is formatted correctly.
  3. There is a good call to action.

Search “Experience” Optimization

Forbes recently published an article that stated SEO is no longer only about optimizing the search engines in which your blog is searchable, but that it has become more about “search experience optimization.”

What this means is that search engines have started to incorporate algorithms based on user behavior metrics and whether or not the users are getting what they expect from a website.

While this is not specific to healthcare content, it is perhaps more relevant than in other industries. Optimizing a blog not only relies on keywords, but engaging content, shareable images, site structure and call to actions in the form of questions.

Oliverez agreed: “Most of the stuff I write are ‘how-tos,’ which answer questions for the clients, but I have one blog post from about four years ago that is consistently one of my top posts. I answered a question from a gentleman who wanted to know more about his Medicare billing. That’s not my general audience, but I went ahead and answered it because it was interesting, and because it could help billers and the types of questions they get. It became one of the most popular posts.”

Success Starts With the Checklist

With the Ultimate Blog Promotion Checklist, you can be sure your blogging efforts are part of a service offered to clients and potential customers in which you provide quality content, ideas and suggestions in exchange for customer loyalty.

When asked how business owners who are new to blogging can begin to navigate the world of SEO, Manny said, “Don’t stress over the small things. You don’t have to do it all at once. This list has developed over time.”

He recommended taking it step by step. “Start with one piece of it,” he said, citing his own process for utilizing the checklist. “For example, start with just formatting the text part, and then, over time, as you become more comfortable with it, you can begin to work on other things. Eventually, it will come to you and it will become more natural.”

What Do Business Owners Need to Understand About Blogs?

When asked for any closing advice to others, whether new or seasoned bloggers looking to optimize their SEO through the checklist, Manny said, “If you just put a blog post up, it’s just going to sit there. There’s going to be crickets. Part of the checklist I use is for promoting my blog post.” However, promotion is part of another, separate checklist that ensures you are utilizing social media effectively promote your SEO-optimized blog posts.

Manny added to his closing advice, “It is okay to participate in social media, and it really does work. I think it really works well for medical practices because they have a local, geographic area and they can really target those people. I think it’s almost a no brainer, and it’s cheap!”

Capture Billing Results With the Blog Post Checklist

Not long after realizing the importance of actually promoting a blog through SEO, Oliverez saw results. He said of the effectiveness, “After I started optimizing the blog, I began to receive phone calls from people considering me an expert in the field solely based off of what they were reading. People start to notice you and your name. I have been able to help lots of people.”

He now has over 2,000 people visiting his website every day. And, not only are they visiting, but on average they are spending about 12 minutes on his site and are looking at 2 or more pages.

Oliverez added, “I also use something called Crazy Egg, which takes a snapshot of my webpage, and then over a six-day period, it shows me where people are clicking. I look at that and can see which categories people are clicking on, which helps me know which categories people are interested in so I can write more of what they want. It helps me further optimize my blog with the help of the checklist, and right now I have a 1 percent bounce rate and that’s great because 55 percent is average.”

 

Heat Map of Blog Post

 

To start optimizing your content and seeing results like Capture Billing, take a look at The Ultimate SEO Blog Post Checklist and begin putting every piece of the SEO puzzle together.

Ultimate SEO Blog Checklist for Healthcare Writers

Download the Ultimate SEO Blog Checklist for Healthcare – CLICK HERE

Are you a blogger? If not, what is holding you back from starting a blog for your medical practice? Tell me in the comments below.

 

— This post The Ultimate Blog Post Checklist: A Case Study was written by Manny Oliverez and first appeared on Capture Billing. Capture Billing is a medical billing company helping medical practices get their insurance claims paid faster, easier and with less stress allowing doctors to focus on their patients.

Capture Billing

Newsflash: The AMA is Fighting ICD-10 – is my Blog to Blame?

Okay, so it’s not really news that the American Medical Association is showing R45.4 (Irritability and anger) and R45.5 (Hostility) when it comes to ICD-10.  But are their R45.82 (worries) really worth all the R45.83 (Excessive crying of child, adolescent, or adult)?

Okay, all kidding aside, I hate to admit that blogs like mine might be partly to blame for the backlash, but are they?  In learning ICD-10-CM, it’s just not fun to write blogs and articles about how the ICD-9-CM code for unspecified hypertension will be I10 in ICD-10.  Okay, bad example.  ICD-10 gives us I10 (hypertension).  Oh wait, you’ve heard that one? 

I’ll go out on a limb here and just say it.  Coding is boring.  But I love it anyway and find it fascinating and go out of my way to try to make learning coding fun and enjoyable.  And since in my day job I don’t get to spend a lot of time reflecting on the fun and entertaining external cause codes, I have decided to take to my blog to explore some of the more entertaining ICD-10 codes and inject some humor where I can.  And it’s hard.  Because, as I mentioned, coding is boring.

But with all of the hype on ICD-10 we’ve managed to fool a lot of people into thinking that it’s not really boring no-nonsense work and that what we do is actually very trivial and unimportant.  In an April interview on Fox News, Congressman Ted Poe (R-TX) gave several arguments against ICD-10-CM implementation in the United States and several examples of why the new coding system is ridiculous and unnecessary, including the various codes for injuries by turkeys and dog bites by specific breeds of dogs (BTW – dog bites by breed codes do not exist). 

Indeed, there are some very silly external cause codes, but in an article by the American Health Information Management Association, which wasn’t as well publicized as Congressman Poe’s interview, AHIMA states that there is no national mandate to report external cause codes in ICD-10-CM.  In fact, if providers are not reporting E codes in ICD-9-CM, they won’t be required to report external cause codes in ICD-10-CM.  And since the 1500 billing form, which is used by physicians to report codes to Medicare, only has space for four diagnosis codes, the external cause codes are not likely to play a large role in pro-fee coding and billing.  And then all that’s left is those boring codes in the remaining ICD-10 chapters.

But why isn’t anyone pointing that out?  Well, I suppose it’s just more fun to talk about a code for being pecked by a chicken.  Or struck by a chicken (is that a live chicken or, say, a frozen chicken from the supermarket?!).  But in reality, we are training coders on the important enhancements that ICD-10 coding brings.  Here are a couple of important “for instances” for you:

  • Somewhat simplified sepsis coding (okay, so they couldn’t do it all, but we’ll take somewhat simplified over super confusing any day)
  • One diagnosis code for admission for vaccination (the procedure code indicates the specific vaccine given)
  • OB codes that actually make sense – most of them classify conditions by trimester rather than that “delivered with antepartum complication” nonsense
  • New and specific codes for subsequent acute myocardial infarction (AMI) that occurs within the timeframe of an initial AMI
  • Codes for blood alcohol level (here in Colorado we’re waiting for the blood marijuana content codes – I’m pretty sure Washington is interested too)
  • Bye-bye to encounter for therapy codes (talk about administrative burden – insurance companies hate those V codes for admission for physical/occupational/speech therapy codes; the new code system has a way of denoting that an injury is in the healing phase)
  • Combination codes for diabetic complications (because half the time coders forget to code the second code anyway)

Now don’t get me wrong.  I am not saying that physicians won’t be impacted at all because they will.  We will be asking them to document more clearly but in general we want documentation that really should already be there.  It’s nice to know whether the left or right femur is broken.  I’m pretty sure that it’s not just the coders who are interested.  And even though physicians won’t have to code ICD-10-PCS procedure codes, we will be prompting them for more specific documentation within operative reports. 

And while we’re at it, let’s talk about the volume of codes.  Yes, there are a lot more ICD-10-CM codes than ICD-9-CM codes.  That’s to be expected when they create codes for left, right, bilateral, and unspecified where applicable.  And my favorite quote regarding this issue came from Don Asmonga of AHIMA at a conference last spring: “There are a lot of words in the dictionary, but that doesn’t mean you use all of them.”  Indeed.  There are many codes that we will never use.  And coders aren’t supposed to memorize codes anyway.  In the training I’ve done thus far, coders have actually expressed that having more codes is better – they are able to better drill down to what’s really going on with the patient instead of sticking a junky nonspecific code on the case.

So if you come across a physician who is arguing against ICD-10 implementation, I would suggest that you put the kibosh on the fun code talk and get straight to the boring benefits.  Will ICD-10 impact patient care?  Probably not as directly as nurse finding a medication error before meds are administered.  But the data that is collected on the back end will have implications for future quality initiatives; in fact many of the quality initiatives coming up depend on ICD-10 data.  Besides, even the boring ICD-10-CM codes are more exciting than the same old boring ICD-9-CM codes that no other industrialized nation in the WORLD uses anymore.  I mean, I hate to play the peer pressure card, but seriously, we should be leaders in in medicine – and in collecting medical data.  Who else is on board?
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