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”

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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

Coding Complex Vascular Cases

Test your ability to code cardiovascular disease and surgery. Cardiovascular coding is not for the faint of heart. Understanding how and why the procedures are performed is half the battle — a battle won by the medical coders who attended the session “Case Based Complex Vascular Coding” at AAPC’s regional HEALTHCON 2021 in Charleston, S.C. […]

The post Coding Complex Vascular Cases appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

J&J Vaccinations Remain Paused After Rare Clotting Cases Emerge

U.S. halt on the use of J&J’s coronavirus vaccine continues while federal health officials study rare adverse events. An independent advisory panel for the Centers for Disease Control and Prevention (CDC) will meet again this week to resume deliberations about the use of Johnson & Johnson’s coronavirus vaccine, CDC Director Dr. Rochelle Walensky said during […]

The post J&J Vaccinations Remain Paused After Rare Clotting Cases Emerge appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

DOJ Pursues a Number Of EHR Cases: Five Things For You to Understand

The United States DOJ is initiating direct legal proceedings against Hospitals, Health Care systems, and Medical Technology Corporations for submitting an exhaustive number of false claims to both Medicare and Medicaid. This action is in concordance with the Electronic Health Records (EHR) incentive program, per the National Law Review.

Click Here to Read the Full Story!

The post DOJ Pursues a Number Of EHR Cases: Five Things For You to Understand appeared first on The Coding Network.

The Coding Network

EXAM: GI system. Cases from CEMC Study Guide.

Hello, I am studying for CEMC exam (E/M) via Study Guide. When reading the rationals to the cases, I got puzzled on how they view GI system for Exam. I am begging for your help, please, because it made me exhausted. My question is why they don’t count these statements as a valid GI exam? What is wrong with Abdomen? They are using DG 1995 and 1997 and they sorted out a performed Exam (for rational) by Organ systems and Body areas. The below Exam was considered as a Body Area and not as GI system.
Case 1
Abdomen: soft, nontender, no mases.
Case 2.
Lungs: Clear – was counted as Resp. system. Heart: Normal – was Cardio system but Abdomen: Negative was not counted as GI system and again dedicated to Body Area.
Case 3.
Abdomen: soft, nontender. No organomegaly, mass, or ascites was counted as GI system.
Case 5.
Abdomen: No abdominal masses. No tenderness. Abdominal aorta not palapable – was dedicated to Body Area.
Thank you.
Perplexed new coder.

Medical Billing and Coding Forum

Chronic conditions reporting in abortion cases ?

Patient is 13 weeks pregnant admitted for missed abortion and underwent D&C, she also has ovarian cyst, asthma etc.would I code the other conditions to pregnancy related first trimester? Any official reference or coding clinic for this please suggest me ?

——————————
Anugu Srinivas
Medical Coder
Bachelor of pharmacy,CCS
——————————

Medical Billing and Coding Forum

Chronic conditions reporting in abortion cases ?

Patient is 13 weeks pregnant admitted for missed abortion and underwent D&C, she also has ovarian cyst, asthma etc.would I code the other conditions to pregnancy related first trimester? Any official reference or coding clinic for this please suggest me ?

——————————
Anugu Srinivas
Medical Coder
Bachelor of pharmacy,CCS
——————————

Medical Billing and Coding Forum

Pain Neurostimulators – Can you bill implants separate on commercial cases?

Alright alright alright,

So far we have only had Medicare neurostimlator cases (63650×2, 63685) and recently we’ve been asked if we could do a Cigna. Now here’s my issue, are we able to bill implants separately with this commercial policy using the various HCPCS codes?

The reason for my confusion is because under the CPT notes this is listed:

Includes The following are components of a neurostimulator system:
Includes Collection of contacts of which four or more provide the electrical stimulation in the epidural space
Includes Complex and simple neurostimulators
Includes Contacts on a catheter-type lead (array)
Includes Extension
Includes External controller
Includes Implanted neurostimulator

However, I’ve seen an old thread where it was mentioned that they do bill separately and on the company’s website they list out the implant codes that can be billed to commercial policies. But how? Since it specifically states they are included. Am I missing something or misunderstanding?

Any help is appreciated! :)

Medical Billing and Coding Forum

Punitive Damages in Medical Malpractice Cases

Not all patients who file medical malpractice lawsuits are successful in their goal of being compensated by the health care provider in the proper amount that they want. The reasons are not all those who file complaints are able to prove negligence on the part of the doctor, nurse or health care facility and the courts limit the amount of damages awarded to malpractice victims. Courts are very meticulous when it comes to analyzing evidence and they require the presentation of strong and concrete evidence for every case they handle.

What happens then to patients who feel they were deprived of their right to safe and proper health care? The court can grant punitive damages which are non economic in nature apart from the compensatory damages award. However, these are only allowed in cases where the plaintiff can provide clear proof of misconduct by the health care provider involved. In other words, the plaintiff needs to establish that there was indeed an intention to cause harm or the defendant was reckless in its duty to provide safety to patients.

If you’re a patient who felt neglected while undergoing treatment in a hospital or were not given the proper medical care you were seeking during an emergency, you can consult a medical malpractice lawyer to help you understand this matter. An attorney whose specialization is in handling medical cases will be able to assist you in the legal process should you decide to file a lawsuit.

The goal of punitive damages is mainly to encourage reform notably in the behavior of the defendant and prevent the occurrence of the same mistake in the future. No monetary compensation will be granted in this case unlike those seeking compensatory damages.

Additionally, the court may decide to carry out punitive damages in cases where compensatory damages may not be a sufficient solution to the misconduct done by the defendant and to the personal injury suffered by the plaintiff. Courts can punish the health provider to discourage the repeat of the same misbehavior and this can be done through the granting of punitive damages.

Laws governing punitive damages vary from one state to another. States that allow this type of damages in medical malpractice cases usually set a limit to the amount of claims that can be awarded. Many states also set a high standard for the granting of punitive damages.

Florida is one state that has a comprehensive medical malpractice bill in place. The bill provides for the implementation of reform measures such as requiring hospitals and physicians to adopt patient safety plans and inform patients when they are injured, allowing insurance firms to study malpractice cases and offer settlements, allowing the state to suspend the license of doctors who fail to pay damage awards within 30 days and requiring doctors, hospitals and insurers to provide the state with information on premium rates, medical errors and malpractice cases.

If you or a loved one becomes a victim of malpractice, the first step to take is to consult with a reputable lawyer. Cooperation and constant communication are vital to be able to file the necessary lawsuit within the allowable statute of limitations.

For information on medical malpractice attorneys, visit Gallagher Law Firm, Louisiana lawyers and attorneys who specialize in personal injury, car and truck accidents, divorce, maritime law and more.

Medical Malpractice Cases ? How to Deter Against Ever Increasing Medical Errors!

Physicians who accept responsibility for treatment decisions are accountable for their medical practice errors.

The truth is this: Most of us inherently trust doctors and physicians to keep our best interest in mind and to have the ability to safely help us. This trust may not always be founded, but it’s a deeply rooted part of our culture, and even if we get butterflies before a major operation, our logic still tells us that we’re going to come out fine on the other side.

When that isn’t the case, medical malpractice can really damage our psyche and give us a deep fear of medical attention of any kind. In many cases, that is just the beginning of what happens to our psyche.

Every year medical malpractice cases in America’s most advanced cities like New York, Chicago and California, causing at least 27,000 injuries and 7,000 deaths. Eight times as many patients are injured as ever file a claim, and 16 times as many suffer injuries as ever receive any compensation. At the highest level, the estimated number of medical injuries nationally is more than one million per year; approximately 85,000 malpractice suits are filed annually.

To deter against the medical malpractice cases and these frightening facts and figures from the most developed country of the world, we need to know about what medical malpractice is all about.

What Is Medical Malpractice?

Medical malpractice cases occur when a healthcare provider fails to exercise that degree of care and skill required by a patient. If these standards are not followed, malpractice may have occurred. Medical malpractice can be generally defined as substandard treatment by a physician or other healthcare professional that directly results in physical or economic damages to the patient. “Substandard” care refers to care that violates normal medical practices.

Five Most Common and Most Frightening Effects of Medical Malpractice Cases

There are many different outcomes in medical malpractice cases, but here are some common after-effects of medical malpractice and a medical negligence.

1. Pain and Suffering

The foremost and obvious effect of having something go wrong in a simplest of medical treatment to the major operation is the pain and suffering of the injured.  

2. Disability or Deformity

In many severe medical malpractice cases, a patient may end up disabled or deformed as a result of medical malpractice, causing a disadvantage for the rest of their life, affecting their ability to work and do pretty much anything else.

3. Emotional Stress and Mental Fatigue

One of the deepest extents of any medical malpractice case brings to a person in a situation of emotional stress caused by the negligence of a doctor or a medical practitioner. Even a temporary situation can result in shock and complete re-evaluation of what we can expect from the society around us.

4. Financial Miseries

Medical malpractice negligence happening can become a very expensive issue for the patient. Because it might not only increase the time of recovery from the scratch but also skyrocket the cost of medical attention and most importantly the financial loss due to unemployment.

5. Death

Almost 98,000 people die in hospitals annually each year due to medical malpractice cases. Whether from the wrong medication or something more sinister, these things do happen.

Two Basic Reasons of Increasing Medical Malpractice Cases

Medical inflation is the most important reason that has triggered the medical malpractice cases all around the world from the most developed countries to the countries of the third world. The first reason which halts me up is that the expenses are the biggest and the most predictable part of damages in the high severity cases that drive medical malpractice payments in individual cases to increase at a rate that is closer to the rate of medical inflation than to rate of inflation in the other areas.

Second reason which daunts out expressively is that the health-care sector economy is growing more rapidly than the economy as a whole. Malpractice payments can be expected to grow at about the same rate as the size of health-care sector of the economy and as fast as medical prices. This is in-fact what the research has proved in recent years.

Concluding Comments

•  In principle, a negligence rule of liability against medical malpractice cases can correct these distortions and create incentives for efficient care and risk-taking, under certain conditions. These conditions include that courts set the standard of due care at the efficient level, that damages be optimally set, that providers be liable for failure to obtain informed consent, and that suits be brought and compensation awarded if and only if negligence occurs.

•  Efficient deterrence incentives can, in theory, also be achieved by a rule of strict liability, whereby providers are liable for all injuries caused by medical care, regardless of negligence.

•  Adjusting for medical inflation helps prevent us from mistaking in medical procedures and also a major decrease in medical malpractice cases can be expected.

•  The second thing which can be done to cut the maximizing rate of medical malpractice cases is that to increase the liability, like if a doctor or medical practitioner malpractices, he or she should be arrested and punished to the maximum prison sentence. And if the felony has reached up to death of a patient then the medical practitioner must be treated as the criminal murderer‘s are treated in the judgment court because the human life is more precious than anything.  

•  Committing to implement these standards we can deter those medical practitioner or doctors who are ever been involved in such activities but can also retaliate aggressively against the increasing amount of medical negligence and medical malpractice cases.

Muhammad Saad Khan is a Research Analyst at Q2 Group. Q2 is specialized in medical credentialing, primary source verification, and medical license verification according to the standards of joint commission international. For more about medical malpractice cases, please visit http://medicallicenseverification.com

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