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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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Click here for more sample CPC practice exam questions and answers with full rationale

COVID-19 Causes Financial Instability for Healthcare Providers

HHS extends financial assistance to hospitals and physicians during pandemic. As the COVID-19 pandemic continues, the financial stability of the healthcare system is in jeopardy. Some hospitals have been forced to furlough staff to make ends meet, while many small physician practices are having trouble keeping their doors open. From the smallest practice to the […]

The post COVID-19 Causes Financial Instability for Healthcare Providers appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

COVID-19 Causes CMS to Issue Nonessential Surgery Guidelines

 CMS wants all providers to cancel or postpone all low-acuity surgeries. The Centers for Medicare & Medicaid Services (CMS) is limiting “all non-essential planned surgeries and procedures, including dental, until further notice,” according to statement the agency released March 18. This measure is designed to have a twofold effect: increase the amount of ventilators and […]

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AAPC Knowledge Center

2020 OPPS Causes Fervor in the Industry

Price transparency overshadows all other finalized Medicare policy updates among hospitals. The Hospital Outpatient Prospective Payment System (OPPS) final rule for calendar year (CY) 2020 offered the usual menu of policy updates, save for one. The estimated 1.3 percent increase to 2020 OPPS payments — less 2.0 percent for hospitals that fail to meet the […]

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AAPC Knowledge Center

Reporting Bilateral Services: Conflicting Information Causes Confusion

Payer-specific rules — especially rules that vary for every claim — not only make collecting revenue difficult, but also add to the cost of collection of monies earned by the physicians. A blog clarifies Novitas’ instructions for reporting modifier 50 when bilateral procedures are performed. The instructions from Novitas state that bilateral services should be […]

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AAPC Knowledge Center

Sleep Apnea – Medical Conditions That Causes Secondary Sleep Disorders

Some medical conditions can actually cause secondary sleep disorders. Aside from that, prescription medications used to treat your underlying medical conditions will cause you to develop secondary sleeping disorders. Such medical conditions would include gastroesophageal reflux disease, endocrine problems, cardiovascular diseases, kidney disorders, neurological problems and mental disorders, bone and joint problems such as arthritis, and respiratory problems.

Problems in the cardiovascular system can lead to sleeping disorders. These cardiovascular diseases would include congestive heart failure and coronary artery disease. In coronary artery disease, fat deposits accumulate in the walls of the blood vessels. These fat deposits are called as atheromas; thus, the condition being called as atherosclerosis. This condition would cause impeded blood circulation which leads to coronary artery disease. This condition would often lead to sleeping disorders such as sleep apnea. As for congestive heart failure, the patient’s heart is congested due to its inability to supply the requirements needed by the body; therefore, the heart’s workload is increased making it congested. Organs such as the kidney and the lungs are also greatly affected. Because of these conditions, the patient has a greater risk of developing sleep disorders such as obstructive sleep apnea.

Endocrine disorders such as thyroid gland problems and diabetes may also cause secondary sleeping disorders. In general, Diabetes can be considered as a multisystem disorder because it has a big impact on different body processes. Such processes would include metabolism of carbohydrates, proteins, and fats. Usually, restless leg syndrome is the sleeping disorder that occurs in people with diabetes. On the other hand, the thyroid gland is responsible for regulating the hormones that affect the level of energy in a person. Once the thyroid gland function is disrupted, major problems will likely occur. If there is an excessive secretion of hormones by the thyroid gland, the person would have episodes of waking up in the wee hours due to night sweats and will also have sleeping difficulties.

Aside from endocrine disorders, problems in the neurologic system can also lead to development of secondary sleeping disorders. Such neurologic problems would include epilepsy, Alzheimer’s disease, stroke, and Parkinson’s disease. Dementia and normal functioning is common among people with Alzheimer’s disease. Sleep fragmentation can also occur among people with Alzheimer’s disease. On the other hand, epilepsy is caused by electrical activities in the brain. Epileptic patients are at a greater risk to develop sleep disorder insomnia. As for Parkinson’s disease, it is a dysfunction in the central nervous system. People with Parkinson’s disease have motor problems and usually they suffer from tremors, muscle stiffness, posture problems, shuffling gait, and other normal activities. Aside from these motor problems, people with Parkinson’s disease are also predisposed to REM sleep behavior disorder and sleep onset insomnia.

Those who have respiratory problems such as chronic obstructive pulmonary disease and asthma are also predisposed to various sleeping disorders. Asthmatic patients have difficulties in breathing due to increased mucus production that causes airway obstruction as well as constriction and inflammation of the airway passages. Damage in the lungs that leads to difficulty in breathing is present in patients with chronic obstructive pulmonary disease. The most common sleeping disorder that these people develop are sleep fragmentation and often times, insomnia.

Mental problems such as bipolar disorder, schizophrenia, anxiety, and seasonal affective disorders are also prone to develop sleeping problems. These sleeping disorders would include sleep fragmentation and insomnia.

A condition called gastroesophageal reflux disease (GERD) is present among people who frequently experience acid reflux. Usually, the food that was previously ingested would regurgitate causing damage to the mucosal linings of the esophagus. For GERD, sleep fragmentation is likely to happen.

Problems in kidney functioning is troublesome because waste products are not eliminated. There will also be imbalances in the salt levels and water levels leading to serious problems like edema. Restless leg syndrome and insomnia are common among these people.

It is very evident that people with bone and joint problems are suffering from insomnia due to the fact that they are experiencing pain. An example of joint problem would be arthritis.

Secondary sleeping disorder is the term that is used to describe people who have sleep disorders caused by underlying medical conditions. When this happens, the best way would be to treat the medical condition first prior to treating the sleeping disorder itself.

Discover the the increasing face of sleep disorders in America as well as tips and basic lessons in understanding insomnia when you visit http://www.sleepdisordertherapy.com, the premier resource portal on sleep apnea.

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Overcome Infertilty – Medical Conditions Causes of Infertility

As we mentioned in previous articles, infertility is defined as inability of a couple to conceive after 12 months of unprotected sexual intercourse. It effects over 5 millions couple alone in the U. S. and many times more in the world. Because of unawareness of treatments, only 10% seeks help from professional specialist. In this article, we will discuss the medical condition causes of infertility.

1. Nervous disorder
Nervous disorder increases the production of certain hormone in the nervous system and the glands leading to hormone imbalance and interfering the normal procedure of menstrual cycles in women and lowering sperm count in men, leading to infertility.

2. Hypogonadotropic hypopituitarism
It is types of disease which interferes with the production of LH and FSH of the pituitary gland causing ovulation problem in women and low sperm count in men.

3. Immune disorder
Malfunction of immune system interferes with the reproductive process including the inflammation to cells which are vital involved in the processes of ovulation , preparation for implantation of a embryo ( malfunction of endometrial lining) and sperm quality ad quantity (Antibody attack his own sperm).

4. Pelvic inflammation disease (PID)
PID is defined as a condition of an acute infection in the pelvic caused by sexual transmitted diseases leading infertility if the scar forming in the Fallopian tube blocks the tube completely.

5. Pituitary tumor
Pituitary tumor is defined as a condition of benign overgrowth of cells in the pituitary gland causing abnormal function in secreting hormone, leading to over production of growth, thyroid-stimulating, prolactin hormones, etc. disrupting the normal processes of the reproductive organs thereby, increasing the risk of infertility in both men and women.

6. Testicular cancer
Testicular cancer is defined as abnormal cells growth become cancerous in the testicle. The cause is unknown but researchers believe men with poor quality of sperm production is considered as high risk to develop testicle cancer than other who do not.

For the best pregnancy self help program review, please visit http://bestfertility.blogspot.com

$750,000 HIPAA SETTLEMENT CAUSES OCR TO UNDERSCORE NEED FOR ORGANIZATION WIDE RISK ANALYSIS

In a $ 750,000 HIPAA Settlement, the University of Washington Medicine (UWM) has agreed to settle charges that it potentially violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule by failing to implement policies and procedures to prevent, detect, contain, and correct security violations.  UWM is an affiliated covered entity, which includes designated health care components and other entities under the control of the University of Washington, including University of Washington Medical Center, the primary teaching hospital of the University of Washington School of Medicine.  Affiliated covered entities must have in place appropriate policies and processes to assure HIPAA compliance with respect to each of the entities that are part of the affiliated group.  The settlement includes a monetary payment of $ 750,000, a corrective action plan, and annual reports on the organization’s compliance efforts.

You can review the complete notice on the HHS.gov website.

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The Coding Network