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

CMS Innovation Center: A Year in Review

A look at CMS’ strategic vision, accomplishments over the last year, and what is on the horizon. In September 2021, the Centers for Medicare & Medicaid Services (CMS) announced its strategic vision and priorities for those served by CMS programs. Chiquita Brooks-LaSure announced within months of beginning her new role as CMS administrator that expanding […]

The post CMS Innovation Center: A Year in Review appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Ambulatory Surgical Center Payment System July 2019 Update

An Ambulatory Surgical Center Payment System (ASC PS) update that took effect July 1, 2019, changes billing instructions for various payment policies and codes. Here is what you need to know to properly bill Medicare for these services and supplies. New CPT Category III Codes Effective July 1, 2019, the Centers for Medicare & Medicaid […]

The post Ambulatory Surgical Center Payment System July 2019 Update appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

BOAQ has moved to Accreditation & Quality Compliance Center website

Briefings on Accreditation & Quality (BOAQ) has changed its name to Inside Accreditation & Quality (IAQ), a 16-page monthly newsletter. And going forward all HCPro Accreditation newsletters, blogs, tools, etc. will be posted on our new website Accreditation & Quality Compliance Center.
 

HCPro.com – Briefings on Accreditation and Quality

Emergency room vs hospital Ambulatory surgery center

I have a payor who is taking a UB-04 billed with a 270, 450 and 360 and paying it off of an ASC fee schedule.
this is a minor surgical procedure a minor ER visit 99283 surgical 11042. I know according to Texas Medicaid facilities are assigned a HASC number to use when billing as an ASC but I cannot find any other information I do not see that the facilities are billing with anything different then NPI etc….
I do not believe you should take an ED visit and make it ASC.
Can anyone with knowledge of Medicaid help maybe I missed something in the manual that says to apply this way?
thank you

Medical Billing and Coding Forum

CareWell Urgent Care Center Agrees to Pay $2 Million to Resolve Allegations of False Billing of Government Health Care Programs

The United States Attorney’s Office reported today that CareWell Urgent Care Centers of MA, P.C., CareWell Urgent Care of Rhode Island, P.C., and Urgent Care Centers of New England Inc. (CareWell), the proprietors and administrators of earnest consideration focuses situated all through Massachusetts and Rhode Island, have consented to pay $ 2 million to determine charges that they abused the False Claims Act by submitting swelled and upcoded cases to Medicare, Massachusetts Medicaid (MassHealth), the Massachusetts Group Insurance Commission (GIC), and Rhode Island Medicaid.

Read The Full Story Here!

The post CareWell Urgent Care Center Agrees to Pay $ 2 Million to Resolve Allegations of False Billing of Government Health Care Programs appeared first on The Coding Network.

The Coding Network

Find It In the Knowledge Center

The healthcare industry is a fast-paced, ever-changing business that never rests. Perpetual changes to federal regulations, code sets, and technology make it nearly impossible to stay up to date. But stay up to date we must to ensure compliance and receipt of proper reimbursement for healthcare services and supplies. If only there was one place you could turn to […]
AAPC Knowledge Center

Community mental health center billing – group home

Is there a list of services/codes that a group home(listed as a community health center) could use as a guideline for billing to make sure we are capturing all billable services? Currently we are only billing H0018 for Short term residential. Room and board is coming from pt’s SSI. I want to confirm we can bill out for case management (T1016) and/or assessment by a non physician (H0031) UHC Community Plan is the insurance.

Medical Billing and Coding Forum

Case study: Automating sepsis alerts at Harborview Medical Center

Rosemary Grant, BSN, RN, CPHQ, is the sepsis coordinator at Harborview. She says her facility chose to focus on sepsis detection because the condition is “prevalent, expensive, and deadly.” 

“When we looked at data from our hospital and others, we saw that patients who develop sepsis in the hospital have a much higher mortality than patients who arrive in the emergency department with sepsis,” Grant says. “So we knew we needed to focus on faster identification of sepsis in our inpatient population.”

HCPro.com – Briefings on Accreditation and Quality