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

Changing Bank Accounts

At the first of each year newly elected officers often consider opening new checking accounts at locations more convenient to them. Although at first thought this seems like a good idea, there is much more to the process of opening a new account than many officers realize. Therefore, we strongly discourage officers from closing existing […]

The post Changing Bank Accounts appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Changing a code

Our system is setup to when the provider sees the patient and selects the diagnosis it also puts the icd 10 code along side it. Ex if a patient was seen for an ovarian cyst the provider choose unspecified ovarian cyst (N83.209).

Our system also allows the provider to free text on the chart so they could put a note under that code. Example: Unspecified Ovarian cyst (N83.209)
Note: right side

If they put this in the office visit and sign off, how would you code this? Do you code the unspecified since they choose to put that code in the note or would you code right side ovarian cyst and change the code to the correct one?

Thanks in advance!!

Medical Billing and Coding Forum

Learn How Part B Payment is Changing for Practitioners

Monumental changes to Medicare policy finalized in the 2019 Physician Fee Schedule (PFS) final rule warranted a Centers for Medicare & Medicaid Services (CMS) national call, held Nov. 19. Here’s a summary of what you may have missed. First Up: Evaluation and Management Services CMS started out with an explanation of the Patients Over Paperwork […]

The post Learn How Part B Payment is Changing for Practitioners appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Changing patient from Inpatient to Observation after discharge

Can you change a patient status from Inpatient to Observation (or vice versa) once the patient has been discharged?
Also, can we change it just because the insurance says if you do we will pay you because the other does not meet medical necessity?

Medical Billing and Coding Forum

Are CPT® E/M Codes Changing?

As the Centers for Medicare & Medicaid Services (CMS) makes the proposal to change evaluation and management (E/M) payment based on this new approach, why aren’t CPT® E/M codes changing this year? Good Question! Here’s the Answer CPT® doesn’t include Medicare rules and guidelines – only American Medical Association (AMA) guidelines. Changes made for Medicare […]
AAPC Knowledge Center

Changing the Way Medicare Pays Doctors

Besides taking a machete to E/M reimbursement and the way Medicare looks at E/M services, the current administration has proposed some large changes in the way Medicare pays doctors. They have also proposed ways that hospital facilities disclose prices to patients, providing more transparency. Changing Payment The pipeline for immediate changes includes the government paying more […]
AAPC Knowledge Center

4 Ways Claims Data is Changing Care Delivery




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  January 13, 2016 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

4 Ways Claims Data is Changing Care Delivery

Rene Letourneau, Senior Editor for HealthLeaders Media

Fragmented clinical data, which tends to cause disjointed care, can be significantly augmented by data in health plan claims. At Parkland Health & Hospital System in Dallas, physicians are using claims data to increase quality and decrease costs. >>>

 

Editor’s Picks

Meaningful Use Program ‘Effectively Over,’ Says CMS Head

MU will be "replaced with something better," says Andy Slavitt. Reaction from healthcare CIOs is largely one of relief. >>>

Donald Berwick on Better Care as a Route to Financial Success

The former head of CMS says "we will never solve the problem of cost and finance by focusing on cost and finance." Instead, it will be resolved "by focusing on the design and redesign of healthcare and the improvement of its quality." >>>

4 Resolutions for Physicians in 2016

Based on a year’s worth of interviewing and listening to physicians, healthcare executives, and patients, these are the top four things physician leaders should be thinking about—and doing—this year. >>>

Healthcare Job Growth Set Records in 2015

Healthcare jobs accounted for 18% of the 2.6 million new jobs created in the United States in 2015. Coincidentally, healthcare spending represents nearly 18% of the nation’s gross domestic product. >>>

Wellmont, Mountain States Merger Proposal Vows Cost Containment

The proposed merger between the health systems would place limits on negotiated rates with insurers, and tie healthcare cost growth in two states to the federal Hospital Consumer Price Index and Medical Consumer Price Index. >>>

Physician Groups to Push DC Agendas in 2016

Physician groups are looking to push their agendas forward in 2016, but the upcoming presidential election does not leave them with much time . From MedPage Today. >>>

Intelligence Report:
The Outpatient Opportunity—Expanding Access, Relationships and Revenue

Healthcare leaders recognize that expansion of ambulatory and outpatient care networks can improve patient access, relationships, and revenue. >>>

News Headlines

Kindred Healthcare to pay $ 125 million to settle US allegations over therapy services

The Wall Street Journal, January 13, 2016

Slavitt addresses viability of health insurance marketplaces, and more ACA developments

Health Affairs, January 13, 2016

Anthem says it enrolled more members than expected in 2015

The Wall Street Journal, January 13, 2016

Setting hospital prices by ballot question

CommonWealth Magazine, January 13, 2016

Obamacare’s renewed effort to cut Medicare bills after setbacks

Bloomberg, January 12, 2016

HCA says insurance exchange enrollment encouraging so far

Reuters, January 12, 2016

The AMA just launched a startup aimed at solving a growing problem with healthcare

Business Insider, January 12, 2016

Doctors unionize to resist the medical machine

The New York Times, January 11, 2016

Insurers say costs are climbing as more enroll past health act deadline

The New York Times, January 11, 2016

Biden staff meeting with cancer experts in ‘moon shot’ push

The Hill, January 11, 2016

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Changing CPT for coverage

I’m hoping someone can direct me to tangible information that will support changing the practice my employer uses
Currently all patients including straight medicare pt’s are requested to have an annual physical . Medicare does cover 1 Welcome to Medicare exam IPPE(G0402) within the first year of enrollment but doesn’t cover preventitive annual exam after that(such as G0438 or G439).Unfortunatley staff continues to schedule those medicare patients for an anuual exam every year. I know that we can offer an AW and allow the patient to make an informed decision ,and that they must sign an ABN as well as be made known of the cost of the service.However none of that is currently being done

I have been asked recently to change a CPT such as 99397 to a covered service CPT 99212-99215,depending. I’m very uncomfortable with this
I’m wondering if there is any information/documentation that I can give my employer to help them understand the error of this practice.If the CC indicates AW exam and the documentation suports same it just seems wrong to chnage the CPT.I have discussed the use of ABN’s and informing the patients regarding coverage,however the practice continues.Perhaps I’m wrong but it really desn’t seem appropriate .
Really appreciate any advice,at a loss for what to do

Cheri W CPC-A

Medical Billing and Coding Forum