Click here for more sample CPC practice exam questions with Full Rationale Answers

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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

checking testosterone levels in a FTM transgender patient

I’m hoping someone can offer some input.

Provider wants to check the testosterone levels in a FTM transgender pt. He is using the dx of male hypogonadism.

The coders in our office are wondering if this is an appropriate dx?

Our thinking is that since he is taking testosterone externally, the issue is not about testosterone production or, if it is about testosterone production, it is not produced in the testes. We don’t have enough of his medical history, so we are unsure if ovaries are intact, but are assuming they are not.

We’ve been researching this and have found lots of information about the importance of checking his testosterone levels, but nothing about what dx to use for the testing.

Does anyone have any information about this?
Thanks in advance,
Lisa

Medical Billing and Coding Forum

Counting checking PDMP (Prwescription Drug Monitoring Program) as Complexity of Data

Email sent to Our Medical Director:
I noticed that ‘and/or checked PDMP’ was added to <Reviewed old records…> check box for Complexity of Data for coding points.
If this is being done as part of Agency protocol, it does not count for coding purposes and should not be included as it may result in up-coding. There is no complexity in decision-making to just follow a protocol.
Unsure how this got changed as this was not the way it was set up per my prior recommendation, and my professional opinion is: this verbiage should be removed and another check box added: <PDMP checked per Agency protocol> that does not link to coding.
I have no problem educating prescribers to check <Reviewed old Records> when they check the PDMP on established patients, not on controlled meds (ie not part of protocol) and document why: “checked PDMP as client has history of Benzo abuse” or “ checked PDMP as client has a SUD Dx” or “client has been using up recent prescriptions prior to renewal date; checking PDMP for possible prescription abuse”. This does show additional ‘work’ on the part of prescribers which may allow for higher coding level.

Experienced E/M coders-please provide input as the Director disagrees with my stance

Medical Billing and Coding Forum

Medical Transcription Needs Quality Checking

Medical transcription is a rapidly changing job. A reliable workload is always available where you can tell us how much you want. A highly secure and encrypted server should be used to protect patient confidentiality. A highly visible 3-digit indication of tape position is required for locating specific dictation. A growing aging population might result in an increased requirement for medical transcription services. The medical version of dragon naturally speaking is an excellent tool for medical transcription.

Medical transcription is predominately performed by individuals working from their homes. Accuracy in the business requires that transcribed reports are reviewed before being returned. For example a diagnosis inconsistent with the patients history and symptoms may be mistakenly dictated. Many of the basic anatomy and physiology pages can be quite detailed.

This is a complete and comprehensive online medical transcription course that takes six months to complete. A computer hard drive needs to be large enough to store compact voice files. A growing field that should provide steady employment while working at home or at a medical facility. A computer Transcriptionists edit information for grammar and proper medical terms used in sentences. A extremely skilled medical transcriptionist needs to be self-motivating. The medical records are created from doctor’s daily dictation tapes. Medical transcription is also known as a medical transcriptionist or less frequently a medical transcriber.

The person who either can’t spell perfectly 100% of the time or wants to increase his/her eye terminology must use a software product for assistance. Many of the recorders come with easy controls so that you can start, stop, pause and fast forward. Accuracy in any medical specialty environment will be an added bonus to you. Once the computer translates the data the draft is read and corrected by the medical transcriptionist. Though not required, training is highly recommended as certified medical Transcriptionists fair better in the workplace.

Since the medical records are the key evidence used in a lot of malpractice cases they are often needed to have with no mistakes. This process is significantly faster and less expensive than typed transcription. Each and every tiny detail of the clients requirements and work needs to be finished every day before you return their reports. For example some medical transcriptionist make more than $ 20 an hour.