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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

Rural Health Clinics and Federally Qualified Health Centers

Calling all RHC, CAH, FQHC coders and billers! I am a new RHC coder, and have been having a hard time finding information or resources on RHC coding and billing practices. It would be great to have our own discussion forum here, but I see very few posts pertaining to any of our unique practices.

I use the CMS RHC chapter and NARHC website for most of my questions, but if anyone knows of any other useful resources, I’ll be more than thankful to hear about them!

Thank you and please respond with any you know of.:confused::confused:

Medical Billing and Coding Forum

Brooklyn Medical Clinics Fraud Medicare Out of $30 Million

According to a Department of Justice (DOJ) U.S. Attorney’s Office Southern District of New York press release, Mustak Y. Vaid is the latest physician sentenced in a big Medicaid fraud ring involving six Brooklyn clinics between 2007 and 2013, who filled “prescriptions and referrals for medically unnecessary and/or non-existent tests and supplies.” He falsely posed […]
AAPC Knowledge Center

How Marshfield Clinic’s Health Plan is Advancing the Triple Aim




Health Leaders Media


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  January 6, 2016 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

How Marshfield Clinic’s Health Plan is Advancing the Triple Aim

Rene Letourneau, Senior Editor for HealthLeaders Media

Business intelligence tools are invaluable in monitoring high-priced specialty drugs and reining in costs when medically appropriate. >>>

 

Editor’s Picks

Flurry of Healthcare Acquisitions and Agreements Announced

Organizations involved in separate deals include LifePoint Health, Duke LifePoint, Baylor Scott & White Health, Tenet, and Community Health Systems, among others. >>>

2016 Healthcare Staffing Trends

There is good news and bad news for healthcare leaders in the year ahead and beyond, according to experts who share 5 key points as part of their outlook. >>>

SGR Replacement Poses Daunting Challenges

A new Medicare payment system for physicians and other frontline providers is slated to launch in January 2019. Given the difficulties involved in crafting the new rules, federal officials have a busy three years ahead of them. >>>

Big Ideas:
Healthcare Price Transparency: Patients and Payers Versus Providers?

The release of the price data by Blue Cross Blue Shield of North Carolina has caused some pushback from providers in the state. >>>

2016: Year of the Healthcare IT Mashup?

Electronic health record software manufacturers have taken early steps into application programming interface publishing, and savvy health informaticians have already created some clever mashups with them. >>>

Big Ideas:
Outsourcing Improvement: The Relationship Between Vendor Contracts and Provider Performance

An innovative arrangement means that the provider effectively outsourced data warehousing, analytics, and performance improvement technology, plus content and personnel to the vendor. >>>

News Headlines

Aetna departure a major blow for AHIP

The Hill, January 6, 2016

Even insured can face crushing medical debt, study finds

The New York Times, January 6, 2016

Most Americans can’t handle a $ 500 surprise bill

CBS News, January 6, 2016

Medicaid programs fall short when it comes to helping smokers quit

NPR, January 6, 2016

Vote to repeal Obama’s health law marks testy start to 2016

U.S. News & World Report / Associated Press, January 5, 2016

Obamacare insurers sweeten plans with free doctor visits

Kaiser Health News, January 5, 2016

Bill gutting Obamacare would save half-trillion over a decade, CBO finds

The Hill, January 5, 2016

Walgreens, CVS want doctors’ Medicare pay to vaccinate

Forbes.com, January 5, 2016

How painful will healthcare costs be in 2016?

CBS News, January 4, 2016

Stay Connected to HealthLeaders

Don’t Miss the News You Want.

Spam filters exist for a reason, but not for the news you need. Make sure you aren’t missing your daily and/or weekly industry coverage. Add our address — [email protected] — to your address book or e-mail whitelist to keep the news you need in your inbox.

Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

HealthLeaders Media Insider: Population Health Management

This collection of HealthLeaders Media articles and resources reveals how different organizations are approaching population health management and provides a status report on an industry challenge.
Download Today >>>

HealthLeaders Media LIVE at NCH Healthcare System: Population Health

Date: February 23, 2016 | 11:00–2:00PM ET
In this live e-conference, discover how NCH Healthcare System has expanded their population health program with a multi-layered strategic plan.
Register Today >>>

From HealthLeaders Magazine

Big Ideas

What big ideas have you enacted? What big opportunities await your organization? >>>

 

Ups and Downs of High Volume

 

Remaking the Board

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©2016 HealthLeaders Media

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HealthLeaders Media Health Plan Insider is a division of Fortis Business Media
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Serving the business information needs of healthcare executives and professionals.

 



HCPro.com – Health Plan Insider

Millennials Prefer Walk-in Clinics and Telemedicine

Millennials are changing everything about how we do and how we think, and their choices will challenge medical coding and billing dramatically, as revealed in a recent survey by EBRI Research. Here are some of the findings: Millennials have the highest rates of wellness program participation. According to the study, Millennials are nearly across the board […]
AAPC Knowledge Center

Differences of E/M Leveling in Physician-based and Hospital-based Clinics

Hospital-based clinics have a relationship with their hospital, although it’s not usually located within the walls of the hospital. The relationship allows the hospital and the clinic to share costs and revenue. Whereas a physician-based clinic is a private physician-owned clinic where all the services and expenses are bundled into a single charge. Clearing Up Confusion In […]
AAPC Knowledge Center

How Marshfield Clinic’s Health Plan is Advancing the Triple Aim




Health Leaders Media


Please add this newsletter to your Safe Sender list
View this email as a Web page | Manage Account

  January 6, 2016 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

How Marshfield Clinic’s Health Plan is Advancing the Triple Aim

Rene Letourneau, Senior Editor for HealthLeaders Media

Business intelligence tools are invaluable in monitoring high-priced specialty drugs and reining in costs when medically appropriate. >>>

 

Editor’s Picks

Flurry of Healthcare Acquisitions and Agreements Announced

Organizations involved in separate deals include LifePoint Health, Duke LifePoint, Baylor Scott & White Health, Tenet, and Community Health Systems, among others. >>>

2016 Healthcare Staffing Trends

There is good news and bad news for healthcare leaders in the year ahead and beyond, according to experts who share 5 key points as part of their outlook. >>>

SGR Replacement Poses Daunting Challenges

A new Medicare payment system for physicians and other frontline providers is slated to launch in January 2019. Given the difficulties involved in crafting the new rules, federal officials have a busy three years ahead of them. >>>

Big Ideas:
Healthcare Price Transparency: Patients and Payers Versus Providers?

The release of the price data by Blue Cross Blue Shield of North Carolina has caused some pushback from providers in the state. >>>

2016: Year of the Healthcare IT Mashup?

Electronic health record software manufacturers have taken early steps into application programming interface publishing, and savvy health informaticians have already created some clever mashups with them. >>>

Big Ideas:
Outsourcing Improvement: The Relationship Between Vendor Contracts and Provider Performance

An innovative arrangement means that the provider effectively outsourced data warehousing, analytics, and performance improvement technology, plus content and personnel to the vendor. >>>

News Headlines

Aetna departure a major blow for AHIP

The Hill, January 6, 2016

Even insured can face crushing medical debt, study finds

The New York Times, January 6, 2016

Most Americans can’t handle a $ 500 surprise bill

CBS News, January 6, 2016

Medicaid programs fall short when it comes to helping smokers quit

NPR, January 6, 2016

Vote to repeal Obama’s health law marks testy start to 2016

U.S. News & World Report / Associated Press, January 5, 2016

Obamacare insurers sweeten plans with free doctor visits

Kaiser Health News, January 5, 2016

Bill gutting Obamacare would save half-trillion over a decade, CBO finds

The Hill, January 5, 2016

Walgreens, CVS want doctors’ Medicare pay to vaccinate

Forbes.com, January 5, 2016

How painful will healthcare costs be in 2016?

CBS News, January 4, 2016

Stay Connected to HealthLeaders

Don’t Miss the News You Want.

Spam filters exist for a reason, but not for the news you need. Make sure you aren’t missing your daily and/or weekly industry coverage. Add our address — [email protected] — to your address book or e-mail whitelist to keep the news you need in your inbox.

Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

HealthLeaders Media Insider: Population Health Management

This collection of HealthLeaders Media articles and resources reveals how different organizations are approaching population health management and provides a status report on an industry challenge.
Download Today >>>

HealthLeaders Media LIVE at NCH Healthcare System: Population Health

Date: February 23, 2016 | 11:00–2:00PM ET
In this live e-conference, discover how NCH Healthcare System has expanded their population health program with a multi-layered strategic plan.
Register Today >>>

From HealthLeaders Magazine

Big Ideas

What big ideas have you enacted? What big opportunities await your organization? >>>

 

Ups and Downs of High Volume

 

Remaking the Board

Sponsor this Newsletter

For advertising opportunities in this or other HealthLeaders Media email newsletters, please contact [email protected] or call 800.639.7477.

  MAGAZINE | NEWS | TERMS OF SERVICE | PRIVACY POLICY | ADVERTISE Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

©2016 HealthLeaders Media

If you prefer not to receive this email newsletter, let us know.
HealthLeaders Media Health Plan Insider is a division of Fortis Business Media
HEALTHLEADERS MEDIA
100 Winners Circle, Brentwood, TN 37027
Serving the business information needs of healthcare executives and professionals.

 



HCPro.com – Health Plan Insider

Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)


The Centers for Medicare & Medicaid Services (CMS) has determined that HCPCS codes G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination) and Q0091 (screening Papanicolaou smear) are billable visits when furnished by a RHC or FQHC practitioner to a RHC or FQHC patient.

CR8927 instructs MACs to allow HCPCS codes G0101 and Q0091 to be billed as a standalone encounter/visit. These services will be paid the AIR on RHC and FQHC claims for 71X and 77X Types of Bills (TOBs), effective for dates of service on or after January 1, 2014. Please note that deductible and coinsurance are NOT to be applied to G0101 or Q0091. If other billable visits are furnished on the same day as G0101 or Q0091, only one visit will be paid.

G0101 or Q0091 are payable annually for women at high risk for developing cervical or vaginal cancer, and women of childbearing age who have had an abnormal Pap test within the past 3 years. It is payable every 2 years for women at normal risk. For FQHCs billing under the PPS, G0101 and Q0091 are qualifying visits when billed with FQHC payment HCPCS codes G0466 or G0467.

Please note: MAC will not search for claims that have been denied with HCPCS code G0101 or Q0091 prior to the implementation of CR8927, but will adjust any claims that you bring to their attention.

Reference: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8927.pdf


Coding Ahead