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

Practice Exam

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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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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

Coding resolved conditions ALONG WITH current conditions

I know that follow-up visits for resolved conditions are to be coded with the follow-up code (typically Z09) and then the history code for the now-resolved condition.

My question is:

How do you code / sequence codes for a visit that includes BOTH resolved AND ongoing and/or chronic conditions?

Here are a few examples of what I mean, where I am unsure of how you would code / sequence these…


  1. Patient is seen for:
    B/l foot pain due to an injury
    Sleep disorder due to shift work

    The sleep disorder has resolved because the patient switched their shift at work, but the foot pain continues as the injury is still healing.

    ——————————

  2. Patient is seen for:
    URI

    All URI symptoms have resolved. Patient mentions dysuria and is given antibiotics for UTI.

    —————

  3. Patient is seen for:
    Final wound check from laceration
    Hypertension (already diagnosed – chronic)

    Wound is completely healed. Hypertension is stable.

I am not having any luck finding guidance on this, so I really appreciate any help you can give!! Thank you!!

Medical Billing and Coding Forum

Current Employment Opportunities @ Augusta University Health Systems In Augusta, GA

Augusta University Health System is looking for hard-working, dedicated, detailed oriented coding staff that is interested in using Computer Assisted Coding (CAC). If you want to be a part of the only teaching hospital in the CSRA, this position could be for you! You will be required to pass an entrance coding test prior to an interview.
The Coder I – Professional Services reviews provider documentation and provider assigned diagnoses and CPT codes. The Coder will accept and/or add/revise the ICD-10-CM, CPT Codes, HCPCS Codes and enters modifiers to reflect services provided and to support Professional Billing. The coder will review and accurately code CPT codes for E/M level and associated diagnoses codes, as well as minor procedures (0-10 day global periods), performed during non- intensive inpatient or outpatient encounters. Maintains knowledge of coding and billing requirements and regulatory changes. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations. Must hold either AAPC Certified Professional Coder (CPC or CPC-A) or AHIMA Certified Coding Specialist-Physician-based (CCS-P) certifications.
The Coder II – Professional Services reviews provider notes, operative reports, and provider assigned diagnosis, procedure, and E/M codes. The Coder II will accept and/or add/revise the ICD-10-CM, CPT procedure codes, CPT E/M codes, and HCPCS Codes and enters modifiers to reflect services provided and to support Professional Billing. The coder reviews clinical and surgical documentation and accurately codes CPT codes for E/M level and associated diagnosis codes as well as operative (major procedures- 90 day global) and bedside procedures performed during intensive care inpatient or outpatient encounters. Maintains knowledge of coding and billing requirements and regulatory changes. Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations. Must hold either AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist-Physician-based (CCS-P) certifications. Must have at least 2 years coding experience for a Coder II position.

These are on-site positions.

Please apply at https://careers.peopleclick.com/care…rnal/search.do. The coding positions can be found under HIMS/Coding Category. Come join our team!
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Medical Billing and Coding Forum

Find Current Industry Trends and Code Changes

It’s essential and surprisingly easy when you know who to trust. New regulations, code updates, final rules, technology — ugh! Sometimes, it just seems like too much to manage, doesn’t it? The trick is to filter out all the white noise and hone in on just the information you need. At AAPC, we do this […]
AAPC Knowledge Center

Looking for remote PT or FT (current Cardiology experience)

Natasha Stewart
OBJECTIVE

To obtain a challenging position utilizing my experience and skills in an
environment with opportunities for growth.

EXPERIENCE
2014-Present Florida Heart Associates Ft. Myers, FL
Lead Cardiovascular Coder
Code hospital surgeries for General, Interventional Cardiologists, & Electrophysiologists
 Code diagnostics
 Review and enter authorizations into system obtained from hospitals
 Charge entry
 Work denials for hospital and office claims
 Enter patient demographics
 Keep up to date with coding changes
 Work on additional tasks given to me
2012-Oct 2013 Pediatric Therapy Solutions Sarasota, FL
Medical Biller & Administrative Assistant

Payment posting
 Entered charges
 Obtained authorizations
 Checked eligibility
 Followed up on outstanding balances
 Data entry
 Front desk duties
 Updated Quickbooks
 Other various kinds of administrative duties
2010-2012 Premiere Medical Billing Services North Port, FL
Medical Biller

Entered daily charges
 Payment posting
 Processed all Medicare secondary claims
 Data entry of nursing home charges
 Followed up on outstanding balances
2008-2010 Saligrama Bhat M.D. Pt. Charlotte, FL
Medical Biller

Entered daily charges
 Post Payments
 Processed all Medicare secondary claims
 Data entry of nursing home and hospital charges
 Followed up on outstanding balances
 Front desk duties when needed
 Scheduled appointments
 Prepared nebulizers for patients when needed
2006-2007 Comprehensive Billing Solutions Sarasota, FL
Secondary Insurance Claims processer

 Processed all secondary insurance claims for 20 physicians
 In charge of updating addresses on all returned correspondence
 Data entry of hospital charges
 Completed other projects as assigned

LANGUAGES & SKILLS
Ability to read and speak both English and Spanish
Typing 60 wpm; Proficient in Windows, Microsoft Word, Microsoft Publisher
Proficient with Eclipse, Misys & Tiger, Office Ally, Gemms, and Epic software’s
Excellent communication and organizational skills. Energetic, patient, and diplomatic. Organized team player and dedicated employee.

*Soon to be certified CPC*

Medical Billing and Coding Forum

[Announcement] NCCI Has Removed the Current Edit Prohibiting 77295 and 77300 from Being Reported Together

CMS and the NCCI has removed the current edit prohibiting the reporting of CPT codes 77295 and 77300 together, effective July 1, 2016. The change will be finalized in the July version of the NCCI Manual and will be retroactive to January 1, 2016. Reporting requirements may vary by payer:

Claims reported to Medicare contractors: 

Claims for CPT codes 77295 and 77300 should not be reported together until the edit is removed on July 1, 2016. Practice billing systems can begin capturing charges for 77300; however, the charges should not be released to Medicare until July 1, 2016. All prospective and retrospective pending charges for 77300 may be released on or after July 1, 2016.

    Claims reported to private payers:

    Depending on state guidelines and individual payer policies, some private payers may not permit claims to be submitted after a certain period of time has passed. Therefore, practices could consider submitting charges for 77300 to commercial payers prior to July 1, 2016. Refer to your payer’s individual reporting policies for guidance on when to submit claims for 77295 and 77300. 

       

      Click here to read the original article on the prohibition of reporting 77295 and 77300 together. 

      The Medical Management Institute – MMI – Medical Coding News & MMI Updates