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

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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

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Data Breach Involves 254K Medicare Beneficiaries

A business associate of a government contractor is hit with a ransomware attack. The Centers for Medicare & Medicaid Services (CMS) confirms that Healthcare Management Solutions, LLC (HMS), a subcontractor of ASRC Federal Data Solutions, LLC (ASRC Federal), experienced a data breach in the form of a ransomware attack. The breach may have exposed some […]

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AAPC Knowledge Center

Advocate Aurora Health Data Breach Affects 3 Million Patients

Private health data was exposed through third-party tracking technology. Advocate Aurora Health recently notified the U.S. Department of Health and Human Services Office for Civil Rights that it experienced a data breach on October 14. Advocate Aurora Health is a 26-hospital healthcare system in Wisconsin and Illinois with over 500 sites of care and $ 14 […]

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AAPC Knowledge Center

COVID-19 Derails 2019 MIPS Data Reporting

COVID-19 is a game-changer. Ever since President Trump declared a public health emergency (PHE) Jan. 31, the Centers for Medicare & Medicaid Services (CMS) has been issuing Social Security Act waivers to Medicare and Medicaid policies in rapid fire succession — including waivers to reporting requirements in the Merit-Based Incentive Payment System (MIPS). CMS has […]

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AAPC Knowledge Center

Hospital Labs to Share COVID-19 Data

U.S. hospitals recently received a letter from the Centers for Medicare & Medicaid Services (CMS), on behalf of Vice President Michael Pence, requesting they report their COVID-19-related data. This data request is two-fold. What Data Must Hospitals Report? First, the hospitals should report their data on COVID-19 testing performed in their Academic/University/Hospital ‘in-house’ laboratories, to […]

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AAPC Knowledge Center

Proposed Minimum Data Set Updates Delayed

Amidst a pandemic unprecedented in modern times, the long-term care industry is scrambling to keep vulnerable nursing facility residents safe. Recent updates indicate that the repercussions will extend at least through fall, with the Centers for Medicare & Medicaid Services (CMS) releasing a bare-bones announcement that the proposed updates to the Minimum Data Set (MDS), […]

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AAPC Knowledge Center

Use 2020 ICD-10-CM Codes for More Specific Medical Data Capture

In a world of uncertainty, one thing medical coders can count on is ICD-10-CM yearly updates. It’s already that time of year again when the Centers for Disease Control and Prevention (CDC) releases the ICD-10-CM code update for next year. Familiarizing yourself with the changes that go into effect Oct. 1 will help you capture […]

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AAPC Knowledge Center

Data Show College Doesn’t Pay Off for Women

Men still command higher salaries than women in the same occupation, according to an article published by the U.S. Census Bureau, and education doesn’t help matters. “While workers with a bachelor’s degree earn about double that of their co-workers without a college education, the difference between men’s and women’s earnings widens with more education,” demographer […]

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AAPC Knowledge Center

Data points

Hi everyone. Clarification please regarding data points & additional workup. TIA for your time.

Part A-MDM: New problem with additional workup=4 points. Add’l workup (work done beyond visit) like xrays, labs, EKG, specialist referral/order, sent patient to ER/direct admit, decision for future procedure/surgery?

Then do you claim credit for those additional workups (xrays, labs, EKG) that were ordered as data points under part B-MDM: Amount &/or complexity of data reviewed?

Medical Billing and Coding Forum

E/M Data Box for MDM question – pediatrics

I have already asked this question once and got good information from one coder, but I need more to support my position (or change my mind).

Pediatric coders – do you give credit in the "data box" for "history obtained from other than the patient" if the provider documents well that the history is obtained from the parent when the patient is too young to give good information?

If you have any sources I can reference that would be so helpful as well.

Medical Billing and Coding Forum