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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

Different types of medical diagnostic imaging

Diagnostic imaging is an umbrella term for a wide variety of scans, examinations and images that are used in the field of medicine. Technology today is extremely advanced and now physicians can call upon a variety of imaging techniques to help examine the inside of the body and therefore make an accurate diagnosis. Scans and images of the body can enable a host of health problems and abnormalities be seen that might otherwise go unnoticed as symptoms of serious illness does not always appear immediately. For anyone wishing to know more about the different type of diagnostic imaging used today and how they can help a patient, this article is for you.

Radiologic technology

This is much more commonly known as X-ray technology, and this is probably the most well known type of image taken of the body. A radiologic technologist is responsible for carrying out x-ray examinations, a procedure where a small dose of radiation passes through the body, some of the rays being absorbed as they go and all traveling at different speeds. These rays are projected onto special film which produces an image of the inside of the body. X-rays are most commonly used to look for fractures and broken bones although other conditions can be spotted from an X-ray. If a doctor notices something unusual in an X-ray then usually a further test such as an MRI scan or CT scan may be carried out. None of these are invasive procedures, and the patient can receive them on an outpatient basis. Scans such as these are often undertaken following a serious accident or trauma.

Ultrasound technology

Usually an ultrasound is the imaging solution for examining fetuses within the womb. Ultrasound technology can view body structures in a way that X-rays cannot and provides a clearer and more in depth picture. Although pregnancy is a common reason for using ultrasound technology, it can also be used to examine the muscles, joints, tendons, ligaments and internal organs within the body.

CT Scans

Also known as CAT Scans, these are a more advanced type of scan that can be used to examine the whole body from the brain to the ligaments. It too uses radiation in the same way that traditional X-rays do, however the multitude of images that get taken are processed by CT software to provide doctors with a 3D image of the body. In this way it is a very effective type of scan, capable of detecting most serious illnesses including the majority of cancers and tumors. It is a non-invasive procedure just like the X-ray and is particularly appropriate and often the imaging solution for anyone who has been involved in a serious trauma where there are no outward signs of serious injury. Internal bleeding or swelling of the brain could easily have occurred but would need a CT scan to detect.

MRI Scan

An MRI stands for magnetic resonance image and this too provides an incredibly accurate and effective way of scanning the body. Rather than using X-rays, an MRI consists of creating a magnetic field through which radio waves travel to the area of the body being examined. This makes the nuclei of the atoms in the specific region emit energy which can be detected by a computer. An image is created on the computer that can then be interpreted by a radiologist.

There are further examples of medical diagnostic imaging that are used every day by doctors throughout the world. There is no doubt that medical imaging solution technology plays a vital role in the diagnosis and treatment of patients suffering from serious illness. Scans such as those outlined above are important components of oncology solutions in particular as they may enable the cancer to be caught early and therefore treated more successfully. Scanned images coupled with modern technology and software are an efficient and reliable way to clearly see the interior of the body and are increasingly assisting medical teams in carrying out successful diagnoses and treatment .

Kathryn Dawson writes articles for Mirada Medical Limited, a leading provider of professionally developed medical diagnostic imaging solutions for a comprehensive and quantifiable analysis for the diagnosis, staging, treatment planning and assessment of treatment response in oncology. Mirada develops oncology solutions to help clinical oncologists understand and characterise a patient’s condition through a simple, yet powerful medical imaging solution

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billing to medicare with e/m code + procedure code same day different time

I am hoping for some help on this. I am billing for a pain management doctor/anesthesiologist that goes to the hospital and will see a patient earlier in the day (E/M Codes- 99233/99232/99223) and then insert a catheter (36556) later on in the day (or vice versa) OR he will do an emergency intubation (31500) along with 99291 (critical care code). BOTH of theses combinations are getting denied for Medicare in the clearinghouse although I have switched around modifiers 25 and 59 on each code for each "set". Any advice on billing these codes together?? I understand that normally 99223 and 36556 are bundled but technically the physician doesn’t perform these at the same time. HELP!

Thanks,

Cora B.

Medical Billing and Coding Forum

billing to medicare with e/m code + procedure code same day different time

I am hoping for some help on this. I am billing for a pain management doctor/anesthesiologist that goes to the hospital and will see a patient earlier in the day (E/M Codes- 99233/99232/99223) and then insert a catheter (36556) later on in the day (or vice versa) OR he will do an emergency intubation (31500) along with 99291 (critical care code). BOTH of theses combinations are getting denied for Medicare in the clearinghouse although I have switched around modifiers 25 and 59 on each code for each "set". Any advice on billing these codes together?? I understand that normally 99223 and 36556 are bundled but technically the physician doesn’t perform these at the same time. HELP!

Thanks,

Cora B.

Medical Billing and Coding Forum

Different Medical Benefits From Green Or Black Tea

Archeological evidence advocates that people 5,000 years ago consumed tea leaves soaked in boiling water. Botanical evidence indicates also that China and India were amongst the original countries who cultivated tea. Nowadays, tea is considered the most commonly consumed drink worldwide, second to water. Millions of people around the universe drink tea, and studies recommend that green tea particularly Camellia sinensis has several health benefits.

Green, black and oolong teas are the 3 principal kinds of tea. The three varieties differ in their method of processing. Tea is created from the leaves which are not fermented and was reported to contain the utmost concentration of potent antioxidant known as polyphenols.

Antioxidants are materials or substances that search free radicals that damage the compounds in the human body that change the cells, tamper DNA, and even cause the deterioration cells. Free radicals arise naturally in the human body, environmental pollutants or toxins which include radiation, cigarette smokes, ultraviolet rays of the sun, and air pollution also help in the increase of these harmful particles.

Several scientists consider that free radicals have a contribution in the aging process and also the growth of several health troubles, including heart diseases and cancer. Antioxidants like polyphenols found in green tea may reduce the effect of free radicals and can reduce or even aid in the prevention o some harm they cause.

Consumption of tea was found to be effective in small scientific study in the treatment of dental caries or tooth decomposition. Additional studies are needed to be done. The tea can also be helpful in inflammatory Medicelles like in arthritis. Research specifies that arthritis can benefit from green tea by reducing the inflammation and slow down cartilage breakdown.

Chemicals present in tea can also be useful in the treatment of genital warts and also avoid the symptoms of influenza and colds. Studies also indicate that consumption of tea is linked with reduced dangers in all causes of death.

Camellia sinensis is the plant where the leaves are derived to produce the green, black and oolong tea. The plants grow as big as a tree or shrubs. Nowadays, Camellia sinensis plants grow throughout Asia and some countries in the Middle East and African countries.

The green and oolong teas are commonly consumed by people in the Asian countries and the black tea is most well-liked in the U.S.A. The tea contains the highest content of polyphenol.

scheygen smith is a simple woman that loves to explore and share things through writing. She loves to share her knowledge to the usrs who care to understand everything about Medicelles Go and visit free Medicelles website to get plenty of more information. Come and visit us at: http://medicelles.com/blog/

5 Different Types of Facials Offered by Medical Spas

Fort Worth is a great city. Home of the Stockyards, Sundance Square, Billy Bob’s and several other attractions for tourists, as well as locals. Sometimes these more culturally or historically significant attractions can make us Texans forget about the simple things. As a resident of the DFW area, one of my favorite activities when I visit Fort Worth is to get a professional facial. I usually go to the same place every time. I decided to do a little research on the different types of facials available at my favorite spa.

First of all, if you have never had one, a facial is a great way to rejuvenate skin, scruff off dead skin, and boost the beautiful glow that is hiding below that top layer of skin. No matter what protectants you may use to safeguard your face from the harsh chemicals and environmental poisons present in our world, some damage is unavoidable. This is why receiving regular facials are so beneficial, as they awaken the skin, pamper it, and make it beautiful and healthy again. If you are a novice to facials, however, you mind may be spinning at all of the different types of facials you can get. This is why we drafted this overview of the most popular facials in Fort Worth, to help you figure out just where to start on your journey to healthier skin.

1. Basic Facial: The most base of facials is a good starter facial as it addresses normal skin that is not too dry or oily and isn’t overly sensitive to certain factors or ingredients. It is also the least expensive of facials, so if you are not sure whether or not you will like facials, it is your best bet. In a basic facial, you will receive a cleansing of your skin, a steam, and then a follow up massage to stimulate your pores.

2. AHA Facials: AHA stands for Alpha Hydroxy Acid and a facial of this type uses the anti-aging processes of flowers and plants-which contain scores of AHA-to rejuvenate the skin and make it look youthful and renewed. While the process of all specialized facials-such as this one-incorporates the same cleanse, steam, and massage protocol; in this instance, a special topical cream is applied that offers the benefits of AHA. The best candidates for an AHA facial are those who are worried about the signs of aging and wrinkles, may have pigmented skin, or just want skin to look healthier.

3. Anti-Oxidant Facials: The same cancer-fighting anti oxidants that are beneficial to eat-found in blueberries and the like-can help protect the skin from the same cancer-causing free radicals in the environment. In an anti-oxidant facial, different face creams built with potent scores of antioxidant vitamins are used on the face to remove pollutants, cleanse, and protect the face from future harm. The best candidates for these facials are those who spend a lot of time outdoors for work or play.

4. Acne Facials: While teenagers are most prone to acne conditions in their skin, adult acne is also very common. This said, many people regularly receive acne facials. These treatments offer thorough cleansing, an enzyme or glycolic acid exfoliation, a vapor mist, deep pore pimple extractions, and an anti-acne anti-inflammatory facial mask.

5. Collagen Facials: Another popular facial to get at a spa is a collagen facial. These facials offer treatment for those looking to prevent wrinkles, dark under eye circles, and any other damage that might be incurred through the sun and pollutants. Collagen facials have a series of pampering steps that begins with cleansing, exfoliation, a vapor mist, then one to pore cleansing, lymphatic massage, and a masque applied over the central ingredient of collagen.

Jacqueline Lajoie is the Chief Operations & Marketing Officer for Daireds Salon and Spa Pangea, thirty year-old Fort Worth facial spa, offering services such as massage, laser hair removal, Botox, hair styling for brides and facials in Dallas/Fort Worth, TX

Related Medical Coding Articles

Same day procedures, different day of interpretation

We have a patient who came to our hospital for same day echo and carotid ultrasound. The technician belatedly placed the carotid ultrasound in the doctor’s box a day after the procedure, thus was read on Day 2. Therefore, we should bill Day 1 93306-26 and Day 2 carotid ultrasound code. Is that correct?
What if there’s a copay associated with it? It’s not the doctor’s fault that it was read on Day 2.

Thanks.

Medical Billing and Coding Forum

Modifier 78 for return to surgery by different MD for related problem

Please help to clarify what modifier, if any is appropriate for return to surgery post op, during the global period for complications of original surgery by a DIFFERENT surgeon. Since it is not the original surgeon, would a modifier 78 still
be required? If the second surgeon is not in the same group, it seems no modifier is needed. Modifier 79 is not appropriate since the return to surgery was due to a complication of the first.

Medical Billing and Coding Forum

Medical Recruitment In Different Countries

When it comes to medical recruitment round the globe, there is a demand for skilled professionals. A medical job is undoubtedly one of the most sought after positions and therefore calls for the recruitment of a trained staff. Over the years there has been great development in the medical field and therefore the increasing investments in clinics and hospitals. The medical scenario differs from one country to another and so does the scope of recruitment. Each country has a different set of rules when it comes to the recruitment of medical professionals from overseas.

Medical jobs in Melbourne

There is a shortage of doctors who can claim to be expert general practitioners. Therefore one can see the demand for increasing the number of such practitioners in the country. As per a survey conducted in the city, 38% of the existing general practitioners and almost 50% of the female general practitioners were highly satisfied with their jobs. They attributed their job satisfaction to a number of factors mainly intellectual simulation, job variety, a strong belief in the work they were doing and also longitudinal patient relationships. Thus the intrinsic quality of the workplace and the work that they do keeps them going when it comes to medical jobs in Melbourne.

Medical jobs in Toronto

In this part of the world, there has been a steep increase in the demand for healthcare services and products. The fiscal restraints have also had an effect on the healthcare system and have increased the need for making fresh investments in the field of human resources. Authorities find it difficult to strike a balance between the cost of equipments, technologies and pharmaceuticals and the pay package of the doctors thus shooting up the expenses.

Doctor jobs in New Zealand

The Medical Council of New Zealand is the organisation that is responsible for the registration of doctors in the country and therefore has an important role in dictating terms for doctor jobs in New Zealand. Till the year 1996, New Zealand was one of the very few countries, barring the ones that formed a part of the European Union that recognised Irish and British medical degrees before completing the registration process. Foreign doctors who move in to New Zealand and wish to attain permanent residency need to apply for a probationary registration in place of temporary registration that is otherwise required. There are several foreign doctors in New Zealand who are not been able to practise as their qualifications are not recognised by the medical authority in the country.

Doctor jobs in South Africa

The medical scenario in South Africa is again different from that of other countries. In the 1990s there was a huge influx of medical professionals in the country who came from different parts of the African continent. The coming of the medical professionals has hugely improved the medical infrastructure of the country.

Medical recruitment takes place with the help of locum agencies in most countries. It is important to do a meticulous research before opting for a locum agency. You need to submit your resume to an established medical locum agency when you are seeking appointment as a medical professional.

Daniel Smith is a recruitment consultant and has actively worked with locums that specialise in medical recruitment. He has in-depth industry knowledge which is apparent through his publications that focus on doctor jobs in South Africa and medical jobs in Toronto. He recommends a visit to the website http://www.globalmedics.com/ for further inform

Billing during global with different surgeons in same practice

If one surgeon does a reduction in the ED, and another surgeon in the SAME practice takes over for follow up and subsequent ORIF, how is this billed?
Is modifer 54 used for reduction, or is this modifier ONLY used when post op care is with a diffferent group?
CMS and CPT guidelines for the modifier don’t specify.
Thank you!
Cindy

Medical Billing and Coding Forum

Subsequent Hospital Care & Hospital on same day but 2 different providers

Question: Is it okay to bill 99232 (inpatient subsequent hospital care performed by Dr.A) and 99238 (Hospital discharge services performed by Dr.B) on the same day? These codes are billed by two different providers of different specialies and using different dx codes. My impression from the below is yes but I’m looking for a second opinion as another coder and I disagree.

Per CMS: 30.6.9 – Payment for Inpatient Hospital Visits – General, "C. Hospital Visits Same Day But by Different Physicians

In a hospital inpatient situation involving one physician covering for another, if physician A sees the patient in the morning and physician B, who is covering for A, sees the same patient in the evening, contractors do not pay physician B for the second visit. The hospital visit descriptors include the phrase “per day” meaning care for the day.

If the physicians are each responsible for a different aspect of the patient’s care, pay both visits if the physicians are in different specialties and the visits are billed with different diagnoses. There are circumstances where concurrent care may be billed by physicians of the same specialty."

https://www.cms.gov/Regulations-and-…ds/R2282CP.pdf

Medical Billing and Coding Forum