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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Practice Exam

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

CPC Exam Review Video

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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

E/M Documentation for Teaching Docs Changes July 1, 2019


There is a change in Medicare policy forthcoming regarding evaluation and management (E/M) services documentation requirements for teaching physicians.

It is important to train teaching physicians, residents, and nurses who document E/M services of all changes to be implemented on July 1, 2019.

For purposes of payment, E/M services billed by teaching physicians require that the medical records must demonstrate,

1) That the teaching physician performed the service or was physically present during the key or critical portions of the service when performed by the resident;

2) The participation of the teaching physician in the management of the patient.

The patient medical record must document the extent of the teaching physician’s participation in the review and direction of the services furnished to each beneficiary. The extent of the teaching physician’s participation may be demonstrated by the notes made by the notes in the medical records made by physicians, residents, or nurses.

What Is CMS Telling Us?

The teaching physician’s participation may be documented by either the teaching physician, resident, or nurse as of July 1, 2019. This is a loosening of the current requirements, as we now may only use the teaching physician’s documentation of the participation. Documentation by the resident or the nurse of the teaching physician participation currently does not count in current documentation. But as of July 1, 2019, the resident’s and nurse’s documentation of the teaching physician’s participation will be counted.

Current attestations may not be used, as they do not include the “extent of the teaching physician’s participation in the review and direction of the services furnished to each beneficiary.” This means that current attestations will need to be extended to include free text that is specific to the beneficiary encounter, which will be different for each beneficiary.

For more Details: Click Here


Coding Ahead

E/M for Teaching Docs Changes July 1, 2019

CR11171 provides a change in policy by Medicare for the documentation for teaching physicians providing Evaluation and Management (E/M) services. The Medicare Learning Network (MLN) published an article on this. It is important to train teaching physicians, residents, and nurses who document E/M services of all changes to be implemented on July 1, 2019. To […]

The post E/M for Teaching Docs Changes July 1, 2019 appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Teaching Docs Have a New Way to Document E/M

Rules are changed for teaching physicians documenting Evaluation and Management (E/M) codes being reported to Medicare July 29, 2019. These changes are part of the Center for Medicare & Medicaid Services’ (CMS) revamp of E/M payments. This will affect medical coders and billers, especially those working in clinical documentation improvement. Changes Part of E/M Revamp […]

The post Teaching Docs Have a New Way to Document E/M appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Docs Embracing Telehealth

Telehealth adoption by physicians is way way up, a recent survey indicates.  A review of 800 physicians in December 2018 indicates adoption is up 340% since 2015.  The subjects,  two-thirds of whom practice primary care, shows that experience with video visits with patients has risen from 5% in 2015 to 22% in 2019. This is […]

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AAPC Knowledge Center

Ortho docs making rounds for other docs patients

The practice I bill for is a private practice but some of the providers do rounds at our affiliated hospital. Many times they are checking on patients that are admitted under or have had surgery with the providers from other groups. Can I bill for my doc’s visits that they do during rounds and checking on other patients? We have our own Tax ID that we bill under.

Thank you in advance.
Katie CPC, CPMA

Medical Billing and Coding Forum

Inpatient physical medicine docs diagnosis

Hi,

I am new to coding for physical medicine doctors. Many of whom, see inpatients before they are and then when they transferred to a rehab floor. My question is how to discern what is the focus of their visit. Typically, these patients have either fallen and broken an leg/arm, or they’ve had a stroke or heart attack. In my opinion, these types of physicians are not treating the underlying illness or injury, but rather the residuals- difficulty walking/malaise/dysphasia/functional decline etc… My physicians list 8-10 +diagnosis and I am not sure what to list first.
If anyone can help me to better understand, I’d truly appreciate it!

Thanks!
-Kathleen

Medical Billing and Coding Forum

800K Docs Excused from MIPS Reporting

The Centers for Medicare & Medicaid Services (CMS) sent nearly 807,000 clinicians letters excusing them from MACRA’s Merit-based Incentive Payment System (MIPS) reporting system for 2017. The lucky physicians are those with less than $ 30,000 in Medicare charges and fewer than 100 Medicare patients, or who are new Medicare clinicians.  CMS used an updated formula […]
AAPC Knowledge Center

Survey: 1 in 5 Would Switch to Docs Providing Telehealth

If you’re 35 to 44 years old and have children under 18 years-old, you’re more likely to switch primary care providers (PCP) if he or she provides telehealth visits.  If so, you’re part of 20 percent of the population who’d do so, recent Harris Poll studies indicate. The studies, commissioned by American Well, a telehealth company, […]
AAPC Knowledge Center