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

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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

CMS Loosens Provider Enrollment Restrictions

The Centers for Medicare & Medicaid Services (CMS) has announced that its scaling back on some restrictions surrounding provider enrollment in the wake of the COVID-19 outbreak. Under Section 1135 of the Social Security Act, CMS is exercising its waiver authority for physicians and non-physician practitioners (NPPs) to help expedite the enrollment process. Call for […]

The post CMS Loosens Provider Enrollment Restrictions appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

New Medicare Enrollment Application

There is a new version of the CMS-855I Medicare Enrollment Application, which physicians and non-physician practitioners may begin using immediately. Medicare Administrative Contractors will accept the previous version of the application (7/2011) through April 30, and then require you to use the new version (12/18). What’s Changed? The Centers for Medicare & Medicaid Services (CMS) has […]

The post New Medicare Enrollment Application appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Healthcare.gov Breach Compromises Enrollment Data

Thousands of consumers’ files in the Federally Facilitated Exchanges (FFE’s) Direct Enrollment pathway may have been compromised. The Centers for Medicare & Medicaid Services (CMS) said “anomalous activity” was detected in the portal on Oct. 13 and a breach was declared on Oct. 16. CMS issued a press release on Oct. 19. “At this time,” […]

The post Healthcare.gov Breach Compromises Enrollment Data appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Medicare enrollment and our NP (Help!!)

We are an internal medicine practice with one physician and one Nurse Practitioner. We do ALL of our billing under our GROUP NPI; with our Dr. being listed as the billing provider. (Our NP is listed only as the "service provider" when he sees a patient). For Medicare, I was told that we need to fill out an 855-r (reassignment of benefits) form for our NP to have him associated with our practice’s Medicare enrollment. I think because we don’t bill under the NP, this is throwing me off. He also works for another practice part time so I want to be sure this doesn’t effect his other employer’s billing.

I would SO appreciate insight and feedback as I am a new biller. Thanks!!:eek:

Medical Billing and Coding Forum

CMS Extends Enrollment Moratoria in Fraud-ridden States

Continuing the effort to prevent and combat healthcare fraud, waste, and abuse where it occurs most, the Centers for Medicare & Medicaid Services (CMS) has extended the statewide temporary moratoria on the enrollment of new Medicare Part B, Medicaid, and Children’s Health Insurance Program (CHIP) non-emergency ground ambulance providers and suppliers and home health agencies, sub-units, and […]
AAPC Knowledge Center

CMS Extends Enrollment for Those Impacted by Hurricanes and Wildfires

The Centers for Medicare & Medicaid Services (CMS) has extended enrollment periods for those impacted by 2017 hurricanes in Puerto Rico and the U.S. Virgin Islands. This gives them access to health coverage on the Federal Health Insurance Exchange and provides additional time to join, drop, or switch Medicare health and prescription drug plans. The […]
AAPC Knowledge Center

Provider Payer Enrollment Question

I work for a Medical Billing Company in West Tennessee. We have client’s whose providers are not enrolled with some payers (Medicaids, Blue Cross, Cigna, Aetna, UHC) but these providers still see patients with plans they are not enrolled with. The client’s insist that we send claims for the unenrolled plans although we probably will not receive any reimbursement for these claims.

We have Enrollment edits in place that will not allow a claim to drop if the provider is not enrolled.

I would like to know how others are handling claim submission to payers that their providers are not enrolled with. Do you drop a claim, write off, etc?

Thanks,
TFaircloth

Medical Billing and Coding Forum