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

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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

Surgeon proctoring hospitalist

I have a surgeon who proctored a hospitalist that is going to begin putting central lines in. The surgeon didnt dictate a note, she just stood there and was scrubbed in Incase she was needed. The hospitalist was able to get the line in with no issue. We aren’t a teaching facility and I’m just trying to find out what options the surgeon could have? She was questioning if this is something we can bill for?

Any help would be appreciated as I haven’t come across this yet.

Thank You

Medical Billing and Coding Forum

Hospitalist performing visit at I/P psych facility

We have a group of hospitalists (NPs) who perform medical evaluations (H&P) at an inpatient psychiatric facility. We are billing E/M codes 99221-99223 for the H&Ps and the psychiatrists are billing their psych codes. Our diagnoses are primarily medical. However, in a lot of cases the patient has no chronic illnesses therefore we have to use a mental health diagnosis. Both services are done on the same day. Is it appropriate for the hospitalists to bill 99221-99223? Or would it be more appropriate to bill a consult code? Please advise. If you can direct me to more information, that would be appreciated.

Medical Billing and Coding Forum

Hospitalist out of network

I’m hoping someone can help me about a debate at my job.

We are out of network hospitalists group &
some say since patient is seen in hospital, then we should get paid in network ( which I know is not true, since we have no contract with insurance)
others say since we are out of network, we can bill patient the balance.

I need to find somewhere in writing so I can explain to staff. Can someone provide me with rules/laws in florida to when we can balance bill patients.

Thank you :)

Medical Billing and Coding Forum

Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $4.2 Million

Along with 14 of its member shareholders, Fredericksburg Hospitalist Group has agreed to pay nearly $ 4.2 million to settle a federal False Claims Act case brought under the qui tam whistleblower provisions of the FCA.

Read the full story here!

The post Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $ 4.2 Million appeared first on The Coding Network.

The Coding Network

Richmond Hospitalist Group Settles Federal FCA Case

Fredericksburg Hospitalist Group, located in Richmond, VA, and fourteen of its member shareholders have agreed to pay nearly $ 4.2 million to settle a federal FCA case brought under the “qui tam whistleblower” provisions. Dana J. Boente, U.S. Attorney for the Eastern District of Virgini, said, “Rooting out fraudulent billing by healthcare providers is a priority. This office will continue to pursue such matters vigorously.

 

Read the full article here: https://www.justice.gov/usao-edva/pr/fredericksburg-hospitalist-group-pays-42-million-settle-civil-fraud-case

The post Richmond Hospitalist Group Settles Federal FCA Case appeared first on The Coding Network.

The Coding Network

Hospitalist and locums.

We have had several Hospitalist physicians leave our practice. We have been bringing in locums to fill in for the same physicians. Now that 60 days is completed, we cannot bill the locums under the providers that have left. We have started credentialing the long term locums. My question is…..Can you bill a ‘temporary’ locum under a ‘long’ term locum since they are credentialed with the hospital, put not employees of the hospital? Has anyone else had this issue?

Medical Billing and Coding Forum

Hospitalist care during post up 90 surgeon global period same taxonomy

I am coding for a Hospitalist group and having terrrible trouble with denials during our surgeons post op period because they all fall under the same taxonomy #. The Hospitalist group usually gets called in for post op consults and subseq. visits during our orthopedic and general surgeons post op 90 day global period usually following for HTN or Diabetes care ect. while in Inpatient care. BCBS has told us to use Mod 24 or Mod XP but I do not feel either of these are appropriate; different physician and is not Mod 59 appropiate on an E/M so why would I use X modifier. Up until recently I would have follow up appeal stating different specialties and different Dx used. Any help as soon as possible would be greatly appreciated!!!!!!!!!!!

Thank you for your time,

Medical Billing and Coding