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CPC Practice Exam and Study Guide Package

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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

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

Illinois Physician Settles Case Involving False Claims

Illinois Physician Settles Case Involving False Claims

The settlement agreement resolves allegations that Dr. Tolitano submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Tolitano submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service.

The post Illinois Physician Settles Case Involving False Claims appeared first on The Coding Network.

The Coding Network

Ins Refund laws for the State of Illinois

As per my understanding insurance can recoup or request refunds for the payments issued in last 18 months. I was trying to find some supporting documentation but there was nothing specifically for the state of Illinois. We have BC IDPA and BCBS coming back from 2014-2015 and taking the payments back. This is getting out of control now. Please help.

Medical Billing and Coding Forum

BMI Coding and Medicaid MCO’s (Illinois)

I need help on this topic. Recently we rolled out BMI coding on patient claims for additional bonus reimbursement from our Medicaid MCO’s. That being said, we are being met with some resistance from a few providers where this is concerned because they feel that if we are including it on the claim, that it should be addressed in the visit. I am thinking it does not make a difference because this is not a procedure code, but rather a diagnosis code. Has anyone else had any experience with this? What are some thoughts where this is concerned. We are currently adding it to all adult claims and all well child visits. I do know that it should be added to any claim where weight is addressed, which until now, also was not being done and is now. Please help! Thank you!

Medical Billing and Coding Forum

What is My Illinois Medical Malpractice Case Worth?

Please note that this article is exclusive to Illinois as all 50 states have different laws on medical malpractice including damage caps and limits on attorney’s fees.

Every Illinois medical negligence case is different. Depending on the facts of your case, you can be compensated for pain and suffering, economic damages, such as loss of income as well as loss of consortium. Loss of consortium refers to the loss of a family relationship and usually relates to married couples, where the injury causes decreased sexual activity or diminished care, companionship and/or affection.

In addition, your age, health, type of injury, amount of suffering and economic losses will each contribute to what you may be able to recover.

Another factor is location of the case. Cases in Cook County, Illinois will more likely yield a higher reward for a plaintiff than cases in smaller southern counties in the state. There are some rural counties in Illinois that haven’t had a successful medical malpractice case in several years. In many of those areas, it is difficult to find an impartial jury. Someone usually knows the defendant doctor or nurse.

Most medical malpractice cases settle out of the court and the ones that do go to trial, usually find in favor of the doctor. Even in Cook County, which is the most favorable toward plaintiffs compared to other counties in the state, has only about a 20% success rate for cases that go to trial.

Choosing the right attorney will also greatly influence the value of your case. There are certain law firms that have the track record as well as the resources to maximize the presentation of your case. For example, depending on the facts of your case, the right attorney will know which expert witnesses to retain or where to file your case to maximize your chances of getting the best result.

Certain law firms also have the respect – and even sometimes fear – of the insurance companies. Hiring the wrong firm cannot only be the difference between winning and losing but also between hundreds of thousands of dollars if you win and millions. We recommend hiring a medical malpractice attorney with a solid reputation and proven track record. It can make all the difference.

Most medical malpractice attorneys’ work on a contingency basis, meaning you do not pay unless you “win.” In Illinois, attorneys’ fees are limited to 33-1/3% of the first $ 150,000.00 recovered, 25% of the next $ 850,000.00 recovered, and 20% of any amount recovered over $ 1 million. Still, the amount is subject to review by the court, and may be increased in certain cases where the attorneys’ work involved more than the usual time and effort.

To learn more visit http://www.findgreatlawyers.com/MedicalMalpractice.htm
Michael Helfand has been an Illinois attorney since 1997 and is founder of http://www.findgreatlawyers.com/0Examples.htm the leading resource for Illinois lawyer referrals and legal guidance.

New CPC-A looking for employment in Illinois (St. Clair County)

I am a new Certified Professional Coder Apprentice from Belleville, Illinois and I have been trying to find some type of employment. My resume and references are attached here and I really want to experience the opportunity to put what I learned from the classroom/webinars to actual employment. Help is definitely appreciated beyond words.

Sincerely

Amy Wiesen CPC-A

Attached Files

Medical Billing & Coding Forum | AAPC