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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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New Monkeypox Codes Effective Immediately

The CPT® Editorial Panel approved 2 vaccine codes and 1 lab code. In response to the monkeypox outbreak, the American Medical Association (AMA) has published three new CPT® codes, effective July 26, 2022, to report lab testing and vaccination. Learn the Lab Code Labs should get familiar with 87593 Infectious agent detection by nucleic acid […]

The post New Monkeypox Codes Effective Immediately appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

New COVID-19 Test Codes Effective Immediately

Just when you thought you had all the COVID-19 coding for laboratory testing figured out — hold the phone — there are three new CPT® codes. These newest codes are effective June 25, 2020. CPT® Code Long Descriptor 0223U Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets […]

The post New COVID-19 Test Codes Effective Immediately appeared first on AAPC Knowledge Center.

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COC, CPC, CCS-P, CANPC, CCVTC immediately searching for next medical coding position

VINOD C MODY JR.
6154 BLACK MALLARD PL
EL PASO, TX 79932
(678) 427-6511
(915) 642-4269
(915) 307-5405 (Fax)
[email protected]
Career Objectives
To obtain a position in medical coding, medical research, and medical training
Summary of Qualifications
I am a medical coder with 4 years of medical coding experience and specialization in anesthesia and pain
management coding and cardiovascular and thoracic surgery coding. I am a twenty-years’ experienced medical researcher with medical training.
Work History
Texas Health Resources, Texas
TalentMine assessment questionnaire trainee Apr 15, 2018
Completed TalentMine assessment questionnaire. I have ambitious motivation, am an adaptable team player, responsible executive.
Self-employed; Suwanee Press, SUWANEE, Georgia
CANPC coding published book author Feb 01, 2018
Published a CANPC coding book as an adjunct to AAPC’s CANPC study guide
ISBN nr. 9781947333024
ISBN10 194733302X
The book will be available from Google Books.
2019 CANPC study guide supplement planned.
YMCA, Texas
Sports official volunteer May 05, 2017
Volunteering by playing tennis, walking on track, and working out in the health club.
Horizon 2020, Texas
Medical research trainee Sep 15, 2016
Completed surveys and published two papers on Framework innovation technology.
Vanderbilt University, Tennessee
CoRPs volunteer Jun 15, 2016
Duties include interviewing Vanderbilt University undergraduate students.
American Academy of Professional Coders, Salt Lake City, Utah
CANPC/CCVTC coding lecturer Sep 15, 2015
Prepared and presented multiple lectures in cardiology coding, CANPC anesthesia and pain management coding,
CCVTC cardiovascular thoracic surgery coding to an AAPC local chapter audience.
Southwest University, El Paso, Texas
CANPC/Cardiology/CPC coding lecturer Jun 26, 2015
Prepared and delivered multiple lectures in CPC coding, cardiology coding, and CANPC coding to a student audience. Preparing CPC coding study guide book with Yasenia Ceniceros, CPC.
India Temple, New Mexico
Volunteer Jun 01, 2014
Lit candles, played devotional music, arranged prayer functions.
Harvard Risk Management Corporation, Dallas, Texas
Contract Salesperson May 15, 2014
Training, preparing sales flyers, preparing webinars, distributing webinar flyers, selling products
Farooq Jivani Agency, Norcross, Georgia
Customer service representative Jan 03, 2014
Handled customer service and policy payment.
United Health Group, Minnetonka, Minnesota
Remote medical coder Apr 09, 2018 – Apr 10, 2018
Medical coding training.
Optum, Eden Prarie, Minnesota
Remote medical coder Apr 09, 2018 – Apr 10, 2018
HIPAA training, fraud and waste abuse training, code of conduct training, Optum Gemstone medical coding training.
Mesa Hills Specialty Hospital, El Paso, Texas
HIM Coder May 26, 2017 – Jan 19, 2018
Perform inpatient coding
Handle 32-bed service as a medical coder
Handle case management for DRG analysis
Handle medical records patients charge, progress notes and discharge summaries
Enter ICD-10-CM diagnosis coding and PCS procedure coding data into HCS
TXHIMA, Texas
CANPC Anesthesia coding webinar presenter May 01, 2017 – May 16, 2017
Prepared and presented a video-presented CANPC Anesthesia and pain management coding roundtable webinar for TXHIMA.
Signature Staff Resources, Miami Lakes, Florida
Remote medical coder and auditor Jan 05, 2016 – Apr 05, 2017
Medical coder refresh training and compliance training for Altegra Health
Emory Healthcare, Georgia
Health administration trainee May 15, 2016 – Jun 15, 2016
Produced Major Healthcare Processes Powerpoint slide.
NP Health Resources, Dallas, Texas
Remote medical coder and auditor Jan 05, 2016 – Apr 25, 2016
Medical coding training and medical compliance training in step 2 of the hiring process for NP Health Resources through Altegra Health. ICD-10-CM coding with HCC software
HGS USA, LLC, Peoria, Illinois
Remote medical coder Sep 22, 2015 – Feb 15, 2016
Medical coding of charts for inpatient and outpatient coding for four hospitals throughout USA, utlization of medical coding and medical records database software including Cerner, Dolby, Powerchart, and Encoder, worked for new client Florida Hospital
McKesson, Atlanta, Georgia
Unpaid E&M medical coding trainee Dec 01, 2015 – Jan 01, 2016
Performed medical coding including CPT, HCPCS II, and ICD-10-CM on 30 charts for E&M Round 1.
Cisco Systems, Georgia
Six sigma trainee Oct 01, 2015 – Nov 15, 2015
Produced Six sigma block chart slide.
Georgia State University, Atlanta, Georgia
Freelance medical researcher Oct 15, 2011 – Sep 22, 2015
Performed medical research on the preventive health benefits of phytochemicals which serve as antioxidants against the development of cancer and cardiovascular disease
Karolinska Institutet, STOCKHOLM, Sweden
Guest medical researcher Jun 05, 2008 – Jun 15, 2012
Prepared manuscripts on ultraviolet radiation cataract projects for the group of Dr. Per G. Soderberg, published paper on ultraviolet radiation cataract development for guinea pig maximum tolerable dose (MTD)
Sweden ships, Sweden
Ship riding participant Jan 02, 2003 – Jul 23, 2008
Ship riding in over fifty ships in the Scandanavian seas.
Karolinska Instututet, Stockholm, Sweden
Medical Researcher Oct 02, 2000 – Jun 05, 2008
Ophthalmology research
Ascorbate in the ocular lens (Licentiate thesis)
Ultraviolet radiation cataract development and ascorbate supplementation (Ph.D. thesis)
Developed method for lens ascorbate measurement utilizing homogenization in metaphosphoric acid, ultrafiltration, and HPLC with ultraviolet detection.
Published several papers.
Presented at ARVO, EVER, ISIR, and regional Swedish conferences.
Served as editor on three scientific journals.
National Board of Examiners in Optometry (NBEO), Stockholm, Stockholm, Sweden
Proctor Mar 05, 2003 – May 05, 2005
Proctored NBEO exam at a European site.
Brown University/Lifespan, Providence, Rhode Island
Preliminary Internal Medicine Intern Jun 23, 1998 – Dec 31, 1999
Clinical rounds, admitting patients, performing physical exam/history taking on patients, performing procedures on patients including blood draw and arterial blood gas, following up on laboratory results and test results, interacting with resident-in-charge and attendings, working in I.C.U./C.C.U., attending grand rounds, meeting faculty/program directors and chiefs. On COBRA.
Brown University/Lifespan, Rhode Island
Volunteer surgical researcher Sep 01, 1997 – May 17, 1998
Performed medical research on IL-4 induction of arginase activity in mouse peritoneal macrophages as a surgical wound healing model.
Yale-New Haven Hospital (Waterbury, CT), New Haven, Connecticut
Preliminary internal medicine intern Jun 22, 1997 – Aug 05, 1997
Performed inpatient rounds at Yale-New Haven Hospital and West Haven VA Medical Center. On leave of absence.
Emory University School of Medicine, Georgia
Ophthalmology researcher clinical and basic science Jun 01, 1996 – Apr 01, 1997
Performed medical human clinical and basic science research on the antioxidants glutathione, cysteine, and homocysteine in the population as related to age-related diseases as part of controls of the AREDS and ARMD eye studies. Performed phlebotomy on 100 subjects and followed a protocol. Performed chemical analyses and HPLC. Published ARVO abstract.
Emory University School of Medicine, Georgia
Basic science ophthalmology researcher Jun 01, 1994 – Aug 05, 1994
Studied ligand-binding properties of human interphotoreceptor retinoid binding protein, a protein involved in the visual cycle in the eye.
Vanderbilt University, Tennessee
Biochemistry honors researcher Aug 01, 1992 – May 01, 1993
Studied biochemical properties of the mitochondrial megachannel, a protein involved in cardiac reperfusion injury. Performed cellulose filtration utilizing bovine heart mitochondria.
Sero-Immuno Diagnostics, Atlanta, Georgia
Medical researcher on A.I.D.S. samples Jun 01, 1992 – Aug 15, 1992
Developed filter paper test kits for A.I.D.S. India HIV-2 samples. Experimented with artificial protein samples and developed filter paper A.I.D.S. test kits based on ELISA antibody color-and-intensity coded assays.
400 Hitter, Lilburn, Georgia
Corporation Vice President Aug 01, 1987 – Aug 01, 1992
Sold baseball cards ranging from years 1975-1991. 400 Hitter was advertised in baseball card magazines. Negotiated selling of baseball cards from our private collection and inventory.
Centers for Disease Control (CDC), Atlanta, Georgia
Medical researcher; inventory controller Jun 01, 1990 – Aug 15, 1991
Hired in inventory control. Worked on analysis of HIV DNA counts in patient and control samples utilizing Genprobe analysis. Performed batch results. PCR training.
Heidelberg International, Georgia
Biomedical engineering production line worker Jun 01, 1988 – Dec 01, 1988
Worked in biomedical engineering production line and quality assurance specialist, producing electronic pills for measuring pH of the stomach. The electronic pills are useful for gastroenterologist doctors.
Private tennis racket stringer, Wichita, Kansas
Tennis racket stringer Sep 01, 1983 – Sep 01, 1985
Strung rackets on purchased assembled machine from home. Successfully strung tennis rackets for the community. Bought two large coils of TOA Gold string for a string supply.
Education
Karolinska Institutet, Stockholm, Sweden
Doctoral Degree
Major: Ophthalmology
Emory University, Atlanta, Georgia
Doctoral Degree
Major: Doctor of Medicine
GPA: 3.71
Karolinska Institutet, Stockholm, Sweden
Masters Degree
Major: Clinical Science: Ophthalmology
McGraw-Hill Book Company Calculus with Analytic
Bachelors Degree
Vanderbilt University, Nashville, Tennessee
Bachelors Degree
Major: Molecular Biology
GPA: 3.95
U.S Career Institute, Fort Collins, Colorado
1 year college, technical or vocational school
Major: Medical coding specialist
GPA: 3.0
University of Georgia, Athens, Georgia
1 year college, technical or vocational school
Major: Medical coding and billing
Minor: Medical terminology, admin.
GPA: 4.0
soft schools.com
High School Diploma/GED
Major: Mathematics
Parkview High School, Lilburn, Georgia
High School Diploma/GED
GPA: 4.0
Norcross High School, Norcross, Georgia
9th Grade
GPA: 4.0
Training
Texas medical jurisprudence exam preparation May 01, 2018
Texas Medical Board
Currently studying Texas medical jurisprudence exam study guide 2016 from Texas Medical Association.
CPMA Certified Professional Medical Auditor Nov 05, 2015 – Dec 20, 2018
American Academy of Professional Coders
GPA 4.0
Earned certificate with 91% A average.
Professional Coding Practice course Apr 05, 2018 – May 02, 2018
AHIMA Academy
GPA 4.0
Completed Professional Coding Practice course covering ICD-10-CM, ICD-10-PCS, CPT, HCPCS II. Course requires passing final exam. Earned certificate in Professional Coding Practice with a 91.42% overall score for the course.
Educational hours Oct 20, 2013 – Apr 24, 2018
American Academy of Professional Coders
Educational hours from completing AAPC modules.
Basic ICD coding Part 1 Mar 01, 2018 – Apr 05, 2018
AHIMA Academy
GPA 4.0
Completed an ICD-10-CM training course covering all aspects of ICD-10-CM which requires passing of exams and final exam to pass course. Earned certificate in Basic ICD Coding, Part 1 for 45.000 CEUs with a 92% score for the course.
ICD-10-CM hematology and oncology specialty Nov 01, 2017 – Dec 29, 2017
American Academy of Professional Coders
Completed course in ICD-10-CM specialty hematology and oncology coding. Earned certificate in ICD-10-CM hematology and oncology code set training for 4.00 CEUs.
CICP course Sep 01, 2017 – Oct 15, 2017
4Med Plus
Passed intensive 50 modules course in ICD-10-CM coding requiring passing all quizzes, exams, and the final exam, which was also a certification exam. Passes course with an 86% score for 10.00 CEUs and earned ICD-10-CM Coding Professional certificate.
AHA Coding Clinic for ICD-10-CM and HCPCS Jul 05, 2016 – Jan 09, 2017
American Hospital Association
Medical coding of cases in ICD-10-CM and HCPCS from journals and key word terms.
ICD-10-CM advanced general code set training Sep 01, 2016 – Nov 05, 2016
American Academy of Professional Coders
Completed ICD-10-CM Instructional manual for advanced ICD-10-CM general code set training.
CPC Certification Study Guide 2016 Oct 01, 2016 – Nov 01, 2016
American Academy of Professional Coders
Competed CPC certification Study Guide 2016 from AAPC in ICD-10-CM, CPT, and HCPCS II coding. Completed 2014/2015 CANPC training, CANPC 2016 CCC training, 2017 CCVTC training (2016 and 2017 study guide and specialty exams), 2017 CEDC training.
ICD-10-CM cardiology specialty coding course Aug 01, 2016 – Sep 05, 2016
American Academy of Professional Coders
Completed ICD-10-CM specialty course in cardiology coding. Earned certificate in ICD-10-CM specialty cardiology code set training for 8.00 CEUs.
CPC-A ICD-10 Practicum Nov 15, 2015 – Jul 15, 2016
American Academy of Professional Coders
Performed ICD-10-CM, CPT, HCPCS II coding for 1.00 years of medical coding experience on 600 actual medical records as a practicum. The certificate earned is called Practicode Professional Fee (ICD-9-CM).
CPHRM exam preparation Feb 01, 2016 – Jun 20, 2016
ASHRM
General surgery and anesthesia coding Jan 04, 2016 – Feb 15, 2016
Greenville Technical Institute
GPA 3.00
Completed course in general surgery and anesthesia and pain management coding utilizing ICD-10-CM, CPT, HCPCS II, ASA Crosswalk, and Relative Value Guide. Earned certificate in general surgery and anesthesia coding with an overall 80% B average.
CPPM Certified physician practice manager Dec 21, 2015 – Jan 25, 2016
American Academy of Professional Coders
GPA 3.0
Earned certificate with 86% B average.
Cardiology coding course Dec 01, 2015 – Jan 05, 2016
Greenville Technical Institute
GPA 4.0
Completed continuing education course in cardiology coding. Earned certificate in cardiology coding with a 100% score for the course.
Health Data Analytics with Microsoft Excel Oct 15, 2015 – Dec 27, 2015
St. Scholastica
Earned MOOC certificate of attendance in Health Data Analytics for 10.00 AHIMA CEUs.
Coding Baseline ICD-10 Inpatient Diagnostic Nov 05, 2015 – Dec 04, 2015
Precyse University
Earned certificate of achievement in ICD-10-CM.
COC-A Practicum Jul 05, 2015 – Nov 05, 2015
American Academy of Professional Coders
Performed medical coding on 200 actual outpatient charts for 4 months of outpatient medical coding experience.
ICD-10-PCS code set training course Dec 01, 2014 – Jan 05, 2015
American Academy of Professional Coders
Completed ICD-10-PCS code set training covering all surgical procedures, procedures, and medical introductions in ICD-10-PCS.
Sales profile questionnaire trainee Oct 15, 2014 – Nov 07, 2014
CTS Sales Questionnaire trainee
Completed sales profile questionnaire which found my primary sales style to be a performer and secondary sales style to be a diplomat.
CPC-A Practicum Jun 01, 2014 – Nov 05, 2014
American Academy of Professional Coders
Performed medical coding in ICD-9-CM, CPT, and HCPCS II on 600 actual medical records as a practicum for 1.000 years of medical coding experience and 16 CEUs
ICD-10-CM general code set training Dec 05, 2013 – Jan 15, 2014
American Academy of Professional Coders
Completed ICD-10-CM general code set training in all ICD-10-CM medical coding fields. Earned certificate of ICD-10-CM proficiency.
Molecular biology and statistics Oct 02, 2000 – Jun 05, 2008
Karolinska Institutet
Participated in courses for Licentiate degree and Ph.D. degree in medical ophthalmology research for LADOK.
Occupational License or Certification
Cardiology ICD-10-CM certification exam 203 Certification
Optum360
Cardiology ICD-10-CM certification exam 204 Certification
Optum360
Cardiovascular and thoracic surgery coder CCVTC Certification
American Academy of Professional Coders, El Paso, Texas
Certificate of ICD-10-CM proficiency (4 Med CICP) Certification
4 Med Plus and Libman Education, Chicago, Illinois
Certified anesthesia and pain management coder Certification
American Academy of Professional Coders, El Paso, Texas
Certified billing and coding specialist (CBCS) Certification
National Healthcareer Association, Leawood, Kansas
Certified coding specialist-physician based badge Certification Expires: Mar 31, 2020
AHIMA, Philadelphia, Pennsylvania
Certified medical administrative assistant (CMAA) Certification
National Healthcareer Association, Leawood, Kansas
Certified national pharmaceutical representative Certification
NAPSRx, Washington, District Of Columbia
Certified outpatient coder (COC) Certification
American Academy of Professional Coders, Atlanta, Georgia
Certified professional coder (CPC) Certification
American Academy of Professional Coders, Atlanta, Georgia
Certified risk management consultant (CRMC) Certification
Harvard Risk Management Corporation, Dallas, Texas
Coding with Heart CPT for Cardiology Certification
Healthcare Business Office
General Surgery ICD-10-CM certification exam 207 Certification
Optum360
General Surgery ICD-10-CM certification exam 208 Certification
Optum360
Legalshield Certification
Harvard Risk Management Corporation, Dallas, Texas
Medical coding and billing, admin., +terminology Certification
University of Georgia, Georgia
One Call Health Access Certification
Harvard Risk Management Corporation, Dallas, Texas
Professional Coding Practice Certification Expires: Mar 31, 2020
AHIMA
Six sigma black belt Certification
Expert Rating
Six sigma green belt Certification
Expert Rating
For profit legal service contract salesperson License Expires: May 15, 2019
Texas Department of Licensing and Regulation, Austin, Texas
Computer Skills
Typing Speed: 30 Words Per Minute
• EMail Software (Outlook, Thunderbird, etc)
• Internet Browser (Internet Explorer, Firefox, etc)
• Peripheral Devices (Scanners, Printers, etc)
• Personal Computers
• Presentation Software (PowerPoint, Flash, etc)
• Word Processing Software (Word, WordPerfect, etc)
Language Skills
English – Excellent (Read Write Speak)
Hindi – Poor
Driver’s License
Class C – Standard Driver’s License
References
Per Soderberg
Professor of ophthalmology
Uppsala University School of Medicine
[email protected]
Kathleen Cahill
HIM Coder
Mesa Hills Specialty Hospital
(915) 545-1823
[email protected]
Tara Broadie
Manager
HGS USA, LLC
(609) 235-5714

Medical Billing and Coding Forum

Getting paid for LARC insertion immediately after delivery?

Will a provider get paid for LARC insertion immediately after delivery? It is my understanding that this was considered part of the global package in the past. Now, I want to make sure in Georgia that it is paid outside of the global. Can anyone assist me? Thanks!!

Medical Billing and Coding Forum

Coding & Billing: Clarify ‘Present & Immediately Available’

‘Physically present and available’ can be one of the most difficult factors to determine when confirming medical direction. You should keep these guides in mind when deciding whether your anesthesiologist’s claim still merits medical direction modifiers QY or QK.

Think about individual circumstances

Vague medical direction rules like ‘remains physically present and available for immediate diagnosis and treatment of emergencies’ allow for individual interpretation.

Defining ‘immediately available’ accurately is more than looking at the hospital’s blueprints to see how far your physician walks down the hall. Interpretation also takes each situation into account. For instance, the anesthesiologist needs to be more easily available to help during an emergency when he is medically directing an aneurysm repair versus a hernia repair.

Think about these three factors when trying to determine what qualifies as ‘physically present and available’ in your hospital.

OR Size:

Service location:

Patient condition:

Key determinant: Think how quickly the anesthesiologist could help the medically directed CRNA in the event of an emergency. If the anesthesiologist is away from the OR suite or outside the surgery department, is he ‘immediately available’ to return if required? If so, his work might still fit under the medical direction umbrella; if not, you might need to rethink his status.

Know how the factors impact coding & billing

The factors listed above will not change your code for the procedure itself, however can change the anesthesiologist’s performance modifier and his reimbursement. If the anesthesiologist personally carries out a case, you know where he is for the entire procedure and report modifier AA with the procedure code. The carrier shells out money for the entire case.

Coding gets tougher when the anesthesiologist oversees other members of the team rather than personally performs cases. If he medically directs one CRNA, report modifier QY with the procedure code; if he directs from two to four anesthetists, report modifier QK instead. Doctors who medically direct cases split the procedure fee with the other anesthetist involved.

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The Medicare Access and CHIP Reauthorization Act (MACRA), enacted on April 16, 2015, extended Medicare administrative contractor (MAC) contract terms from five to 10 years. The legislation also requires the Centers for Medicare & Medicaid Services (CMS) to publish performance information on each MAC, to the extent that such information does not interfere with contract […]
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