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

CPC Practice Exam and Study Guide Package

Practice Exam

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

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

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

Do you use your local MAC to see last visit

I am wondering if anyone uses there local MAC to look up patients to see when they had there IPPE or Initial/Subsequent Wellness Visit? In the MLN booklet put out by Medicare it says you can check AWV eligibility information through HIPAA Eligibility Transaction System(HETS) or through the provider call center Interactive Voice Responses (IVRs).

Does anyone have experience doing this and do you feel as if it is effective? I’m trying to find a better way to make sure we are capturing the correct level of service when we do our HCCs. Noridian is our carrier.

Thank you.

Medical Billing and Coding Forum

Healthcon leadership training – last day to rsvp for a poster board!!

Attention AAPC Local Chapter Officers of Region 1!
As in previous years the AAPCCA will be hosting a leadership session for all chapter officers and those members interested in learning more about being a chapter officer. This year the session will be held on Saturday, April 27th from 5:30 pm to 8:30 pm in the AAPC convention area at Caesars Palace. If you haven’t signed up and would like to participate click the HealthCon agenda page http://www.healthcon.com/agenda.php. Click on additional events and register for the officer leadership training. The events will also be posted on the 2019 officers only Facebook page. As always, there is no additional charge to attend this training and those who attend will receive 3 CEUs, a wealth of information and the opportunity to network with other officers.

Again this year we will be offering the local chapters the opportunity to do a poster board display. Show us how your chapter shines! Highlighting your chapter’s achievements and accomplishments gives other chapters the opportunity to see your successes. Feel free to bring any photographs and/or templates that you’d like to incorporate into the design of your board. Everything you bring should be flat, light-weight and small enough to easily fit in your luggage. The majority of your display should be planned out ahead of time to fit these dimensions.
The AAPCCA Board of Directors will supply the following items:
• Tri-fold display 36”tall X 48” wide
• Tape
• Scissors
• Markers
• Construction paper

Supplies will be available for pick up immediately after the Officer Leadership Session. Please see either Lynda Wetter or Gina Piccirilli. Exceptions will be considered only for only those arriving after the leadership session on the 27th and should be coordinated with Lynda by e-mailing her directly.

RSVP is necessary and required to ensure we have the materials needed for everyone.

Please designate one of your officers or members as the point person and to RSVP by March 27th to [email protected] with the following information:
• Name of Attendee:
• Contact e-mail:
• Cell Phone Number:
• Chapter Name/State:
• Arrival Date:

Display boards will be dropped off at a location to be determined. Additional information will be available when picking up your materials and will be added to the event on the Facebook page.

We all look forward to seeing you at HealthCon!

AAPC Chapter Association Board of Directors

Medical Billing and Coding Forum

DOS when services last more than one day

Did anyone else read the HBM December 2017 issue that states on page 26 that the correct DOS for a multi day procedure is the date of conclusion?
The example given on the test yourself was : Start 1135pm on Oct 31 / End 150am on Nov 1

Normally, I would have chosen the DOS to be 10/31; however per this article (& test) it should be 11/1.

What are you using? The date of starting time or the date of end time?

This totally blew my 22 years of experience out of the water. Have I been mis-informed for all these years? :confused:

Medical Billing and Coding Forum

Date of Service When Services Last More than One Day

In most cases, the appropriate date of service when services last more than one day is the day the service concluded. Radiology services typically have two components: professional and technical. The DOS for the technical component is the date the patient received the service. Professional claims for “reading” are billed the day the physician provided […]
AAPC Knowledge Center

Meaningful Exits and Experiences to Last a Lifetime

Five AAPCCA board members say goodbye, share sentiments. AAPC established the non-profit AAPC Chapter Association (AAPCCA) to create, maintain, and sustain the infrastructure of local chapters through approachable and accountable support. The AAPCCA board of directors provides policy, rules, regulations, direction, and advice to AAPC local chapters and ensures local chapters function in accordance with […]
AAPC Knowledge Center

10 Important Breakthroughs in Medical Equipment Over the Last 100 Years

The last 100 years of medical history have seen some of the most radical breakthroughs in medical equipment technology. A large part of this was due to the exponential boost that medical science got with the advent of computer technology. These devices changed their respective medical fields completely and opened up new door for further development.

1. The Laser Scalpel

Shortly after the first laser was successfully tested in 1960, the field of ophthalmology changed completely. In 1964 the carbon dioxide laser made possible the invention of the first laser scalpel. The precision of the laser scalpel allowed it to be used extensively in the field of ophthalmology and in several different kinds of complex and highly delicate surgeries. 

2. The Portable Defibrillator

Now a mainstay of emergency health care, easy to use and almost as common as the first aid kit, the first portable defibrillator was invented in 1960 by Frank Pantridge in Belfast.

3. Ultrasound Machine

The ultrasound machine has a long development history. One of the biggest breakthrough came in 1962 when Joseph Holmes, William Wright, and Ralph Meyerdirk created the first contact B-mode scanner, a prototype that led to the first commercial, portable ultrasound scanner in ’63.

4. Balloon Catheter

In 1963, inventor Thomas Fogarty patented the first ever balloon catheter, which soon became the industry standard. It was the first medical device that allowed for continuous draining of the bladder, crucial during surgery.

5. The Jarvik Heart

In 1982, American scientist Robert Jarvik finished designing the first ever permanent artificial heart implant, the Jarvik 7. The device was made to replace the heart temporarily, for patients awaiting transplant.

6. Pacemaker

In 1950, an electrical engineer named John Hopps invented the first cardiac pacemaker. It wasn’t until the late 1950s, however that the first implantable pacemaker was created by New York researcher Wilson Greatbatch.

7. The Portable EKG

The first portable electrocardiogram (EKG) was built in 1961 by Frank Sanborn’s company, adapted from their original table model.

8. The AbioCor Heart

After the Jarvik heart, the AbioCor has been the most revolutionary advance in artificial heart technology. Created using advanced medical miniaturization technology, the AbioCor has an internal battery that eliminates the need for extra-bodily wires or tubes.  The AbioCor was meant to replace the human heart for an extended period of time and not simply between transplants.

9. CT Scanner

U.K. scientist Sir Godfrey Hounsfield invented the first commercially viable CT scanner in 1971. Since then, the CT scanner has remained the most sophisticated medical imaging tool, used screen the human body in order to diagnose or investigate an illness.

10. Fetal Monitor

Professor K. Hammacher and Hewlett-Packard started working on the first non-invasive fetal monitor in the 1960s. Their first commercially viable model came out in 1968. It became a great asset during labor, when it enabled doctors to detect fetal distress.

Medical equipment providers have experienced numerous breakthroughs over the last century. This article gives you the top ten important successes in medical equipment.

More Medical Coding Articles

2010’s Last Minute Outsourcing Deals, Acquisitions and Expansions

The year 2010 is almost at an end and prospects for the outsourcing industry still remain strong, especially in sectors such as IT and healthcare, specifically medical billing outsourcing and medical coding outsourcing.  In preparation for the year end and the coming year, many companies have been finalizing end-of-year deals, closing acquisitions, and pushing through expansion plans in a rush to end 2010 right, as well as start 2011 in a better shape than the past year.

Just this past week, notable contracts have been signed including the $ 1.4 billion outsourcing contract awarded by German utilities company, E.ON (ETR:EOAN) on the 15th of December to Hewlett-Packard (NYSE:HPQ).  HP will be providing infrastructure technology outsourcing services to E.ON where it will be managing E.ON’s data center and workplace services.  On the same day, E.ON also closed another outsourcing contract with Deutsche Telekom’s (ETR:DTE) business-customer unit T-Systems, for the management on international speech and data communications.  The agreement is slated to run for five to seven years at a reported 1 billion Euros.  Meanwhile, business process outsourcing provider Firstsource Solutions (NSE:FSL) also signed an agreement, this time on the 20th of December, with IP infrastructure and service solutions provider GENBAND.  The company will be providing GENBAND with customer services and other related operations beginning next year in January.

Several acquisitions were also announced this week, most notably the three outsourcing related acquisitions that were all announced on the 20th of December.  This includes an acquisition by outsourcing marketplace provider, Freelancer.com, who announced that it has acquired LimeExchange.com of Lime Labs LLC.  Freelancer.com will be migrating all of LimeExchange’s 2 million users onto the Freelancer.com platform.  Another acquisition is Towers Watson’s (NYSE:TW) plans to acquire Aliquant, a health and welfare benefits administration firm.  According to Pat Amendola, North American Leader of Towers Watson’s Technology and Administration Solutions, “This agreement strengthens Towers Watson’s position as a premier provider of health and welfare outsourcing, and provides greater economies of scale to help us maintain our service quality while supporting our longer-term growth goals.”  Last but not least is CSC’s (NYSE:CSC) announcement that it has acquired Virginia based IT systems and services company, CenTauri Solutions.  “With the addition of CenTauri Solutions, CSC strengthens our capabilities in providing IT services and systems integration solutions that deliver value to the Defense Intelligence Agency and C4ISR customers,” said James W. Sheaffer, president of CSC’s North American Public Sector line of business.

Outsourcing company EXLService (NASDAQ:EXLS) on the other hand, announced the official inauguration of its new global delivery center in Noida, India, which marks its first phase of expansion plans in the locality.  The expansion is slated to expand EXL’s workforce in the country by as much as 2,200 seats working in the facility.  Work in the center is slated to begin immediately with services slated towards new client acquisitions as well as the expansion of existing client operations.

With the year almost concluded and a fresh one set to start, it will be interesting to see how the outsourcing industry will fare once again.  With rumors persisting about a second dip in the market, and the precarious ongoing recovery from the global downturn, the outsourcing climate may still go either way.  But taking into account that outlook has largely remained positive, and even Accenture’s (NYSE:ACN) better than expected first quarter fiscal results for 2011, it’s easier to envision a promising future ahead for outsourcing in 2011.

Audrey B is a member of Infinit Outsourcing content writing department, one of the leading medical billing outsourcing companies in the healthcare sector with offices in US, UK, and Asia.

CPT 11056 – Last Seen Date

Hello everyone, hope you could help me to understand this claim validation edits.

A Medicare patient was seen (initial office visit) by our podiatrist and performed trim/removal of corns on right 2nd digit. An foot x-ray was performed for the right foot pain.

Reported E&M/CPT – 99203 (Modifier 25), 73630 (Modifier RT), 11056, with reported Diagnosis – M79671, M2021, M2141, M2142, L84

However, our billing system (CareCloud) rejected with a claim validation edits – DATE LAST SEEN IS REQUIRED FOR THIS PROCEDURE AND THIS PAYER. Claim was not even be able to submit to the payer without this information.

I understand that Medicare does not cover routine foot care which removal of corns and calluses is part of routine foot care, and I am expecting a denial on this procedure only. Patient does not have any metabolic, neurologic, and peripheral vascular disease, so I thought the last seen date by another MD or DO within the last 6 months should not be required for this incident. Therefore, the above claim should be able to submit without the last seen date information. I am confused by this claim edits.

If someone could explain to me this "Last Seen Date" is apply only to specific diagnosis OR this is apply to all routine foot care procedures and doesn’t matter with any diagnosis, OR this is the billing system errors? Besides, what if the patient did not have a recent visit within the last 6 months, like the above patient who had the last visit two years ago, what information I should report for the Last Seen Date?
Thank you very much indeed for any help!

Medical Billing and Coding Forum

New primary insurance last month of prenatal

Example
Patient had MVP insurance (dependent on parents ins) as primary w/Medicaid as secondary for her entire pregnancy. Last month of pregnancy she got insurance thru her employer, BCBS, while keeping the others moving them to secondary and tertiary. She only had 4 visits with BCBS, so I know that will be 59425 and 59410…but what about the fact that patient had other insurance that it would appropriate to bill as global. If i only bill the 59425/59410 to the others there will be money left on the table, but i will need EOB showing how primary processed.

Any suggestions?

Thanks in advance!

Medical Billing and Coding Forum

Telehealth Crossing Its Last Frontier in Texas

After years of litigation, telehealth may soon be fully implemented in Texas. Legislation moving through the statehouse in Austin will legalize the “modern form” of telehealth. Texas is the last state to legalize the computerized service available in the rest of the country. If this bill is signed into law, patients will be able to […]
AAPC Knowledge Center