HI i need help in er coding,How i do ER coding level,its same way like E/M coding? other thing how i do medical desition making can somebody help me.
Thank you.
Thank you.
Click here for more sample CPC practice exam questions with Full Rationale Answers
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
Tag Archives: level
CPC-A DFW area-Looking for entry level coding position/health care receptionist
Recently completed CPC program and certification. I’m looking for entry level coding, health care receptionist, billing or foot in the door position with cross training possibilities to move into coding.Meyer,Julie Resume.pdf
CPC-A looking for entry level position in Phoenix, AZ area.
I’m interested in any and all leads. Thanks in advance!
3 Chronic conditions and level of service
If you have a patient who has 3 chronic conditions that are all stable and the provider doesn’t change any meds and just refills them would this be a level 99213 or does it automatically get the provider a level 99214?
Thank you
NY-based CPC-A looking for entry level medical coding or billing position
Hello,
I graduated in September from my CPC training program and passed the CPC exam in October. Currently enrolled in the online practicum offered through the AAPC to gain coding experience (and remove the apprentice designation from my credential).
In addition to my education and the practicum, I have experience utilizing EPIC and eClinicalWorks as a patient service representative.
Hoping to find a full-time position based on Long Island or in the 5 boroughs. Resume attached for consideration.
Thank you,
Denise Bowen
Time doesn’t support level selected
Hello!
I have a question…. 99215 was billed (documentation supports this code), but only 25 minutes (>50% counseling was spent with the patient). I understand that a provider can select a higher level of service when time is documented… but can time spent lower the billed service to a 99214? Or does documentation trump time in this situation?
Thanks!
Amber Wisdom CPC, CBCS
E/M level with ETOH counsel
I’m hoping someone can provide direction
Provider documents
45 minutes spent with patient and his mother, over 50% of which was face to face counselling regarding ETOH use and GI bleeding, and developing a plan of care. Mother is supportive and will help with transportation.
Provider Indicated 99215 ,
Unfortunately no screening tool was used for ETOH ie: AUDIT or DAST
HPI indicated "visit"
provider note(used in place of ROS?) is comprehensive with review of pt history of ETOH abuse ,seizure activity and GI bleed
Exam is comprehensive
I’m just not sure 99215 would be correct since counseling focus was ETOH use,however requirements to bill for 99409 weren’t met
Would appreciate some direction for this dilemma
Is there a different more appropriate code to use ?
dx codes used for visit
Anemia, unspecified type – D64.9 .
History of ETOH abuse – Z87.898 (which sounds more like ETOH dependency)
Seizure disorder – G40.909
Depression with anxiety – F41.8
Provider documents
45 minutes spent with patient and his mother, over 50% of which was face to face counselling regarding ETOH use and GI bleeding, and developing a plan of care. Mother is supportive and will help with transportation.
Provider Indicated 99215 ,
Unfortunately no screening tool was used for ETOH ie: AUDIT or DAST
HPI indicated "visit"
provider note(used in place of ROS?) is comprehensive with review of pt history of ETOH abuse ,seizure activity and GI bleed
Exam is comprehensive
I’m just not sure 99215 would be correct since counseling focus was ETOH use,however requirements to bill for 99409 weren’t met
Would appreciate some direction for this dilemma
Is there a different more appropriate code to use ?
dx codes used for visit
Anemia, unspecified type – D64.9 .
History of ETOH abuse – Z87.898 (which sounds more like ETOH dependency)
Seizure disorder – G40.909
Depression with anxiety – F41.8
Dermatology E/M Level concern
I started an audit and I have provider who keeps billing a 99214 w/69100, but per documentation I’m leaning more to a 99213, can someone verify with me please?? Having concerns in the Physical exam where it looks more of a expanded exam instead of a detailed exam and missing to put location of where the findings are located. HELP please!
SUBJECTIVE:
History of Present Illness:
xxxxx is a 68 y.o. male is seen today for follow up skin exam.
Hx of NMSC, AK.
Rough spots on nose; rough bumps on feet.
*
————————————————————————–
REVIEW OF SYSTEMS:
SKIN: No other new or changing moles.
HEME/LYMPH: No new or enlarging lumps or bumps.
*
————————————————————————–
*
OBJECTIVE:
GEN: appears well groomed; alert; oriented; pleasant
SKIN: Detailed exam of scalp, face including lids and lips, ears, neck, chest, abdomen, back, buttocks, upper and lower extremities including digits completed and are normal except:
1. Left antihelix- erythem macule -Ear
2. AKs nose
3. Stucco keratoses ankles/feet
4. Nevi – missing location
5. SKs – missing location
6. Angiomas – missing location
*
————————————————————————–
ASSESSMENT/PLAN:
*
1. BCC/SCC(ears). Discussed tx options and risks. Shave biopsy of the lesion noted above to confirm diagnosis. The procedure, risks, benefits, alternatives and expected outcomes were discussed with the patient and consent was obtained. Patient identified, procedure verified, site identified and verified. Patient and staff present in agreement. Area prepped with alcohol and anesthetized using 1% lidocaine. Shave of lesion performed. Base cauterized and bandaging applied. Specimen sent to pathology. Patient instructed in routine post-op care.
*
2. AKs. Discussed tx options and risks. He prefers efudex- apply bid x 3 weeks; reviewed how to use, sun protection, toxic to pets.
*
3. Stucco keratoses. Discussed tx options and risks. Benign. Am lactin cream.
*
4. Nevi. Discussed tx options and risks. Stable per pt; ABCDEs reviewed. Rec self exams and call with concerns.
*
5. SKs. Discussed tx options and risks. Benign. Asymptomatic. Reassurance. Call with concerns.
*
6. Angiomas. Discussed tx options and risks. Benign. Asymptomatic. Reassurance. Call with concerns.
*
Discussed the signs and symptoms of skin cancers as well as reviewed sun protection.
CPC-A looking for entry level job in Longmont, CO or surrounding area.
I am looking for employment opportunities in the Longmont, CO area. I am newly certified, completed AAPC’s Coder Certification Course as well as their Medical Terminology and Anatomy courses and am working my way through their Practicode program for experience. Any contacts and networking would also be beneficial and greatly appreciated. Thanks!
E/M Level
What level would you assign? Documentation meets all requirements for 99284 – Work-up is single x-ray, 1 PO Norco and RX Ultram on D/C DX is hip pain