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

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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

Evaluate Medical Decision Making in the Emergency Department

Guidelines and auditing tools help with the decision-making process involved in coding E/M services. Selecting evaluation and management (E/M) service levels in the emergency department (ED) can be a challenge, and the medical decision making (MDM) component is particularly difficult to score. E/M service guidelines are defined separately in the CPT® code book, by the […]

The post Evaluate Medical Decision Making in the Emergency Department appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Identified Risk Factors in High Medical Decision Making for a Potential Malignancy

There is a debate between the doctors and our department:

An ultrasound was done and the patient has a 5 cm mass near her ovary. The MD is planning surgery to remove the mass, it is not known for certain whether or not the mass is benign or malignant. The MD believes that the mass is an identified risk factor because the mass is potentially cancerous. We believe that at this point, the surgery should not be given credit for high risk surgery with identified risk factors because the mass is not identified as being cancerous at this point.

I could consider this being a risk factor if the provider makes the case for it in the note, but just a mass with the potential of being malignant we do not believe to be an inherent identified risk factor.

Thoughts???? Thank you!

Medical Billing and Coding Forum

Ortho docs making rounds for other docs patients

The practice I bill for is a private practice but some of the providers do rounds at our affiliated hospital. Many times they are checking on patients that are admitted under or have had surgery with the providers from other groups. Can I bill for my doc’s visits that they do during rounds and checking on other patients? We have our own Tax ID that we bill under.

Thank you in advance.
Katie CPC, CPMA

Medical Billing and Coding Forum

ICD Shared Decision Making Requirements

Hi All
According to this NCD, every patient receiving an ICD for primary prevention will be required to have an encounter for shared decision-making using an evidence-based decision tool.

1) My Physicians are wondering what type of tool they should be using. Do you have any recommendations?

2) How do we document this? Is it something you cover in an office visit and put your discussion in the office note?

3) Do we have to scan something specific in the patients chart?

Thank you!

Medical Billing and Coding Forum

CMS making deficiency reports more accessible to the public

CMS wants to put a stronger spotlight on times when TJC and other AOs fail to find patient safety problems later discovered by CMS survey teams conducting performance checks referred to as validation surveys.

To do so, CMS has created a website that provides a graphic about the disparity rate of deficiencies found on validation surveys and then posts deficiency reports from hospitals it says have “recent substantial deficient practices.”

HCPro.com – Briefings on Accreditation and Quality

Multiple Mohs procedures making one defect

When my Mohs surgeon has side by side skin cancers and are all being treated with Mohs as separate lesions, when the procedure is done it has created one defect site. If you are treating that wound site with for example with skin substitute used for healing,can you measure the entire site as one defect? Almost impossible to differentiate each individual defect since the margins were so close they overlapped.

Shardel

Medical Billing and Coding Forum