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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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Federal Judge Sentences Former Manager of Kalamazoo-area OB-GYN Practice

Federal judge sentences former manager of Kalamazoo-area OB-GYN practice.

Federal officials said U.S. District Judge Janet Neff found that Sabor was complicit in several fraud schemes committed by the practice, resulting in about $ 914,000 in false claims submitted by Urological Solutions of Michigan and paid by Medicare.

Scheme included billing pelvic muscle rehabilitation therapy using improper—and more lucrative—diagnostic codes, billing for evaluation and management (“E&M”) services that did not occur, upcoding ultrasound services, and billing for the services of an unlicensed nurse assistant.

As the government emphasized in its sentencing memorandum, ‘If you bill the government, learn the rules; if you are audited and found to be doing something wrong, rectify your practices; if a judge tells you to stop billing improperly, stop it.

Sabor was the manager of Urological Solutions of Michigan from 2007 to 2019, a mobile medical practice providing urological services to patients in their homes and assisted living facilities in the greater Traverse City, Grand Rapids, and Kalamazoo areas.

On May 15, 2020, Beyer and Susan Wright, his wife, both pleaded guilty to federal charges of health care fraud and reusing medical devices on multiple patients.

In total, they paid $ 1,260,000 for submitting or causing the submission of false claims for reimbursement to Medicare as part of numerous alleged healthcare fraud schemes.

The post Federal Judge Sentences Former Manager of Kalamazoo-area OB-GYN Practice appeared first on The Coding Network.

The Coding Network

Office Manager and Wife of Conway Arkansas Doctor Arrested for Medicaid Fraud

Leslie Rutledge, an Attorney General for the State of Arkansas, announced today that a Conway Optometrist’s Officer Manager had been arrested and charged with for defrauding almost $ 600K from the Arkansas Medicaid Program during the course of a four-year period. Attorney General Rutledge went on record saying that “Medicaid funds are crucial to assist some of our most vulnerable Arkansans.” He went on to say that those who defraud the taxpayers must be held accountable for the actions.

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The post Office Manager and Wife of Conway Arkansas Doctor Arrested for Medicaid Fraud appeared first on The Coding Network.

The Coding Network

Medical Coding Manager Explains What Job Hunting Is Like Today

Job hunting has changed drastically from 20 years ago when newspaper classified ads and personal interactions were the best way to find open positions. You would go door to door to apply, make telephone calls, and snail mail and fax resumes and cover letters to the employers. Today, you scour through thousands of job listings […]

The post Medical Coding Manager Explains What Job Hunting Is Like Today appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

12 year experienced medical coder/ manager

Roxie Sagely
49 SOUTH GREEN STREET
APT B
TUPELO, MS 38804
CELL. 731-439-6228
[email protected]

Objective: I am currently in the process of relocating to the South Florida area within the next 6 months. I have had the opportunity to gain knowledge in coding, billing, and collections over the past 12 years in the medical field as well as earning the Management position, in 3 offices with over 80 patients every day. I have had the opportunity to work side by side with a Podiatrist for the past 10 years where I began as his Assistant. We make a great team and have gone above and beyond to make sure his needs as well as our patients’ needs are taken care of to the greatest degree. I am scheduled to take the CPC Certification on March 30, 2019. I have obtained many skills over the years. I have the mindset of hard work brings success. If I am unsure of how to accomplish a goal, I will roll up my sleeves until the problem is solved. I am also willing to travel to advance my knowledge in the field and also to promote clientele. I would like obtain a position where I can utilize my skills in a challenging environment, thus achieving a high degree of work efficiency.

Skills/Qualification:
Charge Entry, payment posting, denials, appeals, referrals, Accounts Receivable, HIPPA compliance, Medical Charts, Basic A&P, Healthcare Setting, Medical Billing, Medical Administrative, Patient Registration, Collections, CPT Coding, ICD 9-10, CMS- 1500 CLAIM FORM, Superbill, Medicare/Medicaid Government Payers, Commercial Payers, DME Billing, Diabetic Shoes Billing/ Documentation, Handling Mail and Payments for Physician, Third Party Payers, Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus

Highlights of Qualifications:

• 10 years Experienced medical assistant for Podiatrist .12 years of experience in collections, aging reports, receptionist, along with all of the following skills, with a sensitive, caring, and professional attitude toward staff, patients, and their families.

• Friendly and outgoing with a pleasant manner and phone voice.

Relevant Skills and Experience:

Developed medical skills and efficiency on the job
– taking vital signs of patients
– assisting with gynecological/obstetric exams
– well-child check ups
– taking/developing x-rays
– assisting with surgery in the podiatry field such as:
o bunionectomy, ostectomy, osteotomy, plantar fascia release, excision of neuroma, tenotomy, metatarsal head resection, etc.
– cleaning/sterilizing intruments on a daily basis
– removing casts
– taking molds of feet for orthotics
– assisting with cortisone injections
– taking swabs for culture and sensitivity/ gram stain for labcorp
– fitting patients for diabetic shoes and inserts (also took care of all paperwork)

Administrative skills
– answering multiple phone lines for appointments, prescriptions, and any nursing related questions
– Filing charts/x-rays
– Confirming/rescheduling appointments
– Data entry
– Posting insurance claims
– Submitting/resubmitting claims to insurance companies
– Appealing/denial insurance claims
– Aging patient reports
-insurance follow up
-processing appeals
-denials
-correcting and rebilling claims
– researching unpaid claims
-confirming CPT and ICD9 codes
– patient Collections
– Check-in, check-out and front desk duties
– Keeping inventory up to date, supplies stocked

Work History

Dr. Bruce K. Boyd, DPM
Corinth, MS 38834
Tupelo, MS 38804
Savannah, TN 38372
2009-Present

Austin’s Shoes
Corinth, MS 38834
2008-2009

Dr. GiGi Wood Davis, DO
Savannah, TN 38372
September 2007- December 2007

Family Healthcare Associates
Adamsville, TN 38310
2003- 2007

Education and Training

CPC Certification March 30, 2019
o On the job training obtained at all places of employment
o Some college completed in ADN at Northeast Mississippi Community College

Northeast Mississippi Community College 2010-2012
Adamsville High School 1999-2004

*References available upon request

Attached Files

Medical Billing and Coding Forum

Behavioral Health Job Openings – Compliance Specialist and Payment Integrity Manager

Large Behavioral Health Payer looking for experienced candidates (at least 2-3 years) with excellent analytical skills and experience dealing with large data files, behavioral health coding/billing compliance experience for all lines of business (Medicare, Medicaid, Commercial).
Advanced Excel skills required. Coding credentials required.
Ability to audit, develop P&Ps, provide education and guidance to providers/plans a big plus.

Please send resume to [email protected] if interested.
Location preference for Latham, NY; Woburn, MA, or Remote

Medical Billing and Coding Forum

Getting First Practice Manager position

Hello all,

Hope you can offer some assistance.

I have 20 years of senior level management/leadership, managing 90+ with 12 direct reports and $ 5 million P & L. Last fall I took the CPPM exam. Happily I passed the CPPM exam on the first try.

It’s my hope to transition to Medical Practice Management from my current leadership position.

Here is my question. I’ve had some excellent interviews. However, my lack of experience as Physician Practice Manger (PPM) is getting in the way. How did those of you in PPM get your start? There are 100’s of openings, most stating they want 2, 3 or 5 years experience. Seems there must adequate supply of experienced managers, as it is so often a requirement.

Thoughts??

Thanks!

Medical Billing and Coding Forum