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

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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

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

PT/OT/ST Billing to Colorado Medicaid

I have recently started working as a coder/biller for a PT/OT/ST pediatric company. The previous biller did not stay up to date with NCCI edits. When I get denials from Medicaid because of the NCCI edits it is not always consistent. Sometimes they will pay a code set they previously denied. Has anyone else ran into these kinds of issues? I was also wondering if there are any local groups for coders/billers of PT/OT/ST that meet occasionally to go over all of the constant changes with Colorado Medicaid? Thanks in advance for any help!:)

Medical Billing and Coding Forum

California medicaid (medi-cal) progress note — start / end time

Good morning,

Does anyone know where exactly that I could find any literature on clinical documentation requirements (verbatim) regarding the "start and end" time for Mental Health services (Individual / Family) rendered to a Medi-Cal (California Medicaid) Beneficiary?

Thank you in advance.

Medical Billing and Coding Forum

Work Comp Settlement & Medicaid

Hello, If a person receives a work comp lump sum settlement and 2 years later is seen for an issue related to the work comp injury, Medicare denied the claim as Workers Comp case settled. Patient is responsible. (This is our first Knowledge it was a work comp related case), the patient also has Medicaid. Can we or should we bill Medicaid (even for denial) or should we bill to patient? I say patient is responsible…my supervisor disagrees and said to find something in writing. This is in Ohio. What are the rules on this and where might I find something in writing? Thanks in advance.

Medical Billing and Coding Forum

reporting drug wastage to Medicaid

Many of the Medicaid health plans do not have a specific policy regarding reporting drug wastage on claims. Would it then default to CMS policy if they do not have one in place? Is it ok to report both the amount given and drug wastage on one line to Medicaid health plans? CMS states that it should be reported separately on two line items with JW modifier on the drug wastage but I am being told that medicaid does not have to follow the CMS policy on drug wastage? Which is confusing to me because it is the Center of Medicare and Medicaid Services and I have always been told if the state/jurisdiction does not have a separate policy it defaults to CMS policy. Really hoping that there is a Medicaid expert out here that can please help me because I am so lost :)

Thank you

Medical Billing and Coding Forum

Batesville Lady Blamed for Overbilling Medicaid for Preferred Family Health

A previous charging assistant at Preferred Family Health has been captured on doubt of Medicaid extortion. Vicki Chisam, 65, of Batesville is blamed for purposely putting forth false expressions to the Arkansas Medicaid Program from January 2015 to Nov. 9, 2015 in the interest of the facility. The excessive charges, as indicated by Attorney General Leslie Rutledge, totaled about $ 589,000.

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