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

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

Documentation Needed for Medication Review When No Changes Are Needed

A doctor in one of our clinics notes "0 Change" next to the medication listed on the paper E/M tool. We believe we were down-coded in an audit because of this, but cannot find any documentation of what is specifically necessary to show that he does review the medications and in the auditor’s words "makes a conscious effort" in NOT changing the patient’s medication. I am a very new coder (apprentice). Can anyone please assist me. Thanks!

Annette

Medical Billing and Coding Forum

Medication waste

I’m needing some clarification on billing for medication waste. If a patient receives 80 units of Botox and the remaining 20 units is wasted from a 100 unit vial,then I would bill as:
J0585 x80 units
J0585 x20 units JW

Now what if the insurance company doesn’t accept the JW modifier, then should I bill the above scenario as J0585 x80 units or J0585 x100 units?

Any guidance is appreciated!

Medical Billing and Coding Forum

Televisit billing codes for medication mgmt

Do you currently bill for any tele visits for substance treatment medication management, specifically for MAT (Buprenorphine, Naltrexone)? I need to find billing codes for our treatment center incase we have to provide tele visits post discharge. Do you have a resource I can look at?

Medical Billing and Coding Forum

Medication Reconciliation Documentation Requirements – Help!

Our EHR has a button the provider checks "medications reconciled". Most providers also list the current medication list in the chart note, but one provider updates the meds, checks to "medications reconciled" box, but does not include the current list of meds in the chart note.

Especially for TCM, what IS the actual documentation requirement?

Does the current list of meds need to be imported into that chart note, or does the EHR current list for reference qualify if the provider documents med rec was done?

Thank you!

Michelle

Medical Billing and Coding Forum

Joint Commission talks medication management

There was a far-ranging medication management discussion held at The Joint Commission’s 2019 Executive Briefings this September. Led by Robert Campbell, PharmD, a pharmacist with The Joint Commission’s Standards Interpretation Group, the panel covered everything from medication compounding, opioids and painkillers, and syringe use. 

HCPro.com – Briefings on Accreditation and Quality

Determining if pre and post medication adm given during an ER procedure are billable

Hello,

We are trying to determine if we are allowed to bill separately for the administration of medications prior to and after a procedure such as a laceration repair or a wrist reduction done in the ER. Often after a wrist reduction in the ER the patient will receive Zofran for nausea and Dilaudid for pain control. Any insights would be greatly appreciated.

Medical Billing and Coding Forum

Case study: How DeKalb Medical cut its overridden medication safety alerts after fatal accident

Last October, the hospital was placed under immediate jeopardy following the death of a patient with dementia. After being admitted from a nursing home, the patient was given 10 times the maximum daily dose of a calcium channel blocker, causing a fatal overdose. DeKalb Medical officers self-reported the incident to CMS and released a statement saying they “want to make sure it never happens again.”

HCPro.com – Briefings on Accreditation and Quality

Case study: Cutting overridden medication safety alerts at DeKalb Medical

DeKalb Medical was placed under immediate jeopardy following the death of a patient with dementia. DeKalb Medical officers self-reported the incident to CMS and began a series of patient safety reforms, many of which seek to reduce overreliance on technology.

 

HCPro.com – Briefings on Accreditation and Quality

Nurse visit for medication management,looking for direction

Hoping somene can help
When patients are prescribed high risk medication such as suboxone,fentanyl,or other opiates it is common practice to have those pt come in for random pill counts,presumptive urine test and or send out urine.
Typically a lot of of work goes into the visit such as supervision of sample given(suboxne pt) reviewing med list for compliance,updating Narcotic agreements by confirming or updating pharmacy information, reviweing results of urine test with Provider and queing presciption to provider (MDM),documenting patients responce to medication,such as breakthrough pain,or symptoms of withdrawal. The Nurse visits are scheulded inbetween visits with the Proivder ,which I feel is an extensin of the Providers care ,perhpas even an "Incident To"
Currently we only use the lab code 80305 for the urine as the office manager feels that is all that should be coded.When I look at the critera for 99211 I honestly feel these Nurse visits should be more than just the presumptve lab and feel we could use both the 99211 and the 80305(wen performed)however I’m new at coding and a little reluctant to rock the boat without knowing for sure
Very much appreciate help from those in the know

Medical Billing and Coding Forum