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

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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

Medical Necessity: Is It Really Necessary?

Come to terms with payers to protect your provider’s revenue stream. “Medical necessity” is an important concept for medical coders and auditors to understand. Health insurance companies (payers) use criteria to determine whether items or services provided to their beneficiaries or members are medically necessary. As a rule, payers will not reimburse for medical procedures, […]

The post Medical Necessity: Is It Really Necessary? appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

“Grit” is Necessary to Achieve a Higher Standard

The New York Post ran a story that caught my attention regarding a recent study conducted by a research team led by University of Pennsylvania psychologist and author Angela Duckworth, PhD. Dr. Duckworth chose my alma mater, the United States Military Academy and the cadets who attended over a 10-year period, as her study subjects. […]

The post “Grit” is Necessary to Achieve a Higher Standard appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

14301 denied as not med necessary

Patient defect after Mohs was determined by surgeon to require advancement flap 14301. Aetna requested notes on the case 2 times. Notes and photos were sent to support med nec. of 14301. Aetna denied the 14301 as not medically necessary. OrthoNet advised we should have billed complex repair. (Of note, Aetna paid the ASC claim for 14301.)
Any suggestions on this one?

Thanks!

Medical Billing and Coding Forum

Not medically necessary

I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I’ve billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried appealing with medical records, changed DX to see if payment comes up. even contacted insurance several times with no satisfactory answer. However, nothing seems to work out.
I would really appreciate if some one helps me with this, thanks!!!

Medical Billing and Coding Forum

Tips and Necessary Qualifications For Becoming a Medical Lab Technician

A Medical Lab Technician is usually involved in procedurally performing laboratory tests to ascertain the conditions of the patient(s) as authorized by the Doctor and giving the feedback of test results. They are at a position to prepare the specimens of blood and other body fluids for testing and analysis or they may carry out simple automated tests under strict guidelines. You need to find how to become one? On this page you find the fundamental tips and qualifications that are necessary for you to become a medical technician.

The number one tip of becoming a Medical Technician is to like the career. This calls for not only being interested in becoming a Medical Technician because it is a well paying job or because someone is already one, but because you are prepared to handle all the complexities involved in it. A will to handle the blood samples, stool, urine and other fluids from the human body are a necessity in this profession. It is by these fluids and other tests that the Medical Laboratory Technician is able to detect drugs in the blood, tell the blood group, bacteria, parasites, microorganisms and chemicals in the samples.

Another tip is: do what you can do best, pursue Medical Technician if you find the career self satisfying. Self search yourself and find if you will cope with Medical regulations, working with a number of equipments to analyze samples taken, handling digital based equipments such as cell counters and practicing keenness in analyzing of the results.

Now, having seen the tips, what are the qualifications for becoming a medical technician? In order for you to become a medical lab technician, you will need to meet the following minimum qualifications: be in a possession of an Associate or Bachelor degree in Lab Science or be in possession of an Accredited Medical Lab Certificate. On the other hand, the individual may be required to have an equivalent education and experience qualifications as defined by ASCP in order to be eligible for the MLT/MT category. Basically, having a formal training in Medical Lab from a state recognized institution.

Author – Pankaj Gupta