Click here for more sample CPC practice exam questions with Full Rationale Answers

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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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2016 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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Click here for more sample CPC practice exam questions and answers with full rationale

New at the industry need advice

Hi!

I am a makeup artist and a mom of a smart, vibrant boy. In the search for a better life for my son, I started a medical records certificate. I am three classes away from completing my Medical Records Certificate. I have to admit that now that I can see the end of this journey I am incredibly anxious about how to enter the industry and start a stable job that helps me provide for my son and me. I plan to get my CPC immediately after finishing my certificate. I have no experience in this field, and I will appreciate any advice on what to do to accomplish my goals. Ultimately, I will love to be a medical coder and be able to work remotely, giving me some flexibility to take care of my son and being able to support him. Please help!!

Medical Billing and Coding Forum

Need Tips on Getting Hired at Doctor’s office

Let me start off with my journey… it has been a long one.
I started pursuing medical billing and coding in 2013 and finally got a Claims job last year, only to be laid off this year. I have experience in claims, Accounts Receivable, and sending medical records by mail and electroncially, and as a health and life benefit administrator (dealing mainly with eligibility).

I’m certified as a CPC ( did the online program to get the A off) and have the ICD-10-CM certificate of proficiency. I have to other smaller certifications related to medical billing and coding.

Am I qualified to do medical billing and coding in a specialty office, or medical insurance verification?

I don’t want to come across as whiny or sarcastic. I’m serious and somewhat frustrated. It took me so long to get to claims and I feel like I have to sort of start over. What are managers looking for? I absolutely love dealing with billing and medical insurance. I would love to code. This is my dream job.

Am I getting too easily frustrated? I feel like the doors keep shutting and I have applied eveywhere possible near me.

Medical Billing and Coding Forum

Rusty and need help…please!

Hi there

Three years away from CT surgery and I am rusty! It’s coming back but I feel ‘off’ on this report. I’m not sure about the 19271 and I feel 32507 is wrong because doc states chest wall tumor and resection. I would really appreciate some help and feedback on this.

19271
32220
32480
32507? or 32505
39401

Right LL cancer – C34.31

Patient has Medicare so I did not bill for thoracoscopy since doc converted to thoracotomy and if I remember correctly, MC won’t pay for that; they will pay for the open procedure only.

Mediastinoscopy with multiple mediastinal biopsies.
2. Right thoracoscopy with lysis of adhesion.
3. Right thoracotomy with complete decortication of right lung.
4. Right lower lobectomy.
5. Wedge resection, right middle lobe.
6. Resection of chest wall tumor with neurovascular identification and preservation and reconstruction of chest wall.

BRIEF OPERATIVE REPORT:
Following delivery into the operating room and placement in a supine position on the operating table and successful induction
of general anesthesia with placement of an endotracheal tube by the anesthesiologist, the appropriate monitoring devices were
established and the patient was positioned in the mediastinoscopy osition and his neck and anterior chest were prepped and draped in the usual sterile manner. The skin incision was made 2 fingerbreadths above the sternal notch using a #10 scalpel to cut down through the skin, and subcutaneous tissues were divided using electrocautery in a coagulating mode until the anterior mediastinum was entered. The anterior mediastinum was entered using blunt finger dissection and the mediastinoscope was inserted. The mediastinal nodes were removed and sampled and sent to Pathology from level 7, level 4R, level 4 L, and level 2L lymph node stations. All frozen sections from the biopsies of the mediastinal nodes were negative. Hemostasis was demonstrated and the wound was closed with 2 layers of 2-0 Vicryl followed by a running 4-0 Monocryl skin closure followed by Steri-Strips and clean sterile dressings. The patient was then repositioned in the lateral thoracotomy position with the right chest up. The patient’s chest was reprepped and draped in the usual sterile manner and a skin incision was made in the 8th interspace using a #10 scalpel to cut down through the skin, and subcutaneous tissues were divided using electrocautery in a coagulating mode until the pleural cavity was reached and entered. The thoracoscope was inserted. There were some adhesions of the lung to the chest wall, which were able to be lysed thoracoscopically; however, the tumor itself was large and adherent to the chest wall and it was felt that a thoracotomy incision was warranted. Thus, a thoracotomy incision was made using a #10 scalpel to cut down through the skin, and subcutaneous tissues were divided using electrocautery in a coagulating mode until the pleural cavity was reached and entered. A chest retractor was placed. The tumor was able to be removed away from the chest wall chest wall, and the chest wall where it was attached to was resected under direct vision after the neurovascular bundle was identified and preserved. The specimen of the chest wall was sent to Pathology. The resected site of the chest wall was repaired using silk sutures.

Then, attention was directed towards doing a right lower lobectomy and control of the vasculature on the bronchial stumps
was obtained using multiple firings the Power-Echelon stapling device. The lower lobectomy was performed. The tumor itself was also adherent very closely to the middle lobe. It did not appear to be grossly involving the middle lobe; however, it was very close to it. The staple line was at that junction and thus it was decided to do a wedge resection of the middle lobe at this area as well. This was performed without difficulty and hemostasis was demonstrated. The lung was inspected where the
decortication had been performed. The decortication was performed when we first entered. Complete decortication of the
entire right lung had been performed because there was a reactive peel encasing and involving the lung. This was very filmy in nature and a small piece of it was able to be obtained and sent to Pathology. The remainder was able to be disrupted without difficulty, but great care was taken to avoid injury to the underlying lung parenchyma. Hemostasis was again demonstrated upon completion of the case and air leak was checked for and none was visible. A #36 straight chest tube was inserted under direct vision and secured using a pursestring and stay suture. The ribs were approximated with multiple #1 Ethibonds in a figure-of-eight fashion. The fascial and muscle layers were approximated with multiple layers of 0 Vicryl followed by 2-0 Vicryl followed by a running 4-0 Monocryl skin closure followed by Steri-Strips and clean sterile dressings. Needle, sponge, and instrument counts were correct for all aspects of the operation. The patient tolerated the procedure and was to be delivered to the Postanesthesia Care Unit on the way to the Intensive Care Unit in stable condition. The estimated blood loss was less than 10 mL, and there was no blood or blood products required for transfusion Intraoperatively.

Medical Billing and Coding Forum

The medical alarm systems- you really need them

With increasing rate of health risks among the people, the need of medical alarm systems is really getting prominent these days. Each day a large number of patients are admitted to the medical care centers, a majority of them being suffering from illness and sudden attacks. Such conditions are really getting venerable among the people especially among the senior citizens. And to such immediate emergency calls the medical alarm systems offers the most viable solutions.

Medical alarms can be seen similar to mobile communication devices but these are more potent than the mobile phones, as they are easy to install and operate and the user don’t have to search the call list to look for the emergency call number. With the medical alarm systems you can simply call to the emergency medical alert center with the push of a button. Each day we can see a number of people who die, not because they suffered from any serious medical condition, but they were unable to call for help, when the emergency arose. Just that few minutes, if he was able to call for help his life would have been saved. And the medical alarm system is the answer to such emergency calls.

All those who are subjected to serious health issues and those who demand constant monitoring of their health conditions can be benefited from these medical alarm systems. The medical alarm systems are the best option for the senior citizens as well. The elderly alert devices are an integration of a number of gadgets that keep the senior citizen connected to the emergency health care servicemen. When ever any emergency occurs, the user has to press the panic alert button and the user will be connected to the emergency response center, where he will be in a direct interaction with the person sitting in the emergency response center. The person can inform the type of situation he is in and accordingly the emergency health care center will inform the neighbors and the concerned family members. And also the nearby emergency health care center will also be informed. With in the few minutes the team of health care experts arrives at the spot and the first aid is provided and if needed the person is even taken to the hospital.

Alex Stuart is associated with Lifelink USA that is a dealer of Medical Alarm and Medical Alert services in United States

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When Do You Need a Medical Malpractice Attorney?

Have you been the victim of wrongful medical treatment or is it your family member who has been treated in the wrong manner? No matter what the disease is, if someone has been the victim of medical malpractice in Ohio, the law ensures that the person gets justice. You can file malpractice lawsuit against the health care professional or the institute responsible for your suffering.

However you need to know that the practitioners often face such allegation. Therefore they maintain personal liability insurance. Not only that, they also appoint lawyers to get rid of such lawsuits. So you need to be well prepared before taking legal action against a doctor. Facing his or her lawyer will not be an easy task. Convincing the judge to take decision in your favor is even more difficult. So it will be better to hire a medical malpractice lawyer than taking things in your hand.

This kind of lawsuit will definitely be expensive but it will pay off. Your investment will be worth when you get the highest possible compensation and only an experienced lawyer can ensure that you get a good deal of money as compensation. If you wish to win the case it is absolutely necessary that you choose the right lawyer to handle your case.

Many people are unaware of the law and file a lawsuit without even knowing whether it is a valid case or not. If you don’t have strong evidence that your doctor is guilty even the best Ohio Medical Malpractice Attorney will not be able to win your case.

There are cases which give you no result though the doctor has made a mistake. So you need an expert to be on your side to guide you and tell you whether your case is at all valid. For example if your doctor has failed to offer desired result in a voluntary cosmetic surgery the law will not held the doctor liable for it. The doctor has done the surgery at the request of the patient. So the judgment will definitely go in the favor of the medical practitioner. Your lawyer can save from this kind of hassle by explaining that your action is absolutely meaningless.

It is nothing unusual to find people who have filed a case only to discover that they are going to get nothing out of it. Therefore before filing a case it is crucial to ensure that the doctor is at fault. Go ahead when you are absolutely sure that the doctor is guilty.

Hiring an experienced attorney will help you to go through the complicated legal procedure. He will save you from filing an unreasonable case and make sure that you win the case if you deserve justices.

Charles Johnson is a medical malpractice lawyer who writes articles on various topics including Ohio Medical Malpractice Attorney . To know more about medical malpractice laws he recommends you to visit: http://www.smglegal.com/practices/Medical-Malpractice/

Need Opionion on Shared Services

I would like to get a second opinion on whether or not this is enough documentation to code under the physician’s NPI? The NP provided a very detailed note and stated that she and the doctor both saw the patient.

"I personally saw and examined the patient with ARNP in heme onc div. Please review her note for complete details.
Patient has been diagnosed with metastatic gastric cancer and agreed to proceed with therapy.
Also plan to do PRN paracentesis for malignancy ascites."

Thanks
KJLamm, CPC

Medical Billing and Coding Forum

Need payment information for combination Valve replacement with CABG

I work mainly as a coder and auditor, so it’s been quite a while since I’ve dealt with the reimbursement side, but I’ve been asked a question that I can’t find an answer for. When performing multiple procedures, the primary procedure is paid at 100% of the fee schedule and each subsequent procedure is paid at 50% of the fee schedule per the MPFS. Is there an additional reduction with Valve replacements and CABG done at the same time? I seem to remember an additional reduction to the CABG codes was also done, but I can’t find any documentation from Medicare (or any other payer) that explains reimbursement for these combined procedure situations.

Any help will be greatly appreciated!

Medical Billing and Coding Forum