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

New Medicaid Option Promotes Mobile Crisis Intervention Care

Mobile crisis intervention services deliver fast, appropriate care to individuals in crisis and help to avoid unnecessary, costly ER visits and hospitalizations. In an effort to expand behavioral health support in communities, the U.S. Department of Health & Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced Dec. 28, 2021, that […]

The post New Medicaid Option Promotes Mobile Crisis Intervention Care appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Mini-poll: Which option best describes the type of facility for which you primarily code?

Which option best describes the type of facility for which you primarily code?

  • Large hospital or healthcare system (more than 300 beds)
  • Medium-sized hospital or clinic (100-300 beds)
  • Small hospital or clinic (fewer than 100 beds)
  • Critical access hospital (fewer than 25 beds)
  • Provider-based clinic
  • Physician’s office

Vote here

Last week’s mini-poll 

Does your hospital have an inpatient or outpatient clinical documentation improvement (CDI) program?

  • Yes, we have a CDI program that reviews inpatient records: 66%
  • Yes, we have a CDI program that reviews inpatient and outpatient records: 10%
  • Not applicable, I work in a physician office setting: 12%
  • No, we do not have a CDI program: 13%

Thank you to the readers who participated in last week’s mini-poll!

HCPro.com – JustCoding News: Inpatient

Medical Billing Software – How to Be Sure You Are Getting the Right Option For Your Business

When you are looking for the right medical billing insurance software package that will be perfect for you, you have a relatively daunting task ahead. There are many things to take into consideration when contemplating a purchase of this type of software. There are hundreds of different packages available with many features that can make your purchase confusing.

HIPAA (Health Insurance Portability and Accountability Act of 1996) guidelines ensure that patients rights must be protected. You must find software that will allow that to happen. Making the right choice can be a huge factor in the success of your business and how efficient your business is.

Many times, there are significant hidden costs to consider when looking at medical billing software. Some of these hidden costs can be:

Managing Databases
Frequent Software Crashes
Software Backups
Upgrades

You must keep these costs in mind when you are looking for the right software.

Price, ease of use and dependability of the software are a few other things you should consider when looking to make this purchase. Do some research and make sure the software is up to date. Make sure it is going to fit the needs of your particular situation.

In the past, many medical billing software programs ran on a client/server based system. What this means is the system was “in house” on the client’s server. Now, many of the options available are internet based applications.

Client / Server based applications appear to be more secure, thus insure privacy and security, however, this can be costly when you add in the fact that anyone working on the software must be present where the server is. The internet based systems are more portable, thus allowing your work force to basically work anywhere outside the confines of a physical location. When considering an internet based solution, you must be sure that the security is present in that type of software. Otherwise, you could be in violation of the HIPPA laws. These laws were enacted for a reason and are taken very seriously.

Bottom line, finding the right medical billing software program is a key aspect to having a successful business in this field. This is not a decision to be made lightly. Weigh the cost of the software program against the revenue that you will make by using it over time. Be sure to deduct any upkeep, upgrade and repair costs. You will need to do your research and find the best fit for you.

George Edmondson is an accomplished writer on Medical Billing Software. For more information on Medical Billing Software please visit http://www.thebillingsystems.com

Related Medical Coding Articles

Offshore medical transcription is a smart option

The medical transcription industry has seen new heights of success and has become one of the most sought after businesses. People have realized how profitable and lucrative it can be as a career option and hence a large number of people have been flocking towards this field. The health care and medical industry has largely benefitted due to the advancement of transcription companies as it takes a huge load off the shoulders of medical professionals who can then devote all their time taking care of their patients, looking after their needs and monitoring their progress. All these things put together has made Offshore medical transcription extremely desirable.

Offshore medical transcription provide their esteemed clients with high quality projects as they understand the need of their clients and understand what an important job it is. The clients expect much more than what they hope for and these qualities have been carefully noted by firms abroad too. They thus find it extremely desirable to outsource projects to India as they get projects that are devoid of any error and they get their transcriptions done at extremely cheap rates since there is a huge difference between the currency rates of India and the other countries that outsource work here.

Offshore medical transcription companies are a smart idea in actuality since they provide easy, professional, efficient and affordable services. If you wish to set up your own transcription unit in your medical institution, it will require a lot of time and efforts. You will firstly have to get all the expensive equipments, get labor force and give them adequate training and teach them to transcript projects before your unit can become fully operational. Instead if you simply outsource your work to a transcription company, all your work will get done at less than half the total amount you would have had to pay to set up your own unit.

Offshore medical transcription companies are at par with the latest technology and have an amazing infrastructure and their machines are up to date too. This means that the projects are almost flawless and yet the professionals double check the same to ensure that the client doesn’t suffer at all. This ensures that they are reliable and can be trusted by the clients.

Acroseas is a global provider of Transcription services & has been providing top-of-the-line transcriptions services to our clients worldwide. For more info – please log onto www.acroseas.com

More Medical Coding Articles

Solid Spirometry Coding Option

When coding for spirometry testing, it is necessary for you to know the difference between the more common coding options. You should always ask that one important question that can turn your selection process into a success: ‘Which of the spirometry codes do I need to include in my claim, and which of them should I get rid of?”

Here’s a scenario: An established patient presents to the office for a follow-up visit experiencing mild dyspnea where she was given a nebulizer or inhaler treatment. The pulmonolist also evaluates the patient’s respiratory status at that visit to determine the cause for dyspnea.

Do not leave out the possibility of reporting 94664. Sometimes patients who use inhalers on a regular basis need to learn how to use the device properly. If the staff ran a demon on how to use it the right way, you have the option to report 94664.

Here’s an example: A pulmonolist implements a care plan for a patient with asthma using Advair Diskus, an ‘aerosol generator’. After this, a nurse shows the patient how to use the device:

You should report 99201-99215 for the office visit and 94664 — minus a modifier.

Modifier 25 is not important when reporting 94664 with an office visit as CMS indicates that this modifier applies only to E/M services carried out with procedures that carry a global fee. CPT code 94664 doesn’t have a global fee.

Safety measure: Since some payers would still/ need appending modifier 25 to an E/M when carried out with 94664, it is important that you check with insurers about their policy. The medical staff may administer a medication dose to a patient during the teaching session. In this instance, you should report the most comprehensive service. When dose is administered as part of a demonstration, its intent without a doubt is to teach the patient. Therefore, reporting 94664 is more apt. When the intent is to deliver a medication dose to someone who’s having trouble breathing, go for 94640 instead.

For further information on this, sign up for a medical coding guide like Supercoder.

We provide you simple, instant connection to official code descriptors & guidelines and other tools for 2010 CPT code, HCPCS lookup that help coders and billers to excel in the work they do every day.

urgent care setting : number of diagnosis or treatment option

Hello!

Care to share any info regarding the point system for the number of diagnosis or treatment option in marshfield clinic tools on how to come up with points in each categories.

If you can provide links to refer to that would be much appreciated.

Thank you.

Medical Billing and Coding Forum