But we have some new additions to this year’s list, including retained surgical items and patient lift systems. BOAQ spoke to several experts on the top 10 issues and about steps that can be taken to prevent them to guide readers in the upcoming year. This article contains hazards one through five. The remaining hazards will appear in upcoming editions of BOAQ.
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 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 Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Part
Medicare’s New Part D Prescription Drug Model Changes 2020
Medicare’s Part D prescription drug model changes 2020, and it’s going to affect medical coders. The current reimbursement and payment model system for Part D creates incentives for Part D plans to push patients to the “catastrophic phase” of the plan. Once the patient reaches the “donut hole, Medicare is responsible for 80 percent if […]
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CPC Looking for part time/Contract work Resume pasted
16 CHELMSFORD CT.
BALTIMORE, MD. 21220 443/610-7382
[email protected]
CAREER PROFILE
Certified Coding position in the healthcare field making sure coding and compliance guidelines are followed with correct coding abstraction to ensure constant financial revenue.
EMPLOYMENT HISTORY
Kirk Army Health Clinic, Aberdeen Maryland Contract
Coder
Proficient in DOD Guidelines, Verifies and assigns diagnosis and procedure coding according to ICD-10 cm cpt and hcpcs guidelines with a high degree of accuracy. Contacts physicians and other healthcare providers to clarify dx and procedures, sequencing codes accurately for optimal reimbursement. Provides education to physicians and ancillary staff on appropriate documentation needs for coding.
Brightwood College
Instructor Billing/coding Adjunct Current
Teaching the billing, coding and health information management materials outlined in each courses curriculum. Prepares and grades all class/lab assignments and exams, maintains attendance records for each student.
MedStar Harbor Hospital
Specialist Physicians Billing 11/16-05/18
Prepares and submits clean claims electronic and paper to various insurance companies. Inpatient and outpatient ICD 10, CPT and HCPCS code abstraction from medical record documentation. Audits provider charts for proper documentation, provides physicians with education on proper documentation. Surgical posting, authorizations/pre certifications for Endocrine, Cardiology, Obstetrics and Primary care, maintains physicians calendars for surgeries, office hours, meetings and appointments.
Orthopaedic Specialty Center, Baltimore Maryland
Front Office Manager: 07/05-03/16
Primary responsibilities include managing three office Locations, overseeing office operations, implementing crucial changes in work flow, managing office staff including payroll, recruitment, performance management training and development. Providing the required leadership, support and direction for office initiatives and special projects.
Team Leader Billing:
Primary responsibilities include training and assisting new employees of the billing department. Monitoring claim volume in Edit/
error management, updating procedures and diagnosis tables, creating custom edits in our EDI submission system. Resolve or assist in the resolution of claims processing or payment disputes. Responsible for processing
refunds and resolution of credit balances, establish monthly and quarterly financial productivity reports and goals. I also provide feedback to management and the billing staff regarding process flow on capturing charges and accounts receivables.
I am also on the EMR Committee.
Prior Duties Included Charge Entry billing: Charge entry and E&M leveling of professional billing, cpt/dx assignments for surgical procedures and cpt assignments for ancillary services This requires above average knowledge of ICD-9 and CPT coding basics and use of both level I (CPT) and level II (HCPCS/National) modifiers to assure that the claim was billed correctly before approving to the insurance carrier. I consistently meet month-end demands in reconciling charges.
EXTERNSHIP
Overlea Personal Physicians, Parkville Maryland 160 hours
Patient registration, answering multi line phone system, all front desk general office duties.
EDUCATIONAL BACKGROUND
Medix School, Towson Maryland Graduated
Medical Office Administration Program
Essex Community College 2002
Accounting/Business Administration
Woodlawn Senior High Graduated
General Studies
AAPC Coding Classes Certified
SPECIAL SKILLS
Microsoft Word, Excel
Knowledge of both Medical and Dental terminology Medical Transcription
Knowledge of computerized billing software: CCE, Ahlta, CHCS, Centricity, Medical Manager/Mastermind Familiar with electronic health records program: SRS, Version 8, Athena, and Phresia.
GAO: New payment rates for Part B lab tests may lead to billions in overpayments
Frequently asked questions about Medicare Part B
Learn How Part B Payment is Changing for Practitioners
Monumental changes to Medicare policy finalized in the 2019 Physician Fee Schedule (PFS) final rule warranted a Centers for Medicare & Medicaid Services (CMS) national call, held Nov. 19. Here’s a summary of what you may have missed. First Up: Evaluation and Management Services CMS started out with an explanation of the Patients Over Paperwork […]
The post Learn How Part B Payment is Changing for Practitioners appeared first on AAPC Knowledge Center.
Part D Proposal Enhances Access and Flexibility
We at AAPC found the following FAQ from the Centers for Medicare & Medicaid Services (CMS) about the proposed Part D rule very interesting. Contract Year (CY) 2020 Medicare Advantage and Part D Flexibility Proposed Rule (CMS-4185-P) On October 26, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates […]
The post Part D Proposal Enhances Access and Flexibility appeared first on AAPC Knowledge Center.
CMS invites Medicare Part A providers to learn new Medicare Cost Report e-filing system
Pregnancy Testing as part of unrelated encounter
Would the z32.00/z32.01/z32.02 coding be appropriate to justify the pregnancy test and would you also add Z01.812 (blood or urine testing prior to "treatment or procedure"?