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

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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

NP seeing a patient inhouse

My provider is a General Surgeon and he is independent; he is not employed by a hospital, etc. We do not employ a NP or PA in our office however my provider
uses a hospital employed NP to round on his patient’s. My provider still oversees the patient care and signs off on everything. Can my provider still bill the 99232,99231 codes if he signs off
on the notes? Thanks for helping me!

Any input would be appreciated!

Medical Billing and Coding Forum

Sleep Study (for Cardio patient) w/Pulmonology interpretation

Cardio meets with patient and gives equipment with direction of use 95800 with Mod -TC
Patient brings back equipment and Cardio downloads report

Pulm picks up report and does interpretation 95800 with Mod -26

But, if Total Recording Time (TRT) is less than 6 hours, Pulm also adds a Mod -52 for reduced services.
The question remains if Cardio needs to add Mod -52 to their charges even if their work was done when handing off equipment.

We cannot find definite answer to this and want to bill correctly.

Medical Billing and Coding Forum

Is Transitional Care Management (TCM) appropriate for this patient?

Hello. Hoping someone can help with my TCM question.

A TCM service was started for a patient who was in the hospital and worked up for chest pain. All diagnostic testing was negative. A 2 day outreach, medication reconciliation and a face-to-face visit with the physician was completed. The physician addressed the patient’s resolved chest pain, stable hypertension and stable hyperlipidemia. He ordered the nurse to follow up with the patient in a week to get an updated status on the patient’s condition. Wants to make sure the patient is not having any chest pain symptoms that may prompt the patient to go back to the hospital. The RN called the patient who was feeling fine and reported no chest pain symptoms.

Is it appropriate to report a TCM service for this patient considering clinical non-face-to-face services only included a follow-up phone call to the patient to address current health status?

Thank you!!

Medical Billing and Coding Forum

Patient Education

Physician sent order to ER for patient to receive outpatient education on PICC line maintenence and long term IV infusion. Patient came to ER, an RN educated the patient on how to perform the infusion and PICC line maintenence – education took 1 hour
How do I code this? Would this be an appropriate scenario for 98960?
Any help would be greatly appreciated as I’m new to CAH coding

Thank you!

Medical Billing and Coding Forum

Two-midnight Rule: Factors to Consider when Admitting a Patient

Meet Medicare requirements when a provider expects a patient to be admitted for an inpatient stay of at least two midnights. If you report hospital inpatient services for Medicare patients, you need to know about the two-midnight rule. If you haven’t heard of it, or could use a reminder, here are the facts. Cost Containment […]

The post Two-midnight Rule: Factors to Consider when Admitting a Patient appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Observation and evaluation for a Medicare Patient

Hello, I just joined AAPC to start training for CPC certification . I have a question that has been bugging me that I can’t seem to find an answer to and it may be a dumb one but I have to ask..
I work for an oral surgeons office and went to a AAOMS coding course who said we could use the Z03.89 dx for a non medicare patient and if a patient has the 3 criteria’s met: suspected condition, no signs or symptoms of suspected condition and after study, patient does not have the suspected condition. My question is what if its a medicare patient, I know they will deny this diagnosis is there any other to bill? I can’t bill the suspected condition alone do I use the Z03.89 code and let it deny and patient is responsible?

Thanks for any help,
Sandy

Medical Billing and Coding Forum

fracture coding for elderly patient

hello,

Would someone be able to clarify the fracture coding confusion for me please?

65 years old female came to ED complaining for R arm injury after she tripped and fell. No past medical history. ED provider diagnosed patient with R distal radius fracture.
My question: how this should be coded: Right Distal Radius Fracture or, osteoporosis with right distal radius fracture because of this patient’s age?
Per guidelines- code fracture with osteoporosis when osteoporosis is documented. However, I found an article where the fracture can be coded with osteoporosis because of the patient’s age.

Any input will be appreciated.

Thank you,
Niki

Medical Billing and Coding Forum

New Patient Visit for Same Practice Subspecialist

Question: A referring provider and subspecialist are in the same practice and bill under the same tax ID; however, the referring provider is an obstetrician/gynecologist,and the subspecialist is a gynecologist obstetrician. Can the gynecologist obstetrician bill a new patient visit? Answer: Per the CPT® definition, a new patient is one who has not received any… professional services […]

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AAPC Knowledge Center