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

Practice Exam

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

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top left corner of this page

Practice Exam

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

Practice Exam

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

Security Breach Puts 2,600 Patients’ PHI at Risk

The Boston-based nonprofit health system, Partners HealthCare System, Inc., discovered personal data and protected health information (PHI) had been accessed by computers infected with malware in May 2017. The breach involved more than 2,600 individuals of which Partners notified on Feb. 5. According to Boston Business Journal: The nonprofit health system, whose hospitals include Massachusetts […]
AAPC Knowledge Center

Getting a Visual on Patients May Present Problems

Help physicians fill in the missing information when they use visual cues to determine a diagnosis. Most coders are familiar with the coding and documentation guidelines required to support the management of hierarchical condition categories (HCCs); for certain conditions, however, physicians may use visual cues to decide whether the patient’s diagnosis is appropriate. This can […]
AAPC Knowledge Center

Providers Embrace Telehealth While Patients Waffle

Recent research by Avizia, a telehealth provider, indicates that while providers are largely excited about the new technology, 82 percent of consumers are either unsure of or have never heard of telehealth services. The findings in the company’s white paper “2017 Closing the Telehealth Gap” swim against the recent wave of legislative acceptance, federal initiatives, and […]
AAPC Knowledge Center

Coding Labs for recurring testing on chemo patients

My physician orders a recurring Labs of CBC, CMP, TSH on his active chemo patients to monitor their blood levels. The pt usually goes for blood work 2 days before the chemo and the physician decides the next chemo session based on the lab results. Can I use Z51.81 +Z79.899 or just Z79.899 along with malignancy code on the lab orders? We are getting a lot of 84443, TSH denials? Not all the pts are diagnosed with Hypo or hyper thyroid. Thank you!

Medical Billing and Coding Forum

Incident to and New patients

I am from South Dakota and most of the time our PAs will see the new patients. After our PAs have taken most of the HPI and exam, the Dr will then go in the room and decide on a plan. The PA dictates the encounter and in the MDM says Patient was seen by both myself and Dr. _____ on today’s visit. And then dictates if the patient will be started on a med, surgery, or any work up. Is this enough information to bill under the drs name for medicare patients?

Here is an example for MDM that was dictated by a PA

IMPRESSION:
1. Painless gross hematuria.
2. History of recurrent urinary tract infections.

RECOMMENDATIONS/PLAN: Patient was seen by both myself and Dr. _____ on today’s visit. We discussed today with ______ the process of finishing her hematuria workup which include cystoscopy with bilateral retrogrades and bladder washings under MAC anesthesia. This will be accomplished in our office. She will have preoperative H&P as well.

Then this is documented by dr.

I have examined and interviewed the patient and confirm the pertinent findings. I have discussed the case with _____, PA and agree with the pertinent findings and plan.

Medical Billing and Coding Forum

Accepting payments from Medicare patients

We are a billing company and collect payments on behalf of our clients for the patient responsibility portion of the Medicare claim. The payment is processed through our bank as an aggregate. The question was asked if this is proper to accept these payments in our account on behalf of the client for Medicare patients? I cannot find anything that says that this cannot be done but I am looking for any feedback.

The money is allocated back to the clients at invoicing, every 30 days.

Medical Billing and Coding Forum

Educate Patients for Medical Progress

Patient education is the process by which health professionals and others impart information to patients that will alter their health behaviors or improve their health status. Education providers may include: physicians, registered dietitians, nurses, hospital discharge planners, medical social workers, psychologists, disease or disability advocacy groups, special interest groups, and pharmaceutical companies.

In the current age of information, pharmaceutical companies are in need for ideas to educate patients about new products and techniques to combat diseases and disorders that they suffer from, all in the effort to gain patient advocacy.

Educating a patient brings with it important value additions to brand perceptions as well. In addition to brand perception, other values of patient education includes improved understanding of medical condition, diagnosis, disease, or disability, better understanding of methods and means to manage multiple aspects of medical condition, improved self advocacy in deciding to act both independently from medical providers and in interdependence with them, increased compliance – effective communication and patient education increases patient motivation to comply, patient outcomes – patients more likely to respond well to their treatment plan – fewer complications, informed consent – patients feel you’ve provided the information they need, utilization – more effective use of medical services – fewer unnecessary phone calls and visits, satisfaction and referrals – Patients more likely to stay with your practice and refer other patients, risk management – lower risk of malpractice when patients have realistic expectations.

The bio-pharmaceutical marketplace continues to evolve as new medicines and technologies create valuable market opportunities. It’s in this competitive and challenging environment that organizations with new diabetes products are scrutinizing their strategies and tactics to support market education for patients. Marketing professionals in major pharmaceutical companies can now use benchmark reports that equip them with better ideas to improve patient education.

The benchmarking reports deal with the types and value of medical education and marketing tactics used to inform patient groups about new therapies. The reports include quantitative survey and interviews that helped identify patient education strategies and tactics that organizations use pre- and post-launch.

Qualitative and quantitative data is presented across a broad array of educational approaches, from public relations and new technologies to advocacy groups and early access plans.

Marketing executives can use this research to compare their patient education strategies and tactics with those of leading organizations.

Kirthy Shetty, Expert Author. More on Patient Education, Competitive Intelligence

More Medical Coding Articles

Axe 90658 For Medicare Patients In Favor Of Just-in Q Codes

The new year brings changes to flu vaccines and counseling codes.

Your vaccine coding in 2011 will be on its toes, thanks to changes in codes and administration reporting. Two more updates every family physician should know involve new Q codes for some Medicare flu vaccines and expanded ages for adolescent vaccine counseling.

Nix 90658 for Medicare patients

CMS has come up with new HCPCS codes and payment allowances to replace 90658. Medicare will no longer pay you money for 90658 with effect from January 1, 2011. As such, select from the new codes instead, based on the specific product: Q2035, Q2036, Q2037, Q2038, Q2039.

Timing: Codes Q2035-Q2039 went into effect on October 1, 2010. When filing claims for DOS from October 1 until December 31, 2010: bill Medicare immediately with 90658, or hold the claim until January 1, 2011 and file with the proper Q code.

Explanation: Medicare pays for influenza vaccine based on 95 percent of the average wholesale price. The products normally classifiable to 90658 have widely varying AWPs. If Medicare continued paying for all of them under a single code, they could be overpaying some and underpaying others, relatively.

Consequence: Medicare assigns different Q codes to each individual product starting January 1, 2011 to account for variances in manufacturing prices. “This should actually ensure that physicians are paid well for products that might have significant differences.

Report 90460, +90461 through age 18

You will be able to use medicine series vaccine administration with counseling codes on older patients and when a nurse provides the counseling, thanks to CPT 2011.

As counseling for adolescents can involve as much as counseling on vaccine for younger children, the American Academy of Pediatrics recommended that the age limitation on the vaccine administration with counseling codes be raised. New codes extend vaccine administration with counseling to patients through 18 years of age.

Benefit from RN/LPN counseling and still get the reimbursements

Busy practices will be excited at being able to use their registered nurses (RN) or licensed practicing nurses (LPN) to capture the higher RVUs some private payers associate with the vaccine administration with counseling codes. The just-in vaccine administation code with counseling code descriptor expands who can provide the vaccine counseling described in the deleted immunization administration with vaccine counseling codes (90465-90468). CPT 2010 vaccine administration with counseling codes 90465-90468 limited the counselor role to a doctor and, subject to state scope of practice laws, nurse practitioner (NP) or physician assistant (PA).

Final say: Remember the just-in administration codes 90460 and 90461 are per vaccine/toxoid component. That means if your doctor provides counseling and administration for a combination, you will report 90460 for the first component and 90461 for each additional component. In the MMR example, you would use 90460 once and 90461 twice. Before 2011, you’d report only a single vaccine administration code for a combination vaccine, irresespective of the number of components in the vaccine.

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.