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

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 right corner of this page

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

Billing a PA’s Services Incident to a Physician’s

Use midlevel providers to maximize productivity and reimbursement in your physician office. Physician assistants (PAs) are a type of nonphysician practitioner (NPP) who may bill Medicare under their own national provider identifier (NPI). As of Jan. 1, 2022, PAs can bill and be reimbursed directly from Medicare where previously reimbursement could only be made to […]

The post Billing a PA’s Services Incident to a Physician’s appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Florida Physicians and Practice Settle False and Fraudulent Claims Case

Jaime L. Sepulveda, MD, LLC (d/b/a Miami Urogynecology Center), Jaime L. Sepulveda, M.D., and Sujata Yavagal, M.D. (collectively, “Miami Urogynecology Center”), South Miami, Florida, entered into a $ 173,768.08 settlement agreement with OIG. The settlement agreement resolves allegations that Miami Urogynecology Center submitted claims to Medicare for items or services that it knew or should have known were not provided as claimed and were false or fraudulent. Specifically, OIG contended that Miami Urogynecology Center submitted claims for: (1) diagnostic electromyography services using CPT code 51784 when therapeutic, not diagnostic, services had been provided; (2) pelvic floor physical therapy services using CPT codes 97032 and 97110 when those services were provided by an unqualified individual; and (3) evaluation and management (E&M) services using CPT codes 99213 and 99214 that were billed in conjunction with pelvic floor therapy procedures when no separate and identifiable E&M services were provided. OIG’s Consolidated Data Analysis Center and Office of Counsel to the Inspector General, represented by Senior Counsels Srishti Sheffner and Michael Torrisi, with the assistance of Program Analyst Mariel Filtz, collaborated to achieve this settlement.

The post Florida Physicians and Practice Settle False and Fraudulent Claims Case appeared first on The Coding Network.

The Coding Network

Tree Based Physicians Group and Neurologist Agree to Pay Almost One Million Dollars to Resolve False Claims Act Allegations

Jefferson Medical Associates, a now broke down, multi-strength restorative practice bunch in Laurel, and Dr. Aremmia Tanious, have consented to pay the United States $ 817,635.06 to determine asserts under the False Claims Act emerging from Medicare excessive charges to Jefferson Medical Associates and Dr. Tanious, reported U.S. Lawyer Mike Hurst.

Read The Full Story Here!

The post Tree Based Physicians Group and Neurologist Agree to Pay Almost One Million Dollars to Resolve False Claims Act Allegations appeared first on The Coding Network.

The Coding Network

Primary Care Physicians & Eye Care CPT Cat II Codes

Hello Coding Experts–

Can a primary care physician, i.e., family practice, submit the following CPT Cat II codes to close HEDIS gaps in care if they receive an eye exam report for their diabetic patients (from an eye care professional), review the report and place it in the patients’ medical record?

2022F: Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed
2024F: 7 standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed
2026F: Eye imaging validated to match diagnosis from 7 standard field stereoscopic photo results documented and reviewed
3072F: Low risk for retinopathy (no evidence of retinopathy in the prior year)

Thanks for reviewing this!

Yvette Peak

Medical Billing and Coding Forum

Hospitals Buying Up Physicians and Practices

Physicians and practices are being snatched up by hospitals at an ever increasing rate, according to an advocacy group and as consulting company, and this may have an impact on medical coding in around 80,000 hospital-owned practices. Hospitals Racing to Acquire Data compiled by Physicians Advocacy Institute (PAI) and consulting company Avalere Health indicates hospitals […]

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AAPC Knowledge Center

NCCI Edit 36226 & 69990; 2 different physicians, 2 different OP sessions, same day

Our neurosurgeon performed a crainotomy for a resection of an AVM 61597, 61702 & 69990.
The neuroendovascular IR performed a post op cerebral angiogram 36222 & 36226.
Both procedures were performed on the same day by different physicians within the same group (neurosurgery & neuroendovascular).
We are hitting an edit because the 69990 Microscope can’t be billed with the 36222 nor 36226.
Mind you these are 2 different procedures at different operative sessions on the same day billed independently of each other.
Can we dispute this edit?

Medical Billing and Coding Forum

Get a Physician’s Perspective on Breast Health and Coding

An interview between a surgical coder and a breast surgeon uncovers essential clinical and medical coding guidance. Breast health is an important topic for all women, and should be for men, as well. It’s especially important for Sasa-Grae Espino, MD, breast surgeon at Southside Physicians Network in Petersburg, Va. She is passionate about educating her […]
AAPC Knowledge Center

TeleHealth CMS reg on admitting and discharging physicians

[SIZE=2][FONT=Garamond]I am being told by our billing company that per CMS rules a TeleHealth provider cannot be the admitting or discharging physician for our inpatient psychiatric facility.
I’m having trouble locating that rule anywhere on the CMS TeleHealth guidelines.

Does anybody have any experience with admitting or discharging physicians that do so via telehealth?

Thanks in advance!![/FONT][/SIZE]

Medical Billing and Coding Forum

NPs and Supervising Physicians – Virginia

We have two insurance carriers that do not allow us to bill under the Nurse Practitioner’s NPI (Anthem and United – although, they are credentialed with United). What are the requirements/definition for the "supervising physician"? Do they have to be onsite in order to be considered the "supervising physician"? Do they have to sign off on these charts? If the physician has to sign off on the NPs’ charts, do they have to be present in the office during the visit?

Please advise! Thanks!

Medical Billing and Coding Forum