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

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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

Addiction Medicine – Positive ETG

Hello,

I code for MAT for Opioid Dependence. When on Suboxone, alcohol is prohibited due to the fact that consuming alcohol while taking Buprenorphine can lead to loss of consciousness or even death. In this case, the patient has had positive ETG for the past few visits. Patient denies alcohol use, but has been having dental issues and has been using a prescribed mouthwash. I’d like to be able to code for the alcohol risk, but it certainly cannot be ascribed to alcohol abuse. Would F10.99 Alcohol use, unspecified, with other alcohol induced disorder be appropriate? Can Opioid dependence in MAT treatment with the possibility of drug to drug interaction qualify as a disorder?

Thanks so much for any feedback.

Allison

Medical Billing and Coding Forum

Positive Feccal Occult test and pre-screening visit

A patient has a positive fecal occult blood test (FOBT) and is referred to GI for a colonoscopy. Can the GI physician bill for a pre-screening visit? In many cases the only symptom may be a positive FOBT. This question has come up several times in the past few weeks and am having trouble finding a definite answer or even a generalized answer

Thanks!!

Dolores

Medical Billing and Coding Forum

Most Hospitals Will See Positive Payments in 2019

U.S. hospitals that are putting quality over quantity will fare well next year for their efforts. Out of  approximately 2,800 hospitals across the country, more than 1,550 will see an increase in their 2019 Medicare payments. For the rest? Well, the news isn’t so good. Where Does the Money Come From? The Centers for Medicare […]

The post Most Hospitals Will See Positive Payments in 2019 appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

CMS Discloses Requirements for Positive Payments Under MIPS in 2021

A final rule released for public inspection Nov. 2 finalizes policy for Year 3 (2019/2021) of the Quality Payment Program (QPP). The Centers for Medicare & Medicaid Services (CMS) continues to implement the Merit-based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs), as required by law (i.e., MACRA), while working to reduce the […]

The post CMS Discloses Requirements for Positive Payments Under MIPS in 2021 appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Preventive Exam and History of Positive HPV

Hello All

I have a few patients who calls and complains because they have received a bill from the labs showing they owe money. the patient was seen in our office for their yearly Preventive exam in which I would bill out the 99385-99397 with the Z01.419 (Encounter for gynecological examination (general) (routine) without abnormal findings). I have learned that on the providers side when they submit the Lab codes they are using things like R87.612 (Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)) because in the previous years the patients labs came back abnormal; as for when they have their colpo in the previous year.

So because the provider is putting a problem diagnosis on the lab claim this is where the patients bill is coming from.

I would like to know is this correct billing when submitting claims to the lab??? Or should they be using Z01.411 (Encounter for gynecological examination (general) (routine) with abnormal findings) because we truly do not know if the patient is reflecting positive until the labs come back for this year.

Thanks in advanced

Bev

Medical Billing and Coding Forum

Staying Positive – Some Thoughts For Job Seekers (And Also, Employers)

I began applying for jobs in August, right before I started training. Based on advice from my friends in the medical field, and experienced coders, I’ve applied for every entry level, "foot in the door" position I could find. Jobs like document scanning, data entry, reception desk, phone switchboard, and even housekeeping. Positions that specifically stated in their postings, "no experience necessary" or "at least one year of customer service", "must have working knowledge of computers", etc. Basic jobs. Between then and now (my training has been complete for about a month) I have applied to nearly 60 different positions, with a strong resume, cover letter, references, and a clear objective. Out of all of those jobs, I have received maybe 40 responses, with some variation of "You are not qualified" or no response at all. I even pushed back the date of my CPC exam, to focus on trying to lock down entry level work. I have posted in the forum before, about how I have two decades of retail management experience. And, anyone who has ever been in that particular field can tell you, you have your hands in everything. From banking, to dealing with sensitive information, HR, taxes and payroll, hiring/training personnel, doing paperwork, taking meetings, scheduling, running office equipment, using every computer software program known to man, answering phones. And, complicated things, like supervising packed stores, dealing with hostile customers, assisting large numbers of people at once, managing a staff of 20+ people sometimes, alone. And yes – housekeeping. It’s a role that always kept me on my toes. A role where customer service was always the biggest component, thus, the main priority. Yet, in the eyes of hiring reps for healthcare jobs, at least in my area, I am not qualified to answer a phone, process a payment, file papers/records, or deal with clients/patients in a customer service related position. As I prepare to finally sit for my CPC exam – which I am very confident about – I do remain concerned about my chances in the job market. I’ve heard horror stories from people with 30 years in billing, who couldn’t find coding work. And, I’ve heard horror stories from people like myself and others on this forum, who are new, and genuinely wanted to make a career change, but were not being considered for one reason or another. I’m trying to fight through the doubt and remain optimistic. The bottom line is, you can’t get that 3-5 years of experience that most employers are looking for, unless someone gives you a chance. And everyone deserves that chance. Especially if they are serious and legitimately care about being in this industry. And, I’d say 99% of us are! I spent nearly 20 years interviewing, hiring, and training people, and while I took their resumes into consideration, I also looked at their potential. I understood that if someone was applying to work for me, it was because they wanted to, and felt as if they had something to contribute. I always hired people who were motivated, willing to learn, and ready to jump in with both feet, no matter how new or scary it may have been for them. More importantly, I always had respect for people who were trying to make a positive change in their lives, by taking on a new challenge. I hope that anyone in my position, who is struggling, certified yet or not, will keep pushing. Knock on doors, apply to everything, until someone finally says "Yes." And, for anyone looking to hire new coders – be it for actual coding, or for an entry level, "foot in the door" job (because we WANT to work, we WILL take it if it’s the right fit!), don’t judge them solely on their background. Look at their experiences, see where they’ve been, where they want to go, and what they could bring to the table. You might come to find out that an ex retail manager, a stay at home mom, or a McDonald’s cashier could be a great addition to your team. Newbies, don’t ever lose sight of the fact that we have all worked hard to train and earn our certifications. Keep going!

Medical Billing and Coding Forum

Transitioning from PQRS to MIPS for Positive Payment

This year marks the first performance year in the Merit-based Incentive Payment System (MIPS) — a new payment adjustment system within the Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program, which replaces three separate programs: Physician Quality Reporting System (PQRS) Value-based Payment Modifier (VM) Medicare Elec
AAPC Knowledge Center