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

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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

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MIPS payment posting by secondary payers

When our Medicare claims cross over to Medicaid, Medicaid is not reading the MIPS adjustment code correctly. They are applying the adjustment against the CO-45, creating a patient balance of what Medicare’s MIPS amount was.

Medicare when primary is processing MIPS correctly and the payments are posting correctly.

Is anyone else seeing this with their Medicare crossover to Medicaid claims?

Thannks for any input! :)

Medical Billing and Coding Forum

JOB POSTING – Billing Supervisor

Billing Supervisor

Advanced Regional Center for Ankle and Foot Care – Altoona, PA 16602

The Billing Supervisor’s chief function is to handle all billing and collections for the practice. She/ he will work cooperatively with the billing staff, patients, insurance companies, staff and doctors to effectively accomplish the following list of responsibilities. The position requires experience in standard podiatric terminology and an understanding of podiatric-specific billing protocols. Other necessary technical and behavioral skills would include computer, communication, conflict management, organizational & development and quality customer service. Ensuring procedures are followed, privacy is protected, and information is accurate are primary responsibilities.
This supervisor will share recommendations for improvement and implement billing protocol and policies. She/he is expected to uphold a professional, pleasant and caring personality/ attitude with all patients and work together with other staff members as a valuable team player. Project Management skill, ability to multi-task, excellent verbal and non-verbal communications and is a team player.

Responsibilities include:

• Delegation of billing duties to appropriate billing specialists
• Monthly A/R reporting and management
• Tracking and maintaining KPI for all aspects in billing
• Assist in obtaining authorizations if necessary
• Cross checking EOBs with appropriate current fee schedule and initiating an appeal if necessary.
• Monthly patient invoice management
• Reporting all changes in coding, modifier and data entry to doctors, as obtained from third party payers.
• Updating changes in insurance coverage
• Making sure documentation substantiates what is billed
• Feedback to staff, 90-day evaluations and performance reviews of staff
• Performing and reviewing regular staff audits
• Keeping an accurate record all outgoing and incoming conversations
• Confidential, private handling of billing patient inquiries and complaints (telephone, fax, email)
• Making necessary follow up calls to insurance companies and provider representatives
• Reviewing/approving patient refunds
• Maintaining billing area master files in EMR software
• Develop, implement and maintain a billing filing process
• Accuracy of work and strict HIPAA compliance

Job Type:

Full-time

Apply To:

Jackie Gutshall, CHPC
Compliance Officer
Advanced Regional Center for Ankle and Foot Care
711 Logan Boulevard
Altoona, PA 16602
[email protected]

OR

Apply on Indeed.com

https://www.indeed.com/cmp/Advanced-…7essc1h27ohbck

Medical Billing and Coding Forum

New Job posting – Remote Inpatient Coder

Click here for all the details

Looking for CCS, RHIT, RHIA

DESCRIPTION

FT Remote Inpatient Coder

Case Mix: Cardiac, CABG, Vascular Surgery, Valves, Burns, Traumas, Amputations, Re-attachments, Neurology, Graphs/Flaps, Transplants (Kidney & Pancreas), Ortho (Total Hips/Knees/Shoulders/Spines), Oncology Surgery, Gen Surg, Med Surg, Sepsis, Pneumonia, High Dollar Charts, Long-Length of Stays, Commercial Payers, Medicare/Medicaid
Records:
Electronic via EPIC (required)
Encoder: 3M (required)
Abstracting: EPIC (required)
CAC: 3M 360 (required)
Teaching: Yes (required)Trauma: Yes, Level I (required)
Productivity: 18-20/day

Click here for all the details

Medical Billing and Coding