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

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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

‘Qualifying’ Appeal

I am at a relatively new practice in Los Angeles, CA, and I am currently in charge of all billing and collections. For some insurances, we are getting letters saying that what we are sending does not ‘qualify’ as an appeal…….what? I’ve never heard this. Also, some insurances are just plain denying our ‘appeals’ (in quotes since they are not appeals, apparently) point blank, and we have no where to go. Has anyone worked with this before and how do I go about fixing it?

Medical Billing and Coding Forum

documentation qualifying the diagnosis of threatened abortion

Hi,

I have read the threatened abortion needs to have associated symptom like uterine cramps, abdominal pain, bleeding,…I am working in an IVF center (assisted reproducitve technique center) where physicians stated that threatened abortion can clinically be documented and thus coded without the above symptoms such as:
(1) Secondary Infertility where patient had multiple miscarriages and thus if pregnancy occurred, the patient is considered high risk pregnancy with history of infertility along with threatened abortion diagnosis.
Especially in the similar gestation weeks when she was aborted earlier.
(2) Primary Infertility with Multiple failed IVF cycle – Embryo Implantation failure. Thus if pregnancy occurred, the patient is considered high risk pregnancy with history of infertility along with threatened abortion diagnosis.

Another question about threatened abortion, if qualifying symptoms existed, can the physician document threatened abortion on sequential encounters (patient might experiences the symptoms in the first encounter and is under conservative management and not necessarily to have persistent symptoms in her next visit but physician documented in both visits threatened abortion).

Thanks
Jibin zachariah CPC CPMA
01161432

Medical Billing and Coding Forum

Qualifying As A Medical Student

Qualified medical assistants are in much greater demand now as compared to the past. Due to current economic scenarios, clinics, hospitals and other medical facilities centers have to use limited resources competently. Qualified medical assistants are now doing tasks generally performed by doctors or nurses.

To begin with, you must acquire a certification. You will come across several programs which will allow you to appear for the certification examination conducted by Council on Accreditation for Allied Health Education Programs or CAAHEP. A list of institutions offering courses that cover the examination syllabus is published by CAAHEP. You can acquire thorough education to become a medical assistant in many ways.

You may join a two-year program that will get you an associate degree. Some of the subjects that you will be studying are anatomy, health care law, physiology and microbiology. Specialization in an area of your choice is also available, for example clinical area or hospital administration.

Some of the courses are oriented towards preparing the candidates for passing the certification exam. By focusing on those aspects that will help you to pass the examination, these courses provide outstanding preparation for becoming a medical assistant.

You can prepare for the medical assistant examination with the help of online courses available on the Internet. To become a thoroughly qualified medical assistant, the best plan of action is to avail of a practical course from a certified institution in addition to taking an online course.

Some clinics and hospitals conduct free courses which provide yet another choice for you to get trained as a medical assistant. You have to simply apply for such a course. It is like an “earn while you learn” program wherein you also receive payment during learning. Perhaps the best possible education is available during such hands-on training as you are allowed to work in real life situations.

You can get a scholarship provided you agree to work in the institution for a stipulated number of years after clearing the exam. As a large number of candidates apply for such courses, only those who possess an excellent academic record and are successful in various interviews are selected.

If you acquire good quality education as a medical assistant, it will enable you to get employment in a hospital or similar institution offering health-care services. This profession is best suited for you if you like helping the sick by working with doctors and nurses.

If you want to find out more about CNA training, then check out CNA Programs.

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Anesthesia Qualifying Circumstances

When reporting anesthesia services, there are several “qualifying circumstances” that may be submitted to the insurance company, when those services are reasonable and necessary. These qualifying circumstances are all add-on codes (meaning that they cannot be billed, alone), and include: +99100 Anesthesia for patient of extreme age, younger than 1 year and older than 70 […]
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CMS Predicts Qualifying APM Participants

Physicians need wonder no more whether they’ll don the honor of Qualifying Participant (QP) in an Advanced Alternate Payment Model (APM) this year. The Centers for Medicare & Medicaid Services (CMS) announced over the weekend predictive QP status for 2017 Advanced APMs. CMS predicts nearly 100 percent of eligible clinicians in the following Advanced APMs will be […]
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