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 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

Compliance Question

I have a BAA with a web-based EHR/RCM and with its affiliated scheduling system. The EHR/RCM uses a specific clearinghouse to process my claims and the scheduling system uses a specific company to process patient payments (debit/credit/ACH). The EHR/RCM has a BAA with the clearinghouse. The scheduling system has a BAA with the payment processing vendor.

My question is: In order to remain compliant, do I need a separate BAA with the clearinghouse and the payment processing vendor?

Thanks for any advice!

~Jennifer
Velocity Medical Billing

Medical Billing and Coding Forum

Couple E/M question gray aeas to me. Advice please?!

My first question is in regard to the 95 and 97 guidelines and when Medicare -RAC does an audit.
Will they use the guidelines that suits THEM or will they always use the guidelines that benefits the physicians?

Also, if it’s an established patient and you need 2 out of 3…history and exam are perfect-comprehensive but MDM lacks complexity, can you still do a moderate using the history and exam, and not MDM?

And if I’m in a urology specialty but the patient has diabetes, CHF, COPD, basically things that the dr doesn’t necessarily treat, but might need to make medical decisions around that, can I bill those diagnoses? Or is it a matter of IF they put it in the assessment and plan? What if they put it there and list it. Can I count those as a point for established problem?
Do they actively have to be treating it on that encounter date? Where I’m struggeling is that they are not ‘treating’ the diabetes, etc. but it could be a factor in decision making.

Medical Billing and Coding Forum

ROS question

I have a couple of providers that have a problem pertinent ROS in the HPI, but their ROS only has the statement,"All other systems are negative". I thought that you had to document the systems you reviewed and then you could use this statement for all others. I have been told that this is acceptable. Can someone clarify this for me.

Thanks

Medical Billing and Coding Forum

Modifiers and Global Period Question

Hi,

I’d be grateful if someone could help with billing question. Patient has had prior procedures and is in global period. On the next visit two procedures will be performed. I’d like help determining the appropriate modifiers and their placement Would this be correct?
99214 24, 25
17000 79
17003 79
19000 59 79
J3301

Many thanks!

Sharon

Medical Billing and Coding Forum

Telemedicine/Telehealth Question

Our practice has a LCSW that has relocated to another state. She had a huge following of patients. The doctor states that our office can bill for telehealth if we have the patients coming into our office and see the LCSW via telehealth. The LCSW is working out of her new state and new office location, no affiliation with us other than possibly still being "an employee." I am unaware if she is billing from her side, but we are billing through ours. I have zero experience with telehealth, but it seems odd that the licensed person is in another state, not credentialed with most of our insurance companies any longer, yet we are to bill the patient/for the patient through our office? I may be completely wrong and that is okay, I would just like a clear comprehension of what our office should be doing. Any help would be appreciated! Thank you!

Medical Billing and Coding Forum

Iovera Coding and Reimbursement Question

Hi, we are looking to start this procedure for patients pre-total knee replacement. The company is telling us to bill 64640, "Destruction by neurolytic agent; other peripheral nerve or branch" and U/S guidance based upon an AMA opinion from 2013. In 2017 Category III code 0441T was added and the descriptor is :"Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve". Not sure which coding advice to use and any assistance is greatly appreciated.

Medical Billing and Coding Forum